| Period End | Type | Status | Affected | % Workforce | Announced | Expected Completion | Geography | Segment / Function | Charge | Source | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-31 | acquisition_addition | completed | New Hampshire and Florida | Hospitals | USD 189 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Two hospital facilities acquired during 2025 for $189 million; no headcount added disclosed | ||||
| 2025-12-31 | acquisition_addition | completed | United States | Non-hospital health care entities | USD 208 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Non-hospital health care entities acquired during 2025 for $208 million; no headcount added disclosed | ||||
| 2025-12-31 | divestiture_reduction | completed | California and Indiana | Hospitals | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Two hospital facilities sold during 2025 with $230 million proceeds and $41 million pretax gain; no headcount removed disclosed | |||||
| 2024-12-31 | other | completed | 2024 | California and Nevada | Hospitals | Item_1_Business f5-10k / GLM-5.3-flash-HTML | Three union representation elections held in 2024 resulted in employees being added to existing bargaining units at three facilities; affected employee counts were not disclosed. Context: certain employees at 35 of the filer's domestic hospitals were union-represented as of December 31, 2024. | ||||
| 2024-12-31 | other | completed | 2024 | Colorado | Hospitals | Item_1_Business f5-10k / GLM-5.3-flash-HTML | A 2024 representation election at one facility resulted in employees voting not to unionize; the filer also states it has not experienced work stoppages that materially adversely affected its business. | ||||
| 2024-12-31 | other | completed | 2024 | Texas | Hospitals | Item_1_Business f5-10k / GLM-5.3-flash-HTML | A 2024 election at one facility resulted in employees removing union representation. No elections were scheduled for 2025 as of the filing. | ||||
| 2024-12-31 | acquisition_addition | completed | Texas, United States | Hospitals and health care entities | USD 266 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2024 the company paid $112 million for three Texas hospital facilities and $154 million for nonhospital health care entities; headcount added not disclosed. | ||||
| 2024-12-31 | divestiture_reduction | completed | California, United States | Hospital operations | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of a California hospital facility completed in 2024 with $295 million proceeds and a $189 million pretax gain; associated workforce reduction not quantified. | |||||
| 2024-12-31 | divestiture_reduction | announced | 2025-12-31 | California, United States | Hospital operations | USD 170 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Definitive agreement executed during 2024 to sell a California hospital facility in 2025; a $170 million pretax loss was recognized in 2024. Announcement date not specified; headcount not disclosed. | |||
| 2024-03-31 | acquisition_addition | completed | Texas, United States | Hospitals and non-hospital health care entities | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Q1 2024 acquisitions: $50 million for two Texas hospitals and $46 million for non-hospital health care entities; filing discloses no headcount added. | |||||
| 2024-03-31 | divestiture_reduction | completed | California, United States | Hospital facility (plus real estate and other health care entity investments) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of a California hospital with $297 million proceeds and a $193 million pretax gain, plus $13 million of real estate/other investment sales; no headcount reduction disclosed. | |||||
| 2023-12-31 | acquisition_addition | completed | Texas, United States | Hospitals | USD 229 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Four hospital facilities acquired in Texas during 2023; purchase consideration disclosed but no headcount added. | ||||
| 2023-12-31 | acquisition_addition | completed | United States | Non-hospital health care entities | USD 406 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Non-hospital health care entities acquired during 2023; no employee counts disclosed. | ||||
| 2023-12-31 | divestiture_reduction | completed | Louisiana, United States | Hospitals | USD 5 (millions) | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Two hospital facilities in Louisiana sold for $162 million proceeds with a $5 million pretax loss; no headcount removed disclosed. | ||||
| 2023-12-31 | other | announced | 2024-01 | Nevada, United States | Hospital operations | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Post-year-end union election added a number of employees to an existing bargaining unit at one Nevada facility; count not disclosed. No other elections scheduled for 2024. | ||||
| 2021-12-31 | acquisition_addition | completed | 2021 | Georgia; Tennessee | Hospitals | USD 67 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Purchase consideration for two hospital facilities, one in southern Georgia and one in Tennessee; employee headcount added not disclosed. | |||
| 2021-12-31 | acquisition_addition | completed | 2021-12 | Florida | Urgent care centers | USD 594 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Network of urgent care centers; purchase accounting procedures were incomplete at year-end; employee headcount added not disclosed. | |||
| 2021-12-31 | acquisition_addition | completed | 2021 | Nonhospital health care entities | USD 114 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Noncontrolling interests of $117 million were recorded in connection with these acquisitions; employee headcount added not disclosed. | ||||
| 2021-12-31 | acquisition_addition | completed | 2021 | Post-acute care (home health and hospice) | USD 330 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Acquired an 80% interest in a post-acute care venture, with certain liabilities assumed and $100 million of noncontrolling interests recorded; employee headcount added not disclosed. | ||||
| 2021-12-31 | divestiture_reduction | completed | 2021 | Georgia | Three American Group hospitals (northern Georgia) and two National Group hospitals (southern Georgia) | USD 1,226 (millions) | other f5-10k / GLM-5.3-flash-HTML | Pretax gain on the sale of five hospital facilities; proceeds of $1.502 billion received. Employee headcount removed not disclosed. | |||
| 2021-12-31 | acquisition_addition | completed | United States (Florida, Georgia, Tennessee) | Hospitals, urgent care centers, post-acute care (home health and hospice), other nonhospital health care entities | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | 2021 acquisitions included two hospitals ($67M), a Florida urgent care network ($594M, completed December 2021), other nonhospital entities ($114M), and an 80% interest in a post-acute care venture ($330M). No headcount added is disclosed for any transaction. | |||||
| 2021-12-31 | divestiture_reduction | completed | United States (Georgia) | Hospitals (three American Group / northern Georgia, two National Group / southern Georgia) and other health care entity investments and real estate | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Proceeds of $1.502B on the five Georgia hospitals (pretax gain $1.226B) plus $658M on other health care entity investments and real estate. No headcount removed is disclosed. | |||||
| 2021-06-30 | acquisition_addition | completed | Georgia, United States | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Six months ended June 30, 2021: $98 million paid for a Georgia hospital and nonhospital health care entities; no headcount added disclosed. | ||||||
| 2020-03-31 | acquisition_addition | completed | New Hampshire, United States | Hospital operations | USD 328 (millions) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Paid $328 million to acquire a hospital in New Hampshire and other nonhospital health care entities during Q1 2020; no employee headcount added disclosed. | ||||
| 2020-03-31 | other | announced | 2020-03 | United States | Enterprise | MD&A f5-10q / MiMo-V2.6-Flash-fp8-HTML | Implemented cost reduction initiatives and reduced planned capital expenditures in response to COVID-19; no employee counts or severance amounts disclosed. | ||||
| 2019-12-31 | other | completed | 2020-01 | California, United States | Item_1_Business f5-10k / GLM-5.3-flash-HTML | Subsequent event: a January 2020 union representation election added employees to an existing bargaining unit at one California facility; affected headcount not quantified. Filing also states that at December 31, 2019 certain employees at 37 domestic hospitals were represented by labor unions and that no other elections were scheduled for 2020. | |||||
| 2019-12-31 | acquisition_addition | completed | North Carolina, United States | Hospital operations | USD 1,384 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Purchase price paid during 2019 for a seven-hospital health system in western North Carolina; funded in part by January 2019 senior unsecured notes. Headcount added not disclosed; charge shown is purchase price, not a severance or restructuring charge. | ||||
| 2019-12-31 | acquisition_addition | completed | United States | Non-hospital health care entities | USD 298 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Amounts paid during 2019 to acquire nonhospital health care entities. Headcount added not disclosed; charge shown is purchase price. | ||||
| 2019-12-31 | divestiture_reduction | completed | Louisiana, United States | American Group | other f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of a hospital facility in the Louisiana market during 2019; proceeds of $25 million and a pretax loss of $1 million recognized. Employees affected not disclosed. | |||||
| 2019-12-31 | other | announced | 2020-01 | California, United States | Labor relations | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Subsequent event: a union election held in January 2020 added a number of employees to an existing bargaining unit at one California facility; number of employees not disclosed. | ||||
| 2018-12-31 | divestiture_reduction | completed | Oklahoma, United States | American Group — hospital operations | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of two hospital facilities in the Oklahoma market during 2018; $758 million proceeds and $353 million pretax gain ($265 million after tax). No employee count disclosed. | |||||
| 2018-12-31 | acquisition_addition | completed | United States | Hospital and non-hospital health care entities | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2018 the company paid $792 million to acquire two hospital facilities and $461 million for non-hospital health care entities. No headcount added disclosed. | |||||
| 2018-12-31 | acquisition_addition | announced | 2019-01-01 | Western North Carolina, United States | Hospital operations | USD 1,500 (millions) | subsequent_events f5-10k / MiMo-V2.6-Flash-fp8-HTML | January 2019 issuance of $1.5 billion of senior notes used to fund purchase of a six-hospital health system in western North Carolina; disclosed as a subsequent event after fiscal year-end. No headcount disclosed. | |||
| 2018-03-31 | divestiture_reduction | completed | Oklahoma, United States | Hospitals | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of two hospital facilities in the Oklahoma market; $758 million proceeds and $376 million net pretax gain recognized in Q1 2018. No employee counts or workforce impact disclosed. | |||||
| 2018-03-31 | acquisition_addition | completed | United States | Hospitals | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Paid $360 million to acquire a hospital facility and $19 million for other nonhospital health care entities during the quarter. No headcount added disclosed. | |||||
| 2017-12-31 | acquisition_addition | completed | United States | Hospitals and health care entities | USD 1,000 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2017 the company paid $1.000 billion for eight hospital facilities and $212 million for nonhospital health care entities; no headcount added through these acquisitions is disclosed | ||||
| 2017-09-30 | acquisition_addition | completed | United States | Hospitals and health care entities | USD 1,000 (millions) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Nine months ended 2017-09-30: paid $1.000 billion for seven hospital facilities (one with effective acquisition date 2017-10-01) and $142 million for other nonhospital health care entities; no headcount added disclosed. Charge value shown is the disclosed purchase consideration, not a workforce charge. | ||||
| 2016-12-31 | acquisition_addition | completed | United States | Hospitals and non-hospital health care entities | USD 576 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2016 the company paid $343 million for three hospital facilities and $233 million for non-hospital health care entities; headcount added through these acquisitions was not disclosed. | ||||
| 2016-09-30 | divestiture_reduction | announced | 2016-10-26 | 2017-06-30 | Oklahoma, United States | Hospital operations — Oklahoma University Medical Center, OUMC Edmond, and The Children's Hospital at OU Medical Center | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | HCA to transfer Oklahoma hospital operations to UHAT for $750 million; no employee count disclosed; completion expected in first half of 2017. | |||
| 2015-12-31 | acquisition_addition | completed | United States | Hospitals and non-hospital health care entities | USD 351 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2015 the company paid $15 million to acquire one hospital and $336 million to acquire non-hospital health care entities; headcount added through these acquisitions is not disclosed. | ||||
| 2015-12-31 | divestiture_reduction | completed | United States | Hospital facility and real estate/other investments | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Company received $73 million of proceeds in 2015 from the sale of a hospital facility plus real estate and other investments, recognizing a net pretax loss of $5 million; headcount removed is not disclosed. | |||||
| 2014-12-31 | acquisition_addition | completed | United States | Hospitals and non-hospital health care entities | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2014 the company paid $161 million to acquire three hospitals and $605 million to acquire nonhospital health care entities; no headcount added through these acquisitions is disclosed. | |||||
| 2014-12-31 | divestiture_reduction | completed | United States | Hospital facility and real estate/other investments | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | 2014 divestitures included the sale of a hospital facility plus real estate and other investments, with $51 million of proceeds and a $29 million net pretax gain; no headcount removed is disclosed. | |||||
| 2013-12-31 | acquisition_addition | completed | United States | Corporate and other (Parallon affiliate) | USD 277 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Acquisition of The Outsource Group by the Parallon affiliate during 2013; purchase price disclosed but no headcount added is quantified. | ||||
| 2013-12-31 | acquisition_addition | completed | United States | Hospitals | USD 146 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Acquisition of three hospitals during 2013 (plus $57 million for nonhospital health care entities); no employee counts disclosed for any 2013 acquisitions. | ||||
| 2013-12-31 | divestiture_reduction | completed | United States | American Group | USD 10 (millions) | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of a hospital facility and other real estate investments during 2013 for $33 million proceeds, with a $10 million pretax loss; no headcount reduction quantified. | ||||
| 2011-12-31 | acquisition_addition | completed | 2011-10 | Denver, Colorado, United States | Southwest Group | USD 1,450 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Acquired the Colorado Health Foundation's approximate 40% remaining interest in the HCA-HealthONE LLC joint venture for $1.450 billion (purchase price shown as associated value), adding seven hospitals and 12 freestanding surgery centers in the Denver area; consolidation of HealthONE operations began November 1, 2011. Employee headcount added was not disclosed. | |||
| 2011-12-31 | divestiture_reduction | completed | 2011 | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | During 2011, sold a hospital facility and an investment in a hospital joint venture for combined cash proceeds of $281 million, recognizing a net pretax gain of $142 million. Headcount removed through these dispositions was not disclosed. | ||||||
| 2011-12-31 | acquisition_addition | completed | 2011-10-31 | 2011-10-31 | Denver, Colorado, United States | Southwest Group — hospitals and freestanding surgery centers | USD 1,450 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Acquisition of the Colorado Health Foundation's ~40% interest in HCA-HealthONE LLC for $1.450 billion; assets include seven hospitals and 12 freestanding surgery centers. Headcount added not disclosed; acquisition completed during October 2011. | ||
| 2011-12-31 | acquisition_addition | completed | 2011-12-31 | 2011-12-31 | United States | Hospitals and nonhospital health care entities | USD 232 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2011 the company paid $136 million for one hospital and $96 million for other nonhospital health care entities. Headcount added not disclosed; announcement date is approximate (year-end), as individual closing dates were not given. | ||
| 2011-12-31 | divestiture_reduction | completed | 2011-12-31 | 2011-12-31 | United States | Hospital facility and hospital joint venture investment | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2011 the company received $281 million of proceeds from the sale of one hospital facility and an investment in a hospital joint venture, recognizing a $142 million pretax gain. Headcount removed not disclosed; announcement date approximate (year-end). | |||
| 2011-09-30 | acquisition_addition | announced | 2011-10-14 | 2011-10-14 | Denver, Colorado, United States | Corporate and other (HCA-HealthONE LLC joint venture) | USD 1,450 (millions) | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Purchase of the Colorado Health Foundation's ~40% interest in HCA-HealthONE LLC (7 hospitals, 14 surgery centers); previously equity-method, now fully consolidated. No employee count disclosed. | ||
| 2010-12-31 | acquisition_addition | completed | 2010 | Hospitals | USD 163 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Two hospital facilities acquired during 2010; purchase price of $163 million, of which $125 million allocated to goodwill. Headcount added through the acquisitions not disclosed. | ||||
| 2010-12-31 | acquisition_addition | completed | 2010 | Other health care entities | USD 70 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Nonhospital health care entities acquired during 2010 for $70 million. Headcount added through these acquisitions not disclosed. | ||||
| 2010-12-31 | acquisition_addition | completed | United States | Hospitals and other health care entities | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2010 the company paid $163 million for two hospitals and $70 million for other health care entities; headcount added through these acquisitions is not disclosed. | |||||
| 2010-12-31 | divestiture_reduction | completed | United States | Nonhospital health care entities and real estate investments | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Company received $37 million of proceeds from 2010 dispositions of nonhospital health care entities and real estate; no hospitals were sold in 2010 and no headcount impact is disclosed. | |||||
| 2008-12-31 | acquisition_addition | completed | 2008 | USD 85 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | 2008 aggregate acquisition consideration: $18 million for one hospital plus $67 million for other health care entities. Headcount added through these acquisitions was not disclosed. | |||||
| 2008-12-31 | divestiture_reduction | completed | 2008 | USD 143 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Cash proceeds from disposal of two hospitals during 2008, with a net pretax gain of $81 million. Headcount removed through the dispositions was not disclosed. | |||||
| 2008-12-31 | divestiture_reduction | completed | 2008 | USD 50 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Cash proceeds from 2008 sales of other health care entities and real estate investments, with a net pretax gain of $16 million. Headcount impact not disclosed; the real estate component may carry no workforce. | |||||
| 2008-12-31 | acquisition_addition | completed | United States | Hospitals and health care entities | USD 85 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2008 the company paid $18 million to acquire one hospital and $67 million to acquire other health care entities; headcount added not disclosed. | ||||
| 2008-12-31 | divestiture_reduction | completed | United States | Hospitals and other health care entities | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | During 2008 the company received $143 million in proceeds on sales of two hospitals and $50 million from sales of other health care entities and real estate investments, with net pretax gains of $81 million and $16 million respectively; headcount removed not disclosed. | |||||
| 2007-12-31 | divestiture_reduction | completed | Switzerland | Hospitals | USD 312 (millions) | other f5-10k / GLM-5.3-flash-HTML | Two Switzerland hospitals sold during fiscal 2007; the $312 million is a pretax gain on sale rather than a charge. Employee headcount associated with the divestiture was not disclosed. | ||||
| 2007-12-31 | divestiture_reduction | completed | Florida, United States | Hospitals | USD 131 (millions) | other f5-10k / GLM-5.3-flash-HTML | One Florida facility sold during fiscal 2007; the $131 million is a pretax gain on sale. Combined cash proceeds for the three hospitals sold in 2007 totaled $661 million. Headcount affected was not disclosed. | ||||
| 2007-12-31 | acquisition_addition | completed | Outpatient and ancillary services entities | USD 32 (millions) | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | No hospitals acquired in 2007; $32 million paid for other health care entities, generally outpatient and ancillary services entities. Headcount added through these acquisitions was not disclosed. | |||||
| 2007-12-31 | divestiture_reduction | completed | Switzerland | Hospitals | MD&A f5-10k / MiMo-V2.6-Flash-fp8-HTML | Two Switzerland hospitals sold during 2007 for cash proceeds of $661 million in total across three hospitals; a $312 million gain was recognized on these two sales. Headcount not disclosed. | |||||
| 2007-12-31 | divestiture_reduction | completed | Florida, United States | Hospitals | MD&A f5-10k / MiMo-V2.6-Flash-fp8-HTML | One Florida facility sold during 2007 with a $131 million gain. Headcount not disclosed. | |||||
| 2007-12-31 | acquisition_addition | completed | United States | Outpatient and ancillary services | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | No hospitals acquired in 2007; $32 million paid for other health care entities, generally outpatient and ancillary services entities. Headcount added not disclosed. | |||||
| 2007-12-31 | other | completed | California and Missouri, United States | Hospital operations | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Union representation elections held at two California hospitals and one Missouri hospital during 2007; filing states such efforts were not expected to materially affect future operations. Employees at 21 hospitals remained union-represented at year-end. | |||||
| 2007-09-30 | divestiture_reduction | completed | Switzerland | Hospital operations | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of two Switzerland hospitals completed during Q3 2007; $316M gain recognized. No employee counts disclosed. | |||||
| 2007-09-30 | acquisition_addition | completed | United States | Hospital and health care entities | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Nine months ended 2007: $21 million paid for health care entity acquisitions; no headcount added disclosed. | |||||
| 2006-12-31 | plant_closure | completed | 2006 | Eastern Group | USD 16 (millions) | other f5-10k / GLM-5.3-flash-HTML | One hospital closed during 2006; the $16 million pretax charge is an asset impairment (carrying value reduced to $5 million fair value), not severance. Affected employee count not disclosed. | ||||
| 2006-12-31 | acquisition_addition | completed | 2006 | other f5-10k / GLM-5.3-flash-HTML | Acquired three hospitals for $63 million plus other health care entities for $49 million during 2006; headcount added through acquisitions not disclosed. | ||||||
| 2006-12-31 | divestiture_reduction | completed | 2006 | USD 176 (millions) | other f5-10k / GLM-5.3-flash-HTML | Nine hospitals sold during 2006 for $560 million proceeds; value shown is the net pretax gain, not a charge. Includes four hospitals in West Virginia and Virginia and two in Florida. Headcount removed not disclosed. | |||||
| 2006-12-31 | acquisition_addition | completed | United States | Hospitals and outpatient/ancillary services | USD 112 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Three hospitals and outpatient/ancillary entities acquired during 2006 for $112 million total; acquired headcount not disclosed. | ||||
| 2006-12-31 | divestiture_reduction | completed | United States | Hospitals | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Nine hospitals sold during 2006 for $560 million of proceeds, including four hospitals in West Virginia/Virginia and two in Florida; associated headcount not disclosed. | |||||
| 2006-12-31 | plant_closure | completed | United States | Eastern Group | USD 16 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | One hospital closed during 2006; carrying value written down to $5 million fair value for a $16 million pretax charge. Employees affected not disclosed. | ||||
| 2006-12-31 | other | completed | United States | Corporate and Other Group | USD 8 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | A construction project was terminated during 2006 with an $8 million pretax charge; any workforce impact not disclosed. | ||||
| 2006-09-30 | divestiture_reduction | completed | 2006-07-01 | 2006-07-01 | West Virginia and Virginia, United States | Hospitals | USD 256 (millions) | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of four hospitals to LifePoint Hospitals for $256 million; no employee counts disclosed. Gain on the Virginia hospital recognized in Q3 2006; gain on the three West Virginia hospitals (~$61 million pretax) deferred pending Certificate of Need appeals, with a possible repurchase obligation. | ||
| 2006-09-30 | divestiture_reduction | completed | 2006-10-01 | 2006-10-01 | Florida, United States | Hospitals | USD 266 (millions) | MD&A f5-10q / MiMo-V2.6-Flash-fp8-HTML | Post-quarter-end sale of two Florida hospitals for $266 million, effective October 1, 2006; approximately $91 million pretax gain to be recognized in Q4 2006. No employee counts disclosed. | ||
| 2006-09-30 | acquisition_addition | completed | United States | Hospitals and other health care entities | USD 103 (millions) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Year-to-date 2006 activity (not quarter-specific): three hospitals with 433 licensed beds acquired for $62 million plus $41 million for other health care entities; no employee counts disclosed. | ||||
| 2006-06-30 | divestiture_reduction | completed | 2006-07-01 | 2006-07-01 | West Virginia and Virginia, United States | Hospital operations (4 hospitals) | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of four hospitals to LifePoint Hospitals for $256 million, effective July 1, 2006 (post-quarter). No employee counts disclosed; results of sold hospitals described as not significant. Gain of ~$93M pretax, with ~$61M deferred pending CON appeals for the three West Virginia hospitals. | |||
| 2006-06-30 | acquisition_addition | completed | United States | Hospital operations (3 hospitals, 433 licensed beds) and other health care entities | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | During 2006, $62 million paid for three hospitals and $43 million for other health care entities ($105M total). No headcount added through these acquisitions is disclosed. | |||||
| 2005-12-31 | divestiture_reduction | completed | Not disclosed | Hospitals | other f5-10k / GLM-5.3-flash-HTML | Sale of five rural hospitals completed during the fourth quarter of 2005, producing a $49 million net pretax gain and approximately $260 million of cash proceeds used to repay bank borrowings; the headcount transferring out with the divested facilities is not disclosed. | |||||
| 2005-12-31 | divestiture_reduction | announced | 2006-03-31 | Not disclosed | Hospitals | MD&A f5-10k / GLM-5.3-flash-HTML | Definitive agreement to sell five hospitals to LifePoint Hospitals for estimated proceeds of approximately $330 million. In March 2006, LifePoint asserted that closing conditions, including required certificates of need, could not be satisfied by the March 31, 2006 deadline; HCA disputes this assertion and is proceeding toward closing. Headcount impact not disclosed. | ||||
| 2005-12-31 | divestiture_reduction | completed | 2005-12-31 | United States (rural markets) | Hospital operations | other f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of five rural hospitals completed in fourth quarter of 2005; net pretax gain of $49 million ($19 million after-tax). Employee counts not disclosed. | ||||
| 2005-12-31 | divestiture_reduction | announced | 2006-03-31 | United States | Hospital operations | MD&A f5-10k / MiMo-V2.6-Flash-fp8-HTML | Definitive agreement with LifePoint Hospitals for sale of five hospitals, estimated proceeds ~$330 million, scheduled to close on or before March 31, 2006; closing conditions disputed as of filing date. Employee counts not disclosed. | ||||
| 2005-03-31 | divestiture_reduction | announced | 2005-03-31 | United States (six states) | Acute care hospitals | MD&A f5-10q / MiMo-V2.6-Flash-fp8-HTML | During Q1 2005 HCA announced intent to divest ten acute care hospitals in six states; no affected-employee count, charge, or completion date disclosed. Announcement month only (quarter) is stated, so date reflects quarter end. | ||||
| 2004-12-31 | plant_closure | completed | San Jose, California, United States | Western Group | USD 12 (millions) | MD&A f5-10k / GLM-5.3-flash-HTML | Closure of San Jose Medical Center during 2004. Associated charge is a pretax impairment of long-lived assets (carrying value written down to $39 million estimated fair value), not severance; approximately $8 million after tax. Note 3 discloses two hospital closures during 2004, of which this is the only individually identified one. No employee headcount disclosed. | ||||
| 2004-12-31 | divestiture_reduction | completed | other f5-10k / GLM-5.3-flash-HTML | One hospital sold during 2004 (alongside one hospital opened and two closed); no employee headcount or associated charge disclosed for the disposition. | |||||||
| 2004-12-31 | plant_closure | completed | United States | Western Group hospitals | USD 12 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | HCA closed two hospitals during 2004; one was San Jose Medical Center in California, carrying value written down to $39 million fair value for a $12 million pretax impairment charge. Employee counts not disclosed. | ||||
| 2004-12-31 | divestiture_reduction | completed | United States | other f5-10k / MiMo-V2.6-Flash-fp8-HTML | Filer states one hospital was sold during 2004; no employee count, gain, or proceeds disclosed for the 2004 sale. | ||||||
| 2004-12-31 | plant_closure | completed | 2004 | 2004-12-31 | San Jose, California | Western Group | USD 12 (millions) | MD&A f5-10k / Qwen3.6-27B-Q8_0 | Closure of San Jose Medical Center resulted in a pretax impairment charge of $12 million. Employee count not disclosed. | ||
| 2004-09-30 | plant_closure | announced | 2004-07-01 | San Jose, California, United States | Western Group | USD 12 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Pretax charge of $12 million ($7 million after-tax) on planned closure of San Jose Medical Center; carrying value written down to $39 million fair value. No employee count disclosed. | |||
| 2004-09-30 | plant_closure | completed | United States | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | During the nine months ended September 30, 2004, HCA sold one hospital, opened one hospital and closed one hospital; no employee counts disclosed. | ||||||
| 2004-09-30 | plant_closure | announced | 2004-09-30 | San Jose, California | Western Group | USD 12 (millions) | MD&A f5-10q / Qwen3.6-27B-Q8_0 | HCA announced plans to close San Jose Medical Center. The carrying value was reduced to fair value resulting in a pretax charge of $12 million. Employee count affected is not disclosed. | |||
| 2003-12-31 | acquisition_addition | completed | 2003-04 | 2003-04 | Kansas City (Missouri/Kansas) | Western Group | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Acquisition of the Health Midwest system (11 hospitals, 2,292 licensed beds); aggregate cash paid at closing was $855 million. Headcount added not disclosed. | |||
| 2003-12-31 | divestiture_reduction | completed | 2003 | 2003 | United States | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sales of two leased hospitals and two consolidating hospitals during 2003, with a pretax gain of $85 million; employees removed through the sales not disclosed. | ||||
| 2003-09-30 | acquisition_addition | completed | 2003-04-01 | Kansas City, United States | Western Group | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Acquisition of the Health Midwest hospital system (11 hospitals, 2,292 licensed beds) closed April 2003; results consolidated from April 1, 2003. No employee headcount added disclosed. | ||||
| 2003-09-30 | divestiture_reduction | completed | United States | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sales of two leased hospitals and two consolidating hospitals during the first nine months of 2003 (net pretax gain of $85 million); no employee counts disclosed for the divestitures. | ||||||
| 2003-03-31 | acquisition_addition | completed | 2002-12-31 | 2003-04-01 | Kansas City, Missouri, United States | Hospitals and health care entities (11 consolidating hospitals plus one managed hospital) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Health Midwest system acquired April 1, 2003 for $855 million cash at closing; no employee headcount added disclosed. Results consolidated beginning April 1, 2003. | |||
| 2003-03-31 | divestiture_reduction | completed | 2003-03-31 | United States | Hospitals (two leased hospitals and one consolidating hospital) | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Net pretax gain of $74 million ($42 million after-tax) recognized on hospital sales in Q1 2003; proceeds repaid bank borrowings. No headcount removed disclosed. | ||||
| 2002-12-31 | acquisition_addition | announced | 2002 | Kansas City, Missouri | Hospitals | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Definitive agreement signed during 2002 to acquire the 14-hospital Health Midwest system for $1.125 billion, plus a commitment of $450 million of capital investment over five years; subject to regulatory approvals, so not yet closed at fiscal year-end. No employee headcount disclosed for the acquired system. | ||||
| 2001-12-31 | restructuring | completed | 2001-01-01 | 2001-12-31 | United States | Corporate and Operations | USD 65 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Includes $54 million in professional fees related to governmental investigations and $11 million in other costs. No specific employee count disclosed. | ||
| 2001-09-30 | restructuring | completed | USD 17 (millions) | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Incurred $17 million of restructuring of operations and investigation related costs in Q3 2001, including $15 million of legal/accounting fees and $2 million other costs. | ||||||
| 2001-09-30 | restructuring | completed | USD 44 (millions) | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Incurred $44 million of restructuring of operations and investigation related costs for the nine months ended Sept 30, 2001, including $35 million of legal/accounting fees and $9 million other costs. | ||||||
| 2001-06-30 | restructuring | in_progress | USD 13 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Charge includes $10 million in professional fees for investigations and $3 million in other costs. Liability for accrued severance and lease commitments was approximately $5 million at June 30, 2001. Employee count not disclosed. | ||||||
| 2001-06-30 | restructuring | in_progress | USD 27 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Year-to-date charge includes $20 million in professional fees for investigations and $7 million in other costs. Employee count not disclosed. | ||||||
| 2001-03-31 | restructuring | in_progress | USD 14 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Includes $10 million in professional fees related to investigations and $4 million in other costs. Liability for accrued severance and lease commitments was approximately $7 million at March 31, 2001. Employee count not disclosed. | ||||||
| 2000-12-31 | divestiture_reduction | completed | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | Three consolidating hospitals sold during 2000, generating a pretax gain of $34 million ($16 million after-tax); proceeds used to repay bank borrowings. Filing quantifies no employee impact for these divestitures. | |||||||
| 2000-12-31 | divestiture_reduction | completed | 1998 | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | FY2000 activity under the 23-hospital divestiture program identified in 1998: one consolidating hospital sold during 2000 for gross proceeds of $4 million. No employee-impact figures disclosed. | ||||||
| 2000-12-31 | divestiture_reduction | completed | 1998-09 | 2000-12 | Medical office buildings | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | December 2000 completion of the medical office building divestiture plan approved September 1998 (associated $175 million impairment charge taken in 1998). 116 buildings sold to MedCap Properties, LLC for approximately $250 million plus a minority interest in MedCap. No employee-impact figures disclosed. | ||||
| 2000-12-31 | divestiture_reduction | in_progress | 2000 | 2001 | USD 117 (millions) | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | Plan identified in 2000 to sell or replace four consolidating hospitals and certain other assets during 2001; carrying value written down to $40 million fair value, producing a non-cash pretax charge of $117 million. No employee-impact figures disclosed. | ||||
| 2000-12-31 | acquisition_addition | completed | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Seven hospitals (760 licensed beds) and other health care entities, or controlling interests therein, acquired during 2000; net cash paid $350 million, including $110 million of goodwill (purchase method). Filing discloses no headcount added through these acquisitions. | |||||||
| 2000-12-31 | restructuring | announced | 2000-12-31 | 2001-12-31 | United States | Consolidating hospitals | USD 117 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Non-cash pretax impairment charge of $117M on 4 consolidating hospitals and other assets identified for sale or replacement during 2001; no employee count disclosed | ||
| 2000-12-31 | divestiture_reduction | completed | 2000-12-31 | 2000-12-31 | United States | Consolidating hospitals | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of 3 consolidating hospitals during 2000 for pretax gain of $34M ($16M after-tax); no employee count disclosed | |||
| 2000-12-31 | divestiture_reduction | completed | 2000-07-01 | 2000-12-31 | United States | Medical office buildings | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of 116 medical office buildings to MedCap Properties, LLC completed December 2000 for approximately $250M plus minority interest; no employee count disclosed | |||
| 2000-12-31 | acquisition_addition | completed | 2000-12-31 | 2000-12-31 | United States | Hospitals and health care entities | USD 350 (millions) | business_combinations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | 7 hospitals with 760 licensed beds acquired during 2000 for net cash paid of $350M; employee headcount added not disclosed | ||
| 2000-12-31 | restructuring | completed | 2000-12-31 | 2000-12-31 | United States | Corporate / Operations | USD 62 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Includes $51 million in professional fees related to governmental investigations and $11 million in other costs. No specific employee count disclosed for 2000 actions. | ||
| 2000-12-31 | divestiture_reduction | completed | 2000-12-31 | 2000-12-31 | United States | Hospitals | Item_1_Business f5-10k / Qwen3.6-27B-Q8_0 | Company reduced number of hospitals operated by more than 42% (144 hospitals) and surgery centers by 48% (71 centers) since July 1997. Includes spin-offs of LifePoint and Triad in May 1999. | |||
| 2000-09-30 | restructuring | completed | USD 16 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Q3 2000 charge of $16 million for professional fees related to investigations. No employee count disclosed. | ||||||
| 2000-09-30 | restructuring | completed | USD 41 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Nine months ended Sept 30, 2000 charge of $41 million ($36M professional fees, $5M other). No employee count disclosed. | ||||||
| 2000-09-30 | divestiture_reduction | completed | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Sales of three consolidating hospitals in first nine months of 2000. Employee count not disclosed. | |||||||
| 2000-09-30 | plant_closure | in_progress | 2000-09-30 | 2001-12-31 | USD 17 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Plans initiated in Q3 2000 to sell or close one consolidating and one non-consolidating hospital during 2000 or 2001. Impairment charge of $17 million recorded. Employee count not disclosed. | ||||
| 2000-06-30 | restructuring | completed | USD 12 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Q2 2000 charge of $12 million for professional fees related to investigations. No employee count disclosed. | ||||||
| 2000-06-30 | restructuring | completed | USD 25 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | YTD 2000 charge of $25 million ($20M professional fees, $5M other). No employee count disclosed. | ||||||
| 2000-03-31 | restructuring | in_progress | USD 13 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Includes $8 million in professional fees related to investigations and $5 million in other costs. No specific employee count disclosed for Q1 2000 actions. | ||||||
| 1999-12-31 | divestiture_reduction | completed | 1999-05-11 | 1999-05-11 | United States | Hospitals (LifePoint and Triad spin-offs) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Tax-free spin-offs of LifePoint (23 hospitals) and Triad (34 hospitals), 57 hospitals total; employee counts not disclosed | |||
| 1999-12-31 | divestiture_reduction | completed | 1999-12-31 | United States | Hospitals | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Completed sales of 24 hospitals during 1999; employee counts not disclosed | ||||
| 1999-12-31 | plant_closure | completed | 1999-12-31 | United States | Hospitals | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Closed four hospitals during 1999; employee counts not disclosed | ||||
| 1999-12-31 | plant_closure | completed | 1999-12-31 | United States | Outpatient surgery centers | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Completed sales of four surgery centers and closed two surgery centers during 1999; employee counts not disclosed | ||||
| 1999-12-31 | restructuring | completed | 1999-12-31 | United States | Corporate and operations | USD 5 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Severance costs of $5 million in 1999 related to executives associated with ceased or divested operations/functions; employee count not disclosed | |||
| 1999-12-31 | divestiture_reduction | completed | 1999-12-31 | United States | Home health care operations | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Home health care operations substantially divested in 1998; no 1999 divestiture activity disclosed for this segment | ||||
| 1999-12-31 | restructuring | completed | 1999-01-01 | 1999-12-31 | United States | Corporate and Operations | USD 5 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Severance costs related to a small group of executives associated with operations or functions ceased or divested during 1999. | ||
| 1999-12-31 | divestiture_reduction | completed | 1999-05-11 | 1999-05-11 | United States | Hospitals | Item_1_Business f5-10k / Qwen3.6-27B-Q8_0 | Spin-offs of LifePoint Hospitals, Inc. and Triad Hospitals, Inc. creating two independent publicly traded companies operating 57 hospitals at the time of spin-offs. | |||
| 1999-12-31 | divestiture_reduction | completed | 1999-01-01 | 1999-12-31 | United States | Hospitals | Item_1_Business f5-10k / Qwen3.6-27B-Q8_0 | Completed sales of 24 hospitals and closed four hospitals during 1999. | |||
| 1999-09-30 | divestiture_reduction | completed | 1999-05-11 | 1999-05-11 | United States | Hospital operations (LifePoint and Triad spin-offs) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Spin-off of LifePoint (23 hospitals) and Triad (34 hospitals) distributed one share each per 19 Columbia/HCA shares; no employee count disclosed. | |||
| 1999-09-30 | divestiture_reduction | in_progress | 1999-01-01 | 2000-12-31 | United States | Hospital operations (consolidating and non-consolidating hospitals) | USD 160 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Plans to divest or close 19 consolidating and 4 non-consolidating hospitals during 1999-2000; $160M impairment charge recorded; no employee counts disclosed. | ||
| 1999-09-30 | divestiture_reduction | completed | 1999-01-01 | 1999-09-30 | United States | Hospital operations (three hospitals sold) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of three hospitals and related facilities during 1999 with $257M pretax gain; no employee counts disclosed. | |||
| 1999-06-30 | divestiture_reduction | completed | 1999-05-11 | 1999-05-11 | United States | LifePoint Hospitals (23 consolidating hospitals) and Triad Hospitals (34 consolidating hospitals) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Spin-off of LifePoint and Triad completed May 11, 1999; no employee counts disclosed. | |||
| 1999-06-30 | plant_closure | in_progress | 1999-01-01 | 1999-12-31 | United States | 15 consolidating hospitals and 4 non-consolidating hospitals identified for sale or closure during 1999 | USD 160 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Non-cash pretax impairment charge of $160 million to reduce carrying value to fair value of approximately $195 million; no employee counts disclosed. | ||
| 1999-06-30 | divestiture_reduction | completed | 1999-01-01 | 1999-06-30 | United States | Three hospitals and certain related health care facilities | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of three hospitals during first six months of 1999 with pretax gain of $257 million; no employee counts disclosed. | |||
| 1999-06-30 | restructuring | in_progress | 1999-01-01 | 1999-12-31 | United States | Corporate and hospital operations | USD 60 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Six-month 1999 pretax charges of $60 million including $42M professional fees, $2M severance, $16M other; no employee counts disclosed. | ||
| 1999-06-30 | restructuring | in_progress | 1999-01-01 | 1999-12-31 | United States | Corporate and Operations | USD 60 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Includes $42M professional fees, $2M severance, and $16M other costs for the six months ended June 30, 1999. Employee count not disclosed. | ||
| 1999-06-30 | divestiture_reduction | completed | 1999-05-11 | 1999-05-11 | United States | LifePoint Hospitals and Triad Hospitals | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Spin-off of LifePoint (23 hospitals) and Triad (34 hospitals) completed May 11, 1999. Headcount impact not quantified. | |||
| 1999-06-30 | plant_closure | in_progress | 1999-01-01 | 1999-12-31 | United States | Hospitals | USD 160 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Plans to sell or close 15 consolidating and 4 non-consolidating hospitals during 1999. $160M impairment charge recorded. Employee count not disclosed. | ||
| 1999-03-31 | restructuring | in_progress | 1999-01-01 | 1999-12-31 | United States | Hospital operations | USD 106 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Plans to sell or close 13 consolidated and 4 non-consolidated hospitals during 1999; $106M non-cash pretax impairment charge to reduce carrying value to fair value of ~$210M. Severance costs of $2M recorded in Q1 1999 (Note 4). No employee headcount disclosed. | ||
| 1999-03-31 | divestiture_reduction | announced | 1999-03-31 | 1999-05-11 | United States | Pacific Group (Triad) and America Group (LifePoint) | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Tax-free spin-offs of LifePoint Hospitals (23 hospitals) and Triad Hospitals (35 hospitals) completed May 11, 1999, distributing one share of each per 19 Columbia/HCA shares. Company received ~$900M cash used to repay debt. No employee headcount disclosed for transferred operations. | |||
| 1999-03-31 | divestiture_reduction | completed | 1999-01-01 | 1999-03-31 | United States | Hospital operations | USD 249 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of two hospitals and related facilities completed in Q1 1999, generating $249M pretax gain ($151M after-tax). Proceeds used to repay bank borrowings. No employee headcount disclosed. | ||
| 1999-03-31 | restructuring | in_progress | 1999-03-31 | 1999-12-31 | United States | Hospitals and Surgery Centers | USD 2 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Company recorded $2 million in severance costs as part of $30 million total restructuring and investigation charges. Plans to sell or close 13 consolidated and 4 non-consolidated hospitals during 1999. | ||
| 1999-03-31 | divestiture_reduction | completed | 1999-03-31 | 1999-03-31 | United States | Hospitals and Surgery Centers | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Sale of two hospitals and certain related health care facilities completed in Q1 1999. Resulted in $249 million pretax gain. Employee count impact not disclosed. | |||
| 1999-03-31 | divestiture_reduction | announced | 1999-03-31 | 1999-05-11 | United States | Pacific Group (Triad) and America Group (LifePoint) | subsequent_events f5-10q / Qwen3.6-27B-Q8_0 | Spin-offs of Triad Hospitals, Inc. and LifePoint Hospitals, Inc. completed on May 11, 1999. Triad comprised 35 hospitals; LifePoint comprised 23 hospitals. Employee count impact not disclosed. | |||
| 1998-12-31 | restructuring | in_progress | 1998-12-31 | United States | Corporate / Multiple | USD 5 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Severance costs of $5M recorded in 1998 as part of broader restructuring and investigation-related charges totaling $111M; no employee count disclosed | |||
| 1998-12-31 | divestiture_reduction | completed | 1998-12-31 | United States | Hospitals and Surgery Centers | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Sale of 36 hospitals and 36 ambulatory surgery centers completed during 1998; no employee headcount impact disclosed | ||||
| 1998-12-31 | divestiture_reduction | completed | 1998-12-31 | United States | Home Health Care | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Substantially all home health care operations sold in five separate transactions during Q3-Q4 1998; no employee headcount impact disclosed | ||||
| 1998-12-31 | divestiture_reduction | completed | 1998-12-31 | United States | Value Health business units | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Three of four Value Health units sold during Q2-Q3 1998 for $662M proceeds; no employee headcount impact disclosed | ||||
| 1998-12-31 | restructuring | announced | 1998-12-31 | 1999-06-30 | United States | Pacific Group and America Group | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Planned tax-free spin-offs of Pacific (38 hospitals, 17 surgery centers) and America (23 hospitals) groups into Triad Hospitals and LifePoint Hospitals; expected Q2 1999 subject to IRS ruling, regulatory approvals, and financing; no employee counts disclosed | |||
| 1998-12-31 | divestiture_reduction | in_progress | 1998-09-30 | 1999-12-31 | United States | Medical Office Buildings | USD 175 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Plan approved in Q3 1998 to divest group of medical office buildings via sale or joint venture transfer; $175M non-cash pretax impairment charge; no employee count disclosed | ||
| 1998-12-31 | restructuring | in_progress | 1998-07-01 | 1999-12-31 | United States | Hospitals (held for sale) | USD 367 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Q3-Q4 1998 identification of 23 consolidated and 1 non-consolidated hospitals for sale or closure during 1999; $367M non-cash pretax impairment charge; 8 hospitals sold in 1998 for ~$180M; no employee count disclosed | ||
| 1998-12-31 | restructuring | completed | 1998-12-31 | 1998-12-31 | United States | Corporate / Administration | USD 5 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Severance costs of $5 million incurred in 1998 in connection with investigations and changes in management and business strategy. Employee count not disclosed. | ||
| 1998-09-30 | restructuring | in_progress | 1998-05-01 | United States | Hospitals, surgery centers, medical office buildings | USD 90 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Restructuring includes divestitures of hospitals, surgery centers, medical office buildings, and spin-offs. Severance costs of $5M YTD 1998 ($1M in Q3) disclosed but no employee counts given. | |||
| 1998-09-30 | divestiture_reduction | completed | 1998-05-01 | 1998-09-30 | United States | Hospitals (16 sold to not-for-profit consortium) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | 16 hospitals sold Aug–Sep 1998 for ~$930M gross proceeds; pre-tax gain $350M. No headcount impact disclosed. | |||
| 1998-09-30 | divestiture_reduction | completed | 1998-07-01 | 1998-07-31 | United States | Ambulatory surgery centers (34 sold) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | 34 ambulatory surgery centers sold July 1998 for ~$550M; adjusted pre-tax gain $213M. No headcount impact disclosed. | |||
| 1998-09-30 | divestiture_reduction | in_progress | 1998-07-01 | United States | Home health care operations | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Five agreements to sell majority of home health operations in 27 states for ~$90M. Sale of operations in 13 states completed subsequent to quarter-end. No headcount disclosed. | ||||
| 1998-09-30 | divestiture_reduction | completed | 1998-04-01 | 1998-09-30 | United States | Value Health business units (discontinued operations) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Three Value Health units sold in Q2 and Q3 1998 for $662M total proceeds; $73M after-tax loss recorded. No headcount disclosed. | |||
| 1998-09-30 | divestiture_reduction | announced | 1998-10-01 | United States | Hospitals (5 additional consortium sales completed post-quarter) | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Five hospitals from original 22-hospital consortium sale completed Oct–Nov 1998 for ~$300M gross proceeds; after-tax gain ~$110M. No headcount disclosed. | ||||
| 1998-09-30 | restructuring | in_progress | 1998-07-01 | USD 1 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Severance costs of $1 million recorded for the quarter ended Sept 30, 1998. Employee count not disclosed. | |||||
| 1998-09-30 | restructuring | in_progress | 1998-01-01 | USD 5 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Severance costs of $5 million recorded for the nine months ended Sept 30, 1998. Employee count not disclosed. | |||||
| 1998-06-30 | restructuring | in_progress | 1998-05-19 | 1998-09-30 | United States | Hospitals and surgery centers | USD 4 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Agreements to sell 22 hospitals to not-for-profit consortium for ~$1.2B; 21 sales expected to close in Q3 1998. Severance costs of $4M recorded in six months ended June 30, 1998. Employee counts not disclosed. | ||
| 1998-06-30 | divestiture_reduction | completed | 1998-06-30 | United States | Value Health business units (three of four units acquired Aug 1997) | USD 73 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale of all three Value Health units completed in Q2 1998 for ~$619M proceeds; $73M loss on disposal recorded. Employee counts not disclosed. | |||
| 1998-06-30 | divestiture_reduction | announced | 1998-06-30 | 1998-12-31 | United States | Home health care operations (excluding Florida) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Four separate agreements announced in June 1998 to sell majority of home health operations for ~$60M; expected to close by year-end. Employee counts not disclosed. | |||
| 1998-06-30 | divestiture_reduction | announced | 1998-04-30 | 1998-07-31 | United States | 34 ambulatory surgery centers in non-core markets | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale completed July 1998 for ~$550M proceeds with ~$100M after-tax gain. Employee counts not disclosed. | |||
| 1998-06-30 | divestiture_reduction | announced | 1998-06-30 | 1998-12-31 | Florida | Home health care operations (Florida) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Agreement to sell Florida home health operations for ~$30M announced subsequent to Q2 1998; expected to close by year-end. Employee counts not disclosed. | |||
| 1998-06-30 | restructuring | in_progress | 1998-05-01 | 1998-09-30 | United States | Hospital Operations | USD 31 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Company announced agreements to sell 22 hospitals to not-for-profit entities. Q2 charges of $31M include $24M professional fees for investigations and $7M other costs. No specific employee count disclosed. | ||
| 1998-06-30 | divestiture_reduction | completed | 1998-06-30 | 1998-06-30 | United States | Home Health and Value Health Units | USD 73 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Completed sale of three Value Health units and announced sale of majority of home health operations. Recorded $73M loss on disposal. No specific employee count disclosed. | ||
| 1998-03-31 | restructuring | in_progress | 1998-03-31 | United States | Corporate / enterprise-wide | USD 4 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Severance component of $38M total Q1 charge; balance is $28M investigation professional fees and $6M other. No employee counts disclosed. | |||
| 1998-03-31 | divestiture_reduction | in_progress | 1998-03-31 | 1998-06-30 | United States | Home health care business | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | Plan to divest home health business; no headcount disclosed. | |||
| 1998-03-31 | divestiture_reduction | completed | 1998-03-31 | 1998-04-01 | United States | Value Rx (pharmacy benefits) | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale completed 1998-04-01 for $445M cash; no headcount disclosed. | |||
| 1998-03-31 | divestiture_reduction | announced | 1998-03-31 | 1998-06-30 | United States | Value Behavioral Health | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Sale announced for $230M cash, subject to regulatory approvals; no headcount disclosed. | |||
| 1998-03-31 | plant_closure | announced | 1998-04-16 | 1998-09-30 | United States | 34 ambulatory surgery centers in non-core markets | subsequent_events f5-10q / MiMo-V2.6-Flash-fp8-HTML | Agreement to sell 34 surgery centers for $550M cash; expected after-tax gain ~$100M. No headcount disclosed. | |||
| 1998-03-31 | restructuring | in_progress | 1998-03-31 | USD 4 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Company recorded $4 million in severance costs as part of $38 million total pretax charges for restructuring and investigation related costs in Q1 1998. Employee count not disclosed. | |||||
| 1997-12-31 | restructuring | in_progress | 1997 | USD 61 (millions) | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | Severance costs recorded in Q3/Q4 1997 within $140 million of restructuring and investigation-related charges, which also included professional fees, cancelled projects and other costs. Number of affected employees not disclosed. | |||||
| 1997-12-31 | plant_closure | in_progress | 1997 | 1998 | Twenty hospital facilities and fifteen surgery centers (primarily optical surgery centers) | USD 402 (millions) | other f5-10k / GLM-5.3-flash-HTML | Q4 1997 decision to close or sell 20 hospitals and 15 surgery centers; carrying values written down to fair value as a non-cash impairment. Majority of sales or closures expected during 1998. Workforce impact not quantified. | |||
| 1997-12-31 | divestiture_reduction | in_progress | 1997-08-07 | 1998 | Home health care business | discontinued_operations_footnote f5-10k / GLM-5.3-flash-HTML | Divestiture announced as part of the August 7, 1997 strategy change. Combined with the pharmacy and behavioral health disposals, an estimated after-tax loss on disposal of approximately $443 million was recorded in Q4 1997. Headcount impact not disclosed. | ||||
| 1997-12-31 | divestiture_reduction | in_progress | 1997-08-28 | 1998 | Value Health behavioral health, information technology and pharmacy benefit management units | discontinued_operations_footnote f5-10k / GLM-5.3-flash-HTML | Three of four Value Health units to be divested. Subsequent to year end, agreements were announced to sell Value Behavioral Health for $230 million and Value Rx for $445 million, expected to close in Q2 1998; shares the combined $443 million estimated after-tax disposal loss with the home health divestiture. | ||||
| 1997-12-31 | acquisition_addition | completed | 1997-04-14 | 1997-08-06 | Value Health, Inc. — specialty managed care benefit programs | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Merger completed August 6, 1997 for a total purchase price of approximately $1.4 billion, including $165 million of assumed debt and transaction costs. Headcount added through the merger not disclosed; three of the four acquired units are being divested. | ||||
| 1997-12-31 | restructuring | completed | 1997-11-17 | 1998-01-01 | Internal operating reorganization into Eastern, Western, Atlantic, Pacific and America groups | MD&A f5-10k / GLM-5.3-flash-HTML | Board approved November 17, 1997; effective January 1, 1998. Board also authorized evaluation of divestiture and spin-off alternatives, but no restructuring plan had been approved as of the filing. No workforce reductions quantified. | ||||
| 1997-12-31 | restructuring | in_progress | 1997-08-07 | United States | Enterprise-wide | USD 61 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Severance component of $140M total restructuring/investigation charge recorded in Q3-Q4 1997; no employee count disclosed. Total charge also includes $44M professional fees, $20M cancelled projects, $15M other. | |||
| 1997-12-31 | plant_closure | in_progress | 1997-10-01 | 1998-12-31 | United States | Hospitals and surgery centers | USD 402 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Decision in Q4 1997 to close or sell 20 hospital facilities and 15 surgery centers; $402M non-cash impairment charge. Majority of sales/closures expected during 1998. No employee counts disclosed. | ||
| 1997-12-31 | divestiture_reduction | announced | 1997-08-07 | 1998-12-31 | United States | Home health care business | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Home health care business designated for divestiture as part of strategy change; classified as discontinued operations. No employee count disclosed. | |||
| 1997-12-31 | divestiture_reduction | announced | 1997-08-28 | 1998-06-30 | United States | Value Health businesses (behavioral health, information technology, pharmacy benefit management) | discontinued_operations_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Three of four Value Health business units designated for divestiture. Subsequent to year-end, agreements announced to sell Value Behavioral Health ($230M) and Value Rx ($445M). No employee counts disclosed. | |||
| 1997-12-31 | other | completed | 1997-07-25 | 1997-07-25 | United States | Executive leadership | Item_1_Business f5-10k / MiMo-V2.6-Flash-fp8-HTML | Resignations of Chairman/CEO Richard L. Scott and President/COO David T. Vandewater announced July 25, 1997; Thomas F. Frist Jr. named Chairman/CEO and Jack O. Bovender Jr. named President/COO. | |||
| 1997-12-31 | restructuring | completed | 1997-08-07 | United States | Corporate and Operations | USD 61 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Part of $140 million total restructuring and investigation costs. Includes severance costs of $61 million. Employee count not explicitly disclosed. | |||
| 1997-09-30 | restructuring | in_progress | 120 | 1997-07-25 | United States | Corporate / Company-wide | USD 40 (millions) | restructuring_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Severance for approximately 120 employees; part of a $64M total charge in Q3 1997 that also included $11M professional fees, $10M cancelled projects, and $3M other costs related to government investigations and management/strategy changes. | ||
| 1997-09-30 | acquisition_addition | completed | 1997-08-06 | 1997-08-06 | United States | Specialty managed care benefit programs | business_combinations_footnote f5-10q / MiMo-V2.6-Flash-fp8-HTML | Merger with Value Health, Inc. completed 1997-08-06; total purchase price approximately $1.4 billion. No employee headcount added through the acquisition is disclosed. | |||
| 1997-09-30 | divestiture_reduction | announced | 1997-08-28 | United States | Home health care; managed behavioral health; information technology; pharmacy benefit management | other f5-10q / MiMo-V2.6-Flash-fp8-HTML | Plan to divest home health care business and three of four Value Health business units; no employee counts disclosed for the divestitures. | ||||
| 1997-09-30 | restructuring | completed | 120 | 1997-07-25 | USD 40 (millions) | restructuring_footnote f5-10q / Qwen3.6-27B-Q8_0 | Severance costs for approximately 120 employees recorded in Q3 1997 related to management changes and business strategy adjustments. | ||||
| 1997-09-30 | other | completed | 1997-08-07 | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Elimination of annual cash incentive compensation for the Company's employees. | ||||||
| 1995-12-31 | acquisition_addition | completed | 1995-04-24 | 22 states | Hospitals and ancillary health care facilities | MD&A f5-10k / GLM-5.3-flash-HTML | Healthtrust merger completed April 24, 1995, accounted for as a pooling of interests. Healthtrust operated 117 hospitals (plus two equity-method hospitals) and other ancillary facilities with annual revenues of about $3.4 billion. Employee headcount added through the merger is not disclosed. | ||||
| 1995-12-31 | restructuring | completed | 1995-06-30 | Corporate overhead | USD 46 (millions) | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | Employee benefit and certain severance actions recorded in Q2 1995 in connection with the Healthtrust Merger; a component of $105 million total pretax merger charges per MD&A. Number of employees affected not disclosed; date reflects quarter-end of the recorded charges. | ||||
| 1995-12-31 | plant_closure | in_progress | 1995-06-30 | 1996-06-30 | Markets with duplicative facilities (not named) | Hospital facilities | USD 282 (millions) | restructuring_footnote f5-10k / GLM-5.3-flash-HTML | Pretax writedown of assets to estimated net realizable value for consolidation of duplicative facilities and facility replacements in markets with excess capacity; substantially non-cash. Company expected to complete identified consolidations within twelve months of the Q2 1995 charges (completion date approximate). Affected employee count not disclosed. | ||
| 1995-12-31 | acquisition_addition | completed | 1995 | Hospitals and related ancillary facilities | business_combinations_footnote f5-10k / GLM-5.3-flash-HTML | Aggregate of 29 hospitals (5,647 licensed beds) acquired during 1995 under the purchase method, excluding the MCA and EPIC mergers; net cash paid was $1,333 million. Individual transaction dates and employee headcount added are not disclosed. | |||||
| 1995-12-31 | acquisition_addition | completed | 1996-02-29 | Hospitals | subsequent_events f5-10k / GLM-5.3-flash-HTML | $214 million expended between December 31, 1995 and February 29, 1996 toward purchase of five hospitals (or controlling interests), to be accounted for under the purchase method and financed with internal funds and long-term debt. Employee headcount not disclosed; date reflects end of disclosed transaction window. | |||||
| 1995-12-31 | acquisition_addition | completed | 1995-04-24 | 1995-04-24 | United States | Hospital operations | USD 105 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Healthtrust Merger completed 1995-04-24; $105M pretax charges including $46M for employee benefit and severance actions; no employee headcount added disclosed | ||
| 1995-12-31 | restructuring | completed | 1995-04-24 | 1996-12-31 | United States | Facility consolidation | USD 282 (millions) | restructuring_footnote f5-10k / MiMo-V2.6-Flash-fp8-HTML | Asset writedowns for consolidation of duplicative facilities and replacements; substantially non-cash; no employee count disclosed | ||
| 1995-12-31 | restructuring | completed | 1995-04-24 | United States | Corporate and Operations | USD 46 (millions) | restructuring_footnote f5-10k / Qwen3.6-27B-Q8_0 | Employee benefit and certain severance actions related to the Healthtrust Merger. | |||
| 1995-09-30 | restructuring | completed | USD 105 (millions) | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Pretax costs incurred in connection with the Healthtrust Merger, including severance costs, investment advisory fees, and charges to reduce corporate overhead and consolidate management information systems. | ||||||
| 1995-09-30 | restructuring | completed | USD 282 (millions) | MD&A f5-10q / Qwen3.6-27B-Q8_0 | Pretax charges to writedown assets to estimated net realizable value in connection with plans to consolidate duplicative facilities and replace facilities in certain markets. |