Payer mix in the nation's largest for-profit health systems

The nation's largest for-profit health systems have filed their second-quarter earnings reports, detailing payer mixes by patient service revenue, patient admissions, or both in the first half of 2023. 

HCA Healthcare (Nashville, Tenn.):

Payer mix by patient service revenues as of June 30:
Commercial: $15.5 billion (49.2 percent)
Medicare: $5.3 billion (16.9 percent)
Medicare Advantage: $5.1 billion (16.2 percent)
Managed Medicaid: $1.8 billion (5.7 percent)
Other: $1.6 billion (4.9 percent)
Medicaid: $1.5 billion (4.7 percent)
International: $752 million (2.4 percent)

Payer mix by admissions as of June 30:
Commercial: 30 percent
Medicare Advantage: 25 percent
Medicare: 21 percent
Managed Medicaid: 13 percent
Uninsured: 7 percent
Medicaid: 4 percent 


Community Health Systems (Franklin, Tenn.):

Payer mix by net operating revenues as of June 30:
Commercial: $3 billion (47.6 percent)
Medicare: $1.3 billion (20.5 percent)
Medicare Advantage: $1.1 billion (17.1 percent)
Medicaid: $872 million (14 percent)
Self-pay: $48 million (0.8 percent)


Tenet Healthcare (Dallas):
*Commercial includes Medicare Advantage and managed Medicaid

Payer mix by net patient service revenues as of June 30:
Commercial: $5.1 billion (70.6 percent)
Medicare: $1.2 billion (16.9 percent)
Medicaid: $544 million (7.6 percent)
Indemnity/other: $296 million (4.1 percent)
Uninsured: $60 million (0.8 percent)

Payer mix by admissions as of June 30:
Commercial: 67.1 percent
Medicare: 20.3 percent
Medicaid: 4.9 percent
Charity/uninsured: 4.4 percent
Indemnity/other: 3.3 percent


Universal Health Services (King of Prussia, Pa.):

Payer mix by patient service revenues as of June 30:
Commercial: $2.1 billion (30 percent)
Managed Medicaid: $1.2 billion (17 percent) 
Medicare: $815.8 million (12 percent)
Medicare Advantage: 849.7 million (12 percent)
Medicaid: $666.3 million (9 percent)
UK: $357.9 million (5 percent)
Other: 453.1 million (6 percent)




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