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Basis of Presentation and Significant Accounting Policies (Tables) | 9 Months Ended
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Sep. 30, 2021
Accounting Policies [Abstract] |
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 nine months ended September 30, 2021 and 2020 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2021 |  |  | Ratio |  |  | 2020 |  |  | Ratio |
Medicare |  | $ | 2,645 |  |  |  | 17.3 | % |  | $ | 2,603 |  |  |  | 19.6 | %
Managed Medicare |  |  | 2,124 |  |  |  | 13.9 |  |  |  | 1,760 |  |  |  | 13.2 |
Medicaid |  |  | 692 |  |  |  | 4.5 |  |  |  | 445 |  |  |  | 3.3 |
Managed Medicaid |  |  | 813 |  |  |  | 5.3 |  |  |  | 707 |  |  |  | 5.3 |
Managed care and insurers |  |  | 7,998 |  |  |  | 52.4 |  |  |  | 6,752 |  |  |  | 50.7 |
International (managed care and insurers) |  |  | 324 |  |  |  | 2.1 |  |  |  | 307 |  |  |  | 2.3 |
Other |  |  | 680 |  |  |  | 4.5 |  |  |  | 737 |  |  |  | 5.6 |
Revenues |  | $ | 15,276 |  |  |  | 100.0 | % |  | $ | 13,311 |  |  |  | 100.0 | %
|  | Nine Months |
|  | 2021 |  |  | Ratio |  |  | 2020 |  |  | Ratio |
Medicare |  | $ | 7,816 |  |  |  | 17.9 | % |  | $ | 7,618 |  |  |  | 20.5 | %
Managed Medicare |  |  | 6,281 |  |  |  | 14.4 |  |  |  | 5,074 |  |  |  | 13.6 |
Medicaid |  |  | 1,722 |  |  |  | 3.9 |  |  |  | 1,423 |  |  |  | 3.8 |
Managed Medicaid |  |  | 2,369 |  |  |  | 5.4 |  |  |  | 1,904 |  |  |  | 5.1 |
Managed care and insurers |  |  | 22,300 |  |  |  | 51.0 |  |  |  | 19,028 |  |  |  | 51.0 |
International (managed care and insurers) |  |  | 995 |  |  |  | 2.3 |  |  |  | 838 |  |  |  | 2.3 |
Other |  |  | 2,205 |  |  |  | 5.1 |  |  |  | 1,355 |  |  |  | 3.7 |
Revenues |  | $ | 43,688 |  |  |  | 100.0 | % |  | $ | 37,240 |  |  |  | 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, 2021 and 2020 follows (dollars in millions):
|  | Quarter |  |  | Nine Months |
|  | 2021 |  |  | 2020 |  |  | 2021 |  |  | 2020 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 12,803 |  |  | $ | 11,170 |  |  | $ | 36,396 |  |  | $ | 32,428 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 11.8 | % |  |  | 12.0 | % |  |  | 11.4 | % |  |  | 12.1 | %
Total uncompensated care |  | $ | 7,782 |  |  | $ | 7,023 |  |  | $ | 22,299 |  |  | $ | 21,625 |
Multiply by the cost-to-charges ratio |  |  | 11.8 | % |  |  | 12.0 | % |  |  | 11.4 | % |  |  | 12.1 | %
Estimated cost of total uncompensated care |  | $ | 916 |  |  | $ | 843 |  |  | $ | 2,542 |  |  | $ | 2,617 |

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