7Baggers

Community Health Systems, Inc
(NYSE:CYH) 

CYH stock logo

Community Health Systems, Inc. owns, leases, and operates general acute care hospitals in the United States. It offers general acute care, emergency room, general and specialty surgery, critical care, internal medicine, obstetrics, diagnostic, psychiatric, and rehabilitation services, as well as ski...

Founded: 1985
Full Time Employees: 63,000
Sector: Healthcare
Industry: Medical Care Facilities
Healthcare
Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2017-03-31 2016-03-31 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 
                                                       
      net operating revenues
    		3,106,000,000 3,087,000,000 3,133,000,000 3,159,000,000 3,265,000,000 3,090,000,000    3,108,000,000 3,142,000,000 3,025,000,000 2,934,000,000 3,111,000,000 3,233,000,000 3,115,000,000 3,007,000,000 3,013,000,000 3,119,000,000 3,126,000,000 2,519,000,000 3,025,000,000 3,246,000,000 3,302,000,000 3,376,000,000  4,486,000,000 4,999,000,000 3,297,035,000 3,402,287,000 3,436,000,000 3,433,829,000 3,405,342,000 3,402,699,000 3,252,055,000 2,772,860,000 2,690,600,000 2,727,554,000 2,334,786,000 2,352,087,000 1,249,128,000 1,203,997,000 1,154,477,000 1,123,483,000 1,061,054,000 1,026,562,000 982,070,000 929,269,000 918,718,000 914,108,000 844,034,000 
      operating expenses:
    		                                                   
      salaries and benefits
    		1,356,000,000 1,356,000,000 1,327,000,000 1,372,000,000 1,364,000,000 1,359,000,000    1,365,000,000 1,358,000,000 1,352,000,000 1,295,000,000 1,325,000,000 1,337,000,000 1,336,000,000 1,266,000,000 1,303,000,000 1,357,000,000 1,365,000,000 1,282,000,000 1,408,000,000 1,469,000,000 1,488,000,000 1,542,000,000  2,061,000,000 2,317,000,000 1,524,975,000 1,421,311,000 1,393,151,000 1,384,096,000 1,402,121,000 963,495,500 1,303,389,000 1,091,726,000 1,079,376,000 1,087,770,000 966,741,000 951,500,000 495,085,000 486,336,000 463,271,000 450,137,000 420,147,000 407,668,000 389,196,000 371,881,000 365,097,000 362,788,000 338,442,000 
      supplies
    		446,000,000 460,000,000 469,000,000 489,000,000 507,000,000 469,000,000    507,000,000 498,000,000 492,000,000 487,000,000 499,000,000 521,000,000 529,000,000 500,000,000 491,000,000 524,000,000 523,000,000 418,000,000 498,000,000 526,000,000 539,000,000 558,000,000  749,000,000 799,000,000 498,579,000 467,864,000 459,146,000 449,279,000 464,156,000 328,041,750 443,113,000 383,142,000 377,586,000 386,409,000 340,882,000 318,506,000 146,033,000 140,508,000 131,795,000 130,036,000 125,700,000 122,820,000 114,644,000 110,481,000 110,429,000 113,569,000 103,839,000 
      other operating expenses
    		841,000,000 832,000,000 885,000,000 865,000,000 905,000,000 1,010,000,000    835,000,000 825,000,000 828,000,000 830,000,000 853,000,000 788,000,000 716,000,000 715,000,000 738,000,000 746,000,000 736,000,000 736,000,000 737,000,000 812,000,000 893,000,000 811,000,000  1,057,000,000 1,173,000,000 708,943,000 622,500,000 623,608,000 654,737,000 624,795,000 444,538,250 606,073,000 529,363,000 526,098,000 526,167,000 467,987,000 464,127,000 258,556,000 245,259,000 235,914,000 235,021,000 219,113,000 207,043,000 204,085,000 194,102,000 189,446,000 180,832,000 171,384,000 
      lease cost and rent
    		68,000,000 67,000,000 74,000,000 68,000,000 75,000,000 73,000,000    81,000,000 81,000,000 80,000,000 78,000,000 77,000,000 77,000,000 75,000,000 78,000,000 78,000,000 79,000,000 85,000,000 82,000,000 81,000,000 79,000,000 81,000,000 80,000,000                           
      depreciation and amortization
    		109,000,000 108,000,000 105,000,000 105,000,000 129,000,000 117,000,000    132,000,000 136,000,000 137,000,000 133,000,000 128,000,000 132,000,000 137,000,000 133,000,000 138,000,000 134,000,000 139,000,000 141,000,000 144,000,000 151,000,000 153,000,000 153,000,000  236,000,000 298,000,000 174,354,000 171,628,000 161,515,000 161,376,000 160,677,000 113,044,750 151,119,000 130,507,000 124,942,000 122,715,000 105,809,000 106,435,000 53,349,000 51,270,000 49,131,000 49,951,000 47,183,000 42,506,000 43,793,000 40,490,000 40,483,000 40,246,000 39,312,000 
      impairment and loss on sale of businesses
    		-164,000,000 21,000,000 -239,000,000  7,000,000 267,000,000     17,000,000 47,000,000    1,000,000 2,000,000 21,000,000 12,000,000 -7,000,000 10,000,000 45,000,000     250,000,000                         
      total operating expenses
    		2,656,000,000 2,844,000,000 2,621,000,000 2,875,000,000 2,987,000,000 3,295,000,000                                              
      income from operations
    		450,000,000 243,000,000 512,000,000 284,000,000 278,000,000 -205,000,000    210,000,000 229,000,000 204,000,000 119,000,000 270,000,000 424,000,000 340,000,000 314,000,000 326,000,000 436,000,000 285,000,000 296,000,000 110,000,000 184,000,000 111,000,000 189,000,000  71,000,000 294,000,000 349,128,000 280,993,000 283,803,000 288,908,000 280,965,000 282,325,000 280,819,000 253,067,000 233,074,000 247,556,000 55,648,000 192,648,000 118,575,000 118,736,000 115,207,000 40,808,000 109,106,000 115,339,000 107,591,000 96,292,000 98,552,000 100,964,000 81,625,000 
      yoy
    		61.87% -218.54%    -197.62%    -22.22% -45.99% -40.00% -62.10% -17.18% -2.75% 19.30% 6.08% 196.36% 136.96% 156.76% 56.61%  159.15% -62.24% -45.87%  -74.98% 1.76% 24.26% -0.47% 1.06% 14.16% 20.55% 14.04% 404.63% 31.36% 96.56% 108.49% -51.70% 372.08% 8.68% 2.95% 7.08% -57.62% 10.71% 14.24% 31.81%     
      qoq
    		85.19% -52.54% 80.28% 2.16% -235.61%     -8.30% 12.25% 71.43% -55.93% -36.32% 24.71% 8.28% -3.68% -25.23% 52.98% -3.72% 169.09% -40.22% 65.77% -41.27%   -75.85% -15.79% 24.25% -0.99% -1.77% 2.83% -0.48% 0.54% 10.97% 8.58% -5.85% 344.86% -71.11% 62.47% -0.14% 3.06% 182.31% -62.60% -5.40% 7.20% 11.73% -2.29% -2.39% 23.69%  
      interest expense
    		162,250,000 216,000,000 214,000,000 219,000,000 160,750,000 216,000,000    207,000,000 163,000,000 217,000,000 218,000,000 217,000,000 166,500,000 216,000,000 219,000,000 231,000,000 194,750,000 257,000,000 260,000,000 262,000,000 259,000,000 265,000,000 257,000,000  229,000,000 251,000,000 152,175,000 121,482,000 159,480,000 163,230,000 164,172,000 121,577,000 164,011,000 167,785,000 154,361,000 165,702,000 50,266,500 139,507,000 31,155,000 30,404,000 18,287,750 27,494,000 23,870,000 21,787,000 17,490,750 24,170,000 23,012,000 22,781,000 19,159,000 
      loss from early extinguishment of debt
    		-26,250,000 33,000,000         -180,000,000 -78,000,000     8,000,000 71,000,000 -27,750,000 -115,000,000  4,000,000     21,000,000  63,429,000         1,328,000 97,000 27,291,000           788,000 
      equity in earnings of unconsolidated affiliates
    		 -4,000,000 -2,000,000 -2,000,000 -3,000,000 -2,000,000    -3,000,000 -3,000,000 -5,000,000 -1,000,000 -5,000,000 -3,000,000 -4,000,000 -4,000,000 -10,000,000 1,000,000 -5,000,000 1,000,000 -7,000,000     -3,000,000 -20,000,000 -12,013,000 -11,146,000 -8,194,000 -12,017,000 -18,130,000 -8,275,000 -9,535,000 -8,691,000 -10,508,000 -12,884,000 -10,828,000 -14,304,000            
      income before income taxes
    		221,000,000 -2,000,000 438,000,000 67,000,000 64,000,000 -419,000,000    6,000,000 325,000,000 70,000,000 -98,000,000 53,000,000 221,000,000 154,000,000 91,000,000 34,000,000 389,000,000 148,000,000 35,000,000 -149,000,000 -72,000,000 -149,000,000 -94,000,000                           
      benefit from income taxes
    		-3,250,000 -173,000,000  42,000,000      26,000,000    23,000,000           7,000,000                           
      net income
    		160,000,000 171,000,000 320,000,000 25,000,000 -28,000,000 -355,000,000    -20,000,000 446,000,000  -298,000,000 30,000,000 222,000,000 144,000,000 37,000,000 -35,000,000 353,000,000 128,000,000 93,000,000 34,000,000 2,000,000 -146,000,000 -101,000,000  -177,000,000 36,000,000 99,252,000 53,120,000 92,631,000 53,547,000 78,325,000 92,249,000 84,854,000 50,384,000 47,893,000 60,127,000 -88,258,000 10,460,000 53,763,000 54,324,000 53,615,000 8,241,000 52,369,000 54,038,000 48,142,000 42,886,000 40,528,000 35,988,000 32,039,000 
      yoy
    		-671.43% -148.17%    1675.00%    -166.67% 100.90% NaN% -905.41% -185.71% -37.11% 12.50% -60.22% -202.94% 17550.00% -187.67% -192.08%  -101.13% -505.56% -201.76%  -291.08% -32.77% 26.72% -42.42% 9.17% 6.28% 63.54% 53.42% -196.14% 381.68% -10.92% 10.68% -264.61% 26.93% 2.66% 0.53% 11.37% -80.78% 29.22% 50.16% 50.26%     
      qoq
    		-6.43% -46.56% 1180.00% -189.29% -92.11%     -104.48% NaN% NaN% -1093.33% -86.49% 54.17% 289.19% -205.71% -109.92% 175.78% 37.63% 173.53% 1600.00% -101.37% 44.55%   -591.67% -63.73% 86.84% -42.65% 72.99% -31.63% -15.09% 8.71% 68.41% 5.20% -20.35% -168.13% -943.77% -80.54% -1.03% 1.32% 550.59% -84.26% -3.09% 12.25% 12.26% 5.82% 12.62% 12.33%  
      less: net income attributable to noncontrolling interests
    		50,000,000 41,000,000 38,000,000 38,000,000 42,000,000 36,000,000    31,000,000 31,000,000 42,000,000 28,000,000 31,000,000 44,000,000 33,000,000 31,000,000 29,000,000 42,000,000 16,000,000 23,000,000 16,000,000 19,000,000 21,000,000 17,000,000  22,000,000 25,000,000 23,778,000 22,189,000 18,327,000 18,158,000 17,001,000 11,429,750 14,453,000                 
      net income attributable to community health systems, inc. stockholders
    		110,000,000 130,000,000 282,000,000 -13,000,000      -51,000,000 415,000,000 -42,000,000 -326,000,000 -1,000,000 178,000,000 111,000,000 6,000,000 -64,000,000 311,000,000 112,000,000 70,000,000 18,000,000 -17,000,000 -167,000,000 -118,000,000  -199,000,000 11,000,000                        
      earnings per share attributable to community health systems, inc. stockholders:
    		                                                   
      basic
    		0.82 0.97 2.11        3.21 -0.32 -2.52  1.41 0.87 0.04 -0.51 2.69 0.98 0.61 0.15                              
      diluted
    		0.8 0.96 2.09        3.21 -0.32 -2.52  1.36 0.85 0.04 -0.51 2.65 0.97 0.61 0.15                              
      weighted-average number of shares outstanding:
    		                                                   
      basic
    		133,564,227 133,787,535 133,763,733 132,876,691 132,101,768 132,376,226 130,445,677   129,688,917 128,808,387 129,141,673 129,095,571 127,818,209 126,754,852 127,077,786 127,069,252 125,753,278 115,491,022 115,015,460 114,972,408 114,301,519 113,891,721 113,862,097 113,257,608 112,728,274 111,252,331 110,247,867 88,674,779 89,966,933 89,412,310 91,130,672 91,008,405 91,718,791 91,484,466 94,045,000 94,192,295,000 94,107,532,000 93,517,337,000 93,651,645,000 93,518,991,000 93,402,545,000 94,983,646,000 94,119,020,000 95,769,030,000 96,552,448,000 88,601,168,000 88,325,411,000 89,149,815,000 87,926,338,000 97,794,824,000 
      diluted
    		135,012,240 135,187,592 134,882,981 132,876,691 132,101,768 132,376,226 130,445,677   129,688,917 130,060,319 129,141,673 129,095,571 127,818,209 130,597,410 130,885,139 130,737,124 125,753,278 116,544,561 115,640,852 115,013,661 114,379,331 113,891,721 113,862,097 113,257,608 112,728,274 111,252,331 110,309,372 88,852,704 90,666,348 89,857,583 91,783,725 92,136,819 92,946,048 92,462,702 95,160,000 95,513,127,000 95,006,721,000 94,642,294,000 94,841,749,000 94,647,870,000 94,365,292,000 96,232,910,000 95,258,771,000 96,870,315,000 98,209,271,000 98,579,977,000 98,528,968,000 99,328,929,000 98,087,086,000 107,869,639,000 
      gain from early extinguishment of debt
    		  -138,000,000                                                 
      provision for income taxes
    		  118,000,000  92,000,000 -64,000,000     -121,000,000 70,000,000 200,000,000  -1,000,000 10,000,000 54,000,000 69,000,000 -55,250,000 20,000,000 -58,000,000 -183,000,000      26,000,000 45,819,000 12,023,000 36,717,000 44,821,000 43,782,000 30,800,750 41,489,000 32,191,000 31,148,000 32,235,000 -34,270,000 9,580,000 33,657,000 34,008,000 32,444,000 5,073,000 32,867,000 36,298,000 32,098,000 28,056,000 29,390,000 30,491,000 24,029,000 
      impairment and (gain) loss on sale of businesses
    		   -24,000,000      -22,000,000    6,000,000          33,000,000 38,000,000                           
      loss per share attributable to community health systems, inc. stockholders:
    		                                                   
      basic
    		   -0.1 -0.845 -2.95    -0.4    -0.01         -0.15 -1.47 -1.04                           
      diluted
    		   -0.1 -0.845 -2.95    -0.4    -0.01         -0.15 -1.47 -1.04                           
      net loss attributable to community health systems, inc. stockholders
    		    -111,500,000 -391,000,000                                              
      other comprehensive income, net of income taxes:
    		                                                   
      net change in fair value of available-for-sale debt securities, net of tax
    		    1 2                                              
      amortization and recognition of unrecognized pension cost components, net of tax
    		    0.5 2                                              
      other comprehensive income
    		    1.5 4                                              
      comprehensive loss
    		    -82 -351                                              
      less: comprehensive income attributable to noncontrolling interests
    		    28 36                                              
      comprehensive loss attributable to community health systems, inc. stockholders
    		    -110 -387                                              
      medicare
    		      471,000,000 608,000,000 628,000,000                                           
      medicare managed care
    		      390,750,000 498,000,000 522,000,000                                           
      medicaid
    		      332,000,000 456,000,000 449,000,000                                           
      managed care and other third-party payors
    		      1,110,250,000 1,479,000,000 1,492,000,000                                           
      self-pay
    		      23,000,000 45,000,000 24,000,000                                           
      total
    		      2,327,000,000 3,086,000,000 3,115,000,000                                           
      effect on income before income taxes
    		      -4,000,000 -6,000,000 -4,000,000                                           
      effect on net income
    		      -3,250,000 -5,000,000 -3,000,000                                           
      operating costs and expenses:
    		                                                   
      pandemic relief funds
    		          -2,000,000 -115,000,000 -8,000,000 -47,000,000 -46,000,000 -19,000,000 -1,000,000 -82,000,000 -153,000,000  -448,000,000                               
      total operating costs and expenses
    		         2,898,000,000 2,913,000,000 2,821,000,000 2,815,000,000 2,841,000,000 2,809,000,000 2,775,000,000 2,693,000,000 2,687,000,000 2,683,000,000 2,841,000,000 2,223,000,000 2,915,000,000 3,062,000,000 3,191,000,000 3,187,000,000  4,415,000,000 4,705,000,000 2,947,907,000 3,121,294,000 3,152,197,000 3,144,921,000 3,124,377,000 2,187,799,500 2,971,236,000 2,519,793,000 2,457,526,000 2,479,998,000 2,279,138,000 2,159,439,000 1,130,553,000 1,085,261,000 1,039,270,000 1,082,675,000 951,948,000 911,223,000 874,479,000 832,977,000 820,166,000 813,144,000 762,409,000 
      income from early extinguishment of debt
    		             5,000,000           31,000,000                           
      gain on sale of equity interests in macon healthcare, llc
    		                                                   
      loss per share attributable to community health systems, inc. common stockholders:
    		                                                   
      basic
    		   -0.1 -0.845 -2.95    -0.4    -0.01         -0.15 -1.47 -1.04                           
      diluted
    		   -0.1 -0.845 -2.95    -0.4    -0.01         -0.15 -1.47 -1.04                           
      government and other legal settlements and related costs
    		                  1,000,000  2,000,000 2,000,000 26,000,000 4,000,000 5,000,000  -41,000,000                         
      gain on sale of investments in unconsolidated affiliates
    		              -6,500,000 -26,000,000                                    
      earnings per share attributable to community health systems, inc. common stockholders:
    		                                                   
      basic
    		0.82 0.97 2.11        3.21 -0.32 -2.52  1.41 0.87 0.04 -0.51 2.69 0.98 0.61 0.15                              
      diluted
    		0.8 0.96 2.09        3.21 -0.32 -2.52  1.36 0.85 0.04 -0.51 2.65 0.97 0.61 0.15                              
      see accompanying notes to the condensed consolidated financial statements.
    		                                                   
      electronic health records incentive reimbursement
    		                          -6,000,000 -18,000,000 -26,168,000                       
      (benefit from) benefit from income taxes
    		                      -74,000,000                             
      operating revenues
    		                          5,168,000,000 5,754,000,000 3,783,491,000                       
      provision for bad debts
    		                          682,000,000 755,000,000 486,456,000 436,689,000 450,296,000 433,002,000 407,871,000 290,650,250 403,077,000 326,213,000 291,045,000 297,080,000 335,515,000 279,604,000 148,661,000 135,699,000 132,047,000 192,439,000 115,704,000 107,591,000 99,983,000 92,980,000 91,582,000 93,994,000 88,401,000 
      rent
    		                          109,000,000 119,000,000 67,224,000 64,699,000 64,481,000 62,431,000 64,757,000 48,029,000 64,465,000 58,842,000 58,479,000 59,857,000 53,229,000 49,060,000 28,244,000 25,996,000 25,986,000 24,490,000 23,646,000 22,982,000 22,393,000 22,328,000 22,012,000 20,828,000 20,951,000 
      income from continuing operations before income taxes
    		                          -176,000,000 63,000,000 145,537,000 67,638,000 132,517,000 137,695,000 134,923,000 94,848,750 126,343,000 83,613,000 80,904,000 83,728,000 -98,780,000 25,850,000 87,420,000 88,332,000 86,059,000 13,314,000 85,236,000 93,552,000 82,941,000 72,122,000 75,540,000 78,183,000 61,678,000 
      income from continuing operations
    		                          -176,000,000 37,000,000 99,718,000 55,615,000 95,800,000 92,874,000 91,141,000 92,249,000 84,854,000 51,422,000 49,756,000 51,493,000 -64,510,000 16,270,000 53,763,000 54,324,000 53,615,000 8,241,000 52,369,000 57,254,000 50,843,000 44,066,000 46,150,000 47,692,000 37,649,000 
      discontinued operations, net of taxes:
    		                                                   
      loss from operations of entities sold or held for sale
    		                          -1,000,000                         
      impairment of hospitals sold or held for sale
    		                                                   
      loss from discontinued operations, net of taxes
    		                          -1,000,000  -466,000 -13,944,000 -3,169,000 -39,327,000                    
      basic earnings per share attributable to community health systems, inc. common stockholders
    		                                                   
      continuing operations
    		                          -1.78 0.11 0.86 0.38 0.87 0.82 0.81 0.76 0.77                 
      discontinued operations
    		                          -0.01 -0.01 -0.01 -0.03 -0.04 -0.43 -0.14                   
      diluted earnings per share attributable to community health systems, inc. common stockholders
    		                                                   
      government settlement and related costs
    		                                                   
      impairment of long-lived assets
    		                           17,000,000                        
      loss on sale
    		                             728,000 -66,000  -3,234,000                   
      basic earnings per share attributable to community
    		                                                   
      health systems, inc. common stockholders:
    		                                                   
      diluted earnings per share attributable to community
    		                                                   
      loss from operations of entities sold
    		                            -466,000                       
      impairment of hospital sold
    		                                                   
      net income attributable to community health systems, inc.
    		                            75,474,000 30,931,000 74,304,000 35,389,000 61,324,000 52,618,250 70,401,000                 
      basic earnings per share attributable to community health systems, inc. common stockholders:
    		                                                   
      diluted earnings per share attributable to community health systems, inc. common stockholders :
    		                                                   
      loss from operations of entities sold and held for sale
    		                             -1,136,500 -3,103,000  -1,214,000                   
      impairment of hospitals sold and held for sale
    		                             -11,982,500                      
      total per share amounts may not add due to rounding.
    		                                                   
      income from operations of entities sold and held for sale
    		                               235,000                    
      impairment of hospitals held for sale
    		                               -39,562,000                    
      basic earnings per share attributable to community health systems, inc. common stockholders :
    		                                                   
      impairment of long-lived assets of hospital held for sale
    		                                -8,368,000                -4,471,000   
      loss from discontinued operations
    		                                -12,816,000                   
      income from operations of hospitals sold and hospitals held for sale
    		                                                   
      loss on sale of hospitals
    		                                          -639,750   -2,559,000 -1,904,500   -7,618,000  
      income from discontinued operations
    		                                                   
      diluted earnings per share attributable to community health systems, inc. common stockholders:
    		                                                   
      minority interest in earnings
    		                                   10,360,000 8,317,000 9,682,000 10,667,000 4,511,000 625,000 193,000 1,126,000 601,000 455,000 613,000 385,000 715,000 1,117,000 887,000 80,000 
      loss from operations of hospitals sold and hospitals held for sale
    		                                   -1,038,000                
      gain on sale of hospitals and partnership interest
    		                                                   
      income on discontinued operations
    		                                   -1,038,000 -1,863,000 8,634,000              
      income from continuing operations per common share:
    		                                                   
      basic
    		                                   550 530 550 332.5 170 570 580 307.5 90 550 590 392.5 500 520 540 390 
      diluted
    		                                   540 520 540 330 170 570 580 305 90 540 580 370 470 490 510 370 
      net income per common share:
    		                                                   
      basic
    		                                   540 510 640 317.5 110 570 580 300 90 550 560 337.5 490 450 410 330 
      diluted
    		                                   530 500 630 312.5 110 570 580 297.5 90 540 550 320 460 430 390 320 
      income from operations of hospitals sold and hospital held for sale
    		                                    -1,854,000               
      gain on sale of hospitals
    		                                    -9,000 9,617,000              
      loss from operations of hospitals sold and hospital held for sale
    		                                     -983,000              
      loss from operations of hospitals held for sale and sale of partnership interest
    		                                      -858,000 -3,382,000            
      loss on sale of hospital and partnership interest
    		                                      -607,000 -2,428,000            
      loss on discontinued operations
    		                                      -23,748,000 -5,810,000      -3,216,000 -2,701,000 -1,180,000 -5,622,000 -11,704,000  
      loss from operations of hospital sold and held for sale
    		                                                   
      loss on sale of hospital
    		                                                   
      loss from operations of hospital sold
    		                                                   
      loss from operations of hospitals sold and held for sale
    		                                          -164,250   -657,000 -1,951,000 -1,180,000 -1,151,000   
      income from operations of hospitals sold or held for sale
    		                                                   
      net loss on sale of hospitals
    		                                                   
      (loss) income on discontinued operations
    		                                                   
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-09-30 2017-06-30 2017-03-31 2016-03-31 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 
                                                                 
        assets
      		                                                           
        current assets:
      		                                                           
        cash and cash equivalents
      		260,000,000 123,000,000 456,000,000 431,000,000 37,000,000 33,000,000 39,000,000 48,000,000 38,000,000 91,000,000 118,000,000 144,000,000 118,000,000 300,000,000 346,000,000 460,000,000 507,000,000 1,294,000,000 1,250,000,000 1,251,000,000 1,676,000,000 1,823,000,000 1,552,000,000 246,000,000 216,000,000 157,000,000 207,000,000 277,000,000 196,000,000 335,000,000 208,000,000 424,000,000 590,000,000 768,000,000 247,000,000 181,000,000 129,298,000 129,865,000 266,312,000 191,432,000 270,716,000 299,169,000 567,749,000  264,072,000 164,353,000 132,874,000 118,855,000 21,357,000 62,878,000 40,566,000 13,444,000 24,157,000 111,951,000 104,108,000 184,280,000 272,364,000 218,447,000 19,952,000 
        patient accounts receivable
      		2,077,000,000 2,159,000,000 2,261,000,000 2,326,000,000 2,286,000,000 2,043,000,000 2,195,000,000 2,194,000,000 2,231,000,000 2,160,000,000 2,043,000,000 2,043,000,000 2,040,000,000 1,969,000,000 2,001,000,000 2,079,000,000 2,062,000,000 2,024,000,000 1,958,000,000 1,961,000,000 1,927,000,000 1,956,000,000 1,925,000,000 2,100,000,000 2,258,000,000 2,269,000,000 2,356,000,000 2,360,000,000 2,352,000,000 2,347,000,000 2,407,000,000 2,453,000,000                            
        supplies
      		322,000,000 325,000,000 326,000,000 328,000,000 331,000,000 311,000,000 337,000,000 329,000,000 328,000,000 325,000,000 333,000,000 345,000,000 353,000,000 355,000,000 356,000,000 353,000,000 355,000,000 341,000,000 337,000,000 336,000,000 335,000,000 337,000,000 337,000,000 354,000,000 354,000,000 376,000,000 378,000,000 397,000,000 402,000,000 424,000,000 432,000,000 442,000,000 445,000,000 438,000,000 458,000,000 587,000,000 354,074,000 346,611,000 336,462,000 342,268,000 329,275,000 329,114,000 313,770,000 267,320,000 266,403,000 264,061,000 262,903,000 274,455,000 121,964,000 113,315,000 113,320,000 106,718,000 102,874,000 94,864,000 95,200,000 90,214,000 88,635,000 86,314,000 85,653,000 
        prepaid income taxes
      		13,000,000  2,000,000  53,000,000 92,000,000 92,000,000 34,000,000 76,000,000 98,000,000 100,000,000 79,000,000 99,000,000 98,000,000 99,000,000 95,000,000 94,000,000 44,000,000 46,000,000 50,000,000 50,000,000 50,000,000 47,000,000 47,000,000 48,000,000 45,000,000  3,000,000 3,000,000 17,000,000 8,000,000 17,000,000 22,000,000 22,000,000 17,000,000 2,000,000 49,769,000 101,389,000   65,030,000 118,464,000 100,868,000   110,160,000 99,417,000             
        prepaid expenses
      		181,000,000                                                           
        other current assets
      		381,000,000 325,000,000 351,000,000 61,000,000 358,000,000 402,000,000 292,000,000 307,000,000 275,000,000 325,000,000 339,000,000 227,000,000 235,000,000 301,000,000 264,000,000 272,000,000 269,000,000 285,000,000 284,000,000 316,000,000 338,000,000 360,000,000 374,000,000 425,000,000 358,000,000 341,000,000 366,000,000 361,000,000 400,000,000 410,000,000 422,000,000 449,000,000 526,000,000 678,000,000 671,000,000 545,000,000 328,847,000 231,647,000 225,737,000 175,109,000 176,545,000 193,331,000 171,906,000 197,787,000 191,226,000 244,567,000 339,826,000 233,338,000 62,933,000 49,354,000 47,880,000 55,287,000 49,608,000 53,455,000 21,367,000 19,903,000 16,253,000 15,132,000 19,642,000 
        total current assets
      		3,234,000,000 3,198,000,000 3,659,000,000 3,407,000,000 3,301,000,000 3,108,000,000 3,199,000,000 3,175,000,000 3,208,000,000 3,248,000,000 3,192,000,000 3,114,000,000 3,082,000,000 3,269,000,000 3,329,000,000 3,488,000,000 3,479,000,000 4,177,000,000 4,053,000,000 4,104,000,000 4,510,000,000 4,692,000,000 4,413,000,000 3,360,000,000 3,427,000,000 3,382,000,000 3,484,000,000 3,595,000,000 3,549,000,000 3,724,000,000 3,694,000,000 3,993,000,000 4,678,000,000 5,055,000,000 4,775,000,000 5,256,000,000 3,100,476,000 2,846,089,000 2,836,528,000 2,734,490,000 2,835,993,000 2,871,193,000 2,983,970,000 2,652,151,000 2,503,658,000 2,606,392,000 2,552,898,000 2,709,784,000 1,132,313,000 1,092,005,000 1,021,384,000 961,960,000 939,643,000 995,910,000 914,209,000 960,791,000 1,021,549,000 956,194,000 738,186,000 
        property and equipment
      		8,912,000,000 9,064,000,000 9,022,000,000 9,200,000,000 9,160,000,000 9,094,000,000 9,594,000,000 9,607,000,000 9,511,000,000 9,367,000,000 9,527,000,000 9,560,000,000 9,639,000,000 9,727,000,000 9,759,000,000 9,779,000,000 9,757,000,000 9,536,000,000 9,410,000,000 9,396,000,000 9,352,000,000 9,293,000,000 9,328,000,000 9,618,000,000 9,653,000,000 10,198,000,000 10,120,000,000 10,331,000,000 10,301,000,000 10,986,000,000 11,148,000,000 11,402,000,000 11,552,000,000 11,397,000,000 11,824,000,000 15,084,000,000 9,640,636,000 6,855,976,000 8,963,658,000 8,798,266,000 8,663,963,000 6,457,466,000 8,135,499,000 6,861,907,000 6,639,690,000 6,230,360,000 5,512,574,000 6,670,291,000 2,809,988,000 2,667,923,000 1,986,577,000 2,451,738,000 2,335,763,000 2,175,228,000 1,610,991,000 1,984,274,000 1,945,942,000 1,916,690,000 1,890,735,000 
        land and improvements
      		399,000,000    427,000,000    474,000,000    497,000,000    534,000,000    515,000,000    560,000,000    597,000,000         591,457,000    547,201,000     460,501,000    163,988,000    121,637,000     
        buildings and improvements
      		5,453,000,000    5,658,000,000    5,951,000,000    6,038,000,000    6,050,000,000    5,749,000,000    5,878,000,000    6,228,000,000         5,715,066,000    5,214,091,000     4,134,654,000    1,634,893,000    1,307,978,000     
        equipment and fixtures
      		3,060,000,000    3,075,000,000    3,086,000,000    3,104,000,000    3,173,000,000    3,088,000,000    3,215,000,000    3,476,000,000         3,063,005,000    2,802,920,000     1,606,756,000    831,485,000    699,024,000     
        less accumulated depreciation and amortization
      		-4,409,000,000 -4,444,000,000 -4,365,000,000 -4,458,000,000 -4,384,000,000 -4,130,000,000 -4,372,000,000 -4,388,000,000 -4,304,000,000 -4,207,000,000 -4,277,000,000 -4,305,000,000 -4,274,000,000 -4,277,000,000 -4,220,000,000 -4,223,000,000 -4,204,000,000 -4,168,000,000 -4,085,000,000 -4,091,000,000 -4,030,000,000 -4,003,000,000 -4,019,000,000 -4,096,000,000 -4,045,000,000 -4,267,000,000 -4,186,000,000 -4,245,000,000 -4,162,000,000 -4,416,000,000 -4,399,000,000 -4,431,000,000 -4,221,000,000 -4,085,000,000 -4,185,000,000 -4,980,000,000 -2,638,773,000 -2,513,552,000 -2,389,718,000 -2,291,842,000 -2,217,546,000 -2,106,746,000 -1,991,929,000 -1,117,441,000 -1,017,936,000 -791,963,000 -689,337,000 -792,871,000 -720,846,000 -682,220,000 -643,789,000 -605,600,000 -578,545,000 -547,770,000 -517,648,000 -484,584,000 -461,473,000 -439,455,000  
        goodwill
      		3,316,000,000 3,540,000,000 3,604,000,000 3,785,000,000 3,789,000,000 3,940,000,000 3,972,000,000 3,957,000,000 3,958,000,000 3,943,000,000 4,054,000,000 4,051,000,000 4,166,000,000 4,201,000,000 4,224,000,000 4,219,000,000 4,219,000,000 4,219,000,000 4,219,000,000 4,219,000,000 4,219,000,000 4,220,000,000 4,225,000,000 4,322,000,000 4,328,000,000 4,495,000,000 4,494,000,000 4,553,000,000 4,559,000,000 4,631,000,000 4,653,000,000 4,704,000,000 6,148,000,000 6,165,000,000 6,327,000,000 9,022,000,000 4,367,841,000 4,264,845,000 4,232,913,000 4,227,970,000 4,225,768,000 4,199,905,000 4,174,040,000 4,151,487,000 4,165,041,000 4,375,293,000 4,247,714,000 4,046,813,000 1,344,956,000 1,332,422,000 1,336,525,000 1,381,137,000 1,316,939,000 1,267,557,000 1,259,816,000 1,236,623,000 1,217,513,000 1,205,120,000 1,213,479,000 
        deferred income taxes
      		50,000,000 75,000,000 13,000,000 13,000,000 13,000,000 29,000,000 29,000,000 29,000,000 29,000,000 49,000,000 49,000,000 49,000,000 49,000,000 53,000,000 53,000,000 53,000,000 53,000,000 59,000,000 59,000,000 59,000,000 59,000,000 88,000,000 107,000,000 50,000,000 38,000,000 94,000,000 57,000,000 66,000,000 69,000,000 39,000,000 101,000,000 64,000,000 319,000,000 396,000,000 415,000,000 599,000,000 89,797,000 89,797,000 115,819,000 115,819,000 115,819,000 115,819,000 78,621,000 111,101,000 88,531,000 113,741,000 113,741,000 53,157,000 13,249,000 13,249,000 13,249,000 4,128,000 4,128,000 4,128,000 4,128,000 1,301,000 1,301,000 1,301,000 669,000 
        other assets, net of accumulated amortization of 1,317 and 1,501 at december 31, 2025 and 2024, respectively
      		2,101,000,000                                                           
        total assets
      		13,204,000,000 13,239,000,000 13,641,000,000 13,890,000,000 14,054,000,000 13,905,000,000 14,411,000,000 14,417,000,000 14,455,000,000 14,674,000,000 14,648,000,000 14,623,000,000 14,669,000,000 14,914,000,000 15,058,000,000 15,263,000,000 15,217,000,000 15,670,000,000 15,528,000,000 15,592,000,000 16,006,000,000 16,516,000,000 16,415,000,000 15,445,000,000 15,609,000,000 15,895,000,000 16,132,000,000 16,309,000,000 15,859,000,000 16,469,000,000 16,794,000,000 17,311,000,000 19,735,000,000 20,873,000,000 21,660,000,000 26,724,000,000 15,846,416,000 15,208,840,000 14,847,922,000 14,825,415,000 14,718,279,000 14,698,123,000 14,419,493,000 13,587,404,000 13,359,508,000 13,332,349,000 13,493,643,000 13,438,697,000 4,793,111,000 4,608,916,000 4,506,579,000 4,343,613,000 4,178,660,000 4,049,289,000 3,934,218,000 3,844,083,000 3,848,171,000 3,761,115,000 3,534,695,000 
        liabilities and stockholders’ deficit
      		                                                           
        current liabilities:
      		                                                           
        current maturities of long-term debt
      		16,000,000 16,000,000 23,000,000 29,000,000 20,000,000 20,000,000 27,000,000 34,000,000 21,000,000 22,000,000 30,000,000 39,000,000 21,000,000 21,000,000 32,000,000 43,000,000 31,000,000 35,000,000 27,000,000 20,000,000 123,000,000 19,000,000 30,000,000 30,000,000 20,000,000 318,000,000 206,000,000 205,000,000 204,000,000 35,000,000 41,000,000 37,000,000 40,000,000 46,000,000 558,000,000 249,000,000 75,388,000 63,706,000 61,066,000 70,112,000 65,952,000 63,139,000 60,654,000 19,647,000 24,279,000 19,476,000 20,710,000 79,346,000 25,757,000 23,058,000 35,396,000 28,384,000 20,621,000 19,284,000 19,124,000 22,790,000 22,831,000 25,040,000 20,687,000 
        current operating lease liabilities
      		110,000,000 110,000,000 112,000,000 112,000,000 115,000,000 113,000,000 114,000,000 115,000,000 124,000,000 121,000,000 134,000,000 138,000,000 148,000,000 151,000,000 153,000,000 149,000,000 147,000,000 142,000,000 134,000,000 131,000,000 142,000,000 131,000,000 135,000,000 132,000,000 136,000,000 137,000,000 133,000,000 143,000,000                                
        accounts payable
      		842,000,000 894,000,000 970,000,000 974,000,000 913,000,000 842,000,000 896,000,000 941,000,000 912,000,000 837,000,000 736,000,000 712,000,000 773,000,000 820,000,000 832,000,000 825,000,000 830,000,000 763,000,000 681,000,000 730,000,000 783,000,000 710,000,000 677,000,000 727,000,000 811,000,000 743,000,000 812,000,000 863,000,000 887,000,000 816,000,000 839,000,000 892,000,000 850,000,000 917,000,000 988,000,000 1,179,000,000 822,247,000 748,997,000 636,327,000 583,924,000 547,683,000 526,338,000 516,152,000 477,064,000 438,518,000 461,437,000 492,693,000 505,700,000 257,730,000 239,889,000 247,747,000 210,839,000 197,010,000 158,190,000 189,940,000 154,725,000 147,396,000 151,703,000 147,011,000 
        accrued liabilities:
      		                                                           
        employee compensation
      		569,000,000 468,000,000 486,000,000 478,000,000 596,000,000 460,000,000 499,000,000 504,000,000 571,000,000 513,000,000 560,000,000 596,000,000 637,000,000 601,000,000 624,000,000 697,000,000 655,000,000 687,000,000 600,000,000 667,000,000 637,000,000 580,000,000 492,000,000 593,000,000 594,000,000 592,000,000 549,000,000 628,000,000 627,000,000 630,000,000 592,000,000 668,000,000      620,508,000    596,026,000     403,598,000    162,188,000    121,775,000     
        accrued interest
      		238,000,000 209,000,000 219,000,000 198,000,000 222,000,000 198,000,000 258,000,000 207,000,000 160,000,000 184,000,000 189,000,000 184,000,000 189,000,000 218,000,000 221,000,000 186,000,000 225,000,000 198,000,000 264,000,000 159,000,000 150,000,000 180,000,000 211,000,000 180,000,000 189,000,000 145,000,000 388,000,000 250,000,000 206,000,000 258,000,000 174,000,000 231,000,000 238,000,000 236,000,000 145,000,000 158,000,000 101,156,000  83,984,000 145,146,000 84,502,000  82,056,000 82,849,000 147,451,000 90,442,000  93,154,000 8,375,000 11,675,000  12,700,000 6,877,000 11,062,000  16,158,000 7,782,000 15,906,000 13,618,000 
        other
      		433,000,000 478,000,000 485,000,000 483,000,000 479,000,000 493,000,000 378,000,000 335,000,000 354,000,000 472,000,000 427,000,000 463,000,000 418,000,000 572,000,000 433,000,000 447,000,000 476,000,000 1,265,000,000 1,163,000,000 1,003,000,000 980,000,000 2,009,000,000 1,877,000,000 503,000,000 532,000,000 420,000,000 415,000,000 419,000,000 468,000,000 740,000,000 416,000,000 435,000,000      367,807,000    301,240,000     377,102,000    115,204,000    78,162,000     
        total current liabilities
      		2,208,000,000 2,178,000,000 2,295,000,000 2,370,000,000 2,345,000,000 2,126,000,000 2,172,000,000 2,136,000,000 2,142,000,000 2,149,000,000 2,076,000,000 2,132,000,000 2,186,000,000 2,383,000,000 2,295,000,000 2,347,000,000 2,364,000,000 3,090,000,000 2,869,000,000 2,710,000,000 2,815,000,000 3,629,000,000 3,422,000,000 2,165,000,000 2,282,000,000 2,355,000,000 2,503,000,000 2,508,000,000 2,392,000,000 2,479,000,000 2,062,000,000 2,263,000,000 2,277,000,000 2,378,000,000 2,996,000,000 3,054,000,000 1,996,409,000 1,911,139,000 1,703,160,000 1,662,742,000 1,605,829,000 1,642,040,000 1,580,004,000 1,428,883,000 1,313,878,000 1,302,626,000 1,447,935,000 1,389,508,000 611,024,000 590,716,000 575,283,000 546,815,000 533,786,000 472,596,000 437,403,000 440,334,000 436,028,000 422,816,000 419,606,000 
        long-term debt
      		10,380,000,000 10,589,000,000 10,840,000,000 11,303,000,000 11,432,000,000 11,467,000,000 11,504,000,000 11,533,000,000 11,466,000,000 11,820,000,000 11,728,000,000 11,696,000,000 11,614,000,000 11,943,000,000 12,183,000,000 12,154,000,000 12,109,000,000 11,976,000,000 11,926,000,000 11,897,000,000 12,093,000,000 12,860,000,000 13,106,000,000 13,525,000,000 13,385,000,000 13,286,000,000 13,393,000,000 13,385,000,000 13,392,000,000 13,535,000,000 13,673,000,000 13,855,000,000 13,901,000,000 14,702,000,000 14,687,000,000 16,665,000,000 9,243,616,000 8,782,798,000 8,768,677,000 8,781,443,000 8,794,146,000 8,808,382,000 8,816,223,000 8,888,782,000 8,889,915,000 8,886,355,000 9,077,367,000 9,083,383,000 1,974,240,000 1,900,849,000 1,905,781,000 1,786,358,000 1,656,983,000 1,516,269,000 1,648,500,000 1,787,293,000 1,791,221,000 1,794,912,000 1,760,518,000 
        long-term operating lease liabilities
      		537,000,000 527,000,000 514,000,000 535,000,000 535,000,000 528,000,000 542,000,000 546,000,000 563,000,000 560,000,000 580,000,000 588,000,000 605,000,000 563,000,000 569,000,000 578,000,000 535,000,000 538,000,000 515,000,000 528,000,000 524,000,000 523,000,000 508,000,000 514,000,000 487,000,000 497,000,000 479,000,000 495,000,000                                
        other long-term liabilities
      		891,000,000 866,000,000 850,000,000 806,000,000 828,000,000 815,000,000 721,000,000 726,000,000 739,000,000 694,000,000 722,000,000 647,000,000 644,000,000 726,000,000 759,000,000 790,000,000 827,000,000 914,000,000 1,190,000,000 1,475,000,000 1,599,000,000 951,000,000 913,000,000 846,000,000 894,000,000 998,000,000 987,000,000 977,000,000 1,008,000,000 1,051,000,000 1,329,000,000 1,352,000,000 1,399,000,000 1,456,000,000 1,469,000,000 1,723,000,000 986,022,000 949,990,000 975,163,000 1,026,069,000 952,406,000 1,001,675,000 1,038,229,000 617,350,000 571,085,000 679,722,000 483,459,000 416,530,000 205,408,000 195,429,000 160,370,000 144,221,000 132,013,000 139,818,000 126,159,000 123,357,000 115,540,000 99,717,000 58,468,000 
        total liabilities
      		14,041,000,000 14,190,000,000 14,739,000,000 15,219,000,000 15,371,000,000 15,175,000,000 15,290,000,000 15,295,000,000 15,279,000,000 15,567,000,000 15,468,000,000 15,414,000,000 15,403,000,000 16,092,000,000 16,216,000,000 16,082,000,000 16,027,000,000 16,670,000,000 16,646,000,000 16,706,000,000 17,060,000,000 17,992,000,000 17,978,000,000 17,079,000,000 17,248,000,000 17,162,000,000 17,388,000,000 17,394,000,000 16,818,000,000 17,104,000,000 17,083,000,000 17,489,000,000 17,896,000,000 18,932,000,000 19,567,000,000 22,041,000,000 12,930,772,000 12,348,652,000 12,055,177,000 12,078,431,000 11,960,558,000 12,060,274,000 11,909,204,000                 
        redeemable noncontrolling interests in equity of consolidated subsidiaries
      		322,000,000 323,000,000 314,000,000 364,000,000 359,000,000 322,000,000 324,000,000 329,000,000 323,000,000 329,000,000 583,000,000 561,000,000 541,000,000 516,000,000 498,000,000 493,000,000 480,000,000 493,000,000 498,000,000 481,000,000 484,000,000 481,000,000 489,000,000 502,000,000 502,000,000 498,000,000 503,000,000 505,000,000 504,000,000 495,000,000 514,000,000 523,000,000 530,000,000 548,000,000 552,000,000 565,000,000 363,540,000 395,743,000 383,745,000 376,658,000 385,438,000 387,472,000 384,056,000                 
        commitments and contingencies
      		                                                           
        stockholders’ deficit
      		                                                           
        community health systems, inc. stockholders’ deficit:
      		                                                           
        preferred stock, .01 par value per share...
      		                                                           
        common stock, .01 par value per share...
      		1,000,000   1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000  1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 919,000 915,000 918,000 932,000 949,000 936,000 937,000 967,000 969,000 972,000 966,000 966,000 959,000 957,000 950,000 961,000 958,000 994,000 945,000 895,000 912,000 901,000 882,000 
        additional paid-in capital
      		2,185,000,000 2,183,000,000 2,184,000,000 2,176,000,000 2,175,000,000 2,194,000,000 2,190,000,000 2,192,000,000 2,185,000,000 2,170,000,000 2,049,000,000 2,054,000,000 2,084,000,000 2,091,000,000 2,090,000,000 2,107,000,000 2,118,000,000 2,092,000,000 2,084,000,000 2,105,000,000 2,094,000,000 2,005,000,000 2,008,000,000 2,001,000,000 2,008,000,000 2,004,000,000 2,002,000,000 2,007,000,000 2,017,000,000 2,011,000,000 2,013,000,000 2,014,000,000 2,002,000,000 1,984,000,000 1,980,000,000 1,952,000,000 1,089,447,000 1,086,008,000 1,084,415,000 1,119,205,000 1,149,002,000 1,126,751,000 1,126,498,000 1,258,637,000 1,251,746,000 1,247,241,000 1,240,308,000 1,227,623,000 1,215,321,000 1,202,476,000 1,195,947,000 1,226,854,000 1,215,495,000 1,334,789,000 1,208,930,000 1,046,198,000 1,109,052,000 1,085,441,000 1,037,196,000 
        accumulated other comprehensive loss
      		-9,000,000 -5,000,000 -5,000,000 -7,000,000 -10,000,000 -8,000,000 -13,000,000 -16,000,000 -14,000,000 -23,000,000 -19,000,000 -18,000,000 -21,000,000 -33,000,000 -27,000,000 -22,000,000 -14,000,000 -14,000,000 -15,000,000 -16,000,000 -13,000,000 -5,000,000 -5,000,000  -9,000,000   -10,000,000 -10,000,000 -8,000,000 -9,000,000 -16,000,000 -45,000,000 -53,000,000 -54,000,000 -89,000,000 -170,136,000 -184,479,000 -201,051,000 -200,533,000 -192,640,000 -230,927,000 -288,660,000 -93,367,000                
        accumulated deficit
      		-3,571,000,000 -3,681,000,000 -3,811,000,000 -4,093,000,000 -4,080,000,000 -4,010,000,000 -3,619,000,000 -3,605,000,000 -3,564,000,000 -3,611,000,000 -3,520,000,000 -3,482,000,000 -3,431,000,000 -3,845,000,000 -3,804,000,000 -3,478,000,000 -3,477,000,000 -3,655,000,000 -3,765,000,000 -3,771,000,000 -3,707,000,000 -4,018,000,000 -4,131,000,000 -4,200,000,000 -4,218,000,000 -3,845,000,000 -3,828,000,000 -3,661,000,000 -3,543,000,000 -3,209,000,000 -2,884,000,000 -2,774,000,000 -745,000,000 -634,000,000 -498,000,000                         
        total community health systems, inc. stockholders’ deficit
      		-1,394,000,000 -1,502,000,000 -1,631,000,000 -1,923,000,000 -1,914,000,000 -1,823,000,000 -1,441,000,000 -1,428,000,000 -1,392,000,000 -1,463,000,000 -1,489,000,000 -1,445,000,000 -1,367,000,000 -1,786,000,000 -1,740,000,000 -1,392,000,000 -1,372,000,000 -1,576,000,000 -1,695,000,000 -1,681,000,000 -1,625,000,000 -2,017,000,000 -2,127,000,000 -2,205,000,000 -2,218,000,000 -1,848,000,000 -1,833,000,000 -1,663,000,000 -1,535,000,000 -1,205,000,000 -879,000,000 -775,000,000                            
        noncontrolling interests in equity of consolidated subsidiaries
      		235,000,000 228,000,000 219,000,000 230,000,000 238,000,000 231,000,000 238,000,000 221,000,000 245,000,000 241,000,000 86,000,000 93,000,000 92,000,000 92,000,000 84,000,000 80,000,000 82,000,000 83,000,000 79,000,000 86,000,000 87,000,000 60,000,000 75,000,000 69,000,000 77,000,000 83,000,000 74,000,000 73,000,000 72,000,000 75,000,000 76,000,000 74,000,000 96,000,000 95,000,000 112,000,000 115,000,000 61,748,000 67,349,000 60,997,000 61,305,000 60,944,000 60,913,000 64,264,000                 
        total stockholders’ deficit
      		-1,159,000,000 -1,274,000,000 -1,412,000,000 -1,693,000,000 -1,676,000,000 -1,592,000,000 -1,203,000,000 -1,207,000,000 -1,147,000,000 -1,222,000,000 -1,403,000,000 -1,352,000,000 -1,275,000,000 -1,694,000,000 -1,656,000,000 -1,312,000,000 -1,290,000,000 -1,493,000,000 -1,616,000,000 -1,595,000,000 -1,538,000,000 -1,957,000,000 -2,052,000,000 -2,136,000,000 -2,141,000,000 -1,765,000,000 -1,759,000,000 -1,590,000,000 -1,463,000,000 -1,130,000,000 -803,000,000 -701,000,000                            
        total liabilities and stockholders’ deficit
      		13,204,000,000 13,239,000,000 13,641,000,000 13,890,000,000 14,054,000,000 13,905,000,000 14,411,000,000 14,417,000,000 14,455,000,000 14,674,000,000 14,648,000,000 14,623,000,000 14,669,000,000 14,914,000,000 15,058,000,000 15,263,000,000 15,217,000,000 15,670,000,000 15,528,000,000 15,592,000,000 16,006,000,000 16,516,000,000 16,415,000,000 15,445,000,000 15,609,000,000 15,895,000,000 16,132,000,000 16,309,000,000 15,859,000,000 16,469,000,000 16,794,000,000 17,311,000,000                            
        prepaid expenses and taxes
      		 266,000,000 263,000,000 261,000,000 236,000,000 227,000,000 244,000,000 263,000,000 260,000,000 249,000,000 259,000,000 276,000,000 237,000,000 246,000,000 263,000,000 229,000,000 192,000,000 189,000,000 178,000,000 190,000,000 184,000,000 166,000,000 178,000,000 188,000,000 193,000,000 194,000,000 177,000,000 197,000,000 196,000,000 191,000,000 217,000,000 208,000,000 207,000,000 210,000,000 218,000,000 218,000,000 129,154,000 112,613,000 119,073,000 117,458,000 112,486,000 100,754,000 99,650,000 91,239,000 89,724,000 83,852,000 70,339,000 200,374,000 36,287,000 35,712,000 32,385,000 36,845,000 31,188,000 32,445,000 33,377,000 36,532,000 29,653,000 29,760,000 35,029,000 
        other assets
      		 1,806,000,000 1,708,000,000 1,943,000,000  1,864,000,000 1,989,000,000 2,037,000,000  2,274,000,000 2,103,000,000 2,154,000,000  1,941,000,000 1,913,000,000 1,947,000,000  1,847,000,000 1,872,000,000 1,905,000,000  2,226,000,000 2,361,000,000 2,191,000,000  1,993,000,000 2,163,000,000 2,009,000,000  1,544,000,000 1,597,000,000 1,579,000,000 1,578,000,000 2,341,000,000 2,919,000,000 2,342,000,000 1,376,236,000  1,204,541,000 1,356,531,000 1,210,101,000  1,117,913,000 1,039,300,000 1,069,055,000 912,267,000  804,680,000 226,700,000 198,786,000  154,378,000 164,860,000 158,364,000  146,979,000 124,640,000 122,566,000 104,283,000 
        income tax payable
      		 3,000,000  96,000,000                                                        
        preferred stock, 0.01 par value per share...
      		                                                           
        common stock, 0.01 par value per share...
      		 1,000,000 1,000,000                                                         
        other assets, net of accumulated amortization of 1,501 and 1,518 at december 31, 2024 and 2023, respectively
      		    2,175,000,000                                                       
        other assets, net of accumulated amortization of 1,518 and 1,392 at december 31, 2023 and 2022, respectively
      		        2,053,000,000                                                   
        other assets, net of accumulated amortization of 1,392 and 1,216 at december 31, 2022 and 2021, respectively
      		            2,007,000,000                                               
        other assets, net of accumulated amortization of 1,216 and 1,118 at december 31, 2021 and 2020, respectively
      		                1,913,000,000                                           
        other assets, net of accumulated amortization of 1,118 and 981 at december 31, 2020 and 2019, respectively
      		                    1,896,000,000                                       
        preferred stock,.01 par value per share...
      		                                                           
        common stock,.01 par value per share...
      		                       1,000,000                                    
        see accompanying notes to the condensed consolidated financial statements.
      		                                                           
        other assets, net of accumulated amortization of 981 and 939 at december 31, 2019 and 2018, respectively
      		                        2,208,000,000                                   
        other assets, net of accumulated amortization of 939 and 883 at december 31, 2018 and 2017, respectively
      		                            1,543,000,000                               
        patient accounts receivable, net of allowance for doubtful accounts of 3,538 and 3,773 at september 30, 2017 and december 31, 2016, respectively
      		                                2,888,000,000                           
        liabilities and equity
      		                                                           
        accrued liabilities
      		                                1,149,000,000 1,179,000,000 1,305,000,000 1,468,000,000 997,618,000  895,196,000 854,329,000 898,810,000  892,620,000 811,011,000 691,406,000 731,271,000  711,308,000 270,152,000 290,570,000  294,892,000 258,989,000 252,238,000  223,377,000 229,598,000 206,200,000 197,945,000 
        equity
      		                                                           
        community health systems, inc. stockholders’ equity:
      		                                                           
        total community health systems, inc. stockholders’ equity
      		                                1,213,000,000 1,298,000,000 1,429,000,000 4,003,000,000 2,490,356,000 2,397,096,000 2,348,003,000 2,309,021,000 2,311,339,000 2,189,464,000 2,061,969,000                 
        total equity
      		                                1,309,000,000 1,393,000,000 1,541,000,000 4,118,000,000 2,552,104,000 2,464,445,000 2,409,000,000 2,370,326,000 2,372,283,000 2,250,377,000 2,126,233,000                 
        total liabilities and equity
      		                                19,735,000,000 20,873,000,000 21,660,000,000 26,724,000,000 15,846,416,000 15,208,840,000 14,847,922,000 14,825,415,000 14,718,279,000 14,698,123,000 14,419,493,000                 
        patient accounts receivable, net of allowance for doubtful accounts of 3,620 and 3,773 at june 30, 2017 and december 31, 2016, respectively
      		                                 2,939,000,000                          
        patient accounts receivable, net of allowance for doubtful accounts of 3,729 and 3,773 at march 31, 2017 and december 31, 2016, respectively
      		                                  3,164,000,000                         
        patient accounts receivable, net of allowance for doubtful accounts of 4,051 and 4,110 at march 31, 2016 and december 31, 2015, respectively
      		                                   3,723,000,000                        
        treasury stock
      		                                    -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000 -6,678,000  
        retained earnings
      		                                   2,146,000,000 1,576,804,000 1,501,330,000 1,470,399,000 1,396,095,000 1,360,706,000 1,299,382,000 1,229,872,000 716,349,000 665,965,000 618,072,000 557,945,000 646,203,000 635,743,000 581,980,000 527,656,000 474,041,000 465,800,000 413,431,000 359,393,000 311,251,000 268,365,000 227,837,000  
        current assets
      		                                                           
        patient accounts receivable, net of allowance for doubtful accounts of 1,996,090 and 1,891,334 at march 31, 2012 and december 31, 2011, respectively
      		                                    2,019,537,000                       
        current liabilities
      		                                                           
        community health systems, inc. stockholders’ equity
      		                                                           
        patient accounts receivable, net of allowance for doubtful accounts of 1,891,334 and 1,639,198 at december 31, 2011 and december 31, 2010, respectively
      		                                     1,834,167,000                      
        property and equipment:
      		                                                           
        property and equipment: - sum
      		                                     9,369,528,000    8,564,212,000     6,201,911,000    2,630,366,000    2,128,639,000     
        other assets, net of accumulated amortization of 313,028 and 258,547 at december 31, 2011 and december 31, 2010, respectively
      		                                     1,241,930,000                      
        interest
      		                                     110,121,000    146,415,000     153,832,000    7,122,000    8,591,000     
        patient accounts receivable, net of allowance for doubtful accounts of 1,840,003 and 1,639,198 at september 30, 2011 and december 31, 2010, respectively
      		                                      1,773,125,000                     
        current income tax payable
      		                                      17,705,000 349,000                    
        patient accounts receivable, net of allowance for doubtful accounts of 1,793,404 and 1,639,198 at june 30, 2011 and december 31, 2010, respectively
      		                                       1,792,404,000                    
        patient accounts receivable, net of allowance for doubtful accounts of 1,699,935 and 1,639,198 at march 31, 2011 and december 31, 2010, respectively
      		                                        1,766,122,000                   
        patient accounts receivable, net of allowance for doubtful accounts of 1,639,198
      		                                                           
        and 1,417,188 at december 31, 2010 and december 31, 2009, respectively
      		                                         1,714,542,000                  
        other assets, net of accumulated amortization of 258,547 and 197,880 in 2010 and 2009, respectively
      		                                         1,169,559,000                  
        patient accounts receivable, net of allowance for doubtful accounts of 1,554,149 and 1,417,188 at september 30, 2010 and december 31, 2009, respectively
      		                                          1,651,406,000                 
        current assets cash and cash equivalents
      		                                           341,884,000                
        patient accounts receivable, net of allowance for doubtful accounts of 1,109,283 and 1,033,516 at september 30, 2008, and december 31, 2007, respectively
      		                                           1,642,820,000                
        liabilities and stockholders’ equity
      		                                                           
        current income taxes payable
      		                                           38,312,000 12,224,000    49,010,000 25,524,000 7,626,000  50,289,000 31,822,000 19,811,000 21,983,000 27,120,000 22,666,000 39,676,000 
        minority interests in equity of consolidated subsidiaries
      		                                           343,472,000 320,587,000 384,129,000 366,131,000 372,954,000            
        stockholders’ equity
      		                                                           
        total stockholders’ equity
      		                                           1,875,908,000 1,834,109,000 1,671,570,000 1,710,804,000 1,846,913,000 1,860,967,000 1,780,450,000 1,723,673,000 1,708,640,000 1,698,299,000 1,763,027,000 1,564,577,000 1,350,839,000 1,363,122,000 1,301,410,000 1,185,762,000 
        total liabilities and stockholders’ equity
      		                                           13,587,404,000 13,359,508,000 13,332,349,000 13,493,643,000 13,438,697,000 4,793,111,000 4,608,916,000 4,506,579,000 4,343,613,000 4,178,660,000 4,049,289,000 3,934,218,000 3,844,083,000 3,848,171,000 3,761,115,000 3,534,695,000 
        patient accounts receivable, net of allowance for doubtful accounts of 1,052,811 and 1,033,516 at june 30, 2008, and december 31, 2007, respectively
      		                                            1,603,702,000               
        accumulated other comprehensive income
      		                                            -77,893,000 -188,037,000 -81,737,000 -21,201,000 15,622,000 1,715,000 5,798,000 13,462,000 22,724,000 20,491,000 15,191,000 13,864,000 7,648,000 11,573,000 2,742,000 
        patient accounts receivable, net of allowance for doubtful accounts of 1,036,766 and 1,033,516 at march 31, 2008, and december 31, 2007, respectively
      		                                             1,625,658,000              
        patient accounts receivable, net of allowance for doubtful accounts of 1,033,516 and 478,565 in 2007 and 2006, respectively
      		                                              1,533,798,000             
        other assets, net of accumulated amortization of 100,556 and 92,921 in 2007 and 2006, respectively
      		                                              1,180,457,000             
        stockholders’ equity:
      		                                                           
        unearned stock compensation
      		                                                      -13,204,000 -14,691,000 -16,177,000 -17,664,000  
        patient accounts receivable, net of allowance for doubtful accounts of 1,001,570 and 478,565 at september 30, 2007, and december 31, 2006, respectively
      		                                               1,829,605,000            
        patient accounts receivable, net of allowance for doubtful accounts of 498,473 and 478,565 at june 30, 2007, and december 31, 2006, respectively
      		                                                876,523,000           
        patient accounts receivable, net of allowance for doubtful accounts of 497,354 and 478,565 at march 31, 2007, and december 31, 2006, respectively
      		                                                 817,497,000          
        patient accounts receivable, net of allowance for doubtful accounts of 478,565 and 346,024 in 2006 and 2005, respectively
      		                                                  773,984,000         
        other assets, net of accumulated amortization of 92,921 and 78,599 in 2006 and 2005, respectively
      		                                                  162,093,000         
        patient accounts receivable, net of allowance for doubtful accounts of 460,926 and 346,024 at september 30, 2006, and december 31, 2005, respectively
      		                                                   745,538,000        
        unearned stock-based compensation
      		                                                           
        patient accounts receivable, net of allowance for doubtful accounts of 350,776 and 346,024 at june 30, 2006, and december 31, 2005, respectively
      		                                                    727,688,000       
        patient accounts receivable, net of allowance for doubtful accounts of 340,847 and 346,024 at march 31, 2006 and december 31, 2005, respectively
      		                                                     699,067,000      
        patient accounts receivable, net of allowance for doubtful accounts of 346,024 and 286,094 in 2005 and 2004, respectively
      		                                                      656,029,000     
        other assets, net of accumulated amortization of 78,599 and 71,017 in 2005 and 2004, respectively
      		                                                      149,202,000     
        patient accounts receivable, net of allowance for doubtful accounts of 332,286 and 286,094 at september 30, 2005 and december 31, 2004, respectively
      		                                                       629,862,000    
        patient accounts receivable, net of allowance for doubtful accounts of 300,313 and 286,094 at june 30, 2005 and december 31, 2004, respectively
      		                                                        614,644,000   
        patient accounts receivable, net of allowance for doubtful accounts of 296,358 and 286,094 at march 31, 2005 and december 31, 2004, respectively
      		                                                         606,541,000  
        patient accounts receivable, net of allowance for doubtful accounts of 282,320 and 103,677 at september 30, 2004 and december 31, 2003, respectively
      		                                                          577,910,000 
        accumulated earnings
      		                                                          151,620,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-09-30 2017-06-30 2017-03-31 2016-03-31 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 
                                                                 
          cash flows from operating activities:
        		                                                         
          net income
        		160,000,000 171,000,000 320,000,000 25,000,000        -20,000,000 446,000,000 1,000,000 -298,000,000 30,000,000 222,000,000 144,000,000 37,000,000 -35,000,000 257,000,000 128,000,000 92,000,000 34,000,000 -346,000,000 2,000,000   -299,000,000 -307,000,000   -91,000,000 -122,000,000 -177,000,000 36,000,000 99,252,000 53,120,000 92,631,000 53,547,000 78,325,000 92,249,000 50,384,000 47,893,000 60,127,000 -88,258,000 10,460,000 53,763,000 54,324,000 53,615,000 8,241,000 52,369,000 54,038,000 48,142,000 42,886,000 40,528,000 35,988,000 
          adjustments to reconcile net income to net cash from operating activities:
        		                                                         
          depreciation and amortization
        		109,000,000 106,000,000 106,000,000 105,000,000 129,000,000 116,000,000 126,000,000 115,000,000 121,000,000 129,000,000 123,000,000 132,000,000 136,000,000 137,000,000 133,000,000 128,000,000 132,000,000 136,000,000 134,000,000 138,000,000  139,000,000 141,000,000 144,000,000 152,000,000 151,000,000 152,000,000 153,000,000 169,000,000 173,000,000 177,000,000 181,000,000 207,000,000 222,000,000 236,000,000 298,000,000 174,354,000 171,748,000 161,550,000 163,049,000 161,318,000 157,660,000 130,681,000 124,948,000 122,478,000 122,174,000 105,787,000 53,349,000 51,270,000 49,131,000 49,951,000 47,183,000 42,506,000 43,792,000 40,490,000 40,743,000 41,137,000 
          deferred income taxes
        		18,000,000 -270,000,000 35,000,000 -26,000,000 13,000,000 -112,000,000 -3,000,000 -14,000,000 13,000,000 -7,000,000 22,000,000 7,000,000 -125,000,000 69,000,000 199,000,000 22,000,000 47,000,000 5,000,000 50,000,000 68,000,000  19,000,000 -58,000,000 -184,000,000                                  
          stock-based compensation expense
        		4,000,000 0 3,000,000 4,000,000 5,000,000 4,000,000 2,000,000 6,000,000 6,000,000 6,000,000 4,000,000 6,000,000 6,000,000 6,000,000 3,000,000 5,000,000 7,000,000 5,000,000 5,000,000 8,000,000  3,000,000 3,000,000 2,000,000 2,000,000 2,000,000 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 4,000,000 5,000,000 6,000,000 9,000,000 14,000,000 10,495,000 10,954,000 10,856,000 10,814,000 9,918,000 8,880,000 13,131,000 13,435,000 13,246,000  11,219,000 7,965,000 6,330,000  5,613,000 5,295,000 3,651,000     
          impairment and loss on sale of businesses
        		-164,000,000 21,000,000 -239,000,000 -24,000,000 7,000,000 267,000,000 10,000,000 17,000,000 -78,000,000 26,000,000 -13,000,000 -22,000,000 17,000,000   6,000,000 0 1,000,000 2,000,000 21,000,000  -8,000,000 11,000,000 45,000,000    38,000,000    28,000,000   250,000,000                       
          gain from early extinguishment of debt
        		8,000,000 33,000,000   0 1,000,000                   23,000,000 0                                
          other non-cash expenses
        		39,000,000 42,000,000 47,000,000 45,000,000 46,000,000 48,000,000 61,000,000 33,000,000 49,000,000 44,000,000 46,000,000 42,000,000 42,000,000 45,000,000 50,000,000 45,000,000 56,000,000 25,000,000 37,000,000 -40,000,000  26,000,000 24,000,000 49,000,000 42,000,000 39,000,000 65,000,000 36,000,000 13,000,000 2,000,000 11,000,000 12,000,000 6,000,000 10,000,000 8,000,000 14,000,000 2,569,000 14,437,000 9,966,000 15,486,000 -11,173,000 4,266,000   2,770,000 17,197,000 3,362,000 -1,674,000 132,000 463,000 668,000 -41,000 -590,000 923,000 328,000 -40,000 -471,000 
          changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
        		                                                         
          patient accounts receivable
        		24,000,000 101,000,000 22,000,000 -48,000,000 -192,000,000 87,000,000 0 39,000,000 -74,000,000 -117,000,000 0 -2,000,000 -71,000,000 32,000,000 78,000,000 -17,000,000 -37,000,000 -67,000,000 2,000,000 -34,000,000  -32,000,000 155,000,000 158,000,000 11,000,000   -10,000,000 -7,000,000 59,000,000 45,000,000 -66,000,000 43,000,000 175,000,000 11,000,000 -109,000,000 -163,484,000 -47,527,000 -7,723,000 -26,628,000 -56,454,000 -1,470,000 -42,407,000 25,271,000 -100,057,000 184,885,000 -6,170,000 -14,093,000 -33,322,000 -17,453,000 4,273,000 -15,635,000 -42,326,000 -15,071,000 -15,667,000 -5,207,000 -11,510,000 
          supplies, prepaid expenses and other current assets
        		39,000,000 18,000,000 -3,000,000 -10,000,000 -27,000,000 -25,000,000 17,000,000 -40,000,000 18,000,000 -27,000,000 -23,000,000 -50,000,000 -34,000,000 -22,000,000 -32,000,000 -40,000,000 -13,000,000 -17,000,000 33,000,000 -2,000,000  -5,000,000 74,000,000 -53,000,000 -2,000,000 -32,000,000 58,000,000 14,000,000 2,000,000 29,000,000 6,000,000 -21,000,000 18,000,000 12,000,000 -67,000,000 -14,000,000 -125,111,000 -11,403,000 -40,829,000 -4,962,000 14,336,000 -44,659,000 -10,471,000 40,154,000 -26,584,000 -40,496,000 21,977,000 -5,591,000 -7,867,000 50,000 -4,501,000 -2,891,000 2,798,000 -5,527,000 -10,662,000 -2,498,000 1,849,000 
          accounts payable, accrued liabilities and income taxes
        		50,000,000 -132,000,000 -57,000,000 103,000,000 256,000,000 -31,000,000 -75,000,000 -13,000,000 19,000,000 61,000,000 -98,000,000 -32,000,000 -68,000,000 -27,000,000 -40,000,000 -23,000,000 -69,000,000 87,000,000 21,000,000 -23,000,000  79,000,000 -82,000,000 -78,000,000 158,000,000 -342,000,000 4,000,000 23,000,000 -116,000,000 261,000,000 -275,000,000 -33,000,000 -89,000,000 -112,000,000 -14,000,000 64,000,000 96,109,000 99,944,000 16,648,000 144,456,000 -14,938,000 -10,735,000 101,127,000 165,833,000 -81,965,000 80,209,000 -603,000 665,000 45,688,000 -3,834,000 -14,003,000 41,617,000 28,371,000 -10,310,000 4,399,000 24,842,000 66,025,000 
          other
        		-21,000,000 -21,000,000 -8,000,000 -54,000,000 7,000,000 66,000,000 -37,000,000 -41,000,000 2,000,000 -34,000,000 23,000,000 -56,000,000 -41,000,000 -74,000,000 -40,000,000 -60,000,000 -49,000,000 -40,000,000 -34,000,000 -53,000,000  24,000,000 17,000,000 -66,000,000 -143,000,000 2,000,000 -45,000,000 -59,000,000 -19,000,000 -15,000,000 0 -2,000,000 -25,000,000 -32,000,000 -34,000,000 -27,000,000 30,701,000 -21,249,000 -7,658,000 1,834,000 -748,000 -13,098,000 16,632,000 -18,219,000 21,119,000 2,928,000 7,073,000 2,169,000 4,357,000 19,050,000 12,163,000 -11,892,000 2,176,000 1,575,000 -4,607,000 19,996,000 8,013,000 
          net cash from operating activities
        		266,000,000 69,000,000 88,000,000 120,000,000 216,000,000 67,000,000 101,000,000 96,000,000 90,000,000 29,000,000 86,000,000 5,000,000 9,000,000 137,000,000 53,000,000 101,000,000 -531,000,000 120,000,000 179,000,000 101,000,000 -2,114,000,000 392,000,000 1,653,000,000 57,000,000 194,000,000 -74,000,000 132,000,000 133,000,000 -166,000,000 346,000,000 -12,000,000 106,000,000 114,000,000 261,000,000 242,000,000 294,000,000 187,310,000 441,673,000 235,550,000 397,174,000 187,511,000 290,353,000 268,273,000 407,905,000 8,878,000 283,088,000 188,662,000 95,641,000 120,347,000 82,204,000 61,005,000 116,232,000 90,814,000 75,286,000 59,367,000 127,687,000 148,709,000 
          capital expenditures
        		-94,000,000 -65,000,000 -91,000,000 -85,000,000 -109,000,000 -70,000,000 -88,000,000 -93,000,000 -110,000,000 -130,000,000 -105,000,000 -122,000,000 -131,000,000 -93,000,000 -94,000,000 -97,000,000 -135,000,000 -122,000,000 -107,000,000 -105,000,000 0 -125,000,000 -93,000,000 -99,000,000 -116,000,000 -110,000,000 -91,000,000 -121,000,000 -114,000,000 -118,000,000 -125,000,000 -170,000,000 -154,000,000 -128,000,000 -146,000,000 -224,000,000 -184,903,000 -243,868,000 -181,462,000 -197,508,000 -153,875,000 -285,525,000 -175,804,000 -138,534,000 -137,071,000 -244,242,000 -169,694,000 -64,060,000 -44,789,000 -65,921,000 -64,404,000 -54,490,000 -39,704,000 -55,436,000 -56,194,000 -43,569,000 -33,166,000 
          free cash flows
        		172,000,000 4,000,000 -3,000,000 35,000,000 107,000,000 -3,000,000 13,000,000 3,000,000 -20,000,000 -101,000,000 -19,000,000 -117,000,000 -122,000,000 44,000,000 -41,000,000 4,000,000 -666,000,000 -2,000,000 72,000,000 -4,000,000 -2,114,000,000 267,000,000 1,560,000,000 -42,000,000 78,000,000 -184,000,000 41,000,000 12,000,000 -280,000,000 228,000,000 -137,000,000 -64,000,000 -40,000,000 133,000,000 96,000,000 70,000,000 2,407,000 197,805,000 54,088,000 199,666,000 33,636,000 4,828,000 92,469,000 269,371,000 -128,193,000 38,846,000 18,968,000 31,581,000 75,558,000 16,283,000 -3,399,000 61,742,000 51,110,000 19,850,000 3,173,000 84,118,000 115,543,000 
          cash flows from investing activities:
        		                                                         
          acquisitions of facilities and other related businesses
        		0    -24,000,000 0 0 -1,000,000 -3,000,000 -20,000,000 -7,000,000 -8,000,000 0 -5,000,000 -3,000,000 -1,000,000 0 1,000,000 0 -4,000,000     0 0 -9,000,000 -4,000,000 -5,000,000 -11,000,000 -2,000,000 -8,000,000                          
          purchases of property and equipment
        		-94,000,000 -65,000,000 -91,000,000 -85,000,000 -109,000,000 -70,000,000 -88,000,000 -93,000,000 -110,000,000 -130,000,000 -105,000,000 -122,000,000 -131,000,000 -93,000,000 -94,000,000 -97,000,000 -135,000,000 -122,000,000 -107,000,000 -105,000,000  -125,000,000 -93,000,000 -99,000,000 -116,000,000 -110,000,000 -91,000,000 -121,000,000 -114,000,000 -118,000,000 -125,000,000 -170,000,000 -154,000,000 -128,000,000 -146,000,000 -224,000,000 -184,903,000 -243,868,000 -181,462,000 -197,508,000 -153,875,000 -285,525,000 -175,804,000 -138,534,000 -137,071,000 -244,242,000 -169,694,000 -64,060,000 -44,789,000 -65,921,000 -64,404,000 -54,490,000 -39,704,000 -55,436,000 -56,194,000 -43,569,000 -33,166,000 
          proceeds from disposition of hospitals and other ancillary operations
        		242,000,000 -1,000,000 450,000,000 563,000,000 0    309,000,000 12,000,000 19,000,000 92,000,000 86,000,000 0 1,000,000 2,000,000 0 10,000,000 1,000,000 6,000,000  195,000,000 150,000,000 2,000,000 241,000,000 202,000,000 0 161,000,000 177,000,000 140,000,000 77,000,000 11,000,000 745,000,000   12,000,000  809,000     -278,000               
          proceeds from sale of property and equipment
        		0 3,000,000   0 1,000,000 3,000,000 1,000,000 1,000,000 3,000,000 19,000,000 5,000,000 8,000,000 23,000,000   3,000,000 4,000,000 1,000,000 2,000,000  2,000,000   2,000,000 0   1,000,000 3,000,000 1,000,000 3,000,000 1,000,000   4,000,000 748,000 1,909,000 1,217,000 447,000 7,587,000 5,556,000 1,075,000 -828,000 13,717,000             
          purchases of available-for-sale debt securities and equity securities
        		-32,000,000 -35,000,000 -50,000,000 -22,000,000 -27,000,000 -31,000,000 -19,000,000 -4,000,000 -11,000,000 -27,000,000 -73,000,000 -26,000,000 -41,000,000 -18,000,000 -24,000,000 -31,000,000 -36,000,000 -72,000,000 -41,000,000 -22,000,000  -29,000,000 -22,000,000 -17,000,000                                  
          proceeds from sales of available-for-sale debt securities and equity securities
        		36,000,000 29,000,000 35,000,000 23,000,000 26,000,000 22,000,000 20,000,000 12,000,000 11,000,000 84,000,000 76,000,000 61,000,000 48,000,000 21,000,000 17,000,000 24,000,000 16,000,000 38,000,000 22,000,000 26,000,000  37,000,000 22,000,000 21,000,000                                  
          purchases of investments in unconsolidated affiliates
        		    -5,000,000 0 0 -4,000,000 -3,000,000 -1,000,000 -2,000,000 -5,000,000 -1,000,000 -10,000,000 -4,000,000 -4,000,000                                          
          increase in other investments
        		-10,000,000 -11,000,000 -7,000,000 -35,000,000 -4,000,000 -21,000,000 -24,000,000 -10,000,000 -14,000,000 -22,000,000 -13,000,000 -16,000,000 -21,000,000 -9,000,000 -16,000,000 -14,000,000 -52,000,000 -27,000,000 -11,000,000 -23,000,000  -17,000,000 -3,000,000 -16,000,000 -24,000,000 -49,000,000 -63,000,000 -34,000,000 -65,000,000 -23,000,000 -25,000,000 -28,000,000 -35,000,000 -23,000,000 -37,000,000 -67,000,000 -67,708,000                     
          net cash from investing activities
        		142,000,000 -81,000,000 342,000,000 444,000,000 -143,000,000 75,000,000 -108,000,000 -99,000,000 180,000,000 -101,000,000 -86,000,000 -19,000,000 -52,000,000 30,000,000 -116,000,000 -121,000,000 -211,000,000 -58,000,000 -135,000,000 -120,000,000  62,000,000 56,000,000 -109,000,000 101,000,000 44,000,000 -166,000,000 19,000,000 5,000,000 -9,000,000 -64,000,000 -177,000,000 595,000,000 767,000,000 -171,000,000 -371,000,000 -500,299,000 -504,328,000 -87,087,000 -394,956,000 -209,404,000 -499,259,000 -183,423,000 -231,901,000 184,072,000 -185,754,000 -7,003,834,000 -213,525,000 -95,745,000 -139,874,000 -204,616,000 -216,724,000 -79,043,000 -157,806,000 -78,855,000 -79,346,000 -11,265,000 
          cash flows from financing activities:
        		                                                         
          repurchase of restricted stock shares for payroll tax withholding requirements
        		0 0 -1,000,000 -1,000,000 1,000,000 0 0 -2,000,000 0 0 0 -4,000,000 0 0 0 -8,000,000 0 0 0 -5,000,000 0 0      -1,000,000 0 0 0 -1,000,000     -9,032,000                     
          deferred financing costs and other debt-related costs
        		-7,000,000 -7,000,000   -1,000,000 1,000,000       -1,000,000 0 0 -73,000,000 -3,000,000 0 -90,000,000 -220,000,000  0 0 -32,000,000 -18,000,000 0 -3,000,000 -25,000,000 -3,000,000 -39,000,000 -43,000,000 -11,000,000 -4,000,000 -22,000,000 -40,000,000                       
          proceeds from noncontrolling investors in joint ventures
        		0 1,000,000   0 0   1,000,000 1,000,000 1,000,000 2,000,000 3,000,000 9,000,000 0 1,000,000         0 8,000,000 1,000,000 1,000,000 1,000,000 1,000,000   0 0 5,000,000   0 366,000 0 863,000 2,046,000                
          redemption of noncontrolling investments in joint ventures
        		-1,000,000    0 -1,000,000   0 0 0 -1,000,000 -3,000,000 -1,000,000   -14,000,000 -2,000,000    -2,000,000      -1,000,000 -4,000,000 -21,000,000 -3,000,000 -3,000,000    -16,000,000 -31,096,000 -8,238,000 -1,481,000 -3,078,000 -225,000 -4,851,000                
          distributions to noncontrolling investors in joint ventures
        		-44,000,000 -24,000,000 -61,000,000 -35,000,000 -34,000,000 -37,000,000 -34,000,000 -50,000,000 -33,000,000 -25,000,000 -39,000,000 -44,000,000 -20,000,000 -32,000,000 -44,000,000 -29,000,000 -26,000,000 -29,000,000 -45,000,000 -21,000,000  -27,000,000 -27,000,000 -30,000,000 -21,000,000 -21,000,000 -30,000,000 -27,000,000 -22,000,000 -22,000,000 -29,000,000 -23,000,000 -26,000,000 -25,000,000 -28,000,000 -18,000,000 -27,038,000 -6,166,000 -19,850,000 -14,745,000 -15,333,000 -26,243,000                
          other borrowings
        		25,000,000 1,000,000 0 15,000,000 7,000,000 0 1,000,000 17,000,000 9,000,000 1,000,000 0 29,000,000 13,000,000 1,000,000 7,000,000 27,000,000 10,000,000 31,000,000 16,000,000 3,000,000  0 17,000,000 14,000,000                                  
          issuance of long-term debt
        		0 1,770,000,000   0 -60,000,000       0 0 0 1,535,000,000 0 0 1,440,000,000 2,870,000,000  0 0 1,462,000,000 553,000,000 455,000,000 194,000,000 1,840,000,000 0    0 900,000,000 2,200,000,000  1,025,000,000                     
          proceeds from abl facility
        		0 832,000,000 1,250,000,000 939,000,000 1,101,000,000 756,000,000 973,000,000 933,000,000 886,000,000 763,000,000 712,000,000 815,000,000          0 0 540,000,000 177,000,000 0 0 25,000,000                              
          repayments of long-term indebtedness
        		-244,000,000 -2,892,000,000 -2,292,000,000 -1,088,000,000 -1,143,000,000 -807,000,000 -2,228,000,000 -885,000,000 -2,172,000,000 -695,000,000 -700,000,000 -757,000,000 -673,000,000 -190,000,000 -13,000,000 -1,480,000,000 -11,000,000 -19,000,000 -1,363,000,000 -3,033,000,000  -154,000,000 -393,000,000 -1,871,000,000 -937,000,000 -517,000,000 -208,000,000 -1,895,000,000 -164,000,000 -1,160,000,000 -620,000,000 -89,000,000 -855,000,000 -1,590,000,000 -2,826,000,000 -1,480,000,000 -5,236,948,000 -1,522,765,000 -99,970,000 -14,133,000 -14,665,000 -14,524,000 -1,509,000 -2,255,000 -188,743,000 -75,393,000 -1,999,053,000 -59,547,000 -5,032,000 -429,653,000 -177,177,000 -39,375,000 -3,885,000 -3,274,000 -3,564,000 -6,676,000 -13,025,000 
          net cash from financing activities
        		-271,000,000 -321,000,000 -405,000,000 -170,000,000 -69,000,000 -148,000,000 -2,000,000 13,000,000 -323,000,000 45,000,000 -26,000,000 40,000,000 -139,000,000 -213,000,000 -51,000,000 -27,000,000 -45,000,000 -18,000,000 -45,000,000 -406,000,000 516,000,000 -183,000,000 -403,000,000 82,000,000 -236,000,000 -20,000,000 -36,000,000 -71,000,000 22,000,000 -210,000,000 -140,000,000 -68,000,000 -887,000,000 -507,000,000 -62,000,000 74,000,000 312,422,000 -73,792,000 -73,583,000 -81,502,000 -6,560,000 -59,674,000 -7,038,000 -76,285,000 -161,471,000 -83,315,000 6,912,670,000 76,363,000 -2,290,000 84,792,000 132,898,000 12,698,000 -3,928,000 2,348,000 -68,596,000 5,576,000 -1,495,000 
          net change in cash and cash equivalents
        		137,000,000 -333,000,000 25,000,000 394,000,000 4,000,000 -6,000,000 -9,000,000 10,000,000 -53,000,000   26,000,000 -182,000,000 -46,000,000 -114,000,000 -47,000,000 -787,000,000 44,000,000 -1,000,000 -425,000,000  271,000,000 1,306,000,000 30,000,000 59,000,000 -50,000,000 -70,000,000 81,000,000 -139,000,000 127,000,000 -216,000,000 -139,000,000 -178,000,000 521,000,000 9,000,000  -567,000 -136,447,000 74,880,000 -79,284,000 -28,453,000 -268,580,000 77,812,000 99,719,000 31,479,000 14,019,000 97,498,000 -41,521,000 22,312,000 27,122,000 -10,713,000 -87,794,000 7,843,000 -80,172,000 -88,084,000 53,917,000 135,949,000 
          cash and cash equivalents at beginning of period
        		0 0 0 37,000,000 0 0 0 38,000,000 0 0 0 118,000,000 0 0 0 507,000,000 0 0 0 1,676,000,000  0 0 216,000,000 0 0 0 196,000,000 0 0 0 563,000,000 0 0 238,000,000 184,000,000 129,865,000 0 0 0 299,169,000 0 0 0 132,874,000 0 0 0 40,566,000 0 0 0 104,108,000 0 0 0 82,498,000 
          cash and cash equivalents at end of period
        		137,000,000 -333,000,000 25,000,000 431,000,000 4,000,000 -6,000,000 -9,000,000 48,000,000 -53,000,000 -27,000,000 -26,000,000 144,000,000 -182,000,000 -46,000,000 -114,000,000 460,000,000 -787,000,000 44,000,000 -1,000,000 1,251,000,000  271,000,000 1,306,000,000 246,000,000 59,000,000 -50,000,000 -70,000,000 277,000,000 -139,000,000 127,000,000 -216,000,000 424,000,000 -178,000,000 521,000,000 247,000,000 181,000,000 129,298,000 -136,447,000 74,880,000 -79,284,000 270,716,000 -268,580,000 77,812,000 99,719,000 164,353,000 14,019,000 97,498,000 -41,521,000 62,878,000 27,122,000 -10,713,000 -87,794,000 111,951,000 -80,172,000 -88,084,000 53,917,000 218,447,000 
          supplemental disclosure of cash flow information:
        		                                                         
          interest payments
        		-182,000,000 -215,000,000 -178,000,000 -229,000,000 -179,000,000 -202,000,000 -211,000,000 -149,000,000 -218,000,000 -198,000,000 -188,000,000 -197,000,000 -221,000,000 -204,000,000 -168,000,000 -242,000,000 -206,000,000 -268,000,000 -101,000,000 -203,000,000  -279,000,000 -222,000,000 -264,000,000 -201,000,000 -492,000,000 -129,000,000 -189,000,000 -299,000,000 -151,000,000 -274,000,000 -212,000,000 -221,000,000 -130,000,000 -279,000,000 -307,000,000 161,140,000 132,345,000 220,642,000 101,593,000 226,124,000 101,259,000                
          income tax payments, net of refunds
        		                                                         
          income tax payments
        		 -91,000,000    -48,000,000    -24,000,000    0 -4,000,000 -2,000,000                                          
          income tax refunds (payments)
        		   80,000,000                  -4,000,000 0 2,000,000 0 0   2,000,000                             
          gain from coretrust transaction
        		                                                         
          distribution of coretrust transaction proceeds
        		                                                         
          net loss
        		       -6,000,000  -52,000,000                  -101,000,000    -6,000,000                          
          adjustments to reconcile net loss to net cash from operating activities:
        		                                                         
          adjustments to reconcile net income to net cash from (used in) operating activities:
        		                                                         
          loss from early extinguishment of debt
        		            -180,000,000   5,000,000 0 0 8,000,000 71,000,000  -115,000,000 0 4,000,000    31,000,000    4,000,000   21,000,000  63,429,000                     
          gain on sale of equity interests in macon healthcare, llc
        		                                                         
          repayment/derecognition of medicare accelerated payments
        		                -814,000,000 -133,000,000 -116,000,000 -18,000,000                                      
          proceeds from sale of equity interests in macon healthcare, llc
        		                                                         
          income tax (payments) refunds
        		                                                         
          distribution of coretrust proceeds
        		            0                                             
          medicare accelerated payments
        		                     1,000,000                                    
          pandemic relief funds
        		                                                         
          proceeds from sale-leaseback
        		                                                         
          impairment and (gain) loss on sale of businesses
        		                         -1,000,000   354,000,000 112,000,000   33,000,000                         
          income from early extinguishment of debt
        		                                4,000,000                         
          medicare
        		                                                         
          medicaid
        		                                                         
          managed care and other third-party payors
        		                                                         
          self-pay
        		                                                         
          total
        		                                                         
          adjustments to reconcile net income to net cash (used in) provided by operating activities:
        		                                                         
          government and other legal settlements and related costs
        		                     0 2,000,000 2,000,000 26,000,000 16,000,000 4,000,000 5,000,000 2,000,000 2,000,000 2,000,000 5,000,000 2,000,000                         
          proceeds from sale-lease back
        		                     0 0 2,000,000 4,000,000                                 
          gain on sale of investments in unconsolidated affiliates
        		                                                         
          proceeds from sale of investments in unconsolidated affiliates
        		                                                         
          equity in other comprehensive income of affiliates, net of income taxes:
        		                                                         
          net change in fair value of interest rate swaps, net of tax
        		                                                         
          net change in fair value of available-for-sale debt securities, net of tax
        		                                                         
          amortization and recognition of unrecognized pension cost components, net of tax
        		                                                         
          other comprehensive income
        		                                                         
          comprehensive income
        		                                                         
          less: comprehensive income attributable to noncontrolling interests
        		                                                         
          comprehensive income attributable to community health systems, inc. stockholders
        		                                                         
          see note to condensed financial statements of parent company.
        		                                                         
          parent company only
        		                                                         
          condensed statements of cash flows
        		                                                         
          changes in intercompany balances with affiliates
        		                                                         
          1.
        		                                                         
          unrecognized pandemic relief funds
        		                     155,000,000                                    
          see accompanying notes to the condensed consolidated financial statements.
        		                                                         
          impairment of hospitals sold or held for sale
        		                                1,000,000   1,000,000                      
          payment of hma legal settlement
        		                                                         
          borrowings under credit agreements
        		                        11,000,000 3,000,000 11,000,000 12,000,000 4,000,000 -2,000,000 16,000,000 10,000,000 -1,000,000 230,000,000 610,000,000 1,564,000,000 4,315,011,000                     
          purchases of available-for-sale securities and equity securities
        		                         -19,000,000 -24,000,000 -15,000,000 -28,000,000 -12,000,000 -19,000,000 -19,000,000                          
          proceeds from sales of available-for-sale securities and equity securities
        		                         20,000,000 20,000,000 32,000,000 39,000,000 12,000,000 29,000,000 34,000,000                          
          (gain) income from early extinguishment of debt
        		                            1,000,000 27,000,000                            
          distribution from quorum health corporation
        		                                                         
          proceeds from abl and receivables facility
        		                            210,000,000 0                            
          proceeds from receivables facility
        		                               49,000,000 0 0 26,000,000 31,000,000 300,000,000                     
          acquisitions of facilities and other related equipment
        		                                   -99,000,000 -248,436,000 -205,909,000 -5,187,000 -158,842,000 -45,422,000 -180,710,000 -628,000 -4,941,000 -1,705,000 -35,949,000 -6,794,144,000 -143,916,000 -44,039,000 -67,231,000 -139,372,000 -160,567,000 -17,448,000 -97,426,000    
          purchases of available-for-sale securities
        		                                -48,000,000 -25,000,000 -12,000,000 -37,000,000                      
          proceeds from sales of available-for-sale securities
        		                                86,000,000 21,000,000 26,000,000 40,000,000                      
          government settlement and related costs
        		                                                         
          loss on sale
        		                                     -728,000 66,000 0 3,234,000                 
          impairment of long-lived assets
        		                                   17,000,000                      
          proceeds from exercise of stock options
        		                                    308,000 30,000 49,000 706,000 18,125,000 3,077,000 331,000 1,263,000 94,000 410,000 1,111,000 3,382,000 3,311,000 1,988,000 3,886,000 6,780,000 1,919,000 9,434,000 4,246,000 19,942,000 15,958,000 
          cash flows from operating activities
        		                                                         
          impairment of hospital sold
        		                                                         
          excess tax benefit relating to stock-based compensation
        		                                    -1,004,000  43,000 16,000 -4,675,000                 
          cash flows from investing activities
        		                                                         
          proceeds from disposition of ancillary operations
        		                                       3,881,000 14,583,000                 
          cash flows from financing activities
        		                                                         
          deferred financing costs
        		                                    -24,787,000 -19,252,000 134,000    -125,000 -212,000 -2,232,000 7,156,000 -189,743,000 -353,000 -14,000 -2,145,000 8,000 0 -16,000 -137,000 -131,000 -242,000 -749,000 
          income tax refunds received
        		                                    -61,000                     
          impairment of hospitals sold and other long-lived assets
        		                                                         
          loss on early extinguishment of debt
        		                                          0   97,000            
          (excess tax benefit) income tax payable increase relating to stock-based compensation expense
        		                                                         
          excess tax benefit (income tax payable increase) relating to stock-based compensation
        		                                         110,000                
          stock buy-back
        		                                     0 -35,788,000   -6,029,000 -6,902,000       -38,650,000 0 -129,554,000 -8,112,000     
          borrowings under credit agreement
        		                                     495,236,000     7,939,000 -2,343,000 25,000,000 -11,704,000 9,101,331,000   552,000,000 303,000,000       
          income taxes paid
        		                                                         
          impairment of hospitals sold and held for sale
        		                                                         
          increase in other non-operating assets
        		                                      -55,769,000 -42,934,000 -32,277,000 -38,580,000                
          income tax (refunds received) paid
        		                                      22,989,000                   
          impairment of hospitals held for sale
        		                                                         
          impairment of long-lived assets of hospital held for sale
        		                                        8,368,000                 
          income taxes (refunds received) paid
        		                                        -677,000                 
          loss on sale of hospitals and partnership interest
        		                                                         
          (excess tax benefit) income tax payable increase relating to stock-based compensation
        		                                         -110,000                
          gain on early extinguishment of debt
        		                                                         
          impairment of long-lived and other assets
        		                                                         
          income taxes paid (refunds received)
        		                                                         
          minority interest in earnings
        		                                          10,360,000 8,317,000 9,682,000 10,667,000 4,511,000 625,000 193,000 1,126,000 601,000 455,000 613,000 385,000 715,000 1,117,000 887,000 
          excess tax benefits relating to stock-based compensation
        		                                          -2,225,000 0 947,000 1,059,000 20,000 -1,537,000 -758,000 -230,000 -2,001,000 -228,000 -4,360,000     
          increase in other assets
        		                                          -7,788,000 -87,831,000 -56,549,000  -40,663,000 -18,311,000 -7,051,000 -6,890,000 -5,078,000 -1,957,000 -22,425,000 -5,011,000 -7,761,000 -14,842,000 -7,237,000 
          proceeds from minority investors in joint ventures
        		                                          438,000 -1,667,000 12,881,000 1,163,000 83,000 86,000 1,019,000 1,600,000 2,230,000 0 3,060,000     
          redemption of minority investments in joint ventures
        		                                          0   -17,000 30,000 -116,000 -1,253,000 0 -385,000 0 -530,000 -2,925,000 0 -27,000 -290,000 
          distributions to minority investors in joint ventures
        		                                          -9,435,000 -7,392,000 -7,524,000  -1,069,000 -626,000 -1,079,000  -665,000 -1,381,000 -596,000  -508,000 -597,000 -382,000 
          gain on sale of hospitals
        		                                           -326,000 -12,885,000             
          other non-cash expenses (gains)
        		                                                         
          disposition of hospitals
        		                                            365,680,000     0 0 250,000 500,000     
          stock compensation expense
        		                                                     1,488,000 1,485,000 1,488,000 496,000 
          impairment on hospital held for sale
        		                                                         
          loss on sale of hospitals
        		                                                 0 0 0 3,937,000  0 0 6,295,000 
          disposition of hospitals and other ancillary operations
        		                                                         
          proceeds from sale of equipment
        		                                             4,049,000 367,000 100,000 134,000 168,000 4,238,000 40,000 34,000 67,000 103,000 24,000 2,131,000 
          redemption of convertible notes
        		                                                 0 0 0 -128,000     
          distribution to minority investors in joint ventures
        		                                                         
          loss on sale of hospital and partnership interest
        		                                                         
          disposition of hospital and other ancillary operations
        		                                              300,000           
          loss on sale of hospital
        		                                                         
          disposition of hospital
        		                                                         
          proceeds from issuance of senior subordinated notes
        		                                                         
          impairment of hospital held for sale
        		                                                      0   
          sale of hospitals
        		                                                      137,000 0 51,861,000 
          stock repurchases
        		                                                      -68,639,000   
          proceeds from minority investments in joint ventures
        		                                                      0 0 1,383,000 
          acquistions of facilities and other related equipment
        		                                                       -20,959,000 -24,854,000 
          stock repurchase
        		                                                        -4,390,000 
          changes in operating assets and liabilities, net of effects of acquisitions:
        		                                                         
          net cash provided by operating activities
        		                                                         
          net cash provided by financing activities