Ontario, Calif.-based Prime Healthcare is selling its 302-bed Alvarado Hospital Medical Center to UC San Diego Health for $200 million.

SEIU Healthcare Pennsylvania workers voiced concerns that a proposed merger between Pittsburgh-based UPMC and Washington (Pa.) Health System would harm patients and workers, Observer-Reporter Oct. 5.

Elevance's proposed $2.5 billion acquisition of Blue Cross and Blue Shield of Louisiana was put on hold in late September after the deal came under scrutiny from state senators and the attorney general.

West Virginia is now home to a larger academic health system through the combination of Huntington-based Mountain Health Network, Marshall Health and Marshall University, which was finalized Oct. 5. 

The auction for the bankrupt Mercy Iowa City hospital was postponed late Oct. 4 after a day of legal negotiations behind closed doors, according to a report from The Gazette.

Minnesota Attorney General Keith Ellison will hold a public meeting Oct. 25 to engage local communities as part of a review to ensure two proposed mergers in the state are in compliance with both federal and state law, according to an Oct. 3 Duluth News Tribune report.

Milwaukee-based Froedtert Health has struck a deal to acquire Ascension Wisconsion's stake in Network Health, the health insurer jointly owned by the systems.  

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

Mercy Iowa City hospital is now under auction as a rival bid is competing with the University of Iowa health system, The Gazette reported Oct. 3. 

Columbia-based University of Missouri Health Care has expanded its strategic relationship with local hospitals belonging to Community Health Systems. 

Mullica Hill, N.J.-based Inspira Health has completed the integration of Salem, N.J.-based Salem Medical Center, which has been rebranded as Inspira Medical Center Mannington. 

Three Ohio facilities, including two hospitals, operated by Community Hospitals and Wellness Centers are now officially part of Fort Wayne, Ind.-based Parkview Health.

Mobile, Ala.-based University of South Alabama announced that Ascension Providence Hospital and its clinics are part of USA Health, the university's academic health system. 

Yale (Conn.) New Haven Health signed a deal in November to acquire three hospitals owned by Prospect Medical. The slow regulatory approval process and a recent cyberattack that disrupted the hospitals' IT systems have Yale concerned about the viability of the transaction, according to the CT Mirror.

Sacramento, Calif.-based Sutter Health is expanding its California Central Coast presence with the integration of Sansum Clinic, a 36-facility outpatient network based in the Santa Barbara area.

Manchester, N.H.-based Catholic Medical Center's CEO Alex Walker said the health system has been on a mission to find a "partner that will, first and foremost, support our mission of health, healing and hope, as well as a partner who will embrace who we are as a Catholic hospital."

Milford (Mass.) Regional Medical Center is exploring a "potential corporate affiliation" with Worcester-based UMass Memorial Health, the largest nonprofit healthcare system in Central Massachusetts, the two entities said Sept. 27.

Manchester, N.H.-based Catholic Medical Center has signed a nonbinding letter of intent to explore a potential merger with Nashville, Tenn.-based HCA Healthcare. 

Some of the largest health system mergers and acquisitions over the two years have been cross-market transactions, a trend that is anticipated to gather momentum despite the Federal Trade Commission taking a firmer stance on deals that could potentially violate antitrust laws.

The CEO of Derby, Conn.-based Griffin Hospital warned Gov. Ned Lamont that the debt burden of the hospital's parent company, Prospect Medical Holdings, and a recent cyberattack could complicate a potential sale to Yale New Haven Health, CT Mirror reported Sept. 21.