COMMUNITY HEALTH SYSTEMS INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1984

Legal Domicile

Principal Officer

Russell T Dubuc

Phone

5082220118

Tax Period

2020-01-01 to 2020-12-31

COMMUNITY HEALTH SYSTEMS INC, founded in 1984, is a community nonprofit in the Health Care sector that reported $3.1M in total revenue in fiscal year 2020. Revenue fell 26% from the prior year — a significant decline worth monitoring. Expenses of $6.3M exceeded revenue, resulting in a 104% operating deficit.

Mission

To Provide services an resources that enhance the community's capacity to achieve optimal health, wellness and quality of life through the management of its two health service affiliates.

Program Service Accomplishments

Program 1

Expenses: $3,236,256 Revenue: $0

Clinical Operations Management: Expenses represent the salary and benefits of the Clinical Operations Officer who is a registered nurse and oversees all activity related to home health and hospice...

Clinical Operations Management: Expenses represent the salary and benefits of the Clinical Operations Officer who is a registered nurse and oversees all activity related to home health and hospice care of the affiliated organizations, but is employed by the parent organization. Also, payments to affiliates (Part IX Line 21) are distributions from investments to offset free care, operational needs and unreimbursed expenses for program services.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2020)

Revenue Breakdown

Contributions & Grants $12,567

Program Service Revenue $2,070,982

Investment Income $919,998

Other Revenue $64,968

TOTAL REVENUE $3,068,515

Expense Breakdown

Grants Paid $2,964,233

Salaries & Benefits $2,168,242

Fundraising Expenses $164,098

Program Expenses $3,236,256

Other Expenses $1,139,165

TOTAL EXPENSES $6,271,640

Year-over-Year Comparison

	2020	2019	Change
Revenue	$3,068,515	$4,151,070	-0.3%
Expenses	$6,271,640	$3,777,492	+0.7%
Net Income	$-3,203,125	$373,578	-9.6%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✓ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✓ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$798,277

Total Directors

Key Employees

$122,384

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Reynold G Spadoni	CEO	13	Officer	$386,459	$13,832	$400,291
Dawn Sullivan	COO	3.25	Officer	$195,065	$13,026	$208,091
Russell T Dubuc	CFO	16.5	Officer	$181,601	$8,294	$189,895
Marlene Roberti	Director Business Development	17.25	Highest	$163,894	$13,026	$176,920
Julie Feierstein	Physical Therapist	0	Highest	$0	$19,787	$126,948
Eileen Leduc	Nurse Manager	0	Highest	$0	$8,294	$126,283
Gail Robey	Registered Nurse	0	Highest	$0	$8,294	$123,544
Cathie Miller	Occupational Therapist	0	Highest	$0	$19,787	$123,439
Mary Westphal	Registered Nurse	0	Highest	$0	$8,294	$123,036
Deborah Zapasnik	Director Human Resources	23.5	Key Emp	$109,358	$13,026	$122,384
Michael Murphy	President	0.25	Director	$0	$0	$0
Jeffrey Bradley	Vice-President	0.25	Director	$0	$0	$0
Gerard Lavoie	Treasurer	0.25	Director	$0	$0	$0
Michael Poissant	Clerk	0.25	Director	$0	$0	$0
Carie Ann Bailey	Member	0.25	Director	$0	$0	$0
Carolyn Blake Dibbert	Member	0.25	Director	$0	$0	$0
Susan Girard Dolan	Member	0.25	Director	$0	$0	$0
Geoffrey Gallant	Member	0.25	Director	$0	$0	$0
Paul Lenahan	Member	0.25	Director	$0	$0	$0
Lisa Piscatelli	Member	0.25	Director	$0	$0	$0
Elise M Servant	Member	0.25	Director	$0	$0	$0
Suzanne M Vargas	Member	0.25	Director	$0	$0	$0
Maureen Wilkinson	Member	0.25	Director	$0	$0	$0
Frederick Woll DO	Member	0.25	Director	$0	$0	$0
Mark Young MD	Member	0.25	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2020	$3,068,515	$6,271,640	$26,745,845	$-3,203,125