Community Health Systems (CHS) isn't much of a city dweller. The hospital operator prefers small-town America, owning or leasing some 160 hospitals mostly in rural areas or small cities in 22 states. Its hospitals (which house roughly 27,000 beds) typically act as the sole or primary acute health care provider in a service area and offer a variety of medical, surgical, and emergency services (though a handful are specialty centers). The hospitals generally have ancillary facilities including doctors' offices, surgery centers, and diagnostic imaging facilities, as well as home health and hospice agencies.