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10 of the Biggest Hospital and Health System Transactions of 2010

Here are 10 of the biggest hospital and health system transactions in the United States so far in 2010.

1. Caritas Christi Health Care, Boston. — $830 million, March. Boston-based non-profit Caritas Christi Health Care agreed to be acquired by New York private equity firm Cerberus Capital Management. The Massachusetts Supreme Judicial Court held hearings through July 1.

2. Detroit Medical Center, Detroit. — $417 million, June. Vanguard Health Systems plans to buy eight-hospital Detroit Medical Center, Michigan's largest healthcare system, and spend $850 more in improvements over the next 15 years. The groups hope to finalize by Nov. 1.

3. Prospect Medical Holdings, Los Angeles. — $205 million, August. Prospect Medical Holdings, a Los Angeles-based managed care provider, which operates five hospitals, agreed to be acquired by Leonard Green & Partners, a private equity firm and members of the company's own management team. The acquisition should be complete by Sept. 25.

4. Sumner Regional Health Systems, Gallatin, Tenn. — $156.8 million, September. LifePoint Hospitals finalized its acquisition of Gallatin, Tenn.,-based Sumner Regional Health Systems for the cash price of $156.8 million.

5. Wuesthoff Health System, Rockledge, Fla. — $145 million, July. Rockledge, Fla.-based non-profit Wuesthoff Health System agreed to sell its assets to Naples, Fla.-based Health Management Associates. The sale is expected to be finalized by Oct. 1.

6. Forum Health, Youngstown, Ohio. — $120 million, August. A U.S. Bankruptcy Judge approved the sale of Youngstown, Ohio-based Forum Health to Community Health Systems.

7. Clinton Memorial Hospital, Wilmington, Ohio. — $82 million, May. Brentwood, Tenn.-based RegionalCare Hospital Partners acquired Clinton Memorial Hospital. RegionalCare has agreed to invest an additional $75 million for capital expenditures and physician recruitment over the next ten years.

8. Bert Fish Medical Center, New Smyrna Beach, Fla., — $71 million, July. Bert Fish Medical Center merged with Orlando-based Adventist Health System. Adventist will take over the operations of Bert Fish as part of a five-year lease agreement.

9. Arizona Heart Hospital, Phoenix. — $32 million, August. Vanguard Health Systems plans to acquire the assets of Arizona Heart Hospital in Phoenix, Ariz., from MedCath Corporation. The transaction should close by Dec. 31.

10. Methodist Hospital, New Orleans. — $16.25 million, August. The city of New Orleans officially acquired Methodist Hospital from Universal Health Services and plans to reopen the shuttered facility by 2013.

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