Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2023

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 six months ended June 30, 2023 and 2022 are summarized in the following table (dollars in millions):

	Quarter
	2023		Ratio			2022		Ratio
Medicare	$	2,567		16.2	%	$	2,495		16.8	%
Managed Medicare		2,541		16.0			2,260		15.2
Medicaid		742		4.7			611		4.1
Managed Medicaid		894		5.6			954		6.4
Managed care and insurers		7,830		49.4			7,144		48.4
International (managed care and insurers)		377		2.4			325		2.2
Other		910		5.7			1,031		6.9
Revenues	$	15,861		100.0	%	$	14,820		100.0	%
	Six Months
	2023		Ratio			2022		Ratio
Medicare	$	5,305		16.9	%	$	5,221		17.5	%
Managed Medicare		5,100		16.2			4,584		15.4
Medicaid		1,477		4.7			1,190		4.0
Managed Medicaid		1,807		5.7			2,064		6.9
Managed care and insurers		15,453		49.2			14,296		48.1
International (managed care and insurers)		752		2.4			681		2.3
Other		1,558		4.9			1,729		5.8
Revenues	$	31,452		100.0	%	$	29,765		100.0	%

Schedule of Estimated Cost of Uncompensated Care

A summary of the estimated cost of total uncompensated care for the quarters and six months ended June 30, 2023 and 2022 follows (dollars in millions):

	Quarter						Six Months
	2023			2022			2023			2022
Patient care costs (salaries and benefits, supplies, other    operating expense and depreciation and amortization)	$	13,561		$	12,524		$	26,718		$	25,268
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		10.5	%		11.0	%		10.5	%		11.2	%
Total uncompensated care	$	8,483		$	8,457		$	16,474		$	15,462
Multiply by the cost-to-charges ratio		10.5	%		11.0	%		10.5	%		11.2	%
Estimated cost of total uncompensated care	$	899		$	940		$	1,730		$	1,732