XML 132 R118.htm IDEA: XBRL DOCUMENT
v3.25.0.1

Commitments and Contingencies - Additional Information (Details) - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Commitments And Contingencies [Line Items] |  |  |
Physician recruiting commitment, physician income guarantee period | 12 months |  |
Physician recruiting commitment, period of recoverability of physician income guarantee for noncommitment | 3 years |  |
Physician recruiting commitment, maximum potential future payments in excess of liability recorded | $ 9,000,000 |  |
Malpractice Loss Contingency, Discount Rate | 3.70% | 3.70% | 3.80%
Malpractice Loss Contingency, Accrual, Discounted | $ 573,000,000 | $ 443,000,000 |
Malpractice Loss Contingency, Accrual, Undiscounted | 635,000,000 | 498,000,000 |
Malpractice Loss Contingency, Accrual, Discounted, Current | 145,000,000 | 119,000,000 |
Change in estimate reserve for professional liability claims | 0 | $ 0 | $ 0
Change in estimate for professional liability claims |  |  | $ 15,000,000
Professional liability claim amount | 149,000,000 |  |
Professional and general liability self-insured claims reported prior to June 1, 2002, per occurrence [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | 1,000,000 |  |
Professional and general liability self-insured reported from June 1, 2002 through June 1, 2003, per occurrence [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | 2,000,000 |  |
Professional and general liability self-insured reported from June 1, 2003 and before June 1, 2005, per occurrence [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | 4,000,000 |  |
Professional and general liability self-insured claims reported on or after June 1, 2005, per occurrence [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | 5,000,000 |  |
Professional and general liability claims reported on or after June 1, 2014 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | 10,000,000 |  |
Professional and general liability claims reported on or after June 1, 2003 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Maximum Coverage Per Incident | 95,000,000 |  |
Professional and general liability claims incurred and reported after January 1, 2008 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Maximum Coverage Per Incident | 145,000,000 |  |
Professional and general liability claims incurred and reported after June 1, 2010 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Maximum Coverage Per Incident | 195,000,000 |  |
Professional and general liability claims reported on or after June 1, 2015 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Maximum Coverage Per Incident | 215,000,000 |  |
Integrated professional liability claims reported on or after June1 2014 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Annual Coverage Limit | 50,000,000 |  |
Integrated occurrence claims reported on or after June 1, 2015 through June 1, 2020 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Annual Coverage Limit | 75,000,000 |  |
Integrated occurrence claims reported between June 1, 2020 and June 1, 2024 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice Insurance, Annual Coverage Limit | 75,000,000 |  |
Professional and general liability self-insured claims under certain policy terms until Company total aggregate coverage is met if first aggregate layer becomes fully utilized [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | $ 10,000,000 |  |
Maximum |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, average lag period from occurrence to settlement | 4 years |  |
Malpractice loss contingency, settled claims as percent of total liability | 4.00% |  |
Maximum | Professional And General Liability Claims Incurred And Reported On Or After June 1, 2008 [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | $ 15,000,000 |  |
Minimum |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, average lag period from occurrence to settlement | 3 years |  |
Minimum | Professional and general liability self-insured claims under certain policy terms until Company total aggregate coverage is met if first aggregate layer becomes fully utilized [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Malpractice loss contingency, self-insured retention | $ 15,000,000 |  |
Northwest Health – Starke [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Capital commitment, future period after acquisition for completing open capital improvement projects date | Sep. 30, 2026 |  |
Northwest Health – Starke [Member] | Maximum |  |  |
Commitments And Contingencies [Line Items] |  |  |
Capital commitment, future period after acquisition for completing open capital improvement projects | 5 years |  |
Indiana [Member] |  |  |
Commitments And Contingencies [Line Items] |  |  |
Construction of a replacement facility | $ 15,000,000 |  |

X
- Definition Capital commitment, future period for completing open capital improvement projects + References No definition available. + Details
Name: | cyh_CapitalCommitmentFuturePeriodForCompletingOpenCapitalImprovementProjects
Namespace Prefix: | cyh_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Capital commitment future period for completing open capital improvement projects date. + References No definition available. + Details
Name: | cyh_CapitalCommitmentFuturePeriodForCompletingOpenCapitalImprovementProjectsDate
Namespace Prefix: | cyh_
Data Type: | xbrli:dateItemType
Balance Type: | na
Period Type: | duration

X
- Definition Change in estimate for professional liability claims. + References No definition available. + Details
Name: | cyh_ChangeInEstimateForProfessionalLiabilityClaims
Namespace Prefix: | cyh_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Commitments and Contingencies. + References No definition available. + Details
Name: | cyh_CommitmentsAndContingenciesLineItems
Namespace Prefix: | cyh_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Construction cost of replacement facility. + References No definition available. + Details
Name: | cyh_ConstructionCostOfReplacementFacility
Namespace Prefix: | cyh_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Malpractice loss contingency, average lag period from occurence to settlement + References No definition available. + Details
Name: | cyh_MalpracticeLossContingencyAverageLagPeriodFromOccurenceToSettlement
Namespace Prefix: | cyh_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Malpractice loss contingency, settled claims as percent of total liability + References No definition available. + Details
Name: | cyh_MalpracticeLossContingencySettledClaimsAsPercentOfTotalLiability
Namespace Prefix: | cyh_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Physician recruiting commitment, maximum potential future payments in excess of liability recorded + References No definition available. + Details
Name: | cyh_PhysicianRecruitingCommitmentMaximumPotentialFuturePaymentsInExcessOfLiabilityRecorded
Namespace Prefix: | cyh_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Physician recruiting commitment, period of recoverability of physician income guarantee for noncommitment + References No definition available. + Details
Name: | cyh_PhysicianRecruitingCommitmentPeriodOfRecoverabilityOfPhysicianIncomeGuaranteeForNoncommitment
Namespace Prefix: | cyh_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Physician recruiting commitment, physician income guarantee period + References No definition available. + Details
Name: | cyh_PhysicianRecruitingCommitmentPhysicianIncomeGuaranteePeriod
Namespace Prefix: | cyh_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of increase (decrease) in liability to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482740/230-10-45-28 + Details
Name: | us-gaap_IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Reflects the estimated amount of loss from the specified contingency as of the balance sheet date. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 720 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483359/720-20-50-1 Reference 2: http://www.xbrl.org/2003/role/exampleRef -Topic 460 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 27 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482395/460-10-55-27 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 450 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 9 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147483076/450-20-50-9 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 450 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147483076/450-20-50-4 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 460 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482425/460-10-50-3 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 460 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482425/460-10-50-2 + Details
Name: | us-gaap_LossContingencyEstimateOfPossibleLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Annual coverage limit provided by the insurance arrangement for malpractice claims. + References No definition available. + Details
Name: | us-gaap_MalpracticeInsuranceAnnualCoverageLimit
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of risk retained by the entity before the insurance arrangement begins to provide coverage. + References No definition available. + Details
Name: | us-gaap_MalpracticeInsuranceDeductible1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Maximum coverage per malpractice claim provided by the insurance arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 954 -SubTopic 450 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147477850/954-450-50-1 + Details
Name: | us-gaap_MalpracticeInsuranceMaximumCoveragePerIncident
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of the accrued liability on a discounted basis for malpractice claims (including general and professional liability). + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 450 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483076/450-20-50-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 954 -SubTopic 450 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147477850/954-450-50-2 + Details
Name: | us-gaap_MalpracticeLossContingencyAccrualDiscounted
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of the current portion of the accrued liability on a discounted basis for malpractice claims (including general and professional liability). + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 450 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483076/450-20-50-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 954 -SubTopic 450 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147477850/954-450-50-2 + Details
Name: | us-gaap_MalpracticeLossContingencyAccrualDiscountedCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of the accrued liability on an undiscounted basis for malpractice claims (including general and professional liability) at the end of the accounting period. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 450 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org/1943274/2147483076/450-20-50-1 + Details
Name: | us-gaap_MalpracticeLossContingencyAccrualUndiscounted
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The interest rate used to discount the estimated cash flows associated with the payment of malpractice claims. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 954 -SubTopic 450 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147477850/954-450-50-2 + Details
Name: | us-gaap_MalpracticeLossContingencyDiscountRate
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:percentItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilitySelfInsuredClaimsReportedPriorToJune12002PerOccurrenceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilitySelfInsuredReportedFromJune12002ThroughJune12003PerOccurrenceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilitySelfInsuredReportedFromJune12003AndBeforeJune12005PerOccurrenceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilitySelfInsuredClaimsReportedOnOrAfterJune12005PerOccurrenceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsReportedOnOrAfterJune12014Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsReportedOnOrAfterJune12003Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsIncurredAndReportedAfterJanuary12008Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsIncurredAndReportedOnOrAfterJune012010Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsReportedOnOrAfterJune12015Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_IntegratedProfessionalLiabilityClaimsReportedOnOrAfterJune12014Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_IntegratedOccurrenceClaimsReportedOnOrAfterJune12015ThroughJune12020Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_IntegratedOccurrenceClaimsReportedBetweenJune12020AndJune12024Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilitySelfInsuredClaimsUnderCertainPolicyTermsUntilCompanyTotalAggregateCoverageIsMetIfFirstAggregateLayerBecomesFullyUtilizedMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MaximumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=cyh_ProfessionalAndGeneralLiabilityClaimsIncurredAndReportedOnOrAfterJune12008Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MinimumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_StatementGeographicalAxis=cyh_NorthwestHealthStarkeMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_StatementGeographicalAxis=stpr_IN
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |