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Basis of Presentation and Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2025
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, 2025 and 2024 are summarized in the following table (dollars in millions):

 

2025

 

 

Ratio

 

 

2024

 

 

Ratio

 

Medicare

 

$

2,895

 

 

 

15.8

%

 

$

2,838

 

 

 

16.4

%

Managed Medicare

 

 

3,299

 

 

 

18.0

 

 

 

3,026

 

 

 

17.4

 

Medicaid

 

 

1,190

 

 

 

6.5

 

 

 

1,000

 

 

 

5.8

 

Managed Medicaid

 

 

879

 

 

 

4.8

 

 

 

978

 

 

 

5.6

 

Managed care and insurers

 

 

9,041

 

 

 

49.4

 

 

 

8,545

 

 

 

49.2

 

International (managed care and insurers)

 

 

445

 

 

 

2.4

 

 

 

412

 

 

 

2.4

 

Other

 

 

572

 

 

 

3.1

 

 

 

540

 

 

 

3.2

 

Revenues

 

$

18,321

 

 

 

100.0

%

 

$

17,339

 

 

 

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, 2025 and 2024 follows (dollars in millions):

 

2025

 

 

2024

 

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

 

$

15,466

 

 

$

14,779

 

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

 

 

9.6

%

 

 

10.1

%

Total uncompensated care

 

$

10,993

 

 

$

10,002

 

Multiply by the cost-to-charges ratio

 

 

9.6

%

 

 

10.1

%

Estimated cost of total uncompensated care

 

$

1,055

 

 

$

1,010