10 large health systems selling hospitals. By: Alan Condon Hospital sales are picking up steam as various health systems under financial pressure look to trim underperforming assets, exit noncore markets and redirect capital toward strategic priorities. Recent hospital divestitures have come from nonprofit giants carrying hundreds of millions of dollars in operating losses, for-profit operators completing full-state exits and other systems shedding community hospital portfolios they no longer consider core to their portfolios. Here are 10 large health systems that have sold or announced plans to sell hospitals this year: 1. CommonSpirit Health Chicago-based CommonSpirit has sold or is in talks to sell seven hospitals across North Dakota and Ohio as it works to narrow its operating deficit and deliver on a $6 billion turnaround plan over the next 24 to 30 months. In October, CommonSpirit sold Trinity Health System - a three-hospital network in Steubenville, Ohio - to Pittsburgh-based UPMC. In March, CommonSpirit sold CHI St. Alexius Health Devils Lake (N.D.) - a 25-bed critical access hospital - to Grand Forks, N.D.-based Altru Health System. The 136-hospital system also signed a definitive agreement to sell three more North Dakota hospitals to Altru Health. The transaction is expected to close in early 2027, pending regulatory approvals and closing conditions. 2. Community Health Systems Franklin, Tenn.-based Community Health Systems has sold several hospitals in recent years to revamp its portfolio, pay down its debt and strengthen its financial performance. That trend has continued into 2026, a year in which it has offloaded 10 hospitals. Most recently, Memphis, Tenn.-based Baptist Memorial Health Care assumed operations of Merit Health Rankin, a 134-bed hospital in Brandon, Miss., effective Oct. 1. Brandon HMA, a CHS subsidiary that held the hospital's lease, opted not to renew it, a CHS spokesperson told Becker's. CHS sold four Arkansas hospitals June 1 to Joplin, Mo.-based Freeman Health System for $110 million, exiting the Arkansas market. The hospitals are part of CHS subsidiary Springdale, Ark.-based Northwest Health and include Northwest Medical Center-Bentonville (128 beds), Northwest Medical Center-Springdale (222 beds), Willow Creek Women's Hospital in Johnson (64 beds) and Siloam Springs Regional Hospital (73 beds). On April 1, the for-profit system sold Crestwood Medical Center, a 180-bed hospital in Huntsville, Ala., to Huntsville Hospital Health System for $459 million. CHS also sold its 80% ownership interest in Tennova Healthcare-Clarksville Hospital and the freestanding Tennova ER-Sango to Nashville, Tenn.-based Vanderbilt Health for $623 million; Vanderbilt had held a 20% minority stake in the hospital since 2021. Effective Feb. 1, CHS sold its three Pennsylvania hospitals to newly formed nonprofit Tenor Health Foundation for $33 million plus a $15 million promissory note, also exiting Pennsylvania. Under the deal, Tenor acquired Regional Hospital of Scranton (186 beds), Moses Taylor Hospital in Scranton (122 beds) and Wilkes-Barre General Hospital (369 beds). CHS owns or leases 60 affiliated hospitals and more than 800 care sites. CHS now operates 59 hospitals in 12 states, according to its website. 3. ScionHealth Louisville, Ky.-based ScionHealth sold eight community hospitals to Brentwood, Tenn.-based Lifepoint Health effective June 2, divesting a substantial portion of its acute care footprint to concentrate on its specialty hospital business. The eight hospitals, spread across six states, include: * Bolivar Medical Center (Cleveland, Miss.) * Ennis (Texas) Regional Medical Center * Livingston (Tenn.) Regional Hospital * Logan (W.Va.) Regional Medical Center * Palestine (Texas) Regional Medical Center * Parkview Regional Hospital (Mexia, Texas) * St. Joseph Regional Medical Center (Lewiston, Idaho) * Watertown (Wis.) Regional Medical Center ScionHealth said the sale allows it to concentrate on its specialty hospital services division. The health system now operates 63 long-term acute care hospitals and six community hospitals, according to its website. 4. Providence Renton, Wash.-based Providence will shutter most of its insurance business beginning in 2027 and is divesting select hospital assets as part of a broader push to stabilize finances. The 51-hospital system in April signed a definitive agreement to sell Queen of the Valley Medical Center, a 198-bed hospital in Napa, Calif., to Fairfield, Calif.-based NorthBay Health. Providence Mission Hospital Laguna Beach (Calif.) also plans to phase out acute care and emergency services over several years, citing low patient volumes and the cost of required seismic upgrades; on average, 80% of the hospital's 159 beds are unused each day. Providence has also divested non-core assets, including the January sale of its clinical decision support tool, MedPearl, to Health Endeavors. It also sold its health IT consulting arm - Tegria Services Group - to healthcare-focused investment firm Altaris. 5. Trinity Health Livonia, Mich.-based Trinity Health offloaded Mercy Medical Center, a 182-bed hospital in Springfield, Mass., to Baystate Health, effective Nov. 1. The facility, now called Baystate Mercy Hospital, had been part of Trinity Health of New England, a member of Livonia, Mich.-based Trinity Health, since 2015. The systems signed a definitive agreement April 28 after Mercy explored partnerships to address financial pressures, including inadequate reimbursement, declining payment rates, a shift toward outpatient care and persistent staffing shortages. Trinity Health cited ongoing financial challenges tied to reimbursement pressure, declining payment rates, outpatient migration and staffing shortages as factors in the divestiture. 6. Quorum Health Brentwood, Tenn.-based Quorum Health on April 1 sold Scenic Mountain Medical Center, a 146-bed community hospital in Big Spring, Texas, to San Angelo, Texas-based Shannon Health System. The deal came two months before Quorum, a for-profit operator, signed a definitive agreement to become a nonprofit in a deal expected to close this fall. Quorum CEO Chris Harrison, who previously served as CFO, told Becker's the planned nonprofit conversion would better position the health system for long-term sustainability as rural hospitals face mounting financial and operational pressures. Quorum now operates 11 hospitals across nine states and is preparing to launch a management services organization aimed at helping rural hospitals streamline IT and revenue cycle operations. 7. Franciscan Alliance Mishawaka, Ind.-based Franciscan Alliance in May sold Franciscan Health Olympia Fields (Ill.), a 214-bed hospital, to Ontario, Calif.-based Prime Healthcare. Prime entered an agreement in January to acquire both the Olympia Fields hospital and Specialty Physicians of Illinois from Franciscan Alliance. The hospital is Prime's ninth in Illinois and 55th overall. Franciscan Alliance, a faith-based system, now operates 11 hospitals, according to its website. 8. Banner Health Phoenix-based Banner Health in June signed an asset purchase agreement to sell Banner Lassen Medical Center, a 25-bed critical access hospital in Susanville, Calif., to an affiliate of Brentwood, Tenn.-based Quorum Health. The transaction is expected to close in December, pending regulatory approvals. Financial terms were not disclosed. Banner's notice to the California attorney general identifies the buyer as Susanville Hospital Company, an entity tied to Healthside Partners, the newly formed nonprofit set to take over Quorum this fall as part of the for-profit operator's conversion to nonprofit status. The deal would give Quorum its second hospital in California. It also places Quorum on both sides of this year's divestiture wave: the system sold a 146-bed Texas hospital in April and is buying a rural California hospital eight months later. Banner operates 33 hospitals and more than 400 care sites across six states, according to its website. 9. HCA Healthcare Nashville, Tenn.-based HCA Healthcare sold Dominion Hospital, a behavioral health facility in Falls Church, Va., to Woodmere, N.Y.-based Hill Valley Healthcare for $25 million, an HCA spokesperson confirmed to Becker's on Sept. 2. The company approached HCA as part of its interest in making additional investments in Virginia. Dominion Hospital is a freestanding behavioral health hospital serving children, adolescents and adults. It offers inpatient and outpatient services, including programs focused on eating disorders and trauma. 10. Sanford Health Madison, Wis.-based UW Health on Nov. 1 acquired Marshfield Medical Center-Beaver Dam (Wis.) from Marshfield (Wis.) Clinic Health System, part of Sioux Falls, S.D.-based Sanford Health. The campus, which includes a hospital, a skilled nursing facility and independent senior living apartments, is now UW Health Beaver Dam Hospital and Clinics. About 350 employees joined UW Health as part of the transition. 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A flurry of M&A moves to start November. By: Andrew Cass Bon Secours Mercy Health completed its acquisition of a Virginia hospital, growing into a 48-hospital system, and Novant Health acquired its second rural North Carolina hospital in five months. Here are five hospital M&A moves completed during the first two days of November: 1. Winston-Salem, N.C.-based Novant Health completed its acquisition of Northern Regional Hospital, a 133-bed hospital in Mount Airy, N.C. Novant said it is developing plans to expand services at the hospital and throughout Surry County. The system had already supported Northern Regional's clinical operations before the deal, including through a professional services agreement for heart and vascular care and teleneurology services for acute stroke patients. The deal marks the system's second rural hospital acquisition in northwest North Carolina in five months. 2. Corvallis, Ore.-based Samaritan Health Services joined Tacoma, Wash.-based MultiCare Health System, completing an affiliation announced in 2025. As part of the agreement, MultiCare has committed to investing $700 million over 10 years to expand access to care, recruit and retain clinicians, support workforce development and improve facilities and technology across Samaritan's region. A regional strategic planning process led by local leaders and shaped by community input will set longer-term service priorities and investments. Samaritan will keep its local leadership and community-based governance, and its name will now be paired with MultiCare's. With the affiliation, MultiCare grew into an 18-hospital system with locations in Washington, Oregon and Idaho. 3. Cincinnati-based Bon Secours Mercy Health acquired Fauquier Health in Warrenton, Va., from Brentwood, Tenn.-based Lifepoint Health. The acquisition establishes Bon Secours' first hospital presence in Northern Virginia and expands its statewide hospital footprint to 12. Fauquier Health is expected to maintain its existing services and operations without interruption to patient care. Employees are expected to remain in their current roles, and Rebecca Segal will continue serving as the hospital's president. The 97-bed hospital is Bon Secours Mercy Health's 48th overall. 4. Madison, Wis.-based UW Health completed its acquisition of Marshfield Medical Center-Beaver Dam (Wis.) from Marshfield (Wis.) Clinic Health System, part of Sioux Falls, S.D.-based Sanford Health. The campus is now UW Health Beaver Dam Hospital and Clinics. About 350 employees joined UW Health as part of the transition. The integrated campus includes a hospital, a skilled nursing facility and independent senior living apartments. It also operates two assisted living facilities and primary care clinics in Columbus, Horicon and Waupun, Wis. 5. Springfield, Mass.-based Baystate Health completed its takeover of Mercy Medical Center in Springfield from Hartford, Conn.-based Trinity Health of New England. The 182-bed hospital, now named Baystate Mercy Hospital, had been part of Trinity Health of New England, a member of Livonia, Mich.-based Trinity Health, since 2015. The systems signed a definitive agreement April 28 after Mercy explored partnerships to address financial pressures, including inadequate reimbursement, declining payment rates, a shift toward outpatient care and persistent staffing shortages. Baystate integrated the hospital, its joint venture affiliates and 45 medical group entities, and switched to a new Oracle Health EHR the same day. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker's is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit We think you might like