CHS revenue broken down by payer

Franklin, Tenn.-based Community Health Systems reported a $91 million net loss in the third quarter of 2023, down from a net loss of $42 million over the same period last year. Among the financial challenges CHS officials pointed to was unfavorable changes in payer mix. 

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CFO Kevin Hammons said on the for-profit system’s Oct. 26 earnings call that on the Medicare side they are seeing a continued shift out of fee-for-service into Medicare Advantage, “and that always continues to pressure the revenue, because we collect less on MA compared to traditional fee-for-service.”

 Here is a look at CHS’ payer mix by net patient revenues for the quarter ended Sept. 30 compared to the same period last year:

Q3 2023:

Commercial: $1.5 billion (47.9%)

Medicare: $608 million (19.7%)

Medicare Advantage: $498 million (16.1%)

Medicaid: $456 million (14.8%)

Self-pay: $45 million (1.5%)

Q3 2022:

Commercial: $1.4 billion (47.8%)

Medicare: $644 million (21.3%)

Medicare Advantage: $479 million (15.8%)

Medicaid: $449 million (14.9%)

Self-pay: $7 million (0.2%)

 Here is a look at CHS’ payer mix by net patient revenues for the nine months ended Sept. 30:

2023:

Commercial: $4.4 billion (47.7%)

Medicare: $1.9 billion (20.2%)

Medicare Advantage: $1.6 billion (16.8%)

Medicaid: $1.3 billion (14.3%)

Self-pay: $92 million (1%)

2022: 

Commercial: $4.2 billion (46.9%)   

Medicare: $1.9 billion (21.3%)  

Medicare Advantage: $1.5 billion (16.2%)

Medicaid: $1.4 billion (15%)

Self-pay: $60 million (0.6%)

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