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Basis of Presentation and Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2020
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 ended March 31, 2020 and 2019 are summarized in the following table (dollars in millions):
                                 
 
2020
 
 
Ratio
 
 
2019
 
 
Ratio
 
Medicare
 
$
2,743
 
 
 
21.3
%
  $
2,770
     
22.1
%
Managed Medicare
 
 
1,826
 
 
 
14.2
 
   
1,589
     
12.7
 
Medicaid
 
 
414
 
 
 
3.2
 
   
347
     
2.8
 
Managed Medicaid
 
 
666
 
 
 
5.2
 
   
613
     
4.9
 
Managed care and insurers
 
 
6,645
 
 
 
51.6
 
   
6,426
     
51.4
 
International (managed care and insurers)
 
 
292
 
 
 
2.3
 
   
297
     
2.4
 
Other
 
 
275
 
 
 
2.2
 
   
475
     
3.7
 
                                 
Revenues
 
$
12,861
 
 
 
100.0
%
  $
12,517
     
100.0
%
                                 
 
Schedule of Estimated Cost of Uncompensated Care A summary of the estimated cost of total uncompensated care for the quarters ended March 31, 2020 and 2019 follows (dollars in millions):
                 
 
2020
 
 
2019
 
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)
 
$
11,342
 
  $
10,606
 
Cost-to-charges
ratio (patient care costs as percentage of gross patient charges)
 
 
11.9
%
   
11.8
%
Total uncompensated care
 
$
7,873
 
  $
7,085
 
Multiply by the
cost-to-charges
ratio
 
 
11.9
%
   
11.8
%
                 
Estimated cost of total uncompensated care
 
$
937
 
  $
836