Mon Health System in Morgantown, W.Va., and Minnie Hamilton Health System in Grantsville, W.Va., entered into a clinical affiliation that aims to increase access to specialty care.

Trenton, N.J.-based St. Francis Medical Center, owned by Trinity Health, has signed a letter of intent to explore joining Pennington, N.J.-based Capital Health.

About 700 nurses and healthcare workers have filed a petition expressing concern over Duluth, Minn.-based Essentia Health's plan to acquire 17 facilities from Chicago-based CommonSpirit Health, according to the Duluth News Tribune.

The Jellico City (Tenn.) City Council has approved plans for an Indiana healthcare system to take over operations of a closed hospital in the northeast Tennessee city, according to a May 4 report from Knoxville, Tenn., news station WVLT.

Nashville, Tenn.-based HCA Healthcare has completed its purchase of Meadows Regional Medical Center in Vidalia, Ga., the Savannah Business Journal reported May 3.

Hackensack Meridian's Mountainside Medical Center in Montclair, N.J., acquired two urgent care centers in New Jersey, the hospital said May 3. 

Eleven transactions involving hospitals and health systems have been announced, finalized or advanced since April 1:

St. Elizabeth's Medical Center, a 308-bed hospital in Boston owned by Steward Health Care, signed an agreement to become a teaching facility for the Boston University School of Medicine. 

HCA Healthcare will divest four of its hospitals in Georgia for about $950 million, the Nashville, Tenn.-based hospital system said May 3. 

Hoops Family Children's Hospital and WVU Medicine Children's Hospital entered into a clinical affiliation aimed at improving access to children's healthcare services in West Virginia. 

Coastal Medical, a 125-provider practice and ACO in Providence, R.I., is now a part of Lifespan health system. 

Two Providence, R.I.-based health systems — Lifespan and Care New England —  are seeking approval from state and federal regulators to merge into a single organization and create an integrated academic health system in partnership with Brown University, according to The Boston Globe. 

Several hospitals are looking to split from the health system they belong to, regain independence or partner with a different healthcare organization.

Two hospitals in Kansas and the University of Kansas Health System mutually agreed to part ways, according to the Hays Post. 

Carolinas HealthCare System Blue Ridge, a two-campus system in Morganton, N.C., plans to cut ties with Atrium Health and partner with UNC Health, the organization announced April 22. 

Nonprofit and for-profit health systems and providers will continue to see more mergers and acquisitions in 2021, according to a Moody's Investor Services report released April 21. 

The New Hampshire attorney general's office will allow Concord (N.H.) Hospital to acquire LRGHealthcare, a two-hospital system in Laconia, N.H., out of bankruptcy, according to an April 20 announcement.

Tampa (Fla.) General Hospital, a 1,007-bed nonprofit academic medical center, has partnered with Sheba Medical Center, the largest hospital in Israel. 

University of Miami Health System, a three-hospital system, has entered an affiliation agreement with San Francisco-based One Medical to provide coordinated care in South Florida. 

Lake Health, a three-hospital system based Concord, Ohio, officially joined Cleveland-based University Hospitals.