Hospitals Buying Physicians: 15 Recent Transactions

The following transactions took place within the past month, beginning with the most recent.

1. Patients First Physician Group Negotiates with St. Louis' SSM Health
Physician group Patients First, based in Washington, Mo., has put plans to open a three-bed hospital on hold as it negotiates a possible integration with St. Louis-based SSM Health Care. The physician group is still in the midst of a 110-day exclusive and confidential negotiating period. It announced two agreements with SSM in September. Under the first, the organizations would explore a partnership in cancer care. The second agreement was a memorandum of understanding to explore a value-based delivery network.

2. Two Surgeons Leave Private Practice to Form New Cardio Group with Rex Healthcare
Two surgeons have left Carolina Cardiovascular Surgical Associates in Raleigh, N.C., to form a new cardiothoracic practice with Rex Healthcare, based in Charlotte, N.C. Rex Cardiothoracic Surgery Specialists will be led by Lance Landvater, MD, and Robert Peyton, MD. The practice will open to patients next Monday.

3. Hartford Healthcare Acquires Connecticut Surgical Group
Hartford (Conn.) Healthcare acquired Connecticut Surgical Group, a practice with more than 40 physicians and 12 locations. Terms of the deal were not disclosed, and the integration of the two organizations went into effect Oct. 1. The group will join Hartford Healthcare's physician branch, Hartford Specialists, which now includes 68 physicians.

4. Orlando Health Aligns With 92-Physician Practice in Florida
Orlando (Fla.) Health signed an affiliation agreement with Physician Associates, a private practice group of 92 family medicine physicians and specialists. The affiliation is also part of Orlando Health's move to become a patient-centered medical home. The agreement laid the foundation for the development of shared processes, such as a shared health IT platform, shared medical data and a primary care advisory board.

5. Iowa Health System, Illinois Medical Group Sign LOI to Form Affiliation
Iowa Health System, based in Des Moines, Iowa, and Quincy (Ill.) Medical Group have signed a letter of intent to create an affiliation. Both organizations will conduct due diligence and hope to finalize the affiliation by the end of the year.

6. Johns Hopkins Acquires Maryland Heart
Baltimore-based Johns Hopkins Medicine has acquired Maryland Heart PC, a 17-physician cardiology practice. Maryland Heart PC physicians will become employees of Johns Hopkins Community Physicians in January. Terms of the agreement were not disclosed.

7. Indiana's Franciscan St. Francis Health Aligns With 40 Specialists
Indianapolis-based Franciscan St. Francis Health has aligned with Indiana Internal Medicine Consultants, a practice made up of nearly 40 specialists and based in Greenwood, Ind. The agreement, which went into effect Oct. 1, formalizes a relationship the two organizations have shared for decades. IIMC specialists include internal medicine, pulmonary, critical care, rheumatology, family practice, infectious disease and sleep medicine specialists.

8. California's Providence Health Forms JV With 5 Physician Groups
Burbank, Calif.-based Providence Health & Services of Southern California established a joint venture with five medical groups in the Los Angeles area to form Providence Partners for Health. Physicians will lead and govern the JV, and physicians who join the network will share quality data, receive feedback on performance from physician colleagues and demonstrate adherence to PPH-developed care guidelines with the goal of improving outcomes for patients.

9. TriHealth Acquires Cardiology Associates of Cincinnati
Cincinnati-based TriHealth has acquired Cardiology Associates of Cincinnati as part of its efforts to integrate cardiology care through the creation of the TriHealth Heart Institute. The health system, which includes Bethesda North and Good Samaritan hospitals in Cincinnati, will employ the cardiology group's 13 physicians, who will continue to see patients at the group's eight current locations.

10. Sanford Health to Acquire Minnesota Multispecialty Physician Group
Fargo, N.D. and Sioux Falls, S.D.-based Sanford Health and Broadway Medical Center in Alexandria, Minn., have signed a non-binding letter of intent to explore a merger. The health system and multispecialty physician group practice will now begin due diligence with a decision for a definitive agreement set for Jan. 1, 2012.

11. 5 Physicians Leave Michigan's Beaumont Hospital Over Nixed Joint Venture
Five of Beaumont Hospital's top radiation oncologists have said they will leave the Royal Oak, Mich.-hospital over an aborted business deal with a for-profit physician company. The departure stems from the physicians' dissatisfaction with Beaumont Health System's  May decision to nix a joint venture deal with a for-profit radiation oncology company, which hospital officials declined to name. Officials say there was a "difference of opinion on the future direction of the oncology program" as the board took issue with a partnership with a for-profit group.

12. Idaho's Kootenai Health Acquires 24-Physician Heart Group
Kootenai Health, based in Coeur d'Alene, Idaho, will acquire Heart Clinics Northwest, which includes 24 physicians. Kootenai will employ the physicians and staff of Heart Clinics Northwest. They will continue to provide services from their existing offices and satellite locations throughout northern Idaho, eastern Washington and western Montana. Leadership teams of the two organizations expect the agreement to be effective in early 2012.

13. Jewish Hospital & St. Mary's Aligns With Newly Created OB/GYN Practice
Louisville, Ky.-based Jewish Hospital & St. Mary's HealthCare will align with the newly created Premier Gynecology and Obstetrics, a group created by the merger of five OB/GYN groups in the Louisville area. The new group plans to affiliate with JHSMH in order to expand services at Jewish Hospital Medical Center East in advance of JHSMH's planned merger with Catholic Health Initiatives' Lexington, Ky.-based operation, St. Joseph Health System.

14. South Dakota's Avera Acquires Two Physician Practices
Mitchell, S.D.-based Avera Queen of Peace Hospital has entered into employment agreements with two physician practices — Malters and Malters Clinic and Family Medical Center, both located in Mitchell. Avera has renamed the practices Avera Medical Group Internal Medicine Mitchell and Avera Medical Group Family Medicine Mitchell, respectively.

15. Cookeville Regional Acquires Tennessee Heart
Cookeville (Tenn.) Regional Medical Center has signed an employment agreement with Cookevill-based Tennessee Heart, the largest cardiology group in the area. Under the multi-year agreement, CRMC will employ the practice's eight physicians and will provide cardiac imaging services previously provided by the practice.

Related Articles on Hospital-Physician Relationships:

What Does 2012 Hold for Physician-Hospital Relationships?
Teaching Hospitals Face Double-Bind Over Cuts to Residency Programs
Only 9 Percent of Physicians Feel Ready for "Business Side" of Medicine


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