An international affiliate of Dallas-based Steward Health Care System has acquired three hospitals in Colombia, the system announced Nov. 25. 

Salt Lake City-based Intermountain Healthcare and Sioux Falls, S.D.-based Sanford Health have proposed merging into a 70-hospital system.

Virginia Mason Memorial, a 256-bed hospital in Yakima, Wash., is transitioning back to an independent hospital and reverting to its old name, according to the Yakima Herald-Republic. 

Cleveland Clinic and Fort Myers, Fla.-based Lee Health have established a strategic alliance to help improve patient care in Southwest Florida.

Castello Holdings has backed out of buying Eastern Niagara Health System's closed hospital campus in Newfane, N.Y., according to Buffalo Business First.

Penn Foundation, a behavioral health provider serving 20,000 patients a year, said it's making plans to join the St. Luke's University Health Network in Bethlehem, Pa.

Carbondale, Ill.-based Southern Illinois Healthcare and Harrisburg (Ill.) Medical Center have signed a letter of intent to merge, according to The Southern Illinoisan. 

Southfield, Mich.-based Beaumont Health will sell its ambulance business in December.

Madison, Ind.-based King's Daughters' Health and Louisville, Ky.-based Norton Healthcare signed a letter of intent Nov. 16 to explore a partnership.

The Tennessee attorney general's office has joined the Federal Trade Commission's complaint seeking to block Memphis, Tenn.-based Methodist Le Bonheur Healthcare's $350 million acquisition of two hospitals from Dallas-based Tenet Healthcare. 

Franklin, Tenn.-based Community Health Systems is seeking to end its lease of Northwest Mississippi Medical Center, a 181-bed hospital in Clarksdale, according to The Press Register.

The Federal Trade Commission filed a complaint Nov. 12 to block Memphis, Tenn.-based Methodist Le Bonheur Healthcare's $350 million acquisition of two hospitals from Tenet Healthcare Corp.

Trinitas Regional Medical Center in Elizabeth, N.J., will join West Orange, N.J.-based RWJBarnabas Health under a definitive agreement the organizations entered into Nov. 11. 

Paladina Health, a Denver-based direct primary care provider, recently acquired 230 clinics and changed its name to Everside Health, according to a Nov. 10 news release. 

Ten transactions involving hospitals and health systems were announced, finalized or advanced since Nov. 4:

Brentwood, Tenn.-based Quorum Health signed a letter of intent to buy a Missouri hospital from St. Louis-based SSM Health. If the transaction is finalized, it would be the for-profit operator's first hospital in Missouri.

As part of a financial turnaround plan, Tower Health will consider selling all six of its Philadelphia-area hospitals, according to The Philadelphia Inquirer. 

Punxsutawney (Pa.) Area Hospital and Indiana (Pa.) Regional Medical Center have signed a definitive agreement to merge under one parent organization. 

Laconia, N.H.-based LRGHealthcare will auction off its assets, including its two hospitals, on Dec. 16, according to The Laconia Daily Sun. 

Two hospitals in Illinois received approval from the state to combine and consolidate operations, according to The Times.