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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, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Consolidated Statements of Income [Abstract]                      
Operating revenues (net of contractual allowances and discounts)                 $ 15,078,074 $ 14,988,179 $ 13,626,168
Provision for bad debts                 2,080,381 1,959,194 1,719,956
Net operating revenues 3,231,321 3,218,231 3,236,391 3,311,750 3,276,946 3,212,030 3,242,974 3,297,035 12,997,693 13,028,985 11,906,212
Operating costs and expenses:                      
Salaries and benefits                 6,217,747 6,103,931 5,577,925
Supplies                 1,994,116 1,973,491 1,834,106
Other operating expenses                 2,880,357 2,869,786 2,515,638
Government settlement and related costs                 101,500    
Electronic health records incentive reimbursement                 (165,877) (126,734) (63,397)
Rent                 287,412 272,829 254,781
Depreciation and amortization                 782,675 725,558 652,674
Total operating costs and expenses                 12,097,930 11,818,861 10,771,727
Income from operations                 899,763 1,210,124 1,134,485
Interest expense, net of interest income of $2,977, $3,031 and $4,650 in 2013, 2012 and 2011, respectively                 615,147 622,933 644,410
Loss from early extinguishment of debt                 1,295 115,453 66,019
Equity in earnings of unconsolidated affiliates                 (42,641) (42,033) (49,491)
Impairment of long-lived assets                 20,100 10,000  
Income from continuing operations before income taxes 72,226 25,040 64,570 144,026 122,090 84,458 151,686 145,537 305,862 503,771 473,547
Provision for income taxes                 88,594 157,502 137,653
Income from continuing operations 52,262 21,598 47,085 96,323 85,626 58,758 102,167 99,718 217,268 346,269 335,894
Discontinued operations, net of taxes:                      
Loss from operations of entities sold                   (466) (7,769)
Impairment of hospitals sold                     (47,930)
Loss on sale, net                     (2,572)
Loss from discontinued operations, net of taxes               (466)   (466) (58,271)
Net income                 217,268 345,803 277,623
Less: Net income attributable to noncontrolling interests                 76,065 80,163 75,675
Net income attributable to Community Health Systems, Inc. stockholders $ 28,181 $ 4,095 $ 29,753 $ 79,174 $ 62,574 $ 44,233 $ 83,359 $ 75,474 $ 141,203 $ 265,640 $ 201,948
Basic earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (1):                      
Continuing operations $ 0.30 $ 0.04 $ 0.32 $ 0.87 $ 0.70 $ 0.50 $ 0.94 $ 0.86 $ 1.52 $ 2.98 $ 2.89
Discontinued operations               $ (0.01)   $ (0.01) $ (0.65)
Net income $ 0.30 $ 0.04 $ 0.32 $ 0.87 $ 0.70 $ 0.50 $ 0.94 $ 0.85 $ 1.52 $ 2.98 [1] $ 2.24
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (1):                      
Continuing operations $ 0.30 $ 0.04 $ 0.32 $ 0.86 $ 0.69 $ 0.49 $ 0.93 $ 0.85 $ 1.51 $ 2.96 $ 2.87
Discontinued operations               $ (0.01)   $ (0.01) $ (0.64)
Net income $ 0.30 $ 0.04 $ 0.32 $ 0.86 $ 0.69 $ 0.49 $ 0.93 $ 0.85 [1] $ 1.51 $ 2.96 [1] $ 2.23
Weighted-average number of shares outstanding:                      
Basic 93,372,398 93,259,027 92,866,370 91,002,615 89,882,380 89,259,950 89,147,472 88,674,779 92,633,332 89,242,949 89,966,933
Diluted 94,703,458 94,483,596 94,109,368 91,998,993 90,828,119 90,009,113 89,530,639 88,852,704 93,815,013 89,806,937 90,666,348
[1] (1) Total per share amounts may not add due to rounding.