Basis of Presentation and Significant Accounting Policies (Tables)

3 Months Ended

Mar. 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 quarters ended March 31, 2021 and 2020 are summarized in the following table (dollars in millions):

	2021		Ratio			2020		Ratio
Medicare	$	2,559		18.3	%	$	2,743		21.3	%
Managed Medicare		2,053		14.7			1,826		14.2
Medicaid		527		3.8			414		3.2
Managed Medicaid		725		5.2			666		5.2
Managed care and insurers		6,885		49.1			6,645		51.6
International (managed care and insurers)		333		2.4			292		2.3
Other		895		6.5			275		2.2
Revenues	$	13,977		100.0	%	$	12,861		100.0	%

Schedule of Estimated Cost of Uncompensated Care

A summary of the estimated cost of total uncompensated care for the quarters ended March 31, 2021 and 2020 follows (dollars in millions):

	2021			2020
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)	$	11,643		$	11,342
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		11.4	%		11.9	%
Total uncompensated care	$	6,821		$	7,873
Multiply by the cost-to-charges ratio		11.4	%		11.9	%
Estimated cost of total uncompensated care	$	778		$	937