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Accounting Policies (Tables)
12 Months Ended
Dec. 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 years ended December 31, are summarized in the following table (dollars in millions):

 

 

 

Years Ended December 31,

 

 

 

2024

 

 

Ratio

 

 

2023

 

 

Ratio

 

 

2022

 

 

Ratio

 

Medicare

 

$

10,780

 

 

 

15.3

%

 

$

10,585

 

 

 

16.3

%

 

$

10,447

 

 

 

17.3

%

Managed Medicare

 

 

11,987

 

 

 

17.0

 

 

 

10,496

 

 

 

16.2

 

 

 

9,201

 

 

 

15.3

 

Medicaid

 

 

4,678

 

 

 

6.6

 

 

 

3,606

 

 

 

5.6

 

 

 

2,636

 

 

 

4.4

 

Managed Medicaid

 

 

3,980

 

 

 

5.6

 

 

 

3,879

 

 

 

6.0

 

 

 

3,998

 

 

 

6.6

 

Managed care and other insurers

 

 

34,954

 

 

 

49.5

 

 

 

31,819

 

 

 

49.0

 

 

 

29,120

 

 

 

48.3

 

International (managed care and other insurers)

 

 

1,682

 

 

 

2.4

 

 

 

1,509

 

 

 

2.3

 

 

 

1,317

 

 

 

2.2

 

Other

 

 

2,542

 

 

 

3.6

 

 

 

3,074

 

 

 

4.6

 

 

 

3,514

 

 

 

5.9

 

Revenues

 

$

70,603

 

 

 

100.0

%

 

$

64,968

 

 

 

100.0

%

 

$

60,233

 

 

 

100.0

%

Schedule of Estimated Cost of Uncompensated Care A summary of the estimated cost of total uncompensated care for the years ended December 31, follows (dollars in millions):

 

 

2024

 

 

2023

 

 

2022

 

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

 

$

60,056

 

 

$

55,341

 

 

$

51,180

 

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

 

 

10.1

%

 

 

10.5

%

 

 

11.0

%

Total uncompensated care

 

$

43,231

 

 

$

35,426

 

 

$

31,734

 

Multiply by the cost-to-charges ratio

 

 

10.1

%

 

 

10.5

%

 

 

11.0

%

Estimated cost of total uncompensated care

 

$

4,366

 

 

$

3,720

 

 

$

3,491