Supplemental Condensed Consolidating Financial Information Disclosure |
16. SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION
The Senior Notes due 2019, 2020 and 2022, which are senior unsecured obligations of CHS, the 5⅛% Senior Secured Notes due 2021, and the 6¼% Senior Secured Notes due 2023 (collectively, “the Notes”) are registered securities and are guaranteed on a senior basis by the Company and by certain of its existing and subsequently acquired or organized 100% owned domestic subsidiaries. In addition, equity interests in non-guarantors have been pledged as collateral except for three hospitals owned jointly with non-profit, health organizations. The Notes are fully and unconditionally guaranteed on a joint and several basis, with exceptions considered customary for such guarantees, limited to the release of the guarantee when a subsidiary guarantor’s capital stock is sold, or a sale of all of the subsidiary guarantor’s assets used in operations. The following condensed consolidating financial statements present Community Health Systems, Inc. (as parent guarantor), CHS (as the issuer), the subsidiary guarantors, the subsidiary non-guarantors and eliminations. These condensed consolidating financial statements have been prepared and presented in accordance with SEC Regulation S-X Rule 3-10 “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered.”
The accounting policies used in the preparation of this financial information are consistent with those elsewhere in the condensed consolidated financial statements of the Company, except as noted below:
•Intercompany receivables and payables are presented gross in the supplemental condensed consolidating balance sheets.
•Cash flows from intercompany transactions are presented in cash flows from financing activities, as changes in intercompany balances with affiliates, net.
•Income tax expense is allocated from the parent guarantor to the income producing operations (other guarantors and non-guarantors) and the issuer through stockholders’ deficit. As this approach represents an allocation, the income tax expense allocation is considered non-cash for statement of cash flow purposes.
•Interest expense, net has been presented to reflect net interest expense and interest income from outstanding long-term debt and intercompany balances.
The Company’s intercompany activity consists primarily of daily cash transfers for purposes of cash management, the allocation of certain expenses and expenditures paid for by the Parent on behalf of its subsidiaries, and the push down of investment in its subsidiaries. This activity also includes the intercompany transactions between consolidated entities as part of the ABL Facility and Receivables Facility that are further discussed in Note 10. The Company’s subsidiaries generally do not purchase services from one another; thus, the intercompany transactions do not represent revenue generating transactions. All intercompany transactions eliminate in consolidation.
From time to time, subsidiaries of the Company sell and/or repurchase noncontrolling interests in consolidated subsidiaries, which may change subsidiaries between guarantors and non-guarantors. Amounts for prior periods have been revised to reflect the status of guarantors and non-guarantors as of September 30, 2018.
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|
|
|
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|
|
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|
|
|
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|
Condensed Consolidating Statement of Loss
|
Three Months Ended September 30, 2018
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|
|
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|
|
|
|
|
|
|
|
|
|
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Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
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Non - Guarantors
|
|
Eliminations
|
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Consolidated
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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(In millions)
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Net operating revenues
|
$
|
-
|
|
$
|
1
|
|
$
|
2,095
|
|
$
|
1,355
|
|
$
|
-
|
|
$
|
3,451
|
Operating costs and expenses:
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
-
|
|
|
-
|
|
|
804
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|
|
781
|
|
|
-
|
|
|
1,585
|
Supplies
|
|
-
|
|
|
-
|
|
|
365
|
|
|
200
|
|
|
-
|
|
|
565
|
Other operating expenses
|
|
-
|
|
|
-
|
|
|
572
|
|
|
286
|
|
|
-
|
|
|
858
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Government and other legal settlements and
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
related costs
|
|
-
|
|
|
-
|
|
|
2
|
|
|
-
|
|
|
-
|
|
|
2
|
Electronic health records incentive reimbursement
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(1)
|
|
|
-
|
|
|
(1)
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Rent
|
|
-
|
|
|
-
|
|
|
43
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|
|
40
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|
|
-
|
|
|
83
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Depreciation and amortization
|
|
-
|
|
|
-
|
|
|
107
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|
|
66
|
|
|
-
|
|
|
173
|
Impairment and (gain) loss on sale of businesses, net
|
|
-
|
|
|
15
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|
|
76
|
|
|
21
|
|
|
-
|
|
|
112
|
Total operating costs and expenses
|
|
-
|
|
|
15
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|
|
1,969
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|
|
1,393
|
|
|
-
|
|
|
3,377
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(Loss) income from operations
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|
-
|
|
|
(14)
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|
|
126
|
|
|
(38)
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|
|
-
|
|
|
74
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Interest expense, net
|
|
-
|
|
|
115
|
|
|
149
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(8)
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|
|
-
|
|
|
256
|
Loss from early extinguishment of debt
|
|
-
|
|
|
27
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|
|
-
|
|
|
-
|
|
|
-
|
|
|
27
|
Equity in earnings of unconsolidated affiliates
|
|
325
|
|
|
272
|
|
|
(39)
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|
|
-
|
|
|
(563)
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|
|
(5)
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(Loss) income from continuing operations before
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
income taxes
|
|
(325)
|
|
|
(428)
|
|
|
16
|
|
|
(30)
|
|
|
563
|
|
|
(204)
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(Benefit from) provision for income taxes
|
|
-
|
|
|
(103)
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|
|
293
|
|
|
(86)
|
|
|
-
|
|
|
104
|
(Loss) income from continuing operations
|
|
(325)
|
|
|
(325)
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|
|
(277)
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|
|
56
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|
|
563
|
|
|
(308)
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Discontinued operations, net of taxes:
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from discontinued operations, net of taxes
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
Net (loss) income
|
|
(325)
|
|
|
(325)
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|
|
(277)
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|
|
56
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|
|
563
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|
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(308)
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Less: Net income attributable to noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
17
|
|
|
-
|
|
|
17
|
Net (loss) income attributable to Community Health
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Systems, Inc. stockholders
|
$
|
(325)
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|
$
|
(325)
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|
$
|
(277)
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|
$
|
39
|
|
$
|
563
|
|
$
|
(325)
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|
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Condensed Consolidating Statement of Loss
|
Three Months Ended September 30, 2017
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|
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|
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Parent Guarantor
|
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Issuer
|
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Other Guarantors
|
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Non - Guarantors
|
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Eliminations
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Consolidated
|
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(In millions)
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Operating revenues (net of contractual
|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
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allowances and discounts)
|
$
|
-
|
|
$
|
(5)
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|
$
|
2,661
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|
$
|
1,677
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$
|
-
|
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$
|
4,333
|
Provision for bad debts
|
|
-
|
|
|
-
|
|
|
440
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|
|
227
|
|
|
-
|
|
|
667
|
Net operating revenues
|
|
-
|
|
|
(5)
|
|
|
2,221
|
|
|
1,450
|
|
|
-
|
|
|
3,666
|
Operating costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
-
|
|
|
-
|
|
|
897
|
|
|
827
|
|
|
-
|
|
|
1,724
|
Supplies
|
|
-
|
|
|
-
|
|
|
399
|
|
|
211
|
|
|
-
|
|
|
610
|
Other operating expenses
|
|
-
|
|
|
-
|
|
|
593
|
|
|
318
|
|
|
-
|
|
|
911
|
Government and other legal settlements and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
related costs
|
|
-
|
|
|
-
|
|
|
1
|
|
|
-
|
|
|
-
|
|
|
1
|
Electronic health records incentive reimbursement
|
|
-
|
|
|
-
|
|
|
(1)
|
|
|
(1)
|
|
|
-
|
|
|
(2)
|
Rent
|
|
-
|
|
|
-
|
|
|
50
|
|
|
43
|
|
|
-
|
|
|
93
|
Depreciation and amortization
|
|
-
|
|
|
-
|
|
|
127
|
|
|
79
|
|
|
-
|
|
|
206
|
Impairment and (gain) loss on sale of businesses, net
|
|
-
|
|
|
-
|
|
|
29
|
|
|
4
|
|
|
-
|
|
|
33
|
Total operating costs and expenses
|
|
-
|
|
|
-
|
|
|
2,095
|
|
|
1,481
|
|
|
-
|
|
|
3,576
|
(Loss) income from operations
|
|
-
|
|
|
(5)
|
|
|
126
|
|
|
(31)
|
|
|
-
|
|
|
90
|
Interest expense, net
|
|
-
|
|
|
84
|
|
|
156
|
|
|
(2)
|
|
|
-
|
|
|
238
|
Loss from early extinguishment of debt
|
|
-
|
|
|
4
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
4
|
Equity in earnings of unconsolidated affiliates
|
|
110
|
|
|
28
|
|
|
22
|
|
|
-
|
|
|
(165)
|
|
|
(5)
|
Loss from continuing operations before income taxes
|
|
(110)
|
|
|
(121)
|
|
|
(52)
|
|
|
(29)
|
|
|
165
|
|
|
(147)
|
(Benefit from) provision for income taxes
|
|
-
|
|
|
(11)
|
|
|
(22)
|
|
|
(26)
|
|
|
-
|
|
|
(59)
|
(Loss) income from continuing operations
|
|
(110)
|
|
|
(110)
|
|
|
(30)
|
|
|
(3)
|
|
|
165
|
|
|
(88)
|
Discontinued operations, net of taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations of entities sold or
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
held for sale
|
|
-
|
|
|
-
|
|
|
(1)
|
|
|
-
|
|
|
-
|
|
|
(1)
|
Impairment of hospitals sold or held for sale
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(1)
|
|
|
-
|
|
|
(1)
|
Loss from discontinued operations, net of taxes
|
|
-
|
|
|
-
|
|
|
(1)
|
|
|
(1)
|
|
|
-
|
|
|
(2)
|
Net (loss) income
|
|
(110)
|
|
|
(110)
|
|
|
(31)
|
|
|
(4)
|
|
|
165
|
|
|
(90)
|
Less: Net income attributable to noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
20
|
|
|
-
|
|
|
20
|
Net (loss) income attributable to Community Health
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Systems, Inc. stockholders
|
$
|
(110)
|
|
$
|
(110)
|
|
$
|
(31)
|
|
$
|
(24)
|
|
$
|
165
|
|
$
|
(110)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Loss
|
Nine Months Ended September 30, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(In millions)
|
Net operating revenues
|
$
|
-
|
|
$
|
(7)
|
|
$
|
6,488
|
|
$
|
4,221
|
|
$
|
-
|
|
$
|
10,702
|
Operating costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
-
|
|
|
-
|
|
|
2,437
|
|
|
2,413
|
|
|
-
|
|
|
4,850
|
Supplies
|
|
-
|
|
|
-
|
|
|
1,148
|
|
|
625
|
|
|
-
|
|
|
1,773
|
Other operating expenses
|
|
-
|
|
|
-
|
|
|
1,742
|
|
|
904
|
|
|
-
|
|
|
2,646
|
Government and other legal settlements and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
related costs
|
|
-
|
|
|
-
|
|
|
9
|
|
|
-
|
|
|
-
|
|
|
9
|
Electronic health records incentive reimbursement
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(2)
|
|
|
-
|
|
|
(2)
|
Rent
|
|
-
|
|
|
-
|
|
|
133
|
|
|
124
|
|
|
-
|
|
|
257
|
Depreciation and amortization
|
|
-
|
|
|
-
|
|
|
329
|
|
|
202
|
|
|
-
|
|
|
531
|
Impairment and (gain) loss on sale of businesses, net
|
|
-
|
|
|
29
|
|
|
96
|
|
|
189
|
|
|
-
|
|
|
314
|
Total operating costs and expenses
|
|
-
|
|
|
29
|
|
|
5,894
|
|
|
4,455
|
|
|
-
|
|
|
10,378
|
(Loss) income from operations
|
|
-
|
|
|
(36)
|
|
|
594
|
|
|
(234)
|
|
|
-
|
|
|
324
|
Interest expense, net
|
|
-
|
|
|
304
|
|
|
434
|
|
|
(18)
|
|
|
-
|
|
|
720
|
(Gain) loss from early extinguishment of debt
|
|
-
|
|
|
(33)
|
|
|
1
|
|
|
-
|
|
|
-
|
|
|
(32)
|
Equity in earnings of unconsolidated affiliates
|
|
460
|
|
|
351
|
|
|
181
|
|
|
-
|
|
|
(1,009)
|
|
|
(17)
|
Loss from continuing operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
before income taxes
|
|
(460)
|
|
|
(658)
|
|
|
(22)
|
|
|
(216)
|
|
|
1,009
|
|
|
(347)
|
(Benefit from) provision for income taxes
|
|
-
|
|
|
(198)
|
|
|
342
|
|
|
(86)
|
|
|
-
|
|
|
58
|
(Loss) income from continuing operations
|
|
(460)
|
|
|
(460)
|
|
|
(364)
|
|
|
(130)
|
|
|
1,009
|
|
|
(405)
|
Loss from discontinued operations, net of taxes
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
Net (loss) income
|
|
(460)
|
|
|
(460)
|
|
|
(364)
|
|
|
(130)
|
|
|
1,009
|
|
|
(405)
|
Less: Net income attributable to noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
55
|
|
|
-
|
|
|
55
|
Net (loss) income attributable to Community
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Systems, Inc. stockholders
|
$
|
(460)
|
|
$
|
(460)
|
|
$
|
(364)
|
|
$
|
(185)
|
|
$
|
1,009
|
|
$
|
(460)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Loss
|
Nine Months Ended September 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(In millions)
|
Operating revenues (net of contractual
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
allowances and discounts)
|
$
|
-
|
|
$
|
(17)
|
|
$
|
8,252
|
|
$
|
6,088
|
|
$
|
-
|
|
$
|
14,323
|
Provision for bad debts
|
|
-
|
|
|
-
|
|
|
1,306
|
|
|
722
|
|
|
-
|
|
|
2,028
|
Net operating revenues
|
|
-
|
|
|
(17)
|
|
|
6,946
|
|
|
5,366
|
|
|
-
|
|
|
12,295
|
Operating costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
-
|
|
|
-
|
|
|
2,721
|
|
|
2,983
|
|
|
-
|
|
|
5,704
|
Supplies
|
|
-
|
|
|
-
|
|
|
1,240
|
|
|
816
|
|
|
-
|
|
|
2,056
|
Other operating expenses
|
|
-
|
|
|
-
|
|
|
1,797
|
|
|
1,187
|
|
|
-
|
|
|
2,984
|
Government and other legal settlements and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
related costs
|
|
-
|
|
|
-
|
|
|
(32)
|
|
|
-
|
|
|
-
|
|
|
(32)
|
Electronic health records incentive reimbursement
|
|
-
|
|
|
-
|
|
|
(12)
|
|
|
(13)
|
|
|
-
|
|
|
(25)
|
Rent
|
|
-
|
|
|
-
|
|
|
152
|
|
|
154
|
|
|
-
|
|
|
306
|
Depreciation and amortization
|
|
-
|
|
|
-
|
|
|
376
|
|
|
289
|
|
|
-
|
|
|
665
|
Impairment and (gain) loss on sale of businesses, net
|
|
-
|
|
|
-
|
|
|
108
|
|
|
255
|
|
|
-
|
|
|
363
|
Total operating costs and expenses
|
|
-
|
|
|
-
|
|
|
6,350
|
|
|
5,671
|
|
|
-
|
|
|
12,021
|
(Loss) income from operations
|
|
-
|
|
|
(17)
|
|
|
596
|
|
|
(305)
|
|
|
-
|
|
|
274
|
Interest expense, net
|
|
-
|
|
|
241
|
|
|
456
|
|
|
9
|
|
|
-
|
|
|
706
|
Loss from early extinguishment of debt
|
|
-
|
|
|
35
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
35
|
Equity in earnings of unconsolidated affiliates
|
|
446
|
|
|
198
|
|
|
256
|
|
|
-
|
|
|
(913)
|
|
|
(13)
|
Loss from continuing operations before
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
income taxes
|
|
(446)
|
|
|
(491)
|
|
|
(116)
|
|
|
(314)
|
|
|
913
|
|
|
(454)
|
(Benefit from) provision for income taxes
|
|
-
|
|
|
(45)
|
|
|
87
|
|
|
(116)
|
|
|
-
|
|
|
(74)
|
Loss from continuing operations
|
|
(446)
|
|
|
(446)
|
|
|
(203)
|
|
|
(198)
|
|
|
913
|
|
|
(380)
|
Discontinued operations, net of taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations of entities sold or
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
held for sale
|
|
-
|
|
|
-
|
|
|
(3)
|
|
|
(1)
|
|
|
-
|
|
|
(4)
|
Impairment of hospitals sold or held for sale
|
|
-
|
|
|
-
|
|
|
(4)
|
|
|
(2)
|
|
|
-
|
|
|
(6)
|
Loss from discontinued operations, net of taxes
|
|
-
|
|
|
-
|
|
|
(7)
|
|
|
(3)
|
|
|
-
|
|
|
(10)
|
Net (loss) income
|
|
(446)
|
|
|
(446)
|
|
|
(210)
|
|
|
(201)
|
|
|
913
|
|
|
(390)
|
Less: Net income attributable to noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
56
|
|
|
-
|
|
|
56
|
Net (loss) income attributable to Community Health
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Systems, Inc. stockholders
|
$
|
(446)
|
|
$
|
(446)
|
|
$
|
(210)
|
|
$
|
(257)
|
|
$
|
913
|
|
$
|
(446)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Comprehensive Loss
|
Three Months Ended September 30, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
(In millions)
|
Net (loss) income
|
$
|
(325)
|
|
$
|
(325)
|
|
$
|
(277)
|
|
$
|
56
|
|
$
|
563
|
|
$
|
(308)
|
Other comprehensive income (loss), net of income taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net change in fair value of interest rate swaps, net of tax
|
|
2
|
|
|
2
|
|
|
-
|
|
|
-
|
|
|
(2)
|
|
|
2
|
Net change in fair value of available-for-sale securities,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
net of tax
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
Amortization and recognition of unrecognized
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
pension cost components, net of tax
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
Other comprehensive income (loss)
|
|
2
|
|
|
2
|
|
|
-
|
|
|
-
|
|
|
(2)
|
|
|
2
|
Comprehensive (loss) income
|
|
(323)
|
|
|
(323)
|
|
|
(277)
|
|
|
56
|
|
|
561
|
|
|
(306)
|
Less: Comprehensive income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
17
|
|
|
-
|
|
|
17
|
Comprehensive (loss) income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders
|
$
|
(323)
|
|
$
|
(323)
|
|
$
|
(277)
|
|
$
|
39
|
|
$
|
561
|
|
$
|
(323)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Comprehensive Loss
|
Three Months Ended September 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
(In millions)
|
Net (loss) income
|
$
|
(110)
|
|
$
|
(110)
|
|
$
|
(31)
|
|
$
|
(4)
|
|
$
|
165
|
|
$
|
(90)
|
Other comprehensive (loss) income, net of income taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net change in fair value of interest rate swaps, net of tax
|
|
5
|
|
|
5
|
|
|
-
|
|
|
-
|
|
|
(5)
|
|
|
5
|
Net change in fair value of available-for-sale securities,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
net of tax
|
|
2
|
|
|
2
|
|
|
2
|
|
|
-
|
|
|
(4)
|
|
|
2
|
Amortization and recognition of unrecognized
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
pension cost components, net of tax
|
|
1
|
|
|
1
|
|
|
1
|
|
|
-
|
|
|
(2)
|
|
|
1
|
Other comprehensive income
|
|
8
|
|
|
8
|
|
|
3
|
|
|
-
|
|
|
(11)
|
|
|
8
|
Comprehensive (loss) income
|
|
(102)
|
|
|
(102)
|
|
|
(28)
|
|
|
(4)
|
|
|
154
|
|
|
(82)
|
Less: Comprehensive income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
20
|
|
|
-
|
|
|
20
|
Comprehensive (loss) income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders
|
$
|
(102)
|
|
$
|
(102)
|
|
$
|
(28)
|
|
$
|
(24)
|
|
$
|
154
|
|
$
|
(102)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Comprehensive Loss
|
Nine Months Ended September 30, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
(In millions)
|
Net (loss) income
|
$
|
(460)
|
|
$
|
(460)
|
|
$
|
(364)
|
|
$
|
(130)
|
|
$
|
1,009
|
|
$
|
(405)
|
Other comprehensive income (loss), net of income taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net change in fair value of interest rate swaps, net of tax
|
|
26
|
|
|
26
|
|
|
-
|
|
|
-
|
|
|
(26)
|
|
|
26
|
Net change in fair value of available-for-sale securities,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
net of tax
|
|
(2)
|
|
|
(2)
|
|
|
(2)
|
|
|
-
|
|
|
4
|
|
|
(2)
|
Amortization and recognition of unrecognized pension
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
cost components, net of tax
|
|
1
|
|
|
1
|
|
|
1
|
|
|
-
|
|
|
(2)
|
|
|
1
|
Other comprehensive income
|
|
25
|
|
|
25
|
|
|
(1)
|
|
|
-
|
|
|
(24)
|
|
|
25
|
Comprehensive (loss) income
|
|
(435)
|
|
|
(435)
|
|
|
(365)
|
|
|
(130)
|
|
|
985
|
|
|
(380)
|
Less: Comprehensive income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
55
|
|
|
-
|
|
|
55
|
Comprehensive (loss) income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders
|
$
|
(435)
|
|
$
|
(435)
|
|
$
|
(365)
|
|
$
|
(185)
|
|
$
|
985
|
|
$
|
(435)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Comprehensive Loss
|
Nine Months Ended September 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Guarantor
|
|
Issuer
|
|
Other Guarantors
|
|
Non - Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
(In millions)
|
Net (loss) income
|
$
|
(446)
|
|
$
|
(446)
|
|
$
|
(210)
|
|
$
|
(201)
|
|
$
|
913
|
|
$
|
(390)
|
Other comprehensive income (loss), net of income taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net change in fair value of interest rate swaps, net of tax
|
|
8
|
|
|
8
|
|
|
-
|
|
|
-
|
|
|
(8)
|
|
|
8
|
Net change in fair value of available-for-sale securities,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
net of tax
|
|
7
|
|
|
7
|
|
|
7
|
|
|
-
|
|
|
(14)
|
|
|
7
|
Amortization and recognition of unrecognized pension
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
cost components, net of tax
|
|
2
|
|
|
2
|
|
|
2
|
|
|
-
|
|
|
(4)
|
|
|
2
|
Other comprehensive income
|
|
17
|
|
|
17
|
|
|
9
|
|
|
-
|
|
|
(26)
|
|
|
17
|
Comprehensive (loss) income
|
|
(429)
|
|
|
(429)
|
|
|
(201)
|
|
|
(201)
|
|
|
887
|
|
|
(373)
|
Less: Comprehensive income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
noncontrolling interests
|
|
-
|
|
|
-
|
|
|
-
|
|
|
56
|
|
|
-
|
|
|
56
|
Comprehensive (loss) income attributable to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders
|
$
|
(429)
|
|
$
|
(429)
|
|
$
|
(201)
|
|
$
|
(257)
|
|
$
|
887
|
|
$
|
(429)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Balance Sheet
|
September 30, 2018
|
|
Parent
|
|
|
|
|
Other
|
|
Non -
|
|
|
|
|
|
|
|
Guarantor
|
|
Issuer
|
|
Guarantors
|
|
Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(In millions)
|
ASSETS
|
Current assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
$
|
-
|
|
$
|
-
|
|
$
|
247
|
|
$
|
88
|
|
$
|
-
|
|
$
|
335
|
Patient accounts receivable
|
|
-
|
|
|
-
|
|
|
1,921
|
|
|
426
|
|
|
-
|
|
|
2,347
|
Supplies
|
|
-
|
|
|
-
|
|
|
280
|
|
|
144
|
|
|
-
|
|
|
424
|
Prepaid income taxes
|
|
17
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
17
|
Prepaid expenses and taxes
|
|
-
|
|
|
-
|
|
|
159
|
|
|
32
|
|
|
-
|
|
|
191
|
Other current assets
|
|
-
|
|
|
-
|
|
|
120
|
|
|
290
|
|
|
-
|
|
|
410
|
Total current assets
|
|
17
|
|
|
-
|
|
|
2,727
|
|
|
980
|
|
|
-
|
|
|
3,724
|
Intercompany receivable
|
|
-
|
|
|
12,836
|
|
|
6,110
|
|
|
7,149
|
|
|
(26,095)
|
|
|
-
|
Property and equipment, net
|
|
-
|
|
|
-
|
|
|
4,246
|
|
|
2,324
|
|
|
-
|
|
|
6,570
|
Goodwill
|
|
-
|
|
|
-
|
|
|
2,833
|
|
|
1,798
|
|
|
-
|
|
|
4,631
|
Deferred income taxes
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
Other assets, net
|
|
-
|
|
|
26
|
|
|
841
|
|
|
677
|
|
|
-
|
|
|
1,544
|
Net investment in subsidiaries
|
|
-
|
|
|
21,319
|
|
|
11,261
|
|
|
-
|
|
|
(32,580)
|
|
|
-
|
Total assets
|
$
|
17
|
|
$
|
34,181
|
|
$
|
28,018
|
|
$
|
12,928
|
|
$
|
(58,675)
|
|
$
|
16,469
|
LIABILITIES AND DEFICIT
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current maturities of long-term debt
|
$
|
-
|
|
$
|
-
|
|
$
|
27
|
|
$
|
8
|
|
$
|
-
|
|
$
|
35
|
Accounts payable
|
|
-
|
|
|
-
|
|
|
542
|
|
|
274
|
|
|
-
|
|
|
816
|
Accrued interest
|
|
-
|
|
|
258
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
258
|
Accrued liabilities
|
|
-
|
|
|
-
|
|
|
859
|
|
|
511
|
|
|
-
|
|
|
1,370
|
Total current liabilities
|
|
-
|
|
|
258
|
|
|
1,428
|
|
|
793
|
|
|
-
|
|
|
2,479
|
Long-term debt
|
|
-
|
|
|
13,251
|
|
|
184
|
|
|
100
|
|
|
-
|
|
|
13,535
|
Intercompany payable
|
|
1,174
|
|
|
21,808
|
|
|
25,543
|
|
|
12,722
|
|
|
(61,247)
|
|
|
-
|
Deferred income taxes
|
|
39
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
39
|
Other long-term liabilities
|
|
9
|
|
|
-
|
|
|
717
|
|
|
325
|
|
|
-
|
|
|
1,051
|
Total liabilities
|
|
1,222
|
|
|
35,317
|
|
|
27,872
|
|
|
13,940
|
|
|
(61,247)
|
|
|
17,104
|
Redeemable noncontrolling interests in
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
equity of consolidated subsidiaries
|
|
-
|
|
|
-
|
|
|
-
|
|
|
495
|
|
|
-
|
|
|
495
|
Deficit:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders’
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
deficit:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
1
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
1
|
Additional paid-in capital
|
|
2,011
|
|
|
353
|
|
|
673
|
|
|
(279)
|
|
|
(747)
|
|
|
2,011
|
Accumulated other comprehensive loss
|
|
(8)
|
|
|
(8)
|
|
|
(8)
|
|
|
(10)
|
|
|
26
|
|
|
(8)
|
Accumulated deficit
|
|
(3,209)
|
|
|
(1,481)
|
|
|
(519)
|
|
|
(1,293)
|
|
|
3,293
|
|
|
(3,209)
|
Total Community Health Systems, Inc.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
stockholders’ deficit
|
|
(1,205)
|
|
|
(1,136)
|
|
|
146
|
|
|
(1,582)
|
|
|
2,572
|
|
|
(1,205)
|
Noncontrolling interests in equity of
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
consolidated subsidiaries
|
|
-
|
|
|
-
|
|
|
-
|
|
|
75
|
|
|
-
|
|
|
75
|
Total deficit
|
|
(1,205)
|
|
|
(1,136)
|
|
|
146
|
|
|
(1,507)
|
|
|
2,572
|
|
|
(1,130)
|
Total liabilities and deficit
|
$
|
17
|
|
$
|
34,181
|
|
$
|
28,018
|
|
$
|
12,928
|
|
$
|
(58,675)
|
|
$
|
16,469
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Balance Sheet
|
December 31, 2017
|
|
Parent
|
|
|
|
|
Other
|
|
Non -
|
|
|
|
|
|
|
|
Guarantor
|
|
Issuer
|
|
Guarantors
|
|
Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(In millions)
|
ASSETS
|
Current assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
$
|
-
|
|
$
|
-
|
|
$
|
499
|
|
$
|
64
|
|
$
|
-
|
|
$
|
563
|
Patient accounts receivable, net of allowance
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
for doubtful accounts
|
|
-
|
|
|
-
|
|
|
1,861
|
|
|
523
|
|
|
-
|
|
|
2,384
|
Supplies
|
|
-
|
|
|
-
|
|
|
288
|
|
|
156
|
|
|
-
|
|
|
444
|
Prepaid income taxes
|
|
17
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
17
|
Prepaid expenses and taxes
|
|
-
|
|
|
-
|
|
|
146
|
|
|
52
|
|
|
-
|
|
|
198
|
Other current assets
|
|
-
|
|
|
-
|
|
|
152
|
|
|
310
|
|
|
-
|
|
|
462
|
Total current assets
|
|
17
|
|
|
-
|
|
|
2,946
|
|
|
1,105
|
|
|
-
|
|
|
4,068
|
Intercompany receivable
|
|
-
|
|
|
13,381
|
|
|
5,092
|
|
|
7,873
|
|
|
(26,346)
|
|
|
-
|
Property and equipment, net
|
|
-
|
|
|
-
|
|
|
4,448
|
|
|
2,604
|
|
|
-
|
|
|
7,052
|
Goodwill
|
|
-
|
|
|
-
|
|
|
2,882
|
|
|
1,841
|
|
|
-
|
|
|
4,723
|
Deferred income taxes
|
|
62
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
62
|
Other assets, net
|
|
15
|
|
|
39
|
|
|
1,594
|
|
|
939
|
|
|
(1,042)
|
|
|
1,545
|
Net investment in subsidiaries
|
|
-
|
|
|
21,742
|
|
|
10,890
|
|
|
-
|
|
|
(32,632)
|
|
|
-
|
Total assets
|
$
|
94
|
|
$
|
35,162
|
|
$
|
27,852
|
|
$
|
14,362
|
|
$
|
(60,020)
|
|
$
|
17,450
|
LIABILITIES AND DEFICIT
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current maturities of long-term debt
|
$
|
-
|
|
$
|
-
|
|
$
|
25
|
|
$
|
8
|
|
$
|
-
|
|
$
|
33
|
Accounts payable
|
|
-
|
|
|
-
|
|
|
663
|
|
|
304
|
|
|
-
|
|
|
967
|
Accrued interest
|
|
-
|
|
|
228
|
|
|
1
|
|
|
-
|
|
|
-
|
|
|
229
|
Accrued liabilities
|
|
-
|
|
|
-
|
|
|
644
|
|
|
483
|
|
|
-
|
|
|
1,127
|
Total current liabilities
|
|
-
|
|
|
228
|
|
|
1,333
|
|
|
795
|
|
|
-
|
|
|
2,356
|
Long-term debt
|
|
-
|
|
|
12,998
|
|
|
779
|
|
|
103
|
|
|
-
|
|
|
13,880
|
Intercompany payable
|
|
833
|
|
|
21,607
|
|
|
23,465
|
|
|
13,876
|
|
|
(59,781)
|
|
|
-
|
Deferred income taxes
|
|
19
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
19
|
Other long-term liabilities
|
|
9
|
|
|
1,018
|
|
|
997
|
|
|
378
|
|
|
(1,042)
|
|
|
1,360
|
Total liabilities
|
|
861
|
|
|
35,851
|
|
|
26,574
|
|
|
15,152
|
|
|
(60,823)
|
|
|
17,615
|
Redeemable noncontrolling interests in
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
equity of consolidated subsidiaries
|
|
-
|
|
|
-
|
|
|
-
|
|
|
527
|
|
|
-
|
|
|
527
|
Deficit:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Community Health Systems, Inc. stockholders’
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
deficit:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock
|
|
1
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
1
|
Additional paid-in capital
|
|
2,014
|
|
|
(252)
|
|
|
960
|
|
|
(524)
|
|
|
(184)
|
|
|
2,014
|
Accumulated other comprehensive loss
|
|
(21)
|
|
|
(21)
|
|
|
(4)
|
|
|
(4)
|
|
|
29
|
|
|
(21)
|
(Accumulated deficit) retained earnings
|
|
(2,761)
|
|
|
(416)
|
|
|
322
|
|
|
(864)
|
|
|
958
|
|
|
(2,761)
|
Total Community Health Systems, Inc.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
stockholders’ deficit
|
|
(767)
|
|
|
(689)
|
|
|
1,278
|
|
|
(1,392)
|
|
|
803
|
|
|
(767)
|
Noncontrolling interests in equity of
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
consolidated subsidiaries
|
|
-
|
|
|
-
|
|
|
-
|
|
|
75
|
|
|
-
|
|
|
75
|
Total deficit
|
|
(767)
|
|
|
(689)
|
|
|
1,278
|
|
|
(1,317)
|
|
|
803
|
|
|
(692)
|
Total liabilities and deficit
|
$
|
94
|
|
$
|
35,162
|
|
$
|
27,852
|
|
$
|
14,362
|
|
$
|
(60,020)
|
|
$
|
17,450
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Cash Flows
|
Nine Months Ended September 30, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent
|
|
|
|
|
Other
|
|
Non -
|
|
|
|
|
|
|
|
Guarantor
|
|
Issuer
|
|
Guarantors
|
|
Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
(In millions)
|
Net cash provided by (used in) operating
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
activities
|
$
|
45
|
|
$
|
(250)
|
|
$
|
361
|
|
$
|
284
|
|
$
|
-
|
|
$
|
440
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisitions of facilities and other related
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
businesses
|
|
-
|
|
|
-
|
|
|
(3)
|
|
|
(18)
|
|
|
-
|
|
|
(21)
|
Purchases of property and equipment
|
|
-
|
|
|
-
|
|
|
(313)
|
|
|
(100)
|
|
|
-
|
|
|
(413)
|
Proceeds from disposition of hospitals
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and other ancillary operations
|
|
-
|
|
|
-
|
|
|
10
|
|
|
218
|
|
|
-
|
|
|
228
|
Proceeds from sale of property and equipment
|
|
-
|
|
|
-
|
|
|
2
|
|
|
5
|
|
|
-
|
|
|
7
|
Purchases of available-for-sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and equity securities
|
|
-
|
|
|
-
|
|
|
(30)
|
|
|
(20)
|
|
|
-
|
|
|
(50)
|
Proceeds from sales of available-for-sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and equity securities
|
|
-
|
|
|
-
|
|
|
55
|
|
|
20
|
|
|
-
|
|
|
75
|
Increase in other investments
|
|
-
|
|
|
-
|
|
|
(36)
|
|
|
(40)
|
|
|
-
|
|
|
(76)
|
Net cash (used in) provided by
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
investing activities
|
|
-
|
|
|
-
|
|
|
(315)
|
|
|
65
|
|
|
-
|
|
|
(250)
|
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repurchase of restricted stock shares for
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
payroll tax withholding requirements
|
|
(1)
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(1)
|
Deferred financing costs and other debt-related
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
costs
|
|
-
|
|
|
(93)
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(93)
|
Proceeds from noncontrolling investors in
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
joint ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
2
|
|
|
-
|
|
|
2
|
Redemption of noncontrolling investments in
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
joint ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(27)
|
|
|
-
|
|
|
(27)
|
Distributions to noncontrolling investors in
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
joint ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(74)
|
|
|
-
|
|
|
(74)
|
Changes in intercompany balances with
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
affiliates, net
|
|
(44)
|
|
|
(10)
|
|
|
276
|
|
|
(222)
|
|
|
-
|
|
|
-
|
Borrowings under credit agreements
|
|
-
|
|
|
-
|
|
|
22
|
|
|
2
|
|
|
-
|
|
|
24
|
Issuance of long-term debt
|
|
-
|
|
|
1,033
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
1,033
|
Proceeds from ABL and receivables facility
|
|
-
|
|
|
538
|
|
|
49
|
|
|
-
|
|
|
-
|
|
|
587
|
Repayments of long-term indebtedness
|
|
-
|
|
|
(1,218)
|
|
|
(645)
|
|
|
(6)
|
|
|
-
|
|
|
(1,869)
|
Net cash (used in) provided by
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
financing activities
|
|
(45)
|
|
|
250
|
|
|
(298)
|
|
|
(325)
|
|
|
-
|
|
|
(418)
|
Net change in cash and cash equivalents
|
|
-
|
|
|
-
|
|
|
(252)
|
|
|
24
|
|
|
-
|
|
|
(228)
|
Cash and cash equivalents at beginning of period
|
|
-
|
|
|
-
|
|
|
499
|
|
|
64
|
|
|
-
|
|
|
563
|
Cash and cash equivalents at end of period
|
$
|
-
|
|
$
|
-
|
|
$
|
247
|
|
$
|
88
|
|
$
|
-
|
|
$
|
335
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Consolidating Statement of Cash Flows
|
Nine Months Ended September 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent
|
|
|
|
|
Other
|
|
Non -
|
|
|
|
|
|
|
|
Guarantor
|
|
Issuer
|
|
Guarantors
|
|
Guarantors
|
|
Eliminations
|
|
Consolidated
|
|
(In millions)
|
Net cash (used in) provided by operating
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
activities
|
$
|
(44)
|
|
$
|
(228)
|
|
$
|
688
|
|
$
|
201
|
|
$
|
-
|
|
$
|
617
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisitions of facilities and other related
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
businesses
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(4)
|
|
|
-
|
|
|
(4)
|
Purchases of property and equipment
|
|
-
|
|
|
-
|
|
|
(277)
|
|
|
(151)
|
|
|
-
|
|
|
(428)
|
Proceeds from disposition of hospitals
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and other ancillary operations
|
|
-
|
|
|
-
|
|
|
593
|
|
|
1,073
|
|
|
-
|
|
|
1,666
|
Proceeds from sale of property and equipment
|
|
-
|
|
|
-
|
|
|
3
|
|
|
1
|
|
|
-
|
|
|
4
|
Purchases of available-for-sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and equity securities
|
|
-
|
|
|
-
|
|
|
(57)
|
|
|
(28)
|
|
|
-
|
|
|
(85)
|
Proceeds from sales of available-for-sale securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and equity securities
|
|
-
|
|
|
-
|
|
|
84
|
|
|
49
|
|
|
-
|
|
|
133
|
Investment in other non-operating assets
|
|
-
|
|
|
-
|
|
|
(72)
|
|
|
(23)
|
|
|
-
|
|
|
(95)
|
Net cash (used in) provided by
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
investing activities
|
|
-
|
|
|
-
|
|
|
274
|
|
|
917
|
|
|
-
|
|
|
1,191
|
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repurchase of restricted stock shares for payroll
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
tax withholding requirements
|
|
(5)
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(5)
|
Deferred financing costs and other
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
debt-related costs
|
|
-
|
|
|
(65)
|
|
|
(1)
|
|
|
-
|
|
|
-
|
|
|
(66)
|
Proceeds from noncontrolling investors in joint
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
5
|
|
|
-
|
|
|
5
|
Redemption of noncontrolling investments in joint
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(5)
|
|
|
-
|
|
|
(5)
|
Distributions to noncontrolling investors in joint
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ventures
|
|
-
|
|
|
-
|
|
|
-
|
|
|
(79)
|
|
|
-
|
|
|
(79)
|
Changes in intercompany balances with
|
|
|
|
|
|
|
|
-
|
|
|
|
|
|
|
|
|
|
affiliates, net
|
|
49
|
|
|
1,413
|
|
|
(434)
|
|
|
(1,028)
|
|
|
-
|
|
|
-
|
Borrowings under credit agreements
|
|
-
|
|
|
795
|
|
|
27
|
|
|
17
|
|
|
-
|
|
|
839
|
Issuance of long-term debt
|
|
-
|
|
|
3,100
|
|
|
-
|
|
|
-
|
|
|
-
|
|
|
3,100
|
Proceeds from receivables facility
|
|
-
|
|
|
-
|
|
|
26
|
|
|
-
|
|
|
-
|
|
|
26
|
Repayments of long-term indebtedness
|
|
-
|
|
|
(5,015)
|
|
|
(232)
|
|
|
(24)
|
|
|
-
|
|
|
(5,271)
|
Net cash provided by (used in) financing
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
activities
|
|
44
|
|
|
228
|
|
|
(614)
|
|
|
(1,114)
|
|
|
-
|
|
|
(1,456)
|
Net change in cash and cash equivalents
|
|
-
|
|
|
-
|
|
|
348
|
|
|
4
|
|
|
-
|
|
|
352
|
Cash and cash equivalents at beginning of period
|
|
-
|
|
|
-
|
|
|
176
|
|
|
62
|
|
|
-
|
|
|
238
|
Cash and cash equivalents at end of period
|
$
|
-
|
|
$
|
-
|
|
$
|
524
|
|
$
|
66
|
|
$
|
-
|
|
$
|
590
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|