That will be the main local impact of the news that Community Health is buying out Mesa View Regional Hospital’s parent, Triad Hospitals. The deal is worth $5.1 billion, reports Reuters. That tops a $4.7 billion bid from two private equity firms, CCMP Capital Advisers and Goldman Sachs Capital Partners.

The deal will create the largest publicly traded hospital chain in the U.S., largely due to the $32 billion privatization of HCA. Community’s business model relies on operating hospitals in rural and regional areas, which means it has relatively low costs and a monopoly in most of its local markets. Mesquite really fits that bill.

Community doesn’t own anything in Nevada but it has a presence in both California and Arizona. The combined companies will operate 130 hospitals nationwide. If this deals falls through, Community is on the hook for a $20 million break-up fee and another $20 million in expenses.

That’s not likely to happen given the high premium Community is paying for Triad’s hospitals. Just goes to show what a small monopoly here and there can do for valuation.