Merger Glossary - Health Professionals & Allied Employees

Merger Glossary

Acquisition (per CHAPA law) – any acquisition by a person of an ownership or controlling interest in a nonprofit hospital, whether by purchase, merger, lease, joint venture, transfer, gift, or otherwise

APA – Asset Purchase Agreement (also Definitive Agreement) is the road map of all the legal agreements between the two parties engaging in the merger/acquisition.

CHAPA – Community Health Care Assets Protection Act (N.J.S.A. 26:2H-7.10 et seq.), governs nonprofit hospital transactions
CMS – Center for Medicare and Medicaid Services

CN – Certificate of Need (N.J.A.C. 8:33), NJ Department of Health Commissioner approval needed to open, close, or sell hospitals, or change services offered in hospitals (does not cover nonprofit mergers/affiliations where no money is exchanged). In some states this is known as a CON

DOH – Department of Health

FTC – Federal Trade Commission, investigates mergers that may violate federal antitrust laws. Section 7 of the Clayton Act prohibits mergers and acquisitions when the effect “may be substantially to lessen competition, or to tend to create a monopoly,” generating anti-competitive conditions

LOI – Letter of Intent, filed by the merging parties giving a general outline of expectations of the two merging entities

MOA – Memorandum of Agreement, filed by the merging parties giving a general outline of expectations of the two merging entities

OAG – Office of the Attorney General

OPRA – Open Public Records Act, New Jersey’s state equivalent to the federal Freedom of Information Act (FOIA), where anyone can file a request for state documents (NJSA 47:1A et seq.)





New Jersey hospital to close under proposed deal
Sep 13 2022

St. Francis Medical Center in Trenton, N.J., would close and many of its services would be shifted to another hospital if a proposed transaction between Capital Health and Trinity Health is approved, according to the Philadelphia Business Journal.

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New deals coming
Jan 08 2020

Financial pressures and an increasingly competitive market are driving the consolidation of hospitals in New Jersey. While traditional hospital mergers and acquisitions will continue, an uptick in non-traditional alliances will also occur in 2020.

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Bayonne blues
Dec 02 2019

Bayonne Medical Center is looking for a merger partner amid a consolidation wave, but residents worry about losing access to acute care...

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FTC to Study the Impact of COPAs
Oct 23 2019

The Federal Trade Commission issued orders to five health insurance companies and two health systems to provide information that will allow the agency to study the effects of certificates of public advantage (COPAs) on prices, quality, access, and innovation...

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NJ AG recommends Virtua-Lourdes deal move forward
Jul 01 2019

The proposed deal calls for Virtua to acquire Lourdes and its hospitals, Lourdes Medical Center of Burlington County in Willingboro and Our Lady of Lourdes in Camden, as well as Lourdes’ nursing school, medical associates and cardiology offices. TRENTON —

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Virtua to Acquire The Lourdes Health System
Jun 07 2018

Taken from the TapInto Camden, June 5, 2018 Camden, NJ—Virtua Health has signed an agreement to acquire Lourdes Health System from Trinity Health, including Our Lady of Lourdes Medical Center in Camden. The boards of Virtua Health and Maxis Health System, an

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Sale of Meadowlands Hospital Receives Final Approval
Dec 18 2017

The state has approved the sale of Meadowlands Hospital Medical Center, the Secaucus hospital where admissions have plummeted under private ownership, to a multimillionaire real-estate developer who owns a Bergen County surgical center. 

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HPAE Raises Concerns About HMH-JFK Merger
Oct 31 2017

Last night a dozen HPAE members and staff attended a public hearing on the affiliation of JFK Medical Center with Hackensack Meridian Health (HMH). If the merger goes through, HMH will own 15 hospitals in the state of New Jersey.

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Merger With Hackensack Health System Completed
Mar 02 2016

Palisades Medical Center and The Harborage are now officially part of the Hackensack Health System. Palisades Medical Center will be called HackensackUMC Palisades. HPAE has issued a press release on the merger, including the following comment from Local 5030 President Michele

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Thats all, folks - no more news!


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