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Accounting Policies (Tables)
12 Months Ended
Dec. 31, 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 years ended December 31, are summarized in the following table (dollars in millions):

 

 

 

Years Ended December 31,

 

 

 

2022

 

 

Ratio

 

 

2021

 

 

Ratio

 

 

2020

 

 

Ratio

 

Medicare

 

$

10,447

 

 

 

17.3

%

 

$

10,447

 

 

 

17.8

%

 

$

10,420

 

 

 

20.2

%

Managed Medicare

 

 

9,201

 

 

 

15.3

 

 

 

8,424

 

 

 

14.3

 

 

 

6,997

 

 

 

13.6

 

Medicaid

 

 

2,636

 

 

 

4.4

 

 

 

2,290

 

 

 

3.9

 

 

 

1,965

 

 

 

3.8

 

Managed Medicaid

 

 

3,998

 

 

 

6.6

 

 

 

3,124

 

 

 

5.3

 

 

 

2,621

 

 

 

5.1

 

Managed care and other insurers

 

 

29,120

 

 

 

48.3

 

 

 

30,295

 

 

 

51.6

 

 

 

26,535

 

 

 

51.5

 

International (managed care and other insurers)

 

 

1,317

 

 

 

2.2

 

 

 

1,336

 

 

 

2.3

 

 

 

1,120

 

 

 

2.2

 

Other

 

 

3,514

 

 

 

5.9

 

 

 

2,836

 

 

 

4.8

 

 

 

1,875

 

 

 

3.6

 

Revenues

 

$

60,233

 

 

 

100.0

%

 

$

58,752

 

 

 

100.0

%

 

$

51,533

 

 

 

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):

 

 

2022

 

 

2021

 

 

2020

 

Patient care costs (salaries and benefits, supplies, other operating
   expenses and depreciation and amortization)

 

$

51,180

 

 

$

49,074

 

 

$

44,271

 

Cost-to-charges ratio (patient care costs as percentage of gross
   patient charges)

 

 

11.0

%

 

 

11.3

%

 

 

12.0

%

Total uncompensated care

 

$

31,734

 

 

$

29,642

 

 

$

29,029

 

Multiply by the cost-to-charges ratio

 

 

11.0

%

 

 

11.3

%

 

 

12.0

%

Estimated cost of total uncompensated care

 

$

3,491

 

 

$

3,350

 

 

$

3,483