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Basis of Presentation and Significant Accounting Policies (Tables) | 9 Months Ended
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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 |

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