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Segments
12 Months Ended
Dec. 31, 2016
Segment Reporting [Abstract]  
Segments

NOTE 15 — SEGMENTS

The Company operates in two distinct operating segments, its hospital operations business and its management advisory and consulting services business.  The hospital operations segment includes the operations of the Company’s general acute care hospitals and affiliated outpatient service facilities that provide inpatient and outpatient healthcare services.  Prior to the Spin-off, management fees allocated from Parent were included in the hospital operations segment within the measure of segment profit or loss.  Subsequent to the Spin-off the Company began presenting general and administrative costs for corporate functions as a component of the all other reportable segment.  The hospital management advisory and consulting services segment includes the operations of QHR.  Only the hospital operations segment meets the criteria as a separate reportable segment.  The financial information for QHR has been combined with the Company’s corporate functions and reported below as part of the all other reportable segment.

The following table provides a summary of financial information related to the Company’s segments (in thousands):

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net operating revenues:

 

 

 

 

 

 

 

 

 

 

 

 

Hospital operations

 

$

2,052,751

 

 

$

2,096,831

 

 

$

2,049,193

 

All other

 

 

85,716

 

 

 

90,507

 

 

 

96,307

 

Total net operating revenues

 

$

2,138,467

 

 

$

2,187,338

 

 

$

2,145,500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA:

 

 

 

 

 

 

 

 

 

 

 

 

Hospital operations

 

$

184,000

 

 

$

249,375

 

 

$

251,309

 

All other

 

 

(21,078

)

 

 

14,292

 

 

 

13,516

 

Total Adjusted EBITDA

 

$

162,922

 

 

$

263,667

 

 

$

264,825

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures for property and equipment:

 

 

 

 

 

 

 

 

 

 

 

 

Hospital operations

 

$

44,903

 

 

$

59,272

 

 

$

68,889

 

All other

 

 

35,017

 

 

 

183

 

 

 

177

 

Total capital expenditures for property and equipment

 

$

79,920

 

 

$

59,455

 

 

$

69,066

 

 

 

 

December 31,

 

 

 

2016

 

 

2015

 

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

Hospital operations

 

$

1,802,121

 

 

$

2,256,557

 

All other

 

 

192,249

 

 

 

38,299

 

Total assets

 

$

1,994,370

 

 

$

2,294,856

 

 

The following table provides a reconciliation of Adjusted EBITDA to net income (loss), its most directly comparable U.S. GAAP financial measure (in thousands):

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted EBITDA

 

$

162,922

 

 

$

263,667

 

 

$

264,825

 

Interest expense, net

 

 

(113,440

)

 

 

(98,290

)

 

 

(92,926

)

Provision for (benefit from) income taxes

 

 

53,875

 

 

 

(3,304

)

 

 

(5,579

)

Depreciation and amortization

 

 

(117,288

)

 

 

(128,001

)

 

 

(127,593

)

Legal, professional and settlement costs

 

 

(7,342

)

 

 

 

 

 

(30,374

)

Impairment of-long-lived assets and goodwill

 

 

(291,870

)

 

 

(13,000

)

 

 

(1,000

)

Loss on sale of hospitals, net

 

 

(2,150

)

 

 

 

 

 

 

Transaction costs related to the Spin-off

 

 

(5,488

)

 

 

(16,337

)

 

 

 

Severance costs for post-spin headcount reductions

 

 

(1,617

)

 

 

 

 

 

 

Change in estimate related to collectability of patient accounts receivable

 

 

(22,799

)

 

 

 

 

 

 

Net income (loss)

 

$

(345,197

)

 

$

4,735

 

 

$

7,353