Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 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 and nine months ended September 30, 2020 and 2019 are summarized in the following table (dollars in millions):

	Quarter
	2020		Ratio			2019		Ratio
Medicare	$	2,603		19.6	%	$	2,592		20.4	%
Managed Medicare		1,760		13.2			1,615		12.7
Medicaid		445		3.3			361		2.8
Managed Medicaid		707		5.3			641		5.0
Managed care and insurers		6,752		50.7			6,554		51.7
International (managed care and insurers)		307		2.3			282		2.2
Other		737		5.6			649		5.2
Revenues	$	13,311		100.0	%	$	12,694		100.0	%

	Nine Months
	2020		Ratio			2019		Ratio
Medicare	$	7,618		20.5	%	$	7,997		21.2	%
Managed Medicare		5,074		13.6			4,799		12.7
Medicaid		1,423		3.8			1,124		3.0
Managed Medicaid		1,904		5.1			1,808		4.8
Managed care and insurers		19,028		51.0			19,405		51.1
International (managed care and insurers)		838		2.3			863		2.3
Other		1,355		3.7			1,817		4.9
Revenues	$	37,240		100.0	%	$	37,813		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, 2020 and 2019 follows (dollars in millions):

	Quarter						Nine Months
	2020			2019			2020			2019
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)	$	11,170		$	11,060		$	32,428		$	32,619
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		12.0	%		12.3	%		12.1	%		12.1	%
Total uncompensated care	$	7,023		$	7,923		$	21,625		$	22,703
Multiply by the cost-to-charges ratio		12.0	%		12.3	%		12.1	%		12.1	%
Estimated cost of total uncompensated care	$	843		$	975		$	2,617		$	2,747