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Basis of Presentation and Significant Accounting Policies (Tables) | 6 Months Ended
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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 |

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