Forbes January 20, 2026
Hospital and health system merger and acquisition activity ended 2025 with momentum expected to continue well into this year as drastic cuts to Medicaid spending under President Trump’s One Big Beautiful Bill Act loom.
A new analysis from Kaufman Hall, a Vizient company, said a total of 46 hospital and health system transactions were announced in 2025, a decrease from 2024, but deals are already picking up. Merger activity “picked up in Q3 and showed sustained momentum with 17 announced transactions in Q4,” Kaufman Hall said.
Even more merger and acquisition activity is expected this year and into the future as reductions in federal spending take effect and financial distress on healthcare providers intensifies thanks to the One Big Beautiful...
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