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Consolidated Statements of Comprehensive Income - USD ($)
shares in Thousands, $ in Millions
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Statement [Abstract]      
Revenue Before Reimbursements $ 10,030.6 $ 9,089.5 $ 7,967.4
Reimbursement Revenues 7,952.6 7,228.9 6,485.8
Revenue: 17,983.2 16,318.4 14,453.2
Operating expenses:      
Compensation and benefits 5,812.7 5,206.8 4,622.4
Operating, administrative and other 3,115.7 2,950.9 2,601.2
Cost of Reimbursable Expenses 7,952.6 7,228.9 6,485.8
Depreciation and amortization 202.4 186.1 167.2
Restructuring and acquisition charges 184.4 38.8 30.7
Total operating expenses 17,267.8 15,611.5 13,907.3
Operating income 715.4 706.9 545.9
Interest expense, net of interest income 56.4 51.1 56.2
Equity earnings 36.3 32.8 44.4
Other Income 2.3 17.4 1.7
Income before income taxes and noncontrolling interest 697.6 706.0 535.8
Provision for income taxes 159.7 214.3 256.3
Net income 537.9 491.7 279.5
Net income attributable to noncontrolling interest 2.6 7.2 3.1
Net income attributable to the Company 535.3 484.5 276.4
Dividends on unvested common stock, net of tax benefit 0.9 0.4 0.4
Net income attributable to common shareholders $ 534.4 $ 484.1 $ 276.0
Basic earnings per common share (in dollars per share) $ 10.98 $ 10.64 $ 6.09
Basic weighted average shares outstanding (in shares) 48,647 45,517 45,316
Diluted earnings per common share (in dollars per share) $ 10.87 $ 10.54 $ 6.03
Diluted weighted average shares outstanding (in shares) 49,154 45,931 45,758
Other comprehensive income (loss):      
Net income attributable to the Company $ 535.3 $ 484.5 $ 276.4
Change in pension liabilities, net of tax (14.6) 3.1 8.2
Foreign currency translation adjustments 43.0 (118.2) 202.0
Comprehensive income attributable to the Company $ 563.7 $ 369.4 $ 486.6