Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2022

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 six months ended June 30, 2022 and 2021 are summarized in the following table (dollars in millions):

	Quarter
	2022		Ratio			2021		Ratio
Medicare	$	2,495		16.8	%	$	2,612		18.1	%
Managed Medicare		2,260		15.2			2,104		14.6
Medicaid		611		4.1			503		3.5
Managed Medicaid		954		6.4			831		5.8
Managed care and insurers		7,144		48.4			7,417		51.3
International (managed care and insurers)		325		2.2			338		2.3
Other		1,031		6.9			630		4.4
Revenues	$	14,820		100.0	%	$	14,435		100.0	%
	Six Months
	2022		Ratio			2021		Ratio
Medicare	$	5,221		17.5	%	$	5,171		18.2	%
Managed Medicare		4,584		15.4			4,157		14.6
Medicaid		1,190		4.0			1,030		3.6
Managed Medicaid		2,064		6.9			1,556		5.5
Managed care and insurers		14,296		48.1			14,302		50.4
International (managed care and insurers)		681		2.3			671		2.4
Other		1,729		5.8			1,525		5.3
Revenues	$	29,765		100.0	%	$	28,412		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, 2022 and 2021 follows (dollars in millions):

	Quarter						Six Months
	2022			2021			2022			2021
Patient care costs (salaries and benefits, supplies, other operating    expense and depreciation and amortization)	$	12,524		$	11,950		$	25,268		$	23,593
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		11.0	%		11.1	%		11.2	%		11.2	%
Total uncompensated care	$	8,457		$	7,696		$	15,462		$	14,517
Multiply by the cost-to-charges ratio		11.0	%		11.1	%		11.2	%		11.2	%
Estimated cost of total uncompensated care	$	940		$	848		$	1,732		$	1,626