Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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 nine months ended September 30, 2022 and 2021 are summarized in the following table (dollars in millions):

	Quarter
	2022		Ratio			2021		Ratio
Medicare	$	2,569		17.2	%	$	2,645		17.3	%
Managed Medicare		2,229		14.9			2,124		13.9
Medicaid		797		5.3			692		4.5
Managed Medicaid		939		6.3			813		5.3
Managed care and insurers		7,184		47.9			7,998		52.4
International (managed care and insurers)		311		2.1			324		2.1
Other		942		6.3			680		4.5
Revenues	$	14,971		100.0	%	$	15,276		100.0	%
	Nine Months
	2022		Ratio			2021		Ratio
Medicare	$	7,790		17.4	%	$	7,816		17.9	%
Managed Medicare		6,813		15.2			6,281		14.4
Medicaid		1,987		4.4			1,722		3.9
Managed Medicaid		3,003		6.7			2,369		5.4
Managed care and insurers		21,480		48.1			22,300		51.0
International (managed care and insurers)		992		2.2			995		2.3
Other		2,671		6.0			2,205		5.1
Revenues	$	44,736		100.0	%	$	43,688		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, 2022 and 2021 follows (dollars in millions):

	Quarter						Nine Months
	2022			2021			2022			2021
Patient care costs (salaries and benefits, supplies, other operating    expenses and depreciation and amortization)	$	12,828		$	12,803		$	38,096		$	36,396
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		11.2	%		11.8	%		11.2	%		11.4	%
Total uncompensated care	$	8,050		$	7,782		$	23,512		$	22,299
Multiply by the cost-to-charges ratio		11.2	%		11.8	%		11.2	%		11.4	%
Estimated cost of total uncompensated care	$	901		$	916		$	2,633		$	2,542