Franklin, Tenn.-based Community Health Systems announced Oct. 23 that it has completed the divestiture of San Angelo (Texas) Community Medical Center. 

Ten transactions involving hospitals and health systems were announced, finalized or advanced in the last three weeks:

A bankruptcy judge on Oct. 21 authorized the $20 million sale of Astria Regional Medical Center in Yakima, Wash., and a neighboring medical office building to an investment group, according to the Yakima Herald. 

CentraState Healthcare System, a single-hospital system based in Freehold, N.J., has signed a definitive agreement to join Atlantic Health System, a seven-hospital system based in Morristown, N.J. 

West Des Moines, Iowa-based UnityPoint Health plans to sell its hospital in Keokuk, Iowa, to the Blessing Health System.

In a court filing, Einstein Healthcare Network warned that a move by the Federal Trade Commission to block its merger with Jefferson Health could lead to a "death spiral" at its Philadelphia flagship safety-net hospital, according to the Philadelphia Business Journal.

Paladina Health, a Denver-based direct primary care provider, has signed an agreement to acquire Healthstat, a Charlotte, N.C.-based provider of onsite and virtual primary care. 

Lumberton, N.C.-based Southeastern Health and Chapel Hill, N.C.-based UNC Health have entered into a letter of intent that would make Southeastern the 12th member of UNC's system. 

Two health systems recently called off a merger deal that would have created a 36-hospital system spanning Michigan, Wisconsin and Illinois. That failed transaction represents one of several hospital mergers that, at some point in their lifetime, were called off this year. 

Merger talks between Beaumont Health and Advocate Aurora Health ended about four months after the two organizations announced their intent to create a $17 billion system with 36 hospitals. 

Randolph Health, a single-hospital system based in Asheboro, N.C., sold for $18.5 million after receiving seven takeover bids during a bankruptcy auction, according to the Courier-Tribune. 

Charlotte, N.C.-based Atrium Health and Winston-Salem, N.C.-based Wake Forest Baptist Health have completed their merger, creating a 42-hospital system with more than 70,000 employees. 

Winston-Salem, N.C.-based Novant Health was one of three major health systems competing to expand in North Carolina by securing a deal to partner with or own New Hanover Regional Medical Center in Wilmington, N.C. Novant Health emerged as the winner in July, and recently, it secured a crucial approval in the deal from the New Hanover County Commissioners. 

Albany, N.Y.-based St. Peter's Health Partners and Schenectady, N.Y.-based Ellis Medicine have signed a letter of intent to explore combining.

The Ohio State University Wexner Medical Center in Columbus and Chillicothe, Ohio-based Adena Health System are expanding their affiliation in an effort to expand patient access and focus on addressing specific community health needs, including obesity, lung cancer and addiction. 

Recently filed deeds shed more light on the financial details of Orlando (Fla.) Health's acquisition of Bayfront Health St. Petersburg from Franklin, Tenn.-based Community Health Systems, according to The St. Pete Catalyst. 

Texas regulators have approved Franklin, Tenn.-based Community Health Systems' planned divestiture of two hospitals in the state, despite objection from the Federal Trade Commission.

The New Hanover County Commissioners voted to approve Novant Health's $5.3 billion deal to purchase New Hanover Regional Medical Center in Wilmington, N.C.

Altamonte Springs, Fla.-based AdventHealth has acquired Exodus Women's Center, a medical practice with 12 locations, according to the Business Observer.

Twelve transactions involving hospitals and health systems were announced, finalized or advanced in the last three weeks: