*Tenet signed a definitive agreement to buy an 80% stake in 398-bed MetroWest Medical Center, Framingham, from Columbia for $75.1 million. The deal still requires regulatory approval.
*339-bed University of Massachusetts Clinical System and three-hospital Memorial Health Care, both based in Worcester, merged into a new organization called UMass Memorial Health Care.
*Two-hospital HealthAlliance, Leominster, became an affiliate of UMass Memorial Hospital Systems, a subsidiary of UMass Memorial Health Care. HealthAlliance's governing board ceded voting control to UMass Memorial in return for more than $50 million in capital and community-service funding.
*240-bed Newton-Wellesley Hospital, Newton, signed a memorandum of understanding to join seven-hospital Partners HealthCare System, Boston. The deal is pending.
*130-bed Faulkner Hospital, Boston, merged its parent company into that of 617-bed Brigham and Women's Hospital, Boston, to form Brigham and Women's/Faulkner Hospitals. The merged organization is a subsidiary of seven-hospital Partners HealthCare System.
*288-bed St. Luke's Hospital, Saginaw, and 234-bed Saginaw General Hospital merged.
*Mercy Health Services, Farmington Hills, acquired 127-bed Muskegon General Hospital in exchange for paying $7.5 million to a foundation. Mercy merged the facility with its 175-bed Mercy Hospital, Muskegon, and renamed the organization Mercy General Health Partners.
*Borgess Health Alliance, Kalamazoo, merged with 46-bed Doctors Hospital, Jackson, to create a four-hospital system.
*Borgess Health Alliance and Metropolitan Health Corp., parent of 205-bed Metropolitan Hospital, Grand Rapids, signed a letter of intent to form a 50-50 joint operating company.
*Benedictine Health System, Duluth, acquired 95-bed South Suburban Medical Center, Farmington, now called Trinity Hospital.
*Allina Health System, Minneapolis, announced plans to sell 141-bed Long Prairie Memorial Hospital and Home for $3.2 million to CentraCare, St. Cloud, the parent of 616-bed St. Cloud Hospital.
*NetCare Health Systems, Nashville, acquired 40-bed Marshall County Medical Center, Holly Springs.
*New American Healthcare signed a 30-year lease to manage 71-bed Crosby Memorial Hospital, Picayune.
*Health Management Associates completed the acquisition of 221-bed River Oaks Health System, Jackson.
*Health Management Associates acquired 180-bed Riley Memorial Hospital, Meridian.
*Columbia merged 154-bed Vicksburg Medical Center into a limited liability company with Quorum's 183-bed Parkview Regional Medical Center, Vicksburg. Columbia will manage 65% of the company, with Quorum taking the remaining share.
*659-bed Cox Health Systems, Springfield, agreed to buy 150-bed Columbia Hospital North and South, Springfield.
*Health Midwest, Kansas City, agreed to lease 329-bed Independence Regional Health Center from Columbia.
*Tenet completed its purchase of 303-bed Saint Louis University Hospital from the university for about $300 million.
*Seven-hospital Iowa Health, Des Moines, said it would form a mergerlike partnership with two-hospital Nebraska Health System, Omaha.
*Agent Health, a seven-hospital system in Omaha, completed a joint venture with Tenet's Creighton St. Joseph Hospital Regional Healthcare System, Omaha.
*Universal completed a joint venture called Valley Health Systems, which linked Universal's 365-bed Valley Hospital Medical Center and 148-bed Summerlin Hospital with Quorum's 225-bed Desert Springs Hospital, all in Las Vegas.
*Province bought 50-bed Elko General Hospital for almost $22 million from Elko County.
*Atlantic Health System, Florham Park, and Robert Wood Johnson Health System, New Brunswick, signed a letter of intent to form a single holding company. Executives hope to complete plans early in the year.
*CentraState Health System, the Freehold-based parent of 240-bed CentraState Medical Center, signed a memorandum of understanding to merge with the Robert Wood Johnson system. A final agreement is expected in the first quarter.
*Children's Specialized Hospital, Mountainside, a 117-bed pediatric rehabilitation and long-term-care hospital, signed a letter of intent to become a member of the Robert Wood Johnson system.
*445-bed Elizabeth General Medical Center and 256-bed St. Elizabeth Hospital, Elizabeth, signed a definitive merger agreement and expect to close the deal by the end of the first quarter.
*Helene Fuld Medical Center and Mercer Medical Center, both of Trenton, merged to create a 558-bed not-for-profit called Capital Health System.
*Memorial Health Alliance, Mount Holly, N.J., and West Jersey Health System, Camden, formed a mergerlike partnership joining five hospitals and a variety of medical services under one corporate umbrella. The new organization, Virtua Health, is based in Marlton. The deal did not involve a merger of assets.
*306-bed Our Lady of Lourdes Medical Center, Camden, agreed to buy 237-bed Allegheny University Hospital-Rancocas, Willingboro. The deal closed Dec. 3.
*202-bed Palisades General Hospital, North Bergen, received Federal Trade Commission clearance to become a "sponsored member" of New York Presbyterian Healthcare Network. The deal, which included a change in control, does not involve a merger of assets. Officials announced the closing Jan. 5.
*Community Health Systems bought 162-bed Eastern New Mexico Medical Center, Roswell, from Chaves County for about $118 million.
*Albany Medical Center agreed to buy 20-bed Child's Hospital, Albany, for $10.5 million. The deal is expected to be completed in the first quarter.
*352-bed Amsterdam Memorial Hospital and 220-bed Ellis Hospital, Schenectady, agreed to consolidate services but not assets under a new parent corporation. Ellis controls two-thirds of the new 18-member board; Amsterdam holds one-third of the seats. Executives expect to sign a deal by the end of February.
*New York Hospital and Presbyterian Hospital, both in New York City, completed a full-asset merger, creating 2,700-bed New York Presbyterian Hospital.
*653-bed Brooklyn Hospital Center joined New York Presbyterian Hospital as a sponsored member.
*1,585-bed Catholic Medical Center of Brooklyn and Queens, which operates four hospital divisions; 622-bed Saint Vincents Hospital and Medical Center of New York; and two-hospital Sisters of Charity Healthcare System on Staten Island are discussing a merger.
*1,036-bed Mount Sinai Medical Center and 824-bed New York University Medical Center, both of New York, merged hospital operations. Their respective medical schools remain separate.
*Mount Sinai also agreed to acquire 208-bed Western Queens Community Hospital. The deal, which still requires state regulatory clearance, could be completed by spring.
*515-bed Long Island College Hospital, Brooklyn, joined Continuum Health Partners, New York. The three-hospital system also includes Beth Israel Medical Center and St. Luke's-Roosevelt Hospital Center, both of New York.
*Sisters of Charity Healthcare System, Staten Island, merged its 198-bed Bayley Seton Hospital and 440-bed St. Vincent's Medical Center of Richmond, both on Staten Island.
*70-bed Genesee Memorial Hospital and 96-bed St. Jerome Hospital, both in Batavia, have proposed creating a new company owned 50-50 by the private not-for-profit group that runs Genesee Memorial and Catholic Health System of Western New York, which sponsors St. Jerome.
*Buffalo General Health System, Children's Hospital of Buffalo and Millard Fillmore Health System, Buffalo, merged, creating CGF Health System.
*125-bed Cornwall Hospital; 171-bed Horton Medical Center, Middletown; and 184-bed St. Luke's Hospital, Newburgh, formed a parent corporation called Greater Hudson Valley Health System. Arden Hill Hospital, a 174-bed facility in Goshen, became a member of the corporation this year.
*500-bed Crouse Hospital and 322-bed Community-General Hospital, both in Syracuse, announced a mergerlike affiliation involving the formation of a new parent. The hospitals expect to complete the deal in the first quarter.
*166-bed Faxton Hospital and 379-bed St. Luke's Memorial Hospital Center, both in Utica, plan to apply for a certificate of need to merge the two hospitals by late spring. The boards and management were consolidated in 1997.
*479-bed Geneva Regional Health System, parent of 136-bed Geneva General Hospital and 65-bed Soldiers and Sailors Memorial Hospital of Yates County, Penn Yan, created a new parent corporation, Finger Lakes Regional Health System. Although the hospitals are controlled by a single
board of directors, the deal did not involve a merger of assets.
*224-bed Lake Shore Healthcare Center, Irving, and 60-bed Tri-County Memorial Hospital, Gowanda, are developing a merger plan. The deal won't be completed until early spring.
*Two-hospital Winthrop-South Nassau University Health System, Melville; four-hospital Catholic Health Services of Long Island; and the two systems' affiliates have agreed to create a joint venture called Long Island Health Network.
*Ownership of 223-bed Mid-Island Hospital, a for-profit hospital on Long Island that's under bankruptcy reorganization, will be transferred to Long Island Health Network. Mid-Island will be converted to not-for-profit status.
*54-bed Myers Community Hospital, Sodus, and 256-bed Newark-Wayne Community Hospital, Newark, N.Y., merged, creating ViaHealth of Wayne. The new healthcare corporation will operate as an affiliate of ViaHealth, the parent of Rochester General Hospital and Genesee Hospital, both in Rochester.
*208-bed Nathan Littauer Hospital and Nursing Home, Gloversville, and 143-bed St. Mary's Hospital, Amsterdam, approved a mergerlike partnership, which is expected to be completed by spring. A new parent corporation will oversee the two hospitals. The deal doesn't involve a merger of assets.
*Sisters of Mercy of North Carolina transferred ownership of 264-bed St. Joseph's Hospital, Asheville, to 436-bed Memorial Mission Medical Center, Asheville, in a $90 million deal.
*542-bed New Hanover Regional Medical Center, Wilmington, purchased 109-bed Cape Fear Memorial Hospital, Wilmington, from Columbia for $98 million.
*Novant Health, Winston-Salem, acquired a 50% stake in 166-bed Presbyterian-Orthopedic Hospital, Charlotte, from Columbia for $60 million. Novant already owned 50% of the facility.
*Pitt County Memorial Hospital, Greenville, acquired 127-bed Heritage Hospital, Tarboro, from Columbia for $80 million. Pitt County also leased 111-bed Chowan Hospital, Edenton, for $30 million. Pitt County will own the facility at the end of the 30-year lease.
*Nashville-based Community Health Systems bought 49-bed Martin General Hospital, Williamston.
*Nashville-based NetCare Health Systems acquired 124-bed Davis Medical Center, Statesville, from Columbia.
*839-bed Duke University Medical Center, Durham, acquired 151-bed Raleigh Community Hospital from Columbia for $200 million. Duke also signed a 20-year lease deal with 208-bed Durham Regional Hospital valued at $142 million.
*Quorum acquired UniMed Medical Center, Minot, from Sisters of St. Francis of Denver. UniMed includes 160-bed St. Joseph's Hospital in Minot and 42-bed Kenmare Community Hospital.
*Dakota Medical Foundation, Fargo, agreed to sell its 50% interest in 203-bed Dakota Heartland Health System, Fargo, to its management partner, Paracelsus, for $65.4 million.
*1,083-bed Ohio State University Medical Center, Columbus, announced its intent to buy 165-bed Park Medical Center, Columbus, from Quorum.
*OhioHealth, a Columbus-based eight-hospital system, acquired Doctors Hospital, a three-hospital osteopathic system based in Columbus.
*148-bed Marion General Hospital, owned by OhioHealth, acquired 83-bed MedCenter Hospital, Marion, from the Ohio MedCenter Foundation for $12.4 million.
*135-bed Cuyahoga Falls General Hospital signed a nonbinding letter of intent to negotiate a sale to a joint venture controlled by Quorum; Summa Health System, Akron; and the Cleveland Clinic Foundation.
*Three-hospital ProMedica Health System, Toledo, merged with 96-bed Defiance Hospital.
*ProMedica and Blanchard Valley Health Association, parent of 328-bed Lima Memorial Hospital, agreed to form a 50-50 joint operating company.
*Integris Health, Oklahoma City, signed a 25-year lease of 70-bed Bethany Hospital from Bethany Health Care Corp.
*Columbia took control of 295-bed University Hospitals, Oklahoma City, in a 50-50 joint venture lease. After an initial lease payment, Columbia will split the profits 70-30.
*Hillcrest Healthcare System, Tulsa, bought three hospitals from Columbia: 255-bed Tulsa Regional Medical Center, 121-bed Doctors Hospital and 45-bed Specialty Hospital of Tulsa.
*124-bed Good Samaritan Hospital, Corvallis, completed in late August a previously announced consolidation with 49-bed Lebanon Community Hospital. The combined not-for-profit organization, which also includes affiliated medical groups and a for-profit subsidiary, is now known as Samaritan Health Services.
*115-bed Community General Osteopathic Hospital, Harrisburg, was acquired by PinnacleHealth System in August. Under the deal, PinnacleHealth agreed to assume Community General's debt, operate its inpatient services for at least three years and continue the hospital's osteopathic educational programs.
*340-bed Berwick Hospital Center reached a definitive agreement in October to be acquired by Community Health Systems for about $33 million. The deal will close pending approval by the Pennsylvania attorney general and Orphans Court.
*Albert Einstein Healthcare Network, Philadelphia, became part of Jefferson Health System, Radnor, in a mergerlike arrangement completed in July.
*352-bed Frankford Hospital of the City of Philadelphia joined Jefferson Health System, Radnor, in a mergerlike arrangement completed in October. Frankford agreed to invest $5 million in Jefferson and in return gained one-fourth of the system's board seats.
*Bon Secours-Holy Family Regional Health System, Altoona, is negotiating a link with Conemaugh Health System, Johnstown. At year-end, the systems were conducting due diligence.
*151-bed Delaware Valley Medical Center, Langhorne, filed for bankruptcy protection late last year as a prelude to a sale to 352-bed Frankford Hospital for $18 million in cash plus a loan of up to $5 million in interim financing. Frankford also agreed to invest another $9 million in capital equipment. Delaware Valley shelved a previously signed letter of intent to explore a merger with Temple University Health System, Philadelphia.
*York Health System and Gettysburg Health Care Corp. announced a mergerlike affiliation to create a new parent corporation to coordinate the operations of 430-bed York Hospital and 76-bed Gettysburg Hospital.
*238-bed Horizon Hospital System,
Greenville, merged with University of Pittsburgh Medical Center Health System in a transaction that closed in September.
*277-bed Magee-Womens Hospital, Pittsburgh, and 11-hospital University of Pittsburgh Medical Center Health System intend to link through a mergerlike affiliation expected to close this month.
*59-bed Memorial Hospital of Bedford, Everett, merged with University of Pittsburgh Medical Center Health System last January.
*Central Pennsylvania Health Services Corp., parent of 199-bed Altoona Hospital began merger talks with University of Pittsburgh Medical Center Health System in July. At year-end the systems were still in due diligence.
*224-bed Lee Hospital, Johnstown, merged with University of Pittsburgh Medical Center Health System in February. UPMCHS gained one-third of the seats on Lee's board.
*281-bed McKeesport Hospital merged with University of Pittsburgh Medical Center Health System in April. As part of the transaction, UPMCHS agreed to pay $18 million to the McKeesport Hospital Foundation and to invest as much as $50 million in capital improvements at the facility over five years.
*115-bed Rehabilitation Institution of Pittsburgh was acquired by University of Pittsburgh Medical Center Health System in February. Children's rehabilitation services were not part of the deal. They were spun off into a new organization called the Children's Institute.
*256-bed St. Joseph Hospital and 152-bed Community Hospital, both in Lancaster, approved a letter of intent to explore a joint operating agreement.
*106-bed Suburban General Hospital, Norristown, merged with Mercy Health System, Bala Cynwyd.
*Hospital San Pablo, a three-hospital system in Puerto Rico, was acquired by Universal.
*Tenet made a $36 million bid to buy 173-bed Landmark Medical Center, Woonsocket. The deal is pending.
*Three-hospital Care New England, Providence, agreed to merge with six-hospital Lifespan, Providence. The deal, awaiting regulatory approval, followed a decision by the Rhode Island attorney general to block Care New England's previously proposed merger with CareGroup, a six-hospital regional healthcare system based in Boston.
*Charter bought 98-bed Coastal Carolina Hospital, a psychiatric facility in Conway, from Ramsay Health Care.
*Baptist Healthcare System and 583-bed Richland Memorial Hospital, both of Columbia, merged.
*The Medical Society of South Carolina, the not-for-profit company that owns Roper CareAlliance and its 380-bed Roper Hospital and 104-bed Roper Hospital North; Bon Secours Health System of Marriottsville, Md., which owns 165-bed Bon Secours-St. Francis Xavier Hospital; and Carolinas HealthCare System, Charlotte, N.C., agreed to form a mergerlike partnership.
*421-bed McLeod Regional Medical Center, Florence, acquired 92-bed Saint Eugene Medical Center, Dillon, from St. Louis-based SSM Health Care System.
*Three-hospital Spartanburg Regional Medical Center formed a partnership with Carolinas HealthCare System. The deal closed Nov. 11.
*Johnson City Medical Center and Laughlin Memorial Hospital, Greenville, received approval from the Internal Revenue Service for a joint operating agreement, but the two hospitals have put the deal on hold.
*Johnson City Medical Center purchased 220-bed Indian Path Medical Center and Indian Path Pavilion, Kingsport; 49-bed Johnson City Specialty Hospital, 60-bed Northeast Tennessee Rehabilitation Hospital and 127-bed North Side Hospital, all of Johnson City; and 100-bed Sycamore Shoals Hospital, Elizabethtown, from Columbia for $300 million.
*Methodist Healthcare, Memphis, signed a definitive agreement to lease 104-bed Regional Hospital of Jackson and 65-bed Volunteer General Hospital, Martin, from Columbia under a 44-year agreement.
*Methodist Healthcare, Memphis, completed the purchase of 47-bed McNairy County General Hospital, Selmer, for $3.7 million and a pledge to invest $7 million in capital improvements.
*Baylor Health Care System, a 15-hospital system based in Dallas, and Texas Health Resources, a 15-hospital system based in Irving, agreed to create a new joint operating company to oversee the two systems. The deal is not an asset merger.
*Charter bought 51-bed Haven Hospital, DeSoto, a psychiatric hospital, from Ramsay Health Care.
*Netcare Health Systems, Nashville, acquired 34-bed Central Texas Hospital, Cameron.
*Fort Worth Independent School District acquired CareUnit of Dallas-Fort Worth, now closed, from Tampa, Fla.-based Comprehensive Care Corp. for $1.9 million.
*Sisters of Charity signed a letter of intent to buy 364-bed Beaumont Medical and Surgical Hospital and 59-bed Silsbee Doctors Hospital from Columbia.
*Seton Healthcare Network, Austin, purchased 42-bed Highland Lakes Medical Center, Burnet, and 151-bed Shoal Creek Hospital, Austin. Seton is also negotiating a 30-year lease agreement with 30-bed Edgar B. Davis Memorial Hospital, Luling, expected to close Feb. 1.
*415-bed St. Mary of the Plains Hospital and 644-bed Methodist Hospital, both in Lubbock, merged to form Covenant Health System in a deal valued at $600 million.
*28-bed Yoakum Community Hospital District signed a 10-year lease with VHA Southwest Community Health Corp., Dallas. VHA has contracted with Memorial Hermann Healthcare System, Houston, to manage the hospital.
*Houston-based HealthPlus Corp. bought 43-bed Yale Hospital, Houston, and renamed it Doctors Hospital-Tidwell.
*122-bed Tooele Valley Regional Medical Center, Tooele, was purchased by Community Health Systems for $3.7 million.
*Sentara Health System, Norfolk, and Tidewater Health Care, Virginia Beach, completed their merger.
*Prince William Health System, Manassas, signed a letter of intent to sell 131-bed Prince William Hospital for $105 million to Universal.
*West Virginia University Hospital System, Morgantown, purchased 70-bed Chestnut Ridge Hospital, Morgantown, for $14.8 million from Ramsay Health Care.
*206-bed Princeton Community Hospital purchased an interest in 79-bed St. Luke's Hospital, Bluefield, from Columbia.
*440-bed Saint Mary's Hospital, Huntington; 201-bed Pleasant Valley Hospital, Point Pleasant; and 293-bed Cabell Huntington Hospital formed a mergerlike partnership called Genesis.
*Two-hospital Davis Health System, Elkins, agreed to merge with Fairmont-based West Virginia United Health System, which includes 309-bed United Hospital Center, Clarksburg, and 331-bed West Virginia University Hospitals, Morgantown.
*Waukesha Hospital System, which operates 320-bed Waukesha Memorial Hospital, formed a partnership with 73-bed Oconomowoc Memorial Hospital to create a new not-for-profit parent.
*116-bed Kenosha Hospital and Medical Center and 148-bed St. Catherine's Hospital, Kenosha, created a new holding company to oversee the operations of the hospitals. The deal was not an asset merger.
*53-bed Calumet Medical Center, Chilton, merged into two-hospital Affinity Health System, Oshkosh.