A deal finalized just two years ago between nonprofit Baylor Scott & White Health and Tenet Healthcare, one of the nation’s largest for-profit hospital chains, to jointly operate five area hospitals has come to an end.

The two will no longer share ownership of the Frisco-based Centennial and Rowlett-based Lake Pointe medical centers. A third center in Sunnyvale will continue in a partnership, but will now be partly owned by United Surgical Partners International, an Addison company acquired by Tenet in 2015.

The two other facilities located in Garland and White Rock, that were part of the original deal, announced their plans to either be permanently closed or sold late last year.

The health systems told The Dallas Morning News that the deal — which became effective in 2016 for a net transaction price of about $288 million — accomplished its original goal of creating a network to deliver integrated, value-based care to Rockwall, Collin and Dallas counties.

But it was time to shift gears to adapt to a rapidly changing health care landscape, one in which uncertainty ensues over another major revamp of the nation's health care legislation.

“We are making adjustments so that we can continue to grow the organization and continue to grow in some of these markets,”said Baylor Scott and White Health CEO, Jim Hinton.

“We are not changing what we do. We are changing, in some ways, how we do it.”

The deal was part of a flurry of consolidation in the health care industry, mainly spurred by implementation of the Affordable Care Act. Mergers, acquisitions and other types of joint ventures helped providers gain larger footprints, which they hoped would create efficiencies and lower health care costs.

In that environment, a bigger network with more access points was beneficial, said Daniel Waldmann, senior vice president of public affairs for Tenet Healthcare, the nation’s third largest investor-owned hospital chain.

In recent months, new leadership has announced major changes including a $250 million cost-reduction effort and layoffs, and it has been narrowing its footprint by selling off hospitals in certain markets.

“It's consistent with what we've said about our overall strategic focus, and moving away from hospital operations in markets where we don't have a leadership position,” Waldmann said, and part of “an ongoing evolution of our relationship with North Texas.”

The two Dallas-based health systems originally announced plans to partner in 2015. The deal gained regulatory approval and became effective the following year. Baylor paid Tenet $288 million and became majority owner of four Tenet full-service hospitals.

Baylor now plans to acquire — for an undisclosed amount — Tenet's part of the Centennial facility on Lebanon Road in Frisco and the Lake Pointe facility on Scenic Drive in Rowlett.

Baylor would be the full manager and operator of both, and employees would become staff of the Baylor system, according to LaVone Arthur, chief strategy officer.

The third facility, on Collins Road in Sunnyvale, will continue to be majority-owned by Baylor moving forward. However, the minority owner would now be Tenet’s subsidiary, USPI, an ambulatory services management company that focuses on surgery, imaging and urgent care centers. Staff in Sunnyvale would remain employed under the Tenet umbrella.

The transactions are awaiting regulatory approval. The deal is expected to close by March 1. There should be no disruption to service for patients.