Community Health Systems 2015 Annual Report Download - page 105

• the efforts of insurers, healthcare providers and others to contain healthcare costs, including the trend
toward value-based purchasing,
• our ongoing ability to demonstrate meaningful use of certified EHR technology and recognize income
for the related Medicare or Medicaid incentive payments,
• increases in wages as a result of inflation or competition for highly technical positions and rising supply
and drug costs due to market pressure from pharmaceutical companies and new product releases,
• liabilities and other claims asserted against us, including self-insured malpractice claims,
• competition,
• our ability to attract and retain, at reasonable employment costs, qualified personnel, key management,
physicians, nurses and other healthcare workers,
• trends toward treatment of patients in less acute or specialty healthcare settings, including ambulatory
surgery centers or specialty hospitals,
• changes in medical or other technology,
• changes in U.S. GAAP,
• the availability and terms of capital to fund additional acquisitions or replacement facilities or other
capital expenditures,
• our ability to successfully make acquisitions or complete divestitures,
• our ability to successfully integrate any acquired hospitals, including those of HMA, or to recognize
expected synergies from acquisitions,
• the impact of the acquisition of HMA on third-party relationships,
• the impact of seasonal severe weather conditions,
• our ability to obtain adequate levels of general and professional liability insurance,
• timeliness of reimbursement payments received under government programs,
• effects related to outbreaks of infectious diseases,
• the impact of the external, criminal cyber-attack suffered by us in the second quarter of 2014, including
potential reputational damage, the outcome of our investigation and any potential governmental
inquiries, the outcome of litigation filed against us in connection with this cyber-attack, the extent of
remediation costs and additional operating or other expenses that we may continue to incur, and the
impact of potential future cyber-attacks or security breaches,
• the timing and completion of the previously announced planned spin-off,
• the effects of the planned spin-off on our business, including our ability to achieve the anticipated
benefits of the spin-off, and
• the other risk factors set forth in this Form 10-K for the year ended December 31, 2015 and our other
public filings with the SEC.
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