Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2021

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, 2021 and 2020 are summarized in the following table (dollars in millions):

	Quarter
	2021		Ratio			2020		Ratio
Medicare	$	2,645		17.3	%	$	2,603		19.6	%
Managed Medicare		2,124		13.9			1,760		13.2
Medicaid		692		4.5			445		3.3
Managed Medicaid		813		5.3			707		5.3
Managed care and insurers		7,998		52.4			6,752		50.7
International (managed care and insurers)		324		2.1			307		2.3
Other		680		4.5			737		5.6
Revenues	$	15,276		100.0	%	$	13,311		100.0	%

	Nine Months
	2021		Ratio			2020		Ratio
Medicare	$	7,816		17.9	%	$	7,618		20.5	%
Managed Medicare		6,281		14.4			5,074		13.6
Medicaid		1,722		3.9			1,423		3.8
Managed Medicaid		2,369		5.4			1,904		5.1
Managed care and insurers		22,300		51.0			19,028		51.0
International (managed care and insurers)		995		2.3			838		2.3
Other		2,205		5.1			1,355		3.7
Revenues	$	43,688		100.0	%	$	37,240		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, 2021 and 2020 follows (dollars in millions):

	Quarter						Nine Months
	2021			2020			2021			2020
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)	$	12,803		$	11,170		$	36,396		$	32,428
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		11.8	%		12.0	%		11.4	%		12.1	%
Total uncompensated care	$	7,782		$	7,023		$	22,299		$	21,625
Multiply by the cost-to-charges ratio		11.8	%		12.0	%		11.4	%		12.1	%
Estimated cost of total uncompensated care	$	916		$	843		$	2,542		$	2,617