Not the PDF I'm thinking of, but just googling the numbers I remembered, here one example: https://www.floridahospital.com/sites/default/files/finance_part_i_r

Not the PDF I'm thinking of, but just googling the numbers I remembered, here one example: https://www.floridahospital.com/sites/default/files/finance_part_i_revenue_hib_november_20131.pdf https://www.floridahospital.com/sites/default/files/finance_... > In 2012, beneficiaries of Medicare and Medicaid received nearly 60% of the clinical services provided by Florida Hospital (as measured by charges)vi. However, payments from these government programs represented just 40% of Florida Hospital’s total net revenuevi . In comparison, private payers received 30% of the care provided by Florida Hospital and represented 56% of its total net revenuevi And the next paragraph: > hospitals such as Florida Hospital have no ability to negotiate the payments from the public payers – Medicare and Medicaid – that pay for the majority of the clinical services provided. This poses a tremendous financial challenge for hospitals because these payments do not cover costs. In order to overcome these shortfalls, hospitals negotiate higher rates from private insurance groups. For this reason, continuing cuts to Medicare and Medicaid payments create an unsustainable business environment and put undue financial pressure on private payers (The common response to this is that we need to increase funding to Medicare. While it's true that Medicare happens to be underfunded, that doesn't actually address the structural problem. Because Medicare has the ability to change their reimbursement unilaterally[0] while it has to request additional funding from Congress, these two will always be out of sync). [0] the word 'negotiate' is often used here, but since hospitals are essentially legally required to accept Medicare patients, it's no more a fair negotiation than the negotiation you have with Comcast over your bill. You can squeeze a few extra dollars out of them if you fight, but at the end of the day, Comcast has all the power, so they can - and do! - price-gouge.