Brentwood, Tenn.-based Lifepoint Health and Ascension Saint Thomas are entering a joint venture, in which the two organizations will jointly own Highpoint Health, a four-hospital system owned by Lifepoint.

Aurora, Colo.-based UCHealth has added a smaller health system to its network. 

Franklin, Tenn.-based Community Health Systems agreed to sell three Florida hospitals to Tampa General Hospital for $294 million.

Nashville, Tenn.-based HCA Healthcare is buying bankrupt Trinity Regional Hospital Sachse (Texas) for $41 million in a deal that is expected to close by the end of January, Bloomberg Law reported Nov. 29. 

St. Louis-based BJC Healthcare and Kansas City, Mo.-based Saint Luke's Health System — which signed a letter of intent to combine in May — have satisfied all regulatory reviews and reached a definitive agreement to merge. 

Sandoval Regional Medical Center in Rio Rancho, N.M., on Jan. 1 will join UNM Hospitals and change its name to University of New Mexico Sandoval Regional Medical Center-A Campus of UNM Hospital. 

Clearwater, Fla.-based BayCare Health System is acquiring Gessler Clinic, a physician-owned medical group, effective Dec. 2. 

Fairview Health Services does not want to extend its affiliation as it stands with the University of Minnesota past 2026, the Star Tribune reported Nov. 20.

Omaha-based University of Nebraska Medical Center signed a master affiliation agreement with Columbus (Neb.) Community Hospital.

Portland, Ore.-based Legacy Health has completed the sale of its outreach laboratory operations to Labcorp in a restructuring move aimed at improving the system's financial health. 

Winston-Salem, N.C.-based Novant Health and Dallas-based Tenet Healthcare have signed a definitive agreement for Novant to acquire three Tenet hospitals and affiliated operations in South Carolina.

The landscape of healthcare is continually evolving, with a growing emphasis on providing better outcomes for patients while controlling costs. Value-based care (VBC) is a departure from the traditional fee-for-service (FFS) model and is transforming healthcare delivery into a capitated model that balances the total cost of care with the quality of patient outcomes.

St. Louis-based SSM Health and Cape Girardeau, Mo.-based Saint Francis Healthcare System are expanding their affiliation to share best practices and clinical expertise in southeast Missouri.

New York City-based NYU Langone Health acquired Pediatric Urology Associates in 10 practice locations, longisland.com reported on Nov. 10.

Salinas (Calif.) Valley Health and San Benito County have submitted a joint proposal to the San Benito Healthcare District to govern, operate and finance Hollister-based Hazel Hawkins Memorial Hospital, its skilled nursing facilities, and physician clinics.

Winston-Salem, N.C.-based Novant Health has finalized the transfer of Pender Medical Center in Burgaw, N.C., WWAYTV reported Nov. 8.

Cass City, Mich.-based Hills & Dales Healthcare and UnitedHealthcare Partners have signed a nonbinding letter of intent to combine the two organizations. 

A Michigan hospital that became the first in the state to transition to rural emergency hospital status in August has now been sold to a for-profit entity, according to a Nov. 3 Watershed Voice report.

The long-awaited sale of Mercy Iowa City hospital is now over after Iowa City-based University of Iowa Health was approved Nov. 6 to buy the bankrupt facility.

The Queen's Health System in Honolulu, Hawaii, has entered into an asset purchase agreement to acquire Wahiawa General Hospital, effective March 31.