Entity Central Index Key
Effective Income Tax Rate Reconciliation, Nondeductible Goodwill, Amount
Effective income tax rate reconciliation amended return adjustments amount.
Effective Income Tax Reconciliation Change In Nondeductible Loss On Divestiture
Financing Obligations Future Minimum Payments Due Current
Financing Obligations Future Minimum Payments Due In Two Years
Financing Obligations Future Minimum Payments Due In Three Years
Financing Obligations Future Minimum Payments Due In Four Years
Financing Obligations Future Minimum Payments Due In Five Years
Financing Obligations Future Minimum Payments Due Thereafter
Financing Obligations Future Minimum Payments Interest Included In Payments
Financing Obligations
Total amount of various prepaid and tax accounts such as insurance, rent, service contracts, dues, subscriptions, hiring fees, franchise taxes and property taxes.
Electronic health records incentive reimbursement.
Pandemic relief funds.
An increase (decrease) during the reporting period contributed by the intercompany consolidated entities. This cash flow item will eliminate upon consolidation but included for presentation purposes in the guarantor statement of cash flows.
Cover [Abstract]
Document Type
Document Type
Document Annual Report
Document Annual Report
Document Transition Report
Document Transition Report
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity File Number
Entity File Number
Entity Registrant Name
Entity Registrant Name
Entity Incorporation, State or Country Code
Entity Incorporation State Country Code
Entity Tax Identification Number
Entity Tax Identification Number
Entity Address, Address Line One
Entity Address Address Line1
Entity Address, City or Town
Entity Address City Or Town
Entity Address, State or Province
Entity Address State Or Province
Entity Address, Postal Zip Code
Entity Address Postal Zip Code
City Area Code
City Area Code
Local Phone Number
Local Phone Number
Title of 12(b) Security
Security12b Title
Trading Symbol
Trading Symbol
Security Exchange Name
Security Exchange Name
Entity Current Reporting Status
Entity Current Reporting Status
Entity Interactive Data Current
Entity Interactive Data Current
Entity Filer Category
Entity Filer Category
Entity Small Business
Entity Small Business
Entity Emerging Growth Company
Entity Emerging Growth Company
Entity Shell Company
Entity Shell Company
Entity Common Stock, Shares Outstanding
Entity Common Stock Shares Outstanding
Entity Central Index Key
Amendment Flag
Amendment Flag
Entity Public Float
Entity Public Float
Entity Well-known Seasoned Issuer
Entity Well Known Seasoned Issuer
Entity Voluntary Filers
Entity Voluntary Filers
ICFR Auditor Attestation Flag
Icfr Auditor Attestation Flag
Auditor Firm ID
Auditor Firm Id
Auditor Name
Auditor Name
Auditor Location
Auditor Location
Income Statement [Abstract]
Net operating revenues
Revenues
Operating costs and expenses:
Operating Expenses [Abstract]
Salaries and benefits
Labor And Related Expense
Supplies
Cost Of Goods And Services Sold
Other operating expenses
Other Cost And Expense Operating
Government and other legal settlements and related costs
Gain Loss Related To Litigation Settlement
Electronic health records incentive reimbursement
Electronic Health Records Incentive Reimbursement
Lease cost and rent
Operating Lease Expense
Pandemic relief funds
Pandemic Relief Funds
Depreciation and amortization
Depreciation And Amortization
Impairment and (gain) loss on sale of businesses, net
Asset Impairment Charges
Total operating costs and expenses
Costs And Expenses
Income from operations
Operating Income Loss
Interest expense, net of interest income of $3 in 2021, 2020 and 2019
Interest Income Expense Nonoperating Net
Loss (gain) from early extinguishment of debt
Gains Losses On Extinguishment Of Debt
Gain on sale of equity interests in Macon Healthcare, LLC
Equity Method Investment Realized Gain Loss On Disposal
Equity in earnings of unconsolidated affiliates
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
Income (loss) before income taxes
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
Provision for (benefit from) income taxes
Income Tax Expense Benefit
Net income (loss)
Profit Loss
Less: Net income attributable to noncontrolling interests
Net Income Loss Attributable To Noncontrolling Interest
Net income (loss) attributable to Community Health Systems, Inc. stockholders
Net Income Loss
Earnings (loss) per share attributable to Community Health Systems, Inc. stockholders:
Earnings Per Share Basic And Diluted [Abstract]
Basic
Earnings Per Share Basic
Diluted
Earnings Per Share Diluted
Weighted-average number of shares outstanding:
Weighted Average Number Of Shares Outstanding [Abstract]
Basic
Weighted Average Number Of Shares Outstanding Basic
Diluted
Weighted Average Number Of Diluted Shares Outstanding
Interest income
Investment Income Interest
Components of comprehensive income net of related taxes.
Statement Of Income And Comprehensive Income [Abstract]
Net income (loss)
Other comprehensive (loss) income, net of income taxes:
Components Of Comprehensive Income Net Of Related Taxes [Abstract]
Net change in fair value of interest rate swaps, net of tax of $0 for the years ended December 31, 2021 and 2020 and $1 for the year ended December 31, 2019
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
Net change in fair value of available-for-sale debt securities, net of tax
Other Comprehensive Income Loss Available For Sale Securities Adjustment Net Of Tax
Amortization and recognition of unrecognized pension cost components, net of tax of $0, $2 and $0 for the years ended December 31, 2021, 2020 and 2019, respectively
Other Comprehensive Income Loss Pension And Other Postretirement Benefit Plans Adjustment Net Of Tax
Other comprehensive (loss) income
Other Comprehensive Income Loss Net Of Tax
Comprehensive income (loss)
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
Less: Comprehensive income attributable to noncontrolling interests
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
Comprehensive income (loss) attributable to Community Health Systems, Inc. stockholders
Comprehensive Income Net Of Tax
Other comprehensive income (loss) net change in fair value interest rate swaps tax.
Net change in fair value of interest rate swaps, tax
Other Comprehensive Income Loss Net Change In Fair Value Interest Rate Swaps Tax
Amortization and recognition of unrecognized pension cost components, tax
Other Comprehensive Income Loss Pension And Other Postretirement Benefit Plans Tax
Statement Of Financial Position [Abstract]
ASSETS
Assets [Abstract]
Current assets:
Assets Current [Abstract]
Cash and cash equivalents
Cash And Cash Equivalents At Carrying Value
Patient accounts receivable
Accounts Receivable Net Current
Supplies
Supplies
Prepaid income taxes
Prepaid Taxes
Prepaid expenses and taxes
Prepaid Expenses And Taxes
Other current assets
Other Assets Current
Total current assets
Assets Current
Property and equipment
Property Plant And Equipment Gross [Abstract]
Land and improvements
Land And Land Improvements
Buildings and improvements
Buildings And Improvements Gross
Equipment and fixtures
Fixtures And Equipment Gross
Property and equipment
Property Plant And Equipment Gross
Less accumulated depreciation and amortization
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
Property and equipment, net
Property Plant And Equipment Net
Goodwill
Goodwill
Deferred income taxes
Deferred Income Tax Assets Net
Other assets, net of accumulated amortization of $1,216 and $1,118 at December 31, 2021 and 2020, respectively
Other Assets Noncurrent
Total assets
Assets
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Liabilities And Stockholders Equity [Abstract]
Current liabilities:
Liabilities Current [Abstract]
Current maturities of long-term debt
Long Term Debt And Capital Lease Obligations Current
Current operating lease liabilities
Operating Lease Liability Current
Accounts payable
Accounts Payable Current
Accrued liabilities:
Accrued Liabilities Current [Abstract]
Employee compensation
Employee Related Liabilities Current
Accrued interest
Interest Payable Current
Other
Other Accrued Liabilities Current
Total current liabilities
Liabilities Current
Long-term debt
Long Term Debt Noncurrent
Deferred income taxes
Deferred Income Tax Liabilities Net
Long-term operating lease liabilities
Operating Lease Liability Noncurrent
Other long-term liabilities
Other Liabilities Noncurrent
Total liabilities
Liabilities
Redeemable noncontrolling interests in equity of consolidated subsidiaries
Redeemable Noncontrolling Interest Equity Fair Value
Commitments and contingencies (Note 15)
Commitments And Contingencies
STOCKHOLDERS’ DEFICIT
Stockholders Equity Including Portion Attributable To Noncontrolling Interest [Abstract]
Community Health Systems, Inc. stockholders’ deficit:
Stockholders Equity [Abstract]
Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued
Preferred Stock Value
Common stock, $.01 par value per share, 300,000,000 shares authorized; 132,146,282 shares issued and outstanding at December 31, 2021, and 129,612,117 shares issued and outstanding at December 31, 2020
Common Stock Value
Additional paid-in capital
Additional Paid In Capital Common Stock
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income Loss Net Of Tax
Accumulated deficit
Retained Earnings Accumulated Deficit
Total Community Health Systems, Inc. stockholders’ deficit
Stockholders Equity
Noncontrolling interests in equity of consolidated subsidiaries
Minority Interest
Total stockholders’ deficit
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
Total liabilities and stockholders’ deficit
Liabilities And Stockholders Equity
Accumulated amortization
Finite Lived Intangible Assets Accumulated Amortization
Preferred stock, par value per share
Preferred Stock Par Or Stated Value Per Share
Preferred stock, shares authorized
Preferred Stock Shares Authorized
Preferred stock, shares issued
Preferred Stock Shares Issued
Common stock, par value per share
Common Stock Par Or Stated Value Per Share
Common stock, shares authorized
Common Stock Shares Authorized
Common stock, shares issued
Common Stock Shares Issued
Common stock, shares outstanding
Common Stock Shares Outstanding
Comprehensive income (loss) attributable to redeemable noncontrolling interest.
Comprehensive income (loss) including the portion attributable to nonredeemable noncontrolling interest. Excludes the portion attributable to redeemable noncontrolling interest recognized as temporary equity.
Contributions from Redeemable Noncontrolling Interests
Distributions to Redeemable Noncontrolling Interests, Net of Contributions
Decrease in noncontrolling interest balance from payment of dividends or other distributions by the non-wholly owned subsidiary or partially owned entity, included in the consolidation of the parent entity, to the noncontrolling interest holders, net of the increase in noncontrolling interest balance from the issuance of additional equity.
Other Reclassifications Of Redeemable Noncontrolling Interests
Change in noncontrolling interest balance for activity other than from payment of dividends or other distributions by the non-wholly owned subsidiary or partially owned entity or payments for the redemption of common stock, included in the consolidation of the parent entity, to the noncontrolling interest holders. This may include activity related to the change in ownership or value of the consolidating entity which would affect the noncontrolling interests' put option valuation.
Redeemable Noncontrolling Interests Change in Redemption Value
Adjustment to Additional Paid in Capital, Income Tax Effect from Share-based Compensation, Net, Shares
Income Tax Payable Increase From Vesting Of Restricted Shares
Redeemable noncontrolling interest decrease from deconsolidation.
Noncontrolling Interests in Acquired Entity
Statement Of Stockholders Equity [Abstract]
Statement [Table]
Statement [Table]
Equity Components
Statement Equity Components [Axis]
Equity Component
Equity Component [Domain]
The amount, as required by EITF D-98, recorded as mezzanine equity (i.e., between the captions for liabilities and equity on the balance sheet) of a subsidiary that is accounted for as a noncontrolling interest under ASC 810-10, that is mandatorily redeemable, on its consolidated balance sheet. The parent company records such mezzanine equity of its consolidated subsidiary as a noncontrolling interest (was considered minority interest prior to the adoption of ASC 810-10).
Redeemable Noncontrolling Interests (Non- Equity)
Redeemable Noncontrolling Interests [Member]
Common Stock
Common Stock [Member]
Additional Paid-in Capital
Additional Paid In Capital [Member]
Accumulated Other Comprehensive Income (Loss)
Accumulated Other Comprehensive Income [Member]
Accumulated Deficit
Retained Earnings [Member]
Noncontrolling Interest
Noncontrolling Interest [Member]
Statement [Line Items]
Statement [Line Items]
Equity, beginning balance
Redeemable Noncontrolling Interests, beginning balance
Shares, outstanding, beginning balance
Shares Outstanding
Comprehensive income (loss)
Comprehensive Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interests
Comprehensive income (loss) attributable to redeemable noncontrolling interest
Comprehensive Income Loss Attributable To Redeemable Noncontrolling Interest
Contributions from noncontrolling interests
Noncontrolling Interest Increase From Business Combination
Contributions from redeemable noncontrolling interests
Contributions From Redeemable Noncontrolling Interests
Distributions to noncontrolling interests
Distributions To Noncontrolling Interests Net Of Contributions
Distributions to redeemable noncontrolling interests
Distributions To Redeemable Noncontrolling Interests Net Of Contributions
Purchase of subsidiary shares from noncontrolling interests
Minority Interest Decrease From Redemptions
Other reclassifications of noncontrolling interests
Other Reclassifications Of Noncontrolling Interests
Other reclassifications of redeemable noncontrolling interests
Other Reclassifications Of Redeemable Noncontrolling Interests
Disposition of less-than-wholly owned hospital
Redeemable Noncontrolling Interest Decrease From Deconsolidation
Noncontrolling interests in acquired entity
Noncontrolling Interests In Acquired Entity
Adjustment to redemption value of redeemable noncontrolling interests
Redeemable Noncontrolling Interests Change In Redemption Value
Cancellation of restricted stock for tax withholdings on vested shares
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
Cancellation of restricted stock for tax withholdings on vested shares, shares
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net Shares
Issuance of common stock in connection with the exercise of stock options
Stock Issued During Period Value Stock Options Exercised
Issuance of common stock in connection with the exercise of stock options, shares
Stock Issued During Period Shares Stock Options Exercised
Income tax payable increase from vesting of restricted shares
Income Tax Payable Increase From Vesting Of Restricted Shares
Section 3(a)(9) exchange
Stock Issued During Period Value Conversion Of Convertible Securities
Section 3(a)(9) exchange, shares
Stock Issued During Period Shares Conversion Of Convertible Securities
Stock-based compensation
Stock Issued During Period Value Share Based Compensation
Stock-based compensation, shares
Stock Issued During Period Shares Share Based Compensation
Equity, ending balance
Redeemable Noncontrolling Interests, ending balance
Shares, outstanding, ending balance
The non-cash portion of the amount charged against operating income increasing loss contingency liability, after adjustments to reduce previously estimated charges.
An increase (decrease) during the reporting period in the aggregate value of all inventory, prepaid expenses paid, other current assets held by the reporting entity.
Increase (decrease) in Medicare accelerated payments.
Repayment/derecognition of Medicare accelerated payments.
Increase (decrease) in pandemic relief funds.
An increase (decrease) during the reporting period in the aggregate value of all current payables, current liabilities and income taxes held by the reporting entity.
Proceeds from sale lease back transaction financing activities.
Statement Of Cash Flows [Abstract]
Cash flows from operating activities:
Net Cash Provided By Used In Operating Activities [Abstract]
Adjustments to reconcile net income (loss) to net cash (used in) provided by operating activities:
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities [Abstract]
Deferred income taxes
Deferred Income Taxes And Tax Credits
Government and other legal settlements and related costs
Loss Contingency Accrual Provision Non Cash
Stock-based compensation expense
Share Based Compensation
Other non-cash expenses, net
Other Noncash Income Expense
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
Increase Decrease In Operating Capital [Abstract]
Patient accounts receivable
Increase Decrease In Accounts Receivable
Supplies, prepaid expenses and other current assets
Increase Decrease In Supplies Prepaid Expenses And Other Current Assets
Medicare accelerated payments
Increase Decrease In Medicare Accelerated Payments
Repayment/derecognition of Medicare accelerated payments
Repayment Derecognition Of Medicare Accelerated Payments
Pandemic relief funds
Increase Decrease In Pandemic Relief Funds
Accounts payable, accrued liabilities and income taxes
Increase Decrease In Accounts Payable Accrued Liabilities And Income Taxes
Other
Increase Decrease In Other Operating Capital Net
Net cash (used in) provided by operating activities
Net Cash Provided By Used In Operating Activities
Cash flows from investing activities:
Net Cash Provided By Used In Investing Activities [Abstract]
Acquisitions of facilities and other related businesses
Payments To Acquire Businesses Net Of Cash Acquired
Purchases of property and equipment
Payments To Acquire Property Plant And Equipment
Proceeds from disposition of hospitals and other ancillary operations
Proceeds From Divestiture Of Businesses Net Of Cash Divested
Proceeds from sale of property and equipment
Proceeds From Sale Of Property Plant And Equipment
Purchases of available-for-sale debt securities and equity securities
Payments To Acquire Investments
Proceeds from sales of available-for-sale debt securities and equity securities
Proceeds From Sale Maturity And Collections Of Investments
Purchases of investments in unconsolidated affiliates
Payments To Acquire Equity Method Investments
Proceeds from sale of equity interests in Macon Healthcare, LLC
Proceeds From Sale Of Equity Method Investments
Increase in other investments
Payments For Proceeds From Other Investing Activities
Net cash (used in) provided by investing activities
Net Cash Provided By Used In Investing Activities
Cash flows from financing activities:
Net Cash Provided By Used In Financing Activities [Abstract]
Repurchase of restricted stock shares for payroll tax withholding requirements
Payments Related To Tax Withholding For Share Based Compensation
Deferred financing costs and other debt-related costs
Payments Of Financing Costs
Proceeds from noncontrolling investors in joint ventures
Proceeds From Minority Shareholders
Redemption of noncontrolling investments in joint ventures
Payments To Minority Shareholders
Distributions to noncontrolling investors in joint ventures
Payments Of Dividends Minority Interest
Proceeds from sale-lease back
Proceeds From Sale Lease Back Transaction Financing Activities
Other borrowings
Proceeds From Issuance Of Other Long Term Debt
Issuance of long-term debt
Proceeds From Issuance Of Subordinated Long Term Debt
Proceeds from ABL Facility
Proceeds From Accounts Receivable Securitization
Repayments of long-term indebtedness
Repayments Of Long Term Debt
Net cash used in financing activities
Net Cash Provided By Used In Financing Activities
Net change in cash and cash equivalents
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
Cash and cash equivalents at beginning of period
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
Cash and cash equivalents at end of period
Supplemental disclosure of cash flow information:
Supplemental Cash Flow Information [Abstract]
Interest payments
Interest Paid Net
Income tax (payments) refunds, net
Income Taxes Paid Net
Documents Incorporated by Reference
Documents Incorporated By Reference [Text Block]
Organization Consolidation And Presentation Of Financial Statements [Abstract]
BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES
Basis Of Presentation And Significant Accounting Policies [Text Block]
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
ACCOUNTING FOR STOCK-BASED COMPENSATION
Disclosure Of Compensation Related Costs Share Based Payments [Text Block]
Acquisitions and Divestitures [Abstract]
Acquisitions And Divestitures [Abstract]
ACQUISITIONS AND DIVESTITURES
Mergers Acquisitions And Dispositions Disclosures [Text Block]
Goodwill And Intangible Assets Disclosure [Abstract]
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill And Intangible Assets Disclosure [Text Block]
Income Tax Disclosure [Abstract]
INCOME TAXES
Income Tax Disclosure [Text Block]
Long term debt and capital leases disclosures.
Long Term Debt And Capital Lease Obligations [Abstract]
LONG-TERM DEBT
Long Term Debt And Capital Leases Disclosures [Text Block]
Fair Value Disclosures [Abstract]
FAIR VALUE OF FINANCIAL INSTRUMENTS
Fair Value Disclosures [Text Block]
FAIR VALUE
Fair Value Measurement Inputs Disclosure [Text Block]
Lease agreement of lessee disclosure.
Leases [Abstract]
LEASES
Lease Agreement Of Lessee Disclosure [Text Block]
Compensation And Retirement Disclosure [Abstract]
Employee Benefit Plans
Pension And Other Postretirement Benefits Disclosure [Text Block]
Equity [Abstract]
STOCKHOLDERS' DEFICIT
Stockholders Equity Note Disclosure [Text Block]
Earnings Per Share [Abstract]
Earnings Per Share
Earnings Per Share [Text Block]
Equity Method Investments And Joint Ventures [Abstract]
Equity Investments
Equity Method Investments Disclosure [Text Block]
Comprehensive Loss
Comprehensive Income Note [Text Block]
Commitments And Contingencies Disclosure [Abstract]
Commitments and Contingencies
Commitments And Contingencies Disclosure [Text Block]
Subsequent Events [Abstract]
Subsequent Events
Subsequent Events [Text Block]
Condensed Financial Information Of Parent Company Only Disclosure [Abstract]
Condensed Financial Information of Parent
Condensed Financial Statements [Text Block]
Basis of Accounting
Basis Of Accounting Policy Policy [Text Block]
Use of Estimates
Use Of Estimates
Principles of Consolidation
Consolidation Policy [Text Block]
Reclassifications
Prior Period Reclassification Adjustment Description
Cost of Revenue
Cost Of Sales Policy [Text Block]
Cash Equivalents
Cash And Cash Equivalents Policy [Text Block]
Supplies
Inventory Supplies Policy
Marketable Securities
Investment Policy [Text Block]
Property and Equipment
Property Plant And Equipment Policy [Text Block]
Goodwill
Goodwill And Intangible Assets Goodwill Policy
OtherAssetsPolicyTextBlock
Other Assets
Otherassetspolicytext Block
Revenue Recognition
Revenue Recognition Policy [Text Block]
Net Operating Revenues
Health Care Organization Revenue Recognized Policy Policy [Text Block]
Patient Accounts Receivable
Health Care Organization Bad Debts Policy Policy [Text Block]
Charity Care
Charity Care Disclosure [Text Block]
Leases
Lessee Leases Policy [Text Block]
Disclosure of the accounting policy for physician income guarantees which may include the method for calculating the fair market value of the guarantee, amortization period, subsequent adjustment of the asset and liability and any other significant estimates used to determine these balance sheet accounts.
Physician Income Guarantees
Physician Income Guarantees Policy [Text Block]
Concentrations of Credit Risk
Concentration Risk Credit Risk
Accounting for the Impairment or Disposal of Long-Lived Assets
Impairment Or Disposal Of Long Lived Assets Policy [Text Block]
Income Taxes
Income Tax Policy [Text Block]
Comprehensive Loss
Comprehensive Income Policy Policy [Text Block]
Segment Reporting
Segment Reporting Policy Policy [Text Block]
Unusual or infrequent items disclosure.
COVID-19 Pandemic
Unusual Or Infrequent Items Disclosure Policy [Text Block]
New Accounting Pronouncements
New Accounting Pronouncements Policy Policy [Text Block]
Acquisitions
Business Combinations Policy
Fair Value of Financial Instruments
Fair Value Of Financial Instruments Policy
Fair Value
Fair Value Measurement Policy Policy [Text Block]
Legal Matters
Legal Costs Policy [Text Block]
Schedule of Net Operating Revenues
Schedule Of Revenue Sources Health Care Organization Table [Text Block]
Schedule of Share-based Compensation Expense
Schedule Of Compensation Cost For Share Based Payment Arrangements Allocation Of Share Based Compensation Costs By Plan Table [Text Block]
Schedule of Share-based Payment Awards, Stock Options, Valuation Assumptions
Schedule Of Share Based Payment Award Stock Options Valuation Assumptions Table [Text Block]
Schedule of Share-based Compensation, Stock Options, Activity
Schedule Of Share Based Compensation Stock Options Activity Table [Text Block]
Schedule of Share-based Compensation, Restricted Stock, Activity
Nonvested Restricted Stock Shares Activity Table [Text Block]
Schedule of Share-based Compensation, Restricted Stock Units, Activity
Schedule Of Share Based Compensation Restricted Stock Units Award Activity Table [Text Block]
Disposal Group Name
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Axis]
Disposal Group Name
Disposal Groups Including Discontinued Operations Name [Domain]
Hospitals in Period [Member]
Hospitals Included in Continuing Operations [Member]
Hospitals In Period [Member]
Schedule of Divestitures
Schedule Of Disposal Groups Including Discontinued Operations Income Statement Balance Sheet And Additional Disclosures [Text Block]
Schedule of Balance Sheet Items Classified as Held for Sale [Table Text Block]
Schedule of Balance Sheet Items Classified as Held for Sale
Schedule Of Balance Sheet Items Classified As Held For Sale Table [Text Block]
Schedule of Operating Results included in Consolidated Statement of Income [Table Text Block]
Schedule Of Operating Results Included In Consolidated Statement Of Income
Schedule Of Operating Results Included In Consolidated Statement Of Income Table [Text Block]
Schedule of Goodwill
Schedule Of Goodwill [Text Block]
Schedule of Provision for (Benefit from) Income Taxes
Schedule Of Components Of Income Tax Expense Benefit Table [Text Block]
Schedule of Reconciliation between the Statutory Federal Income Tax Rate and the Effective Tax Rate
Schedule Of Effective Income Tax Rate Reconciliation Table [Text Block]
Schedule of Components of Deferred Income Taxes
Schedule Of Deferred Tax Assets And Liabilities Table [Text Block]
Schedule of Reconciliation of the Total Amount of Unrecognized Tax Benefit
Summary Of Income Tax Contingencies [Text Block]
Debt Instrument [Table]
Debt Instrument [Table]
Debt Instrument
Debt Instrument [Axis]
Debt Instrument, Name
Debt Instrument Name [Domain]
Senior Notes at 6.875, Due 2022 [Member]
Senior Notes at 6.875%, Due 2022
Senior Notes At6875 Due2022 [Member]
Long-term Debt, Type
Longterm Debt Type [Axis]
Long-term Debt, Type
Longterm Debt Type [Domain]
Senior Notes
Senior Notes [Member]
Senior secured notes at 6.25%, due 2023.
Senior Secured Notes at 6.25%, Due 2023
Senior Secured Notes At625 Due2023 [Member]
Bond that takes priority over other debt securities sold by the issuer. In the event the issuer goes bankrupt, senior debt holders receive priority for (must receive) repayment prior to (relative to) junior and unsecured (general) creditors. This senior debt is secured by assets of the borrower.
Senior Secured Notes
Senior Secured Notes [Member]
Junior-Priority Secured Notes due 2023 [Member]
Junior-Priority Secured Notes at 9.875% Due 2023
Junior Priority Secured Notes Due2023 [Member]
Junior-Priority Secured Notes [Member]
Junior-Priority Secured Notes
Junior Priority Secured Notes [Member]
Junior priority secured notes at 8.125% due 2024.
Junior-Priority Secured Notes at 8.125% Due 2024
Junior Priority Secured Notes At8125 Percent Due2024 [Member]
Senior secured notes at 8.625%, due 2024.
Senior Secured Notes at 8.625%, Due 2024
Senior Secured Notes At8625 Due2024 [Member]
Senior Secured Notes At 6 Point 625 Due 2025 [Member]
Senior Secured Notes at 6.625% Due 2025
Senior Secured Notes At6 Point625 Due2025 [Member]
Senior Secured Notes At 8 Percent Due 2026 [Member]
Senior Secured Notes at 8%, Due 2026
Senior Secured Notes At8 Percent Due2026 [Member]
Senior Secured Notes At 8 Percent Due 2027 [Member]
Senior Secured Notes at 8% Due 2027
Senior Secured Notes At8 Percent Due2027 [Member]
Senior secured notes at 5.625%, due 2027.
5⅝% Senior Secured Notes due 2027
Senior Secured Notes At5625 Due2027 [Member]
Senior notes at 6.875% due 2028.
Senior Notes at 6.875% Due 2028
Senior Notes At6875 Percent Due2028 [Member]
Senior secured notes at 6 due 2029.
6% Senior Secured Notes due 2029
Senior Secured Notes At6 Due2029 [Member]
Senior secured notes at 4.75 due 2031.
Senior Secured Notes at 4.75% due 2031
Senior Secured Notes At475 Due2031 [Member]
Junior priority secured notes at 6.875 percent due 2029.
Junior-Priority Secured Notes at 6.875% Due 2029
Junior Priority Secured Notes At6875 Percent Due2029 [Member]
Junior priority secured notes at 6.125 percent due 2030.
Junior-Priority Secured Notes at 6.125% Due 2030
Junior Priority Secured Notes At6125 Percent Due2030 [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Schedule of Debt
Schedule Of Debt Table [Text Block]
Schedule of Early Redemption Prices on Notes
Debt Instrument Redemption Table [Text Block]
Schedule of Maturities of Long-term Debt
Schedule Of Maturities Of Long Term Debt Table [Text Block]
Schedule of Estimated Fair Value of Financial Instruments, by Balance Sheet Grouping
Fair Value By Balance Sheet Grouping [Text Block]
Schedule of Fair Value, Assets Measured on Recurring Basis
Fair Value Assets Measured On Recurring Basis [Text Block]
Supplemental Information Regarding Available-for-Sale Debt Securities
Schedule Of Available For Sale Securities Reconciliation Table [Text Block]
Contractual Maturities of Debt Securities
Investments Classified By Contractual Maturity Date Table [Text Block]
Gross Realized Gains and Losses and Investment Income on Available-for-Sale Debt Securities
Schedule Of Realized Gain Loss Table [Text Block]
Net Gains and Losses Recognized for Investments in Equity Securities
Gain Loss On Investments [Text Block]
Components of Lease Cost and Rent Expense
Lease Cost Table [Text Block]
Lessee Lease Assets And Liabilities [Table Text Block]
Supplemental Balance Sheet Information Related to Leases
Lessee Lease Assets And Liabilities Table [Text Block]
Supplemental Cash Flow Information Related To Leases [Table Text Block]
Supplemental Cash Flow and Other Information Related to Leases
Supplemental Cash Flow Information Related To Leases Table [Text Block]
Commitments Relating To Noncancellable Operating And Finance Leases And Financing Obligations [Table Text Block]
Commitments Relating To Noncancellable Operating And Finance Leases And Financing Obligations
Commitments Relating To Noncancellable Operating And Finance Leases And Financing Obligations Table [Text Block]
Schedule of Impact of Noncontrolling Interest to Stockholders' Deficit
Consolidation Less Than Wholly Owned Subsidiary Parent Ownership Interest Effects Of Changes Net [Text Block]
Schedule of Components of Denominator for Computation of Basic and Diluted Earnings Per Share
Schedule Of Earnings Per Share Basic And Diluted Table [Text Block]
Schedule of Antidilutive Securities
Schedule Of Antidilutive Securities Excluded From Computation Of Earnings Per Share [Text Block]
Schedule of Changes in Accumulated Other Comprehensive Income (Loss) ("AOCL") by Component
Schedule Of Accumulated Other Comprehensive Income Loss Table [Text Block]
Schedule of Amounts Reclassified Out of AOCL (Loss)
Reclassification Out Of Accumulated Other Comprehensive Income Table [Text Block]
Schedule of Reconciliation of the Beginning and Ending Liability Balances in Connection with Probable Contingencies
Schedule Of Loss Contingencies By Contingency [Text Block]
Senior secured notes at 5.25 due 2030.
Senior Secured Notes at 5.25%, Due 2030
Senior Secured Notes At525 Due2030 [Member]
Condensed Balance Sheets
Schedule Of Condensed Balance Sheet Table [Text Block]
Condensed Statements of Income (Loss)
Schedule Of Condensed Income Statement Table [Text Block]
Condensed Statements of Comprehensive Income (Loss)
Condensed Statement Of Comprehensive Income Table [Text Block]
Condensed Statement of Cash Flows
Schedule Of Condensed Cash Flow Statement Table [Text Block]
Number of hospitals owned and leased by the company.
Number of stand alone rehabilitation or psychiatric hospitals.
Number of beds for which license is obtained.
Business Description [Abstract]
Concentration Risk Type
Concentration Risk By Type [Axis]
Concentration Risk Type
Concentration Risk Type [Domain]
Geographic Concentration Risk
Geographic Concentration Risk [Member]
Geographical
Statement Geographical [Axis]
Geographical
Segment Geographical [Domain]
Indiana
INDIANA
Florida
FLORIDA
Texas
TEXAS
Alabama
ALABAMA
Concentration Risk Benchmark
Concentration Risk By Benchmark [Axis]
Concentration Risk Benchmark
Concentration Risk Benchmark [Domain]
Sales Revenue, Net
Sales Revenue Net [Member]
Long-Lived Tangible Asset
Property Plant And Equipment By Type [Axis]
Long-Lived Tangible Asset
Property Plant And Equipment Type [Domain]
Land Improvements
Land Improvements [Member]
Building and Building Improvements
Building And Building Improvements [Member]
Equipment and Fixtures
Furniture And Fixtures [Member]
Statistical Measurement
Range [Axis]
Statistical Measurement
Range [Member]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Certain Facility [Member]
Certain Facility
Certain Facility [Member]
Finite-Lived Intangible Assets by Major Class
Finite Lived Intangible Assets By Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name
Finite Lived Intangible Assets Major Class Name [Domain]
Physician recruitment contracts [Member]
Physician Recruitment Contracts
Physician Recruitment Contracts [Member]
Significant system conversions.
Capitalized Internal Use Software, Significant System Conversions
Significant System Conversions [Member]
Capitalized Internal Use Software, Except Significant System Conversions [Member]
Capitalized Internal Use Software Except Significant System Conversions
Capitalized Internal Use Software Except Significant System Conversions [Member]
Product and Service
Product Or Service [Axis]
Product and Service
Products And Services [Domain]
Medicare.
Medicare
Medicare [Member]
Impaired Long-Lived Assets Held and Used by Type
Impaired Long Lived Assets Held And Used By Type [Axis]
Impaired Long-Lived Assets Held and Used, Asset Name
Impaired Long Lived Assets Held And Used Asset Name [Domain]
Hospital closed.
Hospitals Closed
Hospital Closed [Member]
Shared service center.
Shared Service Center
Shared Service Center [Member]
Hospitals Sold or Deemed Held for Sale [Member]
Hospitals Sold or Deemed Held for Sale
Hospitals Sold Or Deemed Held For Sale [Member]
Adjustment for Carrying Value of Other Long-Lived Assets at Underperforming Hospitals [Member]
Adjustment for Carrying Value of Other Long-Lived Assets at Underperforming Hospitals
Adjustment For Carrying Value Of Other Long Lived Assets At Underperforming Hospitals [Member]
Health Care Organization, Revenue Sources
Health Care Organization Revenue Sources [Axis]
Health Care Organization, Revenue Sources
Health Care Organization Revenue Sources [Domain]
Public Health And Social Services Emergency Fund [Member]
Public Health and Social Services Emergency Fund (the "PHSSEF")
Public Health And Social Services Emergency Fund [Member]
Scenario
Statement Scenario [Axis]
Scenario
Scenario Unspecified [Domain]
Coronavirus Aid Relief And Economic Security Act [Member]
CARES Act
Coronavirus Aid Relief And Economic Security Act [Member]
Loans Insured or Guaranteed by Government Authorities
Loans Insured Or Guaranteed By Government Authorities [Axis]
Loans Insured or Guaranteed by Government Authorities
Loans Insured Or Guaranteed By Government Authorities [Domain]
Paycheck Protection Program Health Care Enhancement Act And American Rescue Plan Act of 2021.
Paycheck Protection Program, Health Care Enhancement Act And the American Rescue Plan Act of 2021
Paycheck Protection Program Health Care Enhancement Act And American Rescue Plan Act Of2021 [Member]
Paycheck Protection Program and Health Care Enhancement Act.
Paycheck Protection Program and Health Care Enhancement Act
Paycheck Protection Program And Health Care Enhancement Act [Member]
Income Statement Location
Income Statement Location [Axis]
Income Statement Location
Income Statement Location [Domain]
Operating Costs and Expenses
Operating Income Loss [Member]
Balance Sheet Location
Balance Sheet Location [Axis]
Balance Sheet Location
Balance Sheet Location [Domain]
Accrued Liabilities - Other
Accrued Liabilities [Member]
Business Description [Abstract]
Business Description [Abstract]
Number of hospitals owned and leased by the Company
Number Of Hospitals Owned And Leased By Company
Number of stand alone rehabilitation or psychiatric hospitals
Number Of Stand Alone Rehabilitation Or Psychiatric Hospitals
Number of licensed beds
Number Of Beds For Which License Is Obtained
Number of states in which entity operates
Number Of States In Which Entity Operates
Concentration Risk, Percentage
Concentration Risk Percentage1
The corporate office costs which are a subset of the expenses not otherwise specified in the taxonomy for managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the providing of patient care.
Cost of Revenue, Policy [Abstract]
Cost Of Revenue [Abstract]
Corporate Office Costs
Corporate Office Costs
Marketable Securities, Policy [Abstract]
Marketable Securities [Abstract]
Purchases of property and equipment and internal use software incurred but not yet paid.
Property and Equipment, Policy [Abstract]
Property Plant And Equipment [Abstract]
Property, Plant and Equipment, Useful Life
Property Plant And Equipment Useful Life
Construction in Progress, Gross
Construction In Progress Gross
Interest Costs Capitalized
Interest Costs Capitalized
Purchases of property and equipment and internal-use software accrued in accounts payable
Purchases Of Property And Equipment And Internal Use Software Incurred But Not Yet Paid
Non-cash investing activity through capital leases
Capital Lease Obligations Incurred
Goodwill, Policy [Abstract]
Goodwill, Policy [Abstract]
Goodwill Policy [Abstract]
Impairment of goodwill
Goodwill Impairment Loss
Term of physician recruitment contract.
Other Assets, Policy [Abstract]
Other Assets [Abstract]
Term of Physician Recruitment Contract
Term Of Physician Recruitment Contract
Finite-Lived Intangible Assets, Weighted-Average Useful Life
Finite Lived Intangible Asset Useful Life
Schedule Of Revenue Sources Health Care Organization [Table]
Schedule Of Revenue Sources Health Care Organization [Table]
Medicaid.
Medicaid
Medicaid [Member]
Managed care and other third-party payors .
Managed Care and Other Third Party Payors
Managed Care And Other Third Party Payors [Member]
Self Pay Revenue [Member]
Self-Pay
Self Pay Revenue [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Health Care Organization Receivable And Revenue Disclosures [Line Items]
Third-Party Reimbursement [Abstract]
Amounts due to third party payors.
Amounts due from third party payors.
Third Party Reimbursement [Abstract]
Third Party Reimbursement [Abstract]
Amounts due to third party payors
Amounts Due To Third Party Payors
Amounts due from third party payors
Amounts Due From Third Party Payors
Net Operating Revenues [Abstract]
Net Operating Revenues, Policy [Abstract]
Net Operating Revenues [Abstract]
Charity care services charges excluded from net operating revenues
Charity Care Other Measurement Basis Amount
Value of charity care services at the Company's standard charges included in contractual allowances
Charity Care Direct And Indirect Cost Basis Amount
The period of time a physician's income will be supplemented, while the physician establishes themselves in the community.
Physician Income Guarantees [Abstract]
Physician Income Guarantees, Policy [Abstract]
Physician Income Guarantees [Abstract]
Physicians recruitment agreement period
Physicians Recruitment Agreement Period
Finite-lived intangible assets, net
Finite Lived Intangible Assets Net
Accounts Receivable Net Of Contractual Allowances Percent
Concentrations of Credit Risk [Abstract]
Concentration of Credit Risk, Policy [Abstract]
Concentrations Of Credit Risk [Abstract]
Accounts receivable, net of contractual allowances
Accounts receivable net of contractual allowances, percent
Accounts Receivable Net Of Contractual Allowances Percent
Accounting for impairment or disposal of long lived assets.
Number of Hospitals Sold
Accounting for the Impairment or Disposal of Long-Lived Assets
Accounting For Impairment Or Disposal Of Long Lived Assets [Abstract]
Gain (loss) on disposition of business
Gain Loss On Sales Of Assets And Asset Impairment Charges
Number of hospitals sold
Number Of Hospitals Sold
Impairment of long-lived assets held for sale
Impairment Of Long Lived Assets Held For Use
Goodwill allocated to hospital disposal group held for sale
Disposal Group Including Discontinued Operation Goodwill1
Impairment of long-lived assets sold.
Impairment of long-lived assets sold
Impairment Of Long Lived Assets Sold
Divestiture related expenses
Restructuring Charges
CARES Act and PPPHCE Act of 2020 aid amount.
Percentage of maximum accelerated payment.
Medicare Accelerated and Advance Payment Program Period.
COVID-19 Pandemic.
COVID-19 Pandemic [Abstract]
C O V I D19 Pandemic [Abstract]
CARES Act and PPPHCE Act of 2020 Aid, amount
C A R E S Act And P P P H C E Act Of2020 Aid Amount
Percentage of maximum accelerated payment
Percentage Of Maximum Accelerated Payment
Medicare accelerated and advance payment program period
Medicare Accelerated And Advance Payment Program Period
Accelerated Payments Received Under Cares Act
CARES Act and PPPHCE Act Funds.
CARES Act and PPPHCE Act Funds [Abstract]
C A R E S Act And P P P H C E Act Funds [Abstract]
Payments through the PHSSEF and various state and local programs
Accelerated Payments Received Under Cares Act
Medicare accelerated payments received under Cares Act.
Medicare accelerated payments.
Medicare accelerated payments recouped.
Medicare Accelerated Payments [Abstract]
Medicare Accelerated Payments [Abstract]
Medicare accelerated payments received under the Cares Act
Medicare Accelerated Payments Received Under Cares Act
Medicare accelerated payments, recouped subject to the aforementioned repayment terms
Medicare Accelerated Payments Recouped
New Accounting Pronouncements, Policy [Abstract]
New Accounting Pronouncements, Policy [Abstract]
New Accounting Pronouncements Policy [Abstract]
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]
Change In Accounting Principle Accounting Standards Update Adopted
Change in Accounting Principle, Accounting Standards Update, Adoption Date
Change In Accounting Principle Accounting Standards Update Adoption Date
Change in Accounting Principle, Accounting Standards Update, Immaterial Effect [true false]
Change In Accounting Principle Accounting Standards Update Immaterial Effect
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Plan Name
Plan Name [Axis]
Plan Name
Plan Name [Domain]
Plan two thousand nine.
Plan 2009
Plan Two Thousand Nine [Member]
Award Type
Award Type [Axis]
Award Type
Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain]
Employee Stock Option
Employee Stock Option [Member]
Restricted Stock and Restricted Stock Units [Member]
Restricted Stock and Restricted Stock Units
Restricted Stock And Restricted Stock Units [Member]
Performance-Based Awards Granted On Or After March 1, 2017 [Member]
Performance-Based Awards Granted On Or After March 1, 2017
Performance Based Awards Granted On Or After March12017 [Member]
Performance Based Awards Granted on or After March 1, 2018.
Performance Based Awards Granted On Or After March12018
Performance Based Awards Granted On Or After March12018 [Member]
Restricted Stock, Performance-Based Units [Member]
Restricted Stock Performance Based Units
Restricted Stock Performance Based Units [Member]
Restricted Stock Units (RSUs)
Restricted Stock Units R S U [Member]
Restricted Stock
Restricted Stock [Member]
Title of Individual
Title Of Individual [Axis]
Title of Individual
Title Of Individual With Relationship To Entity [Domain]
Non-management Directors
Director [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Share-based compensation arrangement award vesting rights
Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Rights
Contractual term of option granted
Sharebased Compensation Arrangement By Sharebased Payment Award Expiration Period
Unissued common stock reserved for grants
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
Effect on income (loss) before income taxes
Effect on net income (loss)
Allocated Share Based Compensation Expense Net Of Tax
Employee Service Share-based Compensation, Nonvested Awards, Modifications to Awards
Employee service share-based compensation, unrecognized compensation costs on nonvested awards
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
Employee service share-based compensation total compensation cost not yet recognized, period for recognition
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
Employee service share-based compensation, unrecognized compensation costs on nonvested stock options
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options
Employee service share-based compensation, unrecognized compensation costs on nonvested awards other than options
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options
Employee service share-based compensation, nonvested awards, modifications to awards
Employee Service Share Based Compensation Nonvested Awards Modifications To Awards
Expected volatility
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
Expected volatility, minimum
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate Minimum
Expected volatility, maximum
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate Maximum
Expected dividends
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Payments
Expected term
Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
Risk-free interest rate
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
Risk-free interest rate, minimum
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate Minimum
Risk-free interest rate, maximum
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate Maximum
Beginning Balance, Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
Granted, Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
Exercised, Shares
Forfeited and cancelled, Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
Ending Balance, Shares
Exercisable, Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
Beginning of Period, Weighted Average Exercise Price
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
Granted, Weighted Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
Exercised, Weighted Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
Forfeited and Cancelled, Weighted Average Exercise Price
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price
End of Period, Weighted Average Exercise Price
Exercisable, Weighted Average Exercise Price
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
Weighted Average Remaining Contractual Term
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
Exercisable, Weighted Average Remaining Contractual Term
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
Outstanding, Aggregate Intrinsic Value as of December 31, 2021
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
Exercisable, Aggregate Intrinsic Value as of December 31, 2021
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
Share-based compensation arrangement by share-based payment award, options, grants in period
Weighted-average grant date fair value of stock options
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
Share Price
Share Price
Aggregate intrinsic value of options exercised
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
Share-based Compensation Arrangement by Share-based Payment Award, Performance Objective Measurement Period
Share-based compensation arrangement by payment award, performance objective measurement period
Share Based Compensation Arrangement By Share Based Payment Award Performance Objective Measurement Period
Share-based compensation arrangement award vesting rights, percentage
Sharebased Compensation Arrangement By Sharebased Payment Award Award Vesting Rights Percentage
Beginning Balance, Unvested Shares
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
Granted, Shares
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
Vested, Shares
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
Forfeited, Shares
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
Ending Balance, Unvested Shares
Beginning of Period, Weighted Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
Granted, Weighted Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
Vested, Weighted Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value
Forfeited, Weighted Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
End of Period, Weighted Average Grant Date Fair Value
The fair value at grant date for nonvested equity-based awards issued during the period on other than stock (or unit) option plans (for example, phantom stock or unit plan, stock or unit appreciation rights plan, performance target plan).
Number of directors elected.
Share-based compensation, number of shares received by each director
Fair value of units granted
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Grant Date Fair Value
Number of directors elected to defer the receipt of RSUs granted
Number Of Directors Elected
Business Acquisition Number Of Licensed Beds
Schedule Of Business Acquisitions By Acquisition [Table]
Schedule Of Business Acquisitions By Acquisition [Table]
Business Acquisition
Business Acquisition [Axis]
Business Acquisition, Acquiree
Business Acquisition Acquiree [Domain]
Northwest Mississippi Medical Center [Member]
Northwest Mississippi Medical Center [Member]
Northwest Mississippi Medical Center [Member]
Physician Practices Clinics and Other Ancillary Businesses
Series Of Individually Immaterial Business Acquisitions [Member]
Acquisitions and Divestitures [Line Items]
Business Acquisition [Line Items]
Business acquisition number of licensed beds
Business Acquisition Number Of Licensed Beds
Business acquisition cash paid for operating assets
Payments To Acquire Businesses Gross
Business acquisition liabilities assumed
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Liabilities
Business acquisition, cost of acquired entity, purchase price
Business Combination Consideration Transferred1
Purchase price allocation, property and equipment
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment
Business acquisition, purchase price allocation, intangible assets, other than goodwill
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangible Assets Other Than Goodwill
Business Combination, Assumed Noncontrolling Interest, Fair Value
Business Combination Acquisition Of Less Than100 Percent Noncontrolling Interest Fair Value
Number of licensed beds
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]
Lea Regional Medical Center.
Lea Regional Medical Center
Lea Regional Medical Center [Member]
Tennova Healthcare - Tullahoma.
Tennova Healthcare - Tullahoma
Tennova Healthcare Tullahoma [Member]
Tennova Healthcare - Shelbyville.
Tennova Healthcare - Shelbyville
Tennova Healthcare Shelbyville [Member]
Northwest Mississippi Medical Center
Alliance Health Midwest.
Alliance Health Midwest
Alliance Health Midwest [Member]
Berwick Hospital Center.
Berwick Hospital Center
Berwick Hospital Center [Member]
Brownwood Regional Medical Center [Member]
Brownwood Regional Medical Center
Brownwood Regional Medical Center [Member]
Abilene Regional Medical Center [Member]
Abilene Regional Medical Center
Abilene Regional Medical Center [Member]
San Angelo Community Medical Center [Member]
San Angelo Community Medical Center
San Angelo Community Medical Center [Member]
Bayfront health st.petersburg.
Bayfront Health St. Petersburg
Bayfront Health St Petersburg [Member]
Hill regional hospital.
Hill Regional Hospital
Hill Regional Hospital [Member]
St. Cloud Regional Medical Center [Member]
St. Cloud Regional Medical Center
St Cloud Regional Medical Center [Member]
Northern Louisiana Medical Center [Member]
Northern Louisiana Medical Center
Northern Louisiana Medical Center [Member]
Shands live oak regional medical center.
Shands Live Oak Regional Medical Center
Shands Live Oak Regional Medical Center [Member]
Shands Starke Regional Medical Center [Member]
Shands Starke Regional Medical Center
Shands Starke Regional Medical Center [Member]
Southside Regional Medical Center [Member]
Southside Regional Medical Center
Southside Regional Medical Center [Member]
Southampton Memorial Hospital [Member]
Southampton Memorial Hospital
Southampton Memorial Hospital [Member]
Southern Virginia Regional Medical Center [Member]
Southern Virginia Regional Medical Center
Southern Virginia Regional Medical Center [Member]
Bluefield Regional Medical Center [Member]
Bluefield Regional Medical Center
Bluefield Regional Medical Center [Member]
Lake Wales Medical Center [Member]
Lake Wales Medical Center
Lake Wales Medical Center [Member]
Heart Of Florida Regional Medical Center [Member]
Heart of Florida Regional Medical Center
Heart Of Florida Regional Medical Center [Member]
College Station Medical Center [Member]
College Station Medical Center
College Station Medical Center [Member]
Tennova Healthcare Lebanon [Member]
Tennova Healthcare - Lebanon
Tennova Healthcare Lebanon [Member]
Chester Regional Medical Center [Member]
Chester Regional Medical Center
Chester Regional Medical Center [Member]
Carolinas Hospital System - Florence [Member]
Carolinas Hospital System - Florence
Carolinas Hospital System Florence [Member]
Springs Memorial Hospital [Member]
Springs Memorial Hospital
Springs Memorial Hospital [Member]
Carolinas Hospital System - Marion [Member]
Carolinas Hospital System - Marion
Carolinas Hospital System Marion [Member]
Memorial Hospital of Salem County [Member]
Memorial Hospital of Salem County
Memorial Hospital Of Salem County [Member]
Mary Black Health System - Spartanburg [Member]
Mary Black Health System - Spartanburg
Mary Black Health System Spartanburg [Member]
Mary Black Health System - Gaffney [Member]
Mary Black Health System - Gaffney
Mary Black Health System Gaffney [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]
Number of licensed beds
Number Of Licensed Beds
Effective Date
Disposal Date1
Other current assets
Disposal Group Including Discontinued Operation Other Current Assets
Other assets, net
Disposal Group Including Discontinued Operation Other Noncurrent Assets
Accrued liabilities
Disposal Group Including Discontinued Operation Accrued Liabilities Current
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups
(Loss) income before income taxes
Income Loss From Individually Significant Component Disposed Of Or Held For Sale Excluding Discontinued Operations Before Income Tax
Less: Loss attributable to noncontrolling interests
Income Loss From Individually Significant Component Disposed Of Or Held For Sale Excluding Discontinued Operations Attributable To Noncontrolling Interest Before Income Tax
(Loss) income from operations before income taxes attributable to Community Health Systems, Inc. stockholders
Income Loss From Individually Significant Component Disposed Of Or Held For Sale Excluding Discontinued Operations Attributable To Parent Before Income Tax
Biloxi, Mississippi to Memorial Properties, Inc.
Biloxi Mississippi To Memorial Properties Inc
Biloxi Mississippi To Memorial Properties Inc [Member]
Ownership
Ownership [Axis]
Ownership
Ownership [Domain]
Merit Health Biloxi.
Merit Health Biloxi
Merit Health Biloxi [Member]
Shands lake shore regional medical center.
Shands Lake Shore Regional Medical Center
Shands Lake Shore Regional Medical Center [Member]
Lake City, Florida.
Lake City Florida
Lake City Florida [Member]
Agreement date.
Ownership Interest percentage by parent
Minority Interest Ownership Percentage By Parent
Agreement date
Agreement Date
Impairment charge recorded on the sale or closure of hospitals
Impaired Assets To Be Disposed Of By Method Other Than Sale Amount Of Impairment Loss
Goodwill written off related to divested or disposal of assets held for sale.
Goodwill [Roll Forward]
Goodwill Roll Forward
Goodwill
Goodwill Gross
Accumulated impairment losses
Goodwill Impaired Accumulated Impairment Loss
Goodwill, total
Goodwill acquired as part of acquisitions during current year
Goodwill Acquired During Period
Goodwill allocated to hospitals divested or held for sale
Goodwill Written Off Related To Divested Or Disposal Of Assets Held For Sale
Schedule Of Finite Lived Intangible Assets [Table]
Schedule Of Finite Lived Intangible Assets [Table]
Finite lived intangible assets except capitalized internal use software.
Finite-Lived Intangible Assets, Except Capitalized Internal-Use Software
Finite Lived Intangible Assets Except Capitalized Internal Use Software [Member]
Capitalized Internal Use Software.
Capitalized Internal Use Software
Capitalized Internal Use Software [Member]
Finite Lived Intangible Assets [Line Items]
Finite Lived Intangible Assets [Line Items]
Finite-lived intangible assets acquired during the year
Finitelived Intangible Assets Acquired1
Finite-lived intangible assets, gross
Finite Lived Intangible Assets Gross
Finite-Lived intangible assets, net
Net, intangible asset not subject to amortization
Indefinite Lived Intangible Assets Excluding Goodwill
Amortization expense
Amortization Of Intangible Assets
Amortization expense for 2022
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
The gross amount of internally developed capitalized computer software costs in the development stage as of the balance sheet date.
Gross carrying amount of capitalized software
Capitalized Computer Software Gross
Capitalized computer software, net
Capitalized Computer Software Net
Weighted-average amortization period
Acquired finite-lived intangible asset, residual value
Acquired Finite Lived Intangible Asset Residual Value
Capitalized computer software, development stage costs
Capitalized Costs For Internal Use Software In Development Stage
Amortization expense for 2023
Finite Lived Intangible Assets Amortization Expense Year Two
Amortization expense for 2024
Finite Lived Intangible Assets Amortization Expense Year Three
Amortization expense for 2025
Finite Lived Intangible Assets Amortization Expense Year Four
Amortization expense for 2026
Finite Lived Intangible Assets Amortization Expense Year Five
Amortization expense thereafter
Finite Lived Intangible Assets Amortization Expense After Year Five
Current:
Current Income Tax Expense Benefit Continuing Operations [Abstract]
Federal
Current Federal Tax Expense Benefit
State
Current State And Local Tax Expense Benefit
Total, Current
Current Income Tax Expense Benefit
Deferred:
Deferred Income Tax Expense Benefit Continuing Operations [Abstract]
Federal
Deferred Federal Income Tax Expense Benefit
State
Deferred State And Local Income Tax Expense Benefit
Total, Deferred
Deferred Income Tax Expense Benefit
Total provision for (benefit from) income taxes for income (loss)
Effective income tax rate and income tax expense benefit continuing operations reconciliation.
Effective Income Tax Rate Reconciliation, Nondeductible Goodwill, Percent
Effective income tax rate reconciliation amended return adjustments percent.
Effective Income Tax Rate Reconciliation Nondeductible Loss On Divestiture
Differences between the statutory federal income tax rate and the effective tax rate
Effective Income Tax Rate And Income Tax Expense Benefit Continuing Operations Reconciliation [Abstract]
Provision for (benefit from) income taxes at statutory federal rate, Amount
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
State income taxes, net of federal income tax benefit, Amount
Income Tax Reconciliation State And Local Income Taxes
Net income attributable to noncontrolling interests, Amount
Income Tax Reconciliation Minority Interest Income Expense
Change in valuation allowance, Amount
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
Nondeductible goodwill, Amount
Effective Income Tax Rate Reconciliation Nondeductible Goodwill Amount
Amended return adjustments, Amount
Effective Income Tax Rate Reconciliation Amended Return Adjustments Amount
Nondeductible loss on divestiture, Amount
Effective Income Tax Reconciliation Change In Nondeductible Loss On Divestiture
Other, Amount
Income Tax Reconciliation Other Adjustments
Provision for (benefit from) income taxes at statutory federal rate, Percentage
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
State income taxes, net of federal income tax benefit, Percentage
Effective Income Tax Rate Reconciliation State And Local Income Taxes
Net income attributable to noncontrolling interests, Percentage
Effective Income Tax Rate Reconciliation Minority Interest Income Expense
Change in valuation allowance, Percentage
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
Nondeductible goodwill, Percentage
Effective Income Tax Rate Reconciliation Nondeductible Goodwill Percent
Amended return adjustments, Percentage
Effective Income Tax Rate Reconciliation Amended Return Adjustments Percent
Nondeductible loss on divestiture, Percentage
Effective Income Tax Rate Reconciliation Nondeductible Loss On Divestiture
Other, Percentage
Effective Income Tax Rate Reconciliation Other Adjustments
Provision for (benefit from) income taxes and effective tax rate for income (loss), Percentage
Effective Income Tax Rate Continuing Operations
Income Taxes [Line Items]
Income Taxes [Table]
Income Taxes [Table]
Income Taxes [Table]
Income Tax Authority
Income Tax Authority [Axis]
Income Tax Authority
Income Tax Authority [Domain]
Federal
Domestic Country [Member]
State and Local Jurisdiction
State And Local Jurisdiction [Member]
Tax Period
Tax Period [Axis]
Tax Period
Tax Period [Domain]
Tax Year 2018
Tax Year2018 [Member]
Income Taxes [Line Items]
Income Taxes [Line Items]
Effective income tax rate
Deferred Tax Assets, Financing Arrangements
Deferred Tax Assets Right Of Use Liability
Deferred Tax Liability Section 481 Mixed Service Cost
Deferred Tax Assets Right Of Use Assets
Deferred tax liability section 481 adjustments.
Assets
Components Of Deferred Tax Assets [Abstract]
Net operating loss and credit carryforwards
Deferred Tax Assets Operating Loss Carryforwards
Property and equipment
Deferred Tax Assets Property Plant And Equipment
Self-insurance liabilities
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Self Insurance
Long-term debt and interest
Deferred Tax Assets Financing Arrangements
Accounts receivable
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
IRC Section 163(j) interest limitation
Deferred Tax Assets Operating Loss Carryforwards Not Subject To Expiration
Accrued vacation
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Compensated Absences
Accrued bonus
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
Other comprehensive income
Deferred Tax Assets Other Comprehensive Loss
Right-of-use liability
Deferred Tax Assets Right Of Use Liability
Stock-based compensation
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
Deferred compensation
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Employee Compensation
Other
Deferred Tax Assets Other
Total
Deferred Tax Assets Gross
Valuation allowance
Deferred Tax Assets Valuation Allowance
Total Deferred Income Tax Assets, Net
Deferred Tax Assets Net
Liabilities
Components Of Deferred Tax Liabilities [Abstract]
Property and equipment
Deferred Tax Liabilities Property Plant And Equipment
Prepaid expenses
Deferred Tax Liabilities Prepaid Expenses
Intangibles
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
Investments in unconsolidated affiliates
Deferred Tax Liabilities Investment In Noncontrolled Affiliates
Other liabilities
Deferred Tax Liabilities Other
IRC Section 481(a) - mixed service cost
Deferred Tax Liability Section481 Mixed Service Cost
Right-of-use assets
Deferred Tax Assets Right Of Use Assets
IRC Section 481(a) Adjustments
Deferred Tax Liability Section481 Adjustments
Total Deferred Income Tax Liabilities, Gross
Deferred Tax Liabilities
Operating Loss Carryforwards Expected to be Utilized
Net operating loss and credit carryforwards
Operating Loss Carryforwards
Operating loss carryforwards expected to be utilized
Operating Loss Carryforwards Expected To Be Utilized
Operating loss carryforwards, expiration date
Operating Loss Carryforwards Expiration Date
Operating loss carryforwards, valuation allowance
Operating Loss Carryforwards Valuation Allowance
Valuation allowance increase (decrease)
Valuation Allowance Deferred Tax Asset Change In Amount
Unrecognized benefit that would affect the effective tax rate
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
Amount of interest and penalties included in liabilities for uncertain tax positions
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
Unrecognized tax benefit, beginning of year
Unrecognized Tax Benefits
Gross increases — tax positions in current period
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
Reductions — tax positions in prior period
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
Settlements
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
Unrecognized tax benefit, end of year
Open tax year
Open Tax Year
Finance Lease And Financing Obligations [Member]
Finance Lease and Financing Obligations
Finance Lease And Financing Obligations [Member]
Other [Member]
Other
Other [Member]
Senior secured notes at four point seven five due 2031.
Senior Secured Notes at 4.750% due 2031
Senior Secured Notes At Four Point Seven Five Due2031 [Member]
6 7/8 % Junior priority secured notes due 2029.
Junior-Priority Secured Notes at 6.875% Due 2029
Six Point Eight Seven Five Percentage Junior Priority Secured Notes Due2029 [Member]
Asset based loan facility.
ABL Facility
Asset Based Loan Facility [Member]
Debt and lease obligations
Debt And Capital Lease Obligations
Less: Unamortized deferred debt issuance costs and note premium
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
Less: Current maturities
Total long-term debt
Debt instrument, maturity year.
Debt instrument, interest rate, stated percentage
Debt Instrument Interest Rate Stated Percentage
Debt instrument, maturity year
Debt Instrument Maturity Year
Debt And Capital Lease Obligations [Abstract]
Debt Instrument, Redemption, Period
Debt Instrument Redemption Period [Axis]
Debt Instrument, Redemption, Period
Debt Instrument Redemption Period [Domain]
Debt Instrument, Redemption, Period Two
Debt Instrument Redemption Period Two [Member]
Junior-Priority Secured Notes At 8.125 Percent Due 2024 [Member]
Junior-Priority Secured Notes at 8.125% Due 2024
Junior Priority Secured Notes At8.125 Percent Due2024 [Member]
Senior Notes At 6.875 Due 2028 [Member]
Senior Notes at 6.875%, Due 2028
Senior Notes At6.875 Due2028 [Member]
Debt instrument, offering date
Debt Instrument Offering Date1
Debt instrument aggregate principal amount
Debt Instrument Face Amount
Debt instrument stated interest rate
Minimum number of days notice needed to redeem the senior notes at the redemption price plus accrued and unpaid interest.
Maximum number of days notice needed to redeem the senior notes at the redemption price plus accrued and unpaid interest.
Minimum period notice for redemption of debt
Minimum Period Notice For Redemptions Of Debt
Maximum period notice for redemption of debt
Maximum Period Notice For Redemptions Of Debt
Debt instrument redemption price percentage
Debt Instrument Redemption Price Percentage
Extinguishment of debt amount
Extinguishment Of Debt Amount
Extinguishment of debt amount through tender offer.
Tender offer commencement date.
Tender offer expiration date.
Long-term debt outstanding
Long Term Debt
Extinguishment of debt amount via tender offer
Extinguishment Of Debt Amount Through Tender Offer
Tender offer commencement date
Tender Offer Commencement Date
Tender offer expiration date
Tender Offer Expiration Date
Secured Debt
Secured Debt [Member]
Senior Secured Notes at 6.25, Due 2023 [Member]
Senior Secured Notes at 6.25%, Due 2023
Senior Secured Notes At6.25 Due2023 [Member]
Twenty Eighteen Senior Secured Notes [Member]
Senior Secured Notes at 5.125% Due 2018
Twenty Eighteen Senior Secured Notes [Member]
Credit Facility, Term Loan F [Member]
Credit Facility, Term Loan F
Credit Facility Term Loan F [Member]
Credit Facility, Term Loan A [Member]
Credit Facility, Term Loan A
Credit Facility Term Loan [Member]
Debt Instrument, Redemption, Period One
Debt Instrument Redemption Period One [Member]
Six percent senior secured notes due two thousand twenty nine.
6% Senior Secured Notes due 2029
Six Percent Senior Secured Notes Due Two Thousand Twenty Nine [Member]
Debt instrument redemption description
Debt Instrument Redemption Description
Maximum principal redeemable using proceeds from a public equity offering, as a percentage of principal amount
Debt Instrument Redemption Price Percentage Of Principal Amount Redeemed
Debt Instrument, Redemption, Period Three
Debt Instrument Redemption Period Three [Member]
Debt Instrument, Redemption, Period Four
Debt Instrument Redemption Period Four [Member]
Debt Instrument, Redemption, Period Five
Debt Instrument Redemption Period Five [Member]
Debt Instrument Redemption Price Percentage
Debt Instrument, Redemption Period, Start Date
Debt Instrument Redemption Period Start Date
Debt Instrument, Redemption Period, End Date
Debt Instrument Redemption Period End Date
Debt Instrument Redemption [Line Items]
Debt Instrument Redemption [Line Items]
Junior Priority Secured Notes Two [Member]
Junior Priority Secured Notes Two
Junior Priority Secured Notes Two [Member]
Junior Priority Secured Notes One [Member]
Junior Priority Secured Notes One
Junior Priority Secured Notes One [Member]
Debt instrument, frequency of periodic payment
Debt Instrument Frequency Of Periodic Payment
Senior Secured Notes at 8.625, Due 2024 [Member]
Senior Secured Notes at 8.625%, Due 2024
Senior Secured Notes At8.625 Due2024 [Member]
Debt instrument, maturity date
Debt Instrument Maturity Date
Subsequent Event Type
Subsequent Event Type [Axis]
Subsequent Event Type
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
Debt Instrument Redemption [Table]
Debt Instrument Redemption [Table]
Credit Facility, Term Loan H [Member]
Credit Facility, Term Loan H
Credit Facility Term Loan H [Member]
Bond that takes priority over other debt securities sold by the issuer. In the event the issuer goes bankrupt, senior debt holders receive priority for (must receive) repayment prior to (relative to) junior and unsecured (general) creditors. This bond becomes due and payable, in full, in 2020.
Senior Notes at 7.125%, Due 2020
Senior Notes At7125 Due2020 [Member]
Cash proceeds received in exchange offer
Proceeds From Sale Of Notes Receivable
Aggregate consideration from debt instrument exchanged for cash.
Aggregate consideration from debt instrument exchanged for cash
Aggregate Consideration From Debt Instrument Exchanged For Cash
Debt instrument converted into shares of common stock
Debt Conversion Converted Instrument Shares Issued1
Gain (loss) on early extinguishment of debt
Six percent senior secured notes due two thousand twenty nine and five point six two five percent senior secured notes due two thousand twenty seven.
6% Senior Secured Notes due 2029 and 5.625% Senior Secured Notes due 2027
Six Percent Senior Secured Notes Due Two Thousand Twenty Nine And Five Point Six Two Five Percent Senior Secured Notes Due Two Thousand Twenty Seven [Member]
Debt instrument, repurchase amount
Debt Instrument Repurchase Amount
Debt instrument redemption date.
Debt instrument redemption period six.
Debt Instrument Redemption Period Six
Debt Instrument Redemption Period Six [Member]
Debt instrument redemption period seven.
Redeem up to 40% Principal Amount Prior to February 15, 2024
Debt Instrument Redemption Period Seven [Member]
Debt instrument redemption period eight.
Redeem up to 10% Principal Amount Prior to February 15, 2026
Debt Instrument Redemption Period Eight [Member]
Debt instrument redemption date
Debt Instrument Redemption Date
Debt instrument optional redemption date.
Minimum number of days notice needed to redeem the senior notes at the redemption price plus accrued and unpaid interest.
Maximum number of days notice needed to redeem the senior notes at the redemption price plus accrued and unpaid interest.
Debt instrument optional redemption date
Debt Instrument Optional Redemption Date
Minimum period notice for redemption of debt
Minimum Period Notice For Redemption Of Debt
Maximum period notice for redemption of debt
Maximum Period Notice For Redemption Of Debt
Debt instrument redemption period.
Redeem up to 40% Principal Amount Prior to May 15, 2024
Debt Instrument Redemption Period [Member]
Credit Facility
Credit Facility [Axis]
Credit Facility
Credit Facility [Domain]
Letter of Credit
Letter Of Credit [Member]
Amended and Restated ABL Credit Agreement.
Amended and Restated ABL Credit Agreement
Amended And Restated A B L Credit Agreement [Member]
Variable Rate
Variable Rate [Axis]
Variable Rate
Variable Rate [Domain]
Base Rate
Base Rate [Member]
Federal Reserve’s Secured Overnight Financing Rate
Secured Overnight Financing Rate Sofr Overnight Index Swap Rate [Member]
Abl Facility Customary Covenants [Member]
ABL Facility Customary Covenants
Abl Facility Customary Covenants [Member]
Line of credit facility, maximum borrowing capacity
Line Of Credit Facility Maximum Borrowing Capacity
Line of credit facility, excess availability
Line Of Credit Facility Remaining Borrowing Capacity
Line of credit outstanding amount
Line Of Credit
Percentage of the Maximum Commitment of Excess Availability, One
Percentage of the Maximum Commitment of Excess Availability, Two
Percentage of the Maximum Commitment of Excess Availability, Three
Percentage of the maximum commitment of excess availability, one
Percentage Of Maximum Commitment Of Excess Availability One
Percentage of the maximum commitment of excess availability, two
Percentage Of Maximum Commitment Of Excess Availability Two
Percentage of the maximum commitment of excess availability, three
Percentage Of Maximum Commitment Of Excess Availability Three
Line of credit facility, unused capacity, commitment fee percentage
Line Of Credit Facility Unused Capacity Commitment Fee Percentage
Aggregate Principal Amount for Springing Maturity
Aggregate principal amount for springing maturity
Aggregate Principal Amount For Springing Maturity
Debt instrument variable interest rate
Debt Instrument Basis Spread On Variable Rate1
After-tax gain (loss) from extinguishment of debt
Extinguishment Of Debt Gain Loss Net Of Tax
Debt Disclosure [Abstract]
2022
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
2023
Long Term Debt Maturities Repayments Of Principal In Year Two
2024
Long Term Debt Maturities Repayments Of Principal In Year Three
2025
Long Term Debt Maturities Repayments Of Principal In Year Four
2026
Long Term Debt Maturities Repayments Of Principal In Year Five
Thereafter
Long Term Debt Maturities Repayments Of Principal After Year Five
Total maturities
Debt Instrument Carrying Amount
Less: Deferred debt issuance costs
Deferred Finance Costs Noncurrent Net
Plus: Unamortized note premium
Debt Instrument Unamortized Discount Premium Net
Total long-term debt
Interest paid on borrowings
Fair Value By Balance Sheet Grouping [Table]
Fair Value By Balance Sheet Grouping [Table]
Measurement Basis
Fair Value By Measurement Basis [Axis]
Fair Value Disclosure Item Amounts [Default]
Portion At Fair Value Fair Value Disclosure [Member]
Fair Value Measurement
Fair Value Disclosure Item Amounts [Domain]
Carrying Amount
Carrying Reported Amount Fair Value Disclosure [Member]
Abl Facility And Other Debt [Member]
ABL Facility and Other Debt
Abl Facility And Other Debt [Member]
Senior Secured Notes at 5.625% due 2027
Senior Secured Notes At Six Due 2029.
Senior Notes at 6% Due 2029
Senior Secured Notes At Six Due2029 [Member]
Estimated Fair Value
Estimate Of Fair Value Fair Value Disclosure [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Assets:
Cash and cash equivalents
Cash And Cash Equivalents Fair Value Disclosure
Investments in equity securities
Equity Securities Fv Ni
Available-for-sale debt securities
Available For Sale Securities Debt Securities
Trading securities
Trading Securities
Liabilities:
Liabilities [Abstract]
Notes payable, fair value disclosure
Notes Payable Fair Value Disclosure
Debt instrument stated interest rate
Debt instrument maturity year
Fair Value Disclosures [Line Items]
Fair Value Disclosures [Table]
Fair Value Disclosures [Table]
Fair Value Disclosures [Table]
Debt Security Category
Information By Category Of Debt Security [Axis]
Other than Temporary Impairment, Credit Losses Recognized in Earnings, Categories of Investments
Other Than Temporary Impairment Credit Losses Recognized In Earnings Categories Of Investments [Domain]
Available-for-sale Securities
Availableforsale Securities [Member]
Investment Type
Investment Type [Axis]
Investments
Investment Type Categorization [Member]
Other Investment Income [Member]
Other Investment Income
Other Investment Income [Member]
Fair Value Disclosures [Line Items]
Fair Value Disclosures [Line Items]
Fair value, assets, level 1 to level 2 transfers, amount
Fair Value Assets Level1 To Level2 Transfers Amount
Fair value, assets, level 2 to level 1 transfers, amount
Fair Value Assets Level2 To Level1 Transfers Amount
Fair value, liabilities, level 1 to level 2 transfers, amount
Fair Value Liabilities Level1 To Level2 Transfers Amount
Fair value, liabilities, level 2 to level 1 transfers, amount
Fair Value Liabilities Level2 To Level1 Transfers Amount
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table]
Measurement Frequency
Fair Value By Measurement Frequency [Axis]
Measurement Frequency
Fair Value Measurement Frequency [Domain]
Fair Value, Measurements, Recurring
Fair Value Measurements Recurring [Member]
Fair Value Hierarchy and NAV
Fair Value By Fair Value Hierarchy Level [Axis]
Fair Value Hierarchy and NAV
Fair Value Measurements Fair Value Hierarchy [Domain]
Fair Value, Inputs, Level 1
Fair Value Inputs Level1 [Member]
Fair Value, Inputs, Level 2
Fair Value Inputs Level2 [Member]
Fair Value, Inputs, Level 3
Fair Value Inputs Level3 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets
Assets Fair Value Disclosure
Schedule Of Available For Sale Securities [Table]
Schedule Of Available For Sale Securities [Table]
Financial Instrument
Financial Instrument [Axis]
Financial Instruments
Transfers And Servicing Of Financial Instruments Types Of Financial Instruments [Domain]
Government Debt Securities [Member]
Government
Government Debt Securities [Member]
Corporate
Corporate Debt Securities [Member]
Mortgage-Backed And Asset Securities [Member]
Mortgage and Asset-Backed Securities
Mortgage Backed And Asset Securities [Member]
Schedule Of Available For Sale Securities [Line Items]
Schedule Of Available For Sale Securities [Line Items]
Amortized Cost
Available For Sale Debt Securities Amortized Cost Basis
Gross Unrealized Gains
Available For Sale Debt Securities Accumulated Gross Unrealized Gain Before Tax
Gross Unrealized Losses
Available For Sale Debt Securities Accumulated Gross Unrealized Loss Before Tax
Estimated Fair Value
Available for sale securities fair value continuous unrealized loss position.
Available for sale securities in unrealized loss positions qualitative number of positions.
Available-for-sale Securities, Continuous Unrealized Loss Position, Fair Value
Available For Sale Securities Fair Value Continuous Unrealized Loss Position
Available-for-sale, Securities in Unrealized Loss Positions, Qualitative Disclosure, Number of Positions
Available For Sale Securities In Unrealized Loss Positions Qualitative Number Of Positions
Other than Temporary Impairment, Credit Losses Recognized in Earnings, Credit Losses on Debt Securities Held
Other Than Temporary Impairment Credit Losses Recognized In Earnings Credit Losses On Debt Securities Held
Within 1 year, Amortized Cost
Available For Sale Securities Debt Maturities Within One Year Amortized Cost
After 1 year and through year 5, Amortized Cost
Available For Sale Securities Debt Maturities After One Through Five Years Amortized Cost
After 5 years and through year 10, Amortized Cost
Available For Sale Securities Debt Maturities After Five Through Ten Years Amortized Cost
After 10 years, Amortized Cost
Available For Sale Securities Debt Maturities After Ten Years Amortized Cost
Within 1 year, Fair Value
Available For Sale Securities Debt Maturities Within One Year Fair Value
After 1 year and through year 5, Fair Value
Available For Sale Securities Debt Maturities After One Through Five Years Fair Value
After 5 years and through year 10, Fair Value
Available For Sale Securities Debt Maturities After Five Through Ten Years Fair Value
After 10 years, Fair Value
Available For Sale Securities Debt Maturities After Ten Years Fair Value
Available for sale securities gains realized gross.
Available for sale securities losses realized gross.
Realized gains
Available For Sale Securities Gains Realized Gross
Realized losses
Available For Sale Securities Losses Realized Gross
Investment Income, Interest and Dividend
Investment Income Interest And Dividend
Schedule Of Trading Securities And Other Trading Assets [Table]
Schedule Of Trading Securities And Other Trading Assets [Table]
Held-to-maturity Securities
Heldtomaturity Securities [Member]
Schedule Of Trading Securities And Other Trading Assets [Line Items]
Schedule Of Trading Securities And Other Trading Assets [Line Items]
Equity Securities, FV-NI, Realized Gain (Loss)
Equity Securities Fv Ni Realized Gain Loss
Equity Securities, FV-NI, Unrealized Gain (Loss)
Equity Securities Fv Ni Unrealized Gain Loss
Cost Of Operating Lease
Finance Lease Cost
Operating lease cost
Operating Lease Cost
Short-term rent expense
Short Term Lease Cost
Variable lease cost
Variable Lease Cost
Sublease income
Sublease Income
Total operating lease cost
Cost Of Operating Lease
Finance lease cost:
Lease Cost [Abstract]
Amortization of ROU assets
Finance Lease Right Of Use Asset Amortization
Interest on finance lease liabilities
Finance Lease Interest Expense
Total finance lease cost
Finance Lease Cost
Finance Leases [Abstract]
Finance Lease Rou Assets [Member]
Finance Lease ROU Assets
Finance Lease Rou Assets [Member]
Land and Improvements
Land And Land Improvements [Member]
Operating Leases:
Leases Operating [Abstract]
Operating Lease ROU Assets
Operating Lease Right Of Use Asset
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
Operating Lease Right Of Use Asset Statement Of Financial Position Extensible List
Finance Leases:
Finance Leases [Abstract]
Property and equipment
Current finance lease liabilities
Finance Lease Liability Current
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Finance Lease Liability Current Statement Of Financial Position Extensible List
Long-term finance lease liabilities
Finance Lease Liability Noncurrent
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]
Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List
Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases
Operating Lease Payments
Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from finance leases
Finance Lease Interest Payment On Liability
Cash paid for amounts included in the measurement of lease liabilities: Financing cash flows from finance leases
Finance Lease Principal Payments
ROU assets obtained in exchange for new finance lease liabilities
Right Of Use Asset Obtained In Exchange For Finance Lease Liability
ROU assets obtained in exchange for new operating lease liabilities
Right Of Use Asset Obtained In Exchange For Operating Lease Liability
Weighted-average remaining lease term: Operating leases
Operating Lease Weighted Average Remaining Lease Term1
Weighted-average remaining lease term: Finance leases
Finance Lease Weighted Average Remaining Lease Term1
Weighted-average discount rate: Operating leases
Operating Lease Weighted Average Discount Rate Percent
Weighted-average discount rate: Finance leases
Finance Lease Weighted Average Discount Rate Percent
Financing Obligations Current
Financing Obligations Noncurrent
Financing Obligations Future Minimum Payments Due
Operating Leases
Operating Leases Future Minimum Payments Due [Abstract]
2022
Lessee Operating Lease Liability Payments Due Next Twelve Months
2023
Lessee Operating Lease Liability Payments Due Year Two
2024
Lessee Operating Lease Liability Payments Due Year Three
2025
Lessee Operating Lease Liability Payments Due Year Four
2026
Lessee Operating Lease Liability Payments Due Year Five
Thereafter
Lessee Operating Lease Liability Payments Due After Year Five
Total minimum future payments
Lessee Operating Lease Liability Payments Due
Less: Imputed interest
Lessee Operating Lease Liability Undiscounted Excess Amount
Total liabilities
Operating Lease Liability
Less: Current portion
Long-term liabilities
Finance Leases
Finance Lease Liabilities Payments Due [Abstract]
2022
Finance Lease Liability Payments Due Next Twelve Months
2023
Finance Lease Liability Payments Due Year Two
2024
Finance Lease Liability Payments Due Year Three
2025
Finance Lease Liability Payments Due Year Four
2026
Finance Lease Liability Payments Due Year Five
Thereafter
Finance Lease Liability Payments Due After Year Five
Total minimum future payments
Finance Lease Liability Payments Due
Less: Imputed interest
Finance Lease Liability Undiscounted Excess Amount
Total liabilities
Finance Lease Liability
Less: Current portion
Long-term liabilities
Financing Obligations Liabilities Payments Due [Abstract]
Financing Obligations
Financing Obligations Liabilities Payments Due [Abstract]
2022
Financing Obligations Future Minimum Payments Due Current
2023
Financing Obligations Future Minimum Payments Due In Two Years
2024
Financing Obligations Future Minimum Payments Due In Three Years
2025
Financing Obligations Future Minimum Payments Due In Four Years
2026
Financing Obligations Future Minimum Payments Due In Five Years
Thereafter
Financing Obligations Future Minimum Payments Due Thereafter
Total minimum future payments
Financing Obligations Future Minimum Payments Due
Less: Imputed interest
Financing Obligations Future Minimum Payments Interest Included In Payments
Total liabilities
Financing Obligations
Less: Current portion
Financing Obligations Current
Long-term liabilities
Financing Obligations Noncurrent
Operating Lease Right Of Use Asset Pending Leases That Have Not Yet Commenced
Operating lease right of use asset pending leases that have not yet commenced
Operating Lease Right Of Use Asset Pending Leases That Have Not Yet Commenced
Schedule Of Defined Benefit Plans Disclosures [Table]
Schedule Of Defined Benefit Plans Disclosures [Table]
Retirement Plan Type
Retirement Plan Type [Axis]
Retirement Plan Type
Retirement Plan Type [Domain]
Supplemental Employee Retirement Plans, Defined Benefit [Member]
Supplemental Employee Retirement Plan Defined Benefit [Member]
Defined Benefit Plan, Plan Assets, Category
Defined Benefit Plan By Plan Asset Categories [Axis]
Defined Benefit Plan, Plan Assets, Category
Plan Asset Categories [Domain]
Trust for Benefit of Employees [Member]
Trust For Benefit Of Employees [Member]
Other Postretirement Benefits, Individual Contracts, Type of Deferred Compensation
Deferred Compensation Arrangement With Individual Postretirement Benefits By Type Of Deferred Compensation [Axis]
Other Postretirement Benefits, Individual Contracts, Type of Deferred Compensation
Other Postretirement Benefits Individual Contracts Type Of Deferred Compensation [Domain]
Pension Plans, Defined Benefit [Member]
Pension Plans Defined Benefit [Member]
Deferred Compensation Plans Equity Securities [Member]
Deferred Compensation Plans Equity Securities [Member]
Deferred Compensation Plans Equity Securities [Member]
Deferred Compensation Company Owned Life Insurance Contracts [Member]
Deferred Compensation Company-Owned Life Insurance Contracts [Member]
Deferred Compensation Company Owned Life Insurance Contracts [Member]
Defined Benefit Plan Disclosure [Line Items]
Defined Benefit Plan Disclosure [Line Items]
Defined Contribution Plan, Cost Recognized
Defined Contribution Plan Cost Recognized
Liability for deferred compensation plans
Deferred Compensation Liability Current And Noncurrent
Net periodic benefit cost
Defined Benefit Plan Net Periodic Benefit Cost
Accrued benefits liabilities
Pension And Other Postretirement Defined Benefit Plans Liabilities Noncurrent
Defined benefit plans and other post-retirement plans, weighted-average assumptions to determine net periodic cost, discount rates
Defined Benefit Plan Assumptions Used Calculating Net Periodic Benefit Cost Discount Rate
Defined benefit plans and other post-retirement plans, weighted-average assumptions to determine net periodic cost, rate of compensation increase
Defined Benefit Plan Assumptions Used Calculating Net Periodic Benefit Cost Rate Of Compensation Increase
Defined Benefit Plan, Noncash Settlement Loss
Defined benefit plan, noncash settlement loss
Defined Benefit Plan Noncash Settlement Loss
Defined benefit plan assets designated to pay benefits of the deferred compensation plans
Defined Benefit Plan Plan Assets Investment Within Plan Asset Category Amount
Equity securities held in rabbi trust
Deferred Compensation Equity
Settlement charge
Defined Benefit Plan Recognized Net Gain Loss Due To Settlements1
Expected long-term rates of return on assets
Defined Benefit Plan Assumptions Used Calculating Net Periodic Benefit Cost Expected Long Term Return On Assets
The maximum number of total stock, consisting of both preferred and common shares, permitted to be issued by an entity's charter and bylaws.
Capital stock, shares authorized
Capital Stock Authorized
Preferred stock, shares outstanding
Preferred Stock Shares Outstanding
Disclosure of maximum available amount of dividends and/or stock repurchases remaining based on the maximum amount allowed by the terms of the credit facility less the amount previously purchased by the entity.
Amount available for dividend payments, stock repurchases at period end
Amount Available For Dividend Distribution For Restrictions On Dividends Stock Repurchases
Consolidation less than wholly owned subsidiary parent ownership interest changes purchase (redemption) of interest by parent.
Net income (loss) attributable to Community Health Systems,Inc. stockholders
Net increase (decrease) in Community Health Systems,Inc. paid-in-capital for purchase of subsidiary partnership interests
Consolidation Less Than Wholly Owned Subsidiary Parent Ownership Interest Changes Purchase Redemption Of Interest By Parent
Net transfers to the noncontrolling interests
Consolidation Less Than Wholly Owned Subsidiary Parent Ownership Interest Changes Net
Change to Community Health Systems, Inc. stockholders' deficit from net income (loss) attributable to Community Health Systems, Inc. stockholders and transfers to noncontrolling interests
Consolidation Less Than Wholly Owned Subsidiary Parent Ownership Interest Change Due To Net Income Attributable To Parent And Effects Of Changes Net
Additional shares included in the calculation of diluted EPS as a result of the potentially dilutive effect of restricted stock awards using the treasury stock method.
Additional shares included in the calculation of diluted EPS as a result of the potentially dilutive effect of employee stock option arrangements using the treasury stock method.
Incremental common shares attributable to other equity based awards.
Effect of dilutive securities:
Weighted Average Number Diluted Shares Outstanding Adjustment [Abstract]
Weighted-average number of shares outstanding — basic
Restricted stock awards
Incremental Common Shares Attributable To Restricted Stock Awards
Employee stock options
Incremental Common Shares Attributable To Employee Stock Options
Other equity-based awards
Incremental Common Shares Attributable To Other Equity Based Awards
Weighted-average number of shares outstanding — diluted
Increase in number of shares to diluted shares calculation if income from continuing operations would have been generated
Increase in number of shares to diluted shares calculation if income would have been generated
Increase In Number Of Shares To Diluted Shares Calculation If Income From Continuing Operations Would Have Been Generated
Employee stock options and restricted stock awards excluded from computation of earnings per share amount
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
Percentage of Ownership Interest Sold
Gain loss from equity investments sale.
Schedule Of Equity Method Investments [Table]
Schedule Of Equity Method Investments [Table]
Two hospitals in Macon Georgia.
Two Hospitals in Macon Georgia
Two Hospitals In Macon Georgia [Member]
Investment, Name
Schedule Of Equity Method Investment Equity Method Investee Name [Axis]
Investment, Name
Equity Method Investee Name [Domain]
Three hospitals in Macon, Georgia.
Three Hospitals in Macon Georgia, [Member]
Three Hospitals In Macon Georgia [Member]
Home Care [Member]
Home Care [Member]
Home Care [Member]
HealthTrust [Member]
HealthTrust [Member]
Healthtrust [Member]
Schedule Of Equity Method Investments [Line Items]
Schedule Of Equity Method Investments [Line Items]
Disposal date
Percentage of ownership interest sold
Percentage Of Ownership Interest Sold
Proceeds from sale of unconsolidated minority equity interests
Pre tax gain on sale of investments
Gain Loss From Equity Investments Sale
Equity method investment ownership percentage
Equity Method Investment Ownership Percentage
Equity method investment
Equity Method Investments
Equity in earnings of unconsolidated affiliates
Income Loss From Equity Method Investments
Accumulated Other Comprehensive Income Loss Net Of Tax [Abstract]
Accumulated Other Comprehensive Income Loss [Table]
Accumulated Other Comprehensive Income Loss [Table]
Change in Fair Value of Available for Sale Debt Securities
Accumulated Net Unrealized Investment Gain Loss [Member]
Change in Unrecognized Pension Cost Components
Accumulated Defined Benefit Plans Adjustment [Member]
Change in Fair Value of Interest Rate Swaps [Member]
Accumulated Gain Loss Net Cash Flow Hedge Parent [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Accumulated Other Comprehensive Income Loss [Line Items]
AOCL, Beginning Balance
Other comprehensive (loss) income before reclassifications
Other Comprehensive Income Loss Before Reclassifications Net Of Tax
Amounts reclassified from AOCL
Reclassification From Accumulated Other Comprehensive Income Current Period Net Of Tax
AOCL, Ending Balance
Reclassification Out Of Accumulated Other Comprehensive Income [Table]
Reclassification Out Of Accumulated Other Comprehensive Income [Table]
Accumulated Defined Benefit Plans Adjustment, Net Prior Service Attributable to Parent [Member]
Accumulated Defined Benefit Plans Adjustment Net Prior Service Cost Credit [Member]
Accumulated Defined Benefit Plans Adjustment, Net Transition Attributable to Parent [Member]
Accumulated Defined Benefit Plans Adjustment Net Transition Asset Obligation [Member]
Reclassification Adjustment Out Of Accumulated Other Comprehensive Income [Line Items]
Reclassification Adjustment Out Of Accumulated Other Comprehensive Income [Line Items]
Reclassification, Total before tax
Reclassification From Accumulated Other Comprehensive Income Current Period Before Tax
Tax benefit
Reclassification From Aoci Current Period Tax
Reclassification, net of tax
Capital commitment, post-acquisition estimated cost of replacement hospital
Capital commitment, future period for completing open capital improvement projects
Capital commitment future period for completing open capital improvement projects date.
Commitments and Contingencies.
Commitments and Contingencies.
Commitments And Contingencies [Table]
Commitments And Contingencies [Table]
Northwest health starke.
Northwest Health – Starke [Member]
Northwest Health Starke [Member]
Insurance Type and Tier Identifier
Schedule Of Malpractice Insurance Type And Tier Identifier [Axis]
Type and Tier Identifier
Type And Tier Identifier [Domain]
Professional and general liability self-insured claims reported prior to June 1, 2002, per occurrence [Member]
Professional and general liability self-insured claims reported prior to June 1, 2002, per occurrence [Member]
Professional And General Liability Self Insured Claims Reported Prior To June12002 Per Occurrence [Member]
Professional and general liability self-insured reported from June 1, 2002 through June 1, 2003, per occurrence [Member]
Professional and general liability self-insured reported from June 1, 2002 through June 1, 2003, per occurrence [Member]
Professional And General Liability Self Insured Reported From June12002 Through June12003 Per Occurrence [Member]
Professional and general liability self-insured reported from June 1, 2003 and before June 1, 2005, per occurrence [Member]
Professional and general liability self-insured reported from June 1, 2003 and before June 1, 2005, per occurrence [Member]
Professional And General Liability Self Insured Reported From June12003 And Before June12005 Per Occurrence [Member]
Professional and general liability self-insured claims reported on or after June 1, 2005, per occurrence [Member]
Professional and general liability self-insured claims reported on or after June 1, 2005, per occurrence [Member]
Professional And General Liability Self Insured Claims Reported On Or After June12005 Per Occurrence [Member]
Professional and general liability claims reported on or after June 1, 2014 [Member]
Professional and general liability claims reported on or after June 1, 2014 [Member]
Professional And General Liability Claims Reported On Or After June12014 [Member]
Professional And General Liability Claims Incurred And Reported On Or After June 1, 2008 [Member]
Professional And General Liability Claims Incurred And Reported On Or After June 1, 2008 [Member]
Professional And General Liability Claims Incurred And Reported On Or After June12008 [Member]
Professional and general liability claims reported on or after June 1, 2003
Professional and general liability claims reported on or after June 1, 2003 [Member]
Professional And General Liability Claims Reported On Or After June12003 [Member]
Professional and general liability claims incurred and reported after January 1, 2008
Professional and general liability claims incurred and reported after January 1, 2008 [Member]
Professional And General Liability Claims Incurred And Reported After January12008 [Member]
Professional And General Liability Claims Incurred And Reported On Or After June 01, 2010 [Member]
Professional and general liability claims incurred and reported after June 1, 2010 [Member]
Professional And General Liability Claims Incurred And Reported On Or After June012010 [Member]
Professional and general liability claims reported on or after June 1, 2015.
Professional and general liability claims reported on or after June 1, 2015 [Member]
Professional And General Liability Claims Reported On Or After June12015 [Member]
Integrated occurrence claims reported on or after June 1, 2014
Integrated occurrence claims reported on or after June 1, 2014 [Member]
Integrated Occurrence Claims Reported On Or After June12014 [Member]
Integrated occurrence claims reported on or after June 1 2015 through June1 2020.
Integrated occurrence claims reported on or after June 1, 2015 through June 1, 2020 [Member]
Integrated Occurrence Claims Reported On Or After June12015 Through June12020 [Member]
Integrated occurrence claims reported between June 1 2020 and June 1 2022.
Integrated occurrence claims reported between June 1,2020 and June 1,2022 [Member]
Integrated Occurrence Claims Reported Between June12020 And June12022 [Member]
Professional and general liability self-insured claims under certain policy terms until Company total aggregate coverage is met if first aggregate layer becomes fully utilized [Member]
Professional and general liability self-insured claims under certain policy terms until Company total aggregate coverage is met if first aggregate layer becomes fully utilized [Member]
Professional And General Liability Self Insured Claims Under Certain Policy Terms Until Company Total Aggregate Coverage Is Met If First Aggregate Layer Becomes Fully Utilized [Member]
Litigation Status
Litigation Status [Axis]
Litigation Status
Litigation Status [Domain]
Pending Litigation [Member]
Pending Litigation [Member]
Loss Contingency Nature
Loss Contingencies By Nature Of Contingency [Axis]
Loss Contingency, Nature
Loss Contingency Nature [Domain]
Legal matters where a negative outcome is reasonably possible, but a reasonable estimate of the possible loss or range of loss is undeterminable.
Litigation Matters Where Negative Outcome Is Reasonably Possible [Member]
Litigation Matters Where Negative Outcome Is Reasonably Possible [Member]
Commitments And Contingencies [Line Items]
Commitments And Contingencies [Line Items]
Capital commitment, future period after acquisition for completing open capital improvement projects
Capital Commitment Future Period For Completing Open Capital Improvement Projects
Capital commitment, future period after acquisition for completing open capital improvement projects date
Capital Commitment Future Period For Completing Open Capital Improvement Projects Date
Capital commitment, post-acquisition estimated cost of replacement hospital
Capital Commitment Post Acquisition Estimated Cost Of Replacement Hospital
Physician recruiting commitment, physician income guarantee period
Physician recruiting commitment, period of recoverability of physician income guarantee for noncommitment
Physician recruiting commitment, maximum potential future payments in excess of liability recorded
Physician recruiting commitment, physician income guarantee period
Physician Recruiting Commitment Physician Income Guarantee Period
Physician recruiting commitment, period of recoverability of physician income guarantee for noncommitment
Physician Recruiting Commitment Period Of Recoverability Of Physician Income Guarantee For Noncommitment
Physician recruiting commitment, maximum potential future payments in excess of liability recorded
Physician Recruiting Commitment Maximum Potential Future Payments In Excess Of Liability Recorded
Malpractice loss contingency, historical claims period used by actuary to estimate liability
Malpractice loss contingency, historical claims period used by actuary to estimate liability
Malpractice Loss Contingency Historical Claims Period Used By Actuary To Estimate Liability
Malpractice Loss Contingency, Discount Rate
Malpractice Loss Contingency Discount Rate
Malpractice Loss Contingency, Accrual, Discounted
Malpractice Loss Contingency Accrual Discounted
Malpractice Loss Contingency, Accrual, Undiscounted
Malpractice Loss Contingency Accrual Undiscounted
Malpractice Loss Contingency, Accrual, Discounted, Current
Malpractice Loss Contingency Accrual Discounted Current
Malpractice loss contingency, average lag period from occurence to settlement
Malpractice loss contingency, settled claims as percent of total liability
Malpractice loss contingency, average lag period from occurrence to settlement
Malpractice Loss Contingency Average Lag Period From Occurence To Settlement
Malpractice loss contingency, settled claims as percent of total liability
Malpractice Loss Contingency Settled Claims As Percent Of Total Liability
Expense incurred to settlement of professional liability claim.
Expenses related to settlement of professional liability claim
Expenses Related To Settlement Of Professional Liability Claim
Recovery of full settlement amount
Litigation Settlement Amount Awarded From Other Party
Recovery from third-party insurers of professional liability claim
Proceeds From Legal Settlements
Change in estimate reserve for professional liability claims
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
Malpractice loss contingency, self-insured retention
Malpractice Insurance Deductible1
Malpractice Insurance, Maximum Coverage Per Incident
Malpractice Insurance Maximum Coverage Per Incident
Malpractice Insurance, Annual Coverage Limit
Malpractice Insurance Annual Coverage Limit
Loss Contingency Accrual, Reserve for Insured Claim
Loss Contingencies [Table]
Loss Contingencies [Table]
Other Probable Contingencies [Member]
Other Probable Contingencies [Member]
Other Probable Contingencies [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Loss Contingency Accrual [Roll Forward]
Loss Contingency Accrual Roll Forward
Beginning Balance
Loss Contingency Accrual At Carrying Value
Expense
Loss Contingency Accrual Provision
Reserve for insured claim
Loss Contingency Accrual Reserve For Insured Claim
Cash payments
Loss Contingency Accrual Payments
Ending Balance
Income on legal fees.
Attorneys' fees and other costs incurred
Legal Fees
Income on legal fees
Income On Legal Fees
Subsequent Event [Table]
Subsequent Event [Table]
Redeem up to 40% Principal Amount Prior to May 15, 2025
Redeem up to 10% Principal Amount Prior to May 15, 2025
Redeem at Any Time and from Time to Time on or After May 15, 2025
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Condensed Balance Sheet Statement [Table]
Condensed Balance Sheet Statement [Table]
Consolidated Entities
Consolidated Entities [Axis]
Consolidated Entities
Consolidated Entities [Domain]
Parent Company
Parent Company [Member]
Condensed Balance Sheet Statements Captions [Line Items]
Condensed Balance Sheet Statements Captions [Line Items]
Other assets, net
Intercompany payable
Due To Affiliate Noncurrent
Preferred stock
Common stock
Total Community Health Systems, Inc. stockholders’ deficit
Total liabilities and stockholders' deficit
Condensed Income Statement [Table]
Condensed Income Statement [Table]
Condensed Income Statements Captions [Line Items]
Condensed Income Statements Captions [Line Items]
Lease cost and rent
Lease And Rental Expense
Interest expense, net
Condensed Statement Of Comprehensive Income [Table]
Condensed Statement Of Comprehensive Income [Table]
Condensed Statement Of Income Captions [Line Items]
Condensed Statement Of Income Captions [Line Items]
Equity in other comprehensive (loss) income of affiliates, net of income taxes:
Other Comprehensive Income Loss Net Of Tax Portion Attributable To Parent [Abstract]
Net change in fair value of interest rate swaps, net of tax
Amortization and recognition of unrecognized pension cost components, net of tax
Condensed Cash Flow Statement [Table]
Condensed Cash Flow Statement [Table]
Condensed Cash Flow Statements Captions [Line Items]
Condensed Cash Flow Statements Captions [Line Items]
Net cash used in operating activities
Net cash provided by (used in) investing activities
Changes in intercompany balances with affiliates, net
Changes In Intercompany Balances With Affiliates Net
Net cash provided by financing activities
Cash and cash equivalents at beginning of period