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Basis of Presentation and Significant Accounting Policies (Summary of Major Components of Other Operating Expenses) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Other Operating Expenses [Line Items]    
Taxes and insurance $ 33,964 $ 33,055
Repairs and maintenance 9,535 9,637
Utilities 5,302 6,123
Other miscellaneous operating expenses 16,227 20,778
Total other operating expenses 136,789 152,738
Purchased Services [Member]    
Other Operating Expenses [Line Items]    
Professional fees 37,842 41,080
Medical Specialist Fees [Member]    
Other Operating Expenses [Line Items]    
Professional fees 26,070 26,948
Community Health Systems, Inc [Member]    
Other Operating Expenses [Line Items]    
Transition services agreements $ 7,849 $ 15,117