| Schedule of Geographic Distributions of Revenues, Equity in Earnings or Losses of Affiliates, Adjusted Segment EBITDA, Depreciation and Amortization |
The geographic distributions of our revenues, salaries and benefits, supplies, other operating expenses, equity in earnings of affiliates, adjusted segment EBITDA, depreciation and amortization and assets that are provided to the Chief Operating Decision Maker, which is the Chief Executive Officer, are summarized in the following tables (dollars in millions) and represent the operating segments for the quarters and nine months ended September 30, 2026 and 2025 and assets at September 30, 2026 and December 31, 2025:
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Quarter |
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Nine Months |
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2026 |
|
|
National
Group |
|
Atlantic
Group |
|
American
Group |
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|
National
Group |
|
Atlantic
Group |
|
American
Group |
|
Revenues |
$ |
5,738 |
|
$ |
6,421 |
|
$ |
6,848 |
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|
$ |
16,310 |
|
$ |
20,357 |
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$ |
19,996 |
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Salaries and benefits |
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2,031 |
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|
2,347 |
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2,356 |
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|
5,962 |
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|
6,926 |
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|
6,920 |
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Supplies |
|
779 |
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|
916 |
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|
1,047 |
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|
2,315 |
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|
2,794 |
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|
3,190 |
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Other operating expenses |
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1,449 |
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|
1,870 |
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|
1,907 |
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|
4,113 |
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|
6,085 |
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|
5,597 |
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Equity in earnings of affiliates |
|
(1 |
) |
|
— |
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(17 |
) |
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(2 |
) |
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(2 |
) |
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(49 |
) |
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4,258 |
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5,133 |
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5,293 |
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12,388 |
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|
15,803 |
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|
15,658 |
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Adjusted segment EBITDA |
$ |
1,480 |
|
$ |
1,288 |
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$ |
1,555 |
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|
$ |
3,922 |
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$ |
4,554 |
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$ |
4,338 |
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Quarter |
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Nine Months |
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|
2025 |
|
|
National
Group |
|
Atlantic
Group |
|
American
Group |
|
|
National
Group |
|
Atlantic
Group |
|
American
Group |
|
Revenues |
$ |
5,525 |
|
$ |
6,142 |
|
$ |
6,688 |
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|
$ |
15,790 |
|
$ |
18,431 |
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$ |
19,512 |
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Salaries and benefits |
|
1,970 |
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|
2,288 |
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|
2,275 |
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5,848 |
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|
6,750 |
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|
6,687 |
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Supplies |
|
742 |
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|
889 |
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|
1,053 |
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|
2,238 |
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|
2,738 |
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|
3,140 |
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Other operating expenses |
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1,466 |
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1,627 |
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|
1,796 |
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|
3,954 |
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|
4,793 |
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|
5,156 |
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Equity in earnings of affiliates |
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(1 |
) |
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(1 |
) |
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(16 |
) |
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(1 |
) |
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(3 |
) |
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(47 |
) |
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4,177 |
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4,803 |
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|
5,108 |
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|
12,039 |
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|
14,278 |
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|
14,936 |
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Adjusted segment EBITDA |
$ |
1,348 |
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$ |
1,339 |
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$ |
1,580 |
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$ |
3,751 |
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$ |
4,153 |
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$ |
4,576 |
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NOTE 10 — SEGMENT AND GEOGRAPHIC INFORMATION (continued)
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Quarter |
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Nine Months |
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2026 |
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2025 |
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2026 |
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2025 |
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Adjusted segment EBITDA: |
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National Group |
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$ |
1,480 |
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$ |
1,348 |
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$ |
3,922 |
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$ |
3,751 |
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Atlantic Group |
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|
1,288 |
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1,339 |
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4,554 |
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|
4,153 |
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American Group |
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1,555 |
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1,580 |
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4,338 |
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4,576 |
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|
4,323 |
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|
4,267 |
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|
12,814 |
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|
12,480 |
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Adjustments to reconcile total adjusted segment
EBITDA to consolidated income before income taxes: |
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Corporate and other |
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|
405 |
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|
397 |
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|
1,067 |
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|
1,028 |
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Depreciation and amortization |
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|
954 |
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|
889 |
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|
2,828 |
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|
2,612 |
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Interest expense |
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|
607 |
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|
561 |
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|
1,790 |
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|
1,676 |
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Losses (gains) on sales of facilities |
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|
(13 |
) |
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2 |
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(22 |
) |
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|
4 |
|
Income before income taxes |
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$ |
2,370 |
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$ |
2,418 |
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$ |
7,151 |
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$ |
7,160 |
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Quarter |
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Nine Months |
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|
2026 |
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2025 |
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2026 |
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|
2025 |
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Revenues: |
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National Group |
|
$ |
5,738 |
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$ |
5,525 |
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$ |
16,310 |
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$ |
15,790 |
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Atlantic Group |
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|
6,421 |
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6,142 |
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|
20,357 |
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|
18,431 |
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American Group |
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6,848 |
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|
6,688 |
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19,996 |
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|
19,512 |
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Corporate and other |
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|
842 |
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|
806 |
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2,525 |
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|
2,354 |
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$ |
19,849 |
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$ |
19,161 |
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$ |
59,188 |
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$ |
56,087 |
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Depreciation and amortization: |
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National Group |
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$ |
239 |
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$ |
226 |
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$ |
713 |
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$ |
675 |
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Atlantic Group |
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|
304 |
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|
281 |
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|
900 |
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|
830 |
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American Group |
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|
296 |
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|
283 |
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|
887 |
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|
839 |
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Corporate and other |
|
|
115 |
|
|
|
99 |
|
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|
328 |
|
|
|
268 |
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$ |
954 |
|
|
$ |
889 |
|
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$ |
2,828 |
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$ |
2,612 |
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September 30,
2026 |
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December 31,
2025 |
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Assets: |
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National Group |
|
$ |
13,950 |
|
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$ |
13,596 |
|
Atlantic Group |
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|
18,467 |
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|
|
17,945 |
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American Group |
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|
21,846 |
|
|
|
21,217 |
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Corporate and other |
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|
9,189 |
|
|
|
7,962 |
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|
$ |
63,452 |
|
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$ |
60,720 |
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