Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 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 and six months ended June 30, 2024 and 2023 are summarized in the following table (dollars in millions):

	Quarter
	2024		Ratio			2023		Ratio
Medicare	$	2,621		15.0	%	$	2,567		16.2	%
Managed Medicare		2,913		16.7			2,541		16.0
Medicaid		1,108		6.3			742		4.7
Managed Medicaid		1,033		5.9			894		5.6
Managed care and insurers		8,549		48.8			7,830		49.4
International (managed care and insurers)		416		2.4			377		2.4
Other		852		4.9			910		5.7
Revenues	$	17,492		100.0	%	$	15,861		100.0	%
	Six Months
	2024		Ratio			2023		Ratio
Medicare	$	5,459		15.7	%	$	5,305		16.9	%
Managed Medicare		5,939		17.0			5,100		16.2
Medicaid		2,108		6.1			1,477		4.7
Managed Medicaid		2,011		5.8			1,807		5.7
Managed care and insurers		17,094		49.0			15,453		49.2
International (managed care and insurers)		828		2.4			752		2.4
Other		1,392		4.0			1,558		4.9
Revenues	$	34,831		100.0	%	$	31,452		100.0	%

Schedule of Estimated Cost of Uncompensated Care

A summary of the estimated cost of total uncompensated care for the quarters and six months ended June 30, 2024 and 2023 follows (dollars in millions):

	Quarter						Six Months
	2024			2023			2024			2023
Patient care costs (salaries and benefits, supplies, other operating    expense and depreciation and amortization)	$	14,761		$	13,561		$	29,540		$	26,718
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		10.1	%		10.5	%		10.1	%		10.5	%
Total uncompensated care	$	10,611		$	8,483		$	20,613		$	16,474
Multiply by the cost-to-charges ratio		10.1	%		10.5	%		10.1	%		10.5	%
Estimated cost of total uncompensated care	$	1,072		$	899		$	2,082		$	1,730