Dispositions and acquisitions and purchase of third-party ownership interests

9 Months Ended

Sep. 30, 2016

Business Combinations [Abstract]

Dispositions and acquisitions and purchase of third-party ownership interests

(8) Dispositions and acquisitions and purchase of third-party ownership interests

Nine-month period ended September 30, 2016:

Acquisitions:

During the first nine months of 2016, we paid approximately $136 million to acquire: (i) a 25-bed facility located in Pahrump, Nevada (acquired during the third quarter); (ii) an office building located in Pennsylvania (acquired during the third quarter) and; (iii) various other businesses and property assets.

In addition, during the second quarter of 2016, we paid $445 million in connection with the purchase of the minority ownership interests held by a third-party in our six acute care hospitals located in the Las Vegas, Nevada market which includes both the purchase price ($418 million) and return of reserve capital ($27 million). The ownership interests purchased, which range from 26.1% to 27.5%, relate to Centennial Hills Hospital Medical Center, Desert Springs Hospital, Henderson Hospital (opened October 31, 2016), Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center and Valley Hospital Medical Center.

Nine-month period ended September 30, 2015:

Acquisitions:

During the first nine months of 2015, we paid approximately $183 million to acquire: (i) a 46-bed behavioral health care facility located in the U.K. (acquired during the first quarter); (ii) Alpha Hospital Holdings Limited consisting of four behavioral health care hospitals with 305 beds located in the U.K. (acquired during the third quarter), and; (iii) various other businesses, a management contract and real property assets.

Divestitures:

During the first nine months of 2015, we received approximately $3 million related to the divestiture of a small operator of behavioral health care services (sold during the third quarter).  The pre-tax gain realized on this divestiture did not have a material impact on our consolidated financial statements.