QuickLinks -- Click here to rapidly navigate through this document

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934

February 20, 2002
Date of Report (date of earliest event reported)


COMMUNITY HEALTH SYSTEMS, INC.
(Exact name of Registrant as specified in charter)



Delaware

001-15925

13-3893191
(State or other jurisdiction of incorporation) (Commission File Number) (I.R.S. Employer Identification No.)

155 Franklin Road, Suite 400
Brentwood, Tennessee 37027
(Address of principal executive offices)

Registrant's telephone number, including area code: (615) 373-9600





ITEM 5. OTHER EVENTS

        On February 20, 2002, Community Health Systems, Inc. announced operating results for the fourth quarter and year ended December 31, 2001.


ITEM 7. FINANCIAL STATEMENTS AND EXHIBITS

  99.1   Press release of Community Health Systems, Inc. dated February 20, 2002


ITEM 9. REGULATION FD DISCLOSURE

        On February 20, 2002, the Company issued a press release announcing its fourth quarter 2001 and year ended December 31, 2001 operating results. A copy of the press release is attached hereto as Exhibit 99.1 and the contents of the exhibit are incorporated herein by reference.

        The following table sets forth selected information concerning the projected quarterly and annual consolidated operating results of Community Health Systems, Inc. (the "Company") for the year ending December 31, 2002. These projections for 2002 are based on the Company's historical operating performance, current trends and other assumptions that the Company believes are reasonable at this time.

        The following is provided as guidance to analysts and investors:

Year Ending December 31, 2002 Projection Range:

   
Net operating revenue (in millions)   $2,050 to $2,100
EBITDA (in millions)   $358 to $365
Net income per share—diluted   $0.88 to $0.94
Same hospitals admissions growth   3.0% to 4.0%
Routine capital expenditures (in millions)   $70 to $75
Replacement hospital expenditures (in millions)   $32 to $35
Acquisitions of new hospitals   3 to 4
Weighted average diluted shares (in millions)   102

Net Income Per Share—Diluted Estimate by Quarter:


 

 

1st quarter ending March 31, 2002   $0.24 to $0.25
2nd quarter ending June 30, 2002   $0.19 to $0.20
3rd quarter ending September 30, 2002   $0.20 to $0.22
4th quarter ending December 31, 2002   $0.25 to $0.27

        The following assumptions were used in developing the guidance on preceding page:

1


        The projections set forth in the preceding table constitute forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. Although the Company believes that these forward-looking statements are based on reasonable assumptions, these assumptions are inherently subject to significant economic and competitive uncertainties and contingencies which are difficult or impossible to predict accurately and are beyond the control of the Company. Accordingly, the Company can not give any assurance that its expectations will in fact occur and cautions that actual results may differ materially from those in the forward-looking statements. A number of factors could affect the future results of the Company or the healthcare industry generally and could cause the Company's expected results to differ materially from those expressed in this filing. These factors include, among other things:

        The quarterly and annual consolidated operating results for the year ended December 31, 2001, are not necessarily indicative of the results that may be expected for any future quarter or for any future fiscal year.

        The Company cautions that the quarterly and annual projections for 2002 set forth on the preceding pages are given as of the date hereof based on currently available information. The Company is not undertaking any obligations to update these projections as conditions change or other information becomes available.

2




SIGNATURES

        Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: February 20, 2002   COMMUNITY HEALTH SYSTEMS, INC.
(Registrant)

 

 

 

 

 
    By:   /s/ Wayne T. Smith
Wayne T. Smith
Chairman of the Board
President and Chief Executive Officer
(principal executive officer)

 

 

 

 

 
    By:   /s/ W. Larry Cash
W. Larry Cash
Executive Vice President and Chief Financial Officer
(principal financial officer)

 

 

 

 

 
    By:   /s/ T. Mark Buford
T. Mark Buford
Vice President and Corporate Controller
(principal accounting officer)

3


        Index to Exhibits Filed with the Current Report on Form 8-K Dated February 20, 2002

Exhibit Number

  Description
99.1   Press Release dated February 20, 2002



QuickLinks

SIGNATURES

QuickLinks -- Click here to rapidly navigate through this document
Exhibit Number 99.1 COMMUNITY HEALTH SYSTEMS, INC.
  
155 Franklin Road Suite 400
Brentwood, TN 37027-4600
Tel: (615) 373-9600
Fax: (615) 371-1068
  LOGO

 

P.O. Box 217
Brentwood, TN 37024-0217

 

 

Investor Contact:

W. Larry Cash
Executive Vice President
and Chief Financial Officer
(615) 373-9600

 

 

COMMUNITY HEALTH SYSTEMS, INC.
ANNOUNCES STRONG FOURTH QUARTER 2001 RESULTS WITH NET
OPERATING REVENUE UP 29.3% AND EBITDA UP 19.2%


FIVE ACQUISITIONS COMPLETED IN 2001

ONE ACQUISITION COMPLETED IN 2002


BRENTWOOD, Tenn. (February 20, 2002)—Community Health Systems, Inc. (NYSE: CYH) today announced financial and operating results for the fourth quarter and year ended December 31, 2001.

        Net operating revenues for the fourth quarter ended December 31, 2001 totaled $477.5 million, a 29.3% increase compared with $369.3 million for the fourth quarter ended December 31, 2000. EBITDA for the fourth quarter of 2001 was $83.6 million compared with $70.1 million in the fourth quarter of 2000, representing a 19.2% increase. Income before extraordinary item was $18.0 million, or $0.18 per share (diluted), compared with $7.2 million, or $0.09 per share (diluted).

        During the fourth quarter of 2001, the Company received $585 million in net proceeds from concurrent equity and convertible debt offerings and used these proceeds to repay a portion of its long-term debt. In connection with the repayment, the Company recognized a $3.8 million after tax extraordinary loss on the early extinguishment of debt. After the extraordinary charge net income was $14.2 million, or $0.15 per share (diluted), on 97.9 million weighted average shares (diluted) outstanding for the quarter ended December 31, 2001, compared with $7.2 million or $0.09 per share on 84.1 million weighted average shares (diluted) for the quarter ended December 31, 2000.

        The consolidated financial results for the fourth quarter ended December 31, 2001 reflect a 20.4% increase in total admissions, and a 22.8% increase in adjusted admissions, compared with the fourth quarter of 2000. On a same store basis, net revenues in the fourth quarter of 2001 increased 8.7%, admissions increased 2.2%, and adjusted admissions increased 4.7% compared with the same period last year.

        Net operating revenues for the year ended December 31, 2001 totaled $1.7 billion compared with $1.3 billion for the year ended December 31, 2000, a 26.6% increase. EBITDA increased 22.1% for the year ended December 31, 2001, or $308.7 million, compared to $252.7 million in 2000. Income before extraordinary item was $48.6 million, or $0.54 per share (diluted) in 2001 compared with $9.6 million, or $0.14 per share (diluted) in 2000. After the extraordinary charge, net income was $44.7 million, or $0.50 per share (diluted), on 90.3 million average shares (diluted) outstanding for the year ended December 31, 2001, compared with $9.6 million, or $0.14 per share (diluted), on 69.2 million weighted average shares (diluted) outstanding for the year ended December 31, 2000.

        The consolidated financial results for the year ended December 31, 2001 reflect an 18.3% increase in total admissions and an 18.6% increase in adjusted admissions compared with the year ended



December 31, 2000. On a same store basis, 2001 net operating revenues increased 10.4%, admissions increased 3.9%, and adjusted admissions increased 4.5% compared with 2000.

        The 16.4% and 30.4% increases in the weighted average number of shares (diluted) outstanding for the fourth quarter and the year ended December 31, 2001, respectively, compared to the same periods of 2000, are due principally to the Company's secondary public offerings in October 2001 and 2000, and its initial public offering in June 2000.

        "Our strong fourth quarter 2001 performance capped off an outstanding year for Community Health Systems," commented Wayne T. Smith, chairman, president and chief executive officer of Community Health Systems, Inc. "Through the consistent execution of our operating strategy, we have delivered impressive growth in revenues and EBITDA. During the quarter, we also completed three acquisitions, affirming our role as one of the most successful and active acquirers in the non-urban market."

        The Company completed five acquisitions during 2001, increasing the number of hospitals owned or leased to 57, and adding 766 licensed beds representing a 17% increase in total licensed beds. The acquisitions completed during the fourth quarter of 2001 were Jennersville Regional Hospital (59 beds) in West Grove, Pennsylvania, acquired on October 1, 2001; Easton Hospital (369 beds) in Easton, Pennsylvania, acquired on October 1, 2001; and South Texas Regional Medical Center (67 beds) in Jourdanton, Texas, acquired on November 1, 2001. In addition, the Company completed the acquisition of Gateway Regional Medical Center (386 beds) in Granite City, Illinois in January 2002. Each of these acquired hospitals is the sole provider of general hospital services in its community.

        "In addition to our solid financial and operating performance in 2001, we are very proud of our reputation as a leading provider of quality healthcare in the non-urban communities we serve. These accomplishments solidly position us to continue to meet our strategic objectives in 2002 and deliver value to our shareholders," added Smith.

        Located in the Nashville, Tennessee suburb of Brentwood, Community Health Systems is a leading operator of general acute care hospitals in non-urban communities throughout the country. Through its subsidiaries, the Company currently owns or leases 58 hospitals in 20 states. Its hospitals offer a broad range of inpatient medical and surgical services, outpatient treatment and skilled nursing care. Shares in Community Health Systems, Inc. are traded on the New York Stock Exchange under the symbol "CYH."

        Community Health Systems, Inc. will hold a conference call to discuss this press release on Thursday, February 21, 2002 at 9:30 a.m. Central, 10:30 a.m. Eastern. Investors will have the opportunity to listen to a live Internet broadcast of the conference call through the Company's web site at www.chs.net, or www.companyboardroom.com. To listen to the live call, please go to the web site at least fifteen minutes early to register, download, and install any necessary audio software. For those who cannot listen to the live broadcast, a replay will be available shortly after the call and continue through March 21, 2002.

        Statements contained in this news release regarding expected operating results, acquisition transactions and other events are forward-looking statements that involve risk and uncertainties. Actual future events or results may differ materially from these statements. Readers are referred to the documents filed by Community Health Systems, Inc. with the Securities and Exchange Commission, including the Company's Registration Statement on Form S-1 (Registration Statement No. 333-69064), Form 10-K for the year ended December 31, 2000 and Form 10-Q for the quarters ended March 31, 2001, June 30, 2001 and September 30, 2001. These filings identify important risk factors and other uncertainties that could cause actual results to differ from those contained in the forward looking statements.

2




COMMUNITY HEALTH SYSTEMS, INC.
Financial Highlights
(Unaudited)
(In Thousands, Except Per Share Amounts)

 
  Three Months Ended
December 31,

  Year Ended
December 31,

 
  2001
  2000
  2001
  2000
Net operating revenues   $ 477,502   $ 369,267   $ 1,693,625   $ 1,337,501
EBITDA   $ 83,607   $ 70,111   $ 308,711   $ 252,736
Income before extraordinary item   $ 18,011   $ 7,212   $ 48,551   $ 9,569
Net income   $ 14,203   $ 7,212   $ 44,743   $ 9,569
Income per share before extraordinary item:                        
  Basic   $ 0.19   $ 0.09   $ 0.55   $ 0.14
  Diluted   $ 0.18   $ 0.09   $ 0.54   $ 0.14
Net income per share:                        
  Basic   $ 0.15   $ 0.09   $ 0.51   $ 0.14
  Diluted   $ 0.15   $ 0.09   $ 0.50   $ 0.14
Weighted average number of shares outstanding:                        
  Basic     96,147     81,718     88,382     67,610
  Diluted     97,882     84,067     90,251     69,187

3



COMMUNITY HEALTH SYSTEMS, INC.
Condensed Consolidated Statements of Operations
(Unaudited)
(In Thousands, Except Per Share Amounts)

 
  Three Months Ended
December 31,

  Year Ended
December 31,

 
  2001
  2000
  2001
  2000
Net operating revenues   $ 477,502   $ 369,267   $ 1,693,625   $ 1,337,501
   
 
 
 
Operating expenses:                        
  Salaries and benefits     192,947     140,739     666,048     517,392
  Provision for bad debts     43,883     34,517     156,226     122,303
  Supplies     54,978     41,795     196,008     154,211
  Other operating expenses     102,087     82,105     366,632     290,859
  Depreciation and amortization     24,501     19,366     90,913     71,931
  Amortization of goodwill     7,368     6,773     28,755     25,693
   
 
 
 
    Total expenses     425,764     325,295     1,504,582     1,182,389
   
 
 
 
Income from operations     51,738     43,972     189,043     155,112
Interest expense, net     17,833     29,656     94,548     127,370
   
 
 
 
Income before income taxes     33,905     14,316     94,495     27,742
Provision for income taxes     15,894     7,104     45,944     18,173
   
 
 
 
Income before extraordinary item     18,011     7,212     48,551     9,569
Extraordinary loss from early extinguishment of debt, net of tax benefit of $2,435     3,808         3,808    
   
 
 
 
Net income   $ 14,203   $ 7,212   $ 44,743   $ 9,569
   
 
 
 
Income per share before extraordinary item:                        
  Basic   $ 0.19   $ 0.09   $ 0.55   $ 0.14
   
 
 
 
  Diluted   $ 0.18   $ 0.09   $ 0.54   $ 0.14
   
 
 
 
Net income per share:                        
  Basic   $ 0.15   $ 0.09   $ 0.51   $ 0.14
   
 
 
 
  Diluted   $ 0.15   $ 0.09   $ 0.50   $ 0.14
   
 
 
 
Weighted average number of shares outstanding:                        
  Basic     96,147     81,718     88,382     67,610
   
 
 
 
  Diluted     97,882     84,067     90,251     69,187
   
 
 
 

4



COMMUNITY HEALTH SYSTEMS, INC.
Selected Operating Data
(Unaudited)
($ In Thousands)

 
  Three Months Ended December 31,
 
 
  Consolidated
  Same Hospitals
 
 
  2001
  2000
  % Change
  2001
  2000
  % Change
 
Number of hospitals     57     52         52     52      
Licensed beds     5,391     4,688         4,625     4,688      
Beds in service     4,139     3,587         3,560     3,587      
Admissions     46,243     38,420   20.4 %   39,262     38,420   2.2 %
Adjusted admissions     84,551     68,846   22.8 %   72,110     68,846   4.7 %
Patient days     174,515     145,396   20.0 %   144,648     145,396   (0.5 )%
Average length of stay (days)     3.8     3.8         3.7     3.8      
Occupancy rate (beds in service)     46.0 %   45.3 %       45.1 %   45.3 %    
Net operating revenues   $ 477,502   $ 369,267   29.3 % $ 401,341   $ 369,367   8.7 %
Net inpatient revenue as a % of total net operating revenue     53.1 %   52.9 %       52.5 %   52.8 %    
Net outpatient revenue as a % of total net operating revenue     45.6 %   45.9 %       46.4 %   45.9 %    
EBITDA as a % of total net operating revenue     17.5 %   19.0 %       19.4 %   18.7 %    
 
 
Year Ended December 31,

 
 
  Consolidated
  Same Hospitals
 
 
  2001
  2000*
  % Change
  2001
  2000*
  % Change
 
Number of hospitals     57     52         52     52      
Licensed beds     5,391     4,688         4,625     4,688      
Beds in service     4,139     3,587         3,560     3,587      
Admissions     169,574     143,310   18.3 %   148,675     143,062   3.9 %
Adjusted admissions     311,238     262,419   18.6 %   273,700     261,933   4.5 %
Patient days     643,229     548,827   17.2 %   559,226     547,881   2.1 %
Average length of stay (days)     3.8     3.8         3.8     3.8      
Occupancy rate (beds in service)     46.7 %   44.6 %       45.9 %   44.7 %    
Net operating revenues   $ 1,693,625   $ 1,337,501   26.6 % $ 1,468,544   $ 1,330,795   10.4 %
Net inpatient revenue as a % of total net operating revenue     51.6 %   51.1 %       51.0 %   51.3 %    
Net outpatient revenue as a % of total net operating revenue     47.2 %   47.3 %       47.9 %   47.5 %    
EBITDA as a % of total net operating revenue     18.2 %   18.9 %       19.1 %   18.6 %    

*
2000 includes one more business day in the year ended December 31, 2000 due to leap year.

5



COMMUNITY HEALTH SYSTEMS, INC.
Condensed Consolidated Balance Sheets
(Unaudited)
($ In Thousands)

 
  December 31,
2001

  December 31,
2000

ASSETS            
Current assets:            
  Cash and cash equivalents   $ 8,386   $ 13,740
  Patient accounts receivable, net     370,052     309,826
  Other current assets     116,121     85,011
   
 
    Total current assets     494,559     408,577
   
 
Property and equipment, net     866,534     708,081
   
 
Goodwill, net     1,000,918     985,568
   
 
Other assets, net     98,653     111,611
   
 
    Total assets   $ 2,460,664   $ 2,213,837
   
 
LIABILITIES AND STOCKHOLDERS' EQUITY            
Current liabilities:            
  Current maturities of long-term debt   $ 58,691   $ 17,433
  Accounts payable and accrued liabilities     240,881     223,440
   
 
    Total current liabilities     299,572     240,873
   
 
Long-term debt     980,083     1,201,590
   
 
Other long-term liabilities     20,669     15,200
   
 
Deferred Income Taxes     44,197    
   
 
Stockholders' equity     1,116,143     756,174
   
 
    Total liabilities and stockholders' equity   $ 2,460,664   $ 2,213,837
   
 

6




QuickLinks

COMMUNITY HEALTH SYSTEMS, INC. Financial Highlights (Unaudited) (In Thousands, Except Per Share Amounts)
COMMUNITY HEALTH SYSTEMS, INC. Condensed Consolidated Statements of Operations (Unaudited) (In Thousands, Except Per Share Amounts)
COMMUNITY HEALTH SYSTEMS, INC. Selected Operating Data (Unaudited) ($ In Thousands)
COMMUNITY HEALTH SYSTEMS, INC. Condensed Consolidated Balance Sheets (Unaudited) ($ In Thousands)