- The Duke Endowment gave a $100M grant to NC Children’s for the development of the state’s first freestanding children’s hospital. Duke Health and UNC Health established NC Children’s in 2025 to develop and operate the hospital on a 230-acre property in Apex, NC.
- Bayhealth announced the “Next Wave,” a multi-year investment strategy totaling at least $373M that includes a $250M expansion of the Kent General campus in Dover, a $52M emergency department in Smyrna and several other renovations and expansions across the State of Delaware.
- Parkview Health (IN) will acquire Ovation Healthcare, a revenue cycle and purchasing management organization that services over 500 health care organizations in 48 states. Parkview will contribute administrative and operational expertise to the venture, which will remain branded as Ovation.
- A recent report found that seven of the nation’s 10 largest health systems had fewer hospitals in 2025 than they did in 2020. In Q1 2026 alone, 68% of announced deals involved a divestiture. The biggest divestitures were by Ascension, Community Health Systems and CommonSpirit Health and reflect a realignment of the systems’ real estate footprints.
- Prisma Health will acquire 36 urgent care locations across South Carolina from Novant Health. The branding will change from Doctor’s Care to Prisma and includes approximately 500 employees. The deal is expected to close November 1.
- Modern Healthcare reported that health systems are increasingly selling their real estate to ease financial pressure and fuel expansion, although state and federal regulators are increasingly scrutinizing these deals. This year, hospital sale-leaseback transactions are on pace to reach the highest number of deals since 2021.
- A spotlight on the Atlanta market showed hospital systems are expanding their real estate portfolios despite development costs exceeding $439/sf. Piedmont’s real estate director said, “our goal is to be at everybody’s front door,” which echoes recent investments made by Atrium Health and Grady Health.
- Patient volumes at Moffitt Cancer Center, which was completed in January, have been more than five times the originally forecasted volumes, due in part to housing one of the world’s leading proton therapy machines, which can provide advanced radiation treatments. Several other health systems recently introduced or are underway on similar radiopharmaceutical therapy projects.
- The University of Nebraska Medical Center and Nebraska Medicine received approval to expand the scope of their planned flagship teaching hospital, increasing the project budget from approximately $2.25B to $2.75B and enlarging the facility from 1.25M to 1.5M sf.
- Prosser Memorial Health is planning an $81M, 56k-sf MOB adjacent to its new hospital campus in Prosser, WA. The facility will centralize specialty care services, imaging, rehabilitation, procedure space, an outpatient pharmacy and offices for up to 40 providers, with construction expected to begin in 2027.
For additional information on this topic, please contact:
- Andrew Dick at adick@hallrender.com or (317) 977-1491;
- Joel Swider at jswider@hallrender.com or (317) 429-3638; or
- Your primary Hall Render or Hall Render Advisory Services contact.
Hall Render blog posts and articles are intended for informational purposes only. For ethical reasons, Hall Render attorneys cannot—outside of an attorney-client relationship—answer specific questions that would be legal advice.
