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Hospital and Health System Transactions (May 2011)

Healthcare Management Partners and Memphis-based Dobbs Equity Partners signed a letter of intent to construct a new facility that will merge three existing South Carolina hospitals into one integrated healthcare system. The new system will be called Tri-County Regional Health System. It will be comprised of Bamberg (S.C.) County Hospital, Barnwell (S.C.) County Hospital and Allendale County Hospital in Fairfax, S.C.

The board of Beaufort Regional Health System in Washington, N.C., signed a letter of intent with Greenville, N.C.-based University Health Systems of Eastern Carolina. As part of the agreement, UHS would manage BRHS and pledge $21 million in capital improvements in the first five years of a potential 30-year lease.

A Circuit Court judge in Florida overturned the merger of Bert Fish Medical Center in New Smyrna Beach, Fla., with Adventist Health System’s Florida Hospital in Orlando. Judge Richard Graham ruled the 21 closed-door meetings surrounding the merger were in violation of the state’s Sunshine Law and that the two groups’ attempts to “cure” the violations by reholding the meetings were not an appropriate remedy.

Duke University Health System, based in Durham, N.C., is partnering with LifePoint Hospitals, a for-profit hospital manager based in Nashville, Tenn., to buy and run community hospitals in North Carolina. Duke and LifePoint announced that their first deal together will be to run 102- bed Maria Parham Medical Center in Henderson, N.C.

Elkhart (Ind.) General Healthcare System and South Bend, Ind.-based Memorial Hospital and Health System signed a memorandum of understanding to form an affiliation. Elkhart General and Memorial Health System will form a new regional healthcare system and parent company that includes an equal number of board members from each organization.

Emory Healthcare and Saint Joseph’s Hospital in Atlanta announced a partnership that will create the largest, most clinically comprehensive health system in Georgia. Emory will hold majority ownership of Saint Joseph’s, with a 51-49 percentage split. Saint Joseph’s will be involved in governance of the company and retain super-majority voting rights on certain issues critical to its mission and values.

Hospital chain HCA signed an agreement to acquire 473-bed Mercy Hospital in Miami. HCA plans to continue to operate Mercy Hospital as a Catholic institution.

Franklin, Tenn.-based Iasis Healthcare will purchase a 78.2 percent interest in St. Joseph Medical Center in Houston. A group of independent investors will retain 21.8 percent ownership interest. The current majority owner sold its interest in the hospital as part of its Chapter 7 bankruptcy process.

Woonsocket, R.I.’s Landmark Medical Center signed a nonbinding letter of intent from Brentwood, Tenn.’s RegionalCare Hospital Partners. Tenn.-based Capella Healthcare may also make a bid. Lifespan hospital group decided not to pursue an acquisition.

Chicago-based Loyola University will receive $100 million from the sale of its Loyola University Health System to Novi, Mich.-based Trinity Health. As part of the deal, Trinity will also take over Loyola’s debt. In exchange, the health system will pay a $22.5 million annual subsidy to Loyola’s medical school.

The merger between Bemidji, Minn.’s North Country Health Services and Sioux Falls, S.D.’s Sanford Health is official. The health systems now operate as Sanford Health of Northern Minnesota in Bemidji.

Separate votes at Port Angeles, Wash.-based Olympic Medical Center and Port Townsend, Wash.-based Jefferson Healthcare resulted in unanimous decisions to negotiate nonbinding letters of intent to affiliate with Seattle-based Swedish Medical Center. Forks (Wash.) Community Hospital will also vote on a possible affiliation with Swedish.

Peoria, Ill.-based OSF HealthCare and Rockford (Ill.) Health System are moving towards an “affiliation” that would combine the organizations as OSF Northern Region. After announcing plans to affiliate, OSF Health- Care and Rockford (Ill.) Health System have received second requests for information from the Federal Trade Commission.

Chicago-based Resurrection Health Care, which operates six hospitals, signed a letter of intent to explore a merger arrangement with Mokena, Ill.-based Provena Health, which owns six hospitals.

Saint Mary’s Hospital in Waterbury, Conn., is forming a joint venture with LHP Hospital Group, Inc. Under the agreement, LHP and Saint Mary’s will have an equally-shared governance structure and LHP will own a majority equity position in the joint venture that will own the hospital.

Boston-based Steward Healthcare offered $1.1 billion for Miami’s Jackson Health System. Jackson failed to respond to Steward’s letters of interest by the deadline.

Cincinnati’s UC Health will acquire the Jewish Foundation of Cincinnati’s Jewish Hospital Medical Campus in Avondale. The Avondale campus includes the former Jewish Hospital and the Jewish Medical office building.

Texas’s Valley Baptist Health System, with locations in Harlingen and Brownsville, will merge with Nashville, Tenn.-based Vanguard Health Systems. As part of the merger, Vanguard will provide money for Valley Baptist to repay its debts.

Yale-New Haven Hospital and Hospital of Saint Raphael, both in New Haven, Conn., signed a letter of intent. They will consider a plan in which 966-bed YNHH would purchase the assets of 511-bed HSR to create one integrated hospital with continued access to both campuses.

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