Most frequently the topics relate to either the paranormal or conspiracy theories. According to estimates by Talkers Magazine, Coast to Coast AM has a cumulative weekly audience of around 2.75 million unique listeners listening for at least five minutes, making it the most listened-to program in its time slot.
The program is distributed by Premiere Networks, both as part of its talk network and separately as a syndicated program. The Coast to Coast AM format consists of a combination of live callers and long-format interviews.
George Noory, the main host since Art Bell retired, also took interest in the 2012 phenomenon and believed that something could happen; but stated many times on air that he believed we would still be here on December 22, 2012.
After the theme song is played (Giorgio Moroder's "Chase" from Midnight Express), the broadcast is typically kicked off with a reading of current events or news stories by the host, usually with at least one bizarre or peculiar story.
At the age of 28, he was the youngest major market news director in the country, at KMSP-TV in Minneapolis.
Noory explained he launched the site for his listeners.The subject matter covers unusual topics and is full of personal stories related to callers, junk science, pseudo-experts and non-peer-reviewed scientists.While program content is often focused on paranormal and fringe subjects, sometimes, world-class scientists such as Michio Kaku and Brian Greene are featured in long-format interviews.Noory does not challenge these statements and agrees with whomever is making the statements.During hours of "open lines", calls are taken and put on air.Topics discussed include the near-death experience, climate change, cosmology, quantum physics, remote viewing, hauntings, contact with extraterrestrials, psychic reading, metaphysics, science and religion, conspiracy theories, Area 51, Ouija boards, crop circles, cryptozoology, Bigfoot, the Hollow Earth hypothesis, and science fiction literature, among others.