Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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 nine months ended September 30, 2023 and 2022 are summarized in the following table (dollars in millions):

	Quarter
	2023		Ratio			2022		Ratio
Medicare	$	2,560		15.8	%	$	2,569		17.2	%
Managed Medicare		2,535		15.6			2,229		14.9
Medicaid		1,001		6.2			797		5.3
Managed Medicaid		1,039		6.4			939		6.3
Managed care and insurers		7,687		47.4			7,184		47.9
International (managed care and insurers)		375		2.3			311		2.1
Other		1,016		6.3			942		6.3
Revenues	$	16,213		100.0	%	$	14,971		100.0	%
	Nine Months
	2023		Ratio			2022		Ratio
Medicare	$	7,865		16.5	%	$	7,790		17.4	%
Managed Medicare		7,635		16.0			6,813		15.2
Medicaid		2,478		5.2			1,987		4.4
Managed Medicaid		2,846		6.0			3,003		6.7
Managed care and insurers		23,140		48.5			21,480		48.1
International (managed care and insurers)		1,127		2.4			992		2.2
Other		2,574		5.4			2,671		6.0
Revenues	$	47,665		100.0	%	$	44,736		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, 2023 and 2022 follows (dollars in millions):

	Quarter						Nine Months
	2023			2022			2023			2022
Patient care costs (salaries and benefits, supplies, other    operating expenses and depreciation and amortization)	$	14,121		$	12,828		$	40,839		$	38,096
Cost-to-charges ratio (patient care costs as percentage of gross    patient charges)		10.9	%		11.2	%		10.6	%		11.2	%
Total uncompensated care	$	9,042		$	8,050		$	25,516		$	23,512
Multiply by the cost-to-charges ratio		10.9	%		11.2	%		10.6	%		11.2	%
Estimated cost of total uncompensated care	$	975		$	901		$	2,705		$	2,633