West Virginia may gain a larger academic health system through the combination of Huntington-based Mountain Health Network, Marshall Health and Marshall University, which have signed a letter of intent to combine. 

UCSF Health and Chinese Hospital, both based in San Francisco, have signed a new agreement to build upon a three-year partnership between the two parties that resulted in a new primary stroke center at Chinese Hospital..

Yale New Haven (Conn.) Health made its case to the state's certificate-of-need committee on why the system should take over Waterbury (Conn.) Hospital, Manchester (Conn.) Memorial Hospital and Vernon, Conn.-based Rockville General Hospital, Hartford Business Journal reported March 26.

Oakland, Calif.-based Kaiser Permanente has agreed to acquire Geisinger Health in a deal that will make the Danville, Pa.-based health system the first to join Risant Health, a new nonprofit organization created by the Kaiser Foundation Hospitals.

Lawmakers are reviving efforts to give the Federal Trade Commission authority to investigate nonprofit hospitals for anticompetitive behavior. 

Morgantown, W.Va.-based WVU Medicine is forming a new affiliation agreement with Spencer, W.Va.-based Roane General Hospital.

Dallas-based Tenet Healthcare is aiming to invest $250 million annually in outpatient facility mergers and acquisitions as margins in that sector remain "phenomenal."

Here are 18 planned hospital and health system sales Becker's has reported on in 2023:

Medical office merger and acquisition activity was up 13.7 percent in the first quarter of 2023, despite a slowdown predicted in the healthcare merger and acquisition sector for 2023, globest.com reported April 19.

New Orleans-based LCMC Health has filed a lawsuit against the Federal Trade Commission, the Department of Justice and U.S. Attorney General Merrick Garland, seeking clarification on whether a state's acquisition approval can preempt federal merger review, according to nola.com.

Mobile, Ala.-based University of South Alabama confirmed it is buying Ascension Providence Hospital in the city in an $85 million transaction that includes the hospital's clinics.

Winston-Salem, N.C.-based Atrium Health Wake Forest Baptist has taken a step forward in its controversial application for a new $246.5 million hospital in Greensboro, N.C.

Charleston (W.Va.) Area Medical Center has filed a letter of intent with the West Virginia Health Care Authority to purchase a majority share of Charleston Surgical Hospital, health system said in a statement shared with Becker's.

Some of the United States' largest and most reputable health systems are expanding their international presence, taking their mission statements and high-quality healthcare services and operations to Europe, South America, Asia and Africa, among other parts of the world. 

Mobile, Ala.-based University of South Alabama Health is reportedly planning to acquire Ascension Providence Hospital, according to an April 17 report from NBC affiliate WPMI.

The Oregon Health Authority on April 13 approved Roseville, Calif.-based Adventist Health's acquisition of the Mid-Columbia Medical Center in the Dalles, Ore., according to the Columbia Community Connection.

Lumberton, N.C.-based UNC Health Southeastern is transitioning two of its business areas, seeking to sell a long-term care facility and transferring its current outpatient hospice program.

Salt Lake City-based Intermountain Health is partnering with two Idaho hospitals as a minority investor.

Fifteen hospital and health system transactions were announced in the first quarter of 2023, with a new type of post-pandemic activity taking shape, according to Kaufman Hall. 

Two Wisconsin health systems — Froedtert Health and ThedaCare — have signed a letter of intent to merge into a single system.