Basis of Presentation and Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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 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