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Consolidated Statements of Income (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Consolidated Statements of Income [Abstract]                      
Operating revenues (net of contractual allowances and discounts)                 $ 14,988,179 $ 13,626,168 $ 12,623,274
Provision for bad debts                 1,959,194 1,719,956 1,530,852
Net operating revenues 3,276,946 3,212,030 3,242,974 3,297,035 3,005,825 2,945,477 3,000,827 2,954,083 13,028,985 11,906,212 11,092,422
Operating costs and expenses:                      
Salaries and benefits                 6,103,931 5,577,925 5,093,767
Supplies                 1,973,491 1,834,106 1,738,088
Other operating expenses                 2,869,786 2,515,638 2,296,063
Electronic health records incentive reimbursement                 (126,734) (63,397)  
Rent                 272,829 254,781 248,463
Depreciation and amortization                 725,558 652,674 594,997
Total operating costs and expenses                 11,818,861 10,771,727 9,971,378
Income from operations                 1,210,124 1,134,485 1,121,044
Interest expense, net of interest income of $3,031, $4,650 and $1,757 in 2012, 2011 and 2010, respectively                 622,933 644,410 647,593
Loss from early extinguishment of debt                 115,453 66,019  
Equity in earnings of unconsolidated affiliates                 (42,033) (49,491) (45,443)
Impairment of long-lived assets                 10,000    
Income from continuing operations before income taxes 122,090 84,458 151,686 145,537 67,638 132,517 137,695 135,697 503,771 473,547 518,894
Provision for income taxes                 157,502 137,653 163,681
Income from continuing operations 85,626 58,758 102,167 99,718 55,615 95,800 92,874 91,605 346,269 335,894 355,213
Discontinued operations, net of taxes:                      
Loss from operations of entities sold                 (466) (7,769) (6,772)
Impairment of hospitals sold                   (47,930)  
Loss on sale, net                   (2,572)  
Loss from discontinued operations, net of taxes       (466) (2,495) (3,169) (39,327) (13,280) (466) (58,271) (6,772)
Net income                 345,803 277,623 348,441
Less: Net income attributable to noncontrolling interests                 80,163 75,675 68,458
Net income attributable to Community Health Systems, Inc. $ 62,574 $ 44,233 $ 83,359 $ 75,474 $ 30,931 $ 74,304 $ 35,389 $ 61,324 $ 265,640 $ 201,948 $ 279,983
Basic earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (1):                      
Continuing operations $ 0.70 [1] $ 0.50 [1] $ 0.94 [1] $ 0.86 [1] $ 0.38 [1] $ 0.87 [1] $ 0.82 [1] $ 0.82 [1] $ 2.98 [1] $ 2.89 [1] $ 3.13 [1]
Discontinued operations       $ (0.01) [1] $ (0.03) [1] $ (0.04) [1] $ (0.43) [1] $ (0.15) [1] $ (0.01) [1] $ (0.65) [1] $ (0.07) [1]
Net income $ 0.70 [1] $ 0.50 [1] $ 0.94 [1] $ 0.85 [1] $ 0.35 [1] $ 0.83 [1] $ 0.39 [1] $ 0.67 [1] $ 2.98 [1] $ 2.24 [1] $ 3.05 [1]
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (1):                      
Continuing operations $ 0.69 [1] $ 0.49 [1] $ 0.93 [1] $ 0.85 [1] $ 0.38 [1] $ 0.86 [1] $ 0.81 [1] $ 0.81 [1] $ 2.96 [1] $ 2.87 [1] $ 3.08 [1]
Discontinued operations       $ (0.01) [1] $ (0.03) [1] $ (0.04) [1] $ (0.43) [1] $ (0.14) [1] $ (0.01) [1] $ (0.64) [1] $ (0.07) [1]
Net income $ 0.69 [1] $ 0.49 [1] $ 0.93 [1] $ 0.85 [1] $ 0.35 [1] $ 0.83 [1] $ 0.39 [1] $ 0.67 [1] $ 2.96 [1] $ 2.23 [1] $ 3.01 [1]
Weighted-average number of shares outstanding:                      
Basic 89,882,380 89,259,950 89,147,472 88,674,779 88,344,566 89,412,310 91,130,672 91,008,405 89,242,949 89,966,933 91,718,791
Diluted 90,828,119 90,009,113 89,530,639 88,852,704 88,913,813 89,857,583 91,783,725 92,136,819 89,806,937 90,666,348 92,946,048
[1] Total per share amounts may not add due to rounding.