---
schema_version: "secwatch.filing_event.v1"
accession: "0001193125-23-040251"
form_type: "8-K"
ticker: "CYH"
cik: "0001108109"
company_name: "COMMUNITY HEALTH SYSTEMS INC"
filed_at: "2023-02-15T23:59:59+00:00"
generated_at: "2026-06-19T10:33:10.804408+00:00"
event_type: "earnings"
sentiment: "negative"
materiality_score: 0.7
calibrated_materiality_score: 0.7
confidence: "high"
source: SEC EDGAR
---

# Q4 net income $414M, adj EPS $1.50; full-year adj loss $1.38; 2023 guidance issued

## Summary
- Q4 net operating revenues $3.142B (-2.8% YoY); same-store admissions +4.4%, adjusted admissions +8.2%.
- Q4 net income $414M ($3.18 diluted) vs $178M ($1.34) YoY; adjusted EPS $1.50 vs $1.15.
- Full-year 2022 net income $46M ($0.35 diluted); adjusted net loss $(1.38) per share.
- Adjusted EBITDA Q4 $404M vs $540M YoY; full-year $1.466B vs $1.969B; pandemic relief funds declined.
- Extinguished ~$378M notes in Q4; pre-tax gain of $180M; 2023 guidance included in press release.

## SEC filing metadata
- accession: 0001193125-23-040251
- form_type: 8-K
- ticker: CYH
- cik: 0001108109
- company_name: COMMUNITY HEALTH SYSTEMS INC
- filed_at: 2023-02-15T23:59:59+00:00
- event_type: earnings
- sentiment: negative
- materiality_score: 0.7
- calibrated_materiality_score: 0.7
- confidence: high
- sec_items: 2.02, 7.01, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1108109/000119312523040251/0001193125-23-040251-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1108109/000119312523040251/d460331d8k.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001193125-23-040251
- JSON: https://secwatch.observer/filing/0001193125-23-040251.json
- Plain text: https://secwatch.observer/filing/0001193125-23-040251.txt

## Key facts
- Earnings Releases
  COMMUNITY HEALTH SYSTEMS INC reported the three months ended December 31, 2022 results: revenue $3.142 billion, net income $414 million, EPS $3.18 per share (diluted).
  - Period: the three months ended December 31, 2022
  - Revenue: $3.142 billion
  - Net income: $414 million
  - EPS: $3.18 per share (diluted)
  - Result: reported results
  source text: The following highlights the financial and operating results for the three months ended December 31, 2022. • Net operating revenues totaled $3.142 billion. • Net income attributable to Community Health Systems, Inc. stockholders was $414 million, or $3.18 per share (diluted), compared to $178 million, or $1.34 per share (diluted), for the same period in 2021.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1108109/000119312523040251/0001193125-23-040251-index.htm
- Earnings Releases
  COMMUNITY HEALTH SYSTEMS INC reported the year ended December 31, 2022 results: revenue $12.211 billion, net income $46 million, EPS $0.35 per share (diluted).
  - Period: the year ended December 31, 2022
  - Revenue: $12.211 billion
  - Net income: $46 million
  - EPS: $0.35 per share (diluted)
  - Result: reported results
  source text: Net operating revenues for the year ended December 31, 2022, totaled $12.211 billion, a 1.3 percent decrease compared to $12.368 billion for the same period in 2021. On a same-store basis, net operating revenues decreased 0.2 percent for the year ended December 31, 2022, compared to the same period in 2021. Net operating revenues for the year ended December 31, 2022, reflect a 1.7 percent decrease in admissions and a 2.6 percent increase in adjusted admissions, compared to the same period in 2021. On a same-store basis, admissions increased 0.5 percent and adjusted admissions increased 5.0 percent for the year ended December 31, 2022, compared to the same period in 2021. Net income attributable to Community Health Systems, Inc. stockholders was $46 million, or $0.35 per share (diluted), for the year ended December 31, 2022
  evidence_url: https://www.sec.gov/Archives/edgar/data/1108109/000119312523040251/0001193125-23-040251-index.htm

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.