Ardent Health, Inc. has entered into a definitive agreement to acquire Boone Health, a not-for-profit health system based in Columbia, Missouri. The transaction is valued at $47 million in cash. The acquisition includes the 392-bed Boone Hospital Center, the Boone Health Medical Group, 19 sites of care, related ancillary services, and associated real estate.
Boone Health serves a 26-county area in Mid-Missouri and generated approximately $480 million in annual revenue for the year ended December 31, 2025. The organization has operated as an independent system since 2021 and employs more than 2,000 staff and 350 physicians.
Under the terms of the agreement, Ardent has committed to investing $200 million in capital over the next 10 years. These funds are designated for equipment, facility renovations, new facilities, physician recruitment, and information systems. Near-term priorities under this commitment include expanding the emergency department and modernizing operating rooms.
The transaction is expected to close in the first quarter of 2027, subject to customary closing conditions. Until the deal is finalized, both organizations will continue to operate independently. Ardent management will host a conference call to discuss the acquisition on November 12, 2026, at 5 p.m. Eastern Time.
