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Basis of Presentation and Significant Accounting Policies (Tables) | 9 Months Ended
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Sep. 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 nine months ended September 30, 2019 and 2018 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2019 |  |  | Ratio |  |  | 2018 |  |  | Ratio |
Medicare |  | $ | 2,592 |  |  |  | 20.4 | % |  | $ | 2,404 |  |  |  | 21.0 | %
Managed Medicare |  |  | 1,615 |  |  |  | 12.7 |  |  |  | 1,344 |  |  |  | 11.7 |
Medicaid |  |  | 361 |  |  |  | 2.8 |  |  |  | 338 |  |  |  | 3.0 |
Managed Medicaid |  |  | 641 |  |  |  | 5.0 |  |  |  | 622 |  |  |  | 5.4 |
Managed care and insurers |  |  | 6,554 |  |  |  | 51.7 |  |  |  | 6,026 |  |  |  | 52.6 |
International (managed care and insurers) |  |  | 282 |  |  |  | 2.2 |  |  |  | 273 |  |  |  | 2.4 |
Other |  |  | 649 |  |  |  | 5.2 |  |  |  | 444 |  |  |  | 3.9 |
Revenues |  | $ | 12,694 |  |  |  | 100.0 | % |  | $ | 11,451 |  |  |  | 100.0 | %
|  | Nine Months |
|  | 2019 |  |  | Ratio |  |  | 2018 |  |  | Ratio |
Medicare |  | $ | 7,997 |  |  |  | 21.2 | % |  | $ | 7,353 |  |  |  | 21.4 | %
Managed Medicare |  |  | 4,799 |  |  |  | 12.7 |  |  |  | 4,088 |  |  |  | 11.9 |
Medicaid |  |  | 1,124 |  |  |  | 3.0 |  |  |  | 976 |  |  |  | 2.8 |
Managed Medicaid |  |  | 1,808 |  |  |  | 4.8 |  |  |  | 1,769 |  |  |  | 5.1 |
Managed care and insurers |  |  | 19,405 |  |  |  | 51.1 |  |  |  | 18,081 |  |  |  | 52.6 |
International (managed care and insurers) |  |  | 863 |  |  |  | 2.3 |  |  |  | 873 |  |  |  | 2.5 |
Other |  |  | 1,817 |  |  |  | 4.9 |  |  |  | 1,263 |  |  |  | 3.7 |
Revenues |  | $ | 37,813 |  |  |  | 100.0 | % |  | $ | 34,403 |  |  |  | 100.0 | %
Schedule of Estimated Cost of Uncompensated Care | A summary of the estimated cost of total uncompensated care for the quarters and nine months ended September 30, 2019 and 2018 follows (dollars in millions):
|  | Quarter |  |  | Nine Months |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 11,060 |  |  | $ | 9,946 |  |  | $ | 32,619 |  |  | $ | 29,684 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 12.3 | % |  |  | 12.7 | % |  |  | 12.1 | % |  |  | 12.6 | %
Total uncompensated care |  | $ | 7,923 |  |  | $ | 6,786 |  |  | $ | 22,703 |  |  | $ | 19,524 |
Multiply by the cost-to-charges ratio |  |  | 12.3 | % |  |  | 12.7 | % |  |  | 12.1 | % |  |  | 12.6 | %
Estimated cost of total uncompensated care |  | $ | 975 |  |  | $ | 862 |  |  | $ | 2,747 |  |  | $ | 2,460 |

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