$CYH
COMMUNITY HEALTH SYSTEMS INC

2019 Q4 Form 10-K Financial Statement

#000119312520043702 Filed on February 20, 2020

View on sec.gov

Income Statement

Concept 2019 Q4 2019 Q3 2019 Q2
Revenue $3.286B $3.246B $3.302B
YoY Change -4.84% -5.94% -7.3%
Cost Of Revenue $528.0M $526.0M $539.0M
YoY Change -9.28% -6.9% -8.95%
Gross Profit $2.757B $2.720B $2.763B
YoY Change -3.97% -5.75% -6.97%
Gross Profit Margin 83.9% 83.8% 83.68%
Selling, General & Admin $1.529B $1.548B $1.569B
YoY Change -5.27% -7.19% -7.81%
% of Gross Profit 55.46% 56.91% 56.79%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $152.0M $151.0M $152.0M
YoY Change -10.06% -12.72% -14.12%
% of Gross Profit 5.51% 5.55% 5.5%
Operating Expenses $2.458B $2.502B $2.611B
YoY Change -6.54% -7.23% -5.3%
Operating Profit $299.0M $184.0M $111.0M
YoY Change 24.07% 148.65% 200.0%
Interest Expense -$256.0M -$259.0M -$265.0M
YoY Change 1.99% 1.17% 12.77%
% of Operating Profit -85.62% -140.76% -238.74%
Other Income/Expense, Net
YoY Change
Pretax Income -$115.0M -$72.00M -$149.0M
YoY Change -68.83% -64.71% 15.5%
Income Tax $231.0M -$74.00M -$3.000M
% Of Pretax Income
Net Earnings -$373.0M -$17.00M -$167.0M
YoY Change 13.72% -94.77% 51.82%
Net Earnings / Revenue -11.35% -0.52% -5.06%
Basic Earnings Per Share -$3.27 -$0.15 -$1.47
Diluted Earnings Per Share -$3.27 -$0.15 -$1.47
COMMON SHARES
Basic Shares Outstanding 113.9M 113.9M 113.9M
Diluted Shares Outstanding 113.9M 113.9M 113.9M

Balance Sheet

Concept 2019 Q4 2019 Q3 2019 Q2
SHORT-TERM ASSETS
Cash & Short-Term Investments $216.0M $157.0M $207.0M
YoY Change 10.2% -53.13% -0.48%
Cash & Equivalents $216.0M $157.0M $207.0M
Short-Term Investments
Other Short-Term Assets $358.0M $341.0M $366.0M
YoY Change -10.5% -16.83% -26.51%
Inventory $354.0M $376.0M $378.0M
Prepaid Expenses
Receivables $2.258B $2.269B $2.356B
Other Receivables $83.00M $138.0M $136.0M
Total Short-Term Assets $3.427B $3.382B $3.484B
YoY Change -3.44% -9.18% -5.68%
LONG-TERM ASSETS
Property, Plant & Equipment $5.608B $5.931B $5.934B
YoY Change -8.65% -9.73% -12.08%
Goodwill $4.328B $4.495B $4.494B
YoY Change -5.07% -2.94%
Intangibles
YoY Change
Long-Term Investments $199.0M $82.00M $80.00M
YoY Change 3.65% -3.53% -3.61%
Other Assets $2.208B $1.993B $2.163B
YoY Change 43.1% 29.08% 33.93%
Total Long-Term Assets $12.18B $12.51B $12.65B
YoY Change -1.04% -1.82% -3.45%
TOTAL ASSETS
Total Short-Term Assets $3.427B $3.382B $3.484B
Total Long-Term Assets $12.18B $12.51B $12.65B
Total Assets $15.61B $15.90B $16.13B
YoY Change -1.58% -3.49% -3.94%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $811.0M $743.0M $812.0M
YoY Change -8.57% -8.95% -3.22%
Accrued Expenses $1.126B $1.012B $964.0M
YoY Change 2.83% -26.13% -7.66%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $20.00M $318.0M $206.0M
YoY Change -90.2% 808.57% 402.44%
Total Short-Term Liabilities $2.282B $2.355B $2.503B
YoY Change -4.6% -5.0% 21.39%
LONG-TERM LIABILITIES
Long-Term Debt $13.39B $13.29B $13.39B
YoY Change -0.05% -1.84% -2.05%
Other Long-Term Liabilities $894.0M $998.0M $987.0M
YoY Change -11.31% -5.04% -25.73%
Total Long-Term Liabilities $14.28B $14.28B $14.38B
YoY Change -0.84% 1259.09% -4.15%
TOTAL LIABILITIES
Total Short-Term Liabilities $2.282B $2.355B $2.503B
Total Long-Term Liabilities $14.28B $14.28B $14.38B
Total Liabilities $17.25B $17.16B $17.39B
YoY Change 2.56% 0.34% -1.61%
SHAREHOLDERS EQUITY
Retained Earnings -$4.218B -$3.845B -$3.828B
YoY Change 19.05% 19.82%
Common Stock $2.009B $2.005B $2.003B
YoY Change -0.45% -0.35%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity -$2.218B -$1.848B -$1.833B
YoY Change
Total Liabilities & Shareholders Equity $15.61B $15.90B $16.13B
YoY Change -1.58% -3.49% -3.94%

Cashflow Statement

Concept 2019 Q4 2019 Q3 2019 Q2
OPERATING ACTIVITIES
Net Income -$373.0M -$17.00M -$167.0M
YoY Change 13.72% -94.77% 51.82%
Depreciation, Depletion And Amortization $152.0M $151.0M $152.0M
YoY Change -10.06% -12.72% -14.12%
Cash From Operating Activities $194.0M -$74.00M $132.0M
YoY Change -216.87% -121.39% -1200.0%
INVESTING ACTIVITIES
Capital Expenditures -$116.0M -$110.0M -$91.00M
YoY Change 1.75% -6.78% -27.2%
Acquisitions
YoY Change
Other Investing Activities $217.0M $154.0M -$75.00M
YoY Change 82.35% 41.28% -222.95%
Cash From Investing Activities $101.0M $44.00M -$166.0M
YoY Change 1920.0% -588.89% 159.38%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -236.0M -20.00M -36.00M
YoY Change -1172.73% -90.48% -74.29%
NET CHANGE
Cash From Operating Activities 194.0M -74.00M 132.0M
Cash From Investing Activities 101.0M 44.00M -166.0M
Cash From Financing Activities -236.0M -20.00M -36.00M
Net Change In Cash 59.00M -50.00M -70.00M
YoY Change -142.45% -139.37% -67.59%
FREE CASH FLOW
Cash From Operating Activities $194.0M -$74.00M $132.0M
Capital Expenditures -$116.0M -$110.0M -$91.00M
Free Cash Flow $310.0M $36.00M $223.0M
YoY Change -696.15% -92.24% 97.35%

Facts In Submission

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CY2019 cyh Electronic Health Records Incentive Reimbursement Policy Textblock
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<div> <div style="margin-left:0pt;margin-right:0pt;"> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;font-style:italic;">Electronic Health Records Incentive Reimbursement.</font><font style="display: inline;"> &nbsp;&nbsp;&nbsp;The federal government has implemented a number of regulations and programs designed to promote the use of electronic health records (&#x201C;EHR&#x201D;) technology and, pursuant to the Health Information Technology for Economic and Clinical Health Act (&#x201C;HITECH&#x201D;), established requirements for a Medicare and Medicaid incentive payments program for eligible hospitals and professionals that adopt and meaningfully use certified EHR technology. The Company utilizes a gain contingency model to recognize EHR incentive payments. Recognition occurs when the eligible hospitals adopt or demonstrate meaningful use of certified EHR technology for the applicable payment period and have available the Medicare cost report information for the relevant full cost report year used to determine the final incentive payment. </font> </p> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;">Medicaid EHR incentive payments are calculated based on prior period Medicare cost report information available at the time when eligible hospitals adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Since the information for the relevant full Medicare cost report year is available at the time of attestation, the incentive income from resolving the gain contingency is recognized when eligible hospitals adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. </font> </p> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;">Medicare EHR incentive payments are calculated based on the Medicare cost report information for the full cost report year that began during the federal fiscal year in which meaningful use is demonstrated. Since the necessary information is only available at the end of the relevant full Medicare cost report year and after the cost report is settled, the incentive income from resolving the gain contingency is recognized when eligible hospitals demonstrate meaningful use of certified EHR technology and the information for the applicable full Medicare cost report year to determine the final incentive payment is available. </font> </p> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;">In some instances, the Company may receive estimated Medicare EHR incentive payments prior to when the Medicare cost report information used to determine the final incentive payment is available. In these instances, recognition of the gain for EHR incentive payments is deferred until all recognition criteria described above are met. </font> </p> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;">Eligibility for annual Medicare incentive payments is dependent on providers successfully attesting to the meaningful use of EHR technology. Medicaid incentive payments are available to providers in the first payment year that they adopt, implement or upgrade certified EHR technology; however, providers must demonstrate meaningful use of such technology in any subsequent payment years to qualify for additional incentive payments. Medicaid EHR incentive payments are fully funded by the federal government and administered by the states; however, the states are not required to offer EHR incentive payments to providers. </font> </p> <p style="margin:0pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;">The Company recognized approximately </font><font style="display: inline;">$1</font><font style="display: inline;"> million, </font><font style="display: inline;">$4</font><font style="display: inline;"> million and </font><font style="display: inline;">$28</font><font style="display: inline;"> million for the years ended December 31, 2019, 2018 and 2017, respectively, of incentive reimbursement for HITECH incentives from Medicare and Medicaid related to certain of the Company&#x2019;s hospitals and for certain of the Company&#x2019;s employed physicians that have demonstrated meaningful use of certified EHR technology or have completed attestations to their adoption or implementation of certified EHR technology. These incentive reimbursements are presented as a reduction of operating costs and expenses on the consolidated statements of loss. The Company received cash related to the incentive reimbursement for HITECH incentives of approximately less than </font><font style="display: inline;">$1</font><font style="display: inline;"> million, </font><font style="display: inline;">$4</font><font style="display: inline;"> million and </font><font style="display: inline;">$41</font><font style="display: inline;"> million for the years ended December 31, 2019, 2018 and 2017, respectively. The Company recorded </font><font style="display: inline;">no</font><font style="display: inline;"> deferred revenue in connection with the receipt of these cash payments at December 31, 2019, 2018 or 2017.</font> </p> <p><font size="1"> </font></p> </div> </div>
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CY2019Q4 cyh Number Of Stand Alone Rehabilitation Or Psychiatric Hospitals
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CY2019 dei Document Period End Date
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2019-12-31
CY2019 dei Document Transition Report
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CY2019 dei Document Type
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CY2019 dei Entity Address Address Line1
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4000 Meridian Boulevard
CY2019 cyh Otherassetspolicytext Block
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<div> <div style="margin-left:0pt;margin-right:0pt;"> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;font-style:italic;">Other Assets.</font><font style="display: inline;"> &nbsp;&nbsp;&nbsp;Other assets consist of the insurance recovery receivable from excess insurance carriers related to the Company&#x2019;s self-insured malpractice general liability and workers&#x2019; compensation insurance liability; costs to recruit physicians to the Company&#x2019;s markets, which are deferred and expensed over the term of the respective physician recruitment contract, generally </font><font style="display: inline;">three</font><font style="display: inline;"> years, and included in amortization expense; equity method investments; and capitalized internal-use software costs, which are expensed over the expected useful life, which is generally </font><font style="display: inline;">three</font><font style="display: inline;"> years for routine software and </font><font style="display: inline;">eight</font><font style="display: inline;"> to </font><font style="display: inline;">ten</font><font style="display: inline;"> years for major software projects, and included in amortization expense. Included in the increase in other investments in the consolidated statement of cash flows for the year ended December 31, 2019, was cash paid of approximately </font><font style="display: inline;">$28</font><font style="display: inline;"> million to increase investments in certain equity method investments.</font><font style="display: inline;;font-size: 10pt;font-family:Times New Roman;text-indent:0pt;margin-left:0pt;padding:0pt 36pt 0pt 0pt;"></font><font style="display: inline;">&nbsp;</font> </p> <p><font size="1"> </font></p> </div> </div>
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COMMUNITY HEALTH SYSTEMS INC
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<div> <div style="margin-left:0pt;margin-right:0pt;"> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;font-style:italic;color:#000000;background-color: #FFFFFF;">Derivative Instruments and Hedging Activities</font><font style="display: inline;color:#000000;background-color: #FFFFFF;">.&nbsp;&nbsp;&nbsp;&nbsp;The Company records derivative instruments on the consolidated balance sheet as either an asset or liability measured at its fair value. Changes in a derivative&#x2019;s fair value are recorded each period in earnings or other comprehensive income (&#x201C;OCI&#x201D;), depending on whether the derivative is designated and is effective as a hedged transaction, and on the type of hedge transaction. Changes in the fair value of derivative instruments recorded to OCI are reclassified to earnings in the period affected by the underlying hedged item. Any portion of the fair value of a derivative instrument determined to be ineffective under the standard is recognized in current earnings. The Company has entered into several interest rate swap agreements and had one such agreement outstanding as of December 31, 2019. See Note 7 for further discussion about the swap transactions.</font> </p> <p><font size="1"> </font></p> </div> </div>
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<div> <div style="margin-left:0pt;margin-right:0pt;"> <p style="margin:10.5pt 0pt 0pt;text-indent:12.25pt;font-family:Times New Roman;font-size: 10pt"> <font style="display: inline;font-style:italic;">Use of Estimates</font><font style="display: inline;">.&nbsp;&nbsp;&nbsp;&nbsp;The preparation of financial statements in conformity with U.S. generally accepted accounting principles (&#x201C;GAAP&#x201D;) requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements. Actual results could differ from these estimates under different assumptions or conditions.</font> </p> <p><font size="1"> </font></p> </div> </div>
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