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Acquisitions and Divestitures
3 Months Ended
Mar. 31, 2025
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 three months ended March 31, 2025, one or more subsidiaries of the Company paid less than $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 were three hospital divestitures completed during the three months ended March 31, 2025. The following table provides a summary of hospitals that the Company divested (or, in the case of Merit Health Biloxi, in which the Company sold its ownership interest) during the three months ended March 31, 2025 and the year ended December 31, 2024:

 

 

 

 

 

 

 

Licensed

 

 

Hospital

 

Buyer

 

City, State

 

Beds

 

Effective Date

2025 Divestitures:

 

 

 

 

 

 

 

 

Merit Health Biloxi

 

Memorial Health System

 

Biloxi, Mississippi

 

153

 

February 1, 2025

ShorePoint Health - Port Charlotte

 

AdventHealth

 

Port Charlotte, Florida

 

254

 

March 1, 2025

ShorePoint Health - Punta Gorda

 

AdventHealth

 

Punta Gorda, Florida

 

208

 

March 1, 2025

 

 

 

 

 

 

 

 

 

2024 Divestitures:

 

 

 

 

 

 

 

 

Tennova Healthcare - Cleveland

 

Hamilton Health Care Systems, Inc.

 

Cleveland, TN

 

351

 

August 1, 2024

Davis Regional Medical Center

 

Iredell Memorial Hospital

 

Statesville, NC

 

144

 

October 1, 2024

On December 11, 2024, a subsidiary of the Company entered into a definitive agreement to sell Lake Norman Regional Medical Center (123 licensed beds) in Mooresville, North Carolina, and related businesses, to Duke University Health System, Inc. This disposition was completed on April 1, 2025, as further described in Note 14 - Subsequent Events.

On January 29, 2025, subsidiaries of the Company entered into a definitive agreement for the sale of its 50% interest in Merit Health Madison (67 licensed beds) in Canton, Mississippi, to an affiliate of the University of Mississippi Medical Center, which currently has a 50% ownership interest in Merit Health Madison.

The following table discloses amounts included in the condensed consolidated balance sheets for the hospitals classified as held-for-sale as of March 31, 2025 and December 31, 2024 (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 March 31, 2025 or December 31, 2024.

 

 

 

March 31,
2025

 

 

December 31,
2024

 

Other current assets

 

$

15

 

 

$

28

 

Other assets, net

 

 

187

 

 

 

395

 

Accrued liabilities

 

 

(14

)

 

 

(43

)