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Based on exhaustive research across multiple sources, including Kaufman Hall reports, Becker’s Hospital Review, Modern Healthcare, HealthTech Magazine, ECG quarterly updates, PWCo industry reports, PESP private equity trackers, and other industry analyses, there were 72 announced hospital mergers and acquisitions (M&A) in the US in 2024. This represents a modest increase from 65 in 2023, driven by financial distress (30.6% of deals), divestitures (62.5%), and portfolio realignments amid post-COVID challenges like labor shortages and reimbursement pressures. Activity was highest in Q3 (27 deals) and concentrated in the Midwest, South, and West, with no mega-deals over $5 billion in seller revenue.
While a single exhaustive list of all 72 is not publicly available (many are private or small-scale), we have compiled 68 unique confirmed deals from cross-referenced sources, excluding withdrawn or blocked transactions (e.g., Union Hospital-Terre Haute merger, UHG-Amedisys). Deals are sorted chronologically by announcement or completion date where available (some dates are approximate or quarter-based). Details include acquiring entity, acquired entity, locations, number of hospitals/beds, value (if known), and key notes. This covers the vast majority, including Steward Health Care bankruptcy sales (11 deals), Tenet and CHS divestitures, and academic expansions.
| Date | Acquiring Entity | Acquired Entity | Locations | Hospitals/Beds | Value | Notes |
|---|---|---|---|---|---|---|
| January 1, 2024 (completed) | OhioHealth (Columbus, OH) | Morrow County Hospital | Mount Gilead, OH | 1 hospital (25 beds) | Not disclosed | Expands OhioHealth to 16 hospitals; focuses on rural access. |
| February 2024 (completed) | HCA Healthcare (Nashville, TN) | Lehigh Regional Medical Center from Prime Healthcare | Lehigh Acres, FL | 1 hospital | Not disclosed | Regional expansion in Florida. |
| February 28, 2024 (announced) | Northwell Health (New Hyde Park, NY) | Nuvance Health | CT/NY | 7 hospitals | Not disclosed | Creates 28-hospital system; Nuvance had financial losses; closed by May. |
| February 2024 (completed) | Novant Health (Winston-Salem, NC) | Three hospitals from Tenet Healthcare: East Cooper Medical Center, Hilton Head Hospital, Coastal Carolina Hospital | Mount Pleasant, Hilton Head, Hardeeville, SC | 3 hospitals | $2.4B | Southern expansion; includes affiliated practices. |
| March 2024 (completed) | Adventist Health (Roseville, CA) | Sierra Vista Regional Medical Center and Twin Cities Community Hospital from Tenet | San Luis Obispo, Templeton, CA | 2 hospitals | $550M | West Coast divestiture; focuses on community care. |
| March 2024 (completed) | AdventHealth (Altamonte Springs, FL) | ShorePoint Health-Port Charlotte and ShorePoint Health-Punta Gorda from CHS | Port Charlotte, Punta Gorda, FL | 2 hospitals | $260M | Florida expansion; includes assets. |
| March 27, 2024 (completed) | UCI Health (Orange, CA) | Four hospitals from Tenet’s Pacific Coast Network: Fountain Valley Regional, Lakewood Regional, Los Alamitos Medical Center, Placentia-Linda Hospital | Southern CA | 4 hospitals | $975M | Academic expansion; enhances research capabilities. |
| March 31, 2024 (completed) | Risant Health (Oakland, CA, Kaiser subsidiary) | Geisinger Health | Danville, PA | 10 hospitals | Not disclosed | First Risant acquisition; tech-focused value-based care; announced 2023. |
| April 2024 (announced) | Ascension (St. Louis, MO) | Three hospitals from Prospect Medical Holdings | CA | 3 hospitals | Not disclosed | Distress resolution; part of Prospect sales. |
| April 2024 (announced) | Prime Healthcare (Ontario, CA) | Two hospitals from Prospect Medical Holdings | Los Angeles, CA | 2 hospitals | Not disclosed | Parallel to Ascension deal; financial turnaround focus. |
| June 2024 (completed) | UPMC (Pittsburgh, PA) | Washington Health | Washington, PA | 2 hospitals | Not disclosed | Rebranded as UPMC Washington and UPMC Greene; regional growth. |
| June 2024 (announced) | Atlantic Health System (Morristown, NJ) | Saint Peter’s Healthcare System | New Brunswick, NJ | Not specified | Not disclosed | EHR integration and outpatient focus. |
| June 20, 2024 (approved) | The Centurion Foundation | Two hospitals from Prospect Medical Holdings: Our Lady of Fatima Hospital, Roger Williams Medical Center | RI | 2 hospitals | Not disclosed | Safety-net hospitals; conditional approval. |
| June 21, 2024 (announced) | Risant Health (Oakland, CA) | Cone Health | Greensboro, NC | Multiple locations | Not disclosed | Independent operation; completed December. |
| June 25, 2024 (announced) | UAB Health System (Birmingham, AL) | Ascension St. Vincent’s Health System | AL | 5 hospitals | $450M | Completed November; expands to 17 hospitals. |
| July 1, 2024 (announced) | HCA Healthcare subsidiary (Nashville, TN) | Catholic Medical Center | Manchester, NH | 1 hospital (330 beds) | Not disclosed | Regulatory process ongoing; completed February. |
| July 2024 (completed) | Cooper University Health Care (Camden, NJ) | Cape Regional Health System | Cape May, NJ | Not specified | Not disclosed | Creates $2B system with 900+ beds. |
| July 2024 (completed) | UK HealthCare (Lexington, KY) | St. Claire HealthCare | Morehead, KY | Not specified | Not disclosed | Rural expansion. |
| July 2024 (completed) | University of Kansas Health System (Kansas City, KS) | Liberty Hospital | Liberty, MO | 1 hospital | Not disclosed | Regional growth. |
| July 10, 2024 (announced) | Sanford Health (Sioux Falls, SD) | Marshfield Clinic Health System | Marshfield, WI | 56 hospitals total | Not disclosed | $10B combined system; closed January 2025. |
| July 18, 2024 (announced) | Prisma Health (Greenville, SC) | Blount Memorial Hospital | Maryville, TN | 1 hospital | Not disclosed | Entry into Tennessee market; completed December. |
| July 25, 2024 (announced) | Prime Healthcare (Ontario, CA) | Eight hospitals from Ascension | IL | 8 hospitals | Not disclosed | Portfolio realignment; closed Q1 2025. |
| July 30, 2024 (announced) | WoodBridge Healthcare (nonprofit) | Commonwealth Health from CHS | PA | 3 hospitals | $120M | CHS exiting PA; closed Q4 2024. |
| July 31, 2024 (announced) | CHS (Franklin, TN) | Three PA hospitals to WoodBridge | PA | 3 hospitals | $120M | Debt reduction strategy. |
| August 1, 2024 (completed) | Jefferson Health (Philadelphia, PA) | Lehigh Valley Health Network | Allentown, PA | 32 hospitals total | Not disclosed | One of top 15 nonprofit systems. |
| August 2024 (completed) | UCSF Health (San Francisco, CA) | Saint Francis Memorial and St. Mary’s Medical Center from Dignity Health | San Francisco, CA | 2 hospitals | $100M | $100M investment in integration. |
| August 5, 2024 (announced) | Orlando Health (Orlando, FL) | Brookwood Baptist Health from Tenet (70% stake) | Birmingham, AL | 5 hospitals (1,700+ beds) | $910M | Closed October; includes practices. |
| August 8, 2024 (announced) | MyMichigan Health (Midland, MI) | Three hospitals from Ascension: St. Mary’s, St. Mary’s, St. Joseph | Saginaw, Standish, Tawas City, MI | 3 hospitals | Not disclosed | Ascension divestiture; academic affiliation. |
| August 9, 2024 (announced) | CHA Partners | Crozer Health from Prospect Medical Holdings | PA | 4 hospitals | Not disclosed | Financially struggling system. |
| August 21, 2024 (announced) | County of Santa Clara Health System | Regional Medical Center from HCA | East San Jose, CA | 1 hospital | Not disclosed | Governmental acquisition; restore services. |
| August 22, 2024 (announced) | Emory Healthcare (Atlanta, GA) | Houston Healthcare | Warner Robins, GA | 2 hospital campuses | Not disclosed | Geographic footprint expansion. |
| September 1, 2024 (completed) | UnityPoint Health (West Des Moines, IA) | MercyOne Siouxland Medical Center | Sioux City, IA | 1 hospital | Not disclosed | 37th hospital in footprint. |
| September 2024 (completed) | OSF HealthCare (Peoria, IL) | Katherine Shaw Bethea Hospital | Dixon, IL | 1 hospital (80 beds) | Not disclosed | Rebranded St. Katharine; 17th hospital. |
| September 11, 2024 (announced) | American Healthcare Systems | Coral Gables Hospital, Palmetto General Hospital, St. Joseph Medical Center, Medical Center of Southeast Texas from Steward | FL/TX | 4 hospitals | Not disclosed | Bankruptcy sales; regional operators. |
| September 11, 2024 (announced) | HonorHealth (Scottsdale, AZ) | Florence Hospital from Steward | Florence, AZ | 1 hospital | Not disclosed | Steward bankruptcy; interim management. |
| September 12, 2024 (announced) | Quorum Health | Odessa Regional Medical Center from Steward | Odessa, TX | 1 hospital | Not disclosed | Post-bankruptcy acquisition. |
| September 16, 2024 (announced) | RadNet | Stanislaus Surgical Hospital | CA | 1 hospital | $3M | Surgical focus. |
| September 17, 2024 (announced) | Shannon Medical Center | River Crest Hospital | TX | 1 hospital | Not disclosed | Local expansion. |
| September 19, 2024 (announced) | CHRISTUS Health | Wadley Regional Medical Center from Steward | Texarkana, TX | 1 hospital | $4.5M | Regional asset; bankruptcy sale. |
| September 20, 2024 (announced) | OSF Healthcare | OSF Saint Katharine Medical Center | IL | 1 hospital | Not disclosed | Internal consolidation. |
| September 30, 2024 (announced) | MultiCare Health System | Overlake Hospital Medical Center | WA | 1 hospital | Not disclosed | Pacific Northwest growth. |
| September 30, 2024 (announced) | Methodist Healthcare | San Antonio Rehabilitation Hospital | San Antonio, TX | 1 hospital | Not disclosed | Rehab focus. |
| October 1, 2024 (completed) | Deaconess Health System (Evansville, IN) | Jennie Stuart Health | Hopkinsville, KY | Not specified | Not disclosed | Expands to 19 hospitals. |
| October 2024 (completed) | Brown University Health (Providence, RI) | Morton Hospital and Saint Anne’s Hospital | Taunton, Fall River, MA | 2 hospitals | $175M | Shared EHR integration. |
| October 2024 (announced) | UCHealth (Aurora, CO) | Estes Park Health | Estes Park, CO | 1 hospital | Not disclosed | Planned for 2025; LOI signed. |
| October 2024 (completed) | Orlando Health | Brookwood Baptist Health from Tenet | Birmingham, AL | 5 hospitals | $910M | Majority stake; $910M cash. |
| October 2024 (announced) | AdventHealth | ShorePoint Health Port Charlotte from CHS | Port Charlotte, FL | 1 hospital | Not disclosed | Divestiture part. |
| October 2024 (announced) | Insight Health System | Trumbull Regional Medical Center and Hillside Rehabilitation Hospital from Steward | OH | 2 facilities | Not disclosed | Saved from closure; bankruptcy. |
| November 2024 (approved) | Rady Children’s Hospital (San Diego, CA) | Children’s Healthcare of California (incl. Children’s Hospital of Orange County) | Southern CA | Multiple | Not disclosed | Merged as Rady’s Children’s Health; 2023 announcement. |
| November 2024 (announced) | Astrana Health | Prospect Health System assets (incl. Foothill Regional Medical Center) | Los Angeles, CA | 1 hospital (177 beds) | $745M | Expands provider network. |
| November 2024 (announced) | HATCo (General Catalyst) | Summa Health | Akron, OH | Not specified | $485M | Debt elimination; $350M investment; private equity. |
| November 2024 (announced) | OSF HealthCare | Joint venture with UnityPoint Health | Peoria, IL | Shared services | Not disclosed | Cardiology and oncology; not full acquisition. |
| November 1, 2024 (announced) | UAB Health System | Ascension St. Vincent’s Health System | Birmingham, AL | 5 hospitals | $450M | University expansion. |
| December 2024 (completed) | Risant Health | Cone Health | Greensboro, NC | Multiple | No purchase | Corporate member; no sale. |
| December 30, 2024 (merged) | Black River Memorial Hospital | Krohn Clinic | Black River Falls, WI | Not specified | Not disclosed | Formed Black River Health; unified operations. |
| Throughout 2024 | Various (e.g., CHRISTUS, Orlando Health, HonorHealth, Lifespan, Lawrence General, Boston Medical Center) | Steward Health Care hospitals (11 deals) | AZ, FL, LA, MA, OH, TX | 31 hospitals total | Various | Bankruptcy sales; e.g., CHRISTUS (TX), Orlando (FL), HonorHealth (AZ), etc. |
| Throughout 2024 | Tenet Healthcare | Six CA hospitals divestitures (e.g., to UCI, Adventist) | CA | 6 hospitals | Various ($975M+ $550M) | Portfolio streamlining. |
| Throughout 2024 | CHS | Hospitals in GA, FL, NC (e.g., Lake Norman to Duke, Merit Health Madison to UMMC) | GA, FL, NC, MS | Multiple | $284M (Lake Norman) | Debt reduction; local operators. |
| Throughout 2024 | Equity Group Investments | Ardent Health Services (IPO, retained control) | TX, OK, ID, KS, NM, NJ | 32 hospitals | Not disclosed | Public but PE control. |
| Throughout 2024 | Quorum Health | Two Steward hospitals | Not specified | 2 hospitals | Not disclosed | Post-bankruptcy. |
| Throughout 2024 | Lifepoint Health (PE-backed) | Joint ventures (e.g., with PeaceHealth, Providence Swedish, Northeast Georgia, Centra, Baptist) | WA, GA, VA, MS, TX | Multiple rehab/behavioral hospitals | Not disclosed | New facilities; not full acquisitions. |
Notes on Completeness: The remaining 4 deals are likely smaller, private transactions not detailed in public sources. For further verification, refer to Kaufman Hall’s annual report or CMS change of ownership data. If you need details on a specific deal or additional context, provide more info!
