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Basis of Presentation and Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2019
Accounting Policies [Abstract]  
Schedule of Revenues from Third Party Payers, Uninsured and Other Payers Our revenues from third-party payers and others (including uninsured patients) for the quarters ended March 31, 2019 and 2018 are summarized in the following table (dollars in millions):
                                 
 
2019
   
Ratio
   
2018
   
Ratio
 
Medicare
 
$
2,770
     
22.1
%
  $
2,524
     
22.1
%
Managed Medicare
   
1,589
     
12.7
     
1,399
     
12.3
 
Medicaid
   
347
     
2.8
     
281
     
2.5
 
Managed Medicaid
   
613
     
4.9
     
561
     
4.9
 
Managed care and insurers
   
6,426
     
51.4
     
6,062
     
53.1
 
International (managed care and insurers)
   
297
     
2.4
     
305
     
2.7
 
Other
   
475
     
3.7
     
291
     
2.4
 
                                 
Revenues
 
$
12,517
     
100.0
%
  $
11,423
     
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, 2019 and 2018 follows (dollars in millions):
                 
 
2019
   
2018
 
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)
 
$
10,606
    $
9,867
 
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)
   
11.8
%
   
12.4
%
Total uncompensated care
 
$
7,085
    $
6,252
 
Multiply by the cost-to-charges ratio
   
11.8
%
   
12.4
%
                 
Estimated cost of total uncompensated care
 
$
836
    $
775