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Basis of Presentation and Significant Accounting Policies (Tables) | 6 Months Ended
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Jun. 30, 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 and six months ended June 30, 2019 and 2018 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2019 |  |  | Ratio |  |  | 2018 |  |  | Ratio |
Medicare |  | $ | 2,635 |  |  |  | 20.9 | % |  | $ | 2,425 |  |  |  | 21.0 | %
Managed Medicare |  |  | 1,595 |  |  |  | 12.7 |  |  |  | 1,345 |  |  |  | 11.7 |
Medicaid |  |  | 416 |  |  |  | 3.3 |  |  |  | 357 |  |  |  | 3.1 |
Managed Medicaid |  |  | 554 |  |  |  | 4.4 |  |  |  | 586 |  |  |  | 5.1 |
Managed care and insurers |  |  | 6,425 |  |  |  | 50.9 |  |  |  | 5,993 |  |  |  | 51.9 |
International (managed care and insurers) |  |  | 284 |  |  |  | 2.3 |  |  |  | 295 |  |  |  | 2.6 |
Other |  |  | 693 |  |  |  | 5.5 |  |  |  | 528 |  |  |  | 4.6 |
Revenues |  | $ | 12,602 |  |  |  | 100.0 | % |  | $ | 11,529 |  |  |  | 100.0 | %
|  | Six Months |
|  | 2019 |  |  | Ratio |  |  | 2018 |  |  | Ratio |
Medicare |  | $ | 5,405 |  |  |  | 21.5 | % |  | $ | 4,949 |  |  |  | 21.6 | %
Managed Medicare |  |  | 3,184 |  |  |  | 12.7 |  |  |  | 2,744 |  |  |  | 12.0 |
Medicaid |  |  | 763 |  |  |  | 3.0 |  |  |  | 638 |  |  |  | 2.8 |
Managed Medicaid |  |  | 1,167 |  |  |  | 4.6 |  |  |  | 1,147 |  |  |  | 5.0 |
Managed care and insurers |  |  | 12,851 |  |  |  | 51.1 |  |  |  | 12,055 |  |  |  | 52.5 |
International (managed care and insurers) |  |  | 581 |  |  |  | 2.3 |  |  |  | 600 |  |  |  | 2.6 |
Other |  |  | 1,168 |  |  |  | 4.8 |  |  |  | 819 |  |  |  | 3.5 |
Revenues |  | $ | 25,119 |  |  |  | 100.0 | % |  | $ | 22,952 |  |  |  | 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, 2019 and 2018 follows (dollars in millions):
|  | Quarter |  |  | Six Months |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 10,953 |  |  | $ | 9,871 |  |  | $ | 21,559 |  |  | $ | 19,738 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 12.2 | % |  |  | 12.6 | % |  |  | 12.0 | % |  |  | 12.5 | %
Total uncompensated care |  | $ | 7,695 |  |  | $ | 6,486 |  |  | $ | 14,780 |  |  | $ | 12,738 |
Multiply by the cost-to-charges ratio |  |  | 12.2 | % |  |  | 12.6 | % |  |  | 12.0 | % |  |  | 12.5 | %
Estimated cost of total uncompensated care |  | $ | 938 |  |  | $ | 817 |  |  | $ | 1,774 |  |  | $ | 1,592 |

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