Basis of Presentation and Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2020

Schedule of Revenues from Third Party Payers, Uninsured and Other Payers

Our revenues by primary third-party payer classification and other (including uninsured patients) for the quarters and six months ended June 30, 2020 and 2019 are summarized in the following table (dollars in millions):


	Quarter
	2020		Ratio			2019		Ratio
Medicare	$	2,272		20.5	%	$	2,635		20.9	%
Managed Medicare		1,488		13.4			1,595		12.7
Medicaid		564		5.1			416		3.3
Managed Medicaid		531		4.8			554		4.4
Managed care and insurers		5,631		50.9			6,425		50.9
International (managed care and insurers)		239		2.2			284		2.3
Other		343		3.1			693		5.5

Revenues	$	11,068		100.0	%	$	12,602		100.0	%


	Six Months
	2020		Ratio			2019		Ratio
Medicare	$	5,015		21.0	%	$	5,405		21.5	%
Managed Medicare		3,314		13.8			3,184		12.7
Medicaid		978		4.1			763		3.0
Managed Medicaid		1,197		5.0			1,167		4.6
Managed care and insurers		12,276		51.4			12,851		51.1
International (managed care and insurers)		531		2.2			581		2.3
Other		618		2.5			1,168		4.8

Revenues	$	23,929		100.0	%	$	25,119		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, 2020 and 2019 follows (dollars in millions):


	Quarter						Six Months
	2020			2019			2020			2019
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)	$	9,916		$	10,953		$	21,258		$	21,559
Cost-to-charges ratio (patient care costs as percentage of gross patient charges)		12.6	%		12.2	%		12.2	%		12.0	%
Total uncompensated care	$	6,729		$	7,695		$	14,602		$	14,780
Multiply by the cost-to-charges ratio		12.6	%		12.2	%		12.2	%		12.0	%

Estimated cost of total uncompensated care	$	844		$	938		$	1,781		$	1,774