Full Press Release Details
INDEX TO FINANCIAL STATEMENTS
| Page | ||||
| Health Management Associates, Inc. Consolidated Financial Statements: | ||||
| Report of Independent Registered Public Accounting Firm | 2 | |||
| Consolidated Statements of Operations for the years ended December 31, 2013, 2012 and 2011 | 3 | |||
| Consolidated Statements of Comprehensive Income (Loss) for the years ended December 31, 2013, 2012 and 2011 | 4 | |||
| Consolidated Balance Sheets as of December 31, 2013 and 2012 | 5 | |||
| Consolidated Statements of Stockholders Equity for the years ended December 31, 2013, 2012 and 2011 | 6 | |||
| Consolidated Statements of Cash Flows for the years ended December 31, 2013, 2012 and 2011 | 7 | |||
| Notes to Consolidated Financial Statements | 8 |
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors and Stockholders
We have audited the accompanying consolidated balance sheets of Health Management Associates, Inc. as of
December 31, 2013 and 2012, and the related consolidated statements of operations, comprehensive income (loss), stockholders equity and cash flows for each of the three years in the period ended December 31, 2013. These financial
statements are the responsibility of the Company s management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards
require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. We were not engaged to perform an audit of the Company s internal controls over financial
reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of
the Company s internal controls over financial reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the
accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of
Health Management Associates, Inc. at December 31, 2013 and 2012, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2013, in conformity with U.S. generally
accepted accounting principles.
/s/ ERNST & YOUNG LLP
Certified Public Accountants
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
| Years Ended December 31, | ||||||||||||
| 2013 | 2012 | 2011 | ||||||||||
| Net revenue before the provision for doubtful accounts | $ | 6,701,384 | $ | 6,712,646 | $ | 5,765,347 | ||||||
| Provision for doubtful accounts | (1,158,966 | ) | (876,779 | ) | (712,003 | ) | ||||||
| Net revenue | 5,542,418 | 5,835,867 | 5,053,344 | |||||||||
| Salaries and benefits | 2,670,116 | 2,601,481 | 2,284,269 | |||||||||
| Supplies | 919,626 | 901,153 | 773,476 | |||||||||
| Rent expense | 167,992 | 171,700 | 153,136 | |||||||||
| Other operating expenses | 1,448,719 | 1,300,557 | 1,058,933 | |||||||||
| Medicare and Medicaid HCIT incentive program | (100,496 | ) | (73,056 | ) | (30,976 | ) | ||||||
| Change in control and other related expenses | 133,033 | |||||||||||
| Depreciation and amortization | 390,993 | 347,188 | 264,110 | |||||||||
| Interest expense | 281,254 | 311,067 | 223,208 | |||||||||
| Write-offs of deferred debt issuance costs and other related expenses | 584 | 24,595 | ||||||||||
| Other | 1,928 | 238 | (1,771 | ) | ||||||||
| 5,913,749 | 5,560,328 | 4,748,980 | ||||||||||
| (Loss) income from continuing operations before income taxes | (371,331 | ) | 275,539 | 304,364 | ||||||||
| Income tax benefit (provision) | 135,341 | (90,054 | ) | (104,063 | ) | |||||||
| (Loss) income from continuing operations | (235,990 | ) | 185,485 | 200,301 | ||||||||
| Loss from discontinued operations, including gains/losses on disposals, net of income taxes | (6,091 | ) | (8,566 | ) | (1,755 | ) | ||||||
| Net (loss) income | (242,081 | ) | 176,919 | 198,546 | ||||||||
| Net income attributable to noncontrolling interests | (18,528 | ) | (26,972 | ) | (25,215 | ) | ||||||
| Accretion of redeemable equity securities | (67,930 | ) | ||||||||||
| Net (loss) income attributable to Health Management Associates, Inc. | $ | (328,539 | ) | $ | 149,947 | $ | 173,331 |
See accompanying notes.
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
| Years Ended December 31, | ||||||||||||
| 2013 | 2012 | 2011 | ||||||||||
| Net (loss) income | $ | (242,081 | ) | $ | 176,919 | $ | 198,546 | |||||
| Components of other comprehensive income before income taxes attributable to: | ||||||||||||
| Interest rate swap contract Changes in fair value | 47,735 | |||||||||||
| Reclassification adjustments for amortization of expense into net income | 70,317 | 78,969 | 10,384 | |||||||||
| Net activity attributable to the interest rate swap contract | 70,317 | 78,969 | 58,119 | |||||||||
| Available-for-sale securities Unrealized gains (losses), net | 4,467 | 7,974 | (117 | ) | ||||||||
| Reclassification adjustments for net gains into net income | (1,020 | ) | ||||||||||
| Net activity attributable to available-for-sale securities | 4,467 | 7,974 | (1,137 | ) | ||||||||
| Other comprehensive income before income taxes | 74,784 | 86,943 | 56,982 | |||||||||
| Income tax expense related to items of other comprehensive income | (28,754 | ) | (33,443 | ) | (21,298 | ) | ||||||
| Other comprehensive income, net | 46,030 | 53,500 | 35,684 | |||||||||
| Comprehensive (loss) income | (196,051 | ) | 230,419 | 234,230 | ||||||||
| Comprehensive income attributable to noncontrolling interests | (18,528 | ) | (26,972 | ) | (25,215 | ) | ||||||
| Accretion of redeemable equity securities | (67,930 | ) | ||||||||||
| Comprehensive (loss) income attributable to Health Management Associates, Inc. common stockholders | $ | (282,509 | ) | $ | 203,447 | $ | 209,015 |
See accompanying notes.
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED BALANCE SHEETS
(in thousands, except per share amounts)
| December 31, | ||||||||
| 2013 | 2012 | |||||||
| ASSETS | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 29,971 | $ | 59,173 | ||||
| Available-for-sale securities | 67,047 | 121,106 | ||||||
| Accounts receivable, less allowances for doubtful accounts of $935,253 and $670,729 at December 31, 2013 and 2012, respectively | 746,943 | 957,918 | ||||||
| Supplies, at cost (first-in, first-out method) | 163,025 | 158,524 | ||||||
| Prepaid expenses | 66,468 | 60,769 | ||||||
| Deferred income taxes and other income tax receivables | 174,954 | 60,438 | ||||||
| Restricted funds | 33,541 | 26,525 | ||||||
| Assets of discontinued operations | 10,293 | 24,676 | ||||||
| Total current assets | 1,292,242 | 1,469,129 | ||||||
| Property, plant and equipment: | ||||||||
| Land and improvements | 278,859 | 255,904 | ||||||
| Buildings and improvements | 3,206,842 | 2,945,429 | ||||||
| Leasehold improvements | 274,237 | 271,971 | ||||||
| Equipment | 2,012,489 | 1,793,977 | ||||||
| Construction in progress | 93,578 | 224,266 | ||||||
| 5,866,005 | 5,491,547 | |||||||
| Accumulated depreciation and amortization | (2,292,404 | ) | (2,036,808 | ) | ||||
| Net property, plant and equipment | 3,573,601 | 3,454,739 | ||||||
| Restricted funds | 131,333 | 125,532 | ||||||
| Goodwill | 1,042,312 | 1,020,704 | ||||||
| Deferred charges and other assets | 345,163 | 236,588 | ||||||
| Total assets | $ | 6,384,651 | $ | 6,306,692 | ||||
| LIABILITIES AND STOCKHOLDERS EQUITY | ||||||||
| Accounts payable | $ | 196,788 | $ | 211,387 | ||||
| Accrued payroll and related taxes | 111,294 | 94,277 | ||||||
| Accrued expenses and other liabilities | 350,883 | 384,151 | ||||||
| Due to third-party payors | 19,753 | 51,642 | ||||||
| Deferred income taxes | 8,068 | 29,026 | ||||||
| Current maturities of long-term debt and capital lease obligations | 115,400 | 126,262 | ||||||
| Total current liabilities | 802,186 | 896,745 | ||||||
| Deferred income taxes | 385,116 | 301,237 | ||||||
| Long-term debt and capital lease obligations, less current maturities | 3,649,188 | 3,440,353 | ||||||
| Other long-term liabilities | 451,750 | 460,886 | ||||||
| Total liabilities | 5,288,240 | 5,099,221 | ||||||
| Redeemable equity securities | 320,130 | 212,458 | ||||||
| Stockholders equity: | ||||||||
| Health Management Associates, Inc. equity: | ||||||||
| Preferred stock, $0.01 par value, 5,000 shares authorized, none issued | ||||||||
| Common stock, Class A, $0.01 par value, 750,000 shares authorized, 264,553 shares and 256,394 shares issued at December 31, 2013 and 2012, respectively | 2,645 | 2,564 | ||||||
| Accumulated other comprehensive income (loss), net of income taxes | 4,090 | (41,940 | ) | |||||
| Additional paid-in capital | 231,603 | 173,843 | ||||||
| Retained earnings | 515,399 | 843,938 | ||||||
| Total Health Management Associates, Inc. stockholders equity | 753,737 | 978,405 | ||||||
| Noncontrolling interests | 22,544 | 16,608 | ||||||
| Total stockholders equity | 776,281 | 995,013 | ||||||
| Total liabilities and stockholders equity | $ | 6,384,651 | $ | 6,306,692 |
See accompanying notes.
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY
Years Ended December 31, 2013, 2012 and 2011
| Health Management Associates, Inc. | ||||||||||||||||||||||||||||
| Common Stock | Accumulated Other Comprehensive | Additional Paid-in | Retained | Noncontrolling | Total Stockholders | |||||||||||||||||||||||
| Shares | Par Value | Income (Loss), Net | Capital | Earnings | Interests | Equity | ||||||||||||||||||||||
| Balances at January 1, 2011 | 250,880 | $ | 2,509 | $ | (131,124 | ) | $ | 123,701 | $ | 520,660 | $ | 12,591 | $ | 528,337 | ||||||||||||||
| Net income | 173,331 | 25,215 | 198,546 | |||||||||||||||||||||||||
| Unrealized gains (losses) on available-for-sale securities and reclassifications into net income, net | (741 | ) | (741 | ) | ||||||||||||||||||||||||
| Change in fair value of interest rate swap contract and amortization of expense into net income, net | 36,425 | 36,425 | ||||||||||||||||||||||||||
| Exercises of stock options and related tax matters | 1,563 | 16 | 16,237 | 16,253 | ||||||||||||||||||||||||
| Issuances of deferred stock and restricted stock and related tax matters, net of forfeitures | 1,713 | 17 | (7,587 | ) | (7,570 | ) | ||||||||||||||||||||||
| Stock-based compensation expense | 24,508 | 24,508 | ||||||||||||||||||||||||||
| Distributions to noncontrolling shareholders | (25,394 | ) | (25,394 | ) | ||||||||||||||||||||||||
| Noncontrolling shareholder interests in acquired businesses | 3,563 | 3,563 | ||||||||||||||||||||||||||
| Balances at December 31, 2011 | 254,156 | 2,542 | (95,440 | ) | 156,859 | 693,991 | 15,975 | 773,927 | ||||||||||||||||||||
| Net income | 149,947 | 26,972 | 176,919 | |||||||||||||||||||||||||
| Unrealized gains (losses) on available-for-sale securities and reclassifications into net income, net | 5,186 | 5,186 | ||||||||||||||||||||||||||
| Change in fair value of interest rate swap contract and amortization of expense into net income, net | 48,314 | 48,314 | ||||||||||||||||||||||||||
| Issuances of deferred stock and restricted stock and related tax matters, net of forfeitures | 2,238 | 22 | (8,322 | ) | (8,300 | ) | ||||||||||||||||||||||
| Stock-based compensation expense | 25,599 | 25,599 | ||||||||||||||||||||||||||
| Distributions to noncontrolling shareholders | (27,095 | ) | (27,095 | ) | ||||||||||||||||||||||||
| Purchases of subsidiary shares from noncontrolling shareholders | (293 | ) | (1,161 | ) | (1,454 | ) | ||||||||||||||||||||||
| Noncontrolling shareholder interests in acquired businesses | 1,917 | 1,917 | ||||||||||||||||||||||||||
| Balances at December 31, 2012 | 256,394 | 2,564 | (41,940 | ) | 173,843 | 843,938 | 16,608 | 995,013 | ||||||||||||||||||||
| Net loss, including amount attributable to accretion of redeemable equity securities | (328,539 | ) | 18,528 | (310,011 | ) | |||||||||||||||||||||||
| Unrealized gains (losses) on available-for-sale securities and reclassifications into net income, net | 3,009 | 3,009 | ||||||||||||||||||||||||||
| Change in fair value of interest rate swap contract and amortization of expense into net income, net | 43,021 | 43,021 | ||||||||||||||||||||||||||
| Issuances of deferred stock and restricted stock and related tax matters, net of forfeitures | 8,159 | 81 | (1,149 | ) | (1,068 | ) | ||||||||||||||||||||||
| Stock-based compensation expense | 58,909 | 58,909 | ||||||||||||||||||||||||||
| Distributions to noncontrolling shareholders | (26,742 | ) | (26,742 | ) | ||||||||||||||||||||||||
| Noncontrolling shareholder interests in acquired businesses | 14,150 | 14,150 | ||||||||||||||||||||||||||
| Balances at December 31, 2013 | 264,553 | $ | 2,645 | $ | 4,090 | $ | 231,603 | $ | 515,399 | $ | 22,544 | $ | 776,281 |
See accompanying notes.
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
| Years Ended December 31, | ||||||||||||
| 2013 | 2012 | 2011 | ||||||||||
| Cash flows from operating activities: | ||||||||||||
| Net (loss) income | $ | (242,081 | ) | $ | 176,919 | $ | 198,546 | |||||
| Adjustments to reconcile net (loss) income to net cash provided by continuing operating activities: | ||||||||||||
| Depreciation and amortization | 402,895 | 358,167 | 270,736 | |||||||||
| Amortization related to interest rate swap contract | 70,317 | 78,969 | 10,384 | |||||||||
| Fair value adjustments related to interest rate swap contract | 4,316 | 24,201 | 5,979 | |||||||||
| Provision for doubtful accounts | 1,158,966 | 876,779 | 712,003 | |||||||||
| Stock-based compensation expense | 58,909 | 25,599 | 24,508 | |||||||||
| Losses on sales of assets, net | 6,716 | 4,790 | 1,325 | |||||||||
| Gains on sales of available-for-sale securities, net | (3,992 | ) | (3,081 | ) | (518 | ) | ||||||
| Write-offs of deferred debt issuance costs | 584 | 24,045 | ||||||||||
| Deferred income tax expense (benefit) | (36,719 | ) | (2,727 | ) | 76,473 | |||||||
| Changes in assets and liabilities of continuing operations, net of the effects of acquisitions: | ||||||||||||
| Accounts receivable | (990,295 | ) | (946,946 | ) | (863,969 | ) | ||||||
| Supplies | 2,710 | (1,894 | ) | (3,057 | ) | |||||||
| Prepaid expenses | (5,438 | ) | (2,168 | ) | (8,124 | ) | ||||||
| Prepaid and recoverable income taxes | (47,605 | ) | 29,083 | (18,633 | ) | |||||||
| Deferred charges and other long-term assets | (34,089 | ) | (70 | ) | (5,812 | ) | ||||||
| Accounts payable | (11,878 | ) | 10,177 | 24,179 | ||||||||
| Accrued expenses and other liabilities | (93,775 | ) | (38,456 | ) | 95,315 | |||||||
| Equity compensation excess income tax benefits | (19,056 | ) | (1,492 | ) | (2,999 | ) | ||||||
| Loss from discontinued operations, net | 6,091 | 8,566 | 1,755 | |||||||||
| Net cash provided by continuing operating activities | 226,576 | 596,416 | 542,136 | |||||||||
| Cash flows from investing activities: | ||||||||||||
| Acquisitions of hospitals and other ancillary health care businesses | (183,524 | ) | (73,948 | ) | (582,090 | ) | ||||||
| Additions to property, plant and equipment | (274,175 | ) | (388,059 | ) | (301,308 | ) | ||||||
| Proceeds from sales of assets and insurance recoveries | 108 | 2,857 | 2,765 | |||||||||
| Proceeds from sales of discontinued operations | 1,392 | 4,851 | ||||||||||
| Purchases of available-for-sale securities | (486,594 | ) | (1,947,028 | ) | (1,385,580 | ) | ||||||
| Proceeds from sales of available-for-sale securities | 545,503 | 1,954,653 | 1,321,398 | |||||||||
| Increase in restricted funds, net | (9,208 | ) | (22,923 | ) | (35,309 | ) | ||||||
| Net cash used in continuing investing activities | (407,890 | ) | (473,056 | ) | (975,273 | ) | ||||||
| Cash flows from financing activities: | ||||||||||||
| Proceeds from long-term debt borrowings | 623,900 | 47,000 | 3,356,970 | |||||||||
| Principal payments on debt and capital lease obligations | (493,309 | ) | (141,823 | ) | (2,869,380 | ) | ||||||
| Payments of debt issuance costs | (1,588 | ) | (702 | ) | (75,149 | ) | ||||||
| Proceeds from exercises of stock options | 27,949 | 14,067 | ||||||||||
| Cash received from noncontrolling shareholders | 3,591 | |||||||||||
| Cash payments to noncontrolling shareholders | (28,861 | ) | (35,543 | ) | (28,284 | ) | ||||||
| Equity compensation excess income tax benefits | 19,056 | 1,492 | 2,999 | |||||||||
| Net cash provided by (used in) continuing financing activities | 147,147 | (125,985 | ) | 401,223 | ||||||||
| Net decrease in cash and cash equivalents before discontinued operations | (34,167 | ) | (2,625 | ) | (31,914 | ) | ||||||
| Net increases (decreases) in cash and cash equivalents from discontinued operations: | ||||||||||||
| Operating activities | (1,016 | ) | (1,438 | ) | 7,709 | |||||||
| Investing activities | 5,981 | (869 | ) | (13,464 | ) | |||||||
| Financing activities | (38 | ) | ||||||||||
| Net decrease in cash and cash equivalents | (29,202 | ) | (4,970 | ) | (37,669 | ) | ||||||
| Cash and cash equivalents at the beginning of the year | 59,173 | 64,143 | 101,812 | |||||||||
| Cash and cash equivalents at the end of the year | $ | 29,971 | $ | 59,173 | $ | 64,143 | ||||||
| Supplemental disclosures of cash flow information: | ||||||||||||
| Cash paid during the year for: | ||||||||||||
| Interest, net of amounts capitalized | $ | 270,995 | $ | 270,226 | $ | 188,734 | ||||||
| Income taxes | $ | 8,591 | $ | 71,737 | $ | 50,651 |
See accompanying notes.
HEALTH MANAGEMENT ASSOCIATES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Health Management Associates,
Inc. by and through its subsidiaries (collectively, HMA or the Company ) provides health care services to patients in hospitals and other health care facilities in non-urban communities located primarily in the southeastern
United States. As of December 31, 2013, the Company operated 70 hospitals in fifteen states with a total of 10,706 licensed beds, including twenty-three hospitals located in Florida, ten hospitals in Mississippi and nine hospitals in Tennessee.
On July 29, 2013, the Company entered into an Agreement and Plan of Merger (the Merger Agreement ) with Community Health
Systems, Inc. ( CHS ) and FWCT-2 Acquisition Corporation, an indirect, wholly-owned subsidiary of CHS ( Merger Sub ), pursuant to which Merger Sub merged with and into the Company and became an indirect, wholly-owned subsidiary
of CHS (the Merger ). The Merger was completed on January 27, 2014 and the terms and conditions are described in more detail in Note 13.
As further described in Note 12, on August 12, 2013, Glenview Capital Management, LLC and certain of its affiliated investment funds
(collectively Glenview ), delivered written consents from holders of the Company s common stock, or their duly authorized proxies, sufficient to replace the Company s entire Board of Directors with nominees of Glenview pursuant
to a consent solicitation process (the Consent Solicitation Process ) that had previously been commenced by Glenview.
specifically indicated otherwise, all amounts and percentages presented in the notes below are exclusive of the Company s discontinued operations, which are identified at Note 10.
The preparation of financial statements in conformity with U.S. generally accepted accounting principles ( GAAP ) requires
management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.
The Company consistently applies the accounting policies described below.
a. Principles of consolidation
The consolidated financial statements include the accounts of the Company and its subsidiaries, all of which are controlled by the Company
through majority voting control. All significant intercompany accounts and transactions have been eliminated. The Company uses the equity method of accounting for investments in entities in which it exhibits significant influence, but not control,
and has an ownership interest ranging from 20% to 50%.
For consolidation and variable interest entity disclosure purposes, management
evaluates circumstances where the Company has ownership, contractual or other financial interests that may result in its (i) ability to direct the activities of an entity that most significantly impact such entity s economic performance
and/or (ii) obligation to absorb the losses of, or the right to receive the benefits from, an entity that could potentially be significant to that entity; however, no such arrangements that would be material to the Company s consolidated
financial position or results of operations have been identified.
b. Cash and cash equivalents
Cash and cash equivalents include all highly liquid investments with an original maturity of three months or less. The Company s cash
equivalents primarily consist of investment grade financial instruments.
c. Available-for-sale securities
The Company s investments in debt securities and shares in publicly traded stocks and mutual funds have been designated by management as
available-for-sale securities, as defined by GAAP. The estimated fair values of such securities are based on quoted market prices and pricing valuation models. Changes in temporary unrealized gains and losses are recorded as adjustments to other
comprehensive income, net of income taxes. Periodically, management performs an evaluative assessment of individual securities to determine whether declines in fair value are other-than-temporary. Management considers various quantitative,
qualitative and judgmental factors when performing its evaluation, including, but not limited to, the nature of the security being analyzed and the length of time and extent to which a security s fair value is below its historical/amortized
cost. Also, see Notes 5 and 11 for more information regarding the Company s available-for-sale securities.
HEALTH MANAGEMENT ASSOCIATES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
d. Property, plant and equipment
Property, plant and equipment are stated at cost and include major expenditures that extend an asset s useful life. Ordinary repair and
maintenance costs (e.g., medical equipment adjustments, painting, cleaning, etc.) are expensed as incurred. Depreciation and amortization are computed using the straight-line method over the estimated useful lives of the underlying assets. Estimated
useful lives for buildings and improvements range from fifteen to forty years and for equipment range from three to fifteen years. Leasehold improvements, capital lease assets and other assets of a similar nature are amortized on a straight-line
basis over the shorter of the term of the respective lease or the useful life of the underlying asset. Depreciation expense was approximately $247.9 million, $240.0 million and $215.8 million during the years ended December 31, 2013, 2012 and
e. Deferred debt issuance costs, goodwill and other long-lived assets
Deferred debt issuance costs. Deferred charges and other assets include deferred debt issuance costs that are being amortized over the
estimated economic life of the related debt using the effective interest method. A rollforward of the Company s deferred debt issuance costs is presented in the table below (in thousands).
| Years Ended December 31, | ||||||||||||
| 2013 | 2012 | 2011 | ||||||||||
| Balances at the beginning of the year | $ | 67,903 | $ | 67,201 | $ | 48,515 | ||||||
| Costs associated with the issuance of long-term debt | 1,588 | 702 | 75,149 | |||||||||
| Write-offs (see debt restructuring at Note 2) | (584 | ) | (56,463 | ) | ||||||||
| Balances at the end of the year | $ | 68,907 | $ | 67,903 | $ | 67,201 |
Accumulated amortization of deferred debt issuance costs was approximately $26.7 million and $14.5 million at
December 31, 2013 and 2012, respectively. Amortization of deferred debt issuance costs was $12.3 million, $11.4 million and $7.6 million during the years ended December 31, 2013, 2012 and 2011, respectively. As further discussed in Note 2,
in conjunction with the completion of the Merger, the Company s borrowings under its Credit Facility and the Senior Notes due 2016 and 2020 were repaid and the related deferred debt issuance costs were written off.
Goodwill. GAAP calls for goodwill (i.e., the excess of cost over acquired net assets) and intangible assets with indefinite useful
lives to be tested for impairment annually and whenever circumstances indicate that a possible impairment might exist. Management performs the goodwill impairment test by initially comparing the estimated fair values of the reporting unit s net
assets, including allocated home office net assets, to the corresponding carrying amounts on the Company s consolidated balance sheets. The estimated fair value of the Company s reporting unit is determined using a market approach
methodology based on revenue multiples. Management also considers a market approach valuation methodology based on comparable transactions. If the estimated fair value of the reporting unit s net assets is less than the balance sheet carrying
amount, management determines the implied fair value of the reporting unit s goodwill, compares such fair value to the corresponding carrying amount and, if necessary, records a goodwill impairment charge.
Reporting units are one level below the operating segment level (see Note 1(n)). Prior to the Merger, the Company performed its goodwill
impairment testing at the divisional operating level. After the announcement of the Merger Agreement, changes in executive management occurred and new executive management reorganized all of the Company s division operations and the level of
operational reviews and management oversight under the direction of CHS. From that point forward, financial and operating performance review of the Company s hospitals performed by the chief operating decision maker, was performed on an
entity-wide basis. As a result management concluded that the Company s goodwill should be combined into one reporting unit representing the Company s entire hospital operations. This conclusion, reached during the third quarter of 2013,
was considered as part of the Company s annual test for goodwill impairment.
There were no goodwill impairment charges in continuing
operations during the years ended December 31, 2013, 2012 and 2011.
HEALTH MANAGEMENT ASSOCIATES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)
Physician and Physician Group Guarantees. Deferred charges and other assets include