What happened

Shares of hospital operator Community Health Systems (NYSE:CYH) rose by more than 31% as of 10:30 a.m. EST on Tuesday after the company reported earnings that topped industry watcher's expectations.

So what

Here's a look at the key numbers from the company's fourth-quarter report that are causing shares to rally: 

  • Net operating revenue was $4.47 billion. While this figure was down 7% year over year, it came in slightly ahead of what analysts had expected.
  • Net loss from operations was $1.91 per share. However, this figure includes a large non-cash goodwill impairment charge related to underperforming hospitals. On an adjusted basis, the company recorded a net income of $0.46 per share. By contrast, Wall Street was only expected adjusted earnings of $0.12 per share.
  • Cash flow from operations totaled $327 million, up 7% over the same period last year. 
  • Admissions decreased 1.4% when compared to the year-ago period.
A man putting money in his jacket pocket.

Image source: Getty Images.

CEO Wayne Smith was quite pleased with company's performance:

"We concluded the year with solid results in the fourth quarter, including sequential improvements in same-store net operating revenue, adjusted EBITDA and cash flow from operations. Significant progress has been made in our work to divest certain hospitals and other operations, enabling a reduction in our debt and the opportunity to reshape our portfolio into a stronger, more sustainable organization."

The better than expected results and positive commentary appears to have put traders in a good mood, hence why shares are popping on Tuesday.

Now what

While Smith was happy with the company's 2016 results, he also told investors that Community Health will continue to transform itself in 2017:

"Moving forward in 2017 and beyond, we are intently focused on efficiency improvements in our operations, strategic initiatives that enhance growth in our markets, and portfolio optimization that reduces our total debt. Most importantly, we remain committed to providing high-quality, safe healthcare for the patients and communities we serve."

As a result, management is offering up the following guidance for the year ahead.

Metric2017 Projection Range2016 Actual Result
Revenue $15.8 billion to $16.2 billion $18.438 billion
Adjusted EBITDA $2 billion to $2.175 billion $2.225 billion
Income from continuing operations per share $0.30 to $1.10 $0.46
Same-store adjusted admissions growth 0% to 1.5% (0.5%)

Table source: Community Health Systems.

When looking at these numbers, investors should remember that the decreases are in part related to last year's spin-off of 38 of its affiliated hospitals into a company called Quorum Health Corporation.

Investors were likely relieved to hear that management is expecting modest growth in adjusted same-store admissions in 2017. With the potential repeal of Obamacare looming, traders have been selling off the company's shares over fears that a large number of patients wouldn't be able to access Community Health's hospitals. This forecast hints that the company doesn't see this possibility as a near-term threat to its business.

If the company can continue to divest assets and pay down its hefty debt load, then it is possible that the company's future is finally looking up. Still, the risks here are quite high, so I plan on keeping far away.