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Consolidated Statements of Income (Loss) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Income Statement [Abstract]      
Net operating revenues $ 12,368 $ 11,789 $ 13,210
Operating costs and expenses:      
Salaries and benefits 5,242 5,411 5,947
Supplies 2,042 1,963 2,151
Other operating expenses 2,958 2,957 3,303
Government and other legal settlements and related costs     93
Electronic health records incentive reimbursement     (1)
Lease cost and rent 308 327 321
Pandemic relief funds (148) (601)  
Depreciation and amortization 540 558 608
Impairment and (gain) loss on sale of businesses, net 24 48 138
Total operating costs and expenses 10,966 10,663 12,560
Income from operations 1,402 1,126 650
Interest expense, net of interest income of $3 in 2021, 2020 and 2019 885 1,031 1,041
Loss (gain) from early extinguishment of debt 79 (317) 54
Gain on sale of equity interests in Macon Healthcare, LLC (39)    
Equity in earnings of unconsolidated affiliates (22) (10) (15)
Income (loss) before income taxes 499 422 (430)
Provision for (benefit from) income taxes 131 (185) 160
Net income (loss) 368 607 (590)
Less: Net income attributable to noncontrolling interests 138 96 85
Net income (loss) attributable to Community Health Systems, Inc. stockholders $ 230 $ 511 $ (675)
Earnings (loss) per share attributable to Community Health Systems, Inc. stockholders:      
Basic $ 1.82 $ 4.43 $ (5.93)
Diluted $ 1.76 $ 4.39 $ (5.93)
Weighted-average number of shares outstanding:      
Basic 126,754,852 115,491,022 113,739,046
Diluted 130,597,410 116,544,561 113,739,046