Becker’s Healthcare Podcast Health System Earnings, Divestitures, and Strategic Shifts to Watch with Alan Condon
Jan 27, 2026
Alan Condon, Editor-in-Chief and healthcare journalist covering strategy, finance and M&A. He walks through HCA’s standout 2025 results and how hospital-first models contrast with outpatient-focused rivals. He highlights Community Health Systems’ divestitures and debt-reduction moves. He also outlines Providence and CommonSpirit’s sales and market exits as strategic responses to financial pressures.
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HCA's Strong Financial Momentum
- HCA reported $6.8 billion net income for 2025 and grew revenue by about $5 billion year over year.
- HCA expects another ~$5 billion revenue increase for 2026 and earmarked $5 billion for acquisitions and capital projects.
Diverging For-Profit Strategies
- HCA remains heavily hospital-focused with ~190 hospitals despite a large ambulatory footprint of ~2,500 sites.
- Tenet and others have pursued deeper outpatient investment, showing divergent strategies among large for-profit systems.
CHS's Turnaround And Hospital Sales
- Community Health Systems is executing a divestiture program, selling five hospitals for about $1 billion across Alabama, Tennessee and Pennsylvania.
- CHS leaders framed the sales as portfolio redefinition to focus on core markets and continue paying down over $3 billion of debt since 2019.