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Accounting Policies (Tables)
12 Months Ended
Dec. 31, 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 years ended December 31, are summarized in the following table (dollars in millions):
   
Years Ended December 31,
 
   
2021
   
Ratio
   
2020
   
Ratio
   
2019
   
Ratio
 
Medicare
 
$
10,447
 
 
 
17.8
  $ 10,420       20.2   $ 10,798       21.0
Managed Medicare
 
 
8,424
 
 
 
14.3
 
    6,997       13.6       6,452       12.6  
Medicaid
 
 
2,290
 
 
 
3.9
 
    1,965       3.8       1,572       3.1  
Managed Medicaid
 
 
3,124
 
 
 
5.3
 
    2,621       5.1       2,450       4.8  
Managed care and other insurers
 
 
30,295
 
 
 
51.6
 
    26,535       51.5       26,544       51.6  
International (managed care and other insurers)
 
 
1,336
 
 
 
2.3
 
    1,120       2.2       1,162       2.3  
Other
 
 
2,836
 
 
 
4.8
 
    1,875       3.6       2,358       4.6  
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Revenues
 
$
58,752
 
 
 
100.0
  $ 51,533       100.0   $ 51,336       100.0
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
Schedule of Estimated Cost of Uncompensated Care A summary of the estimated cost of total uncompensated care for the years ended December 31, follows (dollars in millions):
 
    
2021
    
2020
    
2019
 
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)
  
$
49,074
 
   $ 44,271      $ 44,118  
    
 
 
    
 
 
    
 
 
 
Cost-to-charges
ratio (patient care costs as percentage of gross patient charges)
  
 
11.3
     12.0      12.0
    
 
 
    
 
 
    
 
 
 
Total uncompensated care
  
$
29,642
 
   $ 29,029      $ 31,105  
Multiply by the
cost-to-charges
ratio
  
 
11.3
     12.0      12.0
    
 
 
    
 
 
    
 
 
 
Estimated cost of total uncompensated care
  
$
3,350
 
   $ 3,483      $ 3,733