10-K Filing

COMMUNITY HEALTH SYSTEMS INC CIK: 1108109 FY 2023

Filing Information

Form Type	10-K
Accession Number	`0000950170-24-018021`
Period End Date	20231231
Filing Date	20240221
Fiscal Year	2023
Fiscal Period	FY
XBRL Instance	cyh-20231231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 98 Income Statement 70 Cash Flow Statement 113 Stockholders Equity 35 Comprehensive Income 27

Balance Sheet 98 line items

Line Item	Tag	Value	Unit	Period
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$1.39B	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$1.52B	USD	Point-in-time
Preferred stock, par value per share	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred stock, par value per share	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	100.00M	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$118.00M	USD	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	100.00M	shares	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$38.00M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$2.04B	USD	Point-in-time
Patient accounts receivable	`AccountsReceivableNetCurrent`	$2.23B	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Common stock, par value per share	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Supplies	`Supplies`	$328.00M	USD	Point-in-time
Supplies	`Supplies`	$353.00M	USD	Point-in-time
Common stock, par value per share	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Prepaid income taxes	`PrepaidTaxes`	$76.00M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	300.00M	shares	Point-in-time
Prepaid income taxes	`PrepaidTaxes`	$99.00M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	300.00M	shares	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	136.77M	shares	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	134.70M	shares	Point-in-time
Prepaid expenses and taxes	`PrepaidExpensesAndTaxes`	$260.00M	USD	Point-in-time
Prepaid expenses and taxes	`PrepaidExpensesAndTaxes`	$237.00M	USD	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	136.77M	shares	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	134.70M	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$275.00M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$235.00M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$3.08B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$3.21B	USD	Point-in-time
Land and improvements	`LandAndLandImprovements`	$474.00M	USD	Point-in-time
Land and improvements	`LandAndLandImprovements`	$497.00M	USD	Point-in-time
Buildings and improvements	`BuildingsAndImprovementsGross`	$5.95B	USD	Point-in-time
Buildings and improvements	`BuildingsAndImprovementsGross`	$6.04B	USD	Point-in-time
Equipment and fixtures	`FixturesAndEquipmentGross`	$3.09B	USD	Point-in-time
Equipment and fixtures	`FixturesAndEquipmentGross`	$3.10B	USD	Point-in-time
Property and equipment	`PropertyPlantAndEquipmentGross`	$9.64B	USD	Point-in-time
Property and equipment	`PropertyPlantAndEquipmentGross`	$9.51B	USD	Point-in-time
Less accumulated depreciation and amortization	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$4.30B	USD	Point-in-time
Less accumulated depreciation and amortization	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$4.27B	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$5.21B	USD	Point-in-time
Property and equipment, net	`PropertyPlantAndEquipmentNet`	$5.37B	USD	Point-in-time
Goodwill	`Goodwill`	$4.17B	USD	Point-in-time
Goodwill	`Goodwill`	$3.96B	USD	Point-in-time
Goodwill	`Goodwill`	$4.22B	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxAssetsNet`	$29.00M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxAssetsNet`	$49.00M	USD	Point-in-time
Other assets, net of accumulated amortization of $1,518 and $1,392 at December 31, 2023 and 2022, respectively	`OtherAssetsNoncurrent`	$2.01B	USD	Point-in-time
Other assets, net of accumulated amortization of $1,518 and $1,392 at December 31, 2023 and 2022, respectively	`OtherAssetsNoncurrent`	$2.05B	USD	Point-in-time
Total assets	`Assets`	$14.67B	USD	Point-in-time
Total assets	`Assets`	$14.46B	USD	Point-in-time
Current maturities of long-term debt	`LongTermDebtAndCapitalLeaseObligationsCurrent`	$21.00M	USD	Point-in-time
Current maturities of long-term debt	`LongTermDebtAndCapitalLeaseObligationsCurrent`	$21.00M	USD	Point-in-time
Current operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$148.00M	USD	Point-in-time
Current operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$124.00M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$912.00M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$773.00M	USD	Point-in-time
Employee compensation	`EmployeeRelatedLiabilitiesCurrent`	$637.00M	USD	Point-in-time
Employee compensation	`EmployeeRelatedLiabilitiesCurrent`	$571.00M	USD	Point-in-time
Accrued interest	`InterestPayableCurrent`	$189.00M	USD	Point-in-time
Accrued interest	`InterestPayableCurrent`	$160.00M	USD	Point-in-time
Other	`OtherAccruedLiabilitiesCurrent`	$418.00M	USD	Point-in-time
Other	`OtherAccruedLiabilitiesCurrent`	$354.00M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$2.19B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$2.14B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$11.61B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$11.47B	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$369.00M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxLiabilitiesNet`	$354.00M	USD	Point-in-time
Long-term operating lease liabilities	`OperatingLeaseLiabilityNoncurrent`	$605.00M	USD	Point-in-time
Long-term operating lease liabilities	`OperatingLeaseLiabilityNoncurrent`	$563.00M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$739.00M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$644.00M	USD	Point-in-time
Total liabilities	`Liabilities`	$15.40B	USD	Point-in-time
Total liabilities	`Liabilities`	$15.28B	USD	Point-in-time
Redeemable noncontrolling interests in equity of consolidated subsidiaries	`RedeemableNoncontrollingInterestEquityFairValue`	$323.00M	USD	Point-in-time
Redeemable noncontrolling interests in equity of consolidated subsidiaries	`RedeemableNoncontrollingInterestEquityFairValue`	$541.00M	USD	Point-in-time
Commitments and contingencies (Note 15)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 15)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Common stock, $.01 par value per share, 300,000,000 shares authorized; 136,774,911 shares issued and outstanding at December 31, 2023, and 134,703,717 shares issued and outstanding at December 31, 2022	`CommonStockValue`	$1.00M	USD	Point-in-time
Common stock, $.01 par value per share, 300,000,000 shares authorized; 136,774,911 shares issued and outstanding at December 31, 2023, and 134,703,717 shares issued and outstanding at December 31, 2022	`CommonStockValue`	$1.00M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.08B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$2.19B	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-21.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-14.00M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-14.00M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-3.43B	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-3.56B	USD	Point-in-time
Total Community Health Systems, Inc. stockholders deficit	`StockholdersEquity`	$-1.37B	USD	Point-in-time
Total Community Health Systems, Inc. stockholders deficit	`StockholdersEquity`	$-1.39B	USD	Point-in-time
Noncontrolling interests in equity of consolidated subsidiaries	`MinorityInterest`	$245.00M	USD	Point-in-time
Noncontrolling interests in equity of consolidated subsidiaries	`MinorityInterest`	$92.00M	USD	Point-in-time
Total stockholders deficit	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.29B	USD	Point-in-time
Total stockholders deficit	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.54B	USD	Point-in-time
Total stockholders deficit	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.15B	USD	Point-in-time
Total stockholders deficit	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.27B	USD	Point-in-time
Total liabilities and stockholders deficit	`LiabilitiesAndStockholdersEquity`	$14.67B	USD	Point-in-time
Total liabilities and stockholders deficit	`LiabilitiesAndStockholdersEquity`	$14.46B	USD	Point-in-time

Income Statement 70 line items

Line Item	Tag	Value	Unit	Period
Net operating revenues	`Revenues`	$12.49B	USD	Annual
Interest income	`InvestmentIncomeInterest`	$2.00M	USD	Annual
Net operating revenues	`Revenues`	$12.37B	USD	Annual
Interest income	`InvestmentIncomeInterest`	$3.00M	USD	Annual
Net operating revenues	`Revenues`	$12.21B	USD	Annual
Interest income	`InvestmentIncomeInterest`	$2.00M	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$5.33B	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$5.42B	USD	Annual
Salaries and benefits	`LaborAndRelatedExpense`	$5.24B	USD	Annual
Supplies	`CostOfGoodsAndServicesSold`	$2.04B	USD	Annual
Supplies	`CostOfGoodsAndServicesSold`	$1.98B	USD	Annual
Supplies	`CostOfGoodsAndServicesSold`	$1.99B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$3.39B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$3.34B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$2.96B	USD	Annual
Lease cost and rent	`OperatingLeaseExpense`	$319.00M	USD	Annual
Lease cost and rent	`OperatingLeaseExpense`	$308.00M	USD	Annual
Lease cost and rent	`OperatingLeaseExpense`	$317.00M	USD	Annual
Pandemic relief funds	`PandemicReliefFunds`	$173.00M	USD	Annual
Pandemic relief funds	`PandemicReliefFunds`	$148.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$540.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$534.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$505.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$-87.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$71.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$24.00M	USD	Annual
Total operating costs and expenses	`CostsAndExpenses`	$11.39B	USD	Annual
Total operating costs and expenses	`CostsAndExpenses`	$11.53B	USD	Annual
Total operating costs and expenses	`CostsAndExpenses`	$10.97B	USD	Annual
Income from operations	`OperatingIncomeLoss`	$821.00M	USD	Annual
Income from operations	`OperatingIncomeLoss`	$957.00M	USD	Annual
Income from operations	`OperatingIncomeLoss`	$1.40B	USD	Annual
Interest expense, net of interest income of $2 in both 2023 and 2022 and $3 in 2021	`InterestIncomeExpenseNonoperatingNet`	$-830.00M	USD	Annual
Interest expense, net of interest income of $2 in both 2023 and 2022 and $3 in 2021	`InterestIncomeExpenseNonoperatingNet`	$-885.00M	USD	Annual
Interest expense, net of interest income of $2 in both 2023 and 2022 and $3 in 2021	`InterestIncomeExpenseNonoperatingNet`	$-858.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$253.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-79.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$72.00M	USD	Annual
Gain on sale of equity interests in Macon Healthcare, LLC	`EquityMethodInvestmentRealizedGainLossOnDisposal`	$39.00M	USD	Annual
Gain from CoreTrust Transaction	`GainLossFromRelatedPartyTransaction`	$119.00M	USD	Annual
Equity in earnings of unconsolidated affiliates	`IncomeLossFromEquityMethodInvestments`	$8.00M	USD	Annual
Equity in earnings of unconsolidated affiliates	`IncomeLossFromEquityMethodInvestments`	$22.00M	USD	Annual
Equity in earnings of unconsolidated affiliates	`IncomeLossFromEquityMethodInvestments`	$14.00M	USD	Annual
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$499.00M	USD	Annual
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$349.00M	USD	Annual
(Loss) income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$207.00M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$131.00M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$170.00M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$191.00M	USD	Annual
Net income	`ProfitLoss`	$16.00M	USD	Annual
Net income	`ProfitLoss`	$368.00M	USD	Annual
Net income	`ProfitLoss`	$179.00M	USD	Annual
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$149.00M	USD	Annual
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$138.00M	USD	Annual
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$133.00M	USD	Annual
Net (loss) income attributable to Community Health Systems, Inc. stockholders	`NetIncomeLoss`	$46.00M	USD	Annual
Net (loss) income attributable to Community Health Systems, Inc. stockholders	`NetIncomeLoss`	$230.00M	USD	Annual
Net (loss) income attributable to Community Health Systems, Inc. stockholders	`NetIncomeLoss`	$-133.00M	USD	Annual
Basic	`EarningsPerShareBasic`	$0.35	USD	Annual
Basic	`EarningsPerShareBasic`	$-1.02	USD	Annual
Basic	`EarningsPerShareBasic`	$1.82	USD	Annual
Diluted	`EarningsPerShareDiluted`	$-1.02	USD	Annual
Diluted	`EarningsPerShareDiluted`	$1.76	USD	Annual
Diluted	`EarningsPerShareDiluted`	$0.35	USD	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	128.81M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	126.75M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	130.45M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	130.45M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	130.60M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	130.06M	shares	Annual

Cash Flow Statement 113 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$16.00M	USD	Annual
Net income	`ProfitLoss`	$368.00M	USD	Annual
Net income	`ProfitLoss`	$179.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$540.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$534.00M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$505.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$165.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$170.00M	USD	Annual
Deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$35.00M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$25.00M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$20.00M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$22.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$-87.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$71.00M	USD	Annual
Impairment and (gain) loss on sale of businesses, net	`AssetImpairmentCharges`	$24.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$253.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-79.00M	USD	Annual
(Gain) loss from early extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$72.00M	USD	Annual
Gain on sale of equity interests in Macon Healthcare, LLC	`EquityMethodInvestmentRealizedGainLossOnDisposal`	$39.00M	USD	Annual
Gain from CoreTrust Transaction	`GainLossFromRelatedPartyTransaction`	$119.00M	USD	Annual
Other non-cash expenses, net	`OtherNoncashIncomeExpense`	$-78.00M	USD	Annual
Other non-cash expenses, net	`OtherNoncashIncomeExpense`	$-181.00M	USD	Annual
Other non-cash expenses, net	`OtherNoncashIncomeExpense`	$-182.00M	USD	Annual
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$193.00M	USD	Annual
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$-22.00M	USD	Annual
Patient accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$136.00M	USD	Annual
Supplies, prepaid expenses and other current assets	`IncreaseDecreaseInSuppliesPrepaidExpensesAndOtherCurrentAssets`	$82.00M	USD	Annual
Supplies, prepaid expenses and other current assets	`IncreaseDecreaseInSuppliesPrepaidExpensesAndOtherCurrentAssets`	$-1.00M	USD	Annual
Supplies, prepaid expenses and other current assets	`IncreaseDecreaseInSuppliesPrepaidExpensesAndOtherCurrentAssets`	$128.00M	USD	Annual
Repayment/derecognition of Medicare accelerated payments	`RepaymentDerecognitionOfMedicareAcceleratedPayments`	$1.08B	USD	Annual
Accounts payable, accrued liabilities and income taxes	`IncreaseDecreaseInAccountsPayableAccruedLiabilitiesAndIncomeTaxes`	$-158.00M	USD	Annual
Accounts payable, accrued liabilities and income taxes	`IncreaseDecreaseInAccountsPayableAccruedLiabilitiesAndIncomeTaxes`	$-50.00M	USD	Annual
Accounts payable, accrued liabilities and income taxes	`IncreaseDecreaseInAccountsPayableAccruedLiabilitiesAndIncomeTaxes`	$16.00M	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingCapitalNet`	$215.00M	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingCapitalNet`	$65.00M	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingCapitalNet`	$176.00M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$210.00M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-131.00M	USD	Annual
Net cash provided by (used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$300.00M	USD	Annual
Acquisitions of facilities and other related businesses	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$9.00M	USD	Annual
Acquisitions of facilities and other related businesses	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$3.00M	USD	Annual
Acquisitions of facilities and other related businesses	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$38.00M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$467.00M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$415.00M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$469.00M	USD	Annual
Proceeds from disposition of hospitals and other ancillary operations	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$89.00M	USD	Annual
Proceeds from disposition of hospitals and other ancillary operations	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$17.00M	USD	Annual
Proceeds from disposition of hospitals and other ancillary operations	`ProceedsFromDivestitureOfBusinessesNetOfCashDivested`	$432.00M	USD	Annual
Proceeds from sale of property and equipment	`ProceedsFromSaleOfPropertyPlantAndEquipment`	$38.00M	USD	Annual
Proceeds from sale of property and equipment	`ProceedsFromSaleOfPropertyPlantAndEquipment`	$10.00M	USD	Annual
Proceeds from sale of property and equipment	`ProceedsFromSaleOfPropertyPlantAndEquipment`	$28.00M	USD	Annual
Purchases of available-for-sale debt securities and equity securities	`PaymentsToAcquireInvestments`	$171.00M	USD	Annual
Purchases of available-for-sale debt securities and equity securities	`PaymentsToAcquireInvestments`	$114.00M	USD	Annual
Purchases of available-for-sale debt securities and equity securities	`PaymentsToAcquireInvestments`	$137.00M	USD	Annual
Proceeds from sales of available-for-sale debt securities and equity securities	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$232.00M	USD	Annual
Proceeds from sales of available-for-sale debt securities and equity securities	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$110.00M	USD	Annual
Proceeds from sales of available-for-sale debt securities and equity securities	`ProceedsFromSaleMaturityAndCollectionsOfInvestments`	$102.00M	USD	Annual
Purchases of investments in unconsolidated affiliates	`PaymentsToAcquireEquityMethodInvestments`	$7.00M	USD	Annual
Purchases of investments in unconsolidated affiliates	`PaymentsToAcquireEquityMethodInvestments`	$11.00M	USD	Annual
Purchases of investments in unconsolidated affiliates	`PaymentsToAcquireEquityMethodInvestments`	$19.00M	USD	Annual
Proceeds from sale of equity interests in Macon Healthcare, LLC	`ProceedsFromSaleOfEquityMethodInvestments`	$110.00M	USD	Annual
Distribution of CoreTrust Transaction proceeds	`ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital`	$121.00M	USD	Annual
Increase in other investments	`PaymentsForProceedsFromOtherInvestingActivities`	$113.00M	USD	Annual
Increase in other investments	`PaymentsForProceedsFromOtherInvestingActivities`	$65.00M	USD	Annual
Increase in other investments	`PaymentsForProceedsFromOtherInvestingActivities`	$60.00M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-26.00M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-524.00M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-259.00M	USD	Annual
Repurchase of restricted stock shares for payroll tax withholding requirements	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$4.00M	USD	Annual
Repurchase of restricted stock shares for payroll tax withholding requirements	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$8.00M	USD	Annual
Repurchase of restricted stock shares for payroll tax withholding requirements	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$5.00M	USD	Annual
Deferred financing costs and other debt-related costs	`PaymentsOfFinancingCosts`	$74.00M	USD	Annual
Deferred financing costs and other debt-related costs	`PaymentsOfFinancingCosts`	$313.00M	USD	Annual
Deferred financing costs and other debt-related costs	`PaymentsOfFinancingCosts`	$3.00M	USD	Annual
Proceeds from noncontrolling investors in joint ventures	`ProceedsFromMinorityShareholders`	$5.00M	USD	Annual
Proceeds from noncontrolling investors in joint ventures	`ProceedsFromMinorityShareholders`	$13.00M	USD	Annual
Redemption of noncontrolling investments in joint ventures	`PaymentsToMinorityShareholders`	$19.00M	USD	Annual
Redemption of noncontrolling investments in joint ventures	`PaymentsToMinorityShareholders`	$1.00M	USD	Annual
Redemption of noncontrolling investments in joint ventures	`PaymentsToMinorityShareholders`	$5.00M	USD	Annual
Distributions to noncontrolling investors in joint ventures	`PaymentsOfDividendsMinorityInterest`	$141.00M	USD	Annual
Distributions to noncontrolling investors in joint ventures	`PaymentsOfDividendsMinorityInterest`	$125.00M	USD	Annual
Distributions to noncontrolling investors in joint ventures	`PaymentsOfDividendsMinorityInterest`	$121.00M	USD	Annual
Other borrowings	`ProceedsFromIssuanceOfOtherLongTermDebt`	$60.00M	USD	Annual
Other borrowings	`ProceedsFromIssuanceOfOtherLongTermDebt`	$48.00M	USD	Annual
Other borrowings	`ProceedsFromIssuanceOfOtherLongTermDebt`	$39.00M	USD	Annual
Issuance of long-term debt	`ProceedsFromIssuanceOfSubordinatedLongTermDebt`	$4.31B	USD	Annual
Issuance of long-term debt	`ProceedsFromIssuanceOfSubordinatedLongTermDebt`	$989.00M	USD	Annual
Issuance of long-term debt	`ProceedsFromIssuanceOfSubordinatedLongTermDebt`	$1.53B	USD	Annual
Proceeds from ABL Facility	`ProceedsFromAccountsReceivableSecuritization`	$3.18B	USD	Annual
Proceeds from ABL Facility	`ProceedsFromAccountsReceivableSecuritization`	$542.00M	USD	Annual
Repayments of long-term indebtedness	`RepaymentsOfLongTermDebt`	$4.43B	USD	Annual
Repayments of long-term indebtedness	`RepaymentsOfLongTermDebt`	$2.36B	USD	Annual
Repayments of long-term indebtedness	`RepaymentsOfLongTermDebt`	$4.32B	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-514.00M	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-264.00M	USD	Annual
Net cash used in financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-430.00M	USD	Annual
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-80.00M	USD	Annual
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-1.17B	USD	Annual
Net change in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-389.00M	USD	Annual
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$38.00M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.68B	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$507.00M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$118.00M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$38.00M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.68B	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$507.00M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$118.00M	USD	Point-in-time
Interest payments	`InterestPaidNet`	$778.00M	USD	Annual
Interest payments	`InterestPaidNet`	$801.00M	USD	Annual
Interest payments	`InterestPaidNet`	$835.00M	USD	Annual
Income tax (payments) refunds, net	`IncomeTaxesPaidNet`	$-6.00M	USD	Annual
Income tax (payments) refunds, net	`IncomeTaxesPaidNet`	$-91.00M	USD	Annual
Income tax (payments) refunds, net	`IncomeTaxesPaidNet`	$-4.00M	USD	Annual

Stockholders Equity 35 line items

Line Item	Tag	Value	Unit	Period
Equity, beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.29B	USD	Point-in-time
Equity, beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.54B	USD	Point-in-time
Equity, beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.15B	USD	Point-in-time
Equity, beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.27B	USD	Point-in-time
Redeemable Noncontrolling Interests, beginning balance	`RedeemableNoncontrollingInterestEquityFairValue`	$323.00M	USD	Point-in-time
Redeemable Noncontrolling Interests, beginning balance	`RedeemableNoncontrollingInterestEquityFairValue`	$541.00M	USD	Point-in-time
Comprehensive income (loss)	`ComprehensiveIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterests`	$266.00M	USD	Annual
Comprehensive income (loss)	`ComprehensiveIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterests`	$-50.00M	USD	Annual
Comprehensive income (loss)	`ComprehensiveIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterests`	$80.00M	USD	Annual
Contributions from noncontrolling interests	`NoncontrollingInterestIncreaseFromBusinessCombination`	$11.00M	USD	Annual
Contributions from noncontrolling interests	`NoncontrollingInterestIncreaseFromBusinessCombination`	$4.00M	USD	Annual
Distributions to noncontrolling interests	`DistributionsToNoncontrollingInterestsNetOfContributions`	$-69.00M	USD	Annual
Distributions to noncontrolling interests	`DistributionsToNoncontrollingInterestsNetOfContributions`	$-45.00M	USD	Annual
Distributions to noncontrolling interests	`DistributionsToNoncontrollingInterestsNetOfContributions`	$-39.00M	USD	Annual
Purchase of subsidiary shares from noncontrolling interests	`MinorityInterestDecreaseFromRedemptions`	$5.00M	USD	Annual
Purchase of subsidiary shares from noncontrolling interests	`MinorityInterestDecreaseFromRedemptions`	$-6.00M	USD	Annual
Purchase of subsidiary shares from noncontrolling interests	`MinorityInterestDecreaseFromRedemptions`	$13.00M	USD	Annual
Other reclassifications of noncontrolling interests	`OtherReclassificationsOfNoncontrollingInterests`	$1.00M	USD	Annual
Other reclassifications of noncontrolling interests	`OtherReclassificationsOfNoncontrollingInterests`	$263.00M	USD	Annual
Noncontrolling interests in acquired entity	`NoncontrollingInterestsInAcquiredEntity`	$3.00M	USD	Annual
Adjustment to redemption value of redeemable noncontrolling interests	`RedeemableNoncontrollingInterestsChangeInRedemptionValue`	$-13.00M	USD	Annual
Adjustment to redemption value of redeemable noncontrolling interests	`RedeemableNoncontrollingInterestsChangeInRedemptionValue`	$-40.00M	USD	Annual
Adjustment to redemption value of redeemable noncontrolling interests	`RedeemableNoncontrollingInterestsChangeInRedemptionValue`	$-43.00M	USD	Annual
Cancellation of restricted stock for tax withholdings on vested shares	`AdjustmentsToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet`	$-5.00M	USD	Annual
Cancellation of restricted stock for tax withholdings on vested shares	`AdjustmentsToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet`	$-4.00M	USD	Annual
Cancellation of restricted stock for tax withholdings on vested shares	`AdjustmentsToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet`	$-8.00M	USD	Annual
Stock-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$20.00M	USD	Annual
Stock-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$25.00M	USD	Annual
Stock-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$22.00M	USD	Annual
Equity, ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.29B	USD	Point-in-time
Equity, ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.54B	USD	Point-in-time
Equity, ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.15B	USD	Point-in-time
Equity, ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$-1.27B	USD	Point-in-time
Redeemable Noncontrolling Interests, ending balance	`RedeemableNoncontrollingInterestEquityFairValue`	$323.00M	USD	Point-in-time
Redeemable Noncontrolling Interests, ending balance	`RedeemableNoncontrollingInterestEquityFairValue`	$541.00M	USD	Point-in-time

Comprehensive Income 27 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$16.00M	USD	Annual
Net income	`ProfitLoss`	$368.00M	USD	Annual
Net change in fair value available-for-sale debt securities, tax	`OtherComprehensiveIncomeLossNetChangeInFairValueAvailableForSaleDebtSecuritiesTax`	$1.00M	USD	Annual
Net change in fair value available-for-sale debt securities, tax	`OtherComprehensiveIncomeLossNetChangeInFairValueAvailableForSaleDebtSecuritiesTax`	$5.00M	USD	Annual
Net change in fair value available-for-sale debt securities, tax	`OtherComprehensiveIncomeLossNetChangeInFairValueAvailableForSaleDebtSecuritiesTax`	$1.00M	USD	Annual
Net income	`ProfitLoss`	$179.00M	USD	Annual
Amortization and recognition of unrecognized pension cost components, tax	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansTax`	-	USD	Annual
Amortization and recognition of unrecognized pension cost components, tax	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansTax`	-	USD	Annual
Amortization and recognition of unrecognized pension cost components, tax	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansTax`	$3.00M	USD	Annual
Net change in fair value of available-for-sale debt securities, net of tax of $1, $5 and $1 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$6.00M	USD	Annual
Net change in fair value of available-for-sale debt securities, net of tax of $1, $5 and $1 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$-5.00M	USD	Annual
Net change in fair value of available-for-sale debt securities, net of tax of $1, $5 and $1 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$-17.00M	USD	Annual
Amortization and recognition of unrecognized pension cost components, net of tax of $0, $3 and $0 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$-1.00M	USD	Annual
Amortization and recognition of unrecognized pension cost components, net of tax of $0, $3 and $0 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$-10.00M	USD	Annual
Amortization and recognition of unrecognized pension cost components, net of tax of $0, $3 and $0 for the years ended December 31, 2023, 2022 and 2021, respectively	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$-3.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$7.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-2.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-7.00M	USD	Annual
Comprehensive (loss) income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$172.00M	USD	Annual
Comprehensive (loss) income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$23.00M	USD	Annual
Comprehensive (loss) income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$366.00M	USD	Annual
Less: Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$133.00M	USD	Annual
Less: Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$138.00M	USD	Annual
Less: Comprehensive income attributable to noncontrolling interests	`ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest`	$149.00M	USD	Annual
Comprehensive (loss) income attributable to Community Health Systems, Inc. stockholders	`ComprehensiveIncomeNetOfTax`	$-126.00M	USD	Annual
Comprehensive (loss) income attributable to Community Health Systems, Inc. stockholders	`ComprehensiveIncomeNetOfTax`	$39.00M	USD	Annual
Comprehensive (loss) income attributable to Community Health Systems, Inc. stockholders	`ComprehensiveIncomeNetOfTax`	$228.00M	USD	Annual

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.