Healthcare mergers and acquisitions are in no short supply as providers, health tech companies, retailers and other industry players look to expand their businesses and gain a competitive edge. Here’s a roundup of new deals that were revealed, closed, rumored or called off during the month of February.
Providers
Sanford Health and Fairview Health Services have agreed to push back their planned megamerger by two months after the Minnesota attorney general’s office asked the Midwest systems for more time to review the 58-hospital deal. The organizations are now targeting a May 31 close.
CVS Health finally put the rumors to rest by announcing a definitive agreement to purchase Medicare-focused primary care provider Oak Street Health in an all-cash deal valued at $10.6 billion. The company said Oak Street's model—which is tech-enabled, multipayer and value-based—has proven to be scalable, making it an attractive target for their business. Oak Street includes about 600 physicians across 169 medical centers located in 21 states. It's expected to grow to over 300 centers by 2026.
CommonSpirit Health is entering Utah with the purchase of five Steward Health Care hospitals via the Catholic system’s Centura Health joint venture. The deal also includes 35 medical group clinics and a clinically integrated network of providers, and, according to regulatory filings, was purchased for $685 million “plus certain working capital adjustments.” CommonSpirit had announced a day before that it would be taking sole control of 15 Centura Health hospitals amidst the joint venture’s breakup with AdventHealth, which claimed the remaining five.
Community Health Systems announced late Tuesday that it has signed a deal to sell two North Carolina hospitals to Novant Health for about $320 million, adding to the latter’s current total of 15 hospitals. The deal is slated to close later this year pending regulatory approvals and closing conditions.
SUNY Upstate Medical University and Crouse Health called off their plans to merge, instead settling for a “strategic affiliation agreement” as they continue to operate as separate and independent entities. The deal had drawn scrutiny from federal regulators that argued a deal could drive higher costs, reduce care quality and diminish the bargaining power of local hospital workers.
Flagler Health+ and the University of Florida’s UF Health have entered into an exclusive, nonbinder letter of intent to merge. The organizations said they’re aiming to bring the 335-bed Flagler Hospital and other components of Flager Health+ into UF Health’s fold sometime later this year. The organizations said any deal would not impact daily operations.
Lifepoint Health has acquired a majority ownership interest in national behavioral health provider Springstone’s operating company. The deal will add 18 behavioral health hospitals and 35 outpatient locations across nine states into Lifepoint’s collection.
Logan Health has signed a letter of intent to merge with Billings Clinic. The former is a six-hospital, 622-bed system based in Montana while the latter is an integrated multispecialty group practice with a 336-bed hospital and trauma center serving Montana, Wyoming and the western Dakotas. The nonprofit systems hope to have a definitive agreement this spring and a deal finalized by the summer.
UAB Health System is set to bring RMC Health System under its wing as an affiliate. Leadership signed a letter of intent and aim to finalize a deal this summer.
AdventHealth wrote in quarterly filings that it signed definitive agreements in January with two third parties to sell nine skilled nursing facilities in Florida, Texas and Kansas. The deals are expected to close in early 2023.
ProMedica has agreed to sell off its hospice and home-care assets for a $710 million valuation to Gentiva, a hospice company backed by Humana, per Bloomberg. The deal expands Gentiva’s reach from roughly 380 locations to over 500, and its patient count from about 25,000 to 34,000.
Amedisys has sold off its personal care division to HouseWorks, a personal care services provider active in Massachusetts, New Hampshire, Pennsylvania and Maine. Terms of the deal expected to close in the second quarter were not disclosed. Following the close, HouseWorks said it would partner with home care software maker eCaring to handle home care services in Amedisys’ markets.
Payers
UnitedHealth Group's $5.4 billion acquisition of LHC Group has officially closed, allowing UHG subsidiary Optum and LHC to join their expertise in value-based home care. The deal closed after a lengthy probe from the Federal Trade Commission, which requested additional details on the merger in June, and pushback from an LHC shareholder.
Elevance Health (formerly Anthem) has closed its acquisition of BioPlus, a specialty pharmacy subsidiary of CarepathRx. BioPlus is joining Elevance’s CarelonRx pharmacy benefit management arm, which Elevance said will help it better meet members’ specialty drug needs and whole-person health goals. Terms were not disclosed.
Tech
Amazon has closed its $3.9 billion deal to buy One Medical, furthering its ambitions to offer medical services and expand its growing healthcare business to employers. The deal expands Amazon's reach into primary care as it now officially operates 188 clinics in 29 markets. It also gives Amazon a foot in the lucrative employer market. Still, the Federal Trade Commission is reportedly continuing its investigation of the merger.
Aledade, the maker of data analytics software for independent doctors’ offices as they transition to value-based models, acquired value-based care analytics company Curia. The purchase aims to help Aledade flex out its tech capabilities, including its ability to extract insights from disparate data sources, make accurate predictions using past data and optimize workflows. Terms of the deal were not disclosed.
Elation Health, an EHR provider, picked up medical billing company Lightning MD for an undisclosed sum. The company said adding Lightning’s billing interface will add to its suite of solutions and move Elation a step closer to its goal of becoming an all-in-one technology offering for primary care practices.
Ventra Health, a tech-enabled revenue cycle management, practice management and advisory services firm serving hospital-based physician specialties, said it acquired Philippines-based revenue cycle management services company Deras Global for an undisclosed sum.