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    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
Common Stock Value 0.840.840.840.840.830.830.840.870.860.860.860.860.860.850.850.850.840.840.840.860.880.890.930.940.940.940.940.930.940.940.940.930.940.940.940.930.961.001.000.991.010.500.510.50
Earnings Per Share Basic -0.050.260.340.170.350.370.32-0.250.560.360.410.21-0.76-0.49-8.05-0.230.11-15.24-0.10-2.820.690.720.850.681.470.710.690.590.841.040.890.741.000.980.910.730.900.870.800.640.791.551.401.12
Earnings Per Share Diluted -0.040.260.340.170.360.370.32-0.250.560.360.410.21-0.76-0.49-8.03-0.230.11-15.24-0.10-2.810.680.720.850.681.460.710.690.590.841.040.890.730.990.970.900.720.890.860.790.630.781.521.371.10

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Revenue From Contract With Customer Including Assessed Tax 496.44506.61500.58491.01513.84489.92486.03482.23498.53492.95472.96446.75416.63460.63509.20845.92905.38888.67868.31851.18932.70896.65915.92901.86910.82868.95842.94835.60830.77828.01771.76752.62741.74722.27676.59639.39650.52626.51595.54566.34567.39554.73529.18502.71
Operating Expenses 607.93466.34452.08460.97477.81442.53435.88443.12430.52434.16422.94420.65384.32440.18474.30832.80840.622248.43787.81772.73829.12787.49787.24797.42785.12742.52721.04729.56687.99671.12623.97628.39590.78571.14535.63524.57509.44488.36465.87462.24443.47431.44415.81411.16
General And Administrative Expense 53.0657.4158.0159.0651.0657.8961.1661.2958.9866.8970.9766.5254.6766.3577.67105.2396.93102.36103.54101.82112.79102.91107.91108.78108.89101.43103.02103.7797.0593.4692.1289.9585.3980.1972.4067.9467.6460.6460.8358.4155.6454.6554.6053.32
Operating Income Loss -111.4940.2748.5030.0436.0447.3950.1639.1168.0058.7950.0226.1032.3020.4634.9113.1264.75-1359.7680.5078.45103.57109.16128.68104.43125.70126.43121.90106.04142.78156.89147.78124.23150.96151.13140.96114.82141.09138.14129.67104.10123.92123.29113.3791.55
Interest Expense 10.0810.3711.2310.399.959.528.4111.8216.6017.5916.8817.6427.3027.2528.2727.6127.6829.9031.0830.7225.4521.7821.6019.9319.8418.4318.5417.7516.3617.2115.0614.468.496.205.153.273.312.022.191.371.051.511.671.19
Allocated Share Based Compensation Expense 3.003.203.103.001.504.104.404.404.005.505.803.702.904.506.607.8026.608.0010.0011.009.408.9010.509.907.107.707.307.508.108.708.308.908.108.208.007.807.808.107.708.108.108.107.807.30
Income Tax Expense Benefit -14.569.4410.666.513.8210.0512.33-7.4013.2411.597.36-4.965.876.683.372.297.82-125.7917.128.9621.1624.8730.1224.06-27.7642.1240.7334.9749.9244.2751.6043.4151.5855.6452.8943.9350.5951.1748.9440.7044.4245.2042.8835.40
Profit Loss -124.2921.3928.2814.2129.6630.7327.14-21.1947.5130.7935.0117.63-64.30-41.04-672.44-18.719.33-1255.92-8.24-242.870.0065.5879.4163.43136.1065.8863.7054.6978.0896.4282.3367.7792.4190.6484.0568.5988.2886.2479.0363.6678.9776.9669.22NA
Net Income Loss -124.2921.3928.2814.2129.6630.7327.14-21.1947.5230.8035.0117.64-64.30-41.04-672.44-18.719.33-1255.92-8.24-242.8760.2165.5879.4163.43136.1065.8863.7054.6978.0896.5182.4367.9092.7090.7884.1368.7188.4086.2179.0263.6678.9776.9669.2255.37
Comprehensive Income Net Of Tax -122.9821.3927.8914.8130.0229.2125.90-23.86NANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANA

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Assets 2219.812326.342305.512320.052347.892331.962369.622340.982722.552646.102555.132483.743347.953424.833387.214319.664145.904290.665638.815706.265934.915838.725859.645883.075867.285680.525407.405424.895339.405343.864771.414636.294547.214546.494275.143646.313608.803478.223174.503099.143049.432979.862889.392792.66
Liabilities 1370.751358.351363.131410.281456.261473.291524.191463.901825.851800.431746.011716.762600.232619.822560.642832.272646.912811.302913.782926.452847.032823.422672.722739.592800.822763.952569.152662.412578.632676.532213.362175.692109.372212.752054.841532.251343.23973.11769.72792.06706.44745.77696.25686.90
Liabilities And Stockholders Equity 2219.812326.342305.512320.052347.892331.962369.622340.982722.552646.102555.132483.743347.953424.833387.214319.664145.904290.665638.815706.265934.915838.725859.645883.075867.285680.525407.405424.895339.405343.864771.414636.294547.214546.494275.143646.313608.803478.223174.503099.143049.432979.862889.392792.66
Stockholders Equity 849.06967.99942.38909.77891.63858.67845.43877.08896.49845.47808.91766.76747.49804.76826.571487.401499.001479.362725.032779.813087.883015.303186.923143.493066.452916.572838.252762.472760.772667.342557.972460.412437.532333.142219.552113.232264.622504.052403.742307.082342.992234.092193.142105.76

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Assets Current 483.45420.52397.77408.59427.99423.71459.30439.78840.56788.03752.31665.401549.351651.16688.33940.90731.51965.30985.521057.42657.41625.40624.93622.67627.24653.32557.57562.44587.13575.46548.48551.44527.77573.18525.50477.96467.05481.06407.70396.00408.84372.96367.69394.63
Cash And Cash Equivalents At Carrying Value 73.2621.185.856.129.828.6714.097.18387.39357.91338.16269.631123.84294.51132.15312.15112.7728.8924.4826.4836.7434.4638.0640.9460.2048.4040.4241.8455.7052.8051.8955.4951.5760.9165.3250.2247.9371.8217.7119.7731.1416.2413.1634.42
Accounts Receivable Net Current 272.31277.35270.85278.74296.79294.35307.20317.62301.77261.97248.06245.74241.93267.12345.68476.99498.87494.70504.19522.64542.27522.83528.00542.61504.00520.01480.40487.69495.28486.96461.16465.83444.74406.76380.55360.87352.19345.17327.41315.69285.40272.81269.77263.82
Other Assets Current 12.317.8710.1212.0713.269.908.869.0818.9039.7117.3910.3861.8120.2941.0820.8523.4419.9417.6816.6817.7116.3114.2216.5937.1660.6113.2711.9513.8211.9613.3813.0412.9711.9810.718.467.9010.8210.8811.278.019.419.789.26
Land 2.03NANANA2.03NANANA2.03NANANA6.68NANANA6.68NANANA6.68NANANA6.68NANANA6.68NANANA6.68NANANA6.68NANANA6.68NANANA
Available For Sale Securities Debt Securities 104.48103.5498.4996.7193.2491.4093.3989.5899.72NANANA104.87NANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANA

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Property Plant And Equipment Gross 218.35NANANA245.51NANANA234.84NANANA236.63NANANA296.59NANANA340.85NANANA293.16NANANA246.78NANANA202.97NANANA162.94NANANA146.91NANANA
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment 142.72NANANA172.22NANANA164.69NANANA160.44NANANA202.10NANANA207.82NANANA169.62NANANA143.71NANANA119.33NANANA96.89NANANA87.00NANANA
Property Plant And Equipment Net 75.6475.1573.3372.9373.2971.6672.1572.4670.1572.5568.4880.8176.1978.5798.47100.2394.4993.7392.7289.04133.04137.83131.92127.06123.54114.84110.48108.26103.0798.5089.9087.7483.6382.8781.3667.2766.0563.6060.1860.7059.9160.9361.4160.27
Goodwill 1384.171532.091532.091532.091532.091532.091532.091528.691505.431496.751487.111482.501477.971480.672165.022710.292710.292634.874069.564065.514382.994303.434304.744301.514283.964118.233948.343946.103845.163828.813510.383387.473366.153347.823163.872813.672776.192659.332516.252457.572393.732354.192273.292165.17
Finite Lived Intangible Assets Net 21.2415.4916.8017.4918.4919.5320.9621.0521.5721.6219.9921.4826.6427.66200.41263.31274.41279.61286.10300.66588.31595.41614.23629.31639.93643.21643.00660.38668.53NANANA424.22NANANA198.14NANANANANANANA
Other Assets Noncurrent 82.17108.01116.83119.38123.18117.72124.39128.20131.03130.09114.41110.06107.3664.8297.9492.3589.9990.64115.05102.65103.4695.4292.6392.2391.9368.6361.7260.4856.5490.22101.95100.7482.15483.35442.47223.61235.43212.44132.29128.36129.44129.97127.15113.94

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Liabilities Current 388.95350.44320.32284.22426.98351.69329.42269.73427.37397.56351.11326.96444.33488.36383.93346.40541.82500.79441.05415.18500.19435.94411.21356.99531.42475.99350.15328.61448.95413.03332.10312.74428.77404.57311.81267.43416.27329.28262.81222.19326.79273.99212.77190.90
Accounts Payable Current 34.5931.7030.9935.3331.8627.1430.2330.3236.6534.3640.6659.0759.7760.9648.9847.5239.6138.3332.3932.1531.0630.7128.3831.6634.6327.3430.3623.8928.4723.3527.9130.6421.9722.3425.1922.8332.7822.1725.3917.8618.6111.4711.749.58
Accounts Payable And Accrued Liabilities Current 350.80302.58277.68226.68374.23306.46287.46232.09394.12375.84329.92306.41423.16388.52360.91323.36511.87441.97386.41312.96469.34413.74358.25302.56438.02402.31320.05256.32407.94363.29300.08260.37395.81351.64286.72212.29380.66300.32241.77178.09308.75256.60204.15150.72
Other Accrued Liabilities Current 46.2552.1360.2465.9268.4062.0067.6459.4841.7267.2857.9260.9251.2638.1046.9643.1255.8954.0150.5240.0844.9140.0546.4844.6353.6252.2044.9837.6250.9541.6038.5045.0534.8033.9928.9329.8529.9022.1020.9220.9718.1520.1918.9521.40
Accrued Income Taxes Current 2.1611.126.1521.5716.277.666.4114.3511.07NANANA0.03NA0.000.006.504.761.6644.9730.6021.6752.1053.2992.0144.383.0647.9418.9630.1215.0540.5121.0841.1413.0544.7025.1528.6120.9444.0117.9517.308.5240.08

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Long Term Debt 622.20NANANA637.20NANANA989.70NANANA1700.00NANANA1700.00NANANA1969.82NANANA1846.13NANANA1702.13NANANA1270.40NANANA568.00NANANA27.00NANANA
Long Term Debt And Capital Lease Obligations 618.42621.69625.27NA632.38NANANANANANANANANANANANANANANANANANANANANANANANANANANANANANA188.23190.85NANANA0.14NANANA
Deferred Income Tax Liabilities Net 34.3141.0237.7732.7033.6439.9043.0839.3041.4150.7448.4361.7561.7563.6368.68NA56.47NANANANANANANANANANANANANANANANANANANANANANANANANANANA
Other Liabilities Noncurrent 30.5531.1931.9337.6539.4142.5048.3443.8742.3342.1142.5326.1245.3242.9852.9821.3422.9021.9122.4521.5832.2540.9436.2056.5357.9142.2845.7447.4545.1746.4958.2555.9852.2957.2264.4261.4758.9654.5159.1358.4360.9863.3257.3454.98
Operating Lease Liability Noncurrent 47.2448.4943.0743.9844.2145.5642.0540.9941.4041.0839.9837.8640.9740.2256.9462.2467.0065.2970.5371.160.00NANANANANANANANANANANANANANANANANANANANANANANA

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Stockholders Equity 849.06967.99942.38909.77891.63858.67845.43877.08896.49845.47808.91766.76747.49804.76826.571487.401499.001479.362725.032779.813087.883015.303186.923143.493066.452916.572838.252762.472760.772667.342557.972460.412437.532333.142219.552113.232264.622504.052403.742307.082342.992234.092193.142105.76
Stockholders Equity Including Portion Attributable To Noncontrolling Interest 849.06967.99942.38909.77891.63858.67845.43877.08896.69845.68809.12766.98747.72805.01826.571487.401499.001479.362725.032779.813087.883015.303186.923143.493066.45NANANA2760.772667.342558.052460.602437.852333.742220.302114.062265.572505.112404.78NA2342.99NANANA
Common Stock Value 0.840.840.840.840.830.830.840.870.860.860.860.860.860.850.850.850.840.840.840.860.880.890.930.940.940.940.940.930.940.940.940.930.940.940.940.930.961.001.000.991.010.500.510.50
Additional Paid In Capital Common Stock 999.91995.85991.63986.92983.60980.66996.621054.141049.701045.291039.231032.211029.451023.971004.79995.26987.94977.71967.43977.87992.65998.671032.571030.931017.331003.55991.11979.03974.30958.95946.09930.97926.24917.54897.59875.41886.88NANANANANANANA
Retained Earnings Accumulated Deficit 149.47-25.18-46.58-74.86-89.06-118.72-149.45-176.59-155.39-202.91-233.70-268.71-286.35-222.06-179.07491.29510.21500.811756.721801.272094.362015.742153.412111.622048.191912.091846.211782.511785.531707.451610.941528.511510.361414.651321.021236.891376.781604.481518.281447.631484.021405.051371.371302.15
Accumulated Other Comprehensive Income Loss Net Of Tax 2.21-3.52-3.52-3.13-3.73-4.10-2.58-1.351.322.222.512.403.531.99NANA0.08NA0.04-0.190.00NANANANANANANANANANANANANANANANANANANANANANANA

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Net Cash Provided By Used In Operating Activities 69.2579.9489.05-100.9298.6983.3382.41-97.4844.2461.1053.59-82.19-11.87169.94192.98-146.43127.62156.18119.65-56.82127.59140.73135.24-113.63195.63199.93NANANANANANANANANANANANANANA138.62157.93127.23-18.39
Net Cash Provided By Used In Investing Activities -12.42-14.00-10.40-11.35-11.24-6.09-13.35-26.27-15.58-41.2114.09-10.36840.61-3.44-1.44-20.22156.98-27.22-18.61-8.69-94.99-8.81-16.80-22.18-189.14-247.66NANANANANANANANANANANANANANA-44.71-79.81-123.34-15.63
Net Cash Provided By Used In Financing Activities -4.75-50.60-78.93108.57-86.29-82.66-62.15-256.460.82-0.130.85-761.660.59-4.13-366.65366.04-209.50-143.15-107.0866.66-30.32-135.52-121.32116.5525.3055.71NANANANANANANANANANANANANANA-79.02-75.04-25.1647.17

    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
Net Cash Provided By Used In Operating Activities 69.2579.9489.05-100.9298.6983.3382.41-97.4844.2461.1053.59-82.19-11.87169.94192.98-146.43127.62156.18119.65-56.82127.59140.73135.24-113.63195.63199.93NANANANANANANANANANANANANANA138.62157.93127.23-18.39
Net Income Loss -124.2921.3928.2814.2129.6630.7327.14-21.1947.5230.8035.0117.64-64.30-41.04-672.44-18.719.33-1255.92-8.24-242.8760.2165.5879.4163.43136.1065.8863.7054.6978.0896.5182.4367.9092.7090.7884.1368.7188.4086.2179.0263.6678.9776.9669.2255.37
Profit Loss -124.2921.3928.2814.2129.6630.7327.14-21.1947.5130.7935.0117.63-64.30-41.04-672.44-18.719.33-1255.92-8.24-242.870.0065.5879.4163.43136.1065.8863.7054.6978.0896.4282.3367.7792.4190.6484.0568.5988.2886.2479.0363.6678.9776.9669.22NA
Depreciation Depletion And Amortization 9.069.218.958.959.148.968.788.777.868.158.118.037.697.2014.3918.6719.4119.6119.8120.0329.8928.7126.5226.1626.4125.1225.7325.6125.2524.1820.2419.5818.1516.9215.5513.6113.9011.3610.3610.3710.4910.469.879.14
Increase Decrease In Accounts Receivable -4.186.80-7.55-21.345.04-15.45-4.2020.1530.7016.0214.3711.63-7.9314.29-18.39-25.904.17-9.49-18.4515.9117.77-5.17-14.6138.61-16.8927.45-7.28-11.089.198.58-4.8621.0937.7715.50-6.568.687.027.9811.7230.2912.583.045.9515.75
Deferred Income Tax Expense Benefit -7.352.216.372.01-14.07-6.81-4.282.39-1.05-13.16-1.02-16.026.08-25.6022.2333.58-22.31-143.74-5.84-5.11-7.224.28-21.260.04-76.80-1.7216.272.181.87-1.8015.492.6011.62-14.6615.512.02-7.852.927.88-0.39-3.423.1320.58-4.37
Share Based Compensation 3.023.163.133.013.244.124.344.434.025.505.743.722.9222.305.788.046.388.029.9610.999.368.9510.529.887.047.757.257.548.118.658.338.918.178.207.937.847.808.067.788.078.108.107.817.28

    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
Net Cash Provided By Used In Investing Activities -12.42-14.00-10.40-11.35-11.24-6.09-13.35-26.27-15.58-41.2114.09-10.36840.61-3.44-1.44-20.22156.98-27.22-18.61-8.69-94.99-8.81-16.80-22.18-189.14-247.66NANANANANANANANANANANANANANA-44.71-79.81-123.34-15.63
Payments To Acquire Investments 5.428.728.219.552.411.9611.711.273.623.083.225.1425.753.7511.2921.0421.1913.910.000.000.000.001.8414.042.989.422.9212.4010.1112.1920.3918.2913.609.437.233.727.289.885.823.901.943.922.9312.02

    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
Net Cash Provided By Used In Financing Activities -4.75-50.60-78.93108.57-86.29-82.66-62.15-256.460.82-0.130.85-761.660.59-4.13-366.65366.04-209.50-143.15-107.0866.66-30.32-135.52-121.32116.5525.3055.71NANANANANANANANANANANANANANA-79.02-75.04-25.1647.17
Payments For Repurchase Of Common Stock 0.000.130.010.781.4721.4864.401.170.002.470.251.99-0.005.450.502.540.350.4265.5378.980.00250.00NANA0.000.002.0868.110.000.003.1858.650.001.450.00233.60360.671.069.71116.990.00NANANA

    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
Revenue From Contract With Customer Including Assessed Tax 496.44506.61500.58491.01513.84489.92486.03482.23498.53492.95472.96446.75416.63460.63509.20845.92905.38888.67868.31851.18932.70896.65915.92901.86910.82868.95842.94835.60830.77828.01771.76752.62741.74722.27676.59639.39650.52626.51595.54566.34567.39554.73529.18502.71
Hospitals Contracts 71.3968.7169.5865.9966.5167.4265.4863.5364.5659.4958.9057.0763.6661.1965.14104.59107.6197.7596.7494.7289.5087.0995.5391.2490.2177.7075.60NANANANANANANANANANANANANANANANANA
Health Care Patient Service 425.48437.32430.38423.18443.19421.08418.51406.04414.46432.85412.95381.06348.02382.94428.47734.39791.94784.93765.52749.59789.73758.02763.67756.37765.04736.42708.74NANANANANANANANANANANANANANANANANA
Product And Service Other -0.430.580.611.834.151.412.0412.6719.510.601.108.624.9616.5115.596.945.835.996.046.889.213.655.795.01NANANANANANANANANANANANANANANANANANANANA

Plots across concepts


IncomeStatement
Income Loss From Continuing Operations 
Before Income Taxes Extraordinary Items Noncontrolling Interest
Expenses
Income Tax Expense Benefit
Balance Sheet
Operating Lease Right Of Use Asset
Assets
Operating Lease Right Of Use Asset
Current Assets
Other Assets Current
NonCurrent Assets
Operating Lease Right Of Use Asset
PropertyPlantAndEquipmentNet
Property Plant And Equipment Net
Liabilities
Operating Lease Liability
Current Liabilities
Accrued Income Taxes Current
Noncurrent Liabilities
Other Liabilities Noncurrent
Stockholders Equity
Common Stock Value
CashFlow
Net Income Loss
NetCashProvidedByUsedInOperatingActivities
Net Income Loss
NetCashProvidedByUsedInInvestingActivities
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInFinancingActivities
Net Cash Provided By Used In Financing Activities
OperatingLeaseLiability
Operating Lease Liability Current
NonoperatingIncomeExpense
Nonoperating Income Expense
LesseeOperatingLeaseLiabilityPaymentsDue
Lessee Operating Lease Liability Undiscounted Excess Amount
FiniteLivedIntangibleAssets
Finite Lived Intangible Assets Net
AccountsReceivable
Accounts Receivable Net Current

Line plots across dimensions of each concept