Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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 nine months ended September 30, 2024 and 2023 are summarized in the following table (dollars in millions):

	Quarter
	2024		Ratio			2023		Ratio
Medicare	$	2,584		14.8	%	$	2,560		15.8	%
Managed Medicare		2,949		16.9			2,535		15.6
Medicaid		1,208		6.9			1,001		6.2
Managed Medicaid		1,031		5.9			1,039		6.4
Managed care and insurers		8,497		48.6			7,687		47.4
International (managed care and insurers)		424		2.4			375		2.3
Other		794		4.5			1,016		6.3
Revenues	$	17,487		100.0	%	$	16,213		100.0	%
	Nine Months
	2024		Ratio			2023		Ratio
Medicare	$	8,043		15.4	%	$	7,865		16.5	%
Managed Medicare		8,888		17.0			7,635		16.0
Medicaid		3,316		6.3			2,478		5.2
Managed Medicaid		3,042		5.8			2,846		6.0
Managed care and insurers		25,591		49.0			23,140		48.5
International (managed care and insurers)		1,252		2.4			1,127		2.4
Other		2,186		4.1			2,574		5.4
Revenues	$	52,318		100.0	%	$	47,665		100.0	%

Schedule of Estimated Cost of Uncompensated Care

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

	Quarter						Nine Months
	2024			2023			2024			2023
Patient care costs (salaries and benefits, supplies, other operating    expense and depreciation and amortization)	$	15,077		$	14,121		$	44,617		$	40,839
Cost-to-charges ratio (patient care costs as a percentage    of gross patient charges)		10.3	%		10.9	%		10.2	%		10.6	%
Total uncompensated care	$	10,958		$	9,042		$	31,571		$	25,516
Multiply by the cost-to-charges ratio		10.3	%		10.9	%		10.2	%		10.6	%
Estimated cost of total uncompensated care	$	1,138		$	975		$	3,220		$	2,705