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Accounting Policies (Tables)
12 Months Ended
Dec. 31, 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 years ended December 31, are summarized in the following table (dollars in millions):
 
    
Years Ended December 31,
 
    
2022
    
Ratio
   
2021
    
Ratio
   
2020
    
Ratio
 
Medicare
  
$
10,447
 
  
 
17.3
  $ 10,447        17.8   $ 10,420        20.2
Managed Medicare
  
 
9,201
 
  
 
15.3
 
    8,424        14.3       6,997        13.6  
Medicaid
  
 
2,636
 
  
 
4.4
 
    2,290        3.9       1,965        3.8  
Managed Medicaid
  
 
3,998
 
  
 
6.6
 
    3,124        5.3       2,621        5.1  
Managed care and other insurers
  
 
29,120
 
  
 
48.3
 
    30,295        51.6       26,535        51.5  
International (managed care and other insurers)
  
 
1,317
 
  
 
2.2
 
    1,336        2.3       1,120        2.2  
Other
  
 
3,514
 
  
 
5.9
 
    2,836        4.8       1,875        3.6  
    
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Revenues
  
$
    60,233
 
  
 
    100.0
  $     58,752              100.0   $     51,533                100.0
    
 
 
    
 
 
   
 
 
    
 
 
   
 
 
    
 
 
 
Schedule of Estimated Cost of Uncompensated Care A summary of the estimated cost of total uncompensated care for the years ended December 31, follows (dollars in millions):
 
     
               
     
               
     
               
 
    
2022
   
2021
   
2020
 
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization)
  
$
51,180
 
 
$
49,074
 
 
$
44,271
 
    
 
 
   
 
 
   
 
 
 
Cost-to-charges
ratio (patient care costs as percentage of gross patient charges)
  
 
11.0
 
 
11.3
 
 
12.0
    
 
 
   
 
 
   
 
 
 
Total uncompensated care
  
$
31,734
 
 
$
29,642
 
 
$
29,029
 
Multiply by the
cost-to-charges
ratio
  
 
11.0
 
 
11.3
 
 
12.0
    
 
 
   
 
 
   
 
 
 
Estimated cost of total uncompensated care
  
$
3,491
 
 
$
3,350
 
 
$
3,483