Columbia/HCA Healthcare Corp. completed deals in North Carolina and Texas last week.
In North Carolina, a $55 million deal with Cape Fear Memorial Hospital, Wilmington, closed one day late while company officials worked out an agreement with the state over charity care.
In a prepared statement, the state's attorney general, Mike Easley, said an agreement had been reached although details were not disclosed.
"Columbia has assured us that it intends to operate the hospital in a manner that is beneficial for the community," he said. "We believe Cape Fear Memorial has handled this manner responsibly and that the hospital will be operated consistent with the good intentions of all parties and the needs of the community."
According to the Associated Press, the delay was caused by Columbia's initial refusal to sign an agreement with Easley's office that would require the company to maintain indigent care and emergency medical services at the current levels. The company said it would maintain those services but didn't want to put it in writing. The hospital provides $600,000 to $700,000 in uncompensated care annually.
Meanwhile, in Austin, Texas, Columbia completed a 50-50 joint venture with St. David's Health Care System. Terms were not disclosed.
The deal includes 318-bed St. David's Medical Center; 107-bed St. David's Rehabilitation Center; and Pavilion at St. David's, an 80-bed psychiatric facility. The chain also operates Austin Diagnostic Medical Center, Round Rock (Texas) Hospital and Columbia South Austin Medical Center.