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v3.22.2.2

Basis of Presentation and Significant Accounting Policies (Tables) | 9 Months Ended
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Sep. 30, 2022
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, 2022 and 2021 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2022 |  |  | Ratio |  |  | 2021 |  |  | Ratio |
Medicare |  | $ | 2,569 |  |  |  | 17.2 | % |  | $ | 2,645 |  |  |  | 17.3 | %
Managed Medicare |  |  | 2,229 |  |  |  | 14.9 |  |  |  | 2,124 |  |  |  | 13.9 |
Medicaid |  |  | 797 |  |  |  | 5.3 |  |  |  | 692 |  |  |  | 4.5 |
Managed Medicaid |  |  | 939 |  |  |  | 6.3 |  |  |  | 813 |  |  |  | 5.3 |
Managed care and insurers |  |  | 7,184 |  |  |  | 47.9 |  |  |  | 7,998 |  |  |  | 52.4 |
International (managed care and insurers) |  |  | 311 |  |  |  | 2.1 |  |  |  | 324 |  |  |  | 2.1 |
Other |  |  | 942 |  |  |  | 6.3 |  |  |  | 680 |  |  |  | 4.5 |
Revenues |  | $ | 14,971 |  |  |  | 100.0 | % |  | $ | 15,276 |  |  |  | 100.0 | %
|  | Nine Months |
|  | 2022 |  |  | Ratio |  |  | 2021 |  |  | Ratio |
Medicare |  | $ | 7,790 |  |  |  | 17.4 | % |  | $ | 7,816 |  |  |  | 17.9 | %
Managed Medicare |  |  | 6,813 |  |  |  | 15.2 |  |  |  | 6,281 |  |  |  | 14.4 |
Medicaid |  |  | 1,987 |  |  |  | 4.4 |  |  |  | 1,722 |  |  |  | 3.9 |
Managed Medicaid |  |  | 3,003 |  |  |  | 6.7 |  |  |  | 2,369 |  |  |  | 5.4 |
Managed care and insurers |  |  | 21,480 |  |  |  | 48.1 |  |  |  | 22,300 |  |  |  | 51.0 |
International (managed care and insurers) |  |  | 992 |  |  |  | 2.2 |  |  |  | 995 |  |  |  | 2.3 |
Other |  |  | 2,671 |  |  |  | 6.0 |  |  |  | 2,205 |  |  |  | 5.1 |
Revenues |  | $ | 44,736 |  |  |  | 100.0 | % |  | $ | 43,688 |  |  |  | 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, 2022 and 2021 follows (dollars in millions):
|  | Quarter |  |  | Nine Months |
|  | 2022 |  |  | 2021 |  |  | 2022 |  |  | 2021 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 12,828 |  |  | $ | 12,803 |  |  | $ | 38,096 |  |  | $ | 36,396 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 11.2 | % |  |  | 11.8 | % |  |  | 11.2 | % |  |  | 11.4 | %
Total uncompensated care |  | $ | 8,050 |  |  | $ | 7,782 |  |  | $ | 23,512 |  |  | $ | 22,299 |
Multiply by the cost-to-charges ratio |  |  | 11.2 | % |  |  | 11.8 | % |  |  | 11.2 | % |  |  | 11.4 | %
Estimated cost of total uncompensated care |  | $ | 901 |  |  | $ | 916 |  |  | $ | 2,633 |  |  | $ | 2,542 |

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