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Accounting for Stock-Based Compensation | 9 Months Ended
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Sep. 30, 2025
Share-Based Payment Arrangement [Abstract] |
ACCOUNTING FOR STOCK-BASED COMPENSATION | 2. ACCOUNTING FOR STOCK-BASED COMPENSATION Stock-based compensation awards have been granted under the Community Health Systems, Inc. Amended and Restated 2009 Stock Option and Award Plan, which was most recently amended and restated as of March 12, 2025 and most recently approved by the Company’s stockholders at the annual meeting of stockholders held on May 13, 2025 (the “2009 Plan”). The 2009 Plan provides for the grant of incentive stock options intended to qualify under Section 422 of the Internal Revenue Code and for the grant of stock options which do not so qualify, stock appreciation rights, restricted stock, restricted stock units (“RSUs”), performance-based shares or units and other share awards. Persons eligible to receive grants under the 2009 Plan include the Company’s directors, officers, employees and consultants. To date, all options granted under the 2009 Plan have been “nonqualified” stock options for tax purposes. Generally, these options vest in one-third increments on each of the first three anniversaries of the option grant date and expire on the tenth anniversary of the option grant date. The exercise price of all options granted under the 2009 Plan is equal to the fair value of the Company’s common stock on the option grant date. As of September 30, 2025, 8,684,274 shares of unissued common stock were reserved for future grants under the 2009 Plan. The following table reflects the impact of total compensation expense related to stock-based equity plans on the reported operating results for the respective periods (in millions):
|  | Three Months Ended |  |  | Nine Months Ended |
|  | September 30, |  |  | September 30, |
|  | 2025 |  |  | 2024 |  |  | 2025 |  |  | 2024 |
Effect on income (loss) before income taxes |  | $ | 1 |  |  | $ | (5 | ) |  | $ | (7 | ) |  | $ | (12 | )
Effect on net income (loss) |  | $ | — |  |  | $ | (4 | ) |  | $ | (5 | ) |  | $ | (10 | )
During the three months ended September 30, 2025, a reversal of approximately $4 million of stock-based compensation expense was recorded for restricted stock awards and stock options that are no longer expected to vest. The Company routinely evaluates its assumption for forfeitures and adjusts its estimate to account for employee departures, including retirement, in accordance with the terms of the 2009 Plan. At September 30, 2025, $14 million of unrecognized stock-based compensation expense related to outstanding unvested stock options, restricted stock and restricted stock units (the terms of which are summarized below) was expected to be recognized over a weighted-average period of 22 months. Of that amount, $2 million relates to outstanding unvested stock options expected to be recognized over a weighted-average period of 21 months and $12 million relates to outstanding unvested restricted stock and RSUs expected to be recognized over a weighted-average period of 22 months. There were no modifications to awards during the nine months ended September 30, 2025 and 2024. The fair value of stock options was estimated using the Black Scholes option pricing model with the following assumptions and weighted-average fair values during the three and nine months ended September 30, 2025 and 2024:
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
|  | 2025 |  | 2024 |  | 2025 |  | 2024
Expected volatility |  | N/A |  | N/A |  | 88.7% |  | 90.1%
Expected dividends |  | N/A |  | N/A |  | — |  | —
Expected term |  | N/A |  | N/A |  | 6 years |  | 6 years
Risk-free interest rate |  | N/A |  | N/A |  | 4.0% |  | 4.3%
In determining the expected term, the Company examined concentrations of option holdings and historical patterns of option exercises and forfeitures, as well as forward-looking factors, in an effort to determine if there were any discernible employee populations. From this analysis, in determining the expected term for both of the nine-month periods ended September 30, 2025 and 2024, the Company identified one population, consisting of persons receiving grants of stock options. The computation of expected term was performed using the simplified method for all stock options granted in the periods presented. The simplified method was used as a result of the Company determining that historical exercise data does not provide a reasonable basis for the expected term of its grants, due primarily to the limited number of stock option exercises that have occurred. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of the grant. The pre-vesting forfeiture rate is based on historical rates and forward-looking factors for each population identified. The Company adjusts the estimated forfeiture rate to its actual experience. The expected volatility rate was estimated based on historical volatility. In determining expected volatility, the Company also reviewed the market-based implied volatility of actively traded options of its common stock and determined that historical volatility utilized to estimate the expected volatility rate did not differ significantly from the implied volatility. Options outstanding and exercisable under the 2009 Plan as of September 30, 2025, and changes during each of the three-month periods following December 31, 2024, were as follows (in millions, except share and per share data):
|  |  |  |  |  |  |  | Weighted- |  | Aggregate |
|  |  |  |  | Weighted- |  |  | Average |  | Intrinsic |
|  |  |  |  | Average |  |  | Remaining |  | Value as of |
|  |  |  |  | Exercise |  |  | Contractual |  | September 30, |
|  | Shares |  |  | Price |  |  | Term |  | 2025 |
Outstanding at December 31, 2024 |  |  | 4,490,750 |  |  | $ | 6.24 |  |  |  |  |  |
Granted |  |  | 806,000 |  |  |  | 3.01 |  |  |  |  |  |
Exercised |  |  | — |  |  |  | — |  |  |  |  |  |
Forfeited and cancelled |  |  | (57,000 | ) |  |  | 4.43 |  |  |  |  |  |
Outstanding at March 31, 2025 |  |  | 5,239,750 |  |  |  | 5.77 |  |  |  |  |  |
Granted |  |  | — |  |  |  | — |  |  |  |  |  |
Exercised |  |  | — |  |  |  | — |  |  |  |  |  |
Forfeited and cancelled |  |  | (310,750 | ) |  |  | 6.45 |  |  |  |  |  |
Outstanding at June 30, 2025 |  |  | 4,929,000 |  |  |  | 5.72 |  |  |  |  |  |
Granted |  |  | — |  |  |  | — |  |  |  |  |  |
Exercised |  |  | — |  |  |  | — |  |  |  |  |  |
Forfeited and cancelled |  |  | — |  |  |  | — |  |  |  |  |  |
Outstanding at September 30, 2025 |  |  | 4,929,000 |  |  | $ | 5.72 |  |  | 6.7 years |  | $ | — |
Exercisable at September 30, 2025 |  |  | 3,330,989 |  |  | $ | 6.81 |  |  | 5.7 years |  | $ | — |
The weighted-average grant date fair value of stock options granted during the nine months ended September 30, 2025 and 2024 was $2.27 and $2.19, respectively. The aggregate intrinsic value (calculated as the number of in-the-money stock options multiplied by the difference between the Company’s closing stock price on the last trading day of the reporting period ($3.21) and the exercise price of the respective stock options) in the table above represents the amount that would have been received by the option holders had all option holders exercised their options on September 30, 2025. This amount changes based on the market value of the Company’s common stock. No stock options were exercised during the three and nine months ended September 30, 2025 and 2024. The aggregate intrinsic value of options vested and expected to vest approximates that of the outstanding options. The Company has also awarded restricted stock under the 2009 Plan to employees of certain subsidiaries. With respect to time-based vesting restricted stock that has been awarded under the 2009 Plan, the restrictions on these shares have generally lapsed in one-third increments on each of the first three anniversaries of the award date. In addition, certain of the restricted stock awards granted to the Company’s senior executives have contained performance objectives required to be met in addition to any time-based vesting requirements. If the applicable performance objectives are not attained, these awards will be forfeited in their entirety. For performance-based awards, the performance objectives are measured cumulatively over a three-year period. If the applicable target performance objective is met at the end of the three-year period, then the restricted stock award subject to such performance objective will vest in full on the third anniversary of the award date. Additionally, for these performance-based awards, based on the level of achievement for the applicable performance objective within the parameters specified in the award agreement, the number of shares to be issued in connection with the vesting of the award may be adjusted to decrease or increase the number of shares specified in the original award. Notwithstanding the above-mentioned performance objectives and vesting requirements, the restrictions with respect to restricted stock granted under the 2009 Plan may lapse earlier in the event of death, disability, change in control of the Company or, other than for performance-b ased awards, termination of employment by the Company for any reason other than for cause of the holder of the restricted stock. On March 1, 2025, restricted stock awards subject to performance objectives granted on March 1, 2022 vested based on the Company’s cumulative performance compared to performance objectives for the 2022 through 2024 performance period, which were set prior to the date of grant. Such awards vested at 16.8% of the number of shares originally granted to the Company’s then executive chairman, chief executive officer and chief financial officer based on the performance objectives applicable to the then executive chairman, chief executive officer and chief financial officer, and at 21% of the number of shares originally granted to other senior executives based on the performance objectives applicable to such other senior executives. Restricted stock awards subject to performance objectives that have not yet been satisfied are not considered outstanding for purposes of determining diluted earnings per share unless the performance objectives have been satisfied on the basis of results through the end of each respective reporting period. Restricted stock outstanding under the 2009 Plan as of September 30, 2025, and changes during each of the three-month periods following December 31, 2024, were as follows:
|  |  |  |  | Weighted- |
|  |  |  |  | Average Grant |
|  | Shares |  |  | Date Fair Value |
Unvested at December 31, 2024 |  |  | 6,509,245 |  |  | $ | 5.63 |
Granted |  |  | 2,636,000 |  |  |  | 3.01 |
Vested |  |  | (1,582,989 | ) |  |  | 6.56 |
Forfeited |  |  | (1,004,170 | ) |  |  | 9.66 |
Unvested at March 31, 2025 |  |  | 6,558,086 |  |  |  | 3.74 |
Granted |  |  | 27,000 |  |  |  | 3.88 |
Vested |  |  | (48,003 | ) |  |  | 4.14 |
Forfeited |  |  | (205,002 | ) |  |  | 3.80 |
Unvested at June 30, 2025 |  |  | 6,332,081 |  |  |  | 3.74 |
Granted |  |  | — |  |  |  | — |
Vested |  |  | — |  |  |  | — |
Forfeited |  |  | — |  |  |  | — |
Unvested at September 30, 2025 |  |  | 6,332,081 |  |  |  | 3.74 |
RSUs have been granted to the Company’s non-management directors under the 2009 Plan. Each of the Company’s then-serving non-management directors received grants under the 2009 Plan of 59,801 RSUs and 62,718 RSUs with a grant date of March 1, 2025 and 2024, respectively. Both the March 2025 and 2024 grants had a grant date fair value of approximately $180,000. Pursuant to the Company’s non-management director compensation program, on June 1, 2024, a non-management director, who was elected to the Company’s Board of Directors at the Annual Meeting of the Company’s stockholders on May 7, 2024, received a grant of 62,718 RSUs (the same number of RSUs granted to the other non-management directors on March 1, 2024), which had a grant date fair value of approximately $248,000. Vesting of RSUs granted to non-management directors occurs in one-third increments on each of the first three anniversaries of the award date or upon the director’s earlier cessation of service on the Company’s Board of Directors, other than for cause. Each non-management director may elect, prior to the beginning of the calendar year in which the award is granted, to defer the receipt of shares of the Company’s common stock issuable upon vesting until either his or her (i) separation from service with the Company or (ii) attainment of an age specified in advance by the non-management director. A total of seven directors elected to defer the receipt of shares of the Company’s common stock for the RSUs granted on March 1, 2025 to a future date. A total of six directors elected to defer the receipt of shares of the Company’s common stock upon vesting of the RSUs granted in 2024 to a future date. RSUs outstanding under the 2009 Plan as of September 30, 2025, and changes during each of the three-month periods following December 31, 2024, were as follows:
|  |  |  |  | Weighted- |
|  |  |  |  | Average Grant |
|  | Shares |  |  | Date Fair Value |
Outstanding at December 31, 2024 |  |  | 1,548,316 |  |  | $ | 4.49 |
Granted |  |  | 777,413 |  |  |  | 3.01 |
Vested |  |  | (249,998 | ) |  |  | 4.80 |
Forfeited |  |  | — |  |  |  | — |
Unvested at March 31, 2025 |  |  | 2,075,731 |  |  |  | 3.90 |
Granted |  |  | — |  |  |  | — |
Vested |  |  | (5,894 | ) |  |  | 5.00 |
Forfeited |  |  | — |  |  |  | — |
Unvested at June 30, 2025 |  |  | 2,069,837 |  |  |  | 3.90 |
Granted |  |  | — |  |  |  | — |
Vested |  |  | — |  |  |  | — |
Forfeited |  |  | — |  |  |  | — |
Unvested at September 30, 2025 |  |  | 2,069,837 |  |  |  | 3.90 |

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