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Community Health Systems cash flow, quarter by quarter

Latest: Q3 2026 · from the cash-flow statements filed with the SEC

Free cash flow$67.0M in Q3 2026 · −$122M over twelve months

Operating cash flow$154M
Capital spending−$87.0M
Free cash flow+$67.0M
Cash conversion cycle-104 days

Analysis

In Q3 2026, Community Health Systems generated $154M of operating cash flow and spent $87.0M on capital projects, leaving free cash flow of $67.0M. That is $63.0M more than in Q3 2025 ($4.0M).

Over the twelve months to Sep 30, 2026, operating cash flow was $211M; the largest uses were net borrowing (+) / repaid (−) ($2.4B), capital spending ($333M), partners ($173M); besides operations, cash came from asset & business sales ($1.5B), other financing ($1.4B); the cash balance rose by $32.0M.

Operating cash flow was $154M against net income of −$50.0M. The largest differences: depreciation & amortization +$106M, receivables +$46.0M, other non-cash +$38.0M.

Its cash conversion cycle was -104 days (receivables 71 + inventory 0 − payables 175): suppliers fund its working capital.

Free cash flow

Community Health Systems: free cash flow by quarterCommunity Health Systems: free cash flow by quarter$107MQ4 2024$35.0MQ1 2025−$3.0MQ2 2025$4.0MQ3 2025$172MQ4 2025−$373MQ1 2026$12.0MQ2 2026$67.0MQ3 2026
Operating cash flow less capital spending.
Community Health Systems: operating cash flow against capital spendingCommunity Health Systems: operating cash flow against capital spendingOperating cash flowCapital spending$216M$109MQ4 2024$120M$85.0MQ1 2025$88.0M$91.0MQ2 2025$69.0M$65.0MQ3 2025$266M$94.0MQ4 2025−$297M$76.0MQ1 2026$88.0M$76.0MQ2 2026$154M$87.0MQ3 2026
Latest (Q3 2026): Operating cash flow $154M, Capital spending $87.0M.

Capital allocation, year by year

Community Health Systems: where the cash came from (up) and went (down), by fiscal yearCommunity Health Systems: where the cash came from (up) and went (down), by fiscal yearOperating cash flowNet borrowingAsset salesCapital spendingAcquisitionsFY2021: Operating cash flow −$131MFY2021: Net borrowing −$4.4BFY2021: Asset sales $27.0MFY2021: Capital spending −$469MFY2021: Acquisitions −$3.0M$27.0MFY2021FY2022: Operating cash flow $300MFY2022: Net borrowing −$2.4BFY2022: Asset sales $127MFY2022: Capital spending −$415MFY2022: Acquisitions −$9.0M$427MFY2022FY2023: Operating cash flow $210MFY2023: Net borrowing −$4.3BFY2023: Asset sales $460MFY2023: Capital spending −$467MFY2023: Acquisitions −$38.0M$670MFY2023FY2024: Operating cash flow $480MFY2024: Net borrowing −$5.1BFY2024: Asset sales $179MFY2024: Capital spending −$360MFY2024: Acquisitions −$25.0M$659MFY2024FY2025: Operating cash flow $543MFY2025: Net borrowing −$6.5BFY2025: Asset sales $1.3BFY2025: Capital spending −$335MFY2025: Acquisitions −$1.0M$1.8BFY2025
Over these 5 years operating cash flow totalled $1.4B; the largest uses were net borrowing ($22.7B) and capital spending ($2.0B). Cash-flow statements as filed.

Cash runway and the debt wall

Cash & investments$155M
Debt$10.4B
Net debt$10.2B
Due within a year$16.0M

Community Health Systems's operations bring cash in ($211M over twelve months), and it spends more than that on capital projects: a gap of $122M funded from its $155M of cash and investments and from borrowing ($10.4B of debt, $16.0M due within a year). That is a choice to invest, not a cash runway running down.

Community Health Systems: debt maturities by year (FY2025)Community Health Systems: debt maturities by year (FY2025)$16.0MYear 1$12.0MYear 2$54.0MYear 3$1.9BYear 4$2.8BYear 5$5.9BAfter year 5
Principal due in each year as disclosed in the annual report, against $155M of cash and investments now.

Where the cash came from and went

Community Health Systems: sources (+) and uses (−) of cash, Q3 2026Community Health Systems: sources (+) and uses (−) of cash, Q3 2026Net borrowing (+) / repaid (−)−$608MOther financing$604MOperating cash flow$154MCapital spending−$87.0MPartners−$38.0MOther investing−$10.0MAsset & business sales−$8.0MCash drawn (+) / kept (−)−$6.0MAcquisitions−$1.0M
Community Health Systems: sources (+) and uses (−) of cash, TTM to Q3 2026Community Health Systems: sources (+) and uses (−) of cash, TTM to Q3 2026Net borrowing (+) / repaid (−)−$2.4BAsset & business sales$1.5BOther financing$1.4BCapital spending−$333MOperating cash flow$211MPartners−$173MAcquisitions−$54.0MCash drawn (+) / kept (−)−$32.0MOther investing−$29.0MTaxes on employees’ shares−$2.0M

From profit to cash

Community Health Systems: net income to operating cash flow, Q3 2026Community Health Systems: net income to operating cash flow, Q3 2026Net income−$50.0MDepreciation & amortization$106MStock-based pay$3.0MDeferred taxes$14.0MImpairments$14.0MOther non-cash$38.0MReceivables$46.0MOther operating capital−$37.0MOperating cash flow$154M
Non-cash charges are added back; money tied up in receivables or inventory is subtracted.
QuarterReceivable daysInventory daysPayable daysCash conversion cycle
Q3 202671—175-104
Q2 202669—171-102
Q1 202664—167-103
Q4 202563—179-116
Q3 202566—186-121
Q2 202567—189-122
Q1 202566—174-108
Q4 202461—159-98

Every quarter

QuarterOperating cash flowCapital spendingAcquisitionsNet borrowing (+) / repaid (−)Cash drawn (+) / kept (−)Free cash flow
Q3 2026$154M−$87.0M−$1.0M−$608M−$6.0M$67.0M
Q2 2026$88.0M−$76.0M−$48.0M−$1.2B$563M$12.0M
Q1 2026−$297M−$76.0M−$5.0M−$352M−$452M−$373M
Q4 2025$266M−$94.0M—−$244M−$137M$172M
Q3 2025$69.0M−$65.0M−$1.0M−$2.9B$333M$4.0M
Q2 2025$88.0M−$91.0M—−$2.3B−$25.0M−$3.0M
Q1 2025$120M−$85.0M—−$1.1B−$394M$35.0M
Q4 2024$216M−$109M−$24.0M−$1.1B−$4.0M$107M

Community Health Systems: income statement and cash flow

Community Health Systems, Q3 2026: revenue $2.8B (-11% year over year), operating margin 5.3%. The chart follows the revenue to costs, profit and cash.

Community Health Systems: every quarter, Q/Q and Y/Y → Open in the app

Read automatically from the company’s XBRL cash-flow statements; quarterly figures for the fourth quarter are the year less the first three. Errors are possible. Not investment advice.