8-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of

The Securities Exchange Act of 1934

Date of Report (date of earliest event reported): August 3, 2015

COMMUNITY HEALTH SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

Delaware	001-15925	13-3893191
(State or other jurisdiction of incorporation)	(Commission File Number)	(I.R.S. Employer Identification No.)

4000 Meridian Boulevard

Franklin, Tennessee 37067

(Address of principal executive offices)

Registrant’s telephone number, including area code: (615) 465-7000

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

The information contained in this Current Report on Form 8-K (including the exhibits hereto) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in any such filing.

ITEM 2.02 Results of Operations and Financial Condition

On August 3, 2015, Community Health Systems, Inc. (the “Company”) announced operating results for the second quarter ended June 30, 2015. A copy of the press release making this announcement is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference into this Item 2.02.

ITEM 7.01 Regulation FD Disclosure

The press release referred to in Item 2.02 above also includes the Company’s 2015 updated annual earnings guidance. The 2015 guidance is based on the Company’s historical operating performance, current trends and other assumptions the Company believes are reasonable at this time as set forth on pages 15, 16, 17 and 18 of the press release. A copy of the press release making this announcement is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference into this Item 7.01.

ITEM 9.01 Financial Statements and Exhibits

(d) Exhibits

The following exhibit is furnished herewith:

Exhibit Number	Description
99.1	Community Health Systems, Inc. Press Release, dated August 3, 2015.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: August 3, 2015	COMMUNITY HEALTH SYSTEMS, INC.
	(Registrant)
	By:	/s/ Wayne T. Smith
		Wayne T. Smith
		Chairman of the Board and Chief Executive Officer
		(principal executive officer)
	By:	/s/ W. Larry Cash
		W. Larry Cash
		President of Financial Services, Chief Financial Officer and Director
		(principal financial officer)
	By:	/s/ Kevin J. Hammons
		Kevin J. Hammons
		Senior Vice President and Chief Accounting Officer
		(principal accounting officer)

2

Index to Exhibits

Exhibit Number	Description
99.1	Community Health Systems, Inc. Press Release, dated August 3, 2015.

3

EX-99.1

Exhibit Number

99.1

Investor Contact:	W. Larry Cash
	President of Financial Services and Chief Financial Officer
	(615) 465-7000

COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES

SECOND QUARTER 2015 RESULTS WITH NET OPERATING REVENUES OF $4.882 BILLION

FRANKLIN, Tenn. (August 3, 2015) – Community Health Systems, Inc. (NYSE: CYH) (the “Company”) today announced financial and operating results for the three and six months ended June 30, 2015.

The operating results of Health Management Associates, Inc. (“HMA”) are included in the Company’s consolidated results and statistical data from January 27, 2014, the date the Company completed its acquisition of HMA. For hospitals acquired in the HMA merger, same-store operating results and statistical data reflect the periods from January 1 through June 30, 2015 and 2014, as if such hospitals were owned during both comparable six-month periods. The Company had previously restated its prior period financial statements and statistical results to reflect the reclassification in the fourth quarter of 2014 to discontinued operations for one hospital that was held for sale at December 31, 2014, and was subsequently sold during the six months ended June 30, 2015.

Net operating revenues for the three months ended June 30, 2015, totaled $4.882 billion, a 2.5 percent increase compared with $4.765 billion for the same period in 2014. Income from continuing operations attributable to Community Health Systems, Inc. common stockholders increased to $117 million, or $1.01 per share (diluted), for the three months ended June 30, 2015, compared to $48 million, or $0.42 per share (diluted), for the same period in 2014. The results for the three months ended June 30, 2015, include $0.05 per share (diluted) related to loss from early extinguishment of debt, $0.04 per share (diluted) related to impairment of long-lived assets and $0.08 per share (diluted) of expense from fair value adjustments related to HMA legal proceedings, accounted for at fair value, underlying the contingent value rights (“CVR”) agreement, and related legal expenses; these expenses were partially offset by $0.03 per share (diluted) of income related to favorable outcomes for government legal settlements for several qui tam matters previously accrued and settled in principle, net of related legal expenses. Excluding these items, income from continuing operations was $1.14 per share (diluted). Net income attributable to Community Health Systems, Inc. common stockholders was $0.95 per share (diluted) for the three months ended June 30, 2015, compared with $0.37 per share (diluted) for the same period in 2014. Discontinued operations for the three months ended June 30, 2015, consisted of a loss of approximately $(6) million, or $(0.06) per share (diluted) from operations of entities sold or held for sale. Weighted-average shares outstanding (diluted) were 116 million for the three months ended June 30, 2015, and 113 million for the three months ended June 30, 2014.

Adjusted EBITDA for the three months ended June 30, 2015, was $769 million compared with $700 million for the same period in 2014, representing a 9.9 percent increase.

The consolidated operating results for the three months ended June 30, 2015, reflect a 1.9 percent decrease in total admissions, compared with the same period in 2014. Total adjusted admissions were flat for the three months ended June 30, 2015, compared with the same period in 2014. On a same-store basis, admissions decreased 2.2 percent and adjusted admissions decreased 0.2 percent during the three months ended June 30, 2015, compared with the same period in 2014. On a same-store basis, net operating revenues increased 2.2 percent during the three months ended June 30, 2015, compared with the same period in 2014.

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CYH Announces Second Quarter 2015 Results

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August 3, 2015

Net operating revenues for the six months ended June 30, 2015, totaled $9.793 billion, a 9.5 percent increase compared with $8.941 billion for the same period in 2014. Income from continuing operations attributable to Community Health Systems, Inc. common stockholders increased to $209 million, or $1.80 per share (diluted), for the six months ended June 30, 2015, compared with loss from continuing operations attributable to Community Health Systems, Inc. common stockholders of $(42) million, or $(0.38) per share (diluted), for the same period in 2014. The results for the six months ended June 30, 2015, include $0.09 per share (diluted) of expense related to loss from early extinguishment of debt, $0.05 per share (diluted) of expense from fair value adjustments related to HMA legal proceedings, accounted for at fair value, underlying the CVR agreement, and related legal expenses, $0.04 per share (diluted) related to impairment of long-lived assets and $0.01 per share (diluted) of expenses related to government legal settlements for several qui tam matters settled in principle and related legal expenses. Excluding these items, income from continuing operations was $1.99 per share (diluted). Net income attributable to Community Health Systems, Inc. common stockholders was $1.64 per share (diluted) for the six months ended June 30, 2015, compared with a net loss of $(0.64) per share (diluted) for the same period in 2014. Discontinued operations for the six months ended June 30, 2015, consisted of $(0.15) per share (diluted) of losses from operations of entities sold or held for sale, $(0.01) per share (diluted) of expenses related to the impairment of long-lived assets held for sale, and $(0.01) per share (diluted) of losses on sale, net, for a total after-tax loss of approximately $(20) million, or $(0.17) per share (diluted). Weighted-average shares outstanding (diluted) were 116 million for the six months ended June 30, 2015, and 110 million for the six months ended June 30, 2014.

Adjusted EBITDA for the six months ended June 30, 2015, was $1.483 billion compared with $1.242 billion for the same period in 2014, representing a 19.4 percent increase.

The consolidated operating results for the six months ended June 30, 2015, reflect a 6.4 percent increase in total admissions, and a 7.9 percent increase in total adjusted admissions, compared with the same period in 2014. On a same-store basis, admissions decreased 0.9 percent while adjusted admissions increased 1.1 percent during the six months ended June 30, 2015, compared with the same period in 2014. On a same-store basis, net operating revenues increased 3.7 percent during the six months ended June 30, 2015, compared with the same period in 2014.

Adjusted EBITDA is EBITDA adjusted to exclude discontinued operations, loss from early extinguishment of debt, impairment of long-lived assets, net income attributable to noncontrolling interests, acquisition and integration expenses from the acquisition of HMA, (income) expense related to government legal settlements and related costs, and expense from fair value adjustments related to the HMA legal proceedings, accounted for at fair value, underlying the CVR agreement, and related legal expenses. For information regarding why the Company believes Adjusted EBITDA presents useful information to investors, and for a reconciliation of Adjusted EBITDA to net cash provided by operating activities, see footnote (f) to the Financial Highlights, Financial Statements and Selected Operating Data below.

Commenting on the results, Wayne T. Smith, chairman and chief executive officer of Community Health Systems, Inc., said, “Our ability to execute fundamental operating strategies in an evolving healthcare environment resulted in a solid financial and operating performance for the second quarter of fiscal 2015. We are pleased with the incremental improvement in operating revenues across our hospital network and our ability to drive higher earnings compared with the second quarter of last year. These results include operating synergies from the integration of the HMA hospitals, the benefit of numerous strategic initiatives, and the incremental opportunities created by the Affordable Care Act. We look forward to more opportunities this year as we continue to deliver quality care for our patients, recruit qualified physicians, make the right investments in facilities and technology, and work to develop our markets and networks to their full potential.”

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CYH Announces Second Quarter 2015 Results

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August 3, 2015

Included on pages 15, 16, 17 and 18 of this press release is the Company’s updated 2015 annual earnings guidance. The 2015 guidance is based on the Company’s historical operating performance, current trends and other assumptions that the Company believes are reasonable at this time.

Community Health Systems, Inc. is one of the largest publicly-traded hospital companies in the United States and a leading operator of general acute care hospitals in communities across the country. Through its subsidiaries, the Company currently owns, leases or operates 198 affiliated hospitals in 29 states with an aggregate of approximately 30,000 licensed beds. The Company’s headquarters are located in Franklin, Tennessee, a suburb south of Nashville. Shares in Community Health Systems, Inc. are traded on the New York Stock Exchange under the symbol “CYH.” More information about the Company can be found on its website at www.chs.net.

Community Health Systems, Inc. will hold a conference call on Tuesday, August 4, 2015, at 10:00 a.m. Central, 11:00 a.m. Eastern, to review financial and operating results for the second quarter ended June 30, 2015. Investors will have the opportunity to listen to a live internet broadcast of the conference call by clicking on the Investor Relations link of the Company’s website at www.chs.net. To listen to the live call, please go to the website at least fifteen minutes early to register, download and install any necessary audio software. For those who cannot listen to the live broadcast, a replay will be available shortly after the call and will continue to be available through September 5, 2015. Copies of the Company’s Current Report on Form 8-K (including this press release) and conference call slide show will be available on the Company’s website at www.chs.net.

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CYH Announces Second Quarter 2015 Results

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August 3, 2015

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Financial Highlights (a)(b)(c)(d)(e)

(In millions, except per share amounts)

(Unaudited)

	Three Months Ended June 30,						Six Months Ended June 30,
	2015			2014			2015			2014
Net operating revenues	$	4,882		$	4,765		$	9,793		$	8,941
Adjusted EBITDA (f)		769			700			1,483			1,242
Income from continuing operations (g), (h), (k)		140			76			252			1
Net income (loss) attributable to Community Health Systems, Inc. stockholders		111			42			189			(70	)
Basic earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:
Continuing operations (g), (h), (k)	$	1.02		$	0.43		$	1.82		$	(0.38	)
Discontinued operations		(0.06	)		(0.06	)		(0.17	)		(0.26	)
Net income (loss)	$	0.96		$	0.37		$	1.65		$	(0.64	)
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (n):
Continuing operations (g), (h), (k), (l)	$	1.01		$	0.42		$	1.80		$	(0.38	)
Discontinued operations		(0.06	)		(0.06	)		(0.17	)		(0.26	)
Net income (loss) (l)	$	0.95		$	0.37		$	1.64		$	(0.64	)
Weighted-average number of shares outstanding (i):
Basic		115			113			115			110
Diluted		116			113			116			110
Net cash provided by operating activities	$	565		$	449		$	504		$	514

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

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COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Income (a)(b)(c)(d)(e)

(In millions, except per share amounts)

(Unaudited)

	Three Months Ended June 30,
	2015						2014
	Amount			% of Net Operating Revenues			Amount			% of Net Operating Revenues
Operating revenues (net of contractual allowances and discounts)	$	5,614					$	5,508
Provision for bad debts		732						743
Net operating revenues		4,882			100.0	%		4,765			100.0	%
Operating costs and expenses:
Salaries and benefits		2,217			45.4	%		2,221			46.6	%
Supplies		750			15.4	%		736			15.4	%
Other operating expenses		1,125			23.0	%		1,115			23.5	%
Government settlement and related costs (m)		(6	)		(0.1	)%		—			—	%
Electronic health records incentive reimbursement (g)		(55	)		(1.1	)%		(84	)		(1.8	)%
Rent		113			2.3	%		111			2.3	%
Depreciation and amortization		291			6.0	%		281			5.9	%
Amortization of software to be abandoned (k)		—			—	%		33			0.7	%
Total operating costs and expenses		4,435			90.9	%		4,413			92.6	%
Income from operations (g), (h), (k)		447			9.1	%		352			7.4	%
Interest expense, net		239			4.9	%		255			5.4	%
Loss from early extinguishment of debt		9			0.2	%		—			—	%
Equity in earnings of unconsolidated affiliates		(21	)		(0.4	)%		(12	)		(0.3	)%
Impairment of long-lived assets (k)		6			0.1	%		—			—	%
Income from continuing operations before income taxes		214			4.3	%		109			2.3	%
Provision for income taxes		74			1.5	%		33			0.7	%
Income from continuing operations (g), (h), (k)		140			2.8	%		76			1.6	%
Discontinued operations, net of taxes:
Loss from operations of entities sold or held for sale		(6	)		(0.1	)%		(1	)		—	%
Impairment of hospitals sold or held for sale		—			—	%		(5	)		(0.1	)%
Loss from discontinued operations, net of taxes		(6	)		(0.1	)%		(6	)		(0.1	)%
Net income		134			2.7	%		70			1.5	%
Less: Net income attributable to noncontrolling interests		23			0.4	%		28			0.6	%
Net income attributable to Community Health Systems, Inc. stockholders	$	111			2.3	%	$	42			0.9	%
Basic earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:
Continuing operations (g), (h), (k)	$	1.02					$	0.43
Discontinued operations		(0.06	)					(0.06	)
Net income	$	0.96					$	0.37
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (n):
Continuing operations (g), (h), (k), (l)	$	1.01					$	0.42
Discontinued operations		(0.06	)					(0.06	)
Net income (l)	$	0.95					$	0.37
Weighted-average number of shares outstanding (i):
Basic		115						113
Diluted		116						113

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

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COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Income (Loss) (a)(b)(c)(d)(e)

(In millions, except per share amounts)

(Unaudited)

	Six Months Ended June 30,
	2015						2014
	Amount			% of Net Operating Revenues			Amount			% of Net Operating Revenues
Operating revenues (net of contractual allowances and discounts)	$	11,260					$	10,383
Provision for bad debts		1,467						1,442
Net operating revenues		9,793			100.0	%		8,941			100.0	%
Operating costs and expenses:
Salaries and benefits		4,474			45.7	%		4,213			47.1	%
Supplies		1,512			15.4	%		1,368			15.3	%
Other operating expenses		2,225			22.8	%		2,133			24.0	%
Government settlement and related costs (m)		1			—	%		—			—	%
Electronic health records incentive reimbursement (g)		(81	)		(0.8	)%		(124	)		(1.4	)%
Rent		229			2.3	%		209			2.3	%
Depreciation and amortization		587			6.0	%		536			6.0	%
Amortization of software to be abandoned (k)		—			—	%		75			0.8	%
Total operating costs and expenses		8,947			91.4	%		8,410			94.1	%
Income from operations (g), (h), (k)		846			8.6	%		531			5.9	%
Interest expense, net		481			4.8	%		478			5.3	%
Loss from early extinguishment of debt		16			0.2	%		73			0.8	%
Equity in earnings of unconsolidated affiliates		(39	)		(0.4	)%		(22	)		(0.2	)%
Impairment of long-lived assets (k)		6			0.1	%		24			0.3	%
Income (loss) from continuing operations before income taxes		382			3.9	%		(22	)		(0.3	)%
Provision (benefit) for income taxes		130			1.3	%		(23	)		(0.3	)%
Income from continuing operations (g), (h), (k)		252			2.6	%		1			—	%
Discontinued operations, net of taxes:
Loss from operations of entities sold or held for sale		(17	)		(0.2	)%		(6	)		(0.1	)%
Impairment of hospitals sold or held for sale		(2	)		—	%		(22	)		(0.2	)%
Loss on sale, net		(1	)		—	%		—			—	%
Loss from discontinued operations, net of taxes		(20	)		(0.2	)%		(28	)		(0.3	)%
Net income (loss)		232			2.4	%		(27	)		(0.3	)%
Less: Net income attributable to noncontrolling interests		43			0.5	%		43			0.5	%
Net income (loss) attributable to Community Health Systems, Inc. stockholders	$	189			1.9	%	$	(70	)		(0.8	)%
Basic earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders:
Continuing operations (g), (h), (k)	$	1.82					$	(0.38	)
Discontinued operations		(0.17	)					(0.26	)
Net income (loss)	$	1.65					$	(0.64	)
Diluted earnings (loss) per share attributable to Community Health Systems, Inc. common stockholders (n):
Continuing operations (g), (h), (k), (l)	$	1.80					$	(0.38	)
Discontinued operations		(0.17	)					(0.26	)
Net income (loss) (l)	$	1.64					$	(0.64	)
Weighted-average number of shares outstanding (i):
Basic		115						110
Diluted		116						110

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

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COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Comprehensive Income (Loss) (c)

(In millions)

(Unaudited)

	Three Months Ended June 30,					Six Months Ended June 30,
	2015			2014		2015			2014
Net income (loss)	$	134		$	70	$	232		$	(27	)
Other comprehensive income (loss), net of income taxes:
Net change in fair value of interest rate swaps, net of tax		8			—		(1	)		9
Net change in fair value of available-for-sale securities, net of tax		(2	)		3		(1	)		3
Amortization and recognition of unrecognized pension cost components, net of tax		—			—		1			—
Other comprehensive income (loss)		6			3		(1	)		12
Comprehensive income (loss)		140			73		231			(15	)
Less: Comprehensive income attributable to noncontrolling interests		23			28		43			43
Comprehensive income (loss) attributable to Community Health Systems, Inc. stockholders	$	117		$	45	$	188		$	(58	)

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

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COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Selected Operating Data (a)(d)

(Dollars in millions)

(Unaudited)

	Three Months Ended June 30,
	Consolidated									Same-Store
	2015			2014			% Change			2015			2014			% Change
Number of hospitals (at end of period)		196			195						194			194
Licensed beds (at end of period)		29,964			29,915						29,660			29,758
Beds in service (at end of period)		26,206			26,578						26,081			26,469
Admissions		233,517			238,112			-1.9	%		232,584			237,905			-2.2	%
Adjusted admissions		511,456			511,219			0.0	%		509,227			510,405			-0.2	%
Patient days		1,033,244			1,052,886						1,028,442			1,051,796
Average length of stay (days)		4.4			4.4						4.4			4.4
Occupancy rate (average beds in service)		43.0	%		43.4	%					43.0	%		43.6	%
Net operating revenues	$	4,882		$	4,765			2.5	%	$	4,863		$	4,758			2.2	%
Net inpatient revenues as a % of net patient revenues before provision for bad debts		42.4	%		43.4	%					42.4	%		43.5	%
Net outpatient revenues as a % of net patient revenues before provision for bad debts		57.6	%		56.6	%					57.6	%		56.5	%
Income from operations (g), (h), (k)	$	447		$	352			27.0	%
Income from operations as a % of net operating revenues		9.2	%		7.4	%
Depreciation and amortization	$	291		$	314
Equity in earnings of unconsolidated affiliates	$	(21	)	$	(12	)
Liquidity Data:
Adjusted EBITDA (f)	$	769		$	700			9.9	%
Adjusted EBITDA as a % of net operating revenues		15.8	%		14.7	%
Net cash provided by operating activities	$	565		$	449
Net cash provided by operating activities as a % of net operating revenues		11.6	%		9.4	%

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

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COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Selected Operating Data (a)(d)(j)

(Dollars in millions)

(Unaudited)

	Six Months Ended June 30,
	Consolidated									Same-Store (1)
	2015			2014			% Change			2015			2014			% Change
Number of hospitals (at end of period)		196			195						194			194
Licensed beds (at end of period)		29,964			29,915						29,660			29,758
Beds in service (at end of period)		26,206			26,578						26,081			26,469
Admissions		479,532			450,808			6.4	%		469,467			473,827			-0.9	%
Adjusted admissions		1,021,309			946,615			7.9	%		1,001,396			990,308			1.1	%
Patient days		2,160,321			2,021,738						2,109,597			2,128,734
Average length of stay (days)		4.5			4.5						4.5			4.5
Occupancy rate (average beds in service)		45.0	%		45.5	%					44.7	%		45.0	%
Net operating revenues	$	9,793		$	8,941			9.5	%	$	9,645		$	9,303			3.7	%
Net inpatient revenues as a % of net patient revenues before provision for bad debts		43.3	%		44.3	%					43.2	%		44.7	%
Net outpatient revenues as a % of net patient revenues before provision for bad debts		56.7	%		55.7	%					56.8	%		55.3	%
Income from operations (g), (h), (k)	$	846		$	531			59.3	%
Income from operations as a % of net operating revenues		8.6	%		5.9	%
Depreciation and amortization	$	587		$	611
Equity in earnings of unconsolidated affiliates	$	(39	)	$	(22	)
Liquidity Data:
Adjusted EBITDA (f)	$	1,483		$	1,242			19.4	%
Adjusted EBITDA as a % of net operating revenues		15.1	%		13.9	%
Net cash provided by operating activities	$	504		$	514
Net cash provided by operating activities as a % of net operating revenues		5.1	%		5.7	%

(1) For hospitals acquired in the HMA merger, same-store operating results and statistical data reflect the periods from January 1 through June 30, 2015 and 2014, as if such hospitals were owned during both comparable periods.

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

Page 10

August 3, 2015

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Condensed Consolidated Balance Sheets (b)

(In millions, except share data)

(Unaudited)

	June 30, 2015			December 31, 2014
ASSETS
Current assets
Cash and cash equivalents	$	365		$	509
Patient accounts receivable, net of allowance for doubtful accounts of $3,773 and $3,504 at June 30, 2015 and December 31, 2014, respectively		3,491			3,409
Supplies		568			557
Prepaid income taxes		—			30
Deferred income taxes		345			341
Prepaid expenses and taxes		216			192
Other current assets (including assets of hospitals held for sale of $5 and $38 at June 30, 2015 and December 31, 2014, respectively)		515			528
Total current assets		5,500			5,566
Property and equipment, gross		14,577			14,264
Less accumulated depreciation and amortization		(4,487	)		(4,095	)
Property and equipment, net		10,090			10,169
Goodwill		8,956			8,951
Other assets, net (including assets of hospitals held for sale of $34 and $90 at June 30, 2015 and December 31, 2014, respectively)		2,640			2,735
Total assets	$	27,186		$	27,421
LIABILITIES AND EQUITY
Current liabilities
Current maturities of long-term debt	$	246		$	235
Accounts payable		1,144			1,293
Income tax payable		83			—
Deferred income taxes		23			23
Accrued interest		226			227
Accrued liabilities (including liabilities of hospitals held for sale of $1 and $10 at June 30, 2015 and December 31, 2014, respectively)		1,508			1,811
Total current liabilities		3,230			3,589
Long-term debt		16,621			16,681
Deferred income taxes		844			845
Other long-term liabilities		1,683			1,692
Total liabilities		22,378			22,807
Redeemable noncontrolling interests in equity of consolidated subsidiaries		524			531
EQUITY
Community Health Systems, Inc. stockholders’ equity:
Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued		—			—
Common stock, $.01 par value per share, 300,000,000 shares authorized; 119,095,425 shares issued and 118,119,876 shares outstanding at June 30, 2015, and 117,701,087 shares issued and 116,725,538 shares outstanding at December 31, 2014		1			1
Additional paid-in capital		2,105			2,095
Treasury stock, at cost, 975,549 shares at June 30, 2015 and December 31, 2014		(7	)		(7	)
Accumulated other comprehensive loss		(64	)		(63	)
Retained earnings		2,166			1,977
Total Community Health Systems, Inc. stockholders’ equity		4,201			4,003
Noncontrolling interests in equity of consolidated subsidiaries		83			80
Total equity		4,284			4,083
Total liabilities and equity	$	27,186		$	27,421

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

Page 11

August 3, 2015

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Cash Flows (b)

(In millions)

(Unaudited)

	Six Months Ended June 30,
	2015			2014
Cash flows from operating activities
Net income (loss)	$	232		$	(27	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization		588			617
Government settlement and related costs (m)		1			—
Stock-based compensation expense		30			22
Loss on sale, net		1			—
Impairment of long-lived assets and hospitals sold or held for sale		8			46
Loss from early extinguishment of debt		16			73
Excess tax benefit relating to stock-based compensation		—			(3	)
Other non-cash expenses, net		(1	)		19
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
Patient accounts receivable		(88	)		(166	)
Supplies, prepaid expenses and other current assets		(30	)		38
Accounts payable, accrued liabilities and income taxes		(238	)		(55	)
Other		(15	)		(50	)
Net cash provided by operating activities		504			514
Cash flows from investing activities
Acquisitions of facilities and other related equipment		(27	)		(3,041	)
Purchases of property and equipment		(474	)		(361	)
Proceeds from disposition of hospitals and other ancillary operations		62			12
Proceeds from sale of property and equipment		11			3
Purchases of available-for-sale securities		(90	)		(137	)
Proceeds from sales of available-for-sale securities		86			123
Increase in other investments		(80	)		(251	)
Net cash used in investing activities		(512	)		(3,652	)
Cash flows from financing activities
Proceeds from exercise of stock options		22			14
Repurchase of restricted stock shares for payroll tax withholding requirements		(20	)		(11	)
Deferred financing costs and other debt-related costs		(30	)		(269	)
Excess tax benefit relating to stock-based compensation		—			3
Proceeds from noncontrolling investors in joint ventures		—			10
Redemption of noncontrolling investments in joint ventures		(14	)		(6	)
Distributions to noncontrolling investors in joint ventures		(48	)		(44	)
Borrowings under credit agreements		2,385			7,488
Issuance of long-term debt		—			4,000
Proceeds from receivables facility		91			133
Repayments of long-term indebtedness		(2,522	)		(8,164	)
Net cash (used in) provided by financing activities		(136	)		3,154
Net change in cash and cash equivalents		(144	)		16
Cash and cash equivalents at beginning of period		509			373
Cash and cash equivalents at end of period	$	365		$	389

For footnotes, see pages 12, 13 and 14.

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CYH Announces Second Quarter 2015 Results

Page 12

August 3, 2015

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data

(a) Continuing operating results exclude discontinued operations for the three and six months ended June 30, 2015 and 2014. Both financial and statistical results exclude entities in discontinued operations for all periods presented.

(b) The contingent value right (“CVR”) entitles the holder to receive a cash payment up to $1.00 per CVR (subject to downward adjustment but not below zero), subject to the final resolution of certain legal matters pertaining to HMA, as defined in the CVR agreement. If the aggregate amount of applicable losses under the CVR agreement exceeds a deductible of $18 million, then the amount payable in respect of each CVR shall be reduced (but not below zero) by an amount equal to the quotient obtained by dividing: (a) the product of (i) all losses in excess of the deductible and (ii) 90%; by (b) the number of CVRs outstanding on the date on which final resolution of the existing litigation occurs. Since the HMA acquisition date of January 27, 2014, approximately $26 million in costs have been incurred and approximately $19 million of settlements have been paid related to certain HMA legal matters, which collectively exceed the deductible of $18 million under the CVR agreement. An estimated liability of $2 million was recorded at June 30, 2015 for certain claims which HMA had previously recognized as probable. In addition, CHS previously recorded an estimated fair value of the remaining underlying claims that will be covered by the CVR of $284 million as part of the acquisition accounting for HMA, which has been adjusted to its estimated fair value of $271 million at June 30, 2015. In addition, although future legal fees (which are expensed as incurred) associated with the HMA legal matters have not been accrued or included in the table below, such legal fees are taken into account in determining the total amount of reductions applied to the amounts owed to CVR holders.

The following table presents the impact of the recorded amounts as described above as applied to the CVR and the $18 million deductible and 10% co-insurance amounts (in millions):

	As of June 30, 2015
Legal and other related costs incurred to date	$	26
Settlements		19
Estimated liability for probable contingencies		2
Estimated liability for unresolved contingencies at fair value		271
Costs incurred plus certain estimated liabilities for CVR-related matters		318
Less:
CHS deductible of $18 million		(18	)
CHS co-insurance at 10%		(30	)
Impact of recorded amounts under CVR agreement after giving effect to deductible and co-insurance	$	270
CVRs outstanding		265

(c) The effective date of the HMA acquisition was January 27, 2014.

(d) Included in discontinued operations for the three and six months ended June 30, 2015, is one hospital that was required by the Federal Trade Commission to be divested as part of its approval of the HMA acquisition, and this hospital was sold on March 1, 2015. Management is actively marketing other smaller hospitals included as held for sale at June 30, 2015. In addition, the Company sold several smaller hospitals during the six months ended June 30, 2015. The after-tax loss for the sold or held for sale hospitals, including an impairment charge on certain long-lived assets sold or held for sale, is approximately $6 million and $20 million for the three and six months ended June 30, 2015, respectively.

(e) The following table provides information needed to calculate income per share, which is adjusted for income attributable to noncontrolling interests (in millions):

	Three Months Ended June 30,						Six Months Ended June 30,
	2015			2014			2015			2014
Income (loss) from continuing operations attributable to Community
Health Systems, Inc. common stockholders:
Income from continuing operations, net of taxes	$	140		$	76		$	252		$	1
Less: Income from continuing operations attributable to noncontrolling interests		23			28			43			43
Income (loss) from continuing operations attributable to Community Health Systems, Inc. common stockholders —basic and diluted	$	117		$	48		$	209		$	(42	)
Loss from discontinued operations attributable to Community
Health Systems, Inc. common stockholders:
Loss from discontinued operations, net of taxes	$	(6	)	$	(6	)	$	(20	)	$	(28	)
Less: Loss from discontinued operations attributable to noncontrolling interests		—			—			—			—
Loss from discontinued operations attributable to Community Health Systems, Inc. common stockholders — basic and diluted	$	(6	)	$	(6	)	$	(20	)	$	(28	)

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CYH Announces Second Quarter 2015 Results

Page 13

August 3, 2015

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)

(f) EBITDA is a non-GAAP financial measure which consists of net income attributable to Community Health Systems, Inc. before interest, income taxes, and depreciation and amortization. Adjusted EBITDA is EBITDA adjusted to exclude discontinued operations, loss from early extinguishment of debt, impairment of long-lived assets, net income attributable to noncontrolling interests, acquisition and integration expenses from the acquisition of HMA, (income) expense related to government legal settlements and related costs, and expense from fair value adjustments related to the HMA legal proceedings, accounted for at fair value, underlying the CVR agreement, and related legal expenses. The Company has from time to time sold noncontrolling interests in certain of its subsidiaries or acquired subsidiaries with existing noncontrolling interest ownership positions. The Company believes that it is useful to present Adjusted EBITDA because it excludes the portion of EBITDA attributable to these third-party interests and clarifies for investors the Company’s portion of EBITDA generated by continuing operations. The Company uses Adjusted EBITDA as a measure of liquidity. The Company has also presented Adjusted EBITDA in this release because it believes it provides investors with additional information about the Company’s ability to incur and service debt and make capital expenditures. Adjusted EBITDA also aligns with a similar metric as defined in the Company’s senior secured credit facility, which is a key component in the determination of the Company’s compliance with some of the covenants under the Company’s senior secured credit facility, and is used to determine the interest rate and commitment fee payable under the senior secured credit facility.

Adjusted EBITDA is not a measurement of financial performance or liquidity under U.S. GAAP. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities or any other measure calculated in accordance with U.S. GAAP. The items excluded from Adjusted EBITDA are significant components in understanding and evaluating financial performance and liquidity. This calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.

The following table reconciles Adjusted EBITDA, as defined, to net cash provided by operating activities as derived directly from the condensed consolidated financial statements (in millions):

	Three Months Ended June 30,						Six Months Ended June 30,
	2015			2014			2015			2014
Adjusted EBITDA	$	769		$	700		$	1,483		$	1,242
Interest expense, net		(239	)		(255	)		(481	)		(478	)
Provision for income taxes		(74	)		(33	)		(130	)		23
Loss from operations of entities sold or held for sale, net of taxes		(6	)		(1	)		(17	)		(6	)
Other non-cash expenses, net		6			24			26			43
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures		109			14			(377	)		(310	)
Net cash provided by operating activities	$	565		$	449		$	504		$	514

(g) Included in income from operations and income from continuing operations for the three and six months ended June 30, 2015, is the electronic health records incentive reimbursement, which represents reimbursement from Medicare and Medicaid related to certain of the Company’s hospitals and for certain employed physicians. Total operating costs and expenses related to the implementation of electronic health records were approximately $4 million and $43 million for the three months ended June 30, 2015 and 2014, respectively, and $9 million and $59 million for the six months ended June 30, 2015 and 2014, respectively.

(h) Included in non-same-store income from operations and income from continuing operations are pre-tax charges related to acquisition costs of $2 million and $8 million for the three months ended June 30, 2015 and 2014, respectively, and $5 million and $47 million for the six months ended June 30, 2015 and 2014, respectively. These acquisition costs include expenses related to the acquisition of HMA of $2 million and $39 million for the three and six months ended June 30, 2014, respectively.

(i) The following table sets forth components reconciling the basic weighted-average number of shares to the diluted weighted-average number of shares (in millions):

	Three Months Ended June 30,				Six Months Ended June 30,
	2015		2014		2015		2014
Weighted-average number of shares outstanding - basic		115		113		115		110
Add effect of dilutive securities:
Stock awards and options		1		—		1		—
Weighted-average number of shares outstanding - diluted		116		113		116		110

(j) For hospitals acquired in the HMA merger, same-store operating results and statistical data reflect the periods from January 1 through June 30, 2015 and 2014, as if such hospitals were owned during both comparable periods.

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CYH Announces Second Quarter 2015 Results

Page 14

August 3, 2015

Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)

(k) Income from continuing operations for the three and six months ended June 30, 2015, includes an impairment charge of approximately $6 million related to the allocated reporting unit goodwill for one hospital where a definitive agreement to sell the hospital was entered into during the quarter ended June 30, 2015. Included in income from continuing operations for the six months ended June 30, 2014, is an impairment charge of approximately $24 million for internal-use software, and an acceleration of amortization for the three and six months ended June 30, 2014, of approximately $33 million and $75 million, respectively, to adjust for its shortened remaining life which ended on July 1, 2014. In connection with the HMA acquisition, the Company further analyzed its intangible assets related to internal-use software used in certain of its hospitals for patient and clinical systems, including software required to meet criteria for meaningful use attestation and ICD-10 compliance. This analysis resulted in management reassessing its usage of certain software products and rationalizing that, with the addition of the HMA hospitals in the first quarter of 2014, those software applications were going to be discontinued and replaced with new applications that better integrate meaningful use and ICD-10 compliance, are more cost effective and can be implemented at a greater efficiency of scale over future implementations.

(l) The following supplemental tables reconcile income from continuing operations and net income attributable to Community Health Systems, Inc. common stockholders, as reported, on a per share (diluted) basis, with the adjustments described herein (total per share amounts may not add due to rounding):

	Three Months Ended June 30,					Six Months Ended June 30,
	2015			2014		2015		2014
	(per share - diluted)					(per share - diluted)
Income (loss) from continuing operations, as reported	$	1.01		$	0.42	$	1.80	$	(0.38	)
Adjustments:
Loss from early extinguishment of debt		0.05			—		0.09		0.41
Amortization of software to be abandoned		—			0.19		—		0.43
Impairment of long-lived assets		0.04			—		0.04		0.14
Expenses related to the acquisition and integration of HMA		—			0.07		—		0.37
(Income) expense from government settlement and related costs		(0.03	)		—		0.01		—
Expense from fair value adjustments and legal expenses related to cases covered by the CVR		0.08			0.06		0.05		0.07
Income from continuing operations, excluding adjustments	$	1.14		$	0.74	$	1.99	$	1.04
	Three Months Ended June 30,					Six Months Ended June 30,
	2015			2014		2015		2014
	(per share - diluted)					(per share - diluted)
Net income (loss), as reported	$	0.95		$	0.37	$	1.64	$	(0.64	)
Adjustments:
Loss from early extinguishment of debt		0.05			—		0.09		0.41
Amortization of software to be abandoned		—			0.19		—		0.43
Impairment of long-lived assets		0.04			—		0.04		0.14
Expenses related to the acquisition and integration of HMA		—			0.07		—		0.37
(Income) expense from government settlement and related costs		(0.03	)		—		0.01		—
Expense from fair value adjustments and legal expenses related to cases covered by the CVR		0.08			0.06		0.05		0.07
Net income, excluding adjustments	$	1.08		$	0.68	$	1.82	$	0.79

(m) The $0.03 per share (diluted) of income for “Government settlement and related costs” for the three months ended June 30, 2015, related primarily to favorable outcomes for several qui tam matters previously accrued and settled in principle, net of related legal expenses. The $0.01 per share (diluted) of expense for “Government settlement and related costs” for the six months ended June 30, 2015, is the net impact of several qui tam lawsuits settled in principle during the six months ended June 30, 2015, and related legal expenses.

(n) Total per share amounts may not add due to rounding.

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CYH Announces Second Quarter 2015 Results

Page 15

August 3, 2015

Regulation FD Disclosure

Set forth below is selected information concerning the Company’s projected consolidated operating results for the year ending December 31, 2015. These projections update selected guidance reaffirmed on May 5, 2015, and are based on the Company’s historical operating performance, current trends and other assumptions that the Company believes are reasonable at this time. The 2015 guidance should be considered in conjunction with the assumptions included herein. See pages 17 and 18 for a list of factors that could affect the future results of the Company or the healthcare industry generally.

The following is provided as guidance to analysts and investors:

	2015 Projection Range
Net operating revenues less provision for bad debts (in millions)	$	19,600		to	$	20,300
Adjusted EBITDA (in millions)	$	3,000		to	$	3,165
Income from continuing operations per share - diluted	$	3.65		to	$	4.10
Same-store hospital annual adjusted admissions growth		0.0	%	to		2.0	%
Weighted-average diluted shares, in millions, for the full year		115.5		to		116.5
Weighted-average diluted shares, in millions, for the 3rd and 4th quarters		116.0		to		117.0

The following assumptions were used in developing the 2015 guidance provided above:

• The Company’s projections exclude the following:

• Payments related to the CVRs issued in connection with the HMA acquisition, and changes in the valuation of liabilities underlying the CVR;

• Losses from the early extinguishment of debt;

• Impairment of long-lived assets;

• Resolution of government investigations or other significant legal settlements;

• Costs incurred in connection with the proposed spin-off transaction of Quorum Health Corporation, which consists of 38 hospitals and Quorum Health Resources, LLC; and

• Other significant gains or losses that neither relate to the ordinary course of business nor reflect the Company’s underlying business performance.

• The Company has classified several small hospitals as held for sale, and the operating results of these hospitals have been moved to discontinued operations and have also been excluded from these projections.

• The previously assumed acquisition of MetroHealth Hospital in Grand Rapids, Michigan was terminated on August 3, 2015. The 2015 projections have been updated and assume no hospital acquisitions in 2015.

Other assumptions used in the above guidance:

• Benefits to Adjusted EBITDA from Healthcare Reform in 2015 of an additional $100 million to $175 million of net operating revenues before government deductions.

• Achievement of additional acquisition synergies related to the HMA acquisition of at least an additional $150 million during 2015.

• Health Information Technology (HITECH) electronic health records incentive reimbursement of approximately 0.7% to 0.8% of net operating revenues for the year ended December 31, 2015, with operating expenses related to achieving meaningful use of 0.25% to 0.35% of net operating revenues.

• Continuation and approval of the California hospital provider fee program for 2015.

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CYH Announces Second Quarter 2015 Results

Page 16

August 3, 2015

• For comparison purposes, 2014 earnings per share of $3.29, included a benefit from the reversal of a tax liability of approximately $0.08 per share (diluted) and the benefit of reduced amortization from the abandonment of software of $0.09 per share (diluted) which the Company does not anticipate recurring in 2015.

• Settlement of certain claims related to the BP oil spill, for which the Company now expects to recognize up to approximately $28 million in the second half of 2015.

• Same-store hospital annual adjusted admissions growth, of 0.0% to 2.0% for 2015, which does not take into account service closures and weather-related or other unusual events.

• Expressed as a percentage of net operating revenues, depreciation and amortization of approximately 6.0% to 6.2% for 2015. Additionally, this is a fixed cost and the percentages may change as revenue varies. Such amounts exclude the possible impact of any future hospital fixed asset impairments and acceleration of amortization of software to be abandoned.

• Interest expense, expressed as a percentage of net operating revenues, of approximately 5.1% to 5.2%; however, interest expense is a fixed cost and percentages may vary as revenue varies. Total fixed rate debt, including swaps, is expected to average approximately 60% to 70% of total debt during 2015.

• Expressed as a percentage of net operating revenues, equity in earnings of unconsolidated affiliates of approximately 0.2% to 0.3% for 2015.

• Expressed as a percentage of net operating revenues, net income attributable to noncontrolling interests of approximately 0.6% to 0.7% for 2015.

• Expressed as a percentage of income from continuing operations before income taxes, provision for income tax of approximately 32.0% to 34.0% for 2015.

• Capital expenditures are projected as follows (in millions):

	2015 Guidance
Total	$	950	to	$	1,100

• Net cash provided by operating activities, excluding cash flows related to the CVR and settlement of legal contingencies, is projected as follows (in millions):

	2015 Guidance
Total	$	1,650	to	$	1,850

Cash provided by operating activities in 2015 will be negatively impacted by approximately $300 million, primarily from a reduction in tax refunds, and the timing of payroll payments, compared to the adjusted cash flows from operations of $1.822 billion in 2014.

• Weighted average shares outstanding are projected to be approximately 115.5 million to 116.5 million for the year ended 2015 and between 116.0 million and 117.0 million for each of the remaining quarters of 2015. Weighted average shares outstanding have been adjusted to include the estimated dilutive impact from “in-the-money” stock options and restricted shares.

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CYH Announces Second Quarter 2015 Results

Page 17

August 3, 2015

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995 that involve risk and uncertainties. All statements in this press release other than statements of historical fact, including statements regarding projections, expected operating results, and other events that depend upon or refer to future events or conditions or that include words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “estimates,” “thinks,” and similar expressions, are forward-looking statements. Although the Company believes that these forward-looking statements are based on reasonable assumptions, these assumptions are inherently subject to significant economic and competitive uncertainties and contingencies, which are difficult or impossible to predict accurately and may be beyond the control of the Company. Accordingly, the Company cannot give any assurance that its expectations will in fact occur and cautions that actual results may differ materially from those in the forward-looking statements. A number of factors could affect the future results of the Company or the healthcare industry generally and could cause the Company’s expected results to differ materially from those expressed in this press release.

These factors include, among other things:

• general economic and business conditions, both nationally and in the regions in which we operate;

• implementation, effect of, and changes to, adopted and potential federal and state healthcare reform legislation and other federal, state or local laws or regulations affecting the healthcare industry;

• the extent to which states support increases, decreases or changes in Medicaid programs, implement healthcare exchanges or alter the provision of healthcare to state residents through regulation or otherwise;

• risks associated with our substantial indebtedness, leverage, and debt service obligations;

• demographic changes;

• changes in, or the failure to comply with, governmental regulations;

• potential adverse impact of known and unknown government investigations, audits, and Federal and State False Claims Act litigation and other legal proceedings;

• our ability, where appropriate, to enter into and maintain managed care provider arrangements and the terms of these arrangements, which may be further impacted by the consolidation of managed care companies;

• changes in, or the failure to comply with, managed care provider contracts, which could result in, among other things, disputes and changes in reimbursements, both prospectively and retroactively;

• changes in inpatient or outpatient Medicare and Medicaid payment levels;

• the effects related to the continued implementation of the sequestration spending reductions and the potential for future deficit reduction legislation;

• increases in the amount and risk of collectability of patient accounts receivable, including the impact of the adoption of ICD-10;

• the efforts of insurers, healthcare providers and others to contain healthcare costs;

• our ongoing ability to demonstrate meaningful use of certified electronic health record 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 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;

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CYH Announces Second Quarter 2015 Results

Page 18

August 3, 2015

• changes in medical or other technology;

• changes in U.S. generally accepted accounting principles;

• 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;

• 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 future cyber-attacks or security breaches;

• the timing and completion of the 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 our other public filings with the Securities and Exchange Commission, including our 2014 Form 10-K, filed on February 25, 2015.

The consolidated operating results for the three and six months ended June 30, 2015, are not necessarily indicative of the results that may be experienced for any future periods. The Company cautions that the projections for calendar year 2015 set forth in this press release are given as of the date hereof based on currently available information. The Company undertakes no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

-END-