ASSETS AND LIABILITIES HELD FOR SALE |
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| Discontinued Operation, Additional Disclosures [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ASSETS AND LIABILITIES HELD FOR SALE | ASSETS AND LIABILITIES HELD FOR SALE In the three months ended December 31, 2017, our hospital, physician practices and other hospital-affiliated operations in St. Louis, Missouri met the criteria to be classified as held for sale in accordance with the guidance in the FASB’s ASC 360, “Property, Plant and Equipment.” We classified $45 million of our St. Louis-area assets as “assets held for sale” in current assets and the related liabilities of $3 million as “liabilities held for sale” in current liabilities on the accompanying Condensed Consolidated Balance Sheet at March 31, 2018. These assets and liabilities, which are in our Hospital Operations and other segment, were recorded at the lower of their carrying amount or their fair value less estimated costs to sell. There was no impairment recorded for a write-down of assets held for sale to their estimated fair value, less estimated costs to sell, as a result of the planned divestiture of these assets. Also in the three months ended December 31, 2017, three of our hospitals in the Chicago-area, as well as other operations affiliated with the hospitals, met the criteria to be classified as held for sale. As a result, we classified these assets totaling $113 million as “assets held for sale” in current assets and the related liabilities of $50 million as “liabilities held for sale” in current liabilities on the accompanying Condensed Consolidated Balance Sheet at March 31, 2018. These assets and liabilities, which are in our Hospital Operations and other segment, were recorded at the lower of their carrying amount or their fair value less estimated costs to sell. We recorded impairment charges of $17 million and $73 million in the three months ended March 31, 2018 and December 31, 2017, respectively, for the write-down of assets held for sale to their estimated fair value, less estimated costs to sell, as a result of the planned divestiture of these assets. In addition, certain assets and the related liabilities of our health plan in California were classified as held for sale in the three months ended December 31, 2017. We classified $11 million of assets as “assets held for sale” in current assets and the related liabilities of $12 million as “liabilities held for sale” in current liabilities on the accompanying Consolidated Balance Sheet at March 31, 2018 related to this health plan. These assets and liabilities, which are in our Hospital Operations and other segment, were recorded at the lower of their carrying amount or their fair value less estimated costs to sell. There was no impairment recorded for a write-down of assets held for sale to their estimated fair value, less estimated costs to sell, as a result of the planned divestiture of this health plan. In the three months ended September 30, 2017, our nine Aspen facilities in the United Kingdom met the criteria to be classified as held for sale. We classified $430 million of our United Kingdom assets as “assets held for sale” in current assets and the related liabilities of $341 million as “liabilities held for sale” in current liabilities on the accompanying Condensed Consolidated Balance Sheet at March 31, 2018. These assets and liabilities, which are in our Ambulatory Care segment, were recorded at the lower of their carrying amount or their fair value less estimated costs to sell. We recorded impairment charges in the three months ended September 30, 2017 related to this planned divestiture of $59 million for the write-down of assets held for sale to their estimated fair value, less estimated costs to sell. Assets and liabilities classified as held for sale at March 31, 2018 were comprised of the following:
In the three months ended September 30, 2017, we entered into a definitive agreement for the sale of our hospitals, physician practices and related assets in Philadelphia, Pennsylvania and the surrounding area. At that time, we recorded impairment charges of $235 million for the write-down of assets held for sale to their estimated fair value, less estimated costs to sell, as a result of this anticipated transaction. This transaction closed in the three months ended March 31, 2018, resulting in net pre-tax proceeds of $152.5 million in cash and a secured promissory note for $17.5 million. Also in the three months ended September 30, 2017, MacNeal Hospital, which is located in a suburb of Chicago, as well as other operations affiliated with the hospital, met the criteria to be classified as held for sale. In the three months ended March 31, 2018, we completed the sale of MacNeal Hospital and other operations affiliated with the hospital. As a result of this transaction, we recorded a gain on sale of $98 million and received net pre-tax cash proceeds of $249 million in the three months ended March 31, 2018. The real estate related to Abrazo Maryvale Hospital in Arizona, which we closed in December 2017, was classified as held for sale in the three months ended December 31, 2017. The real estate was divested in the three months ended March 31, 2018, resulting in net pre-tax proceeds of $7 million. The following table provides information on significant components of our business that have been recently disposed of or are classified as held for sale in the three months ended March 31, 2018:
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