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Stockholders' Deficit (Tables) | 9 Months Ended
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Sep. 30, 2024
Equity [Abstract] |
Schedule of Stockholders' Deficit | The schedule below presents the reconciliation of the carrying amount of total equity, equity attributable to the Company’s stockholders, and equity attributable to noncontrolling interests as of September 30, 2024, and during each of the three-month periods following December 31, 2023 (in millions).
|  |  |  |  |  | Community Health Systems, Inc. Stockholders |  |  |  |  |  |  |
|  | Redeemable Noncontrolling Interest |  |  |  | Common Stock |  |  | Additional Paid-In Capital |  |  | Accumulated Other Comprehensive (Loss) Income |  |  | Accumulated Deficit |  |  | Noncontrolling Interest |  |  | Total Stockholders’ Deficit |
Balance, December 31, 2023 |  | $ | 323 |  |  |  | $ | 1 |  |  | $ | 2,185 |  |  | $ | (14 | ) |  | $ | (3,564 | ) |  | $ | 245 |  |  | $ | (1,147 | )
Comprehensive income (loss) |  |  | 16 |  |  |  |  | — |  |  |  | — |  |  |  | (2 | ) |  |  | (41 | ) |  |  | 19 |  |  |  | (24 | )
Distributions to noncontrolling interests |  |  | (17 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (33 | ) |  |  | (33 | )
Adjustment to redemption value of redeemable noncontrolling interests |  |  | (3 | ) |  |  |  | — |  |  |  | 3 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 3 |
Cancellation of restricted stock for tax withholdings on vested shares |  |  | — |  |  |  |  | — |  |  |  | (2 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (2 | )
Other reclassifications of noncontrolling interests |  |  | 10 |  |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (10 | ) |  |  | (10 | )
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 6 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 6 |
Balance, March 31, 2024 |  |  | 329 |  |  |  |  | 1 |  |  |  | 2,192 |  |  |  | (16 | ) |  |  | (3,605 | ) |  |  | 221 |  |  |  | (1,207 | )
Comprehensive income (loss) |  |  | 15 |  |  |  |  | — |  |  |  | — |  |  |  | 3 |  |  |  | (14 | ) |  |  | 25 |  |  |  | 14 |
Distributions to noncontrolling interests |  |  | (14 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (20 | ) |  |  | (20 | )
Purchases of subsidiary shares from noncontrolling interests |  |  | 1 |  |  |  |  | — |  |  |  | (2 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (2 | )
Adjustment to redemption value of redeemable noncontrolling interests |  |  | 2 |  |  |  |  | — |  |  |  | (2 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (2 | )
Other reclassifications of noncontrolling interests |  |  | (9 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 12 |  |  |  | 12 |
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 2 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 2 |
Balance, June 30, 2024 |  |  | 324 |  |  |  |  | 1 |  |  |  | 2,190 |  |  |  | (13 | ) |  |  | (3,619 | ) |  |  | 238 |  |  |  | (1,203 | )
Comprehensive income (loss) |  |  | 13 |  |  |  |  | — |  |  |  | — |  |  |  | 5 |  |  |  | (391 | ) |  |  | 23 |  |  |  | (363 | )
Distributions to noncontrolling interests |  |  | (10 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (26 | ) |  |  | (26 | )
Purchases of subsidiary shares from noncontrolling interests |  |  | — |  |  |  |  | — |  |  |  | (1 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (1 | )
Adjustment to redemption value of redeemable noncontrolling interests |  |  | (1 | ) |  |  |  | — |  |  |  | 1 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1 |
Disposition of less-than-wholly owned entity |  |  | (4 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (4 | ) |  |  | (4 | )
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 4 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 4 |
Balance, September 30, 2024 |  | $ | 322 |  |  |  | $ | 1 |  |  | $ | 2,194 |  |  | $ | (8 | ) |  | $ | (4,010 | ) |  | $ | 231 |  |  | $ | (1,592 | )
The following schedule presents the reconciliation of the carrying amount of total equity, equity attributable to the Company’s stockholders, and equity attributable to the noncontrolling interests as of September 30, 2023, and during each of the three-month periods following December 31, 2022 (in millions):
|  |  |  |  |  | Community Health Systems, Inc. Stockholders |  |  |  |  |  |  |
|  | Redeemable Noncontrolling Interest |  |  |  | Common Stock |  |  | Additional Paid-In Capital |  |  | Accumulated Other Comprehensive (Loss) Income |  |  | Accumulated Deficit |  |  | Noncontrolling Interest |  |  | Total Stockholders’ Deficit |
Balance, December 31, 2022 |  | $ | 541 |  |  |  | $ | 1 |  |  | $ | 2,084 |  |  | $ | (21 | ) |  | $ | (3,431 | ) |  | $ | 92 |  |  | $ | (1,275 | )
Comprehensive income (loss) |  |  | 21 |  |  |  |  | — |  |  |  | — |  |  |  | 3 |  |  |  | (51 | ) |  |  | 11 |  |  |  | (37 | )
Distributions to noncontrolling interests |  |  | (33 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (11 | ) |  |  | (11 | )
Purchases of subsidiary shares from noncontrolling interests |  |  | (1 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Contributions from noncontrolling interests |  |  | 1 |  |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | 1 |
Adjustment to redemption value of redeemable noncontrolling interests |  |  | 32 |  |  |  |  | — |  |  |  | (32 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (32 | )
Cancellation of restricted stock for tax withholdings on vested shares |  |  | — |  |  |  |  | — |  |  |  | (4 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (4 | )
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 6 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 6 |
Balance, March 31, 2023 |  |  | 561 |  |  |  |  | 1 |  |  |  | 2,054 |  |  |  | (18 | ) |  |  | (3,482 | ) |  |  | 93 |  |  |  | (1,352 | )
Comprehensive income (loss) |  |  | 28 |  |  |  |  | — |  |  |  | — |  |  |  | (1 | ) |  |  | (38 | ) |  |  | 11 |  |  |  | (28 | )
Distributions to noncontrolling interests |  |  | (21 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (19 | ) |  |  | (19 | )
Contributions from noncontrolling interests |  |  | — |  |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 1 |  |  |  | 1 |
Purchases of subsidiary shares from noncontrolling interests |  |  | (6 | ) |  |  |  | — |  |  |  | 5 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 5 |
Noncontrolling interest in acquired entity |  |  | 7 |  |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Adjustment to redemption value of redeemable noncontrolling interests |  |  | 14 |  |  |  |  | — |  |  |  | (14 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (14 | )
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 4 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 4 |
Balance, June 30, 2023 |  |  | 583 |  |  |  |  | 1 |  |  |  | 2,049 |  |  |  | (19 | ) |  |  | (3,520 | ) |  |  | 86 |  |  |  | (1,403 | )
Comprehensive income (loss) |  |  | 12 |  |  |  |  | — |  |  |  | — |  |  |  | (3 | ) |  |  | (91 | ) |  |  | 27 |  |  |  | (67 | )
Distributions to noncontrolling interests |  |  | (8 | ) |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (17 | ) |  |  | (17 | )
Other reclassifications of noncontrolling interests |  |  | (265 | ) |  |  |  | — |  |  |  | 122 |  |  |  | (1 | ) |  |  | — |  |  |  | 145 |  |  |  | 266 |
Adjustment to redemption value of redeemable noncontrolling interests |  |  | 7 |  |  |  |  | — |  |  |  | (7 | ) |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (7 | )
Share-based compensation |  |  | — |  |  |  |  | — |  |  |  | 6 |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 6 |
Balance, September 30, 2023 |  | $ | 329 |  |  |  | $ | 1 |  |  | $ | 2,170 |  |  | $ | (23 | ) |  | $ | (3,611 | ) |  | $ | 241 |  |  | $ | (1,222 | )
Schedule of Impact of Noncontrolling Interest to Stockholders' Deficit |
|  | Three Months Ended |  |  | Nine Months Ended |
|  | September 30, |  |  | September 30, |
|  | 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
Net loss attributable to Community Health Systems, Inc. stockholders |  | $ | (391 | ) |  | $ | (91 | ) |  | $ | (446 | ) |  | $ | (180 | )
Transfers to the noncontrolling interests: |  |  |  |  |  |  |  |  |  |  |  |
Net increase in Community Health Systems, Inc. paid-in-capital for purchase of subsidiary partnership interests |  |  | 1 |  |  |  | — |  |  |  | 4 |  |  |  | 5 |
Net transfers to the noncontrolling interests |  |  | 1 |  |  |  | — |  |  |  | 4 |  |  |  | 5 |
Change to Community Health Systems, Inc. stockholders’ deficit from net loss attributable to Community Health Systems, Inc. stockholders and transfers to noncontrolling interests |  | $ | (390 | ) |  | $ | (91 | ) |  | $ | (442 | ) |  | $ | (175 | )

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