COMMUNITY HEALTH SYSTEMS INC (CYH) Stock Analysis
COMMUNITY HEALTH SYSTEMS INC
▾ What's in the 66/100 risk score? (higher = riskier)
Contributions (weight × component score) sum to the total. This near-term score now includes fundamental health (leverage, FCF trend). See the Financial Health section for the full balance-sheet read.
How to read CYH
We are not publishing an intrinsic value for this one — the section below says exactly why. Everything on this page that comes straight from the filings and the tape is still here; treat the missing valuation as a known gap, not as a verdict on the business.
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Reported earnings & margins ↓
What the company actually reported — unaffected by the valuation being held.
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Balance sheet & book value ↓
Assets, liabilities and equity as filed.
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Who's selling & betting against it ↓
Insider and short-interest behaviour needs no valuation model.
CYH looks like a foreign company (ADR) whose SEC filings are denominated in its home currency, while the share price is in U.S. dollars. Mixing the two would produce a meaningless dollar fair-value, so we suppress the single intrinsic-value number rather than show a wrong one.
What to use instead: the growth trends, margins and ratios below (which are currency-independent), the peer comparison, and the company's own filings. A currency-converted valuation is on our roadmap.
⚠ We found no genuine same-industry (Hospitals) comparables at all — fewer than the 4 we require for a reliable median. The 8 names in the table below therefore include 8 broader Healthcare names marked fallback, whose business models and margins differ — which is why any median below is computed over that wider set, not over true comparables. So we do not derive a peer-implied share value here. Read the multiples as rough context only.
How does CYH stack up against its closest peers?
Ideally we compare CYH only to same-industry peers, but too few exist in our universe right now, so the basket below mixes in broader-sector names. Treat the multiples as rough context, not a valuation. For a leveraged business, EV/EBIT and FCF yield (both in the table) are usually more reliable than EV/Sales, because revenue multiples ignore differences in margins and debt.
▾ What's "EV / Sales" in plain English?
EV (Enterprise Value) = market cap + total debt − cash. It's "what you'd pay to buy the entire company outright" — you pay the market cap to shareholders and take over their debt, but you keep their cash. EV is fairer than market cap alone because it includes the debt the new owner inherits.
EV / Sales = EV ÷ annual revenue. So "2.5×" means investors pay $2.50 of enterprise value per $1 of yearly sales. Higher = market is paying more per dollar of sales (usually because they expect future growth or fat margins).
p25 / median / p75 are the 25th, 50th (middle), and 75th percentile of the peers' multiples. Half the peers fall between p25 and p75. The median (p50) is the typical peer — that's the benchmark we compare to.
| EV / SalesEV / Sales — For every $1 of yearly revenue, this is how many dollars investors pay to own the whole business (including debt). Why it matters: Works for pre-profit growth companies where P/E and FCF don't apply. The most apples-to-apples cross-company multiple because it ignores accounting choices. Reference: 1–3x for mature companies · 4–10x for software/SaaS · 10–20x for hypergrowth · >20x is rare and demanding Full explanation → |
1.4x / 7.1x / 13.7x |
Bold middle number = median peer. Half the peers trade above it, half below. Computed over 8 peers (broad — see caveat); implausible multiples excluded.
⚠️ Important caveat: peer multiples only work if the peers are genuinely comparable. Always check the peer list below — if the auto-picker grabbed micro-caps or unrelated businesses, the comparison is noise. A medical-device giant priced against tiny biotech startups won't produce a useful signal.
▾ View peer list (8)
| Ticker | Company | Industry | Mcap | EV/Sales | EV/GP | EV/EBIT | FCF Yield |
|---|---|---|---|---|---|---|---|
| XFOR | X4 Pharmaceuticals, Inc | Biotechnology ·fallback | $407M | 13.7x | — | — | 1.0% |
| VNDA | Vanda Pharmaceuticals Inc. | Pharmaceuticals ·fallback | $388M | 1.8x | — | — | 3.7% |
| VSTM | Verastem, Inc. | Pharmaceuticals ·fallback | $380M | 12.3x | — | — | 5.6% |
| VMD | VIEMED HEALTHCARE, INC. | Misc Health & Allied Servi ·fallback | $377M | 1.4x | 2.5x | 16.9x | 32.2% |
| UPB | Upstream Bio, Inc. | Pharmaceuticals ·fallback | $455M | 159.4x | — | — | 0.1% |
| ZBIO | Zenas BioPharma, Inc. | Pharmaceuticals ·fallback | $456M | 53.4x | — | — | 0.1% |
| ZJYL | Jin Medical International Ltd. | Medical Devices ·fallback | $351M | 17.0x | 58.0x | 576.6x | 0.3% |
| USNA | USANA HEALTH SCIENCES INC | Pharmaceuticals ·fallback | $338M | 0.4x | 0.5x | 9.0x | 30.6% |
Bankruptcy + quality screens
Cheap stocks can be cheap for a reason. These screens warn when a low valuation comes paired with structural fragility.
Why it matters: Cheap-looking stocks (low P/E or P/B) often have low Z-scores because the market knows the company is dying. Z-score warns you before you fall into a value trap.
Reference: > 3.0 = safe zone · 1.81–3.0 = grey zone · < 1.81 = distress zone
Full explanation →
Distress zone under the classic Altman thresholds — scores here have historically preceded a high rate of financial distress within ~2 years. This is a warning signal, not a direct bankruptcy probability, and its reliability varies by industry. Be very skeptical of any "cheap" valuation on this name.
The classic Z-score was calibrated on manufacturers. It is less reliable for asset-light or non-manufacturing businesses (broadcasters, media, software, services) and not applicable to banks, REITs, or insurers — for those the coefficients and the asset-turnover term distort the result. Read it as one screening input, not a verdict.
▾ The checks — what passed, what didn't (and what we couldn't measure)
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✓ Positive net incomeNet income $509.0M in the latest year.
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✓ Positive operating cash flowOperating cash flow $543.0M (was $480.0M the prior year).
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✓ Cash flow backs up reported profitOperating cash flow $543.0M vs net income $509.0M.
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✓ Return on assets improvingReturn on assets 3.9% vs -3.7% a year ago.
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✓ Debt load (vs assets)Long-term debt is 78.7% of assets vs 81.3% a year ago ($10,396.0M now).
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✓ Short-term liquidity (current ratio)Current ratio 1.46x vs 1.41x a year ago.
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✗ Share count (dilution)Share count rose 2.2% (132.1M → 135.0M year-over-year).Why this matters: Issuing lots of new shares splits the pie into more pieces, shrinking your slice. Stable or falling share count protects existing owners.
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· Pricing power (gross margin) (n/a — data not reported; not scored)
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✓ Sales per asset (asset turnover)Asset turnover 0.95x vs 0.90x a year ago.
Missing data is never counted as a pass or a fail — it's shown as n/a and excluded from the denominator. Each check compares the company against its own prior year.
What if you assume different inputs?
Here's where we land — and what happens if you change the assumptions. Drag the sliders to set your own Discount RateDiscount Rate — The annual return you demand for taking single-stock risk instead of buying a safe Treasury or index fund.
Why it matters: Higher discount rate = stricter valuation (a stock has to produce more cash to be worth holding). Lower = more generous.
Reference: 8–12% is standard · 9–10% matches S&P 500 historical return · Below 7% is illogical for single-stock risk
Full explanation → (the annual return you demand for single-stock risk) and terminal growth; the value updates live so you can see whether the stock looks cheaper or richer. The discount rate starts at 10.0%, the figure our model used for CYH. Open Advanced to also change beta, growth and the rate path.
Note: no headline intrinsic value is published for this stock (the valuation is held for a data-quality reason — see the notes above). The calculator below is a what-if tool: the values it produces are your assumptions played out, not our estimate.
A full intrinsic value isn't shown for CYH because the valuation is currently held for a data-quality reason (see the guardrail notes above). The reverse-DCF reading still works — it needs only the price and cash flow — but we won't publish a forward value until the underlying data passes our checks.
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⚙ Advanced — tinker with every input (beta, growth, rate path, margin → full intrinsic value)
Community Health Systems Inc. (CYH) trades at a deep discount of 83.8% to the model's intrinsic valueIntrinsic Value — Our DCF model's estimate of what each share is mathematically worth based on projected cash flows.
Why it matters: Compare to current price. Below IV = potentially undervalued. Above IV = priced for growth that must actually happen.
Reference: Model-derived; quality depends on data and assumptions.
Full explanation →. This significant discount likely reflects the market's concern over the company's roughly flat revenue growth and its low franchise/durability score of 1/5, despite recent positive net income and operating cash flow. The number one quantifiable risk is the market's implied decline rate of 20.0% compared to the model's 3.2%.
As of 2 months ago
Anatomy of a share
What you're buying per share. Bars are at the same scale so you can see the relative size of revenue, costs, cash flow, and debt — not just read them in a table.
What's free cash flow / what do these mean?
Revenue per share — how much the business earns from customers, divided by the number of shares outstanding. Top of the income statement.
Earnings per share — profit left after operating costs, interest, and taxes, per share. Two versions appear on this page and are not interchangeable: GAAP diluted EPS uses the company's weighted-average diluted share count during the reporting period (this is the "earnings" in "price-to-earnings"); net income per current share divides annual net income by today's share count. They differ whenever the share count has changed.
Owner-earnings free cash flow per share — the cash the business produces for shareholders. Savng's owner-earnings FCF subtracts capital expenditures and stock-based compensation from operating cash flow (SBC is a real dilution cost even though it's non-cash). This is deliberately more conservative than "standard" FCF, which subtracts only capital expenditures — so our figure is lower than the headline FCF you'll see elsewhere. FCF funds dividends, buybacks, debt repayment, and acquisitions; a company can report positive earnings yet negative FCF.
Debt per share — total interest-bearing borrowings divided by shares. High debt-per-share next to thin FCF-per-share is a fragility signal.
What you actually need to decide
Every stock price is a disagreement. Here's the single thing that must go right for the bulls, the single thing that breaks the thesis, and the concrete signposts to watch so you can update your view as real results arrive.
- Next quarter's revenue growth rate
- Trend in operating cash flow
- Updates on debt reduction efforts
The trend, in plain numbers (2024 → 2025)
Straight from the financial statements — no model, no opinion. For a small or unprofitable company, the direction of these numbers usually tells you more than any single valuation.
- Free cash flow rose to $197.0M.
- Swung to a profit of $509.0M (from a loss the prior year).
- Revenue fell -1% to $12.49B.
Management & Leadership
Tim H. Hingtgen serves as the Chief Executive Officer of Community Health Systems, a role he has held since 2020, having previously served as President and Chief Operating Officer. Wayne T. Smith is the Executive Chairman of the Board, having previously served as CEO.
What They Make
Community Health Systems operates general acute care hospitals and related healthcare services. They provide a range of inpatient and outpatient services to patients in non-urban and selected urban markets.
End Markets
Revenue Drivers
Why Is It Priced Like This?
Why Customers Pay
What we use instead: earnings (P/E, EV/EBIT), book value (P/B) — computed from the figures this company does report, shown in the sections below. Those numbers are unaffected by the missing cash-flow data.
The market prices CYH at an 83.8% discount, likely due to its roughly flat revenue growth of 0.2%/yr over four years and a low franchise/durability score of 1/5. While net income and operating cash flow have been positive recently, the market appears to be discounting the stock heavily, implying a 20.0% decline rate, reflecting concerns about its long-term competitive position and growth prospects.
Business Model & Valuation
How They Make Money
The company has been reducing its long-term debt, which fell from $12109M to $10396M, indicating a focus on debt reduction rather than dividends or buybacks.
Free Cash Flow DCF
Standard FCF DCF: positive free cash flow in a sector suited for cash-flow-based valuation. FCF negative in 3/5 years.
Show advanced inputs
| RevenueGrowth | 0.2% |
| HistoricalFcfGrowth | 91.3% |
| SectorDefault | 10.0% |
| BestEstimate | 3.2% |
| Method | blend(70% revenue_cagr, 30% sector) |
| GrowthBasis | total |
What this model does NOT do: this is a consolidated owner-earnings FCF model. Standalone segment assumptions: none. It does not project its revenue segments independently; their combined effect is embedded in the historical revenue and cash-flow trend the model extrapolates. The calculator above can only approximate a segment's impact through the single consolidated growth rate — it cannot model any one line separately. For a true segment-level view, build a separate model from the company's segment disclosures.
Maturity & Competitive Position
Moat Signals
Revenue has been roughly flat, growing at 0.2%/yr over the past four years.
Geography & Markets
Community Health Systems primarily operates hospitals and healthcare facilities across various states in the United States. Specific geographic segment percentages are not available from current data sources.
Geographic Risks
Market Signals
These are timing signals, not value signals — they describe the stock's recent price behavior, not what the business is worth. Use them for the "the thesis looks good, but is now the moment?" question. Each tile below explains what it's saying.
Why it matters: Short-term contrarian indicator. Extreme readings often precede mean reversion, though not always.
Reference: 30–70 normal · >70 overbought · <30 oversold
Full explanation → (14)41.2NeutralMomentum is balanced — neither overbought nor oversold.
Why it matters: When the fast line crosses above the slow line, short-term momentum is turning up; below, turning down. A timing cue, not a value signal.
Reference: Line above signal = bullish momentum · below = bearish
Full explanation →BearishLine below signalThe fast trend is below the slow trend — short-term momentum is currently downward.
Technicals describe price, not the business. A great company can have a "bearish" tape (a buying chance) and a weak one a "bullish" tape (a trap). Pair these with the valuation and health sections above.
QUALITY
Data Quality & Risk Flags (2 notes — click to expand/collapse)
Guardrail Notes (2)
- Terminal growth (3%) capped to 2.5% (80% of near-term growth 3.2%).
- Illiquidity discount 7% applied (small/micro-cap — harder to exit, demand a margin).
FINANCIALS
Financial Statements (5-year tables — click to expand)
From COMMUNITY HEALTH SYSTEMS INC's SEC filings (EDGAR).
Income (5yr)
| Year | Revenue | Net Income | EPS |
|---|---|---|---|
| 2025 | 12.5B | 509.0M | $3.77 |
| 2024 | 12.6B | -516.0M | $-3.90 |
| 2023 | 12.5B | -133.0M | $-1.02 |
| 2022 | 12.2B | 46.0M | $0.35 |
| 2021 | 12.4B | 230.0M | $1.76 |
Cash Flow (5yr)
| Year | Operating CF | CapEx | − SBC & adj. | Free Cash Flow |
|---|---|---|---|---|
| 2025 | 543.0M | 335.0M | 11.0M | 197.0M |
| 2024 | 480.0M | 360.0M | 17.0M | 103.0M |
| 2023 | 210.0M | 467.0M | 22.0M | -279.0M |
| 2022 | 300.0M | 415.0M | 20.0M | -135.0M |
| 2021 | -131.0M | 469.0M | 25.0M | -625.0M |
How we define FCF: operating cash flow − capital expenditure − stock-based compensation (owner-earnings basis — SBC is a real cost to shareholders even though it's non-cash). Latest year: 543.0M − 335.0M − 11.0M (SBC & adj.) = 197.0M. This is the same owner-earnings FCF definition the valuation model uses.
Balance Sheet
| Total Assets | 13.2B |
| Total Liabilities | 14.0B |
| Equity | -1.4B |
| Total Debt | 10.4B |
