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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)                 $ 14,852,625 $ 14,746,759 $ 13,380,581
Provision for bad debts                 2,033,669 1,914,023 1,672,851
Net operating revenues 3,191,255 3,174,416 3,191,254 3,262,031 3,229,399 3,163,577 3,196,097 3,243,663 12,818,956 12,832,736 11,707,730
Operating costs and expenses:                      
Salaries and benefits                 6,107,391 5,992,046 5,467,420
Supplies                 1,975,236 1,952,918 1,811,814
Other operating expenses                 2,816,633 2,805,938 2,458,280
Government settlement and related costs                 101,500    
Electronic health records incentive reimbursement                 (162,042) (122,696) (62,881)
Rent                 278,885 264,415 246,218
Depreciation and amortization                 771,356 713,892 643,368
Total operating costs and expenses                 11,888,959 11,606,513 10,564,219
Income from operations                 929,997 1,226,223 1,143,511
Interest expense, net of interest income of $2,974, $3,016 and $4,634 in 2013, 2012 and 2011, respectively                 613,122 620,957 642,526
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                 12,100 10,000  
Income from continuing operations before income taxes 88,331 34,827 74,195 148,768 125,969 90,575 159,213 146,089 346,121 521,846 484,457
Provision for income taxes                 103,678 164,026 141,593
Income from continuing operations 62,001 27,853 53,245 99,344 88,108 62,665 106,977 100,070 242,443 357,820 342,864
Discontinued operations, net of taxes:                      
Loss from operations of entities sold or held for sale                 (20,613) (12,017) (14,739)
Impairment of hospitals sold or held for sale                 (4,562)   (47,930)
Loss on sale, net                     (2,572)
Loss from discontinued operations, net of taxes (9,739) (6,255) (6,160) (3,021) (2,482) (3,907) (4,810) (818) (25,175) (12,017) (65,241)
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 $ 0.41 $ 0.11 $ 0.39 $ 0.90 $ 0.72 [1] $ 0.54 [1] $ 0.99 [1] $ 0.86 [1] $ 1.80 [1] $ 3.11 [1] $ 2.97 [1]
Discontinued operations $ (0.10) $ (0.07) $ (0.07) $ (0.03) $ (0.03) [1] $ (0.04) [1] $ (0.05) [1] $ (0.01) [1] $ (0.27) [1] $ (0.13) [1] $ (0.73) [1]
Net income $ 0.30 $ 0.04 $ 0.32 $ 0.87 $ 0.70 [1] $ 0.50 [1] $ 0.94 [1] $ 0.85 [1] $ 1.52 [1] $ 2.98 [1] $ 2.24 [1]
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (1):                      
Continuing operations $ 0.40 $ 0.11 $ 0.38 $ 0.89 $ 0.72 [1] $ 0.53 [1] $ 0.98 [1] $ 0.86 [1] $ 1.77 [1] $ 3.09 [1] $ 2.95 [1]
Discontinued operations $ (0.10) $ (0.07) $ (0.07) $ (0.03) $ (0.03) [1] $ (0.04) [1] $ (0.05) [1] $ (0.01) [1] $ (0.27) [1] $ (0.13) [1] $ (0.72) [1]
Net income $ 0.30 $ 0.04 $ 0.32 $ 0.86 $ 0.69 [1] $ 0.49 [1] $ 0.93 [1] $ 0.85 [1] $ 1.51 [1] $ 2.96 [1] $ 2.23 [1]
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] Total per share amounts may not add due to rounding.