The Federal Trade Commission has ramped up antitrust enforcement under the Biden administration, leading to the abandonment of several high-profile hospital transactions.

In September, St. Luke's Hospital in Columbus, N.C., and Altamonte Springs, Fla.-based AdventHealth were preparing for a significant milestone: AdventHealth's planned management of St. Luke's on Oct. 1. But Hurricane Helene loomed, threatening both the timeline and the communities it would affect.

As the calendar flipped to the final month of 2024, several health systems closed M&A deals that were first announced earlier in the year: 

Flint, Mich.-based Insight Health System officially acquired Coldwater (Mich.) Regional Hospital from Toledo, Ohio-based ProMedica on Dec. 1.

Greenville, S.C.-based Prisma Health has officially acquired Maryville, Tenn.-based Blount Memorial Hospital, a 304-bed, nonprofit community hospital.

Risant Health, a nonprofit formed by Oakland, Calif.-based Kaiser Permanente, acquired Greensboro, N.C.-based Cone Health, a five-hospital system, effective Dec. 1. 

Northwest Urgent Care has wrapped the acquisition of specific urgent care centers in Arizona that are owned and run by Oakland, Calif.-based Carbon Health. 

Franklin, Tenn.-based Community Health Systems' planned $120 million sale of Commonwealth Health to a newly formed nonprofit organization has collapsed. 

Terre Haute, Ind.-based Union Health has withdrawn its certificate of public advantage agreement for its proposed merger with Terre Haute Regional Hospital, a 278-bed facility operated by Nashville, Tenn.-based HCA Healthcare. 

Grand Blanc, Mich.-based McLaren Health Care has acquired Park Medical Centers, which operates 10 clinics in the Detroit metro area. 

Franklin, Tenn.-based Community Health Systems has entered into a definitive agreement to sell ShorePoint Health Port Charlotte (Fla.) and certain assets of ShorePoint Health Punta Gorda to AdventHealth. 

Nashville, Tenn.-based HCA Healthcare entered into an asset purchase agreement on Oct. 3 to purchase Ontario, Calif.-based Prime Healthcare's Lehigh Acres, Fla.-based Lehigh Regional Medical Center. 

Grand Junction, Colo.-based Mind Springs Health has signed a management agreement with South Miami, Fla.-based Larkin Health System.

Community Health Systems President and CFO Kevin Hammons said the Franklin, Tenn.-based  system could be looking at acquisition opportunities in the future as it nears its $1 billion divestiture goal. 

Greenville, S.C.-based Prisma Health expects its acquisition of Maryville, Tenn.-based Blount Memorial Hospital to close Dec. 1 after receiving approval from the Blount County Commission. 

Sioux Falls, S.D.-based Sanford Health is acquiring Black Hills Surgical Hospital in Rapid City, a physician-owned surgical hospital.

Bethlehem, Pa.-based St. Luke's University Health Network's planned acquisition of Grand View Health in Sellersville, Pa., is underway.

Prospect Medical Holdings, a for-profit health system headquartered in Los Angeles, plans to sell 10 of its 16 hospitals amid financial challenges and an ongoing investigation by the Justice Department.

November started with a flurry of hospital mergers and acquisitions.

From CHS striking a deal to sell another hospital to General Catalyst signing a definitive agreement with Summa Health, here are 11 hospital M&A moves reported by Becker's since Nov. 1: