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Basis of Presentation and Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2024
Accounting Policies [Abstract]  
Schedule of Revenues from Third Party Payers, Uninsured and Other Payers Our revenues by primary third-party payer classification and other (including uninsured patients) for the quarters ended March 31, 2024 and 2023 are summarized in the following table (dollars in millions):

 

2024

 

 

Ratio

 

 

2023

 

 

Ratio

 

Medicare

 

$

2,838

 

 

 

16.4

%

 

$

2,738

 

 

 

17.6

%

Managed Medicare

 

 

3,026

 

 

 

17.4

 

 

 

2,559

 

 

 

16.4

 

Medicaid

 

 

1,000

 

 

 

5.8

 

 

 

735

 

 

 

4.7

 

Managed Medicaid

 

 

978

 

 

 

5.6

 

 

 

913

 

 

 

5.9

 

Managed care and insurers

 

 

8,545

 

 

 

49.2

 

 

 

7,623

 

 

 

48.9

 

International (managed care and insurers)

 

 

412

 

 

 

2.4

 

 

 

375

 

 

 

2.4

 

Other

 

 

540

 

 

 

3.2

 

 

 

648

 

 

 

4.1

 

Revenues

 

$

17,339

 

 

 

100.0

%

 

$

15,591

 

 

 

100.0

%

Schedule of Estimated Cost of Uncompensated Care A summary of the estimated cost of total uncompensated care for the quarters ended March 31, 2024 and 2023 follows (dollars in millions):

 

2024

 

 

2023

 

Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation
   and amortization)

 

$

14,779

 

 

$

13,157

 

Cost-to-charges ratio (patient care costs as percentage of gross patient charges)

 

 

10.1

%

 

 

10.4

%

Total uncompensated care

 

$

10,002

 

 

$

7,991

 

Multiply by the cost-to-charges ratio

 

 

10.1

%

 

 

10.4

%

Estimated cost of total uncompensated care

 

$

1,010

 

 

$

831