Mergers, affiliations and long-standing clinical partnerships have become increasingly fragile amid evolving financial pressures, shifting strategic priorities and growing regulatory scrutiny. Over the past four years, several high-profile hospital deals have been terminated — some before agreements were finalized, others…
Transactions & Valuation Issues
Newark, Del.-based ChristianaCare and Marlton, N.J.-based Virtua Health mutually agreed to end talks regarding a possible merger, the systems announced Dec. 18. In July ChristianaCare and Virtua signed a nonbinding letter of intent to form a regional nonprofit system. Together…
A study published Dec. 18 in the BMJ found hospitals acquired by real estate investment trusts can see a significantly higher risk of bankruptcy or closure, even as most quality-of-care and financial performance measures stay unchanged. The study was led…
Mississippi County Hospital System in Blytheville, Ark., and Jonesboro, Ark.-based St. Bernards Healthcare finalized an agreement for St. Bernards to manage two Mississippi County facilities beginning January 2026. Under the agreement, St. Bernards will assume management of Great River Medical…
Rural and community hospitals and smaller health systems are struggling to push their operating margins back into the black, with many continuing to seek strategic partners or acquisitions to ensure access to care. Academic health systems are stepping up.
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Grand Forks, N.D.-based Altru Health System will assume ownership of CHI St. Alexius Health Devils Lake (N.D.) — a 25-bed critical access hospital — from Chicago-based CommonSpirit, with the transition set to take place March 1, 2026. Four things to…
Health services M&A deal value and volume are expected to rebound in 2026 after a down year in 2025, according to a Dec. 16 report from PwC. In 2026, both strategic acquirers and private equity firms will continue to favor…
Tallahassee-based Florida State University and the City of Tallahassee have agreed on a proposed memorandum of understanding that sets the stage for a transformative shift in healthcare delivery in North Florida: converting a city‑owned hospital into a full academic medical…
Terre Haute-based Union Hospital and Terre Haute Regional Hospital, part of Nashville, Tenn.-based HCA Healthcare finalized their merger Dec. 13 following a lengthy process, according to a news release from Union. The news comes after the Indiana Department of Health…
For-profit health systems continued to reshape their portfolios in 2025, using acquisitions and divestitures to sharpen strategic focus, exit non-core markets and expand regional footprints. This year, several notable transactions have closed — or are in progress — including deals…