Catholic Health Initiatives (CHI) and Dignity Health have completed their merger, launching a new nonprofit Catholic health system, Common Spirit Health. The deal brings together two large non-profit healthcare systems.

The new, $29 billion health system serves communities in 21 states, with more than 142 hospitals and 700 sites of care. The CEOs of both companies will serve as CEOs in the Office of the CEO for the new health system. Talks of the deal originally surfaced in late 2016.

Under terms of the deal, the new ministry will retain the names of local facilities and services.

“Our new organization will bring the expertise of a national health system to neighborhoods across the country,” said Catholic Health Initiatives CEO Kevin E. Lofton. “Whether it’s a neurological institute in Arizona, a 25-bed critical access facility in North Dakota, a mobile lung cancer screening program in Tennessee or a ‘hospital at home’ in Nebraska, common spirit Health will expand the best approaches from across our new organization. Our whole will be much greater than the sum of our parts.”

The healthcare system has approximately 150,000 employees and 25,000 physicians and advanced practice clinicians. In 2018, the two companies provided $4.2 billion in charity care, community benefits, and unreimbursed government programs.