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With UCHealth’s acquisition of the last independent hospital in the market, Colorado Springs has completely become a two-health system town. UCHealth has an edge in inpatient volume over Centura Health’s Penrose-St Francis Health Services. The rival systems are racing to enhance the scope of their overall capabilities by adding clinical service lines, expanding facilities, clinically integrating with physicians, and investing heavily in urgent care. Meanwhile, UnitedHealth Group’s billion acquisition of DaVita Medical Group—which owns two local medical practices—is still awaiting approval. As the market’s two powerhouse IDNs compete against each other and—along with insurers—get more involved in the physician space, expect Colorado Springs to see more innovative and cost-efficient plan designs.