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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table

Pay Versus Performance

Tabular Disclosures of Pay and Performance

Our CEO is the principal executive officer (“PEO”). The following table sets forth information concerning the compensation of our PEO(s) and other NEOs for each of the years ending December 31, 2024, 2023, 2022, 2021 and 2020 as well as our financial performance for each year.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Value of Initial Fixed $100
Investment Based On:

 

 

 

 

 

 

 

Year
  (a)

 

Summary
Compensation
Table Total for
PEO ($)
(b)

 

 

Compensation
Actually Paid
to
PEO ($)
(c)

 

 

Average
Summary
Compensation
Table Total
for Non-PEO
NEOs ($)
(d)

 

 

Average
Compensation
Actually Paid
to Non-PEO
NEOs ($)
(e)

 

 

Total
Shareholder
Return ($)
(f)

 

 

Peer Group
Total
Shareholder
Return ($)
(g)

 

 

Net (Loss)
Income
(h)
($ in
millions)

 

 

Adjusted
EBITDA
(i)
($ in
millions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2024

 

 

7,629,625

 

 

 

7,134,683

 

 

 

2,416,467

 

 

 

2,254,950

 

 

 

103

 

 

 

132

 

 

 

(362

)

 

 

1,540

 

2023

 

 

8,348,223

 

 

 

5,923,701

 

 

 

2,288,615

 

 

 

1,779,564

 

 

 

108

 

 

 

131

 

 

 

16

 

 

 

1,453

 

2022

 

 

6,302,542

 

 

 

159,239

 

 

 

3,694,426

 

 

 

(236,523

)

 

 

149

 

 

 

131

 

 

 

179

 

 

 

1,466

 

2021

 

 

9,526,625

 

 

 

15,121,986

 

 

 

5,415,424

 

 

 

7,635,716

 

 

 

459

 

 

 

139

 

 

 

368

 

 

 

1,969

 

2020

 

 

9,066,419

 

 

 

10,617,549

 

 

 

3,717,051

 

 

 

4,332,808

 

 

 

256

 

 

 

114

 

 

 

607

 

 

 

1,809

 

 

 

 

Column (b) Reflects compensation amounts reported in the “Summary Compensation Table” (“SCT”) for Tim L. Hingtgen, our CEO for 2024, 2023, 2022 and 2021 and Wayne T. Smith, our CEO for 2020.

Column (c) “Compensation actually paid” (“CAP”) to our CEO in each of 2024, 2023, 2022, 2021 and 2020 (individually referred to as “Covered Year”) reflects the respective amounts set forth in column (b) of the table above, adjusted as set forth in the table below, as determined in accordance with SEC rules.

 

 

2024

 

 

2023

 

 

2022

 

 

2021

 

 

2020

 

CEO

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Wayne T.
Smith

 

Total Compensation per the SCT

 

$

7,629,625

 

 

$

8,348,223

 

 

$

6,302,542

 

 

$

9,526,625

 

 

$

9,066,419

 

Less: Stock and Option Award values
   reported in the SCT

 

$

(2,160,000

)

 

$

(4,612,000

)

 

$

(3,779,000

)

 

$

(3,265,000

)

 

$

(1,929,375

)

Plus: Fair Value of Stock and Option
   Awards Granted during the Covered
   Year

 

$

2,232,000

 

 

$

2,334,000

 

 

$

1,620,000

 

 

$

4,924,000

 

 

$

2,958,750

 

Change in Fair Value of Outstanding
   Unvested Stock and Option Awards
   from Prior Years

 

$

(119,000

)

 

$

(771,001

)

 

$

(4,931,670

)

 

$

2,818,729

 

 

$

1,721,475

 

Change in Fair Value of Stock and
   Option Awards from Prior Years that
   Vested in the Covered Year

 

$

(73,600

)

 

$

73,332

 

 

$

(24,582

)

 

$

1,200,313

 

 

$

218,400

 

Less: Fair Value of Stock and Option
   Awards Forfeited during the
   Covered Year

 

$

(520,832

)

 

$

(172,800

)

 

$

(3,110

)

 

$

(5,000

)

 

$

(288,500

)

Less: Aggregate Change in Actuarial
   Present Value of Defined Benefit
   Plans

 

$

(896,801

)

 

$

(347,168

)

 

$

(499,859

)

 

$

(1,520,328

)

 

$

(1,129,620

)

Plus: Aggregate Service Cost and
   Prior Service Cost for Pension Plans

 

$

1,043,291

 

 

$

1,071,115

 

 

$

1,474,917

 

 

$

1,442,647

 

 

 

—

 

Compensation Actually Paid

 

$

7,134,683

 

 

$

5,923,701

 

 

$

159,238

 

 

$

15,121,986

 

 

$

10,617,549

 

 

 

Column (d) Reflects the average compensation amounts reported in the SCT for our Non-PEO NEOs.

Column (e) The following Non-PEO NEOs are included in the average figures shown below:

2024 – Kevin J. Hammons, Lynn T. Simon, Kevin A. Stockton and Chad A. Campbell

2023 – Kevin J. Hammons, Lynn T. Simon, Kevin A. Stockton and Chad A. Campbell

2022 – Wayne T. Smith, Kevin J. Hammons, Lynn T. Simon, and Mark B. Medley

2021 – Wayne T. Smith, Kevin J. Hammons, Lynn T. Simon and Benjamin Fordham

2020 – Tim L. Hingtgen, Kevin J. Hammons, Benjamin Fordham and Lynn T. Simon

 

 

 

2024

 

 

2023

 

 

2022

 

 

2021

 

 

2020

 

Total Compensation per the SCT

 

$

2,416,467

 

 

$

2,288,615

 

 

$

3,694,426

 

 

$

5,415,424

 

 

$

3,717,051

 

Less: Stock and Option Award values
   reported in the SCT

 

$

(526,500

)

 

$

(1,037,700

)

 

$

(2,138,500

)

 

$

(1,850,378

)

 

$

(938,934

)

Plus: Fair Value of Stock and Option
   Awards Granted during the Covered
   Year

 

$

544,050

 

 

$

525,150

 

 

$

917,325

 

 

$

2,785,947

 

 

$

1,437,441

 

Change in Fair Value of Outstanding
   Unvested Stock and Option Awards
   from Prior Years

 

$

(33,338

)

 

$

(293,630

)

 

$

(2,595,277

)

 

$

1,489,657

 

 

$

672,792

 

Change in Fair Value of Stock and
   Option Awards from Prior Years
   that Vested in the Covered Year

 

$

(24,750

)

 

$

63,966

 

 

$

86,796

 

 

$

632,161

 

 

$

84,144

 

Less: Fair Value of Stock and Option
   Awards Forfeited during the
   Covered Year

 

$

(208,928

)

 

$

(32,400

)

 

$

(90,820

)

 

$

(57,500

)

 

$

(68,470

)

Less: Aggregate Change in Actuarial
   Present Value of Defined Benefit
   Plans

 

$

(251,805

)

 

$

(56,263

)

 

$

(440,806

)

 

$

(1,002,492

)

 

$

(978,380

)

Plus: Aggregate Service Cost and
   Prior Service Cost for Pension Plans

 

$

339,753

 

 

$

321,826

 

 

$

330,333

 

 

$

222,897

 

 

$

407,164

 

Compensation Actually Paid

 

$

2,254,950

 

 

$

1,779,564

 

 

$

(236,523

)

 

$

7,635,716

 

 

$

4,332,808

 

 

Column (f) Represents the cumulative total shareholder return for the Company for the measurement periods beginning December 31, 2019 and ending on December 31, 2024, 2023, 2022, 2021 and 2020, respectively.

Column (g) Represents the cumulative total shareholder return of the Dow Jones U.S. Healthcare Index (“Peer Group Total Shareholder Return”) for the measurement periods beginning December 31, 2019 and ending on December 31, 2024, 2023, 2022, 2021 and 2020, respectively.

Column (h) Reflects Net Income as included in the Company’s Annual Reports on Form 10-K for each of the years ended December 31, 2024, 2023, 2022, 2021 and 2020.

Column (i) The Company-Selected Measure is Adjusted EBITDA, a non-GAAP financial measure. See Annex A — Non-GAAP Financial Measures for additional information regarding Adjusted EBITDA, including how Adjusted EBITDA is calculated from the Company’s financial statements.

        
Company Selected Measure Name Adjusted EBITDA        
Named Executive Officers, Footnote The following Non-PEO NEOs are included in the average figures shown below:

2024 – Kevin J. Hammons, Lynn T. Simon, Kevin A. Stockton and Chad A. Campbell

2023 – Kevin J. Hammons, Lynn T. Simon, Kevin A. Stockton and Chad A. Campbell

2022 – Wayne T. Smith, Kevin J. Hammons, Lynn T. Simon, and Mark B. Medley

2021 – Wayne T. Smith, Kevin J. Hammons, Lynn T. Simon and Benjamin Fordham

2020 – Tim L. Hingtgen, Kevin J. Hammons, Benjamin Fordham and Lynn T. Simon

        
Peer Group Issuers, Footnote Represents the cumulative total shareholder return of the Dow Jones U.S. Healthcare Index (“Peer Group Total Shareholder Return”) for the measurement periods beginning December 31, 2019 and ending on December 31, 2024, 2023, 2022, 2021 and 2020, respectively.        
PEO Actually Paid Compensation Amount $ 7,134,683 $ 5,923,701 $ 159,239 $ 15,121,986 $ 10,617,549
Adjustment To PEO Compensation, Footnote “Compensation actually paid” (“CAP”) to our CEO in each of 2024, 2023, 2022, 2021 and 2020 (individually referred to as “Covered Year”) reflects the respective amounts set forth in column (b) of the table above, adjusted as set forth in the table below, as determined in accordance with SEC rules.

 

 

2024

 

 

2023

 

 

2022

 

 

2021

 

 

2020

 

CEO

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Tim L.
Hingtgen

 

 

Wayne T.
Smith

 

Total Compensation per the SCT

 

$

7,629,625

 

 

$

8,348,223

 

 

$

6,302,542

 

 

$

9,526,625

 

 

$

9,066,419

 

Less: Stock and Option Award values
   reported in the SCT

 

$

(2,160,000

)

 

$

(4,612,000

)

 

$

(3,779,000

)

 

$

(3,265,000

)

 

$

(1,929,375

)

Plus: Fair Value of Stock and Option
   Awards Granted during the Covered
   Year

 

$

2,232,000

 

 

$

2,334,000

 

 

$

1,620,000

 

 

$

4,924,000

 

 

$

2,958,750

 

Change in Fair Value of Outstanding
   Unvested Stock and Option Awards
   from Prior Years

 

$

(119,000

)

 

$

(771,001

)

 

$

(4,931,670

)

 

$

2,818,729

 

 

$

1,721,475

 

Change in Fair Value of Stock and
   Option Awards from Prior Years that
   Vested in the Covered Year

 

$

(73,600

)

 

$

73,332

 

 

$

(24,582

)

 

$

1,200,313

 

 

$

218,400

 

Less: Fair Value of Stock and Option
   Awards Forfeited during the
   Covered Year

 

$

(520,832

)

 

$

(172,800

)

 

$

(3,110

)

 

$

(5,000

)

 

$

(288,500

)

Less: Aggregate Change in Actuarial
   Present Value of Defined Benefit
   Plans

 

$

(896,801

)

 

$

(347,168

)

 

$

(499,859

)

 

$

(1,520,328

)

 

$

(1,129,620

)

Plus: Aggregate Service Cost and
   Prior Service Cost for Pension Plans

 

$

1,043,291

 

 

$

1,071,115

 

 

$

1,474,917

 

 

$

1,442,647

 

 

 

—

 

Compensation Actually Paid

 

$

7,134,683

 

 

$

5,923,701

 

 

$

159,238

 

 

$

15,121,986

 

 

$

10,617,549

 

 

        
Non-PEO NEO Average Total Compensation Amount $ 2,416,467 2,288,615 3,694,426 5,415,424 3,717,051
Non-PEO NEO Average Compensation Actually Paid Amount $ 2,254,950 1,779,564 (236,523) 7,635,716 4,332,808
Adjustment to Non-PEO NEO Compensation Footnote

 

 

2024

 

 

2023

 

 

2022

 

 

2021

 

 

2020

 

Total Compensation per the SCT

 

$

2,416,467

 

 

$

2,288,615

 

 

$

3,694,426

 

 

$

5,415,424

 

 

$

3,717,051

 

Less: Stock and Option Award values
   reported in the SCT

 

$

(526,500

)

 

$

(1,037,700

)

 

$

(2,138,500

)

 

$

(1,850,378

)

 

$

(938,934

)

Plus: Fair Value of Stock and Option
   Awards Granted during the Covered
   Year

 

$

544,050

 

 

$

525,150

 

 

$

917,325

 

 

$

2,785,947

 

 

$

1,437,441

 

Change in Fair Value of Outstanding
   Unvested Stock and Option Awards
   from Prior Years

 

$

(33,338

)

 

$

(293,630

)

 

$

(2,595,277

)

 

$

1,489,657

 

 

$

672,792

 

Change in Fair Value of Stock and
   Option Awards from Prior Years
   that Vested in the Covered Year

 

$

(24,750

)

 

$

63,966

 

 

$

86,796

 

 

$

632,161

 

 

$

84,144

 

Less: Fair Value of Stock and Option
   Awards Forfeited during the
   Covered Year

 

$

(208,928

)

 

$

(32,400

)

 

$

(90,820

)

 

$

(57,500

)

 

$

(68,470

)

Less: Aggregate Change in Actuarial
   Present Value of Defined Benefit
   Plans

 

$

(251,805

)

 

$

(56,263

)

 

$

(440,806

)

 

$

(1,002,492

)

 

$

(978,380

)

Plus: Aggregate Service Cost and
   Prior Service Cost for Pension Plans

 

$

339,753

 

 

$

321,826

 

 

$

330,333

 

 

$

222,897

 

 

$

407,164

 

Compensation Actually Paid

 

$

2,254,950

 

 

$

1,779,564

 

 

$

(236,523

)

 

$

7,635,716

 

 

$

4,332,808

 
       
Compensation Actually Paid vs. Total Shareholder Return

img86150304_44.jpg

        
Compensation Actually Paid vs. Net Income

img86150304_45.jpg

        
Compensation Actually Paid vs. Company Selected Measure

img86150304_46.jpg

        
Total Shareholder Return Vs Peer Group

img86150304_44.jpg

        
Tabular List, Table

Listed below, in no specific order, are the performance measures which in our assessment represent the most important measures we used to link compensation actually paid to our NEOs for 2024 to the Company’s performance:

Adjusted EBITDA

- - - - -

Cumulative Consolidated Adjusted EBITDA Growth

- - - - -

Net Revenues

- - - - -

Consolidated Adjusted EBITDA Margin Improvement

- - - - -

Adjusted (Loss) Earnings per Share

       
Total Shareholder Return Amount $ 103 108 149 459 256
Peer Group Total Shareholder Return Amount 132 131 131 139 114
Net Income (Loss) $ (362,000,000) $ 16,000,000 $ 179,000,000 $ 368,000,000 $ 607,000,000
Company Selected Measure Amount 1,540,000,000 1,453,000,000 1,466,000,000 1,969,000,000 1,809,000,000
Measure:: 1          
Pay vs Performance Disclosure          
Name Adjusted EBITDA        
Non-GAAP Measure Description The Company-Selected Measure is Adjusted EBITDA, a non-GAAP financial measure. See Annex A — Non-GAAP Financial Measures for additional information regarding Adjusted EBITDA, including how Adjusted EBITDA is calculated from the Company’s financial statements.        
Measure:: 2          
Pay vs Performance Disclosure          
Name Cumulative Consolidated Adjusted EBITDA Growth        
Measure:: 3          
Pay vs Performance Disclosure          
Name Net Revenues        
Measure:: 4          
Pay vs Performance Disclosure          
Name Consolidated Adjusted EBITDA Margin Improvement        
Measure:: 5          
Pay vs Performance Disclosure          
Name Adjusted (Loss) Earnings per Share        
Tim Hingtgen [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount $ 7,629,625 $ 8,348,223 $ 6,302,542 $ 9,526,625  
PEO Actually Paid Compensation Amount $ 7,134,683 $ 5,923,701 $ 159,238 $ 15,121,986  
PEO Name Tim L. Hingtgen Tim L. Hingtgen Tim L. Hingtgen Tim L. Hingtgen  
Wayne Smith [Member]          
Pay vs Performance Disclosure          
PEO Total Compensation Amount         $ 9,066,419
PEO Actually Paid Compensation Amount         $ 10,617,549
PEO Name         Wayne T. Smith
PEO | Tim Hingtgen [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 7,629,625 $ 8,348,223 $ 6,302,542 $ 9,526,625  
PEO | Tim Hingtgen [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (2,160,000) (4,612,000) (3,779,000) (3,265,000)  
PEO | Tim Hingtgen [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,232,000 2,334,000 1,620,000 4,924,000  
PEO | Tim Hingtgen [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (119,000) (771,001) (4,931,670) 2,818,729  
PEO | Tim Hingtgen [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (73,600) 73,332 (24,582) 1,200,313  
PEO | Tim Hingtgen [Member] | Fair Value of Stock and Option Awards Forfeited during the Covered Year [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (520,832) (172,800) (3,110) (5,000)  
PEO | Tim Hingtgen [Member] | Aggregate Change in Actuarial Present Value of Defined Benefit Plans [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (896,801) (347,168) (499,859) (1,520,328)  
PEO | Tim Hingtgen [Member] | Aggregate Service Cost and Prior Service Cost for Pension Plans [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,043,291 1,071,115 1,474,917 1,442,647  
PEO | Wayne Smith [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         $ 9,066,419
PEO | Wayne Smith [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (1,929,375)
PEO | Wayne Smith [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         2,958,750
PEO | Wayne Smith [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         1,721,475
PEO | Wayne Smith [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         218,400
PEO | Wayne Smith [Member] | Fair Value of Stock and Option Awards Forfeited during the Covered Year [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (288,500)
PEO | Wayne Smith [Member] | Aggregate Change in Actuarial Present Value of Defined Benefit Plans [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount         (1,129,620)
Non-PEO NEO          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,416,467 2,288,615 3,694,426 5,415,424 3,717,051
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (526,500) (1,037,700) (2,138,500) (1,850,378) (938,934)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 544,050 525,150 917,325 2,785,947 1,437,441
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (33,338) (293,630) (2,595,277) 1,489,657 672,792
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (24,750) 63,966 86,796 632,161 84,144
Non-PEO NEO | Fair Value of Stock and Option Awards Forfeited during the Covered Year [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (208,928) (32,400) (90,820) (57,500) (68,470)
Non-PEO NEO | Aggregate Change in Actuarial Present Value of Defined Benefit Plans [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (251,805) (56,263) (440,806) (1,002,492) (978,380)
Non-PEO NEO | Aggregate Service Cost and Prior Service Cost for Pension Plans [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 339,753 $ 321,826 $ 330,333 $ 222,897 $ 407,164