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Acquisitions and Dispositions
9 Months Ended
Sep. 30, 2019
Business Combinations [Abstract]  
Acquisitions and Dispositions
NOTE 2 — ACQUISITIONS AND DISPOSITIONS
During the nine months ended September 30, 2019, we paid $1.399 billion to acquire a seven-hospital health system in North Carolina and $193 million to acquire other nonhospital health care entities. During the nine months ended September 30, 2018, we paid $788 million to acquire two hospital facilities and $268 million to acquire other nonhospital health care entities. Purchase price amounts have been allocated to the related assets acquired and liabilities assumed based upon their respective fair values. The purchase price paid in excess of the fair value of identifiable net assets of these acquired entities aggregated $231 million for the nine months ended September 30, 2019. The consolidated financial statements include the accounts and operations of the acquired entities subsequent to the respective acquisition dates. The pro forma effects of these acquired entities on our results of operations for periods prior to the respective acquisition dates were not significant
.
During the nine months ended September 30, 2019, we received proceeds of $25
 million and recognized a net pretax loss of $1
 million related to a sale of a hospital facility in one of our Louisiana markets. During the nine months ended September 30, 2019, we also received proceeds of $24
 million and recognized a net pretax gain of $18
 million related to sales of real estate and other investments. During the nine months ended September 30, 2018, we received proceeds of $758
 million and recognized a net​​​​​​​ pretax gain of $372 million related to the sale of the two hospital facilities in our Oklahoma market. During the nine months ended
 
September 30, 2018, we also received proceeds of $44 million and recognized a net pretax gain of $
48
 million related to sales of real estate and other investments.