IMPAIRMENT AND RESTRUCTURING CHARGES, AND ACQUISITION-RELATED COSTS

6 Months Ended

Jun. 30, 2020

Restructuring Costs and Asset Impairment Charges [Abstract]

IMPAIRMENT AND RESTRUCTURING CHARGES, AND ACQUISITION-RELATED COSTS

IMPAIRMENT AND RESTRUCTURING CHARGES, AND ACQUISITION-RELATED COSTS

        During the six months ended June 30, 2020, we recorded impairment and restructuring charges and acquisition-related costs of $109 million, consisting of $5 million of impairment charges, $103 million of restructuring charges and $1 million of acquisition-related costs. Restructuring charges consisted of $37 million of employee severance costs, $25 million related to our Global Business Center in the Philippines, $23 million of charges due to the termination of the USPI management equity plan, $1 million of contract and lease termination fees, and $17 million of other restructuring costs. Acquisition-related costs consisted of $1 million of transaction costs. Our impairment charges for the six months ended June 30, 2020 were comprised of $5 million from our Ambulatory Care segment. 

        During the six months ended June 30, 2019, we recorded impairment and restructuring charges and acquisition-related costs of $55 million, consisting of $5 million of impairment charges, $47 million of restructuring charges and $3 million of acquisition-related costs. Restructuring charges consisted of $18 million of employee severance costs, $2 million of contract and lease termination fees, and $27 million of other restructuring costs. Acquisition-related costs consisted of $3 million of transaction costs. Our impairment charges for the six months ended June 30, 2019 were comprised of $4 million from our Hospital Operations segment and $1 million from our Ambulatory Care segment.

        Our impairment tests presume stable, improving or, in some cases, declining operating results in our facilities, which are based on programs and initiatives being implemented that are designed to achieve each facility’s most recent projections. If these projections are not met, or if in the future negative trends occur that impact our future outlook, impairments of long-lived assets and goodwill may occur, and we may incur additional restructuring charges, which could be material.

        At June 30, 2020, our continuing operations consisted of three reportable segments, Hospital Operations, Ambulatory Care and Conifer. Our segments are reporting units used to perform our goodwill impairment analysis.

        We periodically incur costs to implement restructuring efforts for specific operations, which are recorded in our consolidated statements of operations as they are incurred. Our restructuring plans focus on various aspects of operations, including aligning our operations in the most strategic and cost-effective structure. Certain restructuring and acquisition-related costs are based on estimates. Changes in estimates are recognized as they occur.