Using Porter$$s Five Forces analysis, the competitive rivalry within the healthcare sector in New York City is intense, with several hospitals and clinics vying for market share. The threat of new entrants is moderate given the high investment required but offset by the growing healthcare market in New York City. Bargaining power of suppliers is moderate, given the number of providers in the healthcare ecosystem. The bargaining power of buyers is increasing with greater access to information and choice. The threat of substitutes, in the form of alternative medicine and telehealth is growing particularly in the context of chronic disease management and rivalry among existing competitors is high, given the presence of established hospitals and healthcare centers.