The sale of St. Louis-based St. Alexius Hospital has stalled amid an ongoing investigation into the quality of patient care at the facility, according to The St. Louis Dispatch. 

Franklin, Tenn.-based Community Health Systems became the largest for-profit hospital operator in the nation in 2014 when it acquired Naples, Fla.-based Health Management Associates. Now, the company is selling off hospitals to pay down its debt.

UT Health San Antonio and University Health System in San Antonio have signed a  memorandum of understanding to create an integrated health delivery system, according to KENS 5, a CBS affiliate. 

Since Beaumont Health announced its intent to merge with Advocate Aurora Health in June, physicians, nurses and trustees of the Southfield, Mich.-based system have raised concerns about its leaders and the potential deal.

The Federal Trade Commission is urging Texas regulators to block Franklin, Tenn.-based Community Health Systems' planned divestiture of two hospitals in the state.

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

Eleven transactions involving hospitals and health systems announced, finalized or advanced since Sept. 1:

The 223-bed Wheeling (W.Va.) Hospital signed a letter of intent this week to join Morgantown-based West Virginia University Health System.

The Federal Trade Commission's legal challenge to block the proposed merger of Einstein Healthcare Network and Jefferson Health heads to court Sept. 14. 

Palos Health, a system with 3,000 employees in Palos Heights, Ill., has signed a letter of intent to join Chicago-based Northwestern Medicine. The deal was announced Sept. 11. 

Two New Jersey health systems — Saint Peter's Healthcare System and RWJBarnabas Health — have signed a definitive agreement to merge.

Delano (Calif.) Regional Medical Center has a new name, officially signifying it is part of the Adventist Health network, according to local news station KGET.

Franklin, Tenn.-based Community Health Systems ended services at Shands Regional Medical Center in Lake City, Fla., on Aug. 31, and two healthcare organizations are now competing to take over the facility, according to TV station WCJB. 

Two Providence, R.I.-based health systems — Lifespan and Care New England Health System — have signed a letter of intent to combine into one nonprofit organization with Brown University.

Lubbock, Texas-based Covenant Health plans to acquire a 99-bed hospital in New Mexico, according to a Sept. 8 company announcement. 

The merger of Einstein Healthcare Network and Jefferson Health is a matter of survival for Einstein's flagship hospital, the two Philadelphia systems argued in a federal court filing this week, according to The Philadelphia Inquirer.

Developing a successful hospital-physician ambulatory surgery center (ASC) joint venture — whether it be a de novo facility, acquisition of an existing ASC, or conversion of a hospital outpatient department (HOPD) — requires a tremendous amount of work as well as buy-in and engagement from all parties.

CityMD, a New York City-based urgent care provider with more than 120 locations, has purchased an urgent care provider in Ocean County, N.J.

Altamonte Springs, Fla.-based AdventHealth plans to buy Chatsworth, Ga.-based Murray Medical Center, according to The Chatsworth Times.

Salisbury, Md.-based Peninsula Regional Health System and Seaford, Del.-based Nanticoke Memorial Hospital have joined forces and rebranded under a new name and logo.