Hospital Mega-Deals Fall to Just 15% in 2025
Our latest Stat of the Month highlights a significant shift in Hospital M&A, and what it signals for investors and strategics heading into 2026. According to transaction activity we captured in our LevinPro HC database, only 15% of all Hospital transactions in the first nine months of 2025 had target revenue exceeding $500 million. That’s compared to 31% in the same period in 2024, a significant swing in the type of Hospital deals we’re seeing in the market. In 2024, health systems were focused on generating scale, exemplified by mergers from organizations like Lehigh Valley Health Network and Jefferson Health, which created a network of more than 30 hospitals. This year, however,... Read More »A Roundup of LOI Announcements in the Hospital Market
Hospital deals can take a while, and even then, they might not reach the finish line, whether due to regulatory pushback, disagreement over merger terms, or even accusations of misconduct. It’s one of the reasons you might not see a Hospital announcement in our LevinPro HC database; we wait until merger talks are settled and the deal is complete. But we still track Letter of Intent (LOI) announcements, the first step in a Hospital merger. Here is a roundup of some recent ones that are on our radar. CommonSpirit Health and University of Pittsburgh Medical Center CommonSpirit Health and the University of Pittsburgh Medical Center (UPMC) have signed a non-binding LOI that could result... Read More »Union Health, Terre Haute Regional Hospital Close Merger Despite Pushback
Two hospitals in Indiana have finally closed their merger agreement despite some regulatory and public pushback. On November 10, the Indiana Department of Health approved a Certificate of Public Advantage (COPA) application from Union Health and HCA-owned Terre Haute Regional Hospital, giving the organizations the green light to join under a single health system. Terre Haute Regional Hospital is a 278-bed Level III Trauma Center that generated $113 million in net patient revenue in 2024, the latest financial information available. The deal between Terret Haute and Union Health had been in the works since 2023, when they first submitted their COPA application to the state. The Federal Trade... Read More »Top Health System Divestments of 2025
Throughout 2025, several major health systems have been focusing on downsizing their portfolios by divesting hospitals and other lines of business. Some transactions were from systems seeking to pay down debt, others resulted from bankruptcy proceedings and a number from systems exiting non-core markets. In our LevinPro HC database, we have tracked more than 20 divestments from health systems across various sectors, such as Hospitals, Home Health & Hospice and Physician Medical Groups. Here is a selection of the top Health System divestments of 2025 so far. Community Health Systems Selling Spree If it seems like Community Health Systems (CHS) has been selling hospitals and... Read More »
