Dispositions and acquisitions

3 Months Ended

Mar. 31, 2016

Business Combinations [Abstract]

Dispositions and acquisitions

(8) Dispositions and acquisitions

Transaction subsequent to March 31, 2016:

Purchase of third-party ownership interests in six acute care hospitals in Las Vegas, Nevada market:

Subsequent to March 31, 2016, we agreed to purchase the minority ownership interests held by a third-party in our six acute care hospitals located in the Las Vegas, Nevada market for an aggregate cash payment of $445 million which includes both the purchase price and return of capital. The ownership interests purchased, which range from 26.1% to 27.5%, relate to Centennial Hills Hospital Medical Center, Desert Springs Hospital, Henderson Hospital (currently under construction), Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center and Valley Hospital Medical Center.    

Three-month period ended March 31, 2016:

Acquisitions:

During the first quarter of 2016, we paid approximately $20 million to acquire various businesses and property.

Three-month period ended March 31, 2015:

Acquisitions:

During the first quarter of 2015, we paid approximately $35 million to acquire: (i) a 46-bed behavioral health care facility located in the U.K. and; (ii) various other businesses, a management contract and real property assets.