*St. Louis-based Daughters of Charity National Health System and Ann Arbor, Mich.-based Sisters of St. Joseph Health System announced talks concerning a possible merger. The pending deal would create a system with 64 hospitals and nearly $8 billion in annual revenues.
*Catholic Healthcare Partners, a 26-hospital system based in Cincinnati, and Franciscan Health Partnership, an 11-hospital system based in Albany, N.Y., signed a memorandum of understanding to merge. The deal is expected to close in 1999.
*Lutheran Health Systems, Fargo, N.D., announced it would merge with Samaritan Health System, Phoenix, in a deal that will create a new system with 32 hospitals in 14 states and more than $1.6 billion in annual revenues.
*Ministry Health Care, Milwaukee; Via Caritas Health System, Denville, N.J.; Via Christi Health System, Wichita, Kan.; and St. John Health System, Tulsa, Okla., merged to create 31-hospital Marian Health System, Tulsa.
*Sisters of Charity Health Care System, a Houston-based 15-hospital system, announced a merger with Incarnate Word Health System, a 12-hospital system based in San Antonio. The new system, to be called Christus Health, will be headquartered in Dallas. The deal is expected to close in early 1999.
*Columbia/HCA Healthcare Corp., Nashville, sold 21 of its hospitals to a consortium of not-for-profit buyers (See state-by-state listings).
*Beverly Enterprises, Fort Smith, Ark., sold its 15-facility American Transitional Hospitals subsidiary to Select Medical Corp., Mechanicsburg, Pa.
*Tenet Healthcare Corp., Santa Barbara, Calif., paid $345 million for eight Philadelphia-area hospitals plunged into bankruptcy by the Chapter 11 filing of Allegheny Health, Education and Research Foundation, Pittsburgh.
*Catholic Healthcare West, San Francisco, bought eight hospitals from UniHealth, Burbank, Calif., for a reported $300 million. The deal is expected to close in early 1999.
*Paracelsus Health Corp., Houston, sold eight Los Angeles-area hospitals to Alta Healthcare System, Los Angeles, for $33.7 million.
*Tenet sold five hospitals to Brentwood, Tenn.-based New American Healthcare Corp.
*NetCare Health Systems, Nashville, acquired 45-bed Vaughan Chilton Medical Center, Clanton, from Vaughan Healthcare, Selma.
*458-bed Eliza Coffee Memorial Hospital, Florence, purchased 155-bed Florence Hospital; 128-bed Medical Center Shoals, Muscle Shoals; and 100-bed Northwest Medical Center, Russellville, from Columbia for $120 million.
*Baptist Health, Montgomery, purchased 150-bed East Montgomery Medical Center, Montgomery; 150-bed Four Rivers Medical Center, Selma; 50-bed Northridge Medical Center, Prattville; and 165-bed Regional Medical Center, Montgomery, from Columbia for $183 million.
*Charter Behavioral Health System, Atlanta, bought 119-bed Desert Vista Behavioral Health Services, Mesa, a psychiatric hospital, from Ramsay Health Care, Coral Gables, Fla.
*Samaritan Health System, Phoenix, sold 209-bed Maryvale Samaritan Medical Center, Phoenix, to Vanguard Health Systems, Nashville.
*80-bed Wickenburg Regional Hospital signed a 10-year lease with Fargo, N.D.-based Lutheran Health Systems.
*Samaritan Health System sold 118-bed Havasu Samaritan Regional Hospital, Lake Havasu City, to Province Healthcare, Brentwood, Tenn., for $105.5 million. The hospital was renamed PHC-Lake Havasu.
*150-bed Flagstaff Medical Center bought Aspen Hill Hospital, a 26-bed psychiatric hospital in Flagstaff, from Behavioral Healthcare Corp., Nashville.
*Quorum Health Group, Brentwood, Tenn., bought 222-bed Northwest Medical Center, Springdale. Northwest includes Bates Medical Center, Bentonville.
*537-bed St. Vincent Infirmary Medical Center, Little Rock, bought 308-bed Columbia Doctors Hospital, Little Rock.
*NetCare Health Systems, Nashville, acquired 83-bed San Clemente Hospital and Medical Center from Samaritan Health System.
*Sharp HealthCare, San Diego, acquired 150-bed Mesa Vista Hospital, a psychiatric hospital in San Diego, from San Diego-based Vista Hill Foundation by assuming $7.7 million in long-term debt.
*Tenet acquired 91-bed Sharp HealthCare Murrieta from Sharp HealthCare for $23.2 million. The facility in Murrieta was renamed Rancho Springs Medical Center.
*Columbia announced it would acquire 192-bed Alexian Brothers Hospital, San Jose, for an undisclosed amount of cash from Alexian Brothers Health System, Elk Grove Village, Ill., along with two Illinois hospitals (See Illinois entry).
*Tenet purchased 409-bed Queen of Angels-Hollywood Presbyterian Medical Center, Los Angeles, for $100 million.
*Beach Cities Health District board of trustees, Redondo Beach, agreed to lease 149-bed South Bay Medical Center, Redondo Beach, to Little Company of Mary Health Services, Torrance, for outpatient services.
*420-bed Summit Medical Center, Oakland, signed a definitive agreement to merge with 555-bed Alta Bates Medical Center, Berkeley, part of Sutter Health, Sacramento.
*258-bed Eden Medical Center, Castro Valley, affiliated with Sutter Health. The hospital is now run by a not-for-profit corporation governed jointly by Sutter and the publicly elected Eden Township district board. Sutter paid the district $30 million, assumed approximately $40 million in debt and promised to pay an additional $10 million over the next five years.
*520-bed California Pacific Medical Center, San Francisco, a Sutter Health affiliate, acquired 205-bed Davies Medical Center, San Francisco.
*Catholic Healthcare West acquired 380-bed Community Hospital, San Bernardino.
*155-bed South Coast Medical Center, Laguna Beach, merged with Adventist Health, Roseville.
*Community Health Systems, Brentwood, Tenn., agreed to a long-term lease of 142-bed Fallbrook Hospital from the Fallbrook Hospital District. The deal is expected to close in early 1999.
*Catholic Healthcare West acquired 73-bed West Side District Hospital, Taft. CHW renamed the facility Mercy Westside Hospital.
*Columbia agreed to sell 49-bed Healdsburg General Hospital to Nuestro Hospital, a new not-for-profit corporation set up by the North County (Calif.) Hospital Association, for $4 million.
*Jefferson Hills, a Lakewood-based not-for-profit residential treatment center for adolescents, agreed to acquire 83-bed Aurora Behavioral Health Hospital, a psychiatric hospital, from Comprehensive Care, Tampa, Fla., for $5.1 million in a deal expected to close in January.
*Stamford Health System acquired Bridgeport-based St. Vincent's Health Services' 51% stake in 134-bed St. Joseph Medical Center, Stamford, for about $6 million. Stamford Health closed acute-care services at St. Joseph, which is to become an outpatient facility.
*St. Vincent's Health Services acquired 52-bed Hall-Brooke Hospital, a psychiatric hospital in Westport. St. Vincent's will invest $15 million and forgive a portion of a previous $6 million loan to the hospital.
District of Columbia
*Health Management Associates, Naples, signed a 30-year lease for Regional Healthcare, which includes 91-bed Brooksville Regional Hospital and 75-bed Spring Hill Regional Hospital for $100 million.
*Health Management Associates is in discussions with Lower Florida Keys Health District to acquire 169-bed Lower Florida Keys Health System, Key West.
*Tenet created a joint venture with Morton Plant Mease Health Care, Dunedin. Tenet leased its 122-bed North Bay Medical Center, New Port Richey, to the for-profit partnership. Morton Plant will manage the facility.
*Six-hospital Shands HealthCare, Gainesville; 204-bed Methodist Medical Center, Jacksonville; and 438-bed University Medical Center, Jacksonville, began negotiations to create a northeast Florida system.
*University Community Hospital, Tampa, and Adventist Health System, Winter Park, announced their intent to form a mergerlike partnership to oversee three Florida hospitals. The two systems will create a joint operating company for the 544-bed two-hospital UCH system and Adventist's 120-bed East Pasco Medical Center, Zephyrhills.
*Columbia and Emory Healthcare, Atlanta, created a limited liability company, which includes eight Columbia hospitals and five ambulatory surgery centers in the Atlanta area.
*New American Healthcare, Brentwood, Tenn., acquired 155-bed Memorial Hospital, Adel.
*The Congregation of the Missionary Sisters of the Sacred Heart of Jesus, Reading, Pa., announced it will turn over sponsorship of 290-bed St. Mary's Hospital, Athens, to Sisters of Mercy of the Americas, Baltimore.
*Columbia and Quorum announced plans for a joint venture with their four Macon hospitals to create a regional healthcare system.
*Tanner Health System, Carrollton, signed a 40-year lease for 39-bed Higgins General Hospital, Bremen.
*Paragon Health Network, Atlanta, acquired Summit Medical Holdings, Atlanta. The deal included four long-term acute-care hospitals and two acute rehabilitation hospitals. Paragon has since merged with Mariner Health Group to form Mariner Post-Acute Network, Atlanta.
*Benedictine Health System, Duluth, Minn., signed a long-term lease for 23-bed Clearwater Valley Hospital and Clinic, Orofino.
*Four-hospital Resurrection Health Care, Chicago, acquired Westlake Health System, which owns 239-bed Westlake Community Hospital, Melrose Park.
*Adventist Health System signed a definitive agreement to buy 175-bed LaGrange Memorial Hospital, LaGrange, for $155 million from Columbia.
*As part of a larger deal (See California entry), Alexian Brothers Health System, Elk Grove Village, will pay Columbia $281 million for two facilities in Hoffman Estates: 195-bed Hoffman Estates Medical Center and 94-bed Woodland Hospital, a psychiatric facility.
*Columbia sold 242-bed Grant Hospital and 523-bed Michael Reese Hospital and Medical Center, both in Chicago, to hospital physicians partnered with Scottsdale, Ariz.-based Doctors Community Healthcare Corp. for $63 million.
*Advocate Health Care, Oak Brook, announced a full-asset acquisition of 306-bed Ravenswood Hospital Medical Center, Chicago.
*Columbia signed a letter of intent to sell two psychiatric hospitals-102-bed Chicago Lakeshore Hospital and 100-bed Riveredge Hospital, Forest Park-to Universal Health Services, King of Prussia, Pa., for $15 million.
*Quorum acquired 175-bed St. Joseph Medical Center, Fort Wayne, from Ancilla Systems, Hobart.
*227-bed LaPorte Hospital and Health Services merged with Clarian Health Partners, a three-hospital system based in Indianapolis.
*274-bed Welborn Memorial Baptist Hospital, Evansville, agreed to merge with 488-bed St. Mary's Medical Center, Evansville.
*Mishawaka-based Sisters of St. Francis Health Services, an eight-hospital system, agreed to acquire 248-bed St. Anthony Medical Center, Crown Point, from Highland-based Franciscan Sisters of Chicago Service Corp. The Sisters of St. Francis is swapping three nursing homes, an assisted-living facility and an undisclosed amount of cash for the hospital. The deal is expected to be completed by early February.
*Quorum signed a letter of intent to buy 161-bed Kosciusko Community Hospital, Warsaw. The deal is expected to be completed by the end of January.
*Community Hospitals, a four-hospital system based in Indianapolis, and St. Francis Hospital and Health Centers, a two-hospital system based in Beech Grove, signed an agreement to form a joint operating company governed by a board of directors with 50-50 representation. The deal is pending.
*St. Vincent Hospitals and Health Services, Indianapolis, merged with 157-bed Saint Joseph Hospital and Health Center, Kokomo.
*60-bed Bedford Regional Medical Center and county-owned 104-bed Dunn Memorial Hospital, Bedford, signed a letter of intent to merge.
*280-bed Lafayette Home Hospital and 205-bed St. Elizabeth Medical Center, Lafayette, merged to form Greater Lafayette Health Services.
*Catholic Health Initiatives, Denver, and Mercy Health Services, Farmington Hills, Mich., created Mercy Health Network, a new mergerlike partnership that owns seven acute-care hospitals in Iowa and has affiliations or management contracts with another 23 facilities.
*Sisters of Charity of Leavenworth Health Services Corp. acquired 240-bed Bethany Medical Center, Kansas City, from Columbia.
*Columbia announced it would lease 262-bed Overland Park Regional Medical Center to Health Midwest, Kansas City, Mo.
*Alliant Health System, Louisville, bought 150-bed Southwest Hospital, 380-bed Suburban Hospital and 421-bed Audubon Hospital, all in Louisville, and 113-bed Spring View Hospital, Lebanon, from Columbia for $197 million.
*Catholic Health Initiatives signed a letter of intent to buy 174-bed Jewish Hospital Lexington from Louisville-based Jewish Hospital HealthCare Services.
*Charter Behavioral Health System, Atlanta, bought 98-bed Bayou Oaks Behavioral Health System, Houma, a psychiatric hospital, from Ramsay Health Care.
*Quorum purchased 183-bed Columbia Medical Center, Baton Rouge.
*60-bed Charter Forest Behavioral Health System merged with 200-bed Brentwood Behavioral Healthcare, both in Shreveport.
*Province Healthcare, Brentwood, Tenn., signed an agreement to lease 67-bed Eunice Regional Medical Center from the hospital district of St. Landry Parish.
*74-bed L.S. Huckabay MD Memorial Hospital, Coushatta, was sold to Sisters of Charity Health Care System, Houston.
*27-bed Rumford Community Hospital and 106-bed Central Maine Medical Center, Lewiston, agreed to merge.
*Six-hospital Helix Health, Lutherville, and two-hospital Medlantic Healthcare Group, Washington, merged.
*Northwest Hospital System, the parent of 177-bed Northwest Hospital Center, Randallstown, and two-hospital Sinai Health System, Baltimore, merged into a new organization called LifeBridge Health.
*Johns Hopkins Medicine, Baltimore, the parent of Johns Hopkins University's two hospitals and medical school, acquired 182-bed Howard County General Hospital, Columbia, in a transaction valued at $142 million including assumption of debt and a $40 million community foundation.
*76-bed New Children's Hospital, Baltimore, agreed to a full-asset merger with two-hospital North Arundel Health System, Glen Burnie. The deal is pending.