v3.26.3
Contingencies
9 Months Ended
Sep. 30, 2026
Commitments and Contingencies Disclosure [Abstract]  
Contingencies

13. CONTINGENCIES

The Company is a party to various legal, regulatory and governmental proceedings incidental to its business. Based on current knowledge, management does not believe that loss contingencies arising from pending legal, regulatory and governmental matters will have a material adverse effect on the consolidated financial position or liquidity of the Company. However, in light of the inherent uncertainties involved in pending legal, regulatory and governmental matters, some of which are beyond the Company’s control, and the very large or indeterminate damages sought in some of these matters, an adverse outcome in one or more of these matters could be material to the Company’s results of operations or cash flows for any particular reporting period.

With respect to all legal, regulatory and governmental proceedings, the Company considers the likelihood of a negative outcome. If the Company determines the likelihood of a negative outcome with respect to any such matter is probable and the amount of the loss can be reasonably estimated, the Company records an accrual for the estimated loss for the expected outcome of the matter. If the likelihood of a negative outcome with respect to material matters is reasonably possible and the Company is able to determine an estimate of the possible loss or a range of loss, whether in excess of a related accrued liability or where there is no accrued liability, the Company discloses the estimate of the possible loss or range of loss. However, the Company is unable to estimate a possible loss or range of loss in some instances based on the significant uncertainties involved in, and/or the preliminary nature of, certain legal, regulatory and governmental matters.

Probable Contingencies

On January 11, 2024, the Company received a Civil Investigative Demand (“CID”) from the Department of Justice for documents and information relating to a variety of subjects, including practices and procedures related to utilization review, inpatient admissions and inpatient dialysis at the Company’s hospitals. Based upon the Company’s review of the CID, the documents the Company has reviewed and the witnesses who were interviewed, the Company believes that the CID relates to allegations made by a former employee at one of the Company’s hospitals in 2022 and that these allegations were thoroughly and fully investigated to the Company’s satisfaction at the time the allegations were originally made. The Company reached a tentative settlement of this matter during the three months ended September 30, 2026. In connection with reaching this tentative settlement, the Company recognized an accrual during the three months ended September 30, 2026, which, along with accruals for certain individually insignificant matters, is reflected in the “Summary of Recorded Amounts” table below.

The table below presents a reconciliation of the beginning and ending liability balances (in millions) during the nine months ended September 30, 2026, with respect to the Company’s determination of the contingencies of the Company in respect of which an accrual has been recorded.

Summary of Recorded Amounts

 

 

 

Probable

 

 

 

Contingencies

 

Balance at December 31, 2025

 

$

12

 

Expense

 

 

16

 

Reserve for insured claim

 

 

—

 

Cash payments

 

 

(1

)

Balance at September 30, 2026

 

$

27

 

 

In accordance with applicable accounting guidance, the Company establishes a liability for litigation, regulatory and governmental matters for which, based on information currently available, the Company believes that a negative outcome is known or is probable and the amount of the loss is reasonably estimable. For all such matters (whether or not discussed in this contingencies footnote), such amounts have been recorded in other accrued liabilities in the condensed consolidated balance sheets and are included in the table above. Due to the uncertainties and difficulty in predicting the ultimate resolution of these contingencies, the actual amount could differ from the estimated amount reflected as a liability in the condensed consolidated balance sheets.