Transactions & Valuation Issues

Lakes Regional Healthcare in Spirit Lake, Iowa, has entered into an affiliation agreement with Sioux Falls, S.D.-based Avera Health.

Whittier, Calif.-based PIH Health has officially acquired Downey (Calif.) Regional Medical Center, which will now be known as PIH Health Hospital-Downey, according to a Whittier Daily News report.

Three Maryland hospital systems — Frederick (Md.) Regional Health System, Meritus Health in Hagerstown and Western Maryland Health System in Cumberland — have signed a letter of intent to create a regional collaboration focused on cost reduction and population health…

UC Irvine Health in Orange, Calif., and MemorialCare Health System in Fountain Valley, Calif., have entered into an affiliation agreement to enhance primary care in the region through new primary care health centers.

Maine health officials have approved the certificate of need between Eastern Maine Healthcare Systems in Brewer and Mercy Health System in Portland, thus finalizing the organizations' proposed affiliation.

In August, officials at Central Maine HealthCare in Lewiston sent a letter to Maine's Department of Licensing and Regulatory Services, announcing it has withdrawn its application for a certificate of need to acquire Parkview Adventist Medical Center in Brunswick, Maine.

McKenzie Health System, based in Sandusky, Mich., and Marlette (Mich.) Regional Hospital have finalized their affiliation, which started loosely in 2010.

WellCare Health Plans, an investor-owned health insurer based in Tampa, Fla., has aggressively expanded its operations in the past week, particularly within the Medicaid market.

Nashville, Tenn.-based Hospital Corp. of America has completed its purchase of three Florida hospitals from Franklin, Tenn.-based IASIS Healthcare.

Dozens of Rhode Island residents urged state officials at a hearing Monday to approve the sale of  Landmark Medical Center in Woonsocket, R.I., to Ontario, Calif.-based Prime Healthcare Services, according to a Providence Journal report.