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Stockholders' Equity (Details) (USD $)
In Thousands
3 Months Ended 6 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Redeemable Noncontrolling Interests [Member]
Jun. 30, 2011
Common Stock [Member]
Jun. 30, 2011
Additional Paid-in Capital [Member]
Jun. 30, 2011
Treasury Stock [Member]
Dec. 31, 2010
Treasury Stock [Member]
Jun. 30, 2011
Accumulated Other Comprehensive Income (Loss) [Member]
Jun. 30, 2011
Retained Earnings [Member]
Jun. 30, 2011
Noncontrolling Interest [Member]
Reconciliation of the carrying amount of total equity, equity attributable to the Company, and equity attributable to the noncontrolling interests                        
Beginning Balance     $ 2,250,377   $ 387,472 $ 936 $ 1,126,751 $ (6,678) $ (6,678) $ (230,927) $ 1,299,382 $ 60,913
Comprehensive income:                        
Net income 53,547 86,342 131,872 171,338 25,211           96,713 9,948
Net change in fair value of interest rate swaps (8,969) (33,694) 27,477 (45,051)           27,477    
Net change in fair value of available-for-sale securities 268 476 1,338 630           1,338    
Amortization and recognition of unrecognized pension cost components 807 758 1,579 5,233           1,579    
Total comprehensive income 45,653 53,882 162,266 132,150 25,211         30,394 96,713 9,948
Distributions to noncontrolling interests, net of contribution     (9,828)   (19,387)             (9,828)
Purchase of subsidiary shares from noncontrolling interests     (498)   (2,792)   (498)          
Other reclassifications of noncontrolling interests     272   (2,004)             272
Adjustment to redemption value of redeemable noncontrolling interests     11,842   (11,842)   11,842          
Repurchases of common stock     (50,020)     (18) (50,002)          
Issuance of common stock in connection with the exercise of stock options     18,837     6 18,831          
Cancellation of restricted stock for tax withholdings on vested shares     (13,113)     (3) (13,110)          
Excess tax benefit from exercise of options     4,659       4,659          
Share-based compensation     20,743     11 20,732          
Ending Balance 2,370,326   2,370,326   376,658 932 1,119,205 (6,678) (6,678) (200,533) 1,396,095 61,305
Effects of changes in the ownership interest in less-than-wholly-owned subsidiaries                        
Net income attributable to Community Health Systems, Inc. 35,389 70,065 96,713 140,072                
Transfers to the noncontrolling interests:                        
Net decrease in Community Health Systems, Inc. paid-in capital for purchase of subsidiary partnership interests     (498)                  
Net transfers to noncontrolling interests     (498)                  
Change to Community Health Systems, Inc. stockholders equity from net income attributable to Community Health Systems, Inc. and transfers to noncontrolling interests     $ 96,215