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Acquisitions and Divestitures
9 Months Ended
Sep. 30, 2024
Acquisitions And Divestitures [Abstract]  
ACQUISITIONS AND DIVESTITURES

3. 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.

The Company accounts for asset acquisitions pursuant to a cost accumulation model. Direct transaction costs are recognized as part of the cost of an acquisition. The Company also evaluates which elements of a transaction should be accounted for as part of an asset acquisition and which should be accounted for separately. The cost of an asset acquisition, including transaction costs, is allocated to identifiable assets acquired and liabilities assumed based on a relative fair value basis. Goodwill is not recognized in an asset acquisition.

During the nine months ended September 30, 2024, one or more subsidiaries of the Company paid approximately $1 million to acquire the operating assets and related businesses of certain physician practices and clinics that operate within the communities served by the Company’s affiliated hospitals. The purchase price for these transactions was primarily allocated to working capital and property and equipment.

Divestitures

There was one hospital divestiture completed during the three and nine months ended September 30, 2024. The following table provides a summary of hospitals that the Company divested (or, in the case of Lutheran Rehabilitation Hospital, in which the Company sold a majority interest) during the nine months ended September 30, 2024 and the year ended December 31, 2023:

 

 

 

 

 

 

 

Licensed

 

 

Hospital

 

Buyer

 

City, State

 

Beds

 

Effective Date

2024 Divestiture:

 

 

 

 

 

 

 

 

Tennova Healthcare - Cleveland

 

Hamilton Health Care Systems, Inc.

 

Cleveland, TN

 

351

 

August 1, 2024

2023 Divestitures:

 

 

 

 

 

 

 

 

Greenbrier Valley Medical Center

 

Vandalia Health, Inc.

 

Ronceverte, WV

 

122

 

January 1, 2023

Plateau Medical Center

 

Vandalia Health, Inc.

 

Oak Hill, WV

 

25

 

April 1, 2023

Medical Center of South Arkansas

 

SARH Holdings, Inc.

 

El Dorado, AR

 

166

 

July 1, 2023

Lutheran Rehabilitation Hospital

 

Select Medical Corporation

 

Fort Wayne, IN

 

36

 

September 1, 2023

AllianceHealth Ponca City

 

Integris Health

 

Ponca City, OK

 

140

 

November 1, 2023

AllianceHealth Woodward

 

Integris Health

 

Woodward, OK

 

87

 

November 1, 2023

Bravera Health Brooksville

 

Tampa General Hospital

 

Brooksville, FL

 

120

 

December 1, 2023

Bravera Health Spring Hill

 

Tampa General Hospital

 

Spring Hill, FL

 

124

 

December 1, 2023

Bravera Health Seven Rivers

 

Tampa General Hospital

 

Crystal River, FL

 

128

 

December 1, 2023

 

 

 

 

 

 

 

 

 

On July 30, 2024, the Company entered into a definitive agreement for the sale of substantially all of the assets of Regional Hospital of Scranton (186 licensed beds) and Moses Taylor Hospital (122 licensed beds) in Scranton, Pennsylvania, as well as Wilkes-Barre General Hospital (369 licensed beds) in Wilkes-Barre, Pennsylvania, and certain related businesses to affiliates of WoodBridge Healthcare, Inc. These hospitals were classified as held-for-sale as of September 30, 2024.

On August 16, 2024, the Company entered into a definitive agreement for the sale of substantially all of the assets of Davis Regional Medical Center (144 licensed beds) in Statesville, North Carolina, to Iredell Memorial Hospital, Inc. This hospital was classified as held-for-sale as of September 30, 2024. This disposition was completed on October 1, 2024, as further described in Note 13.

The following table discloses amounts included in the condensed consolidated balance sheets for the hospitals classified as held-for-sale as of September 30, 2024 and December 31, 2023 (in millions). Other current assets primarily includes patient accounts receivable and prepaid expenses while Other assets, net, primarily includes the net property and equipment and goodwill for the hospitals held-for-sale. No divestitures or potential divestitures meet the criteria for reporting as a discontinued operation as of September 30, 2024 or December 31, 2023.

 

 

 

September 30,
2024

 

 

December 31,
2023

 

Other current assets

 

$

95

 

 

$

6

 

Other assets, net

 

 

59

 

 

 

218

 

Accrued liabilities

 

 

(57

)

 

 

(13

)