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Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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 nine months ended September 30, 2025 and 2024 are summarized in the following table (dollars in millions):


	Quarter
	2025		Ratio			2024		Ratio
Medicare	$	2,728		14.2	%	$	2,584		14.8	%
Managed Medicare		3,306		17.3			2,949		16.9
Medicaid		1,783		9.3			1,127		6.4
Managed Medicaid		949		4.9			1,031		5.9
Managed care and insurers		9,267		48.4			8,497		48.6
International (managed care and insurers)		484		2.5			424		2.4
Other		644		3.4			875		5.0
Revenues	$	19,161		100.0	%	$	17,487		100.0	%

	Nine Months
	2025		Ratio			2024		Ratio
Medicare	$	8,426		15.0	%	$	8,043		15.4	%
Managed Medicare		9,957		17.8			8,888		17.0
Medicaid		4,413		7.9			3,316		6.3
Managed Medicaid		2,727		4.9			3,042		5.8
Managed care and insurers		27,432		48.8			25,591		49.0
International (managed care and insurers)		1,390		2.5			1,252		2.4
Other		1,742		3.1			2,186		4.1
Revenues	$	56,087		100.0	%	$	52,318		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, 2025 and 2024 follows (dollars in millions):


	Quarter						Nine Months
	2025			2024			2025			2024
Patient care costs (salaries and benefits, supplies, other operating expense and depreciation and amortization)	$	16,196		$	15,077		$	47,300		$	44,617
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		10.0	%		10.3	%		9.7	%		10.2	%
Total uncompensated care	$	12,015		$	10,958		$	34,633		$	31,571
Multiply by the cost-to-charges ratio		10.0	%		10.3	%		9.7	%		10.2	%
Estimated cost of total uncompensated care	$	1,188		$	1,138		$	3,359		$	3,220