7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 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 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2003-09-30 2003-06-30 2003-02-28 
      
    		                                                                                      
      assets
    		                                                                                      
      current assets:
    		                                                                                      
      cash and cash equivalents
    		2,975,000,000 2,625,000,000 2,999,000,000 3,019,000,000 4,094,000,000 2,880,000,000 2,481,000,000 1,228,000,000 1,054,000,000 934,000,000 766,000,000 858,000,000 1,208,000,000 1,351,000,000 1,405,000,000 2,364,000,000 2,292,000,000 2,194,000,000 2,141,000,000  3,300,000,000 3,514,000,000 613,000,000  314,000,000 249,000,000 252,000,000  500,000,000 403,000,000 974,000,000  429,000,000 475,000,000 572,000,000 716,000,000 649,000,000 656,000,000 728,000,000 356,000,000 450,000,000 299,000,000 185,000,000 193,000,000 200,000,000 406,000,000 141,000,000 113,000,000 82,000,000 90,000,000 95,000,000 364,000,000 83,000,000 82,000,000 104,000,000 185,000,000 264,000,000 267,000,000 405,000,000 398,000,000 711,000,000 589,000,000 690,000,000 731,000,000 758,000,000 652,000,000 507,000,000 512,000,000 352,000,000 278,000,000 655,000,000 675,000,000 584,000,000 809,000,000 568,000,000 975,000,000  1,480,000,000 1,594,000,000 1,497,000,000  1,323,000,000 1,193,000,000 219,000,000 221,000,000 118,000,000 
      accounts receivable
    		2,518,000,000 2,533,000,000 2,619,000,000 2,536,000,000 2,598,000,000 2,817,000,000 3,148,000,000 2,914,000,000 2,897,000,000 2,914,000,000 2,883,000,000 2,943,000,000 2,826,000,000 2,840,000,000 2,916,000,000 2,770,000,000 2,742,000,000 2,643,000,000 2,745,000,000  2,479,000,000 2,435,000,000 2,722,000,000  2,768,000,000 2,734,000,000 2,744,000,000  2,484,000,000 2,483,000,000 2,519,000,000                                                        
      inventories of supplies, at cost
    		346,000,000 338,000,000 344,000,000 346,000,000 356,000,000 382,000,000 395,000,000 411,000,000 413,000,000 404,000,000 407,000,000 405,000,000 394,000,000 387,000,000 391,000,000 384,000,000 376,000,000 364,000,000 368,000,000  349,000,000 337,000,000 324,000,000  311,000,000 309,000,000 308,000,000  307,000,000 298,000,000 294,000,000  297,000,000 316,000,000 324,000,000 326,000,000 322,000,000 316,000,000 312,000,000 309,000,000 275,000,000 261,000,000 268,000,000 276,000,000 270,000,000 264,000,000 261,000,000 262,000,000 154,000,000 153,000,000 152,000,000 153,000,000 154,000,000 154,000,000 157,000,000 157,000,000 156,000,000 156,000,000 156,000,000 152,000,000 152,000,000 151,000,000 153,000,000 153,000,000 154,000,000 158,000,000 161,000,000 165,000,000 170,000,000 182,000,000 181,000,000 184,000,000 180,000,000 177,000,000 174,000,000 194,000,000  187,000,000 193,000,000 190,000,000  187,000,000 187,000,000 224,000,000 220,000,000 242,000,000 
      assets held for sale
    		82,000,000 21,000,000 21,000,000 21,000,000 20,000,000 21,000,000 22,000,000 775,000,000 140,000,000 141,000,000 142,000,000    19,000,000   828,000,000 139,000,000  386,000,000 378,000,000 394,000,000      128,000,000 452,000,000 599,000,000  842,000,000 705,000,000 3,000,000 29,000,000 17,000,000 2,000,000 2,000,000 550,000,000 1,186,000,000 1,170,000,000 337,000,000         0 0 41,000,000 2,000,000 2,000,000 11,000,000 13,000,000 14,000,000 20,000,000 19,000,000 31,000,000 29,000,000 37,000,000 39,000,000 35,000,000 310,000,000 362,000,000 385,000,000 19,000,000 60,000,000 66,000,000 70,000,000 171,000,000 303,000,000 9,000,000  29,000,000 74,000,000 63,000,000  565,000,000 670,000,000 476,000,000 565,000,000  
      other current assets
    		1,889,000,000 1,781,000,000 1,930,000,000 1,760,000,000 1,691,000,000 1,855,000,000 1,775,000,000 1,839,000,000 1,855,000,000 1,602,000,000 1,671,000,000 1,775,000,000 1,566,000,000 1,468,000,000 1,397,000,000 1,557,000,000 1,495,000,000 1,388,000,000 1,306,000,000  1,292,000,000 1,265,000,000 1,317,000,000  1,378,000,000 1,393,000,000 1,261,000,000  1,046,000,000 1,041,000,000 1,228,000,000  1,160,000,000 1,173,000,000 1,167,000,000 1,285,000,000 1,331,000,000 1,282,000,000 1,280,000,000 1,245,000,000 1,202,000,000 1,110,000,000 1,146,000,000 1,095,000,000 746,000,000 700,000,000 839,000,000 716,000,000 583,000,000 600,000,000 455,000,000 458,000,000 502,000,000 509,000,000 386,000,000 357,000,000 375,000,000 412,000,000 288,000,000 415,000,000 271,000,000 270,000,000 286,000,000 324,000,000 294,000,000 307,000,000 290,000,000 282,000,000 266,000,000 265,000,000 233,000,000 215,000,000 232,000,000 226,000,000 239,000,000 273,000,000  284,000,000 321,000,000 289,000,000  305,000,000 289,000,000 375,000,000 334,000,000 401,000,000 
      total current assets
    		7,810,000,000 7,298,000,000 7,913,000,000 7,682,000,000 8,759,000,000 7,955,000,000 7,821,000,000 7,167,000,000 6,359,000,000 5,995,000,000 5,869,000,000 5,981,000,000 5,998,000,000 6,064,000,000 6,128,000,000 7,075,000,000 6,905,000,000 7,417,000,000 6,699,000,000 488,074,000 7,808,000,000 7,947,000,000 5,388,000,000 277,532,000 4,789,000,000 4,704,000,000 4,582,000,000 285,478,000 4,492,000,000 4,705,000,000 5,634,000,000 211,487,000 5,309,000,000 5,382,000,000 5,052,000,000 5,257,000,000 5,116,000,000 4,993,000,000 5,129,000,000 5,171,000,000 6,296,000,000 6,009,000,000 5,124,000,000 4,717,000,000 4,201,000,000 4,208,000,000 3,978,000,000 3,710,000,000 2,560,000,000 2,574,000,000 2,443,000,000 2,681,000,000 2,484,000,000 2,564,000,000 2,482,000,000 2,176,000,000 2,314,000,000 2,393,000,000 2,311,000,000 2,444,000,000 2,435,000,000 2,386,000,000 2,472,000,000 2,539,000,000 2,562,000,000 2,631,000,000 2,709,000,000 2,836,000,000 2,778,000,000 2,317,000,000 2,593,000,000 2,608,000,000 2,753,000,000 3,138,000,000 3,349,000,000 3,078,000,000  4,026,000,000 4,130,000,000 4,121,000,000  4,887,000,000 4,928,000,000 4,223,000,000 4,281,000,000 3,706,000,000 
      investments and other assets
    		2,939,000,000 2,994,000,000 3,069,000,000 3,037,000,000 3,064,000,000 3,156,000,000 3,244,000,000 3,157,000,000 3,152,000,000 3,130,000,000 3,175,000,000 3,147,000,000 3,312,000,000 3,297,000,000 3,385,000,000 3,254,000,000 2,564,000,000 2,525,000,000 2,577,000,000  2,445,000,000 2,464,000,000 2,467,000,000  2,380,000,000 2,297,000,000 2,331,000,000  1,462,000,000 1,416,000,000 1,433,000,000  1,253,000,000 1,238,000,000 1,260,000,000 1,250,000,000 1,324,000,000 1,317,000,000 1,142,000,000 1,175,000,000 1,029,000,000 1,017,000,000 355,000,000 384,000,000 366,000,000 362,000,000 355,000,000 405,000,000 184,000,000 166,000,000 163,000,000 162,000,000 126,000,000 120,000,000 153,000,000 159,000,000 171,000,000 162,000,000 164,000,000 176,000,000 180,000,000 185,000,000 182,000,000 181,000,000 198,000,000 255,000,000 242,000,000 282,000,000 271,000,000 322,000,000 369,000,000 417,000,000 390,000,000 369,000,000 365,000,000 364,000,000  302,000,000 300,000,000 298,000,000  308,000,000 305,000,000 299,000,000 295,000,000 292,000,000 
      deferred income taxes
    		72,000,000 76,000,000 78,000,000 80,000,000 36,000,000 85,000,000 20,000,000 77,000,000 4,000,000 8,000,000 14,000,000 19,000,000 55,000,000 60,000,000 2,000,000 65,000,000 140,000,000 276,000,000 297,000,000  436,000,000 232,000,000 263,000,000  252,000,000 268,000,000 291,000,000  348,000,000 348,000,000 383,000,000  783,000,000 1,020,000,000 930,000,000 871,000,000 840,000,000 797,000,000 726,000,000 776,000,000                   0 0 107,000,000 107,000,000 108,000,000 80,000,000 83,000,000 82,000,000 82,000,000 91,000,000 118,000,000 84,000,000 71,000,000 63,000,000 49,000,000 113,000,000 113,000,000 33,000,000  195,000,000 104,000,000 112,000,000  445,000,000 442,000,000 361,000,000 171,000,000 186,000,000 
      property and equipment, at cost, less accumulated depreciation and amortization
    		6,091,000,000 6,024,000,000 5,991,000,000 6,049,000,000 5,552,000,000 5,857,000,000 5,855,000,000 6,236,000,000 6,260,000,000 6,268,000,000 6,319,000,000 6,462,000,000 6,291,000,000 6,259,000,000 6,296,000,000 6,427,000,000 6,162,000,000 6,166,000,000 6,592,000,000  6,618,000,000 6,703,000,000 6,786,000,000  7,001,000,000 6,995,000,000 6,996,000,000  6,888,000,000 6,863,000,000 6,906,000,000  7,077,000,000 7,738,000,000 7,976,000,000 8,053,000,000 7,965,000,000 7,977,000,000 7,961,000,000 7,915,000,000 7,330,000,000 7,135,000,000 7,528,000,000 7,733,000,000 7,749,000,000 7,771,000,000 7,723,000,000 7,691,000,000 4,354,000,000 4,326,000,000 4,296,000,000 4,293,000,000 4,173,000,000 4,181,000,000 4,324,000,000 4,201,000,000 4,238,000,000 4,262,000,000 4,304,000,000 4,239,000,000 4,211,000,000 4,249,000,000 4,313,000,000 4,172,000,000 4,182,000,000 4,236,000,000 4,291,000,000 4,239,000,000 4,274,000,000 4,622,000,000 4,403,000,000 4,354,000,000 4,275,000,000 4,317,000,000 4,276,000,000 4,601,000,000  4,593,000,000 4,849,000,000 4,817,000,000       
      goodwill
    		11,158,000,000 10,935,000,000 10,786,000,000 10,691,000,000 10,588,000,000 10,799,000,000 10,568,000,000 10,307,000,000 10,415,000,000 10,350,000,000 10,258,000,000 10,123,000,000 9,979,000,000 9,479,000,000 9,352,000,000 9,261,000,000 8,662,000,000 8,659,000,000 8,799,000,000  7,302,000,000 7,301,000,000 7,308,000,000  7,315,000,000 7,298,000,000 7,283,000,000  7,313,000,000 7,218,000,000 7,036,000,000  7,022,000,000 7,157,000,000 7,429,000,000 7,425,000,000 7,376,000,000 7,291,000,000 7,122,000,000 6,970,000,000 6,606,000,000 6,602,000,000 3,874,000,000 3,913,000,000 3,705,000,000 3,200,000,000 3,070,000,000 3,042,000,000 1,120,000,000 970,000,000 948,000,000 916,000,000 771,000,000 749,000,000 738,000,000 724,000,000 715,000,000 677,000,000 652,000,000 637,000,000 609,000,000 607,000,000 607,000,000 607,000,000 607,000,000 609,000,000 609,000,000 609,000,000 610,000,000 607,000,000 600,000,000 603,000,000 601,000,000 753,000,000 753,000,000 800,000,000  800,000,000 800,000,000 800,000,000  1,913,000,000 1,913,000,000 2,885,000,000 2,880,000,000 3,260,000,000 
      other intangible assets, at cost, less accumulated amortization
    		1,348,000,000 1,372,000,000 1,400,000,000 1,397,000,000 1,373,000,000 1,413,000,000 1,399,000,000 1,368,000,000 1,400,000,000 1,406,000,000 1,432,000,000 1,424,000,000 1,441,000,000 1,462,000,000 1,487,000,000 1,497,000,000 1,480,000,000 1,522,000,000 1,590,000,000  1,578,000,000 1,603,000,000 1,611,000,000  1,620,000,000 1,645,000,000 1,675,000,000  1,762,000,000 1,793,000,000 1,792,000,000  1,764,000,000 1,806,000,000 1,863,000,000 1,845,000,000 1,853,000,000 1,865,000,000 1,686,000,000 1,675,000,000 1,830,000,000 1,894,000,000 1,478,000,000 1,278,000,000 1,191,000,000 1,241,000,000 1,229,000,000 1,192,000,000 723,000,000 700,000,000 670,000,000 650,000,000 578,000,000 526,000,000 506,000,000 500,000,000 454,000,000 441,000,000 442,000,000 403,000,000 399,000,000 388,000,000 379,000,000 377,000,000 379,000,000 361,000,000 323,000,000 328,000,000 310,000,000 306,000,000 270,000,000 271,000,000 256,000,000 202,000,000 194,000,000 231,000,000  246,000,000 180,000,000 179,000,000    156,000,000 160,000,000 185,000,000 
      total assets
    		29,418,000,000 28,699,000,000 29,237,000,000 28,936,000,000 29,372,000,000 29,265,000,000 28,907,000,000 28,312,000,000 27,590,000,000 27,157,000,000 27,067,000,000 27,156,000,000 27,076,000,000 26,621,000,000 26,650,000,000 27,579,000,000 25,913,000,000 26,565,000,000 26,554,000,000 1,388,800,000 26,187,000,000 26,250,000,000 23,823,000,000 952,371,000 23,357,000,000 23,207,000,000 23,158,000,000 967,291,000 22,265,000,000 22,343,000,000 23,184,000,000 642,907,000 23,208,000,000 24,341,000,000 24,510,000,000 24,701,000,000 24,474,000,000 24,240,000,000 23,766,000,000 23,682,000,000 23,173,000,000 22,746,000,000 18,425,000,000 18,141,000,000 17,312,000,000 16,907,000,000 16,484,000,000 16,130,000,000 9,337,000,000 9,156,000,000 8,915,000,000 9,044,000,000 8,470,000,000 8,485,000,000 8,545,000,000 8,293,000,000 8,435,000,000 8,524,000,000 8,500,000,000 8,535,000,000 7,834,000,000 7,815,000,000 7,953,000,000 7,876,000,000 7,928,000,000 8,092,000,000 8,174,000,000 8,294,000,000 8,243,000,000 8,174,000,000 8,235,000,000 8,253,000,000 8,275,000,000 9,042,000,000 9,200,000,000 9,337,000,000  9,967,000,000 10,259,000,000   12,126,000,000 12,150,000,000    
      liabilities and equity
    		                                                                                      
      current liabilities:
    		                                                                                      
      current portion of long-term debt
    		85,000,000 84,000,000 88,000,000 92,000,000 95,000,000 102,000,000 107,000,000 120,000,000 141,000,000 141,000,000 148,000,000 145,000,000 131,000,000 125,000,000 132,000,000 135,000,000 125,000,000 127,000,000 137,000,000  155,000,000 160,000,000 165,000,000  165,000,000 664,000,000 158,000,000  672,000,000 663,000,000 666,000,000  140,000,000 143,000,000 147,000,000 191,000,000 184,000,000 181,000,000 172,000,000 127,000,000 112,000,000 117,000,000 110,000,000 112,000,000 98,000,000 622,000,000 622,000,000 149,000,000 133,000,000 71,000,000 52,000,000 94,000,000 243,000,000 237,000,000 288,000,000 129,000,000 128,000,000 68,000,000 67,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 1,000,000 22,000,000 22,000,000 38,000,000 19,000,000 19,000,000  20,000,000 20,000,000 19,000,000  26,000,000 26,000,000 23,000,000 23,000,000 41,000,000 
      accounts payable
    		1,356,000,000 1,360,000,000 1,327,000,000 1,294,000,000 1,265,000,000 1,270,000,000 1,335,000,000 1,408,000,000 1,202,000,000 1,246,000,000 1,192,000,000 1,504,000,000 1,240,000,000 1,083,000,000 1,114,000,000 1,300,000,000 1,100,000,000 1,084,000,000 1,103,000,000  1,025,000,000 1,018,000,000 1,079,000,000  1,125,000,000 1,088,000,000 1,101,000,000  1,065,000,000 1,047,000,000 1,059,000,000 46,092,000 1,100,000,000 1,086,000,000 1,179,000,000 1,329,000,000 1,228,000,000 1,272,000,000 1,228,000,000 1,380,000,000 1,206,000,000 1,149,000,000 1,098,000,000 1,179,000,000 1,068,000,000 1,015,000,000 1,019,000,000 1,075,000,000 618,000,000 587,000,000 625,000,000 722,000,000 629,000,000 644,000,000 640,000,000 629,000,000 614,000,000 638,000,000 720,000,000 601,000,000 615,000,000 615,000,000 739,000,000 638,000,000 618,000,000 650,000,000 686,000,000 632,000,000 643,000,000 633,000,000 637,000,000 642,000,000 664,000,000 749,000,000 761,000,000 776,000,000  806,000,000 744,000,000 774,000,000  839,000,000 853,000,000 870,000,000 911,000,000 966,000,000 
      accrued compensation and benefits
    		857,000,000 793,000,000 710,000,000 899,000,000 879,000,000 788,000,000 775,000,000 930,000,000 787,000,000 718,000,000 602,000,000 778,000,000 781,000,000 811,000,000 813,000,000 896,000,000 1,071,000,000 954,000,000 907,000,000  834,000,000 699,000,000 788,000,000  842,000,000 720,000,000 707,000,000  814,000,000 711,000,000 708,000,000  800,000,000 749,000,000 739,000,000 872,000,000 809,000,000 843,000,000 772,000,000 880,000,000 821,000,000 770,000,000 671,000,000 852,000,000 735,000,000 669,000,000 595,000,000 631,000,000 383,000,000 402,000,000 373,000,000 415,000,000 379,000,000 363,000,000 338,000,000 349,000,000 357,000,000 368,000,000 363,000,000 385,000,000 343,000,000 347,000,000 370,000,000 380,000,000 330,000,000 328,000,000 414,000,000 391,000,000 338,000,000 328,000,000 362,000,000 333,000,000 324,000,000 356,000,000 335,000,000 329,000,000  391,000,000 412,000,000 347,000,000  448,000,000 480,000,000 480,000,000 565,000,000 561,000,000 
      professional and general liability reserves
    		287,000,000 275,000,000 268,000,000 238,000,000 286,000,000 283,000,000 266,000,000 254,000,000 264,000,000 257,000,000 256,000,000 255,000,000 279,000,000 272,000,000 272,000,000 254,000,000 268,000,000 234,000,000 263,000,000  285,000,000 292,000,000 279,000,000  230,000,000 228,000,000 224,000,000  230,000,000 230,000,000 222,000,000  210,000,000 208,000,000 201,000,000 181,000,000 185,000,000 179,000,000 161,000,000 177,000,000 185,000,000 204,000,000 188,000,000 189,000,000 175,000,000 162,000,000 140,000,000 156,000,000 74,000,000 84,000,000 49,000,000 64,000,000 72,000,000 73,000,000 63,000,000 79,000,000 96,000,000 104,000,000 84,000,000 91,000,000 104,000,000 106,000,000 106,000,000 114,000,000 113,000,000 116,000,000 127,000,000 150,000,000 150,000,000 161,000,000 148,000,000 140,000,000 145,000,000 145,000,000 136,000,000 150,000,000           
      accrued interest payable
    		248,000,000 148,000,000 248,000,000 149,000,000 248,000,000 149,000,000 249,000,000 200,000,000 273,000,000 199,000,000 248,000,000 213,000,000 249,000,000 221,000,000 255,000,000 203,000,000 262,000,000 220,000,000 290,000,000  218,000,000 257,000,000 306,000,000  252,000,000 233,000,000 323,000,000  330,000,000 243,000,000 332,000,000  336,000,000 238,000,000 327,000,000 210,000,000 308,000,000 205,000,000 307,000,000 205,000,000 307,000,000 204,000,000 268,000,000 194,000,000 265,000,000 207,000,000 274,000,000 198,000,000 109,000,000 91,000,000 99,000,000 125,000,000 110,000,000 121,000,000 103,000,000 111,000,000 117,000,000 116,000,000 115,000,000 110,000,000 123,000,000 114,000,000 127,000,000 123,000,000 104,000,000 77,000,000 125,000,000 97,000,000 125,000,000 97,000,000 110,000,000 136,000,000 105,000,000 98,000,000 125,000,000 96,000,000  96,000,000 125,000,000 96,000,000       
      liabilities held for sale
    		12,000,000 12,000,000 12,000,000 13,000,000 12,000,000 11,000,000 11,000,000 69,000,000 17,000,000 17,000,000 23,000,000       145,000,000 68,000,000  91,000,000 93,000,000 49,000,000      71,000,000 393,000,000 406,000,000  407,000,000 51,000,000  9,000,000 13,000,000   101,000,000 226,000,000 244,000,000 45,000,000                                            
      income tax payable
    		28,000,000 25,000,000 149,000,000 18,000,000 826,000,000 715,000,000 805,000,000                                                                                
      other current liabilities
    		1,687,000,000 1,574,000,000 1,649,000,000 1,607,000,000 1,927,000,000 2,175,000,000 1,868,000,000 1,779,000,000 1,662,000,000 1,498,000,000 1,674,000,000 1,471,000,000 1,485,000,000 1,382,000,000 1,306,000,000 1,362,000,000 1,335,000,000 1,252,000,000 1,245,000,000  1,735,000,000 1,570,000,000 1,429,000,000  1,314,000,000 1,217,000,000 1,212,000,000  1,042,000,000 1,067,000,000 1,168,000,000  1,146,000,000 1,861,000,000 1,163,000,000 1,234,000,000 1,293,000,000 1,225,000,000 1,205,000,000 1,144,000,000 1,236,000,000 1,086,000,000 954,000,000 1,051,000,000 804,000,000 709,000,000 686,000,000 719,000,000 452,000,000 423,000,000 351,000,000 335,000,000 389,000,000 427,000,000 352,000,000 372,000,000 340,000,000 350,000,000 368,000,000 499,000,000 340,000,000 340,000,000 363,000,000 419,000,000 364,000,000 494,000,000 427,000,000 536,000,000 548,000,000 485,000,000 502,000,000 477,000,000 485,000,000 367,000,000 349,000,000 349,000,000  407,000,000 415,000,000 451,000,000  580,000,000 529,000,000 746,000,000 749,000,000 643,000,000 
      total current liabilities
    		4,560,000,000 4,271,000,000 4,451,000,000 4,310,000,000 5,538,000,000 5,493,000,000 5,416,000,000 4,760,000,000 4,432,000,000 4,152,000,000 4,219,000,000 4,476,000,000 4,276,000,000 4,368,000,000 4,668,000,000 5,109,000,000 5,379,000,000 5,071,000,000 4,930,000,000 251,407,000 5,843,000,000 5,585,000,000 4,095,000,000 148,999,000 3,928,000,000 4,150,000,000 3,725,000,000 150,105,000 4,224,000,000 4,354,000,000 4,561,000,000 97,285,000 4,139,000,000 4,337,000,000 3,767,000,000 4,034,000,000 4,547,000,000 4,430,000,000 4,268,000,000 4,308,000,000 4,093,000,000 3,774,000,000 3,734,000,000 3,577,000,000 3,145,000,000 3,384,000,000 3,336,000,000 2,928,000,000 1,769,000,000 1,658,000,000 1,549,000,000 1,763,000,000 1,829,000,000 1,872,000,000 1,840,000,000 1,679,000,000 1,662,000,000 1,657,000,000 1,725,000,000 1,696,000,000 1,558,000,000 1,579,000,000 1,783,000,000 1,772,000,000 1,705,000,000 1,835,000,000 1,949,000,000 1,975,000,000 1,973,000,000 1,873,000,000 1,873,000,000 1,843,000,000 1,833,000,000 1,907,000,000 1,783,000,000 1,809,000,000  1,995,000,000 1,989,000,000 1,866,000,000  2,101,000,000 2,073,000,000 2,373,000,000 2,284,000,000 2,300,000,000 
      long-term debt, net of current portion
    		13,102,000,000 13,091,000,000 13,082,000,000 13,081,000,000 12,776,000,000 12,769,000,000 12,772,000,000 14,882,000,000 14,901,000,000 14,907,000,000 14,935,000,000 14,934,000,000 14,962,000,000 14,947,000,000 14,719,000,000 15,511,000,000 14,009,000,000 15,091,000,000 15,098,000,000  15,561,000,000 15,728,000,000 15,082,000,000  14,858,000,000 14,312,000,000 14,814,000,000  14,178,000,000 14,204,000,000 14,223,000,000  14,741,000,000 15,012,000,000 15,071,000,000 15,064,000,000 14,323,000,000 14,320,000,000 14,350,000,000 14,383,000,000 14,642,000,000 14,637,000,000 11,824,000,000 11,695,000,000 11,455,000,000 10,942,000,000 10,612,000,000 10,690,000,000 5,690,000,000 5,564,000,000 5,375,000,000 5,158,000,000 4,508,000,000 4,511,000,000 4,295,000,000 3,966,000,000 3,989,000,000 4,014,000,000 3,997,000,000 4,057,000,000 4,272,000,000 4,271,000,000 4,272,000,000 4,267,000,000 4,624,000,000 4,639,000,000 4,778,000,000 4,777,000,000 4,775,000,000 4,773,000,000 4,766,000,000 4,764,000,000 4,762,000,000 4,759,000,000 4,787,000,000 4,785,000,000  4,783,000,000 4,784,000,000 4,782,000,000  4,487,000,000 4,488,000,000 4,032,000,000 4,026,000,000 4,024,000,000 
      defined benefit plan obligations
    		296,000,000 297,000,000 297,000,000 298,000,000 308,000,000 334,000,000 334,000,000 335,000,000 327,000,000 329,000,000 330,000,000 331,000,000 400,000,000 407,000,000 414,000,000 421,000,000 444,000,000 459,000,000 478,000,000  525,000,000 541,000,000 547,000,000  495,000,000 507,000,000 512,000,000  476,000,000 515,000,000 528,000,000  596,000,000 618,000,000 624,000,000 626,000,000 586,000,000 594,000,000 593,000,000 595,000,000 621,000,000 627,000,000 629,000,000 633,000,000 381,000,000 380,000,000 395,000,000 398,000,000                                       
      other long-term liabilities
    		1,600,000,000 1,635,000,000 1,651,000,000 1,573,000,000 1,560,000,000 1,711,000,000 1,689,000,000 1,709,000,000 1,684,000,000 1,732,000,000 1,748,000,000 1,787,000,000 1,810,000,000 1,824,000,000 1,582,000,000 1,439,000,000 1,592,000,000 1,579,000,000 1,593,000,000  1,564,000,000 1,526,000,000 1,405,000,000  1,405,000,000 1,354,000,000 1,268,000,000  622,000,000 599,000,000 627,000,000  604,000,000 598,000,000 621,000,000 610,000,000 606,000,000 582,000,000 625,000,000 594,000,000 551,000,000 553,000,000 534,000,000 558,000,000 544,000,000 484,000,000 453,000,000 446,000,000 620,000,000 608,000,000 611,000,000 595,000,000 524,000,000 519,000,000 526,000,000 502,000,000 503,000,000 550,000,000 554,000,000 571,000,000 572,000,000 561,000,000 568,000,000 562,000,000 618,000,000 598,000,000                     
      total liabilities
    		20,718,000,000 20,397,000,000 20,584,000,000 20,389,000,000 21,297,000,000 21,396,000,000 21,236,000,000 22,804,000,000 22,409,000,000 22,156,000,000 22,262,000,000 22,548,000,000 22,501,000,000 22,510,000,000 22,236,000,000 23,322,000,000 22,230,000,000 23,362,000,000 23,546,000,000 631,364,000 24,186,000,000 24,056,000,000 21,794,000,000 329,009,000 21,393,000,000 21,028,000,000 21,045,000,000 341,492,000 20,163,000,000 20,338,000,000 20,626,000,000 245,394,000 20,697,000,000 21,505,000,000 20,986,000,000 21,226,000,000 21,002,000,000 20,813,000,000 20,459,000,000 20,458,000,000 20,473,000,000 20,137,000,000 17,245,000,000 16,955,000,000 16,050,000,000 15,757,000,000 15,363,000,000 15,005,000,000 8,334,000,000 8,095,000,000 7,833,000,000 7,810,000,000 7,185,000,000 7,240,000,000 6,998,000,000 6,516,000,000 6,545,000,000 6,616,000,000 6,681,000,000 6,771,000,000 7,008,000,000 7,024,000,000 7,256,000,000 7,203,000,000 7,595,000,000 7,754,000,000 8,071,000,000 8,158,000,000 8,214,000,000 8,142,000,000 8,134,000,000 8,104,000,000 8,108,000,000 8,411,000,000 8,493,000,000 8,238,000,000  8,604,000,000 8,504,000,000 8,458,000,000  8,277,000,000     
      commitments and contingencies
    		                                                                                      
      redeemable noncontrolling interests in equity of consolidated subsidiaries
    		2,917,000,000 2,826,000,000 2,776,000,000 2,727,000,000 2,649,000,000 2,813,000,000 2,728,000,000 2,391,000,000 2,303,000,000 2,277,000,000 2,225,000,000 2,149,000,000 2,068,000,000 1,997,000,000 2,358,000,000 2,203,000,000 2,048,000,000 2,034,000,000 1,992,000,000  1,479,000,000 1,561,000,000 1,526,000,000  1,475,000,000 1,462,000,000 1,439,000,000  1,444,000,000 1,429,000,000 1,942,000,000  1,816,000,000 1,781,000,000 2,430,000,000 2,393,000,000 2,307,000,000 2,275,000,000 2,381,000,000 2,266,000,000 1,682,000,000 1,591,000,000 208,000,000 401,000,000 396,000,000 277,000,000 267,000,000 247,000,000 83,000,000 80,000,000 36,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000 16,000,000                              
      equity:
    		                                                                                      
      shareholders’ equity:
    		                                                                                      
      common stock
    		8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000  7,000,000 7,000,000 7,000,000  7,000,000 7,000,000 7,000,000  7,000,000 7,000,000 7,000,000  7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 7,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 27,000,000 26,000,000 26,000,000 26,000,000 26,000,000 26,000,000 26,000,000 27,000,000 26,000,000 26,000,000 26,000,000 26,000,000 26,000,000 26,000,000  26,000,000 26,000,000 26,000,000  4,260,000,000 4,230,000,000 4,112,000,000 4,066,000,000 3,519,000,000 
      additional paid-in capital
    		4,872,000,000 4,858,000,000 4,826,000,000 4,873,000,000 4,849,000,000 4,840,000,000 4,806,000,000 4,834,000,000 4,818,000,000 4,800,000,000 4,774,000,000 4,778,000,000 4,771,000,000 4,756,000,000 4,765,000,000 4,877,000,000 4,862,000,000 4,854,000,000 4,841,000,000  4,826,000,000 4,751,000,000 4,739,000,000  4,751,000,000 4,755,000,000 4,748,000,000  4,733,000,000 4,722,000,000 4,833,000,000  4,835,000,000 4,819,000,000 4,834,000,000 4,827,000,000 4,801,000,000 4,791,000,000 4,804,000,000 4,815,000,000 4,798,000,000 4,774,000,000 4,751,000,000 4,614,000,000 4,597,000,000 4,594,000,000 4,576,000,000 4,572,000,000 4,562,000,000 4,552,000,000 4,484,000,000 4,471,000,000 4,437,000,000 4,410,000,000 4,403,000,000 4,425,000,000 4,425,000,000 4,448,000,000 4,449,000,000 4,461,000,000 4,461,000,000 4,459,000,000 4,461,000,000 4,464,000,000 4,457,000,000 4,450,000,000 4,445,000,000 4,437,000,000 4,431,000,000 4,420,000,000 4,401,000,000 4,391,000,000 4,379,000,000 4,347,000,000 4,335,000,000 4,329,000,000  4,191,000,000 4,174,000,000 4,158,000,000       
      accumulated other comprehensive loss
    		-174,000,000 -177,000,000 -178,000,000 -180,000,000 -175,000,000 -177,000,000 -179,000,000 -181,000,000 -176,000,000 -178,000,000 -179,000,000 -181,000,000 -229,000,000 -231,000,000 -233,000,000 -233,000,000 -274,000,000 -277,000,000 -282,000,000  -251,000,000 -255,000,000 -256,000,000  -216,000,000 -219,000,000 -221,000,000  -202,000,000 -243,000,000 -239,000,000  -238,000,000 -242,000,000 -255,000,000 -258,000,000 -200,000,000 -203,000,000 -160,000,000 -164,000,000 -173,000,000 -177,000,000 -179,000,000 -182,000,000 -20,000,000           -43,000,000 -43,000,000 -43,000,000 -43,000,000 -30,000,000 -31,000,000 -31,000,000 -32,000,000 -27,000,000 -31,000,000 -34,000,000 -37,000,000 -29,000,000 -26,000,000 -28,000,000                 
      retained earnings
    		4,044,000,000 3,702,000,000 3,414,000,000 3,008,000,000 2,690,000,000 2,218,000,000 1,959,000,000                                                                           1,092,000,000 1,162,000,000 2,662,000,000 2,970,000,000 3,653,000,000 
      common stock in treasury, at cost, 70,718 shares at september 30, 2025 and 62,892 shares at december 31, 2024
    		-4,736,000,000                                                                                      
      total shareholders’ equity
    		4,014,000,000 3,749,000,000 4,181,000,000 4,171,000,000 3,834,000,000 3,475,000,000 3,453,000,000 1,608,000,000 1,464,000,000 1,343,000,000 1,233,000,000 1,142,000,000 1,235,000,000 1,087,000,000 1,056,000,000 1,028,000,000 722,000,000 261,000,000 123,000,000           -154,000,000 -65,000,000  24,000,000 373,000,000 430,000,000 417,000,000 528,000,000 523,000,000 625,000,000 691,000,000 802,000,000 803,000,000 839,000,000 651,000,000 735,000,000 723,000,000 728,000,000 755,000,000 825,000,000 895,000,000 969,000,000 1,143,000,000 1,224,000,000 1,176,000,000 1,460,000,000 1,698,000,000 1,810,000,000 1,844,000,000 1,766,000,000 1,711,000,000 772,000,000 739,000,000 646,000,000 626,000,000 286,000,000 291,000,000 103,000,000 136,000,000 29,000,000 32,000,000 101,000,000 149,000,000 167,000,000 631,000,000 707,000,000 1,099,000,000  1,363,000,000 1,755,000,000 1,757,000,000  3,849,000,000 3,887,000,000 5,272,000,000 5,531,000,000 5,762,000,000 
      noncontrolling interests
    		1,769,000,000 1,727,000,000 1,696,000,000 1,649,000,000 1,592,000,000 1,581,000,000 1,490,000,000 1,509,000,000 1,414,000,000 1,381,000,000 1,347,000,000 1,317,000,000 1,272,000,000 1,027,000,000 1,000,000,000 1,026,000,000 913,000,000 908,000,000 893,000,000  896,000,000 890,000,000 861,000,000  830,000,000 825,000,000 808,000,000  766,000,000 730,000,000 681,000,000  671,000,000 682,000,000 664,000,000 665,000,000 637,000,000 629,000,000 301,000,000 267,000,000 216,000,000 215,000,000 133,000,000 134,000,000 131,000,000 150,000,000 126,000,000 123,000,000 95,000,000 86,000,000 77,000,000 75,000,000 45,000,000 53,000,000 71,000,000 63,000,000 64,000,000 64,000,000 53,000,000 53,000,000 54,000,000 52,000,000 51,000,000 47,000,000 47,000,000 47,000,000                     
      total equity
    		5,783,000,000 5,476,000,000 5,877,000,000 5,820,000,000 5,426,000,000 5,056,000,000 4,943,000,000 3,117,000,000 2,878,000,000 2,724,000,000 2,580,000,000 2,459,000,000 2,507,000,000 2,114,000,000 2,056,000,000 2,054,000,000 1,635,000,000 1,169,000,000 1,016,000,000 551,476,000 522,000,000 633,000,000 503,000,000 452,722,000 489,000,000 717,000,000 674,000,000 453,383,000 658,000,000 576,000,000 616,000,000 288,366,000 695,000,000 1,055,000,000 1,094,000,000 1,082,000,000 1,165,000,000 1,152,000,000 926,000,000 958,000,000 1,018,000,000 1,018,000,000 972,000,000 785,000,000 866,000,000 873,000,000 854,000,000 878,000,000 920,000,000 981,000,000 1,046,000,000 1,218,000,000 1,269,000,000 1,229,000,000 1,531,000,000 1,761,000,000 1,874,000,000 1,908,000,000 1,819,000,000 1,764,000,000 826,000,000 791,000,000 697,000,000 673,000,000 333,000,000 338,000,000                     
      total liabilities and equity
    		29,418,000,000 28,699,000,000 29,237,000,000 28,936,000,000 29,372,000,000 29,265,000,000 28,907,000,000 28,312,000,000 27,590,000,000 27,157,000,000 27,067,000,000 27,156,000,000 27,076,000,000 26,621,000,000 26,650,000,000 27,579,000,000 25,913,000,000 26,565,000,000 26,554,000,000 1,388,800,000 26,187,000,000 26,250,000,000 23,823,000,000 952,371,000 23,357,000,000 23,207,000,000 23,158,000,000 967,291,000 22,265,000,000 22,343,000,000 23,184,000,000 642,907,000 23,208,000,000 24,341,000,000 24,510,000,000 24,701,000,000 24,474,000,000 24,240,000,000 23,766,000,000 23,682,000,000 23,173,000,000 22,746,000,000 18,425,000,000 18,141,000,000 17,312,000,000 16,907,000,000 16,484,000,000 16,130,000,000 9,337,000,000 9,156,000,000 8,915,000,000 9,044,000,000 8,470,000,000 8,485,000,000 8,545,000,000 8,293,000,000 8,435,000,000 8,524,000,000 8,500,000,000 8,535,000,000 7,834,000,000 7,815,000,000 7,953,000,000 7,876,000,000 7,928,000,000 8,092,000,000                     
      common stock in treasury, at cost, 70,121 shares at june 30, 2025 and 62,892 shares at december 31, 2024
    		 -4,642,000,000                                                                                     
      common stock in treasury, at cost, 65,520 shares at march 31, 2025 and 62,892 shares at december 31, 2024
    		  -3,889,000,000                                                                                    
      common stock in treasury, at cost, 62,892 shares at december 31, 2024 and 57,321 shares at december 31, 2023
    		   -3,538,000,000                                                                                   
      common stock in treasury, at cost, 62,899 shares at september 30, 2024 and 57,321 shares at december 31, 2023
    		    -3,538,000,000                                                                                  
      common stock in treasury, at cost, 62,111 shares at june 30, 2024 and 57,321 shares at december 31, 2023
    		     -3,414,000,000                                                                                 
      common stock in treasury, at cost, 60,132 shares at march 31, 2024 and 57,321 shares at december 31, 2023
    		      -3,141,000,000                                                                                
      accumulated deficit
    		       -192,000,000 -436,000,000 -537,000,000 -660,000,000 -803,000,000 -905,000,000 -1,036,000,000 -1,074,000,000 -1,214,000,000 -1,463,000,000 -1,912,000,000 -2,031,000,000  -2,542,000,000 -2,346,000,000 -2,434,000,000  -2,469,000,000 -2,237,000,000 -2,254,000,000  -2,231,000,000 -2,222,000,000 -2,248,000,000  -2,161,000,000 -1,794,000,000 -1,739,000,000 -1,742,000,000 -1,663,000,000 -1,655,000,000 -1,609,000,000 -1,550,000,000 -1,453,000,000 -1,424,000,000 -1,363,000,000 -1,410,000,000 -1,471,000,000           -1,370,000,000 -1,382,000,000 -1,443,000,000 -1,522,000,000 -1,602,000,000 -2,540,000,000 -2,571,000,000 -2,665,000,000 -2,692,000,000 -2,689,000,000 -2,674,000,000 -2,852,000,000 -2,819,000,000 -2,923,000,000 -2,908,000,000                 
      common stock in treasury, at cost, 57,321 shares at december 31, 2023 and 54,215 shares at december 31, 2022
    		       -2,861,000,000                                                                               
      contract liabilities
    		        86,000,000 76,000,000 76,000,000 110,000,000 111,000,000 474,000,000 776,000,000 959,000,000 1,218,000,000 1,055,000,000 917,000,000 77,239,000 1,500,000,000 1,496,000,000                                                                 
      common stock in treasury, at cost, 55,695 shares at september 30, 2023 and 54,216 shares at december 31, 2022
    		        -2,750,000,000                                                                              
      common stock in treasury, at cost, 55,696,591 shares at june 30, 2023 and 54,215,871 shares at december 31, 2022
    		         -2,750,000,000                                                                             
      common stock in treasury, at cost, 55,120,211 shares at march 31, 2023 and 54,215,871 shares at december 31, 2022
    		          -2,710,000,000                                                                            
      contract liabilities – long-term
    		           13,000,000 14,000,000 14,000,000 14,000,000 15,000,000 15,000,000 351,000,000 655,000,000                                                                    
      common stock in treasury, at cost, 54,215,871 shares at december 31, 2022 and 48,331,649 shares at december 31, 2021
    		           -2,660,000,000                                                                           
      income tax receivable
    		            4,000,000 18,000,000       2,000,000 18,000,000 18,000,000  18,000,000 19,000,000 17,000,000  27,000,000 28,000,000 20,000,000  14,000,000 7,000,000 26,000,000 4,000,000 11,000,000 3,000,000  7,000,000 33,000,000 27,000,000 2,000,000 2,000,000 22,000,000 34,000,000 19,000,000 0 3,000,000 12,000,000 4,000,000 7,000,000 13,000,000 13,000,000 5,000,000 7,000,000 1,000,000 22,000,000 22,000,000 21,000,000 13,000,000 26,000,000 35,000,000   5,000,000 6,000,000 20,000,000 29,000,000 7,000,000 5,000,000 3,000,000 173,000,000 174,000,000 172,000,000       149,000,000 95,000,000    
      common stock in treasury, at cost, 48,327,503 shares at september 30, 2022 and 48,331,649 shares at december 31, 2021
    		            -2,410,000,000                                                                          
      common stock in treasury, at cost, 48,330,239 shares at june 30, 2022 and 48,331,649 shares at december 31, 2021
    		             -2,410,000,000                                                                         
      common stock in treasury, at cost, 48,331,319 shares at march 31, 2022 and 48,331,649 shares at december 31, 2021
    		              -2,410,000,000                                                                        
      common stock in treasury, at cost, 48,331,649 shares at december 31, 2021 and 48,337,947 shares at december 31, 2020
    		               -2,410,000,000                                                                       
      common stock in treasury, at cost, 48,333,196 shares at september 30, 2021 and 48,337,947 shares at december 31, 2020
    		                -2,411,000,000                                                                      
      common stock in treasury, at cost, 48,334,331 shares at june 30, 2021 and 48,337,947 shares at december 31, 2020
    		                 -2,412,000,000                                                                     
      common stock in treasury, at cost, 48,334,419 shares at march 31, 2021 and 48,337,947 shares at december 31, 2020
    		                  -2,413,000,000                                                                    
      cash
    		                   52,739,000    23,703,000    29,041,000    19,957,000                                                       
      funds due from uspi
    		                   288,180,000    101,282,000    114,408,000                                                           
      patient receivables
    		                   111,452,000                                                                   
      supplies
    		                   27,720,000    27,017,000    26,070,000    20,568,000                                                       
      prepaid and other current assets
    		                   7,983,000    13,951,000    8,533,000    5,277,000                                                       
      non-current assets:
    		                                                                                      
      property and equipment
    		                   214,493,000    234,423,000    238,054,000    154,768,000                                                       
      operating lease assets
    		                   245,225,000                                                                   
      restricted cash
    		                   1,455,000    1,300,000    4,439,000    9,960,000                                          263,000,000 263,000,000 263,000,000  263,000,000 263,000,000 263,000,000       
      investments in unconsolidated affiliates
    		                   7,531,000    6,837,000    6,987,000    7,143,000                                                       
      goodwill and intangible assets
    		                   431,797,000    432,000,000    431,828,000    259,332,000                                                       
      other
    		                   225,000    279,000    505,000    217,000                                                       
      accounts payable, including funds due to uspi of 9,860 and 10,747 at june 30, 2020 and 2019, respectively
    		                   68,696,000                                                                   
      accrued expenses and other current liabilities
    		                   51,643,000                                                                   
      current maturities of long-term obligations
    		                   21,372,000                                                                   
      current portion of operating lease liabilities
    		                   32,457,000                                                                   
      non-current liabilities:
    		                                                                                      
      long-term obligations, net of current portion
    		                   144,808,000    161,930,000    174,228,000    134,604,000                                                       
      long-term operating lease liabilities, less current portion
    		                   230,969,000                                                                   
      other liabilities
    		                   4,180,000    18,080,000    17,159,000    13,505,000                                                       
      noncontrolling interests - redeemable
    		                   205,960,000    170,640,000    172,416,000    109,147,000                                                       
      members' equity:
    		                                                                                      
      members’ equity
    		                   515,678,000    419,847,000    419,870,000    263,758,000                                                       
      noncontrolling interests – nonredeemable
    		                   35,798,000    32,875,000    33,513,000    24,608,000                                                       
      revenues:
    		                                                                                      
      net patient service revenue
    		                   1,204,042,000    1,216,601,000    1,204,516,000    960,827,000                                                       
      less benefit from doubtful accounts
    		                           34,636,000                                                           
      net patient service revenue less benefit from doubtful accounts
    		                   1,204,042,000    1,216,601,000    1,169,880,000                                                           
      management fee income
    		                   600,000                                                                   
      other revenue
    		                   2,029,000    3,268,000    3,653,000                                                           
      total revenues
    		                   1,206,671,000    1,219,869,000    1,173,533,000    963,865,000                                                       
      grant income
    		                   24,093,000                                                                   
      equity in earnings of unconsolidated affiliates
    		                   5,193,000    4,458,000    5,065,000    3,965,000                                                       
      operating expenses:
    		                                                                                      
      salaries, benefits, and other employee costs
    		                   296,560,000    302,202,000    277,721,000    212,373,000                                                       
      medical services and supplies
    		                   295,213,000    307,784,000    284,386,000    236,711,000                                                       
      management and royalty fees
    		                   45,369,000    46,362,000    41,973,000    36,579,000                                                       
      professional fees
    		                   6,828,000    7,700,000    8,679,000    5,113,000                                                       
      purchased services
    		                   63,806,000    64,169,000    56,829,000    39,310,000                                                       
      other operating expenses
    		                   135,854,000    146,303,000    137,252,000    99,511,000                                                       
      benefit from doubtful accounts
    		                           25,244,000    22,503,000                                                       
      depreciation and amortization
    		                   40,286,000    39,962,000    31,829,000    27,735,000                                                       
      total operating expenses
    		                   883,916,000    914,482,000    863,913,000    679,835,000                                                       
      operating income
    		                   352,041,000    309,845,000    314,685,000    287,995,000                                                       
      nonoperating income
    		                                                                                      
      interest expense
    		                   -13,708,000    -15,698,000    -14,091,000    -13,711,000                                                       
      interest income
    		                   996,000    1,032,000    711,000    492,000                                                       
      other (expenses)/income
    		                   -83,000    -32,000                                                               
      net income before income taxes
    		                   339,246,000    295,147,000    302,364,000    272,951,000                                                       
      income taxes
    		                   -5,315,000    -5,698,000    -5,099,000    -5,136,000                                                       
      net income
    		                   333,931,000    289,449,000    297,265,000    267,815,000                                                       
      net income attributable to noncontrolling interests - redeemable
    		                   -159,632,000    -141,348,000                                                               
      net income attributable to noncontrolling interests - nonredeemable
    		                   -8,487,000    -5,280,000                                                               
      net income attributable to thvg
    		                   165,812,000    142,821,000    145,037,000    126,088,000                                                       
      common stock in treasury, at cost, 48,337,999 shares at september 30, 2020 and 48,344,195 shares at december 31, 2019
    		                    -2,414,000,000                                                                  
      total shareholders’ deficit
    		                    -374,000,000 -257,000,000 -358,000,000  -341,000,000 -108,000,000 -134,000,000  -108,000,000                                                          
      common stock in treasury, at cost, 48,341,041 shares at june 30, 2020 and 48,344,195 shares at december 31, 2019
    		                     -2,414,000,000                                                                 
      common stock in treasury, at cost, 48,342,502 shares at march 31, 2020 and 48,344,195 shares at december 31, 2019
    		                      -2,414,000,000                                                                
      patient receivables, net of allowance for doubtful accounts of 60,631 at june 30, 2018
    		                       111,579,000                                                               
      accounts payable, including funds due to uspi of 10,747 and 16,014 at june 30, 2019 and 2018, respectively
    		                       78,658,000                                                               
      accrued expenses and other
    		                       47,092,000    43,163,000    32,892,000                                                       
      current portion of long-term obligations
    		                       23,249,000    19,789,000    18,301,000                                                       
      common stock in treasury, at cost, 48,346,277 shares at september 30, 2019 and 48,359,705 shares at december 31, 2018
    		                        -2,414,000,000                                                              
      common stock in treasury, at cost, 48,348,348 shares at june 30, 2019 and 48,359,705 shares at december 31, 2018
    		                         -2,414,000,000                                                             
      common stock in treasury, at cost, 48,352,853 shares at march 31, 2019 and 48,359,705 shares at december 31, 2018
    		                          -2,414,000,000                                                            
      patient receivables, net of allowance for doubtful accounts of 60,631 and 44,306 at june 30, 2018 and 2017, respectively
    		                           107,426,000                                                           
      accounts payable, including funds due to uspi of 16,014 and 11,568 at june 30, 2018 and 2017, respectively
    		                           87,153,000                                                           
      impairment loss
    		                                                                                      
      other income /(expense)
    		                           1,059,000                                                           
      net income attributable to noncontrolling interests – redeemable
    		                           -143,580,000    -134,905,000                                                       
      net income attributable to noncontrolling interests – nonredeemable
    		                           -8,648,000    -6,822,000                                                       
      common stock in treasury, at cost, 48,360,191 shares at september 30, 2018 and 48,413,169 shares at december 31, 2017
    		                            -2,415,000,000                                                          
      common stock in treasury, at cost, 48,397,605 shares at june 30, 2018 and 48,413,169 shares at december 31, 2017
    		                             -2,418,000,000                                                         
      common stock in treasury, at cost, 48,402,616 shares at march 31, 2018 and 48,413,169 shares at december 31, 2017
    		                              -2,418,000,000                                                        
      funds due from united surgical partners, inc.
    		                               82,280,000                                                       
      patient receivables, net of allowance for doubtful accounts of 16,102 and 14,952 at june 30, 2017 and 2016, respectively
    		                               83,405,000                                                       
      other long-term assets:
    		                                                                                      
      other income
    		                               3,038,000                                                       
      accounts receivables
    		                                2,567,000,000 2,706,000,000 2,960,000,000 2,897,000,000 2,786,000,000 2,734,000,000 2,807,000,000 2,704,000,000 2,525,000,000 2,505,000,000 2,468,000,000 2,404,000,000 2,238,000,000 2,171,000,000 2,141,000,000 2,038,000,000 1,380,000,000 1,369,000,000 1,383,000,000 1,345,000,000 1,338,000,000 1,356,000,000 1,417,000,000 1,221,000,000 1,258,000,000 1,237,000,000 1,143,000,000 1,129,000,000 1,160,000,000 1,208,000,000 1,158,000,000 1,195,000,000 1,225,000,000 1,385,000,000 1,337,000,000 1,356,000,000 1,450,000,000 1,468,000,000 1,354,000,000 1,363,000,000 1,427,000,000 1,453,000,000 1,484,000,000 1,584,000,000  1,523,000,000 1,506,000,000 1,595,000,000  1,791,000,000 1,929,000,000 2,465,000,000 2,667,000,000 2,662,000,000 
      common stock in treasury, at cost, 48,413,280 shares at september 30, 2017 and 48,420,650 shares at december 31, 2016
    		                                -2,419,000,000                                                      
      accrued legal settlement costs
    		                                 1,000,000 11,000,000 8,000,000 527,000,000 525,000,000 423,000,000 294,000,000            8,000,000 7,000,000 7,000,000 56,000,000 10,000,000 10,000,000 13,000,000 8,000,000 8,000,000 31,000,000 55,000,000 76,000,000 96,000,000 174,000,000 168,000,000 168,000,000 167,000,000 167,000,000 167,000,000 113,000,000 93,000,000 88,000,000 47,000,000 58,000,000 90,000,000  130,000,000 128,000,000 45,000,000  11,000,000 19,000,000    
      common stock in treasury, at cost, 48,417,575 shares at june 30, 2017 and 48,420,650 shares at december 31, 2016
    		                                 -2,417,000,000                                                     
      common stock in treasury, at cost, 48,419,483 shares at march 31, 2017 and 48,420,650 shares at december 31, 2016
    		                                  -2,417,000,000                                                    
      common stock in treasury, at cost, 48,420,650 shares at december 31, 2016 and 48,425,298 shares at december 31, 2015
    		                                   -2,417,000,000                                                   
      common stock in treasury, at cost, 48,420,844 shares at september 30, 2016 and 48,425,298 shares at december 31, 2015
    		                                    -2,417,000,000                                                  
      common stock in treasury, at cost, 48,421,605 shares at june 30, 2016 and 48,425,298 shares at december 31, 2015
    		                                     -2,417,000,000                                                 
      common stock in treasury, at cost, 48,424,273 shares at march 31, 2016 and 48,425,298 shares at december 31, 2015
    		                                      -2,417,000,000                                                
      common stock in treasury, at cost, 48,425,298 shares at december 31, 2015 and 47,196,902 shares at december 31, 2014
    		                                       -2,417,000,000                                               
      current portion of deferred income taxes
    		                                        625,000,000 637,000,000 718,000,000 747,000,000 725,000,000 633,000,000 577,000,000 581,000,000 358,000,000 350,000,000 354,000,000 354,000,000 394,000,000 409,000,000 411,000,000 247,000,000 249,000,000 283,000,000 282,000,000 307,000,000                           
      deferred income taxes, net of current portion
    		                                        82,000,000 89,000,000 66,000,000 116,000,000 100,000,000 125,000,000 129,000,000 90,000,000 396,000,000 420,000,000 395,000,000 342,000,000 338,000,000 345,000,000 342,000,000 533,000,000 543,000,000 589,000,000 627,000,000 636,000,000                           
      common stock in treasury, at cost, 47,182,492 shares at september 30, 2015 and 47,196,902 shares at december 31, 2014
    		                                        -2,377,000,000                                              
      common stock in treasury, at cost, 47,182,990 shares at june 30, 2015 and 47,196,902 shares at december 31, 2014
    		                                         -2,377,000,000                                             
      short-term borrowings
    		                                          400,000,000                                            
      common stock in treasury, at cost, 47,183,241 shares at march 31, 2015 and 47,196,902 shares at december 31, 2014
    		                                          -2,377,000,000                                            
      common stock in treasury, at cost, 47,196,902 shares at december 31, 2014 and 47,197,722 shares at december 31, 2013
    		                                           -2,378,000,000                                           
      common stock in treasury, at cost, 47,196,935 shares at september 30, 2014 and 47,197,722 shares at december 31, 2013
    		                                            -2,378,000,000                                          
      common stock in treasury, at cost, 47,196,972 shares at june 30, 2014 and 47,197,722 shares at december 31, 2013
    		                                                                                      
      common stock in treasury, at cost, 47,197,211 shares at march 31, 2014 and 47,197,722 shares at december 31, 2013
    		                                                                                      
      common stock in treasury, at cost, 47,197,722 shares at december 31, 2013 and 37,730,431 shares at december 31, 2012
    		                                                                                      
      common stock in treasury, at cost, 44,807,632 shares at september 30, 2013 and 37,730,431 shares at december 31, 2012
    		                                                                                      
      common stock in treasury, at cost, 42,165,478 shares at june 30, 2013 and 37,730,431 shares at december 31, 2012
    		                                                                                      
      common stock in treasury, at cost, 40,172,225 shares at march 31, 2013 and 37,730,431 shares at december 31, 2012
    		                                                                                      
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at december 31, 2011
    		                                                   0                                   
      common stock in treasury, at cost, 37,730,431 shares at december 31, 2012 and 34,110,674 shares at december 31, 2011
    		                                                                                      
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 46,300 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at september 30, 2012 and 345,000 at december 31, 2011
    		                                                    45,000,000                                  
      common stock in treasury, at cost, 34,320,438 shares at september 30, 2012 and 34,110,674 shares at december 31, 2011
    		                                                                                      
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 46,300 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at june 30, 2012 and 345,000 at december 31, 2011
    		                                                     45,000,000                                 
      common stock in treasury, at cost, 137,295,241 shares at june 30, 2012 and 136,442,696 shares at december 31, 2011
    		                                                                                      
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at both march 31, 2012 and december 31, 2011
    		                                                      334,000,000                                
      common stock in treasury, at cost, 138,100,420 shares at march 31, 2012 and 136,442,696 shares at december 31, 2011
    		                                                                                      
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at september 30, 2011 and december 31, 2010
    		                                                       334,000,000                               
      common stock in treasury, at cost, 96,253,367 shares at september 30, 2011 and 65,098,918 shares at december 31, 2010
    		                                                       -1,675,000,000                               
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at june 30, 2011 and december 31, 2010
    		                                                        334,000,000                              
      common stock in treasury, at cost, 72,377,607 shares at june 30, 2011 and 65,098,918 shares at december 31, 2010
    		                                                        -1,551,000,000                              
      investments in reserve yield plus fund
    		                                                         2,000,000 1,000,000 1,000,000 1,000,000 2,000,000 2,000,000 3,000,000 6,000,000 6,000,000 14,000,000 48,000,000                   
      investments in marketable securities
    		                                                         1,000,000 0 1,000,000 1,000,000 2,000,000 11,000,000 16,000,000                       
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at march 31, 2011 and december 31, 2010
    		                                                         334,000,000                             
      common stock in treasury, at cost, 61,655,445 shares at march 31, 2011 and 65,098,918 shares at december 31, 2010
    		                                                         -1,479,000,000                             
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at both december 31, 2010 and 2009
    		                                                          334,000,000                            
      less common stock in treasury, at cost, 65,098,918 shares at december 31, 2010 and 57,475,602 shares at december 31, 2009
    		                                                          -1,479,000,000                            
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at september 30, 2010 and december 31, 2009
    		                                                           334,000,000                           
      less common stock in treasury, at cost; 65,383,026 shares at september 30, 2010 and 57,475,602 shares at december 31, 2009
    		                                                           -1,479,000,000                           
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at june 30, 2010 and december 31, 2009
    		                                                            334,000,000                          
      less common stock in treasury, at cost; 65,507,033 shares at june 30, 2010 and 57,475,602 shares at december 31, 2009
    		                                                            -1,479,000,000                          
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at march 31, 2010 and december 31, 2009
    		                                                             334,000,000                         
      less common stock in treasury, at cost, 66,043,509 shares at march 31, 2010 and 57,475,602 shares at december 31, 2009
    		                                                             -1,479,000,000                         
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at december 31, 2009 and 0 shares issued at december 31, 2008
    		                                                              334,000,000                        
      less common stock in treasury, at cost, 57,475,602 shares at december 31, 2009 and 55,716,859 shares at december 31, 2008
    		                                                              -1,479,000,000                        
      preferred stock, 0.15 par value; authorized 2,500,000 shares; 345,000 of 7% mandatory convertible shares with a liquidation preference of 1,000 per share issued at september 30, 2009 and 0 shares issued at december 31, 2008
    		                                                               334,000,000                       
      less common stock in treasury, at cost, 57,510,881 shares at september 30, 2009 and 55,716,859 shares at december 31, 2008
    		                                                               -1,479,000,000                       
      investments in marketable debt securities
    		                                                                3,000,000 1,000,000 2,000,000  8,000,000 14,000,000 34,000,000 39,000,000 38,000,000 15,000,000 11,000,000 10,000,000  65,000,000 75,000,000        
      less common stock in treasury, at cost, 54,722,347 shares at june 30, 2009 and 55,716,859 shares at december 31, 2008
    		                                                                -1,477,000,000                      
      less common stock in treasury, at cost, 54,828,608 shares at march 31, 2009 and 55,716,859 shares at december 31, 2008
    		                                                                 -1,477,000,000                     
      liabilities and shareholders’ equity
    		                                                                                      
      other long-term liabilities and minority interests
    		                                                                  635,000,000 649,000,000 654,000,000 664,000,000 646,000,000 631,000,000 618,000,000 726,000,000 914,000,000 918,000,000  873,000,000 858,000,000 917,000,000  980,000,000 991,000,000 1,548,000,000 1,503,000,000 1,298,000,000 
      less common stock in treasury, at cost, 55,716,859 shares at december 31, 2008 and 56,310,604 shares at december 31, 2007
    		                                                                  -1,479,000,000                    
      total liabilities and shareholders’ equity
    		                                                                  8,174,000,000 8,294,000,000 8,243,000,000 8,174,000,000 8,235,000,000 8,253,000,000 8,275,000,000 9,042,000,000 9,200,000,000 9,337,000,000  9,967,000,000 10,259,000,000   12,126,000,000 12,150,000,000    
      less common stock in treasury, at cost, 55,741,855 shares at september 30, 2008 and 56,310,604 shares at december 31, 2007
    		                                                                   -1,479,000,000                   
      less common stock in treasury, at cost, 56,089,373 shares at june 30, 2008 and 56,310,604 shares at december 31, 2007
    		                                                                    -1,479,000,000                  
      less common stock in treasury, at cost, 55,538,298 shares at march 31, 2008 and 56,310,604 shares at december 31, 2007
    		                                                                     -1,479,000,000                 
      less common stock in treasury, at cost, 56,301,997 shares at september 30, 2007 and 55,798,815 shares at december 31, 2006
    		                                                                                      
      less common stock in treasury, at cost, 56,811,675 shares at june 30, 2007 and 55,798,815 shares at december 31, 2006
    		                                                                                      
      less common stock in treasury, at cost, 56,484,035 shares at march 31, 2007 and 55,798,815 shares at december 31, 2006
    		                                                                                      
      receivable for insurance recoveries
    		                                                                          285,000,000            
      income taxes payable
    		                                                                         107,000,000          1,000,000 36,000,000 89,000,000 
      less common stock in treasury, at cost, 55,739,750 shares at september 30, 2006 and 55,663,588 shares at december 31, 2005
    		                                                                                      
      less common stock in treasury, at cost, 56,206,714 shares at june 30, 2006 and 55,663,588 shares at december 31, 2005
    		                                                                                      
      less common stock in treasury, at cost, 55,548,334 shares at march 31, 2006 and 55,663,588 shares at december 31, 2005
    		                                                                                      
      liabilities and shareholders' equity
    		                                                                                      
      shareholders' equity:
    		                                                                                      
      total liabilities and shareholders' equity
    		                                                                                      
      professional liability reserves
    		                                                                             145,000,000 145,000,000 134,000,000  108,000,000 116,000,000    
      less common stock in treasury, at cost, 55,555,441 shares at september 30, 2005 and 53,896,498 shares at december 31, 2004
    		                                                                                      
      less common stock in treasury, at cost, 55,684,146 shares at june 30, 2005 and 53,896,498 shares at december 31, 2004
    		                                                                                      
      investments in debt securities
    		                                                                               112,000,000  122,000,000 123,000,000 103,000,000 103,000,000 97,000,000 
      less common stock in treasury, at cost, 54,102,719 shares at march 31, 2005 and 53,896,498 shares at december 31, 2004
    		                                                                                      
      property and equipment, at lower of cost or fair value, less accumulated depreciation and amortization
    		                                                                                 4,837,000,000 4,823,000,000    
      other intangible assets, at lower of cost or fair value, less accumulated amortization
    		                                                                                 181,000,000 181,000,000    
      accrued interest
    		                                                                                 89,000,000 50,000,000    
      less common stock in treasury, at cost, 54,226,419 shares at december 31 and 54,171,584 shares at september 30
    		                                                                                      
      less common stock in treasury, at cost, 54,226,419 shares at december 31 and 54,193,619 shares at june 30
    		                                                                                      
      property and equipment, at cost less accumulated depreciation and amortization
    		                                                                                   5,914,000,000 5,899,000,000 6,412,000,000 
      accrued litigation settlement costs
    		                                                                                   253,000,000   
      less common stock in treasury, at cost, 41,895,162 shares at december 31 and 54,227,639 shares at september 30
    		                                                                                      
      less common stock in treasury, at cost, 41,895,162 shares at december 31 and 54,366,661 shares at june 30
    		                                                                                      
      less common stock in treasury, at cost, 23,812,812 shares at may 31 and 47,895,162 shares at february 28
    		                                                                                      
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.