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Pay vs Performance Disclosure
Unit_pure in Millions

12 Months Ended

Dec. 31, 2022

USD ($)

Dec. 31, 2021

USD ($)

Dec. 31, 2020

USD ($)

Pay vs Performance Disclosure [Table]

Pay vs Performance [Table Text Block]

Pay Versus Performance

Tabular Disclosures of Pay and Performance

Our CEO is the principal executive officer (“PEO”). The following table sets forth information concerning the compensation of our PEO(s) and other NEOs for each of the years ending December 31, 2022, 2021 and 2020 as well as our financial performance for each year.


										Value of Initial Fixed $100 Investment Based On:

Year (a)	Summary Compensation Table Total for PEO ($) (b)		Compensation Actually Paid to PEO ($) (c)		Average Summary Compensation Table Total for Non-PEO NEO’s ($) (d)		Average Compensation Actually Paid to Non-PEO NEO’s ($) (e)			Total Shareholder Return ($) (f)		Peer Group Total Shareholder Return ($) (g)		Net Income (h) ($ in millions)		Adjusted EBITDA (i) ($ in millions)
2022		6,302,542		159,239		3,694,426		(236,524	)		149		131		46		1,466
2021		9,526,625		15,121,986		5,415,424		7,635,715			459		139		230		1,969
2020		9,066,419		10,617,549		3,717,051		4,332,808			256		114		511		1,809


Column (b)		Reflects compensation amounts reported in the “Summary Compensation Table” (“SCT”) for Tim Hingtgen, our CEO for 2022 and 2021, and Wayne Smith, our CEO in 2020.
Column (c)		“Compensation actually paid” (“CAP”) to our CEO in each of 2022, 2021 and 2020 (individually referred to as “Covered Year”) reflects the respective amounts set forth in column (b) of the table above, adjusted as set forth in the table below, as determined in accordance with SEC rules.


	2022		2021		2020
CEO	Tim Hingtgen		Tim Hingtgen		Wayne Smith
Total Compensation per the SCT		$6,302,542		$9,526,625		$9,066,419
Less: Stock and Option Award values reported in the SCT		($3,779,000)		($3,265,000)		($1,929,375)
Plus: Fair Value of Stock and Option Awards Granted during the Covered Year		$1,620,000		$4,924,000		$2,958,750
Change in Fair Value of Outstanding Unvested Stock and Option Awards from Prior Years		($4,931,670)		$2,818,729		$1,721,475
Change in Fair Value of Stock and Option Awards from Prior Years that Vested in the Covered Year		($24,582)		$1,200,313		$218,400
Less: Fair Value of Stock and Option Awards Forfeited during the Covered Year		($3,110)		($5,000)		($288,500)
Less: Aggregate Change in Actuarial Present Value of Defined Benefit Plans		($499,859)		($1,520,328)		($1,129,620)
Plus: Aggregate Service Cost and Prior Service Cost for Pension Plans		$1,474,917		$1,442,647		-

Compensation Actually Paid		$159,239		$15,121,986		$10,617,549


Column (d)		Reflects the average compensation amounts reported in the “SCT” for our Non-PEO NEOs.


Column (e)		The following Non-PEO NEOs are included in the average figures shown below: 2022 – Wayne T. Smith, Kevin Hammons, Lynn Simon, and Mark B. Medley 2021 – Wayne T. Smith, Kevin Hammons, Lynn Simon and Benjamin Fordham 2020 – Tim Hingtgen, Kevin Hammons, Lynn Simon and Benjamin Fordham


	2022		2021		2020
Total Compensation per the SCT		$3,694,426		$5,415,424		$3,717,051
Less: Stock and Option Award values reported in the SCT		($2,138,500)		($1,850,378)		($938,934)
Plus: Fair Value of Stock and Option Awards Granted during the Covered Year		$917,325		$2,785,947		$1,437,441
Change in Fair Value of Outstanding Unvested Stock and Option Awards from Prior Years		($2,595,277)		$1,489,657		$672,792
Change in Fair Value of Stock and Option Awards from Prior Years that Vested in the Covered Year		$86,796		$632,161		$84,144
Less: Fair Value of Stock and Option Awards Forfeited during the Covered Year		($90,820)		($57,500)		($68,470)
Less: Aggregate Change in Actuarial Present Value of Defined Benefit Plans		($440,806)		($1,002,492)		($978,380)
Plus: Aggregate Service Cost and Prior Service Cost for Pension Plans		$330,333		$222,897		$407,164

Compensation Actually Paid		($236,524)		$7,635,715		$4,332,808


Column (f)		Represents the cumulative total shareholder return for the Company for the measurement periods beginning December 31, 2019 and ending on December 31, 2022, 2021 and 2020, respectively.
Column (g)		Represents the cumulative total shareholder return of the Dow Jones U.S. Healthcare Index (“Peer Group Total Shareholder Return”) for the measurement periods beginning December 31, 2019 and ending on December 31, 2022, 2021 and 2020, respectively.
Column (h)		Reflects Net Income attributable to Community Health Systems, Inc. stockholders as included in the Company’s Annual Reports on Form 10-K for each of the years ended December 31, 2022, 2021 and 2020.
Column (i)		The Company-Selected Measure is Adjusted EBITDA, a non-GAAP financial measure. See Annex A — Non-GAAP Financial Measures for additional information regarding Adjusted EBITDA, including how Adjusted EBITDA is calculated from the Company’s financial statements.

Company Selected Measure Name

Adjusted EBITDA

Named Executive Officers, Footnote [Text Block]

The following

Non-PEO

NEOs are included in the average figures shown below:

2022 – Wayne T. Smith, Kevin Hammons, Lynn Simon, and Mark B. Medley

2021 – Wayne T. Smith, Kevin Hammons, Lynn Simon and Benjamin Fordham

2020 – Tim Hingtgen, Kevin Hammons, Lynn Simon and Benjamin Fordham

Peer Group Issuers, Footnote [Text Block]

Represents the cumulative total shareholder return of the Dow Jones U.S. Healthcare Index (“Peer Group Total Shareholder Return”) for the measurement periods beginning December 31, 2019 and ending on December 31, 2022, 2021 and 2020, respectively.

PEO Total Compensation Amount

$ 6,302,542

$ 9,526,625

$ 9,066,419

PEO Actually Paid Compensation Amount

$ 159,239

15,121,986

10,617,549

Adjustment To PEO Compensation, Footnote [Text Block]

“Compensation actually paid” (“CAP”) to our CEO in each of 2022, 2021 and 2020 (individually referred to as “Covered Year”) reflects the respective amounts set forth in column (b) of the table above, adjusted as set forth in the table below, as determined in accordance with SEC rules.


	2022		2021		2020
CEO	Tim Hingtgen		Tim Hingtgen		Wayne Smith
Total Compensation per the SCT		$6,302,542		$9,526,625		$9,066,419
Less: Stock and Option Award values reported in the SCT		($3,779,000)		($3,265,000)		($1,929,375)
Plus: Fair Value of Stock and Option Awards Granted during the Covered Year		$1,620,000		$4,924,000		$2,958,750
Change in Fair Value of Outstanding Unvested Stock and Option Awards from Prior Years		($4,931,670)		$2,818,729		$1,721,475
Change in Fair Value of Stock and Option Awards from Prior Years that Vested in the Covered Year		($24,582)		$1,200,313		$218,400
Less: Fair Value of Stock and Option Awards Forfeited during the Covered Year		($3,110)		($5,000)		($288,500)
Less: Aggregate Change in Actuarial Present Value of Defined Benefit Plans		($499,859)		($1,520,328)		($1,129,620)
Plus: Aggregate Service Cost and Prior Service Cost for Pension Plans		$1,474,917		$1,442,647		-

Compensation Actually Paid		$159,239		$15,121,986		$10,617,549

Non-PEO NEO Average Total Compensation Amount

$ 3,694,426

5,415,424

3,717,051

Non-PEO NEO Average Compensation Actually Paid Amount

$ (236,524)

7,635,715

4,332,808

Adjustment to Non-PEO NEO Compensation Footnote [Text Block]


	2022		2021		2020
Total Compensation per the SCT		$3,694,426		$5,415,424		$3,717,051
Less: Stock and Option Award values reported in the SCT		($2,138,500)		($1,850,378)		($938,934)
Plus: Fair Value of Stock and Option Awards Granted during the Covered Year		$917,325		$2,785,947		$1,437,441
Change in Fair Value of Outstanding Unvested Stock and Option Awards from Prior Years		($2,595,277)		$1,489,657		$672,792
Change in Fair Value of Stock and Option Awards from Prior Years that Vested in the Covered Year		$86,796		$632,161		$84,144
Less: Fair Value of Stock and Option Awards Forfeited during the Covered Year		($90,820)		($57,500)		($68,470)
Less: Aggregate Change in Actuarial Present Value of Defined Benefit Plans		($440,806)		($1,002,492)		($978,380)
Plus: Aggregate Service Cost and Prior Service Cost for Pension Plans		$330,333		$222,897		$407,164

Compensation Actually Paid		($236,524)		$7,635,715		$4,332,808

Compensation Actually Paid vs. Total Shareholder Return [Text Block]

Compensation Actually Paid vs. Net Income [Text Block]

Compensation Actually Paid vs. Company Selected Measure [Text Block]

Total Shareholder Return Vs Peer Group [Text Block]

Tabular List [Table Text Block]

Listed below, in no specific order, are the performance measures which in our assessment represent the most important measures we use to link compensation actually paid to our NEOs for 2022 to the Company’s performance:

Adjusted EBITDA

- - - - -

Cumulative Consolidated Adjusted EBITDA Growth

- - - - -

Net Revenues

- - - - -

Consolidated Adjusted EBITDA Margin Improvement

- - - - -

Adjusted Earnings per Share

Total Shareholder Return Amount

$ 149

459

256

Peer Group Total Shareholder Return Amount

131

139

114

Net Income (Loss)

$ 46,000,000

$ 230,000,000

$ 511,000,000

Company Selected Measure Amount

1,466

1,969

1,809

Measure [Axis]: 1

Pay vs Performance Disclosure [Table]

Measure Name

Adjusted EBITDA

Non-GAAP Measure Description [Text Block]

The Company-Selected Measure is Adjusted EBITDA, a

non-GAAP

financial measure. See Annex A —

Non-GAAP

Financial Measures for additional information regarding Adjusted EBITDA, including how Adjusted EBITDA is calculated from the Company’s financial statements.

Measure [Axis]: 2

Pay vs Performance Disclosure [Table]

Measure Name

Cumulative Consolidated Adjusted EBITDA Growth

Measure [Axis]: 3

Pay vs Performance Disclosure [Table]

Measure Name

Net Revenues

Measure [Axis]: 4

Pay vs Performance Disclosure [Table]

Measure Name

Consolidated Adjusted EBITDA Margin Improvement