Anyone who is affected by the hack will be contacted by letter. Silaom Springs Regional Hospital, Willow Creek Women's Hospital (Johnson), Northwest Medical Center (Springdale), Northwest Medical Center (Bentonville), Sparks Regional Medical Center (Fort Smith), Summit Medical Center (Van Buren) are all included in the CHS system.
A spokesperson for Sparks Regional Medical Center and Summit Medical Center says none of the clinics affiliated with these hospitals were affected by the data breach reported yesterday by Community Health Systems.
The large data breach puts these people at heightened risk of identity fraud. That allows criminals open bank accounts and credit cards on their behalf, take out loans and ruin personal credit history.
The company's hospitals operate in 28 states but have their most significant presence in Alabama, Florida, Mississippi, Oklahoma, Pennsylvania, Tennessee and Texas.
Community Health Systems hired cybersecurity experts at Mandiant to consult on the hack. They have determined the hackers were in China and used high-end, sophisticated malware to launch the attacks sometime in April and June this year.
The FBI said it's working closely with the hospital network and "committing significant resources and efforts to target, disrupt, dismantle and arrest the perpetrators."
Federal investigators and Mandiant told the hospital network those hackers have previously been spotted conducting corporate espionage, targeting valuable information about medical devices.
But this time, the hackers stole patient data instead. Hackers did not manage to steal information related to patients' medical histories, clinical operations or credit cards.
Still, the lost personal information is protected by the Health Insurance Portability and Accountability Act, the federal health records protection law. That means patients could sue the hospital network for damages.
As for exposed victims protecting themselves? There's little they can do.
Making matters worse, Community Health Systems said it will provide notification to the 4.5 million patients "as required by federal and state law," which is inconsistent and varies by region. There is no federal data breach law that requires timely and transparent disclosure that sensitive personal information was lost.
Shares of the publicly-traded Community Health Systems edged lower Monday morning. But the company tried to stem worries about the damages in a filing Monday with the Securities and Exchange Commission, saying that it "carries cyber/privacy liability insurance to protect it against certain losses related to matters of this nature."
The hospital network said that just before Monday's announcement, it managed to wipe the hackers' malware from its computer systems and implemented protections to prevent similar break-ins.
The company plans to offer identity theft protection to the 4.5 million victims of the data breach.
CNN's Evan Perez contributed to this report.