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Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2019
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,
 
 
2019
 
 
Ratio
 
 
2018
   
Ratio
 
 
2017
 
 
Ratio
 
Medicare
 
$
10,798
 
 
 
21.0
%
  $
9,831
     
21.1
%   $
9,285
     
21.3
%
Managed Medicare
 
 
6,452
 
 
 
12.6
 
   
5,497
     
11.8
     
4,680
     
10.7
 
Medicaid
 
 
1,572
 
 
 
3.1
 
   
1,358
     
2.9
     
1,316
     
3.0
 
Managed Medicaid
 
 
2,450
 
 
 
4.8
 
   
2,403
     
5.1
     
2,165
     
5.0
 
Managed care and other insurers
 
 
26,544
 
 
 
51.6
 
   
24,467
     
52.4
     
23,342
     
53.5
 
International (managed care and
 
other
 insurers)
 
 
1,162
 
 
 
2.3
 
   
1,156
     
2.5
     
1,097
     
2.5
 
Other
 
 
2,358
 
 
 
4.6
 
   
1,965
     
4.2
     
1,729
     
4.0
 
                                                 
Revenues
 
$
51,336
 
 
 
100.0
%
  $
46,677
     
100.0
%   $
43,614
     
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):
 
2019
 
 
2018
 
 
2017
 
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)
 
$
44,118
 
  $
40,035
    $
37,557
 
                         
Cost-to-charges
ratio (patient care costs as percentage of gross patient charges)
 
 
12.0
%
   
12.4
%    
12.9
%
                         
Total uncompensated care
 
$
31,105
 
  $
26,757
    $
23,420
 
Multiply by the
cost-to-charges
ratio
 
 
12.0
%
   
12.4
%    
12.9
%
                         
Estimated cost of total uncompensated care
 
$
3,733
 
  $
3,318
    $
3,021