On February 8, 2018, Atrium Health and Navicent Health of Macon, Georgia announced a partnership.
On December 19, 2018, leaders from Atrium Health and Navicent Health signed the definitive agreement that commits to the organizations’ strategic combination. The agreement was effective January 1, 2019, making Navicent Health the central and south Georgia hub for the Atrium Health network.
On January 29, 2021, the system was renamed Atrium Health Navicent.
On November 5, 2019, Atrium Health and Floyd Health System (Floyd) announced that the organizations signed a letter of intent to combine. The agreement was finalized on July 14, 2021. "Atrium Health has pledged to invest $650 million in capital" into Floyd Health System over the next 10 years.
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On October 28, 2021, the system was renamed Atrium Health Floyd.
Wake Forest Baptist Health
On October 9, 2020, Atrium Health and Wake Forest Baptist Health, including Wake Forest School of Medicine, officially joined as a single enterprise, Atrium Health. The new enterprise became effective immediately.
The strategic combination was first announced in April 2019, with a definitive agreement signed in October 2019, following approval by each entity's governing board.
On October 23, 2020, Atrium Health announced $3.4 billion in planned investments for Wake Forest Baptist Health and the communities it serves over the next 10 years. Atrium Health will invest approximately $2.8 billion to improve facilities and fund critical investments.
On August 18, 2021, the system was renamed Atrium Health Wake Forest Baptist.
Advocate Aurora
The merger was first announced in May 2022. Advocate Aurora operates in Illinois and Wisconsin. The combined company will operate in six states: Illinois, Wisconsin, North Carolina, South Carolina, Georgia and Alabama. It will have 67 hospitals and 150,000 employees with $27 billion in annual revenue. It will be the fifth largest hospital system in the country. The combined organization would be called Advocate Health and be headquartered in Charlotte, North Carolina. Initially both Gene Woods, CEO of Atrium, and Jim Skogsbergh, CEO of Advocate Aurora will be co-CEOs for a year and a half until Skogsbergh retires; then Woods will be the sole CEO.
The deal will not affect Atrium's new medical school Wake Forest School of Medicine and the medical innovation district The Pearl. The medical school will be the academic core of the newly combined company. Currently Advocate does have partnerships with nearby medical schools and supports research. However, they do not have their own medical school or innovation district. Dr Julie Ann Freischlag, CEO of AHWFB, chief academic officer of Atrium Health and dean of the WFU School of Medicine said this about the merger's impact on the medical school “We’re really excited that the way this is set up. We’ll be a part of a bigger group, so I think if anything, people will know more who we are, and we’ll be able to touch more people and tell them about the research and education — the wonderful things we do.” Freischlag stated completing clinical trials and finding new treatment approaches will be easier with a larger patient population.
The deal faced a number of approval hurdles. The North Carolina Attorney General stated he would not oppose the deal, the Federal Trade Commission reviewed the merger, the deal was subject to Illinois and Wisconsin approval since Advocate Aurora is based in both states. The deal was temporarily blocked by Illinois health board and then decided to postpone the vote. During a special meeting on November 14, 2022, the board voted 6–0 to approve the deal. The merger was completed on December 2, 2022, making Atrium Health a division of Advocate Health.
