Vanguard Health Systems

Tenet Healthcare has sold nine hospitals since August and will sell four more, but the company has made no suggestion it will offload Saint Vincent Hospital or MetroWest Medical Center.

Profit-driven health care is a growing local and national trend that doesn't necessarily carry ill effects.

MetroWest Medical Center is another hospital in the region that's seen a stark financial improvement, and leading the ongoing turnaround is Barbara Doyle, the president and CEO of the Tenet Healthcare-owned hospital, with a main campus in Framingham and another in Natick.

In fiscal 2014, Saint Vincent Hospital was the most profitable outside of Greater Boston at $65.2 million.

Saint Vincent Hospital and MetroWest Medical Center are now officially under a new owner.

With its purchase by Tenet Healthcare Corp. pending, Vanguard Health Systems, the parent company of Saint Vincent Hospital and MetroWest Medical Center, reported a slight drop in net income for its recently completed fourth quarter, but a jump for the fiscal year.

As cost pressures mount from health-care reform efforts at the state and federal levels, hospitals are continually seeking out alliances within the industry.

Tufts Medical Center and Vanguard Health Systems New England, the parent of Saint Vincent Hospital and MetroWest Medical Center, have signed an affiliation agreement to enhance and expand cardiovascular services to patients in Central and Eastern Massachusetts, according to a statement from Tufts.

Nashville-based Vanguard Health Systems will be acquired by Tenet Healthcare Corp., a Dallas-based health care services company, the organizations announced Monday.

Andrei Soran, CEO of MetroWest Medical Center, has begun a new job with Vanguard Health Systems, the for-profit hospital operator that owns MetroWest's hospitals in Framingham and Natick, the hospital said in a statement.