tion. It is estimated that fines may approach $1 billion. As discussed in the weaknesses of the company, share price is also going down due to fraud allegations and investigations. Government regulations are increasing, which prohibits Columbia from conducting certain practices.Increasing costs of medical care, and health insurance, means fewer people are being able to afford healthcare. This could not only affect Columbia/HCA, but the healthcare industry as a whole. Patients are being forced to either forego medical treatment, pay the high price of uninsured medical care, or use substitute facilities such as free clinics.The high threat of competition still exists within the healthcare industry, particualry hospital management. The size of the industry is large, and Columbia continues to conduct mergers and acquisitions, which create a decline in the competition. However, the major competitors mentioned in this analysis, still pose a competitive threat to Columbia/HCA.Attractiveness and driving forces in the healthcare industryThe healthcare industry is very attractive, because medical attention and care is constantly required. This is a major driving force that keeps the industry going. Technology is another major driving force. New technological advances are being developed and introduced into the healthcare industry everyday. These technologies provide more efficient and effective ways to treat and cure illnesses. Another important driving force in the healthcare industry is expansion. In order to maintain competitive advatages in the industry, companies must expand. Columbia continues to hold the leadership position in the healthcare industry, as the company expands through mergers and acquisitions.Merger & Acquisition HistoryColumbia kicked off their merger and acquisition streak on September 1st, 1993. Columbia initiated a series of major acquisitions with its purchase of Galen Health Care, Inc., from industry comp...
