Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2019

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