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Basis of Presentation and Significant Accounting Policies (Narrative) (Details)
3 Months Ended 12 Months Ended
Jan. 01, 2019
USD ($)
Apr. 29, 2016
Hospital
Mar. 31, 2019
USD ($)
Hospital
state
bed
Mar. 31, 2018
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2014
Hospital
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Number of hospitals owned or leased | Hospital     27      
Number of states in which entity operates | state     14      
Number of licensed beds | bed     2,604      
Increase (decrease) in net operating revenues during period for transaction price adjustments related to estimated cost report settlements     $ 1,800,000 $ 500,000    
Net operating revenues     442,805,000 486,820,000    
Provider taxes     33,964,000 33,055,000    
Gross amounts of charity care revenues     5,000,000 13,300,000    
Accounts receivable, net of contractual adjustments     326,639,000   $ 322,608,000  
Due from third-party payors     67,748,000   63,443,000  
General and administrative costs     12,600,000 14,900,000    
Severance costs     1,490,000 1,898,000    
Electronic health records incentives     26,000 (141,000)    
Operating lease right-of-use assets     89,638,000   0  
Operating lease liabilities     93,348,000      
Acquired finite-lived intangible asset, residual value     $ 0      
New date of annual goodwill impairment test     The Company performs its annual testing of impairment for goodwill in the fourth quarter of each year.      
Noncontrolling interests and redeemable noncontrolling interests     The Company’s consolidated financial statements include all assets, liabilities, revenues and expenses of less than 100% owned entities that it controls.      
Maximum period during which assets held for sale sold     12 months      
Accrued Salaries and Benefits [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Undiscounted reserve for self-insured employee health benefits     $ 9,800,000   10,400,000  
Capitalized Internal Use Software, Except Significant System Conversions [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Finite-lived intangible assets, useful life     3 years      
Community Health Systems, Inc [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Number of Hospitals | Hospital           4
Equipment Leases [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Operating lease, initial term     3 years      
Accounting Standards Update 2016-02 [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Operating lease right-of-use assets $ 93,700,000          
Operating lease liabilities 95,600,000          
Cumulative effect adjustment that increased accumulated deficit $ 700,000          
Maximum [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Electronic health records incentives     $ 100,000      
Maximum [Member] | Capitalized Internal Use Software, Significant System Conversions [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Finite-lived intangible assets, useful life     10 years      
Maximum [Member] | Real Estate Leases [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Operating lease, initial term     10 years      
Operating lease, renewal term     10 years      
Maximum [Member] | Land Improvements [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     20 years      
Maximum [Member] | Buildings and Improvements [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     40 years      
Maximum [Member] | Equipment and Fixtures [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     18 years      
Minimum [Member] | Capitalized Internal Use Software, Significant System Conversions [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Finite-lived intangible assets, useful life     8 years      
Minimum [Member] | Real Estate Leases [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Operating lease, initial term     5 years      
Operating lease, renewal term     5 years      
Minimum [Member] | Land Improvements [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     3 years      
Minimum [Member] | Buildings and Improvements [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     5 years      
Minimum [Member] | Equipment and Fixtures [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Estimated useful life of asset     3 years      
General and Administrative Expense [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Severance costs     $ 0 1,900,000    
Illinois [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Number of hospitals owned or leased | Hospital     8      
Net operating revenues     $ 165,224,000 187,753,000    
California [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Number of hospitals owned or leased | Hospital     2      
Net operating revenues     $ 44,164,000 44,965,000    
California Hospital Quality Assurance Fee [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Net operating revenues     8,100,000 7,900,000    
Provider taxes     2,200,000 2,100,000    
Illinois Hospital Credit Program [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Net operating revenues     2,000,000 0    
Medicare [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Net operating revenues     129,046,000 144,583,000    
Accounts receivable, net of contractual adjustments     56,300,000   58,200,000  
Medicaid [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Net operating revenues     81,924,000 85,103,000    
Medicaid [Member] | Illinois [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Accounts receivable, net of contractual adjustments     24,400,000   24,500,000  
Medicaid [Member] | California [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Due from third-party payors     41,700,000   $ 37,800,000  
Hospital Operations Reporting Unit [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Net operating revenues     $ 426,153,000 $ 467,166,000    
Sales Revenue, Segment [Member] | Segment Concentration Risk [Member] | Hospital Operations Reporting Unit [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Concentration risk, percentage     95.00%      
Accounts Receivable [Member] | Credit Concentration Risk [Member] | Medicare [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Concentration risk, percentage     17.20%   18.00%  
Accounts Receivable [Member] | Credit Concentration Risk [Member] | Medicaid [Member] | Illinois [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Concentration risk, percentage     7.50%   7.60%  
Supplemental Program Receivables | Credit Concentration Risk [Member] | Medicaid [Member] | California [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Concentration risk, percentage     61.60%   59.60%  
Spin-off from CHS [Member]            
Basis Of Presentation And Significant Accounting Policies [Line Items]            
Number of hospitals owned or leased | Hospital   38        
Percentage ownership of number of stock shares held by the parent   100.00%        
Record date for stockholders of the parent to be eligible to receive share distribution in spin-off   Apr. 22, 2016