ISS Supports CtW Investment Group's Push For Change At Community Health Systems

Recommends Against Messrs. Ely and Fry due to Board Committee Failures

WASHINGTON, May 9, 2011 /PRNewswire/ -- The CtW Investment Group welcomed the news today that leading independent proxy advisor ISS Governance Services recommended that their clients vote against Community Health Systems' (NYSE: CYH) Audit Committee members James Ely III and John Fry.  As re-iterated in a letter to Community shareholders this morning, the CtW Investment Group is urging Community shareholders to oppose the re-election of these Messrs. Ely and Fry, as well as Community CFO, W. Larry Cash, at the Company's annual meeting on May 17. 

The full text of today's letter welcoming the ISS recommendation against Messrs. Ely and Fry is below.  Copies of the letter and other materials can also be found online at  

** Note: For additional information or comment please contact Etelvina Martinez at or at 202-721-6077. **

May 9, 2011

Dear fellow Community Health Systems shareholder:

We write to update you on events relevant to the Community Health Systems (CYH) director election on May 17 and to again urge you to vote "Against" directors James Ely III, John Fry, and Larry Cash.  

Leading independent proxy advisor, Institutional Shareholder Services (ISS), has now issued its recommendation regarding the Community director elections for the May 17 annual meeting of shareholders.  ISS has recommended that shareholders oppose the re-election of Audit Committee members, directors James Ely III and John Fry for their failure to take appropriate action regarding the "significant allegations" concerning Community's Medicare billing practices.  The recommendation from ISS also expressed concern regarding the lack of adequate disclosure to shareholders regarding the billing practices and the subsequent state and federal investigations into potential Medicare fraud.

The CtW Investment Group called for shareholders to oppose the re-election of Messrs. Ely and Fry, as well as Community's CFO, W. Larry Cash, at Community's annual meeting on May 17.  Messrs. Ely and Fry are members of the audit committee and therefore bear central responsibility for oversight of the potentially fraudulent billing practices that the CtW Investment Group first brought to the attention of the board in September 2010. These practices are now the subject of private litigation and investigations by the Texas Attorney General's office and the U.S. Department of Health and Human Services' OIG.(1)

Lack of detailed disclosure on Committee's compliance actions

"Of the 110-slide [investor] presentation, only two relate to the board's and Committee's actions in response to the suit and investigations. The purpose of the two slides was to state the board's policy of waiting until quarterly filings to disclose legal matters and discuss the board's reaction to the suit and investigations."

Missed opportunity to establish a special committee to address billing practices issues

"CHS' Audit and Compliance Committee could have established a special or separate standing committee to focus solely on compliance oversight in light of the recent allegations and investigations relating to emergency department Medicare billing practices. The Committee's determination not to do so suggests a lack of urgency at the board committee level that shareholders may find troubling."

Failure to provide proactive and aggressive oversight

"The Audit and Compliance Committee apparently failed to provide proactive and aggressive oversight of the company's Medicare billing practices before the onset of the recent litigation and governmental investigations related to those billing practices. In addition, the Committee's actions in response to these significant allegations do not appear to reflect an adequately high level of scrutiny of the company's billing practices. Accordingly, we recommend that shareholders vote AGAINST the re-election of Audit and Compliance Committee members James Ely III and John Fry."

Please call Richard Clayton at 202-255-6433 or visit for more information.

William Patterson
Executive Director

(1)  While ISS did not recommend voting against Mr. Cash, it did not absolve him of culpability: it supported his re-election as a director only because, "any failures of oversight on his part would have occurred in his role as an executive officer, not in his role as a director."  

SOURCE CtW Investment Group

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