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Acquisitions and Divestitures
3 Months Ended
Mar. 31, 2018
Acquisitions and Divestitures [Abstract]  
Acquisitions and Divestitures Disclosure



5.  ACQUISITIONS AND DIVESTITURES 

Acquisitions 

The Company accounts for all transactions that represent business combinations using the acquisition method of accounting, where the identifiable assets acquired, the liabilities assumed and any noncontrolling interest in the acquired entity are recognized and measured at their fair values on the date the Company obtains control in the acquiree. Such fair values that are not finalized for reporting periods following the acquisition date are estimated and recorded as provisional amounts. Adjustments to these provisional amounts during the measurement period (defined as the date through which all information required to identify and measure the consideration transferred, the assets acquired, the liabilities assumed and any noncontrolling interests has been obtained, limited to one year from the acquisition date) are recorded when identified. Goodwill is determined as the excess of the fair value of the consideration conveyed in the acquisition over the fair value of the net assets acquired. 

During the three months ended March 31, 2018, one or more subsidiaries of the Company paid approximately $8 million to acquire the operating assets and related businesses of certain physician practices, clinics and other ancillary businesses that operate within the communities served by the Company’s affiliated hospitals. In connection with these acquisitions, during the three months ended March 31, 2018, the Company allocated approximately $2 million of the consideration paid to property and equipment and net working capital and the remainder, approximately $6 million consisting of intangible assets that do not qualify for separate recognition, to goodwill. No hospitals were acquired in 2017 or during the three months ended March 31, 2018.

Acquisition and integration expenses related to prospective and closed acquisitions included in other operating expenses on the condensed consolidated statements of loss was less than $1 million during both of the three-month periods ended March 31, 2018 and 2017.



Divestitures

During the three months ended March 31, 2018, the Company did not complete any divestitures. The following table provides a summary of hospitals included in continuing operations that the Company divested during the year ended December 31, 2017:





 

 

 

 

 

 

 

 



 

 

 

 

 

Licensed

 

 

Hospital

 

Buyer

 

City, State

 

Beds

 

Effective Date



 

 

 

 

 

 

 

 

2017 Divestitures:

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

Highlands Regional Medical Center

 

HCA Holdings, Inc. (HCA)

 

Sebring, FL

 

126

 

November 1, 2017

Merit Health Northwest Mississippi

 

Curae Health, Inc.

 

Clarksdale, MS

 

181

 

November 1, 2017

Weatherford Regional Medical Center

 

HCA

 

Weatherford, TX

 

103

 

October 1, 2017

Brandywine Hospital

 

Reading Health System

 

Coatesville, PA

 

169

 

October 1, 2017

Chestnut Hill Hospital

 

Reading Health System

 

Philadelphia, PA

 

148

 

October 1, 2017

Jennersville Hospital

 

Reading Health System

 

West Grove, PA

 

63

 

October 1, 2017

Phoenixville Hospital

 

Reading Health System

 

Phoenixville, PA

 

151

 

October 1, 2017

Pottstown Memorial Medical Center

 

Reading Health System

 

Pottstown, PA

 

232

 

October 1, 2017

Yakima Regional Medical and Cardiac Center

 

Regional Health

 

Yakima, WA

 

214

 

September 1, 2017

Toppenish Community Hospital

 

Regional Health

 

Toppenish, WA

 

63

 

September 1, 2017

Memorial Hospital of York

 

PinnacleHealth System

 

York, PA

 

100

 

July 1, 2017

Lancaster Regional Medical Center

 

PinnacleHealth System

 

Lancaster, PA

 

214

 

July 1, 2017

Heart of Lancaster Regional Medical Center

 

PinnacleHealth System

 

Lititz, PA

 

148

 

July 1, 2017

Carlisle Regional Medical Center

 

PinnacleHealth System

 

Carlisle, PA

 

165

 

July 1, 2017

Tomball Regional Medical Center

 

HCA

 

Tomball, TX

 

350

 

July 1, 2017

South Texas Regional Medical Center

 

HCA

 

Jourdanton, TX

 

67

 

July 1, 2017

Deaconess Hospital

 

MultiCare Health System

 

Spokane, WA

 

388

 

July 1, 2017

Valley Hospital

 

MultiCare Health System

 

Spokane Valley, WA

 

123

 

July 1, 2017

Lake Area Medical Center

 

CHRISTUS Health

 

Lake Charles, LA

 

88

 

June 30, 2017

Easton Hospital

 

Steward Health, Inc.

 

Easton, PA

 

196

 

May 1, 2017

Sharon Regional Health System

 

Steward Health, Inc.

 

Sharon, PA

 

258

 

May 1, 2017

Northside Medical Center

 

Steward Health, Inc.

 

Youngstown, OH

 

355

 

May 1, 2017

Trumbull Memorial Hospital

 

Steward Health, Inc.

 

Warren, OH

 

311

 

May 1, 2017

Hillside Rehabilitation Hospital

 

Steward Health, Inc.

 

Warren, OH

 

69

 

May 1, 2017

Wuesthoff Health System – Rockledge

 

Steward Health, Inc.

 

Rockledge, FL

 

298

 

May 1, 2017

Wuesthoff Health System – Melbourne

 

Steward Health, Inc.

 

Melbourne, FL

 

119

 

May 1, 2017

Sebastian River Medical Center

 

Steward Health, Inc.

 

Sebastian, FL

 

154

 

May 1, 2017

Stringfellow Memorial Hospital

 

The Health Care Authority

 

Anniston, AL

 

125

 

May 1, 2017



 

of the City of Anniston

 

 

 

 

 

 

Merit Health Gilmore Memorial

 

Curae Health, Inc.

 

Amory, MS

 

95

 

May 1, 2017

Merit Health Batesville

 

Curae Health, Inc.

 

Batesville, MS

 

112

 

May 1, 2017



 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 



   A discontinued operation in U.S. GAAP is a disposal that represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. Additional disclosures are required for significant components of the entity that are disposed of or are held for sale but do not qualify as discontinued operations. The divestitures above do not meet the criteria for reporting as discontinued operations and are included in continuing operations for the three months ended March 31, 2018 and 2017.

On May 1, 2017, one or more subsidiaries of the Company sold AllianceHealth Pryor (52 licensed beds) in Pryor, Oklahoma, and its associated assets to Ardent Health Services Inc. for approximately $1 million in cash. This hospital has been reported in the condensed consolidated statements of loss in discontinued operations.

Net operating revenues and loss from discontinued operations reported for the three months ended March 31, 2017 are as follows (in millions):





 

 



 

 



Three Months Ended



March 31, 2017



 

 

Net operating revenues

$

25 

Loss from operations of entities sold or held for sale

 

 

before income taxes

 

(2)

Impairment of hospitals sold or held for sale

 

 -

Loss on sale, net

 

 -

Loss from discontinued operations, before taxes

 

(2)

Income tax benefit

 

(1)

Loss from discontinued operations, net of taxes

$

(1)



 

 

The following table discloses amounts included in the condensed consolidated balance sheet for the hospitals classified as held for sale as of March 31, 2018 and December 31, 2017 (in millions):





 

 

 

 

 

 



 

 

 

 

 

 



 

March 31, 2018

 

December 31, 2017

Other current assets

 

$

16 

 

$

Other assets, net

 

 

66 

 

 

12 

Accrued liabilities