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Eastern CT Health Network, including Rockville and Manchester Hospitals and their networks, has entered an agreement with for-profit Tennessee-based Vanguard Health Systems and Yale-New Haven Health Systems. Under the agreement Vanguard will takeover outpatient facilities at both hospitals and Yale will provide clinical support. Vanguard is also seeking to acquire Waterbury Hospital and more recently announced they will be purchased by Tenet Healthcare Corp. Advocates have raised concerns about Tenet’s history of federal actions and penalties.