CYH vs THC Stock Comparison: AI Score, Valuation, Performance and Upside
CYH (Community Health Systems) and THC (Tenet Healthcare) are both large for-profit hospital operators, but with very different financial situations and market positioning — CYH operates primarily in non-urban markets with higher financial leverage, while Tenet operates in better payer-mix urban/suburban markets with a higher-growth ambulatory surgery center business through USPI.
CYH vs THC compares two challenged for-profit hospital operators at different quality tiers — Community Health Systems' distressed but potentially recovering non-urban hospital portfolio versus Tenet's stronger urban hospitals and growing high-margin ambulatory surgery business.
THC holds the edge across 4 of 5 key metrics in this comparison. THC leads on both 1-year return (+57.97%) and forward P/E quality (12.23x vs -7.11x for CYH), a relatively favorable combination of momentum and valuation. Analyst consensus implies similar upside for both: +8.86% for CYH and +10.99% for THC.
- →Want high-leverage turnaround exposure to non-urban hospital operations with potentially significant upside if debt is reduced
- →Believe supplemental Medicaid payments and government healthcare support will sustain rural hospital economics
- →Are comfortable with significant financial and operational risk in exchange for a deeply discounted valuation
- →Want for-profit hospital operator exposure with the additional benefit of USPI's ambulatory surgery center growth business
- →Value Tenet's better urban/suburban payer mix and higher-margin ambulatory strategy versus pure hospital operators
- →See USPI monetization as a potential catalyst for deleveraging and value realization in Tenet's sum-of-parts valuation
| Metric | CYH | THC |
|---|---|---|
| AI score | 24.8 | 63.9 |
| AI rank | #2930 | #83 |
| Latest close | $2.79 | $254.78 |
| 1M return | -21.19% | +33.25% |
| 6M return | -11.99% | +34.46% |
| 1Y return | +7.31% | +57.97% |
How much would $10,000 be worth today if invested at the start of each period, with all dividends reinvested?
| Period | CYH | THC |
|---|---|---|
| 1Y ago | $10.73K (+7.3%) started 2025-07-31 | $15.8K (+58.0%) started 2025-07-31 |
| 5Y ago | $2.11K (-78.9%) started 2021-08-02 | $35.78K (+257.8%) started 2021-08-02 |
| 10Y ago | $2.22K (-77.8%) started 2016-08-01 | $88.13K (+781.3%) started 2016-08-01 |
Hypothetical — past performance does not guarantee future results.
| Metric | CYH | THC |
|---|---|---|
| Market cap | $411.75M | $20.13B |
| Trailing P/E | 1.58 | 9.67 |
| Forward P/E | -7.11 | 12.23 |
| Price/Sales | 0.03 | 0.92 |
| EV/Revenue | 0.92 | 1.62 |
| Analyst target | $3.18 | $277.48 |
| Target upside | +8.86% | +10.99% |
| Metric | CYH | THC |
|---|---|---|
| Revenue growth | -9.80% | 6.80% |
| Earnings growth | -75.60% | 213.40% |
| EPS growth | -75.60% | +213.40% |
| FCF margin | +1.65% | +10.31% |
| Operating margin | N/A | N/A |
| Profit margin | 2.10% | 10.27% |
| ROIC proxy | N/A | 37.34% |
| Return on equity | N/A | 37.34% |
| Dividend yield | 0.00% | 0.00% |
| Beta | 1.86 | 1.23 |
| Debt/equity | N/A | 152.28 |
| Current ratio | 1.53 | 1.41 |
| Quick ratio | 1.20 | 1.15 |
Lower drawdown and smaller single-period drops generally indicate a smoother ride, though they do not guarantee lower future risk.
| Period | Metric | CYH | THC |
|---|---|---|---|
| 1Y | Growth | +7.31% | +57.97% |
| CAGR | +7.31% | +58.02% | |
| Sharpe ratio | 0.33 | 1.17 | |
| Max drawdown | 43.54% | 34.08% | |
| Max daily drop | 13.66% | 5.71% | |
| Max wkly drop | 20.45% | 13.37% | |
| 5Y | Growth | -78.86% | +257.79% |
| CAGR | -26.74% | +29.08% | |
| Sharpe ratio | -0.05 | 0.70 | |
| Max drawdown | 86.28% | 58.88% | |
| Max daily drop | 42.86% | 30.96% | |
| Max wkly drop | 44.14% | 28.74% | |
| 10Y | Growth | -77.82% | +781.29% |
| CAGR | -13.99% | +24.32% | |
| Sharpe ratio | 0.19 | 0.59 | |
| Max drawdown | 87.69% | 71.68% | |
| Max daily drop | 49.65% | 30.96% | |
| Max wkly drop | 51.77% | 44.92% |
| Category | CYH | THC |
|---|---|---|
| Company | Community Health Systems, Inc. | Tenet Healthcare Corporation |
| Sector | Health Care - Hospital Operator | Health Care - Hospital Operator & Ambulatory Services |
| Industry | N/A | N/A |
| Core business | Community Health Systems operates a network of acute care hospitals primarily in non-urban and mid-sized markets across the U.S., providing inpatient and outpatient healthcare services to communities with limited access to other hospital care. | Tenet Healthcare operates acute care hospitals, surgical hospitals, and ambulatory surgery centers (through its USPI ambulatory segment), providing healthcare services across a mix of urban and suburban markets with a significant focus on higher-margin ambulatory care. |
| Investor focus | Investors track CYH's same-hospital revenue per adjusted admission trends, operating margins, debt reduction progress, and hospital divestiture strategy as the company reduces its hospital portfolio to improve focus and financial health. | Investors track Tenet's USPI ambulatory surgery center revenue growth, hospital same-facility volume and revenue per patient, EBITDA margin improvements, and leverage reduction through USPI monetization or hospital divestitures. |
- →Community hospitals in non-urban markets often have limited local competition, providing a degree of regional market protection
- →Government supplemental Medicaid payments (Disproportionate Share Hospital payments) support revenue for hospitals serving high-uninsured populations
- →Portfolio rationalization through divesting underperforming hospitals is improving the overall quality and margin profile of remaining facilities
- →USPI ambulatory surgery center business operates in higher-margin, faster-growing ambulatory surgery settings rather than just traditional hospital settings
- →Urban and suburban market mix provides better payer dynamics than Community Health Systems' non-urban focus
- →USPI has been growing through acquisitions of ambulatory surgery centers, a structurally attractive segment as procedures shift from hospitals to ambulatory settings
- →Extremely high debt load from historical acquisitions creates significant financial risk in difficult operating environments
- →Non-urban markets often have less favorable payer mixes (more Medicaid and uninsured) than urban markets served by HCA and Tenet
- →Physician recruitment and nursing staffing challenges in non-urban markets are more acute than at urban hospital systems
- →Significant debt load constrains financial flexibility similar to CYH, though Tenet's margins are stronger
- →Hospital industry faces ongoing labor cost inflation from nursing travel staffing and specialty physician compensation
- →Regulatory and reimbursement uncertainty from government payer programs (Medicare, Medicaid) affects the entire for-profit hospital sector
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