CommonSpirit’s Trinity Health System, UPMC Sign Nonbinding Letter for Potential Integration

The tentative plans were announced, following earlier reports by the Pittsburgh Post-Gazette about initial discussions.

UPMC and Trinity Health System, a three-hospital entity owned by CommonSpirit Health, have signed a nonbinding letter of intent to pursue an integration.

The tentative plans were announced, following earlier reports by the Pittsburgh Post-Gazette about initial discussions.

Specific terms or conditions of the negotiations were not disclosed.

If finalized, the agreement would give UPMC an operational presence in Trinity Health System’s home market of Ohio. Trinity operates hospitals in Steubenville, Pleasant Heights, and Dennison, along with urgent care, behavioral health, and physician office facilities serving communities across eastern Ohio.

“Over the next several months, both entities will engage in discussions to work towards a definitive agreement, pending customary regulatory review and approvals,” the organizations stated. “Trinity Health System and UPMC leaders hope to complete the affiliation as soon as possible.”

According to the announcement, CommonSpirit and Trinity’s leadership had started seeking a regional health partner earlier this year to strengthen their service offerings and ensure the sustainability of local healthcare. The organizations said the goal was to keep “high-quality healthcare sustainable and locally available not only for today, but for the future generations.”

UPMC and Trinity have maintained a clinical collaboration for more than two decades. Their existing partnership has brought UPMC’s cancer treatment and advanced orthopedic care to Trinity’s facilities.

Both CommonSpirit Health and UPMC rank among the nation’s largest nonprofit health systems.

CommonSpirit operates 138 hospitals and more than 2,300 care sites across 24 states. For the fiscal year ended June 30, 2025, the system reported an operating loss of $687 million on roughly $40 billion in total revenue.

UPMC, which runs over 40 hospitals and 800 clinic sites along with an integrated insurance division, posted a $399 million operating loss on $30 billion in revenue across 2024. The organization has since reversed those losses midway through 2025.

Further details on the potential integration are expected following regulatory review and completion of due diligence.

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