$CYH
COMMUNITY HEALTH SYSTEMS INC

2024 Q1 Form 10-K Financial Statement

#000095017024018021 Filed on February 21, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $3.140B $3.181B $12.49B
YoY Change 1.03% 1.24% 2.28%
Cost Of Revenue $487.0M $509.0M $1.993B
YoY Change -3.94% 2.21% 0.91%
Gross Profit $2.653B $2.672B $10.50B
YoY Change 2.0% 1.06% 2.55%
Gross Profit Margin 84.49% 84.0% 84.04%
Selling, General & Admin $1.445B $1.453B $5.734B
YoY Change -0.07% 0.97% 1.18%
% of Gross Profit 54.47% 54.38% 54.63%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $115.0M $121.0M $505.0M
YoY Change -12.88% -11.03% -5.43%
% of Gross Profit 4.33% 4.53% 4.81%
Operating Expenses $2.405B $2.423B $9.627B
YoY Change -0.33% 0.96% 1.16%
Operating Profit $248.0M $249.0M $957.0M
YoY Change 18.1% 2.05% 16.57%
Interest Expense -$209.0M -$206.0M -$830.0M
YoY Change 0.97% 145.24% -3.26%
% of Operating Profit -84.27% -82.73% -86.73%
Other Income/Expense, Net
YoY Change
Pretax Income $22.00M $193.0M $207.0M
YoY Change 266.67% -40.62% -40.69%
Income Tax $28.00M $108.0M $191.0M
% Of Pretax Income 127.27% 55.96% 92.27%
Net Earnings -$41.00M $46.00M -$133.0M
YoY Change -19.61% -88.92% -389.13%
Net Earnings / Revenue -1.31% 1.45% -1.06%
Basic Earnings Per Share -$0.32 -$1.02
Diluted Earnings Per Share -$0.31 $0.35 -$1.02
COMMON SHARES
Basic Shares Outstanding 136.7M 136.8M 130.4M
Diluted Shares Outstanding 131.3M 130.4M

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $48.00M $38.00M $38.00M
YoY Change -66.67% -67.8% -67.8%
Cash & Equivalents $48.00M $38.00M $38.00M
Short-Term Investments
Other Short-Term Assets $473.0M $275.0M $611.0M
YoY Change 108.37% 17.02% 28.9%
Inventory $329.0M $328.0M $328.0M
Prepaid Expenses
Receivables $2.194B $2.231B $2.231B
Other Receivables $131.0M $0.00 $0.00
Total Short-Term Assets $3.175B $3.208B $3.208B
YoY Change 1.96% 4.09% 4.09%
LONG-TERM ASSETS
Property, Plant & Equipment $5.861B $5.207B $5.207B
YoY Change 11.53% -2.95% -14.68%
Goodwill $3.957B $3.958B
YoY Change -3.49% -5.76%
Intangibles
YoY Change
Long-Term Investments $170.0M $170.0M
YoY Change 9.68% 9.68%
Other Assets $1.424B $2.053B $2.082B
YoY Change -33.89% 2.29% 87.4%
Total Long-Term Assets $11.24B $11.25B $11.25B
YoY Change -2.32% -2.93% -2.93%
TOTAL ASSETS
Total Short-Term Assets $3.175B $3.208B $3.208B
Total Long-Term Assets $11.24B $11.25B $11.25B
Total Assets $14.42B $14.46B $14.46B
YoY Change -1.41% -1.46% -1.46%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $941.0M $912.0M $912.0M
YoY Change 32.16% 17.98% 17.98%
Accrued Expenses $1.087B $1.209B $1.209B
YoY Change -13.8% -6.35% -6.35%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $34.00M $21.00M $21.00M
YoY Change -12.82% 0.0% 0.0%
Total Short-Term Liabilities $2.136B $2.142B $2.142B
YoY Change 0.19% -2.01% -2.01%
LONG-TERM LIABILITIES
Long-Term Debt $11.53B $11.47B $11.47B
YoY Change -1.39% -1.27% -1.27%
Other Long-Term Liabilities $1.272B $739.0M $1.302B
YoY Change 96.6% 14.75% 4.24%
Total Long-Term Liabilities $12.81B $12.21B $12.77B
YoY Change 3.74% -0.43% -0.74%
TOTAL LIABILITIES
Total Short-Term Liabilities $2.136B $2.142B $2.142B
Total Long-Term Liabilities $12.81B $12.21B $12.77B
Total Liabilities $15.85B $15.28B $15.85B
YoY Change 2.8% -0.81% -1.18%
SHAREHOLDERS EQUITY
Retained Earnings -$3.605B -$3.564B
YoY Change 3.53% 3.88%
Common Stock $2.193B $2.186B
YoY Change 6.72% 4.84%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity -$1.428B -$1.392B -$1.392B
YoY Change
Total Liabilities & Shareholders Equity $14.42B $14.46B $14.46B
YoY Change -1.41% -1.46% -1.46%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income -$41.00M $46.00M -$133.0M
YoY Change -19.61% -88.92% -389.13%
Depreciation, Depletion And Amortization $115.0M $121.0M $505.0M
YoY Change -12.88% -11.03% -5.43%
Cash From Operating Activities $96.00M $90.00M $210.0M
YoY Change 1820.0% 900.0% -30.0%
INVESTING ACTIVITIES
Capital Expenditures $93.00M $110.0M $467.0M
YoY Change -23.77% -16.03% 12.53%
Acquisitions $1.000M $38.00M
YoY Change -87.5% 322.22%
Other Investing Activities -$6.000M $290.0M $65.00M
YoY Change -137.5% 267.09% 8.33%
Cash From Investing Activities -$99.00M $180.0M -$26.00M
YoY Change 421.05% -446.15% -89.96%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net $885.0M $4.324B
YoY Change 16.91% 83.53%
Cash From Financing Activities 13.00M -323.0M -264.0M
YoY Change -67.5% 132.37% -38.6%
NET CHANGE
Cash From Operating Activities 96.00M 90.00M 210.0M
Cash From Investing Activities -99.00M 180.0M -26.00M
Cash From Financing Activities 13.00M -323.0M -264.0M
Net Change In Cash 10.00M -53.00M -80.00M
YoY Change -61.54% -70.88% -79.43%
FREE CASH FLOW
Cash From Operating Activities $96.00M $90.00M $210.0M
Capital Expenditures $93.00M $110.0M $467.0M
Free Cash Flow $3.000M -$20.00M -$257.0M
YoY Change -102.56% -83.61% 123.48%

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<p style="text-indent:2.267%;font-size:10pt;margin-top:10pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;font-style:italic;min-width:fit-content;">Use of Estimates</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">. The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“U.S. GAAP”) requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements. Actual results could differ from these estimates under different assumptions or conditions.</span></p>
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CY2023 cyh Otherassetspolicytext Block
OtherassetspolicytextBlock
<span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;font-style:italic;min-width:fit-content;">Other Assets.</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> Other assets consist of the insurance recovery receivable from excess insurance carriers related to the Company’s self-insured professional liability and workers’ compensation insurance liability; costs to recruit physicians to the Company’s markets, which are deferred and expensed over the term of the respective physician recruitment contract, generally </span><span style="font-size:10pt;font-family:Times New Roman;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">three years</span></span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">, and included in amortization expense; equity method investments; right-of-use (“ROU”) assets for operating leases; and capitalized internal-use software costs, which are expensed over the expected useful life, which is generally </span><span style="font-size:10pt;font-family:Times New Roman;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">three years</span></span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> for routine software, and included in amortization expense. </span>
CY2023 us-gaap Revenues
Revenues
12490000000
CY2022 us-gaap Revenues
Revenues
12211000000
CY2021 us-gaap Revenues
Revenues
12368000000
CY2023Q4 cyh Amounts Due To Third Party Payors
AmountsDueToThirdPartyPayors
97000000
CY2022Q4 cyh Amounts Due To Third Party Payors
AmountsDueToThirdPartyPayors
101000000
CY2023Q4 cyh Amounts Due From Third Party Payors
AmountsDueFromThirdPartyPayors
130000000
CY2022Q4 cyh Amounts Due From Third Party Payors
AmountsDueFromThirdPartyPayors
97000000
CY2023 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
1300000000
CY2022 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
1400000000
CY2021 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
1100000000
CY2023 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
140000000
CY2022 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
166000000
CY2021 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
123000000
CY2023 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="text-indent:2.267%;font-size:10pt;margin-top:10pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;font-style:italic;min-width:fit-content;">Concentrations of Credit Risk</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">. The Company grants unsecured credit to its patients, most of whom reside in the service area of the Company’s facilities and are insured under third-party payor agreements. Because of the economic diversity of the Company’s facilities and non-governmental third-party payors, Medicare represents the only significant concentration of credit risk from payors. Accounts receivable, net of contractual allowances, from Medicare was $</span><span style="font-size:10pt;font-family:Times New Roman;color:#000000;white-space:pre-wrap;min-width:fit-content;">194</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> million and $</span><span style="font-size:10pt;font-family:Times New Roman;color:#000000;white-space:pre-wrap;min-width:fit-content;">198</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> million at </span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">December 31, 2023 and 2022</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">, respectively, representing </span><span style="font-size:10pt;font-family:Times New Roman;color:#000000;white-space:pre-wrap;min-width:fit-content;">6</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">% of consolidated net accounts receivable at both </span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">December 31, 2023 and 2022</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">.</span></p>
CY2023 cyh Number Of Hospitals Sold
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5
CY2022 cyh Impairment Of Long Lived Assets Sold
ImpairmentOfLongLivedAssetsSold
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CY2022 cyh Amount Related To Closure Of Hospitals
AmountRelatedToClosureOfHospitals
44000000
CY2022 cyh Amount Related To Expiration Or Planned Non Renewal Of Leases
AmountRelatedToExpirationOrPlannedNonRenewalOfLeases
9000000
CY2022 cyh Amount Related To Several Assets Idled Disposed Or Held For Sale
AmountRelatedToSeveralAssetsIdledDisposedOrHeldForSale
11000000
CY2022Q4 us-gaap Change In Accounting Principle Accounting Standards Update Adopted
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true
CY2022Q4 us-gaap Change In Accounting Principle Accounting Standards Update Immaterial Effect
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true
CY2023 us-gaap Share Based Compensation
ShareBasedCompensation
22000000
CY2022 us-gaap Share Based Compensation
ShareBasedCompensation
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CY2021 us-gaap Share Based Compensation
ShareBasedCompensation
25000000
CY2023 us-gaap Allocated Share Based Compensation Expense Net Of Tax
AllocatedShareBasedCompensationExpenseNetOfTax
17000000
CY2022 us-gaap Allocated Share Based Compensation Expense Net Of Tax
AllocatedShareBasedCompensationExpenseNetOfTax
15000000
CY2021 us-gaap Allocated Share Based Compensation Expense Net Of Tax
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20000000
CY2023Q4 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
27000000
CY2023 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
P20M
CY2023 cyh Employee Service Share Based Compensation Nonvested Awards Modifications To Awards
EmployeeServiceShareBasedCompensationNonvestedAwardsModificationsToAwards
0
CY2022 cyh Employee Service Share Based Compensation Nonvested Awards Modifications To Awards
EmployeeServiceShareBasedCompensationNonvestedAwardsModificationsToAwards
0
CY2023Q4 us-gaap Disposal Group Including Discontinued Operation Other Current Assets
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CY2022Q4 us-gaap Disposal Group Including Discontinued Operation Other Current Assets
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CY2023Q4 us-gaap Disposal Group Including Discontinued Operation Other Noncurrent Assets
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CY2022Q4 us-gaap Disposal Group Including Discontinued Operation Other Noncurrent Assets
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CY2023Q4 us-gaap Disposal Group Including Discontinued Operation Accrued Liabilities Current
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4000000
CY2022Q4 us-gaap Goodwill Gross
GoodwillGross
6980000000
CY2021Q4 us-gaap Goodwill Gross
GoodwillGross
7033000000
CY2022Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2021Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2022Q4 us-gaap Goodwill
Goodwill
4166000000
CY2021Q4 us-gaap Goodwill
Goodwill
4219000000
CY2023 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
23000000
CY2022 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
11000000
CY2023 cyh Goodwill Written Off Related To Divested Or Disposal Of Assets Held For Sale
GoodwillWrittenOffRelatedToDivestedOrDisposalOfAssetsHeldForSale
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CY2022 cyh Goodwill Written Off Related To Divested Or Disposal Of Assets Held For Sale
GoodwillWrittenOffRelatedToDivestedOrDisposalOfAssetsHeldForSale
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CY2023Q4 us-gaap Goodwill Gross
GoodwillGross
6772000000
CY2022Q4 us-gaap Goodwill Gross
GoodwillGross
6980000000
CY2023Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2022Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2023Q4 us-gaap Goodwill
Goodwill
3958000000
CY2022Q4 us-gaap Goodwill
Goodwill
4166000000
CY2023Q4 us-gaap Goodwill
Goodwill
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CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
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CY2022 us-gaap Finitelived Intangible Assets Acquired1
FinitelivedIntangibleAssetsAcquired1
0
CY2023Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
27000000
CY2022Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
4000000
CY2023Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
20000000
CY2022Q4 us-gaap Finite Lived Intangible Assets Net
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CY2023Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
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CY2022Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
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CY2023Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
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CY2022Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
968000000
CY2023Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
144000000
CY2022Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
170000000
CY2023Q4 cyh Capitalized Costs For Internal Use Software In Development Stage
CapitalizedCostsForInternalUseSoftwareInDevelopmentStage
68000000
CY2023 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
149000000
CY2021 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
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CY2023 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
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CY2022 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
5000000
CY2021 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
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CY2023 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
156000000
CY2022 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
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CY2021 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
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CY2023 us-gaap Deferred Federal Income Tax Expense Benefit
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CY2022 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
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CY2021 us-gaap Deferred Federal Income Tax Expense Benefit
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CY2023 us-gaap Deferred State And Local Income Tax Expense Benefit
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CY2022 us-gaap Deferred State And Local Income Tax Expense Benefit
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CY2021 us-gaap Deferred State And Local Income Tax Expense Benefit
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CY2023 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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DeferredIncomeTaxExpenseBenefit
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DeferredIncomeTaxExpenseBenefit
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IncomeTaxExpenseBenefit
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IncomeTaxExpenseBenefit
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CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
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44000000
CY2023 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
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CY2022 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
73000000
CY2022 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
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CY2021 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
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CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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CY2023 us-gaap Income Tax Reconciliation State And Local Income Taxes
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37000000
CY2023 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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CY2022 us-gaap Income Tax Reconciliation State And Local Income Taxes
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CY2022 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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CY2021 us-gaap Income Tax Reconciliation State And Local Income Taxes
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44000000
CY2021 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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CY2023 us-gaap Income Tax Reconciliation Minority Interest Income Expense
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31000000
CY2023 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
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0.149
CY2022 us-gaap Income Tax Reconciliation Minority Interest Income Expense
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CY2022 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
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CY2021 us-gaap Income Tax Reconciliation Minority Interest Income Expense
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CY2021 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
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CY2023 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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CY2022 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
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CY2021 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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CY2023 cyh Income Tax Reconciliation Change In Uncertain Tax Position
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CY2023 cyh Effective Income Tax Rate Reconciliation Change In Uncertain Tax Position
EffectiveIncomeTaxRateReconciliationChangeInUncertainTaxPosition
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CY2023 cyh Effective Income Tax Rate Reconciliation Nondeductible Goodwill Amount
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29000000
CY2023 cyh Effective Income Tax Rate Reconciliation Nondeductible Goodwill Percent
EffectiveIncomeTaxRateReconciliationNondeductibleGoodwillPercent
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CY2023Q4 us-gaap Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
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534000000
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CY2022Q4 us-gaap Unrecognized Tax Benefits
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50000000
CY2021Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
42000000
CY2022Q4 cyh Fair Value Liabilities Level2 To Level1 Transfer Amount
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0
CY2022Q4 cyh Fair Value Assets Level2 To Level1 Transfer Amount
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0
CY2022Q4 cyh Fair Value Liabilities Level1 To Level2 Transfer Amount
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ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
121000000
CY2023Q4 us-gaap Equity Method Investments
EquityMethodInvestments
170000000
CY2022Q4 us-gaap Equity Method Investments
EquityMethodInvestments
155000000
CY2023 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
8000000
CY2022 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
14000000
CY2021 us-gaap Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
22000000
CY2022Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
-21000000
CY2023 us-gaap Other Comprehensive Income Loss Before Reclassifications Net Of Tax
OtherComprehensiveIncomeLossBeforeReclassificationsNetOfTax
7000000
CY2023 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
7000000
CY2023Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
-14000000
CY2021Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
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CY2022 us-gaap Other Comprehensive Income Loss Before Reclassifications Net Of Tax
OtherComprehensiveIncomeLossBeforeReclassificationsNetOfTax
-6000000
CY2022 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Net Of Tax
ReclassificationFromAccumulatedOtherComprehensiveIncomeCurrentPeriodNetOfTax
1000000
CY2022 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
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CY2022Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
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CY2023 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Before Tax
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0
CY2022 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Before Tax
ReclassificationFromAccumulatedOtherComprehensiveIncomeCurrentPeriodBeforeTax
0
CY2023 cyh Physician Recruiting Commitment Physician Income Guarantee Period
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P12M
CY2023 cyh Physician Recruiting Commitment Period Of Recoverability Of Physician Income Guarantee For Noncommitment
PhysicianRecruitingCommitmentPeriodOfRecoverabilityOfPhysicianIncomeGuaranteeForNoncommitment
P3Y
CY2023Q4 cyh Physician Recruiting Commitment Maximum Potential Future Payments In Excess Of Liability Recorded
PhysicianRecruitingCommitmentMaximumPotentialFuturePaymentsInExcessOfLiabilityRecorded
6000000
CY2023 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.037
CY2022 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.038
CY2021 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.018
CY2023Q4 us-gaap Malpractice Loss Contingency Accrual Discounted
MalpracticeLossContingencyAccrualDiscounted
443000000
CY2022Q4 us-gaap Malpractice Loss Contingency Accrual Discounted
MalpracticeLossContingencyAccrualDiscounted
467000000
CY2023Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
498000000
CY2022Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
516000000
CY2023Q4 us-gaap Malpractice Loss Contingency Accrual Discounted Current
MalpracticeLossContingencyAccrualDiscountedCurrent
119000000
CY2022Q4 us-gaap Malpractice Loss Contingency Accrual Discounted Current
MalpracticeLossContingencyAccrualDiscountedCurrent
159000000
CY2020 cyh Expenses Related To Settlement Of Professional Liability Claim
ExpensesRelatedToSettlementOfProfessionalLiabilityClaim
50000000
CY2020 us-gaap Litigation Settlement Amount Awarded From Other Party
LitigationSettlementAmountAwardedFromOtherParty
50000000
CY2021Q4 us-gaap Proceeds From Legal Settlements
ProceedsFromLegalSettlements
22000000
CY2022Q4 cyh Change In Estimate For Professional Liability Claims
ChangeInEstimateForProfessionalLiabilityClaims
15000000
CY2022 cyh Change In Estimate For Professional Liability Claims
ChangeInEstimateForProfessionalLiabilityClaims
15000000
CY2023 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
0
CY2022 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
0
CY2021 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
0
CY2023Q4 ecd Rule10b51 Arr Adopted Flag
Rule10b51ArrAdoptedFlag
false
CY2023Q4 ecd Non Rule10b51 Arr Adopted Flag
NonRule10b51ArrAdoptedFlag
false
CY2023Q4 ecd Rule10b51 Arr Trmntd Flag
Rule10b51ArrTrmntdFlag
false
CY2023Q4 ecd Non Rule10b51 Arr Trmntd Flag
NonRule10b51ArrTrmntdFlag
false

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