XML 25 R55.htm IDEA: XBRL DOCUMENT v2.4.1.9
Acquisitions and Divestitures (Acquisitions Narrative) (Details) (USD $)
3 Months Ended 0 Months Ended 1 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Nov. 03, 2014
Oct. 01, 2014
Apr. 01, 2014
Jan. 27, 2014
item
state
Dec. 31, 2014
Business Acquisition [Line Items]              
Business Combination, Acquisition Related Costs $ 3,000,000us-gaap_BusinessCombinationAcquisitionRelatedCosts $ 57,000,000us-gaap_BusinessCombinationAcquisitionRelatedCosts          
Business Acquisition, Purchase Price Allocation, Goodwill 8,954,000,000us-gaap_Goodwill           8,951,000,000us-gaap_Goodwill
Business Combination Contingent Consideration Arrangements, Contingent Value Right, Amount Per Share $ 1.00cyh_BusinessCombinationContingentConsiderationArrangementsContingentValueRightAmountPerShare            
Senior Secured Notes at 5.125, Due 2021 [Member] | Senior Secured Notes [Member]              
Business Acquisition [Line Items]              
Debt Instrument, Face Amount           1,000,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= cyh_SeniorSecuredNotesAt5125Due2021Member
/ us-gaap_LongtermDebtTypeAxis
= cyh_SeniorSecuredNotesMember
 
Debt Instrument, Interest Rate, Stated Percentage           5.125%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= cyh_SeniorSecuredNotesAt5125Due2021Member
/ us-gaap_LongtermDebtTypeAxis
= cyh_SeniorSecuredNotesMember
 
Senior Notes at 6.875, Due 2022 [Member] | Senior Notes [Member]              
Business Acquisition [Line Items]              
Debt Instrument, Face Amount           3,000,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= cyh_SeniorNotesAt6875Due2022Member
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
 
Debt Instrument, Interest Rate, Stated Percentage           6.875%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= cyh_SeniorNotesAt6875Due2022Member
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
 
Lake Norman [Member]              
Business Acquisition [Line Items]              
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Changes, Purchase of Interest by Parent     150,000,000us-gaap_ConsolidationLessThanWhollyOwnedSubsidiaryParentOwnershipInterestChangesPurchaseOfInterestByParent
/ us-gaap_BusinessAcquisitionAxis
= cyh_LakeNormanRegionalMedicalCenterMember
       
Business Acquisition, Percentage of Voting Interests Acquired     30.00%us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
/ us-gaap_BusinessAcquisitionAxis
= cyh_LakeNormanRegionalMedicalCenterMember
       
Upstate Carolina Medical Center [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Number of Licensed Hospital or Facility Beds     125cyh_BusinessAcquisitionNumberOfLicensedHospitalOrFacilityBeds
/ us-gaap_BusinessAcquisitionAxis
= cyh_UpstateCarolinaMedicalCenterMember
       
Business Acquisition, Cost of Acquired Entity, Purchase Price     4,000,000us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= cyh_UpstateCarolinaMedicalCenterMember
       
Business Acquisition, Purchase Price Allocation, Goodwill 0us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= cyh_UpstateCarolinaMedicalCenterMember
           
Novant [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Effective Date of Acquisition Nov. 03, 2014            
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities     5,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
/ us-gaap_BusinessAcquisitionAxis
= cyh_NovantHealthInc.Member
       
Natchez Regional Medical Center [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Effective Date of Acquisition Oct. 01, 2014            
Business Acquisition, Number of Licensed Hospital or Facility Beds       179cyh_BusinessAcquisitionNumberOfLicensedHospitalOrFacilityBeds
/ us-gaap_BusinessAcquisitionAxis
= cyh_NatchezRegionalMedicalCenterMember
     
Business Acquisition, Cost of Acquired Entity, Purchase Price       10,000,000us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= cyh_NatchezRegionalMedicalCenterMember
     
Prepayment of future property taxes       8,000,000cyh_PrepaymentOfFuturePropertyTaxes
/ us-gaap_BusinessAcquisitionAxis
= cyh_NatchezRegionalMedicalCenterMember
     
Period of prepayment for future property taxes will be applied to the tax liability       17 years      
Business Acquisition, Purchase Price Allocation, Goodwill 0us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= cyh_NatchezRegionalMedicalCenterMember
           
Sharon Regional Health System [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Effective Date of Acquisition Apr. 01, 2014            
Business Acquisition, Number of Licensed Hospital or Facility Beds         258cyh_BusinessAcquisitionNumberOfLicensedHospitalOrFacilityBeds
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
   
Business Acquisition, Cost of Acquired Entity, Cash Paid for Fixed Assets         67,000,000cyh_BusinessAcquisitionCostOfAcquiredEntityCashPaidForFixedAssets
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
   
Business Acquisition, Cost of Acquired Entity, Cash Paid for Working Capital         1,000,000cyh_BusinessAcquisitionCostOfAcquiredEntityCashPaidForWorkingCapital
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
   
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities         9,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
   
Business Acquisition, Cost of Acquired Entity, Purchase Price         77,000,000us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
   
Business Acquisition, Purchase Price Allocation, Goodwill 8,000,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= cyh_SharonRegionalHealthSystemMember
           
Munroe Regional Medical Center [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Effective Date of Acquisition Apr. 01, 2014            
Business Acquisition, Number of Licensed Hospital or Facility Beds         421cyh_BusinessAcquisitionNumberOfLicensedHospitalOrFacilityBeds
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Acquisition, Cost of Acquired Entity, Cash Paid for Fixed Assets         192,000,000cyh_BusinessAcquisitionCostOfAcquiredEntityCashPaidForFixedAssets
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Acquisition, Cost of Acquired Entity, Cash Paid for Working Capital         4,000,000cyh_BusinessAcquisitionCostOfAcquiredEntityCashPaidForWorkingCapital
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities         11,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Acquisition, Cost of Acquired Entity, Purchase Price         207,000,000us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Acquisition, Purchase Price Allocation, Goodwill 11,000,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
           
Business Acquisition, Percentage of Voting Interests Acquired         95.00%us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Business Combination, Assumed Noncontrolling Interest, Fair Value         10,000,000us-gaap_BusinessCombinationAcquisitionOfLessThan100PercentNoncontrollingInterestFairValue
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
   
Munroe Regional Medical Center [Member] | Affiliate of Regional Not-for-Profit Healthcare System [Member]              
Business Acquisition [Line Items]              
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners         5.00%us-gaap_MinorityInterestOwnershipPercentageByNoncontrollingOwners
/ us-gaap_BusinessAcquisitionAxis
= cyh_MunroeRegionalMedicalCenterMember
/ dei_LegalEntityAxis
= cyh_AffiliateOfRegionalNotForProfitHealthcareSystemMember
   
Health Management Associates, Inc. [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Effective Date of Acquisition Jan. 27, 2014            
Business Acquisition, Purchase Price Allocation, Goodwill             4,500,000,000us-gaap_Goodwill
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
Business Combination Consideration Transferred And Existing Indebtedness Assumed           7,300,000,000cyh_BusinessCombinationConsiderationTransferredAndExistingIndebtednessAssumed
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Long-term Debt           3,800,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNoncurrentLiabilitiesLongTermDebt
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Payments to Acquire Businesses, Gross, Per Share           $ 10.50cyh_PaymentsToAcquireBusinessesGrossPerShare
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Business Combination Consideration Transferred Equity Interests Issued, Per Share           0.06942cyh_BusinessCombinationConsiderationTransferredEquityInterestsIssuedPerShare
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Business Combination Contingent Consideration Arrangements, Contingent Value Right, Number Per Share           1cyh_BusinessCombinationContingentConsiderationArrangementsContingentValueRightNumberPerShare
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Business Combination Contingent Consideration Arrangements, Contingent Value Right, Amount Per Share           $ 1.00cyh_BusinessCombinationContingentConsiderationArrangementsContingentValueRightAmountPerShare
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Business Acquisition, Number of Hospitals Acquired           71cyh_BusinessAcquisitionNumberOfHospitalsAcquired
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Number of States in which Entity Operates           15us-gaap_NumberOfStatesInWhichEntityOperates
/ us-gaap_BusinessAcquisitionAxis
= cyh_HealthManagementAssociatesIncMember
 
Physician Practices Clinics and Other Ancillary Businesses [Member]              
Business Acquisition [Line Items]              
Business Acquisition, Cost of Acquired Entity, Cash Paid 12,000,000us-gaap_PaymentsToAcquireBusinessesGross
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
           
Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment 8,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
           
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill $ 4,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
/ us-gaap_BusinessAcquisitionAxis
= us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember