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Consolidated Statements of Comprehensive Income - USD ($)
shares in Thousands, $ in Millions
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Statement [Abstract]      
Revenue Before Reimbursements $ 8,900.1 $ 10,030.6 $ 9,089.5
Reimbursement Revenues 7,689.8 7,952.6 7,228.9
Revenue: 16,589.9 17,983.2 16,318.4
Operating expenses:      
Compensation and benefits 5,268.8 5,812.7 5,206.8
Operating, administrative and other 2,703.4 3,115.7 2,950.9
Cost of Reimbursable Expenses 7,689.8 7,952.6 7,228.9
Depreciation and amortization 226.4 202.4 186.1
Restructuring and acquisition charges 142.4 184.4 38.8
Total operating expenses 16,030.8 17,267.8 15,611.5
Operating income 559.1 715.4 706.9
Interest expense, net of interest income 52.8 56.4 51.1
Equity earnings 8.0 36.3 32.8
Other Income 15.3 2.3 17.4
Income before income taxes and noncontrolling interest 529.6 697.6 706.0
Provision for income taxes 106.9 159.7 214.3
Net income 422.7 537.9 491.7
Net income attributable to noncontrolling interest 20.2 2.6 7.2
Net income attributable to the Company 402.5 535.3 484.5
Dividends on unvested common stock, net of tax benefit 0.0 0.9 0.4
Net income attributable to common shareholders $ 402.5 $ 534.4 $ 484.1
Basic earnings per common share (in dollars per share) $ 7.79 $ 10.98 $ 10.64
Basic weighted average shares outstanding (in shares) 51,683 48,647 45,517
Diluted earnings per common share (in dollars per share) $ 7.70 $ 10.87 $ 10.54
Diluted weighted average shares outstanding (in shares) 52,282 49,154 45,931
Other comprehensive income (loss):      
Net income attributable to the Company $ 402.5 $ 535.3 $ 484.5
Change in pension liabilities, net of tax (9.2) (14.6) 3.1
Foreign currency translation adjustments 59.8 43.0 (118.2)
Comprehensive income attributable to the Company $ 453.1 $ 563.7 $ 369.4