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Transactions & Valuation Issues

HCA and Tenet’s hospital portfolios remain relatively unchanged in 2025, while Community Health System continued its years-long divestiture strategy.  HCA  Nashville, Tenn.-based HCA operated 190 hospitals as of Dec. 31, the same number as at the end of 2024. There…

As health systems pursue growth in new markets, leaders say a consistent set of financial, demographic and strategic criteria guide decisions on where — and whether — to expand. At least 18 large systems have announced or plan to close…

Lebanon, Ind.-based Witham Health Services has signed a nonbinding letter of intent to join Fort Wayne, Ind.-based Parkview Health.  The 60-bed independent county hospital said the decision to join Parkview comes after consideration by its board of trustees and executive…

The Illinois Health Facilities and Services Review Board approved Ontario, Calif.-based Prime Healthcare’s acquisition of Franciscan Health Olympia Fields (Ill.).  The 214-bed hospital is expected to transition to Prime on May 1, according to an April 14 news release shared…

Renton, Wash.-based Providence has reached a definitive agreement to transfer Queen of the Valley Medical Center in Napa, Calif., and its affiliated ambulatory clinics to San Francisco-based NorthBay Health. The two parties signed a letter of intent for NorthBay to…

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Financial pressure is accelerating consolidation at a pace not seen in years. Staffing shortages, aging infrastructure, heavy Medicaid and Medicare dependence, and mounting payer denials have left hundreds of community hospitals with a stark choice: find a partner or close. …

Large Catholic health systems and for-profit operators continued trimming hospital portfolios in the first quarter of 2026. Of the 22 announced hospital transactions announced in the first three months of 2026, six involved a for-profit seller and three involved a…

Hospital transactions continued an upward swing in the first quarter of 2026, according to Kaufman Hall’s M&A quarterly activity report released April 9. The 22 announced transactions were a five-year high for first quarters and the report noted “signs of…

In early March, Brentwood, Tenn.-based Lifepoint Health shared plans to acquire eight acute care hospitals from Louisville, Ky.-based ScionHealth, an agreement that Lifepoint President and CFO Aaron Lewis said is consistent with the system’s overall growth plans and trajectory.  “The…

Orlando (Fla.) Health plans to acquire Anniston, Ala.-based RMC Health System, continuing its push into Alabama. In October 2024, Orlando Health acquired Dallas-based Tenet Healthcare’s 70% ownership stake in Birmingham, Ala.-based Brookwood Baptist Health — a five-hospital, 1,700-bed system —…

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