Bellevue, Wash.-based Overlake Medical Center & Clinics has signed an affiliation agreement with Tacoma, Wash.-based MultiCare Health System, building upon the longstanding relationship between the two organizations.

Emplify Health has acquired a clinic in Mondovi, Wis., from Hospital Sisters Health System and Prevea Health.

Philadelphia-based Jefferson and Allentown, Pa.-based Lehigh Valley Health Network have signed a definitive agreement to merge into a 30-hospital system with more than 700 care sites. 

Yale New Haven (Conn.) Health's attempt to get out of a deal to acquire three Connecticut hospitals from Los Angeles-based Prospect Medical Holdings has Pennsylvania legislators concerned about Prospect's ability to close a deal in their state, WHYY reported May 15. 

Peoria, Ill.-based OSF HealthCare and Dixon, Ill.-based Katherine Shaw Bethea Hospital have shared plans to merge after entering into exclusive negotiations. 

Charlottesville, Va.-based UVA Health has shared plans to acquire Piedmont Family Practice in Warrenton, Va. 

New York City-based NYU Langone Health expects its merger with Patchogue, N.Y.-based Long Island Community Hospital to be completed in about a year, a spokesperson for the health system told Becker's. 

The University of Kansas Health System and Liberty (Mo.) Hospital have signed definitive agreements for the hospital and its clinics to join the Kansas City-based health system. 

On May 1, the Arizona Medical Group Management Association told the national MGMA it would end its affiliation. In the last few months, numerous other organizations have done the same and rebranded as Healthcare Leaders Associations. 

The University of Kentucky board of trustees has approved plans to proceed with the acquisition of St. Claire HealthCare in Morehead, Ky. 

The Franklin, Tenn.-based Community Health Systems announced April 18 it entered into a definitive agreement to sell 351-bed Tennova Healthcare-Cleveland (Tenn.) to Hamilton Health Care System in Dalton, Ga., for $160 million in cash. 

Honolulu-based Queen's Health System plans to complete its acquisition of an 88-bed psychiatric hospital from Sacramento, Calif.-based Sutter Health later this year. 

In today’s complex healthcare environment, mergers and acquisitions (M&A) are proving to be more challenging than ever, with heightened governmental regulations impacting both the operation of an entity and the purchase and sale of an entity.

Tri-City Healthcare District in Oceanside, Calif., and UC San Diego Health are still working on plans for a joint power agreement that was expected to be completed by the end of March, The San Diego Union-Tribune reported April 21.

In two separate deals, Labcorp completed acquisitions of outreach laboratory businesses from Renton, Wash.-based Providence and Springfield, Mass.-based Baystate Health.

Community Health Systems is preparing to sell off a 351-bed hospital in Tennessee. 

Boise, Idaho-based Primary Health Medical Group has added multiple providers and acquired an ear, nose and throat practice from Nampa, Idaho-based Saltzer Health, a Salt Lake City-based Intermountain Health physician group that closed March 29. 

Rome, Ga.-based Harbin Clinic, a private physician group, has joined Rome, Ga.-based Atrium Health Floyd, a health system part of Charlotte, N.C.-based Advocate Health.

Throughout VMG Health’s client base, we are privileged to work with many major players across the physician practices landscape—from solo practitioners and independent physician groups to large platform practices, private equity (PE)–backed physician practice rollups, and those affiliated with large health systems.

Medical Properties Trust, one of the world's largest hospital real estate owners, has offloaded five Dallas-based Steward Health Care-operated Utah hospitals for around $1.1 billion in total cash proceeds.