Ours was driven by a new CEO. The hospital had been under the same CEO for 20 years and he was very focused on just the St. Augustine community. The goal was partnership with the local practices and facilities, with the main revenue coming from lab, rad, and surgery, both inpatient and outpatient. He retired and his longtime heir apparent became CEO and immediately started to expand into acute care clinic, primary care, which pissed off the established practices in the area, then started building 2 new hospitals, which will likely never see completion at this point, during one of the most expensive times to build anything in modern US history. It's what happens when your ego gets ahead of your brain. He was fired by the board after about 18 months, but the damage was done. I'd guess the sign out front will be Baptist, Advent, Ascension, or HCA in the next 18 months. I just hope it isn't Ascension or HCA. They're terrible.