1108109--2/29/2008--COMMUNITY_HEALTH_SYSTEMS

related topics

{acquisition, growth, future}

{regulation, government, change}

{cost, contract, operation}

{condition, economic, financial}

{financial, litigation, operation}

{gas, price, oil}

{tax, income, asset}

{personnel, key, retain}

{debt, indebtedness, cash}

{interest, director, officer}

Despite current indebtedness levels, we may still be able to incur substantially more debt. This could further exacerbate the risks described above. If competition decreases our ability to acquire additional hospitals on favorable terms, we may be unable to execute our acquisition strategy. If we fail to improve the operations of acquired hospitals, we may be unable to achieve our growth strategy. We may not be able to successfully integrate our acquisition of Triad or realize the potential benefits of the acquisition, which could cause our business to suffer. If we acquire hospitals with unknown or contingent liabilities, we could become liable for material obligations. State efforts to regulate the construction, acquisition or expansion of hospitals could prevent us from acquiring additional hospitals, renovating our facilities or expanding the breadth of services we offer. State efforts to regulate the sale of hospitals operated by not-for-profit entities could prevent us from acquiring additional hospitals and executing our business strategy. If we are unable to effectively compete for patients, local residents could use other hospitals. The failure to obtain our medical supplies at favorable prices could cause our operating results to decline. If the fair value of our reporting units declines, a material non-cash charge to earnings from impairment of our goodwill could result. Risks related to our industry If federal or state healthcare programs or managed care companies reduce the payments we receive as reimbursement for services we provide, our net operating revenues may decline. If we fail to comply with extensive laws and government regulations, including fraud and abuse laws, we could suffer penalties or be required to make significant changes to our operations. A shortage of qualified nurses could limit our ability to grow and deliver hospital healthcare services in a cost-effective manner. If we become subject to significant legal actions, we could be subject to substantial uninsured liabilities or increased insurance costs. If we experience growth in self-pay volume and revenue, our financial condition or results of operations could be adversely affected. This Report includes forward-looking statements which could differ from actual future results.

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1108109--2/29/2008--COMMUNITY_HEALTH_SYSTEMS_INC