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Hospital and Health System Transactions (June 2013)

St. Louis-based  Ascension Health, the largest Catholic health system in the United States, completed its acquisition of Marian Health System, a Tulsa, Okla.-based provider with three regional health systems.

Phoenix-based Banner Health added Arizona Regional Medical Center in Apache Junction, Ariz., to its network, pending approval.

Discussions regarding the acquisition of Bert Fish Medical Center in New Smyrna Beach, Fla., advanced with two proposed Florida buyers: Daytona Beach-based Halifax Health and Naples-based Health Management Associates.

Massachusetts hospitals Beth Israel Deaconess, based in Boston, and Lahey Health, based in Burlington, entered affiliation talks. Asheville, N.C.-based health system CarePartners Health Services entered into a nonbinding memorandum of  understanding to become an affiliated member of  Mission Health, also based in Asheville.

Englewood, Colo.-based Catholic Health Initiatives and Vancouver, Wash.-based  PeaceHealth agreed to suspend their discussions after signing a nonbinding agreement with intent to
affiliate in August 2012.

Naperville, Ill.-based  Edward Hospital & Health Services and  Elmhurst (Ill.) Memorial Healthcare signed a definitive merger agreement.

Emanuel Medical Center, a 72-bed hospital based in Swainsboro, Ga., signed a joint management and lease agreement with ER Hospitals, a hospital management group based in Salt
Lake City.

Tacoma, Wash.-based Franciscan Health System finalized its acquisition of  Burien, Wash.-based Highline Medical Center, which operates a 154-bed acute-care hospital, a specialty
center and more than 20 clinics.

Greater Hazleton (Pa.) Health Alliance and Lehigh Valley Health Network based in Allentown, Pa., signed a merger agreement, pending regulatory approval.

Hackensack (N.J.) University Medical Center and  North Shore-Long Island Jewish Health System in Great Neck, N.Y., approached Long Island College Hospital, part of  State University of  New York Downstate Medical Center,  with competing bids to acquire it.

Naples, Fla.-based Health Management Associates officially launched its joint venture partnership with  Bayfront Health System in St. Petersburg, Fla., in which the for-profit hospital
chain acquired an 80 percent ownership in the 480-bed Bayfront, with the remaining 20 percent stake owned by the Bayfront HERO foundation, a non-profit subsidiary of  Health Management co-governed with Bayfront representatives. Shands Healthcare, part of  Gainesville, Fla.-based UF&Shands, is a clinical partner in the new hospital arrangement.

Hot Spring County Medical Center in Malvern, Ark., chose to enter into an operating sublease agreement with Baptist Health Medical Center-Little Rock (Ark.), pending local court
approval, over competing offers from Arkansas Heart Hospital and St. Vincent Health System, both based in Little Rock but owned by out-of-state entities.

The Louisiana State University Board of  Supervisors approved plans to lease Interim LSU Public Hospital, better known as  University Hospital, in New Orleans and University
Medical Center in Lafayette, La., to private operators. Louisiana Children’s Medical Center will pay for the lease to run the New Orleans hospital for two years until a new $1.1 billion
medical center is constructed, which LCMC would then lease for 40 years. University Medical Center would be leased to Lafayette (La.) General Health System in a similar agreement.

Officials set a goal to sell Iron County Hospital in Pilot Knob, Mo., by June 30, the end of the hospital’s fiscal year. Potential buyers and financial details were not disclosed.

Jamestown (N.D.) Regional Medical Center, a 25-bed critical access hospital, began to pursue a clinical and technology-based affiliation with Fargo, N.D.-based Sanford Health.

Johnston Health, a public health system based in Smithfield, N.C., and Chapel Hill, N.C.-based UNC Health Care entered exclusive negotiations for a strategic partnership.

Passing one of  its final bureaucratic hurdles in a year-and-a-half  pursuit, the deal for New London, Conn.-based Lawrence + Memorial Hospital to acquire The Westerly (R.I.) Hospital earned the Rhode Island attorney general’s approval.

Portland, Maine-based MaineHealth approved an agreement to add Memorial Hospital, based in North Conway, N.H., to its network after a year and a half  of  discussions.

Boston-based  Massachusetts General Hospital’s plan to acquire Northampton, Mass.-based  Cooley Dickinson Hospital met with broad support from employees and community
members at a public hearing meant to determine whether a certificate of  need would be issued to merge after Cooley Dickinson’s former partnership with the Dartmouth-Hitchcock-Alliance dissolved.

Mecosta County Medical Center in Big Rapids, Mich., will officially become part of  Grand Rapids, Mich.-based  Spectrum Health after both systems’ boards and the Mecosta County
board of  commissioners signed off  on the deal.

Georgia health systems  Memorial Health in Savannah and  Evans Memorial Hospital in Claxton formed a clinical affiliation, under which Evans Memorial will remain locally owned and operated.

After several weeks of  negotiations, the board of  trustees for  Munroe Regional Medical Center in Ocala, Fla., chose Naples, Fla.-based Health Management Associates over Brentwood, Tenn.-based  Duke LifePoint Healthcare to lease and operate the publically owned, 421-bed hospital.

City officials of  North Kansas City, Mo., hired three additional lobbyists to fight the passage of legislation that would end the city’s ownership of   North Kansas City Hospital and make
the institution independent, effectively blocking some city officials’ hopes of  selling the hospital to a for-profit buyer.

Winston-Salem, N.C.-based  Novant Health added University Health Care System in Augusta, Ga., to its shared services division.

Peoria, Ill.-based  OSF HealthCare affiliated with the Mayo Clinic Care Network in a nonownership relationship.

Ontario, Calif.-based hospital chain  Prime Healthcare Services completed its purchase of  two Kansas hospitals from Denver-based Sisters of  Charity of  Leavenworth Health System. The for-profit chain acquired 400-bed Providence Medical Center in Kansas City, Kan., and 80-bed Saint John Hospital in Leavenworth, Kan.

Ontario, Calif.-based hospital chain  Prime Healthcare Services offered to invest nearly $44 million into upgrades of  St. Mary’s Hospital in Passaic, N.J., pending regulatory approval.

Rush Oak Park (Ill.) Hospital shed its status as a Catholic hospital as Chicago-based Rush University Medical Center completed its 15-year deal to acquire it.

Denville, N.J.-based Saint Clare’s Health System and its Englewood, Colo.-based, non-profit parent Catholic Health Initiatives signed an asset purchase agreement with Ontario, Calif.-
based, for-profit Prime Healthcare Services. In light of  public scrutiny, Fargo, N.D.-based Sanford Health withdrew from merger discussions with Minneapolis-based Fairview Health
Services.

Scottsdale (Ariz.) Healthcare and Phoenixbased  John C. Lincoln Health Network signed a letter of  intent to merge and become Scottsdale Lincoln Health Network, expected to be completed by July 31.

Elgin, Ill.-based  Sherman Health and Oak Brook, Ill.-based Advocate Health Care signed an agreement to merge, pending regulatory approval.

Massachusetts’ Public Health Council approved a determination of  need and license to transfer ownership of   South Shore Hospital in Weymouth, Mass., to Boston-based  Partners
HealthCare System.

The board of  directors at  Southern Ohio Medical Center in Portsmouth decided not to re-merge with OhioHealth but to remain an affiliate of  the Columbus-based system.

In order to keep St. Andrews Hospital’s critical access status after closing its 25-bed emergency department, Boothbay Harbor, Mainebased Lincoln County Healthcare hopes to
merge its the Boothbay Harbor hospital with its sister campus, Miles Memorial Hospital — located about 30 minutes away in Damariscotta, Maine.

The Episcopal Diocese of  Texas approved a definitive agreement to transfer Houston-based St. Luke’s Episcopal Health System to Englewood, Colo.-based Catholic Health Initiatives. Physicians from St. Luke’s have since filed a motion to halt the system’s sale to CHI.

The board of  trustees of  Winter Haven (Fla.) Hospital unanimously voted to approve a merger with Clearwater, Fla.-based  BayCare Health System.

Chapel Hill, N.C.-based  UNC Health Care System and  Pardee Hospital in Hendersonville, N.C., expanded their management agreement by 15 years.

Erwin, Tenn.-based Unicoi County Memorial Hospital approved Johnson City, Tenn.-based 13-hospital system  Mountain States Health Alliance’s definitive agreement to acquire it.


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