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Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2025

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, 2025 and 2024 are summarized in the following table (dollars in millions):


	Quarter
	2025		Ratio			2024		Ratio
Medicare	$	2,803		15.1	%	$	2,621		15.0	%
Managed Medicare		3,352		18.0			2,913		16.7
Medicaid		1,440		7.7			1,166		6.7
Managed Medicaid		899		4.8			1,033		5.9
Managed care and insurers		9,124		49.1			8,549		48.7
International (managed care and insurers)		461		2.5			416		2.4
Other		526		2.8			794		4.6
Revenues	$	18,605		100.0	%	$	17,492		100.0	%

	Six Months
	2025		Ratio			2024		Ratio
Medicare	$	5,698		15.4	%	$	5,459		15.7	%
Managed Medicare		6,651		18.0			5,939		17.0
Medicaid		2,630		7.1			2,189		6.3
Managed Medicaid		1,778		4.8			2,011		5.8
Managed care and insurers		18,165		49.2			17,094		49.0
International (managed care and insurers)		906		2.5			828		2.4
Other		1,098		3.0			1,311		3.8
Revenues	$	36,926		100.0	%	$	34,831		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, 2025 and 2024 follows (dollars in millions):


	Quarter						Six Months
	2025			2024			2025			2024
Patient care costs (salaries and benefits, supplies, other operating expense and depreciation and amortization)	$	15,638		$	14,761		$	31,104		$	29,540
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		9.7	%		10.1	%		9.6	%		10.1	%
Total uncompensated care	$	11,625		$	10,611		$	22,618		$	20,613
Multiply by the cost-to-charges ratio		9.7	%		10.1	%		9.6	%		10.1	%
Estimated cost of total uncompensated care	$	1,116		$	1,072		$	2,171		$	2,082