Market Intelligence Center  Sep 22  Comment 
After closing Monday at $48.11, Community Health Systems Inc (CYH) presents an attractive opportunity to get a 6.55% return in just 115 days, which is an annualized return of 20.79% (for comparison purposes only). To enter this trade, sell one...
Benzinga  Sep 21  Comment 
Community Health Systems, Inc. (NYSE: CYH) announced today that subsidiaries of the Company have executed a definitive agreement to sell substantially all of the assets of 88-bed Lehigh Regional Medical Center in Lehigh Acres, Florida, along with...
Market Intelligence Center  Sep 11  Comment 
Option-trade picking algorithms patented by MarketIntelligenceCenter.com found a trading opportunity with Community Health Systems Inc (CYH) that should provide a 5.35% return in just 98 days. Sell one Dec. '15 call at the $50.00 level for each...
Market Intelligence Center  Aug 6  Comment 
The patented option trade-picking algorithms behind MarketIntelligenceCenter.com's Artificial Intelligence Center have selected a covered call trade on Community Health Systems Inc (CYH) that includes 8.80% downside protection. Sell one contract...
TheStreet.com  Aug 4  Comment 
NEW YORK (TheStreet) --Shares of Community Health Systems are higher by 4.32% to $60.81 in pre-market trading on Tuesday morning, after the hospital and healthcare company announced yesterday that it is planning on spinning off 38 hospitals...
Wall Street Journal  Aug 3  Comment 
Community Health Systems Inc. raised its earnings guidance for the year as its second-quarter profit more than doubled thanks to its acquisition of Health Management Associates Inc.
Benzinga  Jul 16  Comment 
In a report published Thursday, KeyBanc analyst Jason Gurda downgraded shares of Community Health Systems (NYSE: CYH) and Universal Health Services, Inc. (NYSE: UHS) to Sector Weight ratings from a previous Overweight rating. Community Health:...
Motley Fool  Jul 4  Comment 
The Supreme Court's King. v. Burwell ruling protects millions of dollars of profit at Community Health Systems.


Community Health Systems (NYSE:CYH) owns and leases over a hundred hospitals in 29 states, primarily in rural communities.[1] While the company's growth is partially organic, the bulk of revenue increases have resulted from acquisitions, such as the purchase of Triad Hospitals Inc. which doubled the size of the CYH network, in terms of beds, and made it the largest publicly traded hospital operator chain in the country. The company earned $12 billion in revenue and $243 million in net income in 2009.[2]

As U.S. demographics change - and trend toward urban or rural relocations - so do CYH's revenues. Population size and economic cycles help determine the number of potential patients living close to CYH's hospitals and the amount of healthcare they need. Medicare and Medicaid laws also impact the company's operating income, and the growing quantitative gap between insured and uninsured and/or underinsured patients are concerns as more private clinics and physician-owned hospitals attract the most expensive and specialized medical procedures funded by private insurance. To stave off competition from these smaller, more nimble providers, the firm often forms partnerships with them.

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Community Health holds a virtual monopoly in most of its markets simply because its hospitals are the only providers of emergency care services in the vicinity. This is common to most American rural hospitals and reflects years of industry consolidation. Thus, the firm's primary competition is not other area hospitals, but rather urban hospitals, which patients often choose for specialized care. The firm competes by recruiting more specialists and investing in new technology in order to widen the range of services available to patients.

Compared to its urban counterparts, Community Health's hospitals have several operational advantages that help them achieve higher margins. A rural location gives hospitals the benefit of less competition, since many are monopolies in their communities. In addition to making more flexibility in pricing possible, this type of market power can bolster a hospital's reputation, encouraging positive relationships with patients and local physicians. Furthermore, patients treated at rural hospitals often have less complex health problems, as those with more advanced illnesses tend to travel to urban hospitals to receive care. This results in a lower cost structure, as more common medical issues can be treated with fewer expenses. Finally, Community Health maximizes the revenues it receives from private insurance providers by avoiding contractual relations with them and shunning and risk sharing agreements. Instead, they negotiate payments with these institutions on a case by case basis. Because private insurers have a smaller presence in rural areas, they are essentially not interested in penetration of rural clients and thus offer fewer discounts and special promotions to them, which results in higher reimbursement for hospitals. At the same time, CYH cannot offer the same level of equipment and specialized care as urban hospitals, leading it to lose potential patients. It also lacks teaching and research facilities, which are common to urban hospitals.

In the past several years, new types of competitors have been entering Community Health's markets and decreasing patient volume: physician-owned hospitals and stand alone surgery and diagnostic centers. New technologies have made it possible for physicians to perform procedures that earlier had to be done in a hospital. Community Health is addressing this challenge by attempting to partner with physicians and other independent facilities.


  1. CYH 2009 10-K "Overview of Our Company"
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