0001564590-21-052633.txt : 20211028 0001564590-21-052633.hdr.sgml : 20211028 20211028160136 ACCESSION NUMBER: 0001564590-21-052633 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 82 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211028 DATE AS OF CHANGE: 20211028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0001108109 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 133893191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 211358152 BUSINESS ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-465-7000 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC/ DATE OF NAME CHANGE: 20000229 10-Q 1 cyh-10q_20210930.htm 10-Q cyh-10q_20210930.htm
Q3 --12-31 0001108109 false 0.06625 0.05625 0.06875 0.04750 0.06875 0.06125 0.06875 0.0625 0.08625 0.06625 0.05625 0.06875 0.09875 0.08125 0.0625 0.09875 0.06875 0.06875 0.06875 P15D 0.06875 P15D 0.08625 0.04750 P15D 0.04750 0.04750 P15D 0.06875 0.06125 P15D 0.06125 P15D 0.06625 0.05625 0.06875 0.0475 0.06875 0.06125 0.06875 0.0625 0.08625 0.06625 0.05625 0.06875 0.09875 0.08125 P6M P3Y 0.06875 0.0625 0.08625 0.06625 0.05625 0.06875 0.04750 0.09875 0.08125 0.06875 0.06125 0.0625 0.09875 0.06875 0.06875 0.06875 0.06875 0.08625 0.04750 0.04750 0.04750 0.06875 0.06125 0.06125 0.06875 0.0625 0.08625 0.06625 0.05625 0.06875 0.0475 0.09875 0.08125 0.06875 0.06125 0.06625 0.05625 0.06875 0.06625 0.05625 0.06875 0.843 0.889 0.003 0.009 2024-04-15 2025-04-14 2025-04-15 2026-04-14 2026-04-15 2029-04-14 2026-02-15 2027-02-14 2027-02-15 2028-02-14 2028-02-15 2029-02-14 2029-02-15 2031-02-14 2025-04-01 2026-03-31 2026-04-01 2027-03-31 2027-04-01 2030-03-31 http://fasb.org/us-gaap/2021-01-31#OtherAssets http://fasb.org/us-gaap/2021-01-31#OtherAssets http://fasb.org/us-gaap/2021-01-31#DebtCurrent http://fasb.org/us-gaap/2021-01-31#DebtCurrent http://fasb.org/us-gaap/2021-01-31#LongTermDebtNoncurrent http://fasb.org/us-gaap/2021-01-31#LongTermDebtNoncurrent 0001108109 2021-01-01 2021-09-30 xbrli:shares 0001108109 2021-10-22 iso4217:USD 0001108109 2021-07-01 2021-09-30 0001108109 2020-07-01 2020-09-30 0001108109 2020-01-01 2020-09-30 iso4217:USD xbrli:shares 0001108109 2021-09-30 0001108109 2020-12-31 0001108109 2019-12-31 0001108109 2020-09-30 0001108109 cyh:JuniorPrioritySecuredNotesAt6875PercentDue2029Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt475Due2031Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:MedicareMember 2021-07-01 2021-09-30 0001108109 cyh:MedicareMember 2020-07-01 2020-09-30 0001108109 cyh:MedicareMember 2021-01-01 2021-09-30 0001108109 cyh:MedicareMember 2020-01-01 2020-09-30 0001108109 cyh:MedicaidMember 2021-07-01 2021-09-30 0001108109 cyh:MedicaidMember 2020-07-01 2020-09-30 0001108109 cyh:MedicaidMember 2021-01-01 2021-09-30 0001108109 cyh:MedicaidMember 2020-01-01 2020-09-30 0001108109 cyh:ManagedCareAndOtherThirdPartyPayorsMember 2021-07-01 2021-09-30 0001108109 cyh:ManagedCareAndOtherThirdPartyPayorsMember 2020-07-01 2020-09-30 0001108109 cyh:ManagedCareAndOtherThirdPartyPayorsMember 2021-01-01 2021-09-30 0001108109 cyh:ManagedCareAndOtherThirdPartyPayorsMember 2020-01-01 2020-09-30 0001108109 cyh:SelfPayRevenueMember 2021-07-01 2021-09-30 0001108109 cyh:SelfPayRevenueMember 2020-07-01 2020-09-30 0001108109 cyh:SelfPayRevenueMember 2021-01-01 2021-09-30 0001108109 cyh:SelfPayRevenueMember 2020-01-01 2020-09-30 0001108109 cyh:AdjustmentForCarryingValueOfOtherLongLivedAssetsAtUnderperformingHospitalsMember 2020-01-01 2020-09-30 0001108109 cyh:HospitalsSoldOrDeemedHeldForSaleMember 2021-01-01 2021-09-30 0001108109 cyh:HospitalsSoldOrDeemedHeldForSaleMember 2020-01-01 2020-09-30 cyh:Item 0001108109 cyh:HospitalsSoldOrDeemedHeldForSaleMember 2020-07-01 2020-07-01 0001108109 cyh:HospitalsSoldOrDeemedHeldForSaleMember 2020-01-01 2020-01-01 0001108109 cyh:HospitalsSoldOrDeemedHeldForSaleMember cyh:CertainHospitalsMember 2020-01-01 2020-09-30 0001108109 cyh:HospitalClosedMember 2020-01-01 2020-09-30 0001108109 cyh:SharedServiceCenterMember 2020-01-01 2020-09-30 0001108109 cyh:PublicHealthAndSocialServicesEmergencyFundMember cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-01-01 2021-09-30 xbrli:pure 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-01-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2020-04-24 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2020-01-01 2020-12-31 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-07-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-01-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2020-01-01 2020-12-31 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2020-01-01 2020-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2020-07-01 2020-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-01-01 2021-03-31 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:PublicHealthAndSocialServicesEmergencyFundMember us-gaap:OperatingIncomeLossMember cyh:PaycheckProtectionProgramAndHealthCareEnhancementActMember 2021-04-01 2021-06-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember 2020-04-01 2020-04-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember 2021-07-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember 2021-01-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:CentersForMedicareAndMedicaidServicesMember 2020-01-01 2020-12-31 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:CentersForMedicareAndMedicaidServicesMember 2021-01-01 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember cyh:AccruedLiabilitiesAndOtherMember 2021-09-30 0001108109 cyh:CoronavirusAidReliefAndEconomicSecurityActMember 2021-09-30 0001108109 cyh:PlanTwoThousandNineMember 2021-01-01 2021-09-30 0001108109 cyh:PlanTwoThousandNineMember 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember 2021-01-01 2021-09-30 0001108109 cyh:RestrictedStockAndRestrictedStockUnitsMember 2021-09-30 0001108109 cyh:RestrictedStockAndRestrictedStockUnitsMember 2021-01-01 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember 2020-01-01 2020-09-30 0001108109 us-gaap:EmployeeStockOptionMember srt:MinimumMember 2021-01-01 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember srt:MaximumMember 2021-01-01 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember 2020-12-31 0001108109 us-gaap:EmployeeStockOptionMember 2021-01-01 2021-03-31 0001108109 us-gaap:EmployeeStockOptionMember 2021-03-31 0001108109 us-gaap:EmployeeStockOptionMember 2021-04-01 2021-06-30 0001108109 us-gaap:EmployeeStockOptionMember 2021-06-30 0001108109 us-gaap:EmployeeStockOptionMember 2021-07-01 2021-09-30 0001108109 us-gaap:EmployeeStockOptionMember 2020-07-01 2020-09-30 0001108109 srt:MaximumMember 2021-01-01 2021-09-30 0001108109 cyh:RestrictedStockPerformanceBasedUnitsMember 2021-01-01 2021-09-30 0001108109 cyh:PerformanceBasedAwardsGrantedOnOrAfterMarch12018Member cyh:RestrictedStockPerformanceBasedUnitsMember 2021-03-01 2021-03-01 0001108109 us-gaap:RestrictedStockMember 2020-12-31 0001108109 us-gaap:RestrictedStockMember 2021-01-01 2021-03-31 0001108109 us-gaap:RestrictedStockMember 2021-03-31 0001108109 us-gaap:RestrictedStockMember 2021-04-01 2021-06-30 0001108109 us-gaap:RestrictedStockMember 2021-06-30 0001108109 us-gaap:RestrictedStockMember 2021-07-01 2021-09-30 0001108109 us-gaap:RestrictedStockMember 2021-09-30 0001108109 cyh:PlanTwoThousandNineMember us-gaap:RestrictedStockUnitsRSUMember srt:DirectorMember 2021-03-01 2021-03-01 0001108109 cyh:PlanTwoThousandNineMember us-gaap:RestrictedStockUnitsRSUMember srt:DirectorMember 2020-03-01 2020-03-01 0001108109 us-gaap:RestrictedStockMember 2021-01-01 2021-09-30 cyh:Director 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2021-03-01 2021-03-01 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2020-03-01 2020-03-01 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2020-12-31 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2021-01-01 2021-03-31 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2021-03-31 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2021-06-30 0001108109 us-gaap:RestrictedStockUnitsRSUMember 2021-09-30 0001108109 us-gaap:SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember 2021-01-01 2021-09-30 0001108109 cyh:LeaRegionalMedicalCenterMember 2021-09-30 0001108109 cyh:TennovaHealthcareTullahomaMember 2021-09-30 0001108109 cyh:TennovaHealthcareShelbyvilleMember 2021-09-30 0001108109 cyh:NorthwestMississippiMedicalCenterMember 2021-09-30 0001108109 cyh:AllianceHealthMidwestMember 2021-09-30 0001108109 cyh:BerwickHospitalCenterMember 2020-12-31 0001108109 cyh:BrownwoodRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:AbileneRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:SanAngeloCommunityMedicalCenterMember 2020-12-31 0001108109 cyh:BayfrontHealthStPetersburgMember 2020-12-31 0001108109 cyh:HillRegionalHospitalMember 2020-12-31 0001108109 cyh:StCloudRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:NorthernLouisianaMedicalCenterMember 2020-12-31 0001108109 cyh:ShandsLiveOakRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:ShandsStarkeRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:SouthsideRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:SouthamptonMemorialHospitalMember 2020-12-31 0001108109 cyh:SouthernVirginiaRegionalMedicalCenterMember 2020-12-31 0001108109 cyh:LeaRegionalMedicalCenterMember 2021-01-01 2021-09-30 0001108109 cyh:TennovaHealthcareTullahomaMember 2021-01-01 2021-09-30 0001108109 cyh:TennovaHealthcareShelbyvilleMember 2021-01-01 2021-09-30 0001108109 cyh:NorthwestMississippiMedicalCenterMember 2021-01-01 2021-09-30 0001108109 cyh:AllianceHealthMidwestMember 2021-01-01 2021-09-30 0001108109 cyh:BerwickHospitalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:BrownwoodRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:AbileneRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:SanAngeloCommunityMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:BayfrontHealthStPetersburgMember 2020-01-01 2020-12-31 0001108109 cyh:HillRegionalHospitalMember 2020-01-01 2020-12-31 0001108109 cyh:StCloudRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:NorthernLouisianaMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:ShandsLiveOakRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:ShandsStarkeRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:SouthsideRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:SouthamptonMemorialHospitalMember 2020-01-01 2020-12-31 0001108109 cyh:SouthernVirginiaRegionalMedicalCenterMember 2020-01-01 2020-12-31 0001108109 cyh:TwoHospitalsInMaconGeorgiaMember 2021-07-30 2021-07-30 cyh:Hospital 0001108109 cyh:TwoHospitalsInMaconGeorgiaMember 2021-07-01 2021-09-30 0001108109 cyh:TwoHospitalsInMaconGeorgiaMember 2021-01-01 2021-09-30 0001108109 srt:MaximumMember 2021-09-30 0001108109 us-gaap:DomesticCountryMember us-gaap:TaxYear2014Member 2021-01-01 2021-09-30 0001108109 us-gaap:DomesticCountryMember us-gaap:TaxYear2015Member 2021-01-01 2021-09-30 0001108109 us-gaap:DomesticCountryMember us-gaap:TaxYear2018Member 2021-01-01 2021-09-30 0001108109 cyh:SeniorNotesAt6875Due2022Member us-gaap:SeniorNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt625Due2023Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8625Due2024Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt6Point625Due2025Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt6Point625Due2025Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2026Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2026Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2027Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2027Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt5625Due2027Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt5625Due2027Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:SeniorNotesMember 2021-09-30 0001108109 cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:SeniorNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt6Due2029Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt6Due2029Member cyh:SeniorSecuredNotesMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesDue2023Member cyh:JuniorPrioritySecuredNotesMember 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesAt8125PercentDue2024Member cyh:JuniorPrioritySecuredNotesMember 2020-12-31 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:JuniorPrioritySecuredNotesMember 2021-09-30 0001108109 cyh:FinanceLeaseAndFinancingObligationsMember 2021-09-30 0001108109 cyh:FinanceLeaseAndFinancingObligationsMember 2020-12-31 0001108109 cyh:OtherMember 2021-09-30 0001108109 cyh:OtherMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt6Point625Due2025Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2026Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2027Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt5625Due2027Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:SeniorNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAt6Due2029Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:JuniorPrioritySecuredNotesMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorNotesAt6875Due2022Member us-gaap:SeniorNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt625Due2023Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8625Due2024Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt6Point625Due2025Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2026Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt8PercentDue2027Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt5625Due2027Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:SeniorNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt6Due2029Member cyh:SeniorSecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesDue2023Member cyh:JuniorPrioritySecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesAt8125PercentDue2024Member cyh:JuniorPrioritySecuredNotesMember 2020-01-01 2020-12-31 0001108109 cyh:SeniorSecuredNotesAt625Due2023Member cyh:SeniorSecuredNotesMember 2021-01-28 0001108109 cyh:SeniorSecuredNotesAt625Due2023Member cyh:SeniorSecuredNotesMember 2021-01-28 2021-01-28 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember 2021-02-02 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember 2021-02-02 2021-02-02 0001108109 cyh:JuniorPrioritySecuredNotesDue2023Member cyh:JuniorPrioritySecuredNotesMember 2021-02-02 0001108109 cyh:JuniorPrioritySecuredNotesDue2023Member cyh:JuniorPrioritySecuredNotesMember 2021-02-02 2021-02-02 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember us-gaap:DebtInstrumentRedemptionPeriodFiveMember 2021-02-02 2021-02-02 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember us-gaap:DebtInstrumentRedemptionPeriodOneMember 2021-02-02 2021-02-02 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember us-gaap:DebtInstrumentRedemptionPeriodTwoMember 2021-02-02 2021-02-02 0001108109 cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member cyh:JuniorPrioritySecuredNotesMember us-gaap:DebtInstrumentRedemptionPeriodThreeMember 2021-02-02 2021-02-02 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember 2021-02-09 0001108109 cyh:SeniorSecuredNotesAt8625Due2024Member cyh:SeniorSecuredNotesMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesAt8625Due2024Member cyh:SeniorSecuredNotesMember 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodSixMember 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodSixMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodSixMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodSevenMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodSevenMember 2021-02-09 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodEightMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member cyh:SeniorSecuredNotesMember cyh:DebtInstrumentRedemptionPeriodEightMember 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:DebtInstrumentRedemptionPeriodOneMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:DebtInstrumentRedemptionPeriodTwoMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:DebtInstrumentRedemptionPeriodThreeMember 2021-02-09 2021-02-09 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:DebtInstrumentRedemptionPeriodFourMember 2021-02-09 2021-02-09 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875Due2022Member 2021-03-01 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875Due2022Member 2021-03-01 2021-03-01 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member 2021-05-19 2021-05-19 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member 2021-05-19 0001108109 cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:DebtInstrumentRedemptionPeriodMember cyh:JuniorPrioritySecuredNotesMember 2021-05-19 2021-05-19 0001108109 us-gaap:DebtInstrumentRedemptionPeriodOneMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:JuniorPrioritySecuredNotesMember 2021-05-19 2021-05-19 0001108109 us-gaap:DebtInstrumentRedemptionPeriodTwoMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:JuniorPrioritySecuredNotesMember 2021-05-19 2021-05-19 0001108109 us-gaap:DebtInstrumentRedemptionPeriodThreeMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member cyh:JuniorPrioritySecuredNotesMember 2021-05-19 2021-05-19 0001108109 cyh:AssetBasedLoanFacilityMember 2018-04-03 0001108109 cyh:AssetBasedLoanFacilityMember 2021-09-30 0001108109 cyh:AssetBasedLoanFacilityMember us-gaap:LetterOfCreditMember 2021-01-01 2021-09-30 0001108109 cyh:AssetBasedLoanFacilityMember us-gaap:LetterOfCreditMember 2021-09-30 0001108109 cyh:AssetBasedLoanFacilityMember cyh:AblFacilityCustomaryCovenantsMember 2021-09-30 0001108109 cyh:AssetBasedLoanFacilityMember cyh:AblFacilityCustomaryCovenantsMember 2021-01-01 2021-09-30 0001108109 us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875Due2022Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt625Due2023Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8625Due2024Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt6Point625Due2025Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt6Point625Due2025Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt5625Due2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt5625Due2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesDue2023Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt8125PercentDue2024Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:AblFacilityAndOtherDebtMember us-gaap:CarryingReportedAmountFairValueDisclosureMember 2021-09-30 0001108109 cyh:AblFacilityAndOtherDebtMember us-gaap:CarryingReportedAmountFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875Due2022Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt625Due2023Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8625Due2024Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt6Point625Due2025Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt6Point625Due2025Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAt8PercentDue2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:SeniorNotesMember cyh:SeniorSecuredNotesAt5625Due2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 us-gaap:SeniorNotesMember cyh:SeniorSecuredNotesAt5625Due2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 us-gaap:SeniorNotesMember cyh:SeniorNotesAt6875PercentDue2028Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtFourPointSevenFiveDue2031Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesDue2023Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt8125PercentDue2024Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:SixPointEightSevenFivePercentageJuniorPrioritySecuredNotesDue2029Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:JuniorPrioritySecuredNotesMember cyh:JuniorPrioritySecuredNotesAt6125PercentDue2030Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:AblFacilityAndOtherDebtMember us-gaap:EstimateOfFairValueFairValueDisclosureMember 2021-09-30 0001108109 cyh:AblFacilityAndOtherDebtMember us-gaap:EstimateOfFairValueFairValueDisclosureMember 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member 2021-01-01 2021-09-30 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member 2020-12-31 0001108109 cyh:SeniorSecuredNotesMember cyh:SeniorSecuredNotesAtSixDue2029Member 2020-01-01 2020-12-31 0001108109 us-gaap:FairValueMeasurementsRecurringMember 2021-09-30 0001108109 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember 2021-09-30 0001108109 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember 2021-09-30 0001108109 us-gaap:FairValueMeasurementsRecurringMember 2020-12-31 0001108109 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember 2020-12-31 0001108109 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember 2020-12-31 0001108109 us-gaap:LandAndLandImprovementsMember cyh:FinanceLeaseRouAssetsMember 2021-09-30 0001108109 us-gaap:LandAndLandImprovementsMember cyh:FinanceLeaseRouAssetsMember 2020-12-31 0001108109 us-gaap:BuildingAndBuildingImprovementsMember cyh:FinanceLeaseRouAssetsMember 2021-09-30 0001108109 us-gaap:BuildingAndBuildingImprovementsMember cyh:FinanceLeaseRouAssetsMember 2020-12-31 0001108109 us-gaap:FurnitureAndFixturesMember cyh:FinanceLeaseRouAssetsMember 2021-09-30 0001108109 us-gaap:FurnitureAndFixturesMember cyh:FinanceLeaseRouAssetsMember 2020-12-31 0001108109 cyh:FinanceLeaseRouAssetsMember 2021-09-30 0001108109 cyh:FinanceLeaseRouAssetsMember 2020-12-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-12-31 0001108109 us-gaap:CommonStockMember 2020-12-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-12-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-12-31 0001108109 us-gaap:RetainedEarningsMember 2020-12-31 0001108109 us-gaap:NoncontrollingInterestMember 2020-12-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-01-01 2021-03-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-01-01 2021-03-31 0001108109 us-gaap:RetainedEarningsMember 2021-01-01 2021-03-31 0001108109 us-gaap:NoncontrollingInterestMember 2021-01-01 2021-03-31 0001108109 2021-01-01 2021-03-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-01-01 2021-03-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-03-31 0001108109 us-gaap:CommonStockMember 2021-03-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-03-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-03-31 0001108109 us-gaap:RetainedEarningsMember 2021-03-31 0001108109 us-gaap:NoncontrollingInterestMember 2021-03-31 0001108109 2021-03-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-04-01 2021-06-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-04-01 2021-06-30 0001108109 us-gaap:RetainedEarningsMember 2021-04-01 2021-06-30 0001108109 us-gaap:NoncontrollingInterestMember 2021-04-01 2021-06-30 0001108109 2021-04-01 2021-06-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-04-01 2021-06-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-06-30 0001108109 us-gaap:CommonStockMember 2021-06-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-06-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-06-30 0001108109 us-gaap:RetainedEarningsMember 2021-06-30 0001108109 us-gaap:NoncontrollingInterestMember 2021-06-30 0001108109 2021-06-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-07-01 2021-09-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-07-01 2021-09-30 0001108109 us-gaap:RetainedEarningsMember 2021-07-01 2021-09-30 0001108109 us-gaap:NoncontrollingInterestMember 2021-07-01 2021-09-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-07-01 2021-09-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2021-09-30 0001108109 us-gaap:CommonStockMember 2021-09-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2021-09-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-09-30 0001108109 us-gaap:RetainedEarningsMember 2021-09-30 0001108109 us-gaap:NoncontrollingInterestMember 2021-09-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2019-12-31 0001108109 us-gaap:CommonStockMember 2019-12-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2019-12-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2019-12-31 0001108109 us-gaap:RetainedEarningsMember 2019-12-31 0001108109 us-gaap:NoncontrollingInterestMember 2019-12-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-01-01 2020-03-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-01-01 2020-03-31 0001108109 us-gaap:RetainedEarningsMember 2020-01-01 2020-03-31 0001108109 us-gaap:NoncontrollingInterestMember 2020-01-01 2020-03-31 0001108109 2020-01-01 2020-03-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-01-01 2020-03-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-03-31 0001108109 us-gaap:CommonStockMember 2020-03-31 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-03-31 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-03-31 0001108109 us-gaap:RetainedEarningsMember 2020-03-31 0001108109 us-gaap:NoncontrollingInterestMember 2020-03-31 0001108109 2020-03-31 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-04-01 2020-06-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-04-01 2020-06-30 0001108109 us-gaap:RetainedEarningsMember 2020-04-01 2020-06-30 0001108109 us-gaap:NoncontrollingInterestMember 2020-04-01 2020-06-30 0001108109 2020-04-01 2020-06-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-04-01 2020-06-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-06-30 0001108109 us-gaap:CommonStockMember 2020-06-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-06-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-06-30 0001108109 us-gaap:RetainedEarningsMember 2020-06-30 0001108109 us-gaap:NoncontrollingInterestMember 2020-06-30 0001108109 2020-06-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-07-01 2020-09-30 0001108109 us-gaap:RetainedEarningsMember 2020-07-01 2020-09-30 0001108109 us-gaap:NoncontrollingInterestMember 2020-07-01 2020-09-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-07-01 2020-09-30 0001108109 cyh:RedeemableNoncontrollingInterestsMember 2020-09-30 0001108109 us-gaap:CommonStockMember 2020-09-30 0001108109 us-gaap:AdditionalPaidInCapitalMember 2020-09-30 0001108109 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-09-30 0001108109 us-gaap:RetainedEarningsMember 2020-09-30 0001108109 us-gaap:NoncontrollingInterestMember 2020-09-30 0001108109 us-gaap:PendingLitigationMember cyh:OtherProbableContingenciesMember 2020-12-31 0001108109 us-gaap:PendingLitigationMember cyh:OtherProbableContingenciesMember 2021-01-01 2021-09-30 0001108109 us-gaap:PendingLitigationMember cyh:OtherProbableContingenciesMember 2021-09-30 0001108109 us-gaap:SubsequentEventMember 2021-10-01 0001108109 us-gaap:SubsequentEventMember cyh:CoronavirusAidReliefAndEconomicSecurityActMember 2021-10-01 2021-10-01

 

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Form 10-Q

 

(Mark One)

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended September 30, 2021

or

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from ___________ to ________

 

Commission file number 001-15925

COMMUNITY HEALTH SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

13-3893191

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer

Identification Number)

 

 

4000 Meridian Boulevard

Franklin, Tennessee

37067

(Zip Code)

(Address of principal executive offices)

 

 

615-465-7000

(Registrant’s telephone number)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $.01 par value

CYH

New York Stock Exchange

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes      No 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes      No 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer  

Accelerated filer 

Smaller reporting company 

 

 

 

Non-accelerated filer 

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes     No  

As of October 22, 2021, there were outstanding 132,107,916 shares of the Registrant’s Common Stock, $0.01 par value.

 

 


 

Community Health Systems, Inc.

Form 10-Q

For the Three and Nine Months Ended September 30, 2021

 

 

 

 

 

 

 

 

Part I.

 

Financial Information

 

Page

 

 

 

 

 

 

 

 

 

Item 1.

 

Financial Statements:

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidated Statements of  Income – Three and Nine Months Ended September 30, 2021 and September 30, 2020 (Unaudited)

 

2

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidated Statements of Comprehensive Income - Three and Nine Months Ended September 30, 2021 and September 30, 2020 (Unaudited)

 

3

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidated Balance Sheets – September 30, 2021 and December 31, 2020 (Unaudited)

 

4

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidated Statements of Cash Flows – Nine Months Ended September 30, 2021 and September 30, 2020 (Unaudited)

 

5

 

 

 

 

 

 

 

 

 

 

 

Notes to Condensed Consolidated Financial Statements (Unaudited)

 

6

 

 

 

 

 

 

 

 

 

Item 2.

 

Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

26

 

 

 

 

 

 

 

 

 

Item 3.

 

Quantitative and Qualitative Disclosures about Market Risk

 

49

 

 

 

 

 

 

 

 

 

Item 4.

 

Controls and Procedures

 

49

 

 

 

 

 

 

 

Part II.

 

Other Information

 

 

 

 

 

 

 

 

 

 

 

Item 1.

 

Legal Proceedings

 

50

 

 

 

 

 

 

 

 

 

Item 1A.

 

Risk Factors

 

52

 

 

 

 

 

 

 

 

 

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

52

 

 

 

 

 

 

 

 

 

Item 3.

 

Defaults Upon Senior Securities

 

53

 

 

 

 

 

 

 

 

 

Item 4.

 

Mine Safety Disclosures

 

53

 

 

 

 

 

 

 

 

 

Item 5.

 

Other Information

 

53

 

 

 

 

 

 

 

 

 

Item 6.

 

Exhibits

 

53

 

 

 

 

 

 

 

Signatures

 

54

 

 


 

 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(In millions, except share and per share data)

(Unaudited)

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Net operating revenues

 

$

3,115

 

 

$

3,126

 

 

$

9,135

 

 

$

8,670

 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 

1,336

 

 

 

1,365

 

 

 

3,905

 

 

 

4,054

 

Supplies

 

 

529

 

 

 

523

 

 

 

1,521

 

 

 

1,439

 

Other operating expenses

 

 

716

 

 

 

736

 

 

 

2,170

 

 

 

2,211

 

Government and other legal settlements and related costs

 

 

 

 

 

 

 

 

 

 

 

4

 

Lease cost and rent

 

 

75

 

 

 

85

 

 

 

231

 

 

 

248

 

Pandemic relief funds

 

 

(19

)

 

 

 

 

 

(102

)

 

 

(448

)

Depreciation and amortization

 

 

137

 

 

 

139

 

 

 

408

 

 

 

424

 

Impairment and (gain) loss on sale of businesses, net

 

 

1

 

 

 

(7

)

 

 

24

 

 

 

48

 

Total operating costs and expenses

 

 

2,775

 

 

 

2,841

 

 

 

8,157

 

 

 

7,980

 

Income from operations

 

 

340

 

 

 

285

 

 

 

978

 

 

 

690

 

Interest expense, net

 

 

216

 

 

 

257

 

 

 

666

 

 

 

779

 

Loss (gain) from early extinguishment of debt

 

 

 

 

 

(115

)

 

 

79

 

 

 

(111

)

Gain on sale of investments in unconsolidated affiliates

 

 

(26

)

 

 

 

 

 

(26

)

 

 

 

Equity in earnings of unconsolidated affiliates

 

 

(4

)

 

 

(5

)

 

 

(19

)

 

 

(11

)

Income before income taxes

 

 

154

 

 

 

148

 

 

 

278

 

 

 

33

 

Provision for (benefit from) income taxes

 

 

10

 

 

 

20

 

 

 

132

 

 

 

(221

)

Net income

 

 

144

 

 

 

128

 

 

 

146

 

 

 

254

 

Less: Net income attributable to noncontrolling interests

 

 

33

 

 

 

16

 

 

 

94

 

 

 

54

 

Net income attributable to Community Health Systems,

   Inc. stockholders

 

$

111

 

 

$

112

 

 

$

52

 

 

$

200

 

Earnings per share attributable to Community Health

   Systems, Inc. common stockholders:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

0.87

 

 

$

0.98

 

 

$

0.41

 

 

$

1.74

 

Diluted

 

$

0.85

 

 

$

0.97

 

 

$

0.40

 

 

$

1.74

 

Weighted-average number of shares outstanding:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

127,077,786

 

 

 

115,015,460

 

 

 

126,638,291

 

 

 

114,764,050

 

Diluted

 

 

130,885,139

 

 

 

115,640,852

 

 

 

129,885,951

 

 

 

115,012,202

 

 

See accompanying notes to the condensed consolidated financial statements.

2


COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In millions)

(Unaudited)

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Net income

 

$

144

 

 

$

128

 

 

$

146

 

 

$

254

 

Other comprehensive income (loss), net of income taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net change in fair value of available-for-sale debt securities,

   net of tax

 

 

(1

)

 

 

 

 

 

(4

)

 

 

3

 

Amortization and recognition of unrecognized pension cost

  components, net of tax

 

 

2

 

 

 

 

 

 

3

 

 

 

1

 

Other comprehensive income (loss)

 

 

1

 

 

 

 

 

 

(1

)

 

 

4

 

Comprehensive income

 

 

145

 

 

 

128

 

 

 

145

 

 

 

258

 

Less: Comprehensive income attributable to noncontrolling

   interests

 

 

33

 

 

 

16

 

 

 

94

 

 

 

54

 

Comprehensive income attributable to Community Health

   Systems, Inc. stockholders

 

$

112

 

 

$

112

 

 

$

51

 

 

$

204

 

 

See accompanying notes to the condensed consolidated financial statements.

3


COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(In millions, except share data)

(Unaudited)

 

 

 

September 30,

2021

 

 

December 31,

2020

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

1,294

 

 

$

1,676

 

Patient accounts receivable

 

 

2,024

 

 

 

1,927

 

Supplies

 

 

341

 

 

 

335

 

Prepaid income taxes

 

 

44

 

 

 

50

 

Prepaid expenses and taxes

 

 

189

 

 

 

184

 

Other current assets

 

 

285

 

 

 

338

 

Total current assets

 

 

4,177

 

 

 

4,510

 

Property and equipment

 

 

9,536

 

 

 

9,352

 

Less accumulated depreciation and amortization

 

 

(4,168

)

 

 

(4,030

)

Property and equipment, net

 

 

5,368

 

 

 

5,322

 

Goodwill

 

 

4,219

 

 

 

4,219

 

Deferred income taxes

 

 

59

 

 

 

59

 

Other assets, net

 

 

1,847

 

 

 

1,896

 

Total assets

 

$

15,670

 

 

$

16,006

 

LIABILITIES AND STOCKHOLDERS’ DEFICIT

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Current maturities of long-term debt

 

$

35

 

 

$

123

 

Current operating lease liabilities

 

 

142

 

 

 

142

 

Accounts payable

 

 

763

 

 

 

783

 

Accrued liabilities:

 

 

 

 

 

 

 

 

Employee compensation

 

 

687

 

 

 

637

 

Accrued interest

 

 

198

 

 

 

150

 

Other

 

 

1,265

 

 

 

980

 

Total current liabilities

 

 

3,090

 

 

 

2,815

 

Long-term debt

 

 

11,976

 

 

 

12,093

 

Deferred income taxes

 

 

152

 

 

 

29

 

Long-term operating lease liabilities

 

 

538

 

 

 

524

 

Other long-term liabilities

 

 

914

 

 

 

1,599

 

Total liabilities

 

 

16,670

 

 

 

17,060

 

Redeemable noncontrolling interests in equity of consolidated subsidiaries

 

 

493

 

 

 

484

 

STOCKHOLDERS’ DEFICIT

 

 

 

 

 

 

 

 

Community Health Systems, Inc. stockholders’ deficit:

 

 

 

 

 

 

 

 

Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued

 

 

 

 

 

 

Common stock, $.01 par value per share, 300,000,000 shares authorized; 132,041,102

   shares issued and outstanding at September 30, 2021, and 129,612,117 shares issued

   and outstanding at December 31, 2020

 

 

1

 

 

 

1

 

Additional paid-in capital

 

 

2,092

 

 

 

2,094

 

Accumulated other comprehensive loss

 

 

(14

)

 

 

(13

)

Accumulated deficit

 

 

(3,655

)

 

 

(3,707

)

Total Community Health Systems, Inc. stockholders’ deficit

 

 

(1,576

)

 

 

(1,625

)

Noncontrolling interests in equity of consolidated subsidiaries

 

 

83

 

 

 

87

 

Total stockholders’ deficit

 

 

(1,493

)

 

 

(1,538

)

Total liabilities and stockholders’ deficit

 

$

15,670

 

 

$

16,006

 

 

See accompanying notes to the condensed consolidated financial statements.

4


COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In millions)

(Unaudited)

 

 

 

Nine Months Ended

 

 

 

September 30,

 

 

 

2021

 

 

2020

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

146

 

 

$

254

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

408

 

 

 

424

 

Deferred income taxes

 

 

123

 

 

 

(223

)

Government and other legal settlements and related costs

 

 

 

 

 

4

 

Stock-based compensation expense

 

 

18

 

 

 

8

 

Impairment and (gain) loss on sale of businesses, net

 

 

24

 

 

 

48

 

Loss (gain) from early extinguishment of debt

 

 

79

 

 

 

(111

)

Gain on sale of investments in unconsolidated affiliates

 

 

(26

)

 

 

 

Other non-cash expenses, net

 

 

22

 

 

 

99

 

Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:

 

 

 

 

 

 

 

 

Patient accounts receivable

 

 

(99

)

 

 

281

 

Supplies, prepaid expenses and other current assets

 

 

14

 

 

 

16

 

Medicare accelerated payments

 

 

 

 

 

1,159

 

Repayment/derecognition of Medicare accelerated payments

 

 

(267

)

 

 

(22

)

Pandemic relief funds

 

 

 

 

 

271

 

Accounts payable, accrued liabilities and income taxes

 

 

85

 

 

 

(81

)

Other

 

 

(127

)

 

 

(25

)

Net cash provided by operating activities

 

 

400

 

 

 

2,102

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Acquisitions of facilities and other related businesses

 

 

(3

)

 

 

(1

)

Purchases of property and equipment

 

 

(334

)

 

 

(317

)

Proceeds from disposition of hospitals and other ancillary operations

 

 

17

 

 

 

347

 

Proceeds from sale of property and equipment

 

 

7

 

 

 

4

 

Purchases of available-for-sale debt securities and equity securities

 

 

(135

)

 

 

(68

)

Proceeds from sales of available-for-sale debt securities and equity securities

 

 

86

 

 

 

80

 

Proceeds from sale of investments in unconsolidated affiliates

 

 

110

 

 

 

 

Increase in other investments

 

 

(61

)

 

 

(36

)

Net cash (used in) provided by investing activities

 

 

(313

)

 

 

9

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Repurchase of restricted stock shares for payroll tax withholding requirements

 

 

(5

)

 

 

(1

)

Deferred financing costs and other debt-related costs

 

 

(310

)

 

 

(32

)

Proceeds from noncontrolling investors in joint ventures

 

 

1

 

 

 

 

Redemption of noncontrolling investments in joint ventures

 

 

(5

)

 

 

(4

)

Distributions to noncontrolling investors in joint ventures

 

 

(95

)

 

 

(84

)

Proceeds from sale-lease back

 

 

 

 

 

2

 

Other borrowings

 

 

50

 

 

 

31

 

Issuance of long-term debt

 

 

4,310

 

 

 

1,462

 

Proceeds from ABL Facility

 

 

 

 

 

540

 

Repayments of long-term indebtedness

 

 

(4,415

)

 

 

(2,418

)

Net cash used in financing activities

 

 

(469

)

 

 

(504

)

Net change in cash and cash equivalents

 

 

(382

)

 

 

1,607

 

Cash and cash equivalents at beginning of period

 

 

1,676

 

 

 

216

 

Cash and cash equivalents at end of period

 

$

1,294

 

 

$

1,823

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

Interest payments

 

$

(572

)

 

$

(765

)

Income tax payments, net

 

$

(3

)

 

$

(2