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Consolidated Statements of Income (Loss) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Statement [Abstract]      
Net operating revenues $ 11,789 $ 13,210 $ 14,155
Operating costs and expenses:      
Salaries and benefits 5,411 5,947 6,384
Supplies 1,963 2,151 2,355
Other operating expenses 2,957 3,303 3,496
Government and other legal settlements and related costs   93 11
Electronic health records incentive reimbursement   (1) (4)
Lease cost and rent 327 321 337
Pandemic relief funds (601)    
Depreciation and amortization 558 608 700
Impairment and (gain) loss on sale of businesses, net 48 138 668
Total operating costs and expenses 10,663 12,560 13,947
Income from operations 1,126 650 208
Interest expense, net of interest income of $3 in both 2020 and 2019 and $7 in 2018 1,031 1,041 976
(Gain) loss from early extinguishment of debt (317) 54 (31)
Equity in earnings of unconsolidated affiliates (10) (15) (22)
Income (loss) before income taxes 422 (430) (715)
(Benefit from) provision for income taxes (185) 160 (11)
Net income (loss) 607 (590) (704)
Less: Net income attributable to noncontrolling interests 96 85 84
Net income (loss) attributable to Community Health Systems, Inc. stockholders $ 511 $ (675) $ (788)
Earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:      
Basic $ 4.43 $ (5.93) $ (6.99)
Diluted $ 4.39 $ (5.93) $ (6.99)
Weighted-average number of shares outstanding:      
Basic 115,491,022 113,739,046 112,728,274
Diluted 116,544,561 113,739,046 112,728,274