Portland, Ore.-based Legacy Health has completed the sale of its outreach laboratory operations to Labcorp in a restructuring move aimed at improving the system's financial health. 

Winston-Salem, N.C.-based Novant Health and Dallas-based Tenet Healthcare have signed a definitive agreement for Novant to acquire three Tenet hospitals and affiliated operations in South Carolina.

The landscape of healthcare is continually evolving, with a growing emphasis on providing better outcomes for patients while controlling costs. Value-based care (VBC) is a departure from the traditional fee-for-service (FFS) model and is transforming healthcare delivery into a capitated model that balances the total cost of care with the quality of patient outcomes.

St. Louis-based SSM Health and Cape Girardeau, Mo.-based Saint Francis Healthcare System are expanding their affiliation to share best practices and clinical expertise in southeast Missouri.

New York City-based NYU Langone Health acquired Pediatric Urology Associates in 10 practice locations, longisland.com reported on Nov. 10.

Salinas (Calif.) Valley Health and San Benito County have submitted a joint proposal to the San Benito Healthcare District to govern, operate and finance Hollister-based Hazel Hawkins Memorial Hospital, its skilled nursing facilities, and physician clinics.

Winston-Salem, N.C.-based Novant Health has finalized the transfer of Pender Medical Center in Burgaw, N.C., WWAYTV reported Nov. 8.

Cass City, Mich.-based Hills & Dales Healthcare and UnitedHealthcare Partners have signed a nonbinding letter of intent to combine the two organizations. 

A Michigan hospital that became the first in the state to transition to rural emergency hospital status in August has now been sold to a for-profit entity, according to a Nov. 3 Watershed Voice report.

The long-awaited sale of Mercy Iowa City hospital is now over after Iowa City-based University of Iowa Health was approved Nov. 6 to buy the bankrupt facility.

The Queen's Health System in Honolulu, Hawaii, has entered into an asset purchase agreement to acquire Wahiawa General Hospital, effective March 31.

The Connecticut attorney general's office has previously said it is investigating Los Angeles-based Prospect Medical Holdings for back taxes it owes the state.

Fishersville, Va.-based Augusta Health is adding Augusta Health Care for Women, the health system said Nov. 2.

Pueblo, Colo.-based Parkview Health and Aurora, Colo.-based UCHealth have completed all their necessary regulatory processes and will be joining forces Dec. 1, the two systems said Nov. 2.

Mobile, Ala.-based Infirmary Health, the largest nonprofit private healthcare provider in the state, is teaming up with New Orleans-based Ochsner Health by joining its accountable care organization, the two systems said Nov. 2.

Blackstone, a private equity firm, has inked a deal to purchase a 72.5 percent stake in Quality Care India — which operates  Care Hospitals —- from Evercare, a platform backed by TPG Rise funds, the Business Standard reported Oct. 31.

Titusville, Fla.-based Parrish Healthcare is the target of a Florida representative who wants to see the public system sold because of what he believes is excessive government interference. The health system, meanwhile, wants no part of a sale, according to an Oct. 30 Orlando Business Journal report.

Here is a summary of hospital and healthcare merger and acquisition-related transactions from October:

Tri-City Healthcare District has selected UC San Diego Health as its future healthcare partner, with the two organizations developing a joint powers agreement.

Having originally failed in its bid to buy Mercy Iowa City hospital, the University of Iowa Health system is now set to take over the bankrupt facility.