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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock Value | 0.09 | 0.09 | 0.09 | 0.09 | 0.09 | 0.10 | 0.10 | 0.10 | 0.10 | 0.11 | 0.11 | 0.11 | 0.11 | 0.13 | 0.13 | 0.13 | 0.13 | 0.17 | 0.17 | 0.17 | 0.17 | 0.18 | 0.18 | 0.18 | 0.18 | 0.20 | 0.20 | 0.20 | 0.20 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.21 | 0.21 | 0.21 | 0.21 | 0.21 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | |
| dei: Entity Common Stock Shares Outstanding | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | 206.90 | NA | NA | NA | 215.50 | NA | NA | NA | 214.80 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | 93.50 | NA | |
| Earnings Per Share Basic | 1.67 | 2.70 | 1.96 | 1.28 | 0.79 | 1.16 | 2.38 | 1.68 | 1.89 | 2.48 | 2.76 | 2.18 | 1.56 | 1.31 | 1.65 | 1.92 | 1.89 | 0.95 | 1.64 | 0.90 | -0.90 | -0.82 | 1.56 | 1.00 | 1.66 | -1.14 | 0.66 | 2.33 | 0.81 | 2.80 | 0.26 | 0.48 | -0.03 | 1.02 | 0.80 | -0.52 | 0.98 | 0.87 | 0.70 | 0.87 | 1.01 | 0.65 | 2.42 | 0.29 | 1.54 | 1.52 | 1.01 | 1.49 | 1.59 | 1.45 | 1.05 | 0.98 | |
| Earnings Per Share Diluted | 1.62 | 2.62 | 1.91 | 1.25 | 0.78 | 1.13 | 2.30 | 1.61 | 1.82 | 2.36 | 2.64 | 2.09 | 1.50 | 1.28 | 1.62 | 1.89 | 1.88 | 0.95 | 1.64 | 0.90 | -0.90 | -0.82 | 1.53 | 0.98 | 1.64 | -1.14 | 0.65 | 2.29 | 0.80 | 2.76 | 0.26 | 0.47 | -0.03 | 1.00 | 0.78 | -0.52 | 0.96 | 0.85 | 0.68 | 0.85 | 0.99 | 0.64 | 2.37 | 0.28 | 1.51 | 1.50 | 0.99 | 1.46 | 1.56 | 1.42 | 1.03 | 0.96 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue From Contract With Customer Including Assessed Tax | 3145.75 | 3121.33 | 3000.37 | 2872.70 | 2916.89 | 2948.69 | 2926.76 | 2817.55 | 2943.97 | 2938.32 | 2916.51 | 2820.00 | 2905.32 | 2924.07 | 2879.98 | 2841.24 | 2898.58 | 2781.17 | 2734.07 | 2635.15 | 2821.12 | 2670.70 | 2718.40 | 2591.07 | 2780.91 | 2561.54 | 2494.61 | 2631.25 | 2699.42 | 3730.58 | 3717.65 | 3581.14 | 3533.59 | 3525.66 | 3434.62 | 3287.97 | 3328.02 | 3251.82 | 3172.49 | 3042.78 | 3063.21 | 2999.59 | 2871.67 | 2829.58 | 2426.94 | 1962.97 | 1929.74 | 1866.63 | 1750.43 | 1757.83 | 1661.23 | 1562.31 | |
| Revenues | 3145.75 | 3121.33 | 3000.37 | 2872.70 | 2916.89 | 2948.69 | 2926.76 | 2817.55 | 2943.97 | 2938.32 | 2916.51 | 2820.00 | 2905.32 | 2924.07 | 2879.98 | 2841.24 | 2898.58 | 2904.08 | 2842.70 | 2743.11 | 2821.12 | 2847.33 | 2886.95 | 2849.44 | 2780.91 | 2765.07 | 2699.40 | 2631.25 | 2699.42 | 3730.58 | 3717.65 | 3581.14 | 3533.59 | 3525.66 | 3434.62 | 3287.97 | 3328.02 | 3251.82 | 3172.49 | 3042.78 | 3063.21 | 2999.59 | 2871.67 | 2829.58 | 2426.94 | 1962.97 | 1929.74 | 1866.63 | 1750.43 | 1757.83 | 1661.23 | 1562.31 | |
| Other Income | 173.47 | 169.38 | 109.68 | 112.67 | 113.30 | 102.20 | 116.66 | 101.27 | 100.94 | 100.38 | 98.55 | 105.41 | 132.20 | 142.42 | 121.78 | 127.96 | 132.57 | 126.89 | 118.89 | 113.42 | 105.07 | 188.61 | 217.96 | 232.82 | 315.57 | 322.85 | 314.39 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Costs And Expenses | 2755.84 | 2625.39 | 2595.08 | 2561.05 | 2660.64 | 2636.91 | 2494.04 | 2479.25 | 2554.55 | 2463.44 | 2426.03 | 2377.40 | 2523.65 | 2486.40 | 2470.06 | 2375.86 | 2436.00 | 2525.74 | 2380.82 | 2402.61 | 2433.22 | 2558.29 | 2448.76 | 2438.76 | -1359.68 | 4115.35 | 3499.16 | 2809.05 | 3334.31 | 2911.42 | 3388.58 | 3216.25 | 3288.65 | 3016.30 | 2954.07 | 3352.12 | 2875.93 | 2814.29 | 2688.19 | 2601.55 | 2579.03 | 2622.51 | 2349.65 | 2662.72 | 2039.32 | 1622.11 | 1681.86 | 1545.91 | 1532.21 | 1489.16 | 1464.48 | 1370.40 | |
| General And Administrative Expense | 401.47 | 376.88 | 364.02 | 331.61 | 379.71 | 365.45 | 315.22 | 294.82 | 322.72 | 293.10 | 298.09 | 281.43 | 304.52 | 363.28 | 316.21 | 263.58 | 278.43 | 298.74 | 275.34 | 250.81 | 268.53 | 336.30 | 264.09 | 266.53 | -110.09 | 400.02 | 382.31 | 391.78 | 412.48 | 406.89 | 386.89 | 386.43 | 404.82 | 353.49 | 352.02 | 341.80 | 355.99 | 322.82 | 298.64 | 284.06 | 318.83 | 305.14 | 268.11 | 291.37 | 271.37 | 201.20 | 214.62 | 207.39 | 193.21 | 182.64 | 163.79 | 151.60 | |
| Operating Income Loss | 389.91 | 495.94 | 405.29 | 311.64 | 256.25 | 311.79 | 432.71 | 338.31 | 389.42 | 474.88 | 490.48 | 442.60 | 381.67 | 437.67 | 409.92 | 465.38 | 462.59 | 378.34 | 461.89 | 340.51 | 387.91 | 289.04 | 438.19 | 410.69 | 150.34 | -192.52 | 378.32 | 888.24 | 381.43 | 819.16 | 329.07 | 364.89 | 244.94 | 509.37 | 480.55 | -64.16 | 452.08 | 437.54 | 484.30 | 441.23 | 484.18 | 377.07 | 522.02 | 166.86 | 388.06 | 340.86 | 247.88 | 320.72 | 330.11 | 318.71 | 247.05 | 235.55 | |
| Interest And Debt Expense | 96.19 | 98.08 | 103.51 | 100.77 | 100.96 | 99.68 | 82.59 | 73.79 | 72.09 | 72.83 | 73.32 | 67.01 | 60.47 | 73.66 | 81.38 | 88.60 | 92.05 | 88.59 | 131.67 | 131.52 | 128.30 | 125.93 | 119.69 | 113.52 | 108.62 | 109.62 | 107.96 | 104.43 | 104.02 | 104.58 | 102.89 | 102.88 | 103.26 | 103.48 | 104.25 | 97.39 | 97.95 | 99.88 | 106.13 | 106.33 | 107.61 | 108.42 | 108.10 | 105.82 | NA | NA | NA | NA | NA | NA | NA | NA | |
| Income Tax Expense Benefit | 58.49 | 68.85 | 48.82 | 43.95 | 34.33 | 42.52 | 64.23 | 57.01 | 65.51 | 74.70 | 81.31 | 85.21 | 73.37 | 65.79 | 83.21 | 91.56 | 81.69 | 65.25 | 75.94 | 56.75 | 51.75 | 52.05 | 83.87 | 70.74 | 47.85 | -125.74 | 113.98 | 287.76 | 89.80 | 104.30 | 134.89 | 126.82 | 111.83 | 147.06 | 122.76 | -85.93 | 103.98 | 116.63 | 100.89 | 124.85 | 135.75 | 100.93 | 129.19 | 15.14 | 97.71 | 98.63 | 68.01 | 95.50 | 91.71 | 94.20 | 67.04 | 63.05 | |
| Profit Loss | 230.57 | 309.36 | 246.38 | 170.67 | 126.61 | 164.69 | 284.62 | 205.72 | 249.43 | 319.75 | 351.03 | 291.55 | 234.37 | 217.54 | 254.87 | 287.89 | 302.96 | 201.69 | 327.16 | 189.49 | -101.84 | -96.67 | 306.32 | 225.23 | 340.68 | -172.03 | 161.62 | 500.29 | 188.27 | 612.15 | 94.50 | 138.16 | 34.47 | 261.31 | 207.78 | -76.15 | 250.39 | 219.78 | 181.42 | 211.74 | 244.27 | 169.84 | 283.36 | 59.73 | 183.80 | 172.55 | 120.00 | 164.88 | 176.13 | 161.85 | 120.67 | 114.75 | |
| Other Comprehensive Income Loss Net Of Tax | 16.81 | -61.85 | 47.85 | 14.28 | 66.36 | -23.75 | -76.93 | 104.38 | -19.50 | -53.85 | 56.88 | -56.63 | 56.38 | 12.58 | 5.42 | -93.03 | 30.11 | -43.99 | 13.94 | -12.63 | -5.82 | -7.18 | -49.26 | 22.47 | 9.76 | 30.78 | 49.58 | 12.76 | -37.43 | 7.87 | -6.37 | 6.31 | -5.49 | -9.96 | 3.25 | -22.61 | -13.39 | -12.29 | 2.31 | 1.01 | 1.57 | -0.88 | 13.41 | -1.44 | 2.99 | 1.10 | -0.61 | 0.71 | 1.37 | -9.07 | -10.11 | NA | |
| Net Income Loss | 150.66 | 246.63 | 178.69 | 115.55 | 68.10 | 105.37 | 224.81 | 162.12 | 187.47 | 259.75 | 293.82 | 237.40 | 173.77 | 158.67 | 201.60 | 239.59 | 244.87 | 143.27 | 273.55 | 149.29 | -149.77 | -136.80 | 267.28 | 178.69 | 303.40 | -214.48 | 127.00 | 447.70 | 157.73 | 571.33 | 53.38 | 97.43 | -6.00 | 215.87 | 170.48 | -110.62 | 208.02 | 184.12 | 147.68 | 183.29 | 212.28 | 136.63 | 254.38 | 30.16 | 155.84 | 144.72 | 95.34 | 140.12 | 148.12 | 135.36 | 100.02 | 94.50 | |
| Comprehensive Income Net Of Tax | 167.48 | 184.79 | 226.54 | 129.83 | 134.47 | 81.61 | 147.88 | 266.50 | 167.98 | 205.90 | 350.70 | 180.77 | 230.15 | 171.25 | 207.02 | 146.57 | 274.98 | 99.28 | 287.49 | 136.66 | -155.59 | -143.98 | 218.02 | 201.15 | 313.15 | -183.69 | 176.58 | 460.45 | 120.31 | 579.14 | 46.86 | 103.75 | -11.49 | 205.91 | 173.72 | -133.22 | 194.63 | 171.83 | 149.99 | 184.29 | 213.85 | 135.75 | 267.78 | 28.72 | 158.82 | 145.82 | 94.73 | 140.83 | 149.50 | 126.29 | 89.91 | 92.32 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Assets | 16893.58 | 16928.74 | 16958.85 | 16727.79 | 16928.25 | 16961.80 | 17100.58 | 17087.01 | 17121.49 | 17633.94 | 17810.31 | 17647.27 | 16988.52 | 17046.67 | 19305.09 | 17596.30 | 17311.39 | 17451.83 | 19930.96 | 22605.94 | 19110.25 | 19357.79 | 19435.56 | 18942.37 | 18948.19 | 19013.34 | 19341.78 | 19388.26 | 18741.26 | 18925.65 | 18691.63 | 18514.20 | 18514.88 | 18894.83 | 18946.82 | 18366.66 | 17942.72 | 18101.42 | 17925.57 | 17398.34 | 17098.88 | 16827.32 | 16455.51 | 16413.48 | 16018.60 | 10824.11 | 9254.93 | 9157.08 | 8892.17 | 8706.67 | 8192.72 | 8322.94 | |
| Liabilities | 14150.23 | 14104.06 | 14329.23 | 14309.08 | 14703.45 | 14888.92 | 14939.58 | 14677.93 | 14750.51 | 14881.77 | 14921.27 | 14864.89 | 14091.74 | 13989.40 | 15729.34 | 14234.92 | 13811.78 | 13643.25 | 14502.16 | 17376.23 | 14077.21 | 14264.11 | 13903.90 | 13125.79 | 13050.77 | 13017.32 | 13060.18 | 13067.83 | 12918.26 | 12834.52 | 12796.02 | 12679.76 | 12566.64 | 12805.49 | 12736.78 | 12347.56 | 11752.44 | 12191.20 | 12208.50 | 11867.93 | 11796.04 | 11768.66 | 11572.73 | 11851.05 | 11509.86 | 7603.71 | 6224.24 | 6250.66 | 6145.83 | 6173.37 | 5830.09 | 5780.05 | |
| Liabilities And Stockholders Equity | 16893.58 | 16928.74 | 16958.85 | 16727.79 | 16928.25 | 16961.80 | 17100.58 | 17087.01 | 17121.49 | 17633.94 | 17810.31 | 17647.27 | 16988.52 | 17046.67 | 19305.09 | 17596.30 | 17311.39 | 17451.83 | 19930.96 | 22605.94 | 19110.25 | 19357.79 | 19435.56 | 18942.37 | 18948.19 | 19013.34 | 19341.78 | 19388.26 | 18741.26 | 18925.65 | 18691.63 | 18514.20 | 18514.88 | 18894.83 | 18946.82 | 18366.66 | 17942.72 | 18101.42 | 17925.57 | 17398.34 | 17098.88 | 16827.32 | 16455.51 | 16413.48 | 16018.60 | 10824.11 | 9254.93 | 9157.08 | 8892.17 | 8706.67 | 8192.72 | 8322.94 | |
| Stockholders Equity | 1056.10 | 1199.20 | 1017.44 | 825.47 | 712.33 | 532.67 | 604.78 | 843.77 | 755.51 | 1149.44 | 1277.78 | 1248.11 | 1383.57 | 1574.76 | 2153.91 | 1947.85 | 2133.41 | 2318.58 | 4049.30 | 3875.35 | 3703.44 | 3824.65 | 4279.18 | 4580.68 | 4690.03 | 4784.58 | 5084.31 | 5139.93 | 4648.05 | 4911.75 | 4746.05 | 4703.93 | 4870.78 | 4990.35 | 5146.85 | 4971.41 | 5170.51 | 4975.04 | 4785.77 | 4659.57 | 4432.48 | 4267.99 | 4124.88 | 3799.44 | 3763.14 | 2537.42 | 2378.59 | 2274.53 | 2141.07 | 1999.25 | 1880.86 | 2074.39 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Assets Current | 3137.91 | 3135.36 | 3001.97 | 3039.74 | 3155.29 | 3202.44 | 3264.11 | 3128.71 | 3167.72 | 3839.54 | 3978.59 | 3866.68 | 3148.72 | 3429.68 | 5779.83 | 4023.94 | 3690.17 | 3998.72 | 6390.63 | 9225.08 | 8424.16 | 8929.50 | 9085.36 | 8673.56 | 8744.36 | 4033.55 | 4023.77 | 4603.90 | 3980.23 | 4261.36 | 4496.22 | 4199.56 | 4503.28 | 4737.89 | 4780.92 | 4300.80 | 3876.80 | 4178.44 | 4161.25 | 3707.23 | 3472.28 | 3381.41 | 3131.83 | 3191.17 | 2878.79 | 2325.67 | 2178.75 | 2374.40 | 2281.61 | 2370.17 | 2513.36 | 2726.92 | |
| Cash And Cash Equivalents At Carrying Value | 380.06 | 449.46 | 327.44 | 317.13 | 244.09 | 367.51 | 262.61 | 327.50 | 461.90 | 1045.74 | 1043.63 | 884.21 | 324.96 | 710.51 | 2928.91 | 1381.76 | 1102.37 | 1253.26 | 3575.64 | 459.24 | 323.04 | 448.21 | 389.26 | 358.87 | 508.23 | 846.11 | 712.00 | 1472.23 | 913.19 | 913.50 | 1283.42 | 1041.43 | 1499.12 | 1047.42 | 933.74 | 1011.27 | 965.24 | 1527.04 | 1420.97 | 1108.07 | 946.25 | 970.69 | 617.90 | 699.67 | 533.75 | 382.19 | 273.44 | 449.29 | 393.75 | 541.21 | 729.83 | 1006.01 | |
| Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents | 464.63 | 545.12 | 422.17 | 411.40 | 338.99 | 462.21 | 355.74 | 420.58 | 554.96 | 1138.61 | 1206.48 | 1061.04 | 501.79 | 817.34 | 3035.72 | 1488.49 | 1208.72 | 1357.14 | 3682.41 | 561.43 | 415.42 | 540.15 | 480.15 | 447.62 | 518.92 | 538.99 | 453.21 | 1218.04 | 683.46 | NA | NA | NA | 1244.92 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Marketable Securities Current | 11.61 | 11.71 | 12.48 | 49.97 | 77.69 | 74.31 | 100.49 | 19.41 | 22.31 | 26.69 | 36.70 | 11.06 | 20.10 | 19.36 | 154.12 | 9.38 | 11.57 | 100.71 | 5.21 | 4.04 | 2.94 | 4.73 | 4.53 | 4.60 | 43.52 | 137.36 | 211.44 | 313.26 | 310.20 | 659.48 | 394.17 | 396.47 | 408.08 | 922.85 | 942.14 | NA | 337.40 | NA | NA | NA | 6.80 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Accounts Receivable Net Current | 1986.86 | 2024.83 | 2009.69 | 2057.81 | 2132.07 | 2089.02 | 2093.83 | 2044.35 | 1957.58 | 2027.60 | 1947.47 | 2040.81 | 1824.28 | 1804.39 | 1772.26 | 1820.13 | 1795.60 | 1901.22 | 2010.80 | 1953.42 | 1858.61 | 1847.09 | 1842.11 | 1830.59 | 1714.75 | 2091.07 | 2053.81 | 1900.56 | 1917.30 | 1850.42 | 1875.40 | 1855.29 | 1724.23 | 1699.89 | 1666.97 | 1675.18 | 1525.85 | 1468.56 | 1550.25 | 1539.73 | 1485.16 | 1404.05 | 1445.10 | 1516.64 | 1421.30 | 1248.05 | 1249.99 | 1266.87 | 1195.16 | 1165.01 | 1132.05 | 1069.44 | |
| Inventory Net | 143.10 | 109.62 | 110.30 | 106.77 | 109.12 | 106.84 | 109.52 | 107.72 | 107.43 | 114.10 | 115.37 | 116.32 | 111.62 | 106.25 | 97.90 | 95.69 | 97.95 | 98.64 | 96.82 | 104.24 | 107.38 | 91.10 | 112.73 | 125.56 | 181.80 | 154.42 | 199.30 | 174.16 | 164.86 | 200.56 | 197.39 | 192.69 | 185.57 | 173.05 | 159.35 | 145.74 | 136.09 | 114.68 | 99.65 | 101.17 | 88.81 | 84.90 | 78.00 | 76.58 | 78.13 | 78.32 | 77.68 | 72.28 | 75.73 | 73.29 | 68.63 | 69.64 | |
| Prepaid Expense And Other Assets Current | 102.64 | 91.11 | 90.06 | 89.39 | 78.84 | 65.81 | 63.54 | 79.26 | 72.52 | 69.06 | 69.36 | 73.77 | 76.39 | 58.51 | 63.27 | 59.85 | 66.87 | 50.62 | 54.60 | 64.77 | 111.84 | 88.86 | 97.43 | 106.35 | 112.06 | NA | NA | NA | 99.51 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Land | 35.22 | NA | NA | NA | 32.66 | NA | NA | NA | 34.01 | NA | NA | NA | 37.92 | NA | NA | NA | 36.48 | NA | NA | NA | 37.38 | NA | NA | NA | 33.81 | NA | NA | NA | 59.01 | NA | NA | NA | 42.08 | NA | NA | NA | 35.88 | NA | NA | NA | 34.96 | NA | NA | NA | 35.63 | NA | NA | NA | 23.00 | NA | NA | NA | |
| Machinery And Equipment Gross | 4125.23 | NA | NA | NA | 3759.27 | NA | NA | NA | 3292.18 | NA | NA | NA | 3081.30 | NA | NA | NA | 2880.64 | NA | NA | NA | 2586.56 | NA | NA | NA | 2352.25 | NA | NA | NA | 2378.30 | NA | NA | NA | 2080.45 | NA | NA | NA | 2066.78 | NA | NA | NA | 1832.22 | NA | NA | NA | 1578.10 | NA | NA | NA | 1269.34 | NA | NA | NA | |
| Equity Securities Fv Ni | 37.39 | 36.60 | 38.06 | 36.14 | 39.14 | 40.00 | 40.21 | 44.04 | 48.60 | 52.06 | 62.26 | 34.73 | 44.08 | 41.02 | 39.40 | 35.84 | 39.95 | 37.64 | 37.15 | 36.21 | 36.12 | 37.55 | 36.50 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Property Plant And Equipment Gross | 8833.05 | NA | NA | NA | 8521.77 | NA | NA | NA | 8243.11 | NA | NA | NA | 8002.25 | NA | NA | NA | 7442.95 | NA | NA | NA | 6917.77 | NA | NA | NA | 6252.88 | NA | NA | NA | 6007.53 | NA | NA | NA | 5185.75 | NA | NA | NA | 4498.60 | NA | NA | NA | 3967.67 | NA | NA | NA | 3394.68 | NA | NA | NA | 2737.14 | NA | NA | NA | |
| Leasehold Improvements Gross | 4058.99 | NA | NA | NA | 3925.24 | NA | NA | NA | 3828.40 | NA | NA | NA | 3865.73 | NA | NA | NA | 3545.22 | NA | NA | NA | 3164.94 | NA | NA | NA | 2816.68 | NA | NA | NA | 2598.47 | NA | NA | NA | 2289.43 | NA | NA | NA | 2002.73 | NA | NA | NA | 1749.63 | NA | NA | NA | 1494.68 | NA | NA | NA | 1266.50 | NA | NA | NA | |
| Construction In Progress Gross | 177.15 | NA | NA | NA | 376.63 | NA | NA | NA | 592.06 | NA | NA | NA | 616.69 | NA | NA | NA | 588.35 | NA | NA | NA | 661.70 | NA | NA | NA | 576.65 | NA | NA | NA | 480.44 | NA | NA | NA | 336.51 | NA | NA | NA | 235.66 | NA | NA | NA | 192.86 | NA | NA | NA | 137.39 | NA | NA | NA | 144.12 | NA | NA | NA | |
| Accumulated Depreciation Depletion And Amortization Property Plant And Equipment | 5759.51 | NA | NA | NA | 5265.37 | NA | NA | NA | 4763.14 | NA | NA | NA | 4480.43 | NA | NA | NA | 3969.57 | NA | NA | NA | 3524.10 | NA | NA | NA | 3103.66 | NA | NA | NA | 2832.16 | NA | NA | NA | 2397.01 | NA | NA | NA | 2029.51 | NA | NA | NA | 1778.26 | NA | NA | NA | 1522.31 | NA | NA | NA | 1304.49 | NA | NA | NA | |
| Property Plant And Equipment Net | 3073.53 | 3097.48 | 3158.45 | 3216.37 | 3256.40 | 3240.31 | 3304.60 | 3439.34 | 3479.97 | 3463.21 | 3485.60 | 3490.44 | 3521.82 | 3417.92 | 3417.92 | 3445.42 | 3473.38 | 3419.24 | 3405.32 | 3392.27 | 3393.67 | 3275.64 | 3229.10 | 3185.22 | 3149.21 | 3386.06 | 3248.03 | 3171.20 | 3175.37 | 3044.99 | 2972.41 | 2911.20 | 2788.74 | 2621.92 | 2564.71 | 2500.60 | 2469.10 | 2359.20 | 2290.84 | 2224.44 | 2189.41 | 2048.24 | 1990.96 | 1915.45 | 1872.37 | 1654.66 | 1586.46 | 1490.57 | 1432.65 | 1335.79 | 1223.66 | 1183.74 | |
| Investments In Affiliates Subsidiaries Associates And Joint Ventures | 545.85 | 565.39 | 593.27 | 241.75 | 231.11 | 243.55 | 253.46 | 237.79 | 238.88 | 243.16 | 245.39 | 257.51 | 257.49 | 252.48 | 255.49 | 254.50 | 241.98 | 219.39 | 225.68 | 226.31 | 224.61 | 240.82 | 249.02 | 245.56 | 245.53 | 545.05 | 542.47 | 521.85 | 502.39 | 516.38 | 64.42 | 75.06 | 73.37 | 67.88 | 67.17 | 70.02 | 65.64 | 66.73 | 42.84 | 40.73 | 40.69 | 41.47 | 35.53 | 37.52 | 35.15 | 28.70 | 27.58 | 26.96 | 27.32 | 30.34 | 30.11 | 24.50 | |
| Goodwill | 7112.56 | 7088.22 | 7106.24 | 7090.31 | 7076.61 | 7022.64 | 7019.78 | 7072.90 | 7046.24 | 6940.67 | 6943.66 | 6891.21 | 6919.11 | 6868.38 | 6790.61 | 6778.02 | 6787.64 | 6765.66 | 6865.39 | 6799.37 | 6841.96 | 6702.66 | 6678.56 | 6638.59 | 6610.28 | 9415.88 | 9889.79 | 9452.47 | 9407.32 | 9383.00 | 9360.96 | 9485.63 | 9294.48 | 9487.58 | 9450.95 | 9431.39 | 9415.30 | 9344.64 | 9254.04 | 9242.18 | 9212.97 | 9144.24 | 9056.59 | 9015.03 | 8964.97 | 5324.96 | 5258.06 | 5064.58 | 4946.98 | 4769.97 | 4227.39 | 4182.08 | |
| Indefinite Lived Intangible Assets Excluding Goodwill | 153.98 | NA | NA | NA | 127.27 | NA | NA | NA | 104.21 | NA | NA | NA | 100.14 | NA | NA | NA | 90.21 | NA | NA | NA | 59.88 | NA | NA | NA | 33.26 | NA | NA | NA | 1.55 | NA | NA | NA | 9.31 | NA | NA | NA | 24.82 | NA | NA | NA | 22.93 | NA | NA | NA | 0.76 | NA | NA | NA | NA | NA | NA | NA | |
| Intangible Assets Net Excluding Goodwill | 203.22 | 185.40 | 191.85 | 186.76 | 182.69 | 179.72 | 184.74 | 191.10 | 177.69 | 152.12 | 162.48 | 150.71 | 166.59 | 118.08 | 113.38 | 117.95 | 135.68 | 117.67 | 120.57 | 118.32 | 118.85 | 97.61 | 100.25 | 113.37 | 113.83 | 1451.03 | 1462.89 | 1487.03 | 1527.77 | 1576.16 | 1631.00 | 1678.71 | 1687.33 | NA | NA | 1904.18 | 1949.50 | 1997.77 | 2022.88 | 2025.82 | 2024.37 | 2059.57 | 2076.93 | 2104.04 | 2127.78 | 177.54 | 162.32 | 160.62 | 159.49 | 159.79 | 152.86 | 156.61 | |
| Other Assets Noncurrent | 271.25 | 302.14 | 314.01 | 291.32 | 315.59 | 307.71 | 257.58 | 185.17 | 136.68 | 101.47 | 95.49 | 90.53 | 79.50 | 96.11 | 92.91 | 94.03 | 115.97 | 114.83 | 97.44 | 73.65 | 71.58 | 76.52 | 59.07 | 51.73 | 47.29 | 61.64 | 60.14 | 43.45 | 44.51 | 42.98 | 64.25 | 66.27 | 73.56 | 62.39 | 121.77 | 68.25 | 77.00 | 67.33 | 66.11 | 76.91 | 79.60 | 79.83 | 97.89 | 86.81 | 80.19 | 30.56 | 29.62 | 30.07 | 34.23 | 31.76 | 35.26 | 40.66 | |
| Equity Securities Fv Ni | 37.39 | 36.60 | 38.06 | 36.14 | 39.14 | 40.00 | 40.21 | 44.04 | 48.60 | 52.06 | 62.26 | 34.73 | 44.08 | 41.02 | 39.40 | 35.84 | 39.95 | 37.64 | 37.15 | 36.21 | 36.12 | 37.55 | 36.50 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Held To Maturity Securities | 22.11 | 20.43 | 20.43 | 58.34 | 82.88 | 77.84 | 104.84 | 23.23 | 23.23 | 8.22 | 8.22 | 8.22 | 8.22 | 8.21 | 143.06 | 8.19 | 8.14 | 98.11 | 3.11 | 2.23 | 2.23 | 2.23 | 2.23 | 3.40 | 42.32 | 136.16 | 210.24 | 312.06 | 306.83 | 647.88 | 382.66 | 382.40 | 406.88 | 921.65 | 940.59 | NA | 335.98 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Liabilities Current | 2642.21 | 2537.93 | 2403.42 | 2565.09 | 2619.75 | 2537.41 | 2310.75 | 2420.45 | 2398.53 | 2363.05 | 2386.04 | 2314.72 | 2476.14 | 2499.24 | 4274.56 | 2220.75 | 2372.10 | 2206.64 | 5706.94 | 8230.88 | 4891.16 | 4855.10 | 4783.78 | 2947.52 | 3041.18 | 2874.79 | 2773.32 | 2813.58 | 2696.45 | 2639.47 | 2645.66 | 2443.62 | 2399.14 | 2410.55 | 2334.29 | 2679.52 | 2088.65 | 2597.63 | 2608.15 | 2566.17 | 2462.05 | 2453.13 | 2214.89 | 2325.24 | 2018.17 | 1336.84 | 1235.86 | 1242.12 | 1153.12 | 1205.92 | 1035.61 | 1007.37 | |
| Accounts Payable Current | 514.53 | 435.42 | 427.89 | 447.97 | 479.78 | 417.14 | 402.31 | 433.14 | 402.05 | 387.71 | 376.26 | 348.11 | 434.25 | 388.50 | 357.28 | 340.09 | 403.84 | 332.14 | 388.95 | 365.19 | 463.27 | 458.93 | 542.27 | 437.73 | 509.12 | 566.92 | 439.74 | 464.79 | 522.41 | 498.42 | 504.35 | 480.29 | 513.95 | 487.94 | 490.46 | 423.99 | 445.45 | 442.18 | 405.75 | 392.91 | 435.46 | 358.40 | 320.07 | 330.25 | 414.14 | 272.63 | 299.00 | 269.03 | 289.65 | 259.46 | 254.13 | 227.40 | |
| Accrued Income Taxes Current | 28.51 | 22.33 | 32.05 | 64.65 | 18.04 | 10.06 | NA | 99.86 | 53.79 | 14.31 | 11.86 | 28.31 | 7.77 | NA | 61.60 | 23.52 | 42.41 | NA | NA | NA | 0.00 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | 80.52 | 37.41 | NA | NA | NA | |
| Other Liabilities Current | 828.88 | 808.00 | 817.61 | 796.74 | 802.47 | 796.20 | 752.72 | 737.16 | 709.35 | 723.08 | 837.28 | 846.71 | 810.53 | 879.79 | 902.02 | 757.78 | 756.17 | 716.02 | 726.01 | 572.94 | 595.85 | 560.69 | 568.54 | 544.85 | 552.66 | 928.12 | 885.27 | 783.81 | 856.85 | 828.53 | 840.75 | 779.14 | 682.12 | 632.33 | 716.25 | 581.41 | 506.58 | 503.20 | 465.24 | 486.56 | 464.42 | 481.84 | 525.27 | 565.26 | 563.37 | 416.90 | 395.02 | 347.10 | 325.73 | 363.18 | 317.29 | 352.49 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Long Term Debt And Capital Lease Obligations | 8268.33 | 8285.15 | 8598.16 | 8417.53 | 8692.62 | 8867.19 | 9064.92 | 8687.49 | 8729.15 | 8770.88 | 8798.26 | 8829.76 | 7917.26 | 7866.55 | 7894.67 | 8442.14 | 7977.53 | 8014.48 | 5377.80 | 5787.01 | 8172.85 | 8440.67 | 8175.57 | 9279.89 | 9158.02 | 8908.70 | 8910.81 | 8918.88 | 8947.33 | 8972.00 | 8957.26 | 8979.85 | 9001.31 | 9082.10 | 9101.05 | 8380.15 | 8383.28 | 8380.90 | 8390.58 | 8071.62 | 8141.23 | NA | NA | 8277.26 | 8326.53 | NA | NA | NA | 4417.62 | NA | NA | NA | |
| Deferred Income Tax Liabilities Net | 726.22 | 753.87 | 760.04 | 771.09 | 782.79 | 819.07 | 852.39 | 839.00 | 830.95 | 868.08 | 851.96 | 830.37 | 809.60 | 765.69 | 706.41 | 675.73 | 577.54 | NA | NA | NA | NA | NA | NA | NA | 486.25 | NA | NA | NA | 530.87 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Minority Interest | 187.97 | 180.07 | 188.63 | 194.40 | 163.57 | 169.46 | 170.39 | 174.55 | 180.64 | 178.81 | 185.05 | 185.11 | 183.19 | 178.58 | 179.90 | 185.50 | 185.83 | 193.95 | 193.77 | 211.32 | 204.96 | 204.61 | 205.32 | 201.40 | 196.04 | 184.55 | 187.58 | 200.66 | 201.69 | 207.65 | 212.65 | 217.81 | 213.39 | 201.84 | 200.07 | 199.30 | 189.80 | 176.43 | 171.05 | 178.07 | 173.06 | 169.44 | 157.40 | 157.09 | 164.91 | 132.96 | 129.35 | 127.40 | 127.05 | 83.14 | 65.27 | 62.51 | |
| Other Liabilities Noncurrent | 183.07 | 184.94 | 183.14 | 100.23 | 105.23 | 106.89 | 105.14 | 108.95 | 119.16 | 163.05 | 157.69 | 150.72 | 150.06 | 147.37 | 144.12 | 161.94 | 160.81 | 135.09 | 134.60 | 143.76 | 450.67 | 452.44 | 418.12 | 391.16 | 365.32 | 548.23 | 520.89 | 504.38 | 465.36 | 420.94 | 420.78 | 464.25 | 439.23 | 406.04 | 400.48 | 407.07 | 389.81 | 368.48 | 386.03 | 407.29 | 371.01 | 353.72 | 360.11 | 497.71 | 443.74 | 145.25 | 146.95 | 139.66 | 132.01 | 134.07 | 104.64 | 86.61 | |
| Operating Lease Liability Noncurrent | 2330.39 | 2342.17 | 2384.47 | 2455.14 | 2503.07 | 2558.36 | 2606.39 | 2622.04 | 2672.71 | 2716.71 | 2727.32 | 2739.31 | 2738.67 | 2710.55 | 2709.57 | 2734.37 | 2723.80 | 2682.12 | 2689.25 | 2625.78 | 0.00 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stockholders Equity | 1056.10 | 1199.20 | 1017.44 | 825.47 | 712.33 | 532.67 | 604.78 | 843.77 | 755.51 | 1149.44 | 1277.78 | 1248.11 | 1383.57 | 1574.76 | 2153.91 | 1947.85 | 2133.41 | 2318.58 | 4049.30 | 3875.35 | 3703.44 | 3824.65 | 4279.18 | 4580.68 | 4690.03 | 4784.58 | 5084.31 | 5139.93 | 4648.05 | 4911.75 | 4746.05 | 4703.93 | 4870.78 | 4990.35 | 5146.85 | 4971.41 | 5170.51 | 4975.04 | 4785.77 | 4659.57 | 4432.48 | 4267.99 | 4124.88 | 3799.44 | 3763.14 | 2537.42 | 2378.59 | 2274.53 | 2141.07 | 1999.25 | 1880.86 | 2074.39 | |
| Stockholders Equity Including Portion Attributable To Noncontrolling Interest | 1244.06 | 1379.28 | 1206.07 | 1019.87 | 875.89 | 702.13 | 775.17 | 1018.32 | 936.15 | 1328.25 | 1462.83 | 1433.21 | 1566.75 | 1753.34 | 2333.82 | 2133.34 | 2319.24 | 2512.52 | 4243.07 | 4086.67 | 3908.40 | 4029.26 | 4484.51 | 4782.08 | 4886.07 | 4969.13 | 5271.90 | 5340.59 | 4849.74 | 5119.39 | 4958.70 | 4921.73 | 5084.17 | 5192.20 | 5346.92 | 5170.71 | 5360.31 | 5151.48 | 4956.82 | 4837.64 | 4605.54 | 4437.43 | 4282.28 | 3956.53 | 3928.05 | 2670.39 | 2507.95 | 2401.93 | 2268.12 | 2082.39 | 1946.13 | 2136.90 | |
| Common Stock Value | 0.09 | 0.09 | 0.09 | 0.09 | 0.09 | 0.10 | 0.10 | 0.10 | 0.10 | 0.11 | 0.11 | 0.11 | 0.11 | 0.13 | 0.13 | 0.13 | 0.13 | 0.17 | 0.17 | 0.17 | 0.17 | 0.18 | 0.18 | 0.18 | 0.18 | 0.20 | 0.20 | 0.20 | 0.20 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.22 | 0.21 | 0.21 | 0.21 | 0.21 | 0.21 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | 0.14 | |
| Additional Paid In Capital Common Stock | 509.80 | 552.65 | 555.68 | 590.25 | 606.93 | 609.35 | 578.27 | 595.40 | 540.32 | 525.01 | 523.04 | 603.17 | 597.07 | 694.13 | 719.10 | 720.05 | 749.04 | 906.99 | 989.02 | 990.38 | 995.01 | 1055.84 | 1022.78 | 1030.77 | 1042.90 | 1059.18 | 1058.09 | 1058.61 | 1027.18 | 1032.74 | 1047.82 | 1089.31 | 1118.33 | 1106.34 | 1128.16 | NA | 1108.21 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Retained Earnings Accumulated Deficit | 598.29 | 715.36 | 468.73 | 290.03 | 174.49 | 846.63 | 741.27 | 516.46 | 354.34 | 1643.51 | 1383.76 | 1089.94 | 852.54 | 2031.61 | 1872.93 | 1671.33 | 1431.74 | 3349.18 | 3205.91 | 2932.36 | 2743.19 | 3951.25 | 4088.04 | 3820.77 | 3633.71 | 4070.53 | 4285.01 | 4158.01 | 3710.31 | 5078.98 | 4507.65 | 4454.27 | 4356.84 | 4362.84 | 4146.96 | 3976.49 | 4087.10 | 3879.08 | 3694.96 | 3547.28 | 3363.99 | 3151.71 | 4016.38 | 3762.00 | 3731.84 | 3576.00 | 3431.28 | 3335.94 | 3195.82 | 3047.70 | 2912.33 | 2812.32 | |
| Accumulated Other Comprehensive Income Loss Net Of Tax | -52.08 | -68.90 | -7.05 | -54.91 | -69.19 | -135.55 | -111.80 | -34.87 | -139.25 | -119.75 | -65.90 | -122.78 | -66.15 | -122.53 | -135.11 | -140.53 | -47.50 | -77.60 | -33.61 | -47.55 | -34.92 | -29.11 | -21.93 | 27.34 | 13.23 | 3.48 | -27.31 | -76.89 | -89.64 | -52.23 | -60.04 | -53.51 | -59.83 | -54.34 | -44.38 | -47.62 | -25.02 | -11.62 | 0.67 | -1.64 | -2.65 | -4.21 | -3.33 | -16.74 | -15.30 | -18.28 | -19.38 | -18.77 | -19.48 | -20.86 | -11.79 | -1.68 | |
| Minority Interest | 187.97 | 180.07 | 188.63 | 194.40 | 163.57 | 169.46 | 170.39 | 174.55 | 180.64 | 178.81 | 185.05 | 185.11 | 183.19 | 178.58 | 179.90 | 185.50 | 185.83 | 193.95 | 193.77 | 211.32 | 204.96 | 204.61 | 205.32 | 201.40 | 196.04 | 184.55 | 187.58 | 200.66 | 201.69 | 207.65 | 212.65 | 217.81 | 213.39 | 201.84 | 200.07 | 199.30 | 189.80 | 176.43 | 171.05 | 178.07 | 173.06 | 169.44 | 157.40 | 157.09 | 164.91 | 132.96 | 129.35 | 127.40 | 127.05 | 83.14 | 65.27 | 62.51 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Cash Provided By Used In Operating Activities | 485.20 | 661.16 | 450.11 | 462.56 | 343.72 | 710.53 | 188.12 | 322.19 | 529.89 | 566.95 | 679.73 | 154.30 | 484.80 | 482.73 | 651.12 | 360.38 | 680.53 | 640.71 | 609.81 | 141.30 | 389.39 | 457.67 | 562.04 | 362.54 | 339.30 | 553.09 | 149.89 | 865.17 | NA | NA | NA | NA | NA | NA | NA | 410.09 | -69.99 | 847.90 | 262.39 | 419.11 | 354.19 | 733.13 | 306.82 | 379.21 | 200.24 | 366.63 | 202.10 | 331.87 | 150.66 | 495.19 | 204.41 | 329.78 | |
| Net Cash Provided By Used In Investing Activities | -168.30 | -139.85 | -347.11 | -116.54 | -213.26 | -153.85 | -144.87 | -118.37 | -336.55 | -164.49 | -159.33 | -124.37 | -338.06 | -80.17 | -244.51 | -162.62 | -138.69 | -268.67 | 3603.05 | -200.36 | -344.32 | -237.25 | -223.94 | -200.13 | -261.18 | -253.94 | -601.62 | -249.99 | NA | NA | NA | NA | NA | NA | NA | -252.29 | -446.54 | -388.33 | -247.06 | -195.79 | -299.80 | -229.20 | -201.88 | -146.01 | -4045.69 | -199.55 | -353.52 | -233.69 | -266.22 | -824.45 | -163.17 | -145.39 | |
| Net Cash Provided By Used In Financing Activities | -403.25 | -394.50 | -96.84 | -275.91 | -230.90 | -445.26 | -103.39 | -341.57 | -774.36 | -464.15 | -381.73 | 537.28 | -465.08 | -2621.27 | 1142.58 | 96.99 | -692.69 | -2693.21 | -1635.50 | 324.95 | -202.01 | -117.43 | -83.36 | -222.55 | -236.43 | -164.65 | -306.24 | -58.94 | NA | NA | NA | NA | NA | NA | NA | -110.87 | -45.97 | -355.66 | 298.77 | -62.12 | -78.77 | -150.47 | -186.36 | -67.39 | 3997.84 | -58.49 | -24.31 | -42.66 | -31.89 | 140.64 | -317.43 | -38.50 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Cash Provided By Used In Operating Activities | 485.20 | 661.16 | 450.11 | 462.56 | 343.72 | 710.53 | 188.12 | 322.19 | 529.89 | 566.95 | 679.73 | 154.30 | 484.80 | 482.73 | 651.12 | 360.38 | 680.53 | 640.71 | 609.81 | 141.30 | 389.39 | 457.67 | 562.04 | 362.54 | 339.30 | 553.09 | 149.89 | 865.17 | NA | NA | NA | NA | NA | NA | NA | 410.09 | -69.99 | 847.90 | 262.39 | 419.11 | 354.19 | 733.13 | 306.82 | 379.21 | 200.24 | 366.63 | 202.10 | 331.87 | 150.66 | 495.19 | 204.41 | 329.78 | |
| Net Income Loss | 150.66 | 246.63 | 178.69 | 115.55 | 68.10 | 105.37 | 224.81 | 162.12 | 187.47 | 259.75 | 293.82 | 237.40 | 173.77 | 158.67 | 201.60 | 239.59 | 244.87 | 143.27 | 273.55 | 149.29 | -149.77 | -136.80 | 267.28 | 178.69 | 303.40 | -214.48 | 127.00 | 447.70 | 157.73 | 571.33 | 53.38 | 97.43 | -6.00 | 215.87 | 170.48 | -110.62 | 208.02 | 184.12 | 147.68 | 183.29 | 212.28 | 136.63 | 254.38 | 30.16 | 155.84 | 144.72 | 95.34 | 140.12 | 148.12 | 135.36 | 100.02 | 94.50 | |
| Profit Loss | 230.57 | 309.36 | 246.38 | 170.67 | 126.61 | 164.69 | 284.62 | 205.72 | 249.43 | 319.75 | 351.03 | 291.55 | 234.37 | 217.54 | 254.87 | 287.89 | 302.96 | 201.69 | 327.16 | 189.49 | -101.84 | -96.67 | 306.32 | 225.23 | 340.68 | -172.03 | 161.62 | 500.29 | 188.27 | 612.15 | 94.50 | 138.16 | 34.47 | 261.31 | 207.78 | -76.15 | 250.39 | 219.78 | 181.42 | 211.74 | 244.27 | 169.84 | 283.36 | 59.73 | 183.80 | 172.55 | 120.00 | 164.88 | 176.13 | 161.85 | 120.67 | 114.75 | |
| Increase Decrease In Accounts Receivable | -54.21 | 23.36 | -59.65 | -81.85 | 12.76 | 3.59 | 65.77 | 66.27 | -67.65 | 88.62 | -107.10 | 224.27 | 8.68 | 27.60 | -48.16 | 32.97 | -102.73 | -105.75 | 156.15 | 132.29 | 6.55 | -27.12 | 38.05 | 63.70 | 10.28 | 32.82 | 129.38 | -16.17 | 66.58 | -18.34 | 25.91 | 78.10 | 24.72 | 35.20 | -8.79 | 151.74 | 57.29 | -81.69 | 10.51 | 54.56 | 80.50 | -38.69 | -74.51 | 92.34 | -3.68 | -1.95 | -18.41 | 71.71 | 27.36 | -21.59 | 62.61 | 20.46 | |
| Increase Decrease In Accounts Payable | 60.73 | 6.78 | -20.08 | -20.54 | 48.61 | 14.35 | 3.12 | 21.40 | 17.09 | -0.02 | 28.11 | -75.50 | 36.76 | 16.30 | 8.19 | -24.05 | 22.12 | -37.77 | -30.35 | -38.54 | -23.16 | -48.03 | 98.06 | -62.83 | 8.28 | 74.49 | -29.68 | -26.21 | 57.40 | -68.32 | 15.03 | 7.78 | 19.52 | -39.35 | 61.76 | -10.93 | -5.29 | 48.35 | -3.46 | -42.56 | 88.25 | 23.31 | -11.00 | -83.90 | 59.08 | -26.38 | 28.80 | -20.62 | 27.75 | 15.22 | 14.87 | 26.57 | |
| Deferred Income Tax Expense Benefit | -21.59 | -1.59 | -12.56 | -3.62 | -40.03 | -44.71 | 9.11 | -0.04 | 3.76 | 16.04 | 22.00 | 18.69 | 49.06 | 59.68 | 28.80 | 103.30 | -30.87 | 11.88 | 19.33 | 41.37 | 73.60 | 143.17 | 13.27 | 43.62 | -262.44 | -173.72 | 20.85 | 20.09 | 3.23 | 28.83 | -27.57 | 47.52 | 63.74 | -6.41 | 208.36 | -203.94 | 213.12 | -15.99 | 4.92 | 8.90 | 26.70 | 49.95 | 9.29 | -111.33 | 45.14 | 24.16 | -12.20 | -13.34 | 15.06 | 14.15 | 6.00 | 18.22 | |
| Share Based Compensation | 30.06 | 27.12 | 29.82 | 25.37 | 17.52 | 27.80 | 25.20 | 24.90 | 26.31 | 24.18 | 28.12 | 23.59 | 24.24 | 25.09 | 22.25 | 19.87 | 20.04 | 18.77 | 16.93 | 12.11 | 13.46 | 39.74 | 10.18 | 9.69 | 6.61 | 10.97 | 7.90 | 9.60 | 8.52 | 6.10 | 10.62 | 13.10 | 13.87 | 14.49 | 15.54 | 12.76 | 12.42 | 14.62 | 14.62 | 15.07 | 12.90 | 14.83 | 16.25 | 16.02 | 10.53 | 10.51 | 11.79 | 12.55 | 12.33 | 13.33 | 13.34 | 9.72 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Cash Provided By Used In Investing Activities | -168.30 | -139.85 | -347.11 | -116.54 | -213.26 | -153.85 | -144.87 | -118.37 | -336.55 | -164.49 | -159.33 | -124.37 | -338.06 | -80.17 | -244.51 | -162.62 | -138.69 | -268.67 | 3603.05 | -200.36 | -344.32 | -237.25 | -223.94 | -200.13 | -261.18 | -253.94 | -601.62 | -249.99 | NA | NA | NA | NA | NA | NA | NA | -252.29 | -446.54 | -388.33 | -247.06 | -195.79 | -299.80 | -229.20 | -201.88 | -146.01 | -4045.69 | -199.55 | -353.52 | -233.69 | -266.22 | -824.45 | -163.17 | -145.39 | |
| Payments To Acquire Property Plant And Equipment | 158.97 | 136.81 | 124.50 | 147.71 | 194.04 | 143.93 | 142.35 | 123.11 | 189.56 | 157.47 | 149.53 | 144.91 | 224.65 | 158.23 | 136.72 | 154.94 | 219.36 | 173.26 | 175.04 | 198.88 | 281.48 | 231.68 | 241.53 | 232.44 | 265.42 | 240.89 | 184.41 | 214.53 | 253.85 | 216.62 | 185.44 | 173.19 | 245.78 | 171.34 | 169.45 | 121.42 | 197.82 | 164.91 | 152.03 | 126.56 | 218.07 | 141.13 | 141.67 | 116.72 | 171.20 | 128.44 | 138.05 | 112.46 | 148.28 | 96.95 | 87.40 | 67.53 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net Cash Provided By Used In Financing Activities | -403.25 | -394.50 | -96.84 | -275.91 | -230.90 | -445.26 | -103.39 | -341.57 | -774.36 | -464.15 | -381.73 | 537.28 | -465.08 | -2621.27 | 1142.58 | 96.99 | -692.69 | -2693.21 | -1635.50 | 324.95 | -202.01 | -117.43 | -83.36 | -222.55 | -236.43 | -164.65 | -306.24 | -58.94 | NA | NA | NA | NA | NA | NA | NA | -110.87 | -45.97 | -355.66 | 298.77 | -62.12 | -78.77 | -150.47 | -186.36 | -67.39 | 3997.84 | -58.49 | -24.31 | -42.66 | -31.89 | 140.64 | -317.43 | -38.50 |
| 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 | 2018-12-31 | 2018-09-30 | 2018-06-30 | 2018-03-31 | 2017-12-31 | 2017-09-30 | 2017-06-30 | 2017-03-31 | 2016-12-31 | 2016-09-30 | 2016-06-30 | 2016-03-31 | 2015-12-31 | 2015-09-30 | 2015-06-30 | 2015-03-31 | 2014-12-31 | 2014-09-30 | 2014-06-30 | 2014-03-31 | 2013-12-31 | 2013-09-30 | 2013-06-30 | 2013-03-31 | 2012-12-31 | 2012-09-30 | 2012-06-30 | 2012-03-31 | 2011-12-31 | 2011-09-30 | 2011-06-30 | 2011-03-31 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenues | 3145.75 | 3121.33 | 3000.37 | 2872.70 | 2916.89 | 2948.69 | 2926.76 | 2817.55 | 2943.97 | 2938.32 | 2916.51 | 2820.00 | 2905.32 | 2924.07 | 2879.98 | 2841.24 | 2898.58 | 2904.08 | 2842.70 | 2743.11 | 2821.12 | 2847.33 | 2886.95 | 2849.44 | 2780.91 | 2765.07 | 2699.40 | 2631.25 | 2699.42 | 3730.58 | 3717.65 | 3581.14 | 3533.59 | 3525.66 | 3434.62 | 3287.97 | 3328.02 | 3251.82 | 3172.49 | 3042.78 | 3063.21 | 2999.59 | 2871.67 | 2829.58 | 2426.94 | 1962.97 | 1929.74 | 1866.63 | 1750.43 | 1757.83 | 1661.23 | 1562.31 | |
| Intersegment Elimination | -24.37 | -26.52 | -21.77 | -23.41 | -26.73 | -22.96 | -19.39 | -22.17 | -20.37 | -22.10 | -21.32 | -31.30 | -44.64 | -41.40 | -39.60 | -36.39 | -42.80 | -35.84 | -33.74 | -33.98 | -35.49 | -33.78 | -29.29 | -28.62 | -22.73 | -19.47 | -19.41 | -39.12 | 36.10 | -32.76 | -29.23 | -26.21 | -22.03 | -21.10 | -19.32 | -16.84 | -14.85 | -15.95 | -13.76 | -12.80 | -14.67 | -11.73 | -11.55 | -10.29 | -8.66 | -6.67 | -6.83 | NA | NA | NA | NA | NA | |
| Operating | 3170.12 | 3147.85 | 3022.14 | 2896.11 | 2943.61 | 2971.65 | 2946.15 | 2839.72 | 2964.34 | 2960.42 | 2937.83 | 2851.30 | 2949.96 | 2965.46 | 2919.58 | 2877.63 | 2941.38 | 2939.92 | 2876.44 | 2777.09 | 2856.62 | 2881.11 | 2916.24 | 2878.07 | 2803.64 | 2784.54 | 2718.81 | 3736.40 | -358.00 | 3763.33 | 3746.89 | 3607.34 | 3555.62 | 3546.76 | 3453.94 | 3304.80 | 3342.87 | 3267.77 | 3186.25 | 3055.58 | 3077.88 | 3011.32 | 2883.23 | 2839.87 | 2486.51 | 1952.56 | 1919.84 | NA | NA | NA | NA | NA | |
| Intersegment Elimination, U S Dialysis And Related Lab Services | -21.52 | -24.29 | -20.36 | -22.05 | -22.52 | -22.96 | -19.39 | -22.17 | -20.37 | -22.10 | -21.32 | -27.00 | -40.30 | -37.32 | -35.43 | -32.24 | -38.99 | -32.36 | -30.33 | -30.64 | -29.01 | -25.42 | -20.10 | -18.42 | -16.62 | -13.47 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Intersegment Elimination, All Other | -2.85 | -2.23 | -1.41 | -1.37 | NA | NA | NA | NA | 0.00 | 0.00 | -0.00 | -4.29 | -4.34 | -4.08 | -4.17 | -4.15 | -3.81 | -3.48 | -3.40 | -3.34 | -6.49 | -8.36 | -9.19 | -10.20 | -6.12 | -6.00 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, U S Dialysis And Related Lab Services | 2808.92 | 2785.31 | 2730.61 | 2612.16 | 2658.22 | 2703.25 | 2663.24 | 2575.10 | 2702.70 | 2698.05 | 2676.34 | 2589.88 | 2674.15 | 2694.22 | 2674.94 | 2616.62 | 2686.83 | 2691.43 | 2637.49 | 2547.15 | 2632.91 | 2576.80 | 2588.34 | 2537.90 | 2393.18 | 2370.47 | 2325.22 | 2271.19 | 2322.75 | 2323.47 | 2264.78 | 2227.19 | 2215.21 | 2200.91 | 2153.46 | 2071.86 | 2151.32 | 2076.05 | 2025.04 | 1958.27 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, All Other | 361.20 | 362.55 | 291.52 | 283.95 | 285.39 | 268.40 | 282.91 | 264.63 | 261.64 | 262.38 | 261.49 | 261.42 | 275.81 | 271.24 | 244.63 | 261.01 | 254.55 | 248.50 | 238.95 | 229.94 | 223.71 | 304.31 | 327.89 | 340.17 | 410.46 | 414.07 | 393.59 | 378.23 | 395.81 | 411.73 | 422.54 | 391.29 | 398.30 | 344.82 | 334.14 | 305.17 | 309.16 | 299.75 | 273.72 | 256.87 | 242.26 | 225.66 | 199.96 | 184.00 | NA | NA | NA | NA | NA | NA | NA | NA | |
| U S Dialysis And Related Lab Services | 2787.39 | 2761.02 | 2710.25 | 2590.11 | 2635.70 | 2680.30 | 2643.85 | 2552.93 | 2682.33 | 2675.94 | 2655.02 | 2562.88 | 2633.85 | 2656.90 | 2639.51 | 2584.38 | 2647.85 | 2659.07 | 2607.16 | 2516.51 | 2603.90 | 2551.38 | 2568.25 | 2519.48 | 2376.57 | 2357.00 | 2311.93 | 2259.39 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| All Other | 358.35 | 360.31 | 290.12 | 282.59 | 281.19 | 268.40 | 282.91 | 264.63 | 261.64 | 262.38 | 261.49 | 257.13 | 271.47 | 267.16 | 240.46 | 256.86 | 250.74 | 245.01 | 235.54 | 226.60 | 217.23 | 295.95 | 318.71 | 329.97 | 404.35 | 408.07 | 387.47 | 371.86 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Revenue From Contract With Customer Including Assessed Tax | 3145.75 | 3121.33 | 3000.37 | 2872.70 | 2916.89 | 2948.69 | 2926.76 | 2817.55 | 2943.97 | 2938.32 | 2916.51 | 2820.00 | 2905.32 | 2924.07 | 2879.98 | 2841.24 | 2898.58 | 2781.17 | 2734.07 | 2635.15 | 2821.12 | 2670.70 | 2718.40 | 2591.07 | 2780.91 | 2561.54 | 2494.61 | 2631.25 | 2699.42 | 3730.58 | 3717.65 | 3581.14 | 3533.59 | 3525.66 | 3434.62 | 3287.97 | 3328.02 | 3251.82 | 3172.49 | 3042.78 | 3063.21 | 2999.59 | 2871.67 | 2829.58 | 2426.94 | 1962.97 | 1929.74 | 1866.63 | 1750.43 | 1757.83 | 1661.23 | 1562.31 | |
| Operating, U S Dialysis And Related Lab Services | 2802.49 | 2779.07 | 2724.21 | 2605.98 | 2651.91 | 2697.20 | 2657.15 | 2569.12 | 2696.66 | 2691.83 | 2669.92 | 2583.20 | 2677.88 | 2676.81 | 2666.95 | 2611.18 | 2677.55 | 2685.10 | 2642.24 | 2547.71 | 2641.81 | 2584.77 | 2632.83 | 2507.59 | 2536.34 | 2483.64 | 2429.66 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, All Other | 191.31 | 197.17 | 186.84 | 176.10 | 174.20 | 172.25 | 172.36 | 169.32 | 166.68 | 168.12 | 169.28 | 158.33 | 148.68 | 141.89 | 126.37 | 134.04 | 129.07 | 128.22 | 121.86 | 117.86 | 117.07 | 112.28 | 105.67 | 102.25 | 93.57 | 90.02 | 77.93 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, U S Dialysis And Related Lab Services, External Sources | 2780.96 | 2754.78 | 2703.85 | 2583.93 | 2629.39 | 2674.24 | 2637.74 | 2546.96 | 2676.35 | 2669.82 | 2648.68 | 2556.26 | 2637.90 | 2639.76 | 2631.83 | 2579.24 | 2638.97 | 2652.95 | 2612.20 | 2517.29 | 2612.80 | 2559.34 | 2612.73 | 2489.16 | 2519.72 | 2470.17 | 2416.37 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, U S Dialysis And Related Lab Services, Intersubsegment Eliminations | 21.52 | 24.29 | 20.36 | 22.05 | 22.52 | 22.96 | 19.41 | 22.16 | 20.32 | 22.01 | 21.25 | 26.94 | 39.98 | 37.05 | 35.12 | 31.94 | 38.59 | 32.15 | 30.04 | 30.42 | 29.01 | 25.42 | 20.10 | 18.42 | 16.62 | 13.47 | 13.29 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Operating, All Other, Intersubsegment Eliminations | 2.85 | 2.23 | 1.41 | 1.37 | NA | NA | NA | NA | 0.00 | 0.00 | 0.00 | 4.29 | 4.34 | 4.08 | 4.17 | 4.15 | 3.81 | 3.48 | 3.40 | 3.34 | 6.49 | 8.36 | 9.19 | 10.20 | 6.12 | 6.00 | 6.12 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Commercial Payors | 1014.46 | 1033.52 | 936.90 | 889.91 | 926.17 | 936.98 | 910.37 | 887.00 | 911.05 | 917.08 | 881.62 | 886.98 | 887.70 | 902.09 | 886.12 | 865.05 | 868.23 | 866.23 | 874.09 | 821.80 | 841.76 | 817.83 | 815.87 | 802.70 | 830.14 | 800.50 | 780.19 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Medicaidand Managed Medicaid | 204.63 | 207.33 | 216.01 | 205.78 | 189.20 | 193.85 | 186.87 | 189.66 | 197.38 | 203.17 | 194.64 | 187.24 | 197.82 | 193.25 | 182.32 | 171.47 | 178.37 | 176.29 | 160.24 | 154.19 | 161.82 | 159.16 | 150.29 | 157.50 | 155.84 | 155.11 | 151.29 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Medicareand Medicare Advantage | 1561.92 | 1515.86 | 1539.64 | 1482.77 | 1512.20 | 1535.68 | 1529.53 | 1464.09 | 1546.96 | 1543.82 | 1562.16 | 1480.30 | 1517.53 | 1510.98 | 1517.31 | 1502.22 | 1557.10 | 1558.89 | 1520.19 | 1493.52 | 1539.44 | 1513.19 | 1526.07 | 1485.19 | 1328.76 | 1338.15 | 1313.50 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Other Government Payors | 212.79 | 219.53 | 218.49 | 203.63 | 198.55 | 202.94 | 202.73 | 197.69 | 207.96 | 195.88 | 200.78 | 187.01 | 210.05 | 212.37 | 207.57 | 206.48 | 200.91 | 207.93 | 199.34 | 190.60 | 202.04 | 193.96 | 196.87 | 189.66 | 167.22 | 161.92 | 153.32 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Commercial Payors, U S Dialysis And Related Lab Services | 946.76 | 965.33 | 876.03 | 835.39 | 867.25 | 880.81 | 854.66 | 834.58 | 869.20 | 862.22 | 830.80 | 835.48 | 836.17 | 858.25 | 850.56 | 825.58 | 827.73 | 828.95 | 840.99 | 788.41 | 810.23 | 786.47 | 796.73 | 782.98 | 813.17 | 783.17 | 764.86 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Commercial Payors, All Other | 67.70 | 68.19 | 60.87 | 54.52 | 58.91 | 56.17 | 55.71 | 52.42 | 41.85 | 54.86 | 50.82 | 51.50 | 51.52 | 43.84 | 35.56 | 39.47 | 40.50 | 37.28 | 33.09 | 33.39 | 31.52 | 31.36 | 19.14 | 19.72 | 16.97 | 17.33 | 15.32 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Medicaidand Managed Medicaid, U S Dialysis And Related Lab Services | 204.63 | 207.33 | 216.01 | 205.78 | 189.20 | 193.85 | 186.87 | 189.66 | 197.38 | 203.17 | 194.64 | 187.24 | 197.82 | 193.25 | 182.32 | 171.47 | 178.37 | 176.29 | 160.24 | 154.19 | 161.82 | 159.16 | 150.29 | 157.50 | 155.84 | 155.11 | 151.29 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Medicareand Medicare Advantage, U S Dialysis And Related Lab Services | 1561.92 | 1515.86 | 1539.64 | 1482.77 | 1512.20 | 1535.68 | 1529.53 | 1464.09 | 1546.96 | 1543.82 | 1562.16 | 1480.30 | 1517.53 | 1510.98 | 1517.31 | 1502.22 | 1557.10 | 1558.89 | 1520.19 | 1493.52 | 1539.44 | 1513.19 | 1526.07 | 1485.19 | 1328.76 | 1338.15 | 1313.50 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Other Government Payors, U S Dialysis And Related Lab Services | 89.19 | 90.55 | 92.53 | 82.04 | 83.26 | 86.85 | 86.08 | 80.80 | 83.13 | 82.62 | 82.32 | 80.18 | 112.90 | 114.33 | 116.76 | 111.91 | 112.33 | 116.98 | 110.56 | 106.13 | 116.50 | 113.04 | 110.34 | 107.12 | 90.62 | 89.24 | 90.71 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| Other Government Payors, All Other | 123.61 | 128.98 | 125.96 | 121.58 | 115.29 | 116.08 | 116.65 | 116.89 | 124.83 | 113.26 | 118.46 | 106.83 | 97.15 | 98.04 | 90.81 | 94.57 | 88.57 | 90.95 | 88.77 | 84.47 | 85.55 | 80.92 | 86.53 | 82.54 | 76.60 | 72.68 | 62.60 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA |
