$CYH
COMMUNITY HEALTH SYSTEMS INC

2020 Form 10-K Financial Statement

#000156459021006686 Filed on February 18, 2021

View on sec.gov

Income Statement

Concept 2020 2019 Q4 2019
Revenue $11.79B $3.286B $13.21B
YoY Change -10.76% -4.84% -6.68%
Cost Of Revenue $1.963B $528.0M $2.151B
YoY Change -8.74% -9.28% -8.66%
Gross Profit $9.826B $2.757B $11.06B
YoY Change -11.15% -3.97% -6.28%
Gross Profit Margin 83.35% 83.9% 83.72%
Selling, General & Admin $5.751B $1.529B $6.283B
YoY Change -8.47% -5.27% -6.7%
% of Gross Profit 58.53% 55.46% 56.81%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $558.0M $152.0M $608.0M
YoY Change -8.22% -10.06% -13.14%
% of Gross Profit 5.68% 5.51% 5.5%
Operating Expenses $9.249B $2.458B $10.16B
YoY Change -8.92% -6.54% -6.92%
Operating Profit $1.126B $299.0M $650.0M
YoY Change 73.23% 24.07% 212.5%
Interest Expense -$1.031B -$256.0M -$1.041B
YoY Change -0.96% 1.99% 6.66%
% of Operating Profit -91.56% -85.62% -160.15%
Other Income/Expense, Net
YoY Change
Pretax Income $422.0M -$115.0M -$430.0M
YoY Change -198.14% -68.83% -39.86%
Income Tax -$185.0M $231.0M $160.0M
% Of Pretax Income -43.84%
Net Earnings $511.0M -$373.0M -$675.0M
YoY Change -175.7% 13.72% -14.34%
Net Earnings / Revenue 4.33% -11.35% -5.11%
Basic Earnings Per Share $4.43 -$3.27 -$5.93
Diluted Earnings Per Share $4.39 -$3.27 -$5.93
COMMON SHARES
Basic Shares Outstanding 115.5M 113.9M 113.7M
Diluted Shares Outstanding 116.5M 113.9M 113.7M

Balance Sheet

Concept 2020 2019 Q4 2019
SHORT-TERM ASSETS
Cash & Short-Term Investments $1.676B $216.0M $216.0M
YoY Change 675.93% 10.2% 10.2%
Cash & Equivalents $1.676B $216.0M $216.0M
Short-Term Investments
Other Short-Term Assets $474.0M $358.0M $516.0M
YoY Change -8.14% -10.5% 16.22%
Inventory $335.0M $354.0M $354.0M
Prepaid Expenses
Receivables $1.927B $2.258B $2.258B
Other Receivables $98.00M $83.00M $83.00M
Total Short-Term Assets $4.510B $3.427B $3.427B
YoY Change 31.6% -3.44% -3.44%
LONG-TERM ASSETS
Property, Plant & Equipment $5.964B $5.608B $6.215B
YoY Change -4.04% -8.65% 1.24%
Goodwill $4.328B
YoY Change -5.07%
Intangibles
YoY Change
Long-Term Investments $95.00M $199.0M $84.00M
YoY Change 13.1% 3.65% -56.25%
Other Assets $1.218B $2.208B $1.555B
YoY Change -21.67% 43.1% 9.51%
Total Long-Term Assets $11.50B $12.18B $12.18B
YoY Change -5.63% -1.04% -1.04%
TOTAL ASSETS
Total Short-Term Assets $4.510B $3.427B $3.427B
Total Long-Term Assets $11.50B $12.18B $12.18B
Total Assets $16.01B $15.61B $15.61B
YoY Change 2.54% -1.58% -1.58%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $783.0M $811.0M $811.0M
YoY Change -3.45% -8.57% -8.57%
Accrued Expenses $1.795B $1.126B $1.325B
YoY Change 35.47% 2.83% 19.05%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $123.0M $20.00M $20.00M
YoY Change 515.0% -90.2% -90.2%
Total Short-Term Liabilities $2.815B $2.282B $2.282B
YoY Change 23.36% -4.6% -4.6%
LONG-TERM LIABILITIES
Long-Term Debt $12.09B $13.39B $13.39B
YoY Change -9.65% -0.05% -0.05%
Other Long-Term Liabilities $2.123B $894.0M $1.381B
YoY Change 53.73% -11.31% 37.0%
Total Long-Term Liabilities $14.22B $14.28B $14.77B
YoY Change -3.72% -0.84% 2.54%
TOTAL LIABILITIES
Total Short-Term Liabilities $2.815B $2.282B $2.282B
Total Long-Term Liabilities $14.22B $14.28B $14.77B
Total Liabilities $17.63B $17.25B $17.83B
YoY Change -1.1% 2.56% 2.49%
SHAREHOLDERS EQUITY
Retained Earnings -$4.218B
YoY Change 19.05%
Common Stock $2.009B
YoY Change -0.45%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity -$1.625B -$2.218B -$2.218B
YoY Change
Total Liabilities & Shareholders Equity $16.01B $15.61B $15.61B
YoY Change 2.54% -1.58% -1.58%

Cashflow Statement

Concept 2020 2019 Q4 2019
OPERATING ACTIVITIES
Net Income $511.0M -$373.0M -$675.0M
YoY Change -175.7% 13.72% -14.34%
Depreciation, Depletion And Amortization $558.0M $152.0M $608.0M
YoY Change -8.22% -10.06% -13.14%
Cash From Operating Activities $2.178B $194.0M $385.0M
YoY Change 465.71% -216.87% 40.51%
INVESTING ACTIVITIES
Capital Expenditures $440.0M -$116.0M $438.0M
YoY Change 0.46% 1.75% -16.89%
Acquisitions $1.000M $13.00M
YoY Change -92.31% -50.0%
Other Investing Activities $49.00M $217.0M $156.0M
YoY Change -68.59% 82.35% 10.64%
Cash From Investing Activities $177.0M $101.0M -$2.000M
YoY Change -8950.0% 1920.0% -99.18%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net $5.493B $3.557B
YoY Change 54.43% 74.96%
Cash From Financing Activities -895.0M -236.0M -363.0M
YoY Change 146.56% -1172.73% -8.33%
NET CHANGE
Cash From Operating Activities 2.178B 194.0M 385.0M
Cash From Investing Activities 177.0M 101.0M -2.000M
Cash From Financing Activities -895.0M -236.0M -363.0M
Net Change In Cash 1.460B 59.00M 20.00M
YoY Change 7200.0% -142.45% -105.45%
FREE CASH FLOW
Cash From Operating Activities $2.178B $194.0M $385.0M
Capital Expenditures $440.0M -$116.0M $438.0M
Free Cash Flow $1.738B $310.0M -$53.00M
YoY Change -3379.25% -696.15% -79.05%

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CY2018Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2019 cyh Comprehensive Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interests
ComprehensiveIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterests
-641000000
CY2019 us-gaap Noncontrolling Interest Increase From Business Combination
NoncontrollingInterestIncreaseFromBusinessCombination
7000000
CY2019 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
-3000000
CY2019 cyh Other Reclassifications Of Noncontrolling Interests
OtherReclassificationsOfNoncontrollingInterests
2000000
CY2019 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
10000000
CY2019Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
-2141000000
CY2020 cyh Comprehensive Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interests
ComprehensiveIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterests
545000000
CY2020 us-gaap Noncontrolling Interest Increase From Business Combination
NoncontrollingInterestIncreaseFromBusinessCombination
15000000
CY2020 cyh Distributions To Noncontrolling Interests Net Of Contributions
DistributionsToNoncontrollingInterestsNetOfContributions
-34000000
CY2020 us-gaap Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
3000000
CY2020 cyh Other Reclassifications Of Noncontrolling Interests
OtherReclassificationsOfNoncontrollingInterests
-9000000
CY2020 cyh Redeemable Noncontrolling Interests Change In Redemption Value
RedeemableNoncontrollingInterestsChangeInRedemptionValue
-15000000
CY2020 us-gaap Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
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-1000000
CY2020 us-gaap Stock Issued During Period Value Conversion Of Convertible Securities
StockIssuedDuringPeriodValueConversionOfConvertibleSecurities
86000000
CY2020 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
13000000
CY2020Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
-1538000000
CY2020 us-gaap Profit Loss
ProfitLoss
607000000
CY2020 us-gaap Depreciation And Amortization
DepreciationAndAmortization
558000000
CY2020 us-gaap Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
-187000000
CY2019 us-gaap Deferred Income Taxes And Tax Credits
DeferredIncomeTaxesAndTaxCredits
203000000
CY2019 cyh Loss Contingency Accrual Provision Non Cash
LossContingencyAccrualProvisionNonCash
51000000
CY2020 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
-131000000
CY2020 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
-309000000
CY2020 cyh Increase Decrease In Supplies Prepaid Expenses And Other Current Assets
IncreaseDecreaseInSuppliesPrepaidExpensesAndOtherCurrentAssets
15000000
CY2020 cyh Increase Decrease In Medicare Accelerated Payments
IncreaseDecreaseInMedicareAcceleratedPayments
1158000000
CY2020 cyh Repayment Derecognition Of Medicare Accelerated Payments
RepaymentDerecognitionOfMedicareAcceleratedPayments
77000000
CY2020 cyh Increase Decrease In Unrecognized Pandemic Relief Funds
IncreaseDecreaseInUnrecognizedPandemicReliefFunds
104000000
CY2020 cyh Increase Decrease In Accounts Payable Accrued Liabilities And Income Taxes
IncreaseDecreaseInAccountsPayableAccruedLiabilitiesAndIncomeTaxes
-67000000
CY2019 cyh Increase Decrease In Accounts Payable Accrued Liabilities And Income Taxes
IncreaseDecreaseInAccountsPayableAccruedLiabilitiesAndIncomeTaxes
-157000000
CY2018 cyh Payment Of Hma Legal Settlement
PaymentOfHmaLegalSettlement
266000000
CY2020 us-gaap Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
87000000
CY2020 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
2178000000
CY2019 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
385000000
CY2020 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
1000000
CY2020 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
440000000
CY2020 us-gaap Proceeds From Divestiture Of Businesses Net Of Cash Divested
ProceedsFromDivestitureOfBusinessesNetOfCashDivested
648000000
CY2020 us-gaap Proceeds From Sale Of Property Plant And Equipment
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CY2020 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
178000000
CY2020 us-gaap Proceeds From Sale Maturity And Collections Of Investments
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194000000
CY2020 us-gaap Payments For Proceeds From Other Investing Activities
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50000000
CY2019 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
170000000
CY2018 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
141000000
CY2020 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
177000000
CY2019 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
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CY2018 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
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CY2020 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
1000000
CY2019 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
1000000
CY2018 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
1000000
CY2020 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
156000000
CY2019 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
46000000
CY2018 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
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CY2020 us-gaap Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
15000000
CY2020Q4 cyh Number Of Stand Alone Rehabilitation Or Psychiatric Hospitals
NumberOfStandAloneRehabilitationOrPsychiatricHospitals
2
CY2020 us-gaap Use Of Estimates
UseOfEstimates
<p style="margin-top:10pt;margin-bottom:0pt;text-indent:2.27%;font-style:italic;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;">Use of Estimates<span style="font-style:normal;">.    The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“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>
CY2019 us-gaap Proceeds From Minority Shareholders
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10000000
CY2018 us-gaap Proceeds From Minority Shareholders
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3000000
CY2020 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
1000000
CY2019 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
11000000
CY2018 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
31000000
CY2020 us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
116000000
CY2019 us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
99000000
CY2018 us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
96000000
CY2020 us-gaap Sale Leaseback Transaction Net Proceeds Financing Activities
SaleLeasebackTransactionNetProceedsFinancingActivities
2000000
CY2019 us-gaap Sale Leaseback Transaction Net Proceeds Financing Activities
SaleLeasebackTransactionNetProceedsFinancingActivities
60000000
CY2020 us-gaap Proceeds From Issuance Of Other Long Term Debt
ProceedsFromIssuanceOfOtherLongTermDebt
53000000
CY2019 us-gaap Proceeds From Issuance Of Other Long Term Debt
ProceedsFromIssuanceOfOtherLongTermDebt
37000000
CY2018 us-gaap Proceeds From Issuance Of Other Long Term Debt
ProceedsFromIssuanceOfOtherLongTermDebt
28000000
CY2020 us-gaap Proceeds From Issuance Of Subordinated Long Term Debt
ProceedsFromIssuanceOfSubordinatedLongTermDebt
4262000000
CY2019 us-gaap Proceeds From Issuance Of Subordinated Long Term Debt
ProceedsFromIssuanceOfSubordinatedLongTermDebt
3042000000
CY2018 us-gaap Proceeds From Issuance Of Subordinated Long Term Debt
ProceedsFromIssuanceOfSubordinatedLongTermDebt
1033000000
CY2020 us-gaap Proceeds From Accounts Receivable Securitization
ProceedsFromAccountsReceivableSecuritization
540000000
CY2019 us-gaap Proceeds From Accounts Receivable Securitization
ProceedsFromAccountsReceivableSecuritization
202000000
CY2018 us-gaap Proceeds From Accounts Receivable Securitization
ProceedsFromAccountsReceivableSecuritization
797000000
CY2020 us-gaap Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
5493000000
CY2019 us-gaap Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
3557000000
CY2018 us-gaap Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
2033000000
CY2020 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
-895000000
CY2019 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
-363000000
CY2018 us-gaap Net Cash Provided By Used In Financing Activities
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CY2020 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
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1460000000
CY2019 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
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20000000
CY2018 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
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-367000000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
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216000000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
196000000
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
563000000
CY2020Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
1676000000
CY2020 us-gaap Interest Paid Net
InterestPaidNet
1039000000
CY2019 us-gaap Interest Paid Net
InterestPaidNet
1011000000
CY2018 us-gaap Interest Paid Net
InterestPaidNet
936000000
CY2020 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
-2000000
CY2019 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
3000000
CY2018 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
19000000
CY2020Q4 cyh Number Of Hospitals Owned And Leased By Company
NumberOfHospitalsOwnedAndLeasedByCompany
89
CY2020Q4 cyh Number Of Beds For Which License Is Obtained
NumberOfBedsForWhichLicenseIsObtained
14110
CY2020Q4 us-gaap Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
16
CY2019Q4 cyh Amounts Due To Third Party Payors
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83000000
CY2020Q4 cyh Amounts Due From Third Party Payors
AmountsDueFromThirdPartyPayors
136000000
CY2019Q4 cyh Amounts Due From Third Party Payors
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137000000
CY2020 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
0
CY2018 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
0
CY2020Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
251000000
CY2019Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
321000000
CY2020 cyh Corporate Office Costs
CorporateOfficeCosts
190000000
CY2019 cyh Corporate Office Costs
CorporateOfficeCosts
184000000
CY2020 us-gaap Share Based Compensation
ShareBasedCompensation
13000000
CY2019 us-gaap Share Based Compensation
ShareBasedCompensation
10000000
CY2020 us-gaap Other Comprehensive Income Loss Available For Sale Securities Adjustment Net Of Tax
OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax
4000000
CY2019 us-gaap Other Comprehensive Income Loss Available For Sale Securities Adjustment Net Of Tax
OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax
4000000
CY2020Q4 us-gaap Construction In Progress Gross
ConstructionInProgressGross
194000000
CY2019Q4 us-gaap Construction In Progress Gross
ConstructionInProgressGross
219000000
CY2020 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
15000000
CY2019 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
20000000
CY2020 cyh Purchases Of Property And Equipment And Internal Use Software Incurred But Not Yet Paid
PurchasesOfPropertyAndEquipmentAndInternalUseSoftwareIncurredButNotYetPaid
100000000
CY2019 cyh Purchases Of Property And Equipment And Internal Use Software Incurred But Not Yet Paid
PurchasesOfPropertyAndEquipmentAndInternalUseSoftwareIncurredButNotYetPaid
93000000
CY2020 cyh Otherassetspolicytext Block
OtherassetspolicytextBlock
Other Assets.<span style="font-style:normal;">    Other assets consist of the insurance recovery receivable from excess insurance carriers related to the Company’s self-insured malpractice general 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 three years, and included in amortization expense; equity method investments; and capitalized internal-use software costs, which are expensed over the expected useful life, which is generally three years for routine software, and included in amortization expense. </span>
CY2020 us-gaap Revenues
Revenues
11789000000
CY2019 us-gaap Revenues
Revenues
13210000000
CY2018 us-gaap Revenues
Revenues
14155000000
CY2020Q4 cyh Amounts Due To Third Party Payors
AmountsDueToThirdPartyPayors
98000000
CY2020Q4 us-gaap Disposal Group Including Discontinued Operation Goodwill1
DisposalGroupIncludingDiscontinuedOperationGoodwill1
110000000
CY2020 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
0
CY2020 us-gaap Finitelived Intangible Assets Acquired1
FinitelivedIntangibleAssetsAcquired1
0
CY2020Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
1000000
CY2019Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
1000000
CY2020Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
53000000
CY2019Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
63000000
CY2020Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
1100000000
CY2019Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
1100000000
CY2020 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
1000000000.0
CY2019 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
540000000
CY2018 us-gaap Charity Care Other Measurement Basis Amount
CharityCareOtherMeasurementBasisAmount
491000000
CY2020 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
122000000
CY2019 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
66000000
CY2018 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
62000000
CY2020 cyh Electronic Health Records Incentive Reimbursement Policy Textblock
ElectronicHealthRecordsIncentiveReimbursementPolicyTextblock
<p style="margin-top:10pt;margin-bottom:0pt;text-indent:2.27%;font-style:italic;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;">Electronic Health Records Incentive Reimbursement.<span style="font-style:normal;">    The federal government has implemented a number of regulations and programs designed to promote the use of electronic health records (“EHR”) technology and, pursuant to the Health Information Technology for Economic and Clinical Health Act (“HITECH”), established requirements for a Medicare and Medicaid incentive </span></p> <p style="margin-top:10pt;margin-bottom:0pt;font-style:italic;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;"><span style="font-style:normal;">payments program for eligible hospitals and professionals that adopt and meaningfully use certified EHR technology. The Company utilizes a gain contingency model to recognize EHR incentive payments. Recognition occurs when the eligible hospitals adopt or demonstrate meaningful use of certified EHR technology</span><span style="font-style:normal;">.</span></p>
CY2020 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="margin-top:10pt;margin-bottom:0pt;text-indent:2.27%;font-style:italic;color:#000000;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;"><span style="Background-color:#FFFFFF;">Concentrations of Credit Risk</span><span style="Background-color:#FFFFFF;font-style:normal;">.    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 $232 million and $268 million at December 31, 2020 and 2019, respectively, representing 6% and 5% of consolidated net accounts receivable at December 31, 2020 and 2019, respectively.</span></p>
CY2020 us-gaap Gain Loss On Sales Of Assets And Asset Impairment Charges
GainLossOnSalesOfAssetsAndAssetImpairmentCharges
-48000000
CY2020Q4 us-gaap Change In Accounting Principle Accounting Standards Update Adoption Date
ChangeInAccountingPrincipleAccountingStandardsUpdateAdoptionDate
2020-03-12
CY2020 us-gaap Share Based Compensation
ShareBasedCompensation
13000000
CY2019 cyh Goodwill Written Off Related To Disposal Of Assets Held For Sale
GoodwillWrittenOffRelatedToDisposalOfAssetsHeldForSale
235000000
CY2020Q4 us-gaap Goodwill Gross
GoodwillGross
7033000000
CY2019Q4 us-gaap Goodwill Gross
GoodwillGross
7142000000
CY2020Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2019Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2020Q4 us-gaap Goodwill
Goodwill
4219000000
CY2019Q4 us-gaap Goodwill
Goodwill
4328000000
CY2020Q4 us-gaap Goodwill
Goodwill
4200000000
CY2020 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
0
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
0
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
0
CY2020Q4 us-gaap Disposal Group Including Discontinued Operation Other Current Assets
DisposalGroupIncludingDiscontinuedOperationOtherCurrentAssets
12000000
CY2019Q4 us-gaap Disposal Group Including Discontinued Operation Other Current Assets
DisposalGroupIncludingDiscontinuedOperationOtherCurrentAssets
25000000
CY2020Q4 us-gaap Disposal Group Including Discontinued Operation Other Noncurrent Assets
DisposalGroupIncludingDiscontinuedOperationOtherNoncurrentAssets
11000000
CY2019Q4 us-gaap Disposal Group Including Discontinued Operation Other Noncurrent Assets
DisposalGroupIncludingDiscontinuedOperationOtherNoncurrentAssets
262000000
CY2020Q4 us-gaap Disposal Group Including Discontinued Operation Accrued Liabilities Current
DisposalGroupIncludingDiscontinuedOperationAccruedLiabilitiesCurrent
16000000
CY2019Q4 us-gaap Disposal Group Including Discontinued Operation Accrued Liabilities Current
DisposalGroupIncludingDiscontinuedOperationAccruedLiabilitiesCurrent
43000000
CY2019Q4 us-gaap Goodwill Gross
GoodwillGross
7142000000
CY2018Q4 us-gaap Goodwill Gross
GoodwillGross
7373000000
CY2019Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2018Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
2814000000
CY2019Q4 us-gaap Goodwill
Goodwill
4328000000
CY2018Q4 us-gaap Goodwill
Goodwill
4559000000
CY2020 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
1000000
CY2019 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
4000000
CY2020 cyh Goodwill Written Off Related To Disposal Of Assets Held For Sale
GoodwillWrittenOffRelatedToDisposalOfAssetsHeldForSale
110000000
CY2020Q4 cyh Capitalized Costs For Internal Use Software In Development Stage
CapitalizedCostsForInternalUseSoftwareInDevelopmentStage
11000000
CY2020 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-1000000
CY2019 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-38000000
CY2018 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
1000000
CY2020 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
3000000
CY2019 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
-5000000
CY2018 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
-9000000
CY2020 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
2000000
CY2019 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
-43000000
CY2018 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
-8000000
CY2020 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-162000000
CY2019 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
179000000
CY2018 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
50000000
CY2020 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-25000000
CY2019 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
24000000
CY2018 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-53000000
CY2020 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-187000000
CY2019 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
203000000
CY2018 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-3000000
CY2020 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-185000000
CY2019 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
160000000
CY2018 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-11000000
CY2020 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
89000000
CY2020 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2019 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
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-90000000
CY2019 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2018 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
-150000000
CY2018 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2020 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-15000000
CY2020 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
-0.036
CY2019 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-104000000
CY2019 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.243
CY2018 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-114000000
CY2018 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.160
CY2020 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
20000000
CY2020 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
0.047
CY2019 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
18000000
CY2019 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
-0.042
CY2018 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
18000000
CY2018 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
-0.025
CY2020 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
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