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Condensed Consolidated Statements of Shareholders' Equity (Unaudited) - USD ($)
shares in Millions, $ in Millions
Total
Common Stock
Capital in Excess of Par Value
Accumulated Deficit
Accumulated Other Comprehensive Loss
Treasury Stock
Noncontrolling Interests
Balance at beginning of period at Dec. 31, 2017 $ 1,395.4 $ 1.1 $ 2,747.4 $ (1,176.2) $ (1.3) $ (418.5) $ 242.9
Balance at beginning of period (shares) at Dec. 31, 2017   98.3          
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net income 317.4     264.2     53.2
Receipt of treasury stock (8.3)         (8.3)  
Receipt of treasury stock (shares)   (0.2)          
Dividends declared (per share) (76.7)   (76.7)        
Stock-based compensation 20.6   20.6        
Distributions declared (53.7)           (53.7)
Capital contributions from consolidated affiliates 22.8           22.8
Fair value adjustments to redeemable noncontrolling interests, net of tax (77.0)   (77.0)        
Other 3.1 $ 0.0 4.0 (1.3) 1.3 (0.9) 0.0
Other (shares)   0.8          
Balance at end of period at Sep. 30, 2018 1,543.6 $ 1.1 2,618.3 (913.3) 0.0 (427.7) 265.2
Balance at end of period (shares) at Sep. 30, 2018   98.9          
Balance at beginning of period at Jun. 30, 2018 1,464.0 $ 1.1 2,645.9 (1,001.9) 0.0 (427.5) 246.4
Balance at beginning of period (shares) at Jun. 30, 2018   98.9          
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net income 105.5     88.6     16.9
Dividends declared (per share) (26.9)   (26.9)        
Stock-based compensation 7.3   7.3        
Distributions declared (16.9)           (16.9)
Capital contributions from consolidated affiliates 18.8           18.8
Fair value adjustments to redeemable noncontrolling interests, net of tax (10.7)   (10.7)        
Other 2.5 $ 0.0 2.7 0.0 0.0 (0.2) 0.0
Other (shares)   0.0          
Balance at end of period at Sep. 30, 2018 1,543.6 $ 1.1 2,618.3 (913.3) 0.0 (427.7) 265.2
Balance at end of period (shares) at Sep. 30, 2018   98.9          
Balance at beginning of period at Dec. 31, 2018 1,557.0 $ 1.1 2,588.7 (885.2) 0.0 (427.9) 280.3
Balance at beginning of period (shares) at Dec. 31, 2018   98.9          
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net income 345.5     291.1     54.4
Receipt of treasury stock (16.2)         (16.2)  
Receipt of treasury stock (shares)   (0.3)          
Dividends declared (per share) (81.5)   (81.5)        
Stock-based compensation 24.1   24.1        
Distributions declared (52.8)           (52.8)
Capital contributions from consolidated affiliates 20.0           20.0
Fair value adjustments to redeemable noncontrolling interests, net of tax (118.9)   (118.9)        
Consolidation of Yuma Rehabilitation Hospital 25.0           25.0
Repurchases of common stock in open market (45.9)         (45.9)  
Repurchases of common stock in open market (shares)   (0.8)          
Other 15.0   5.4 0.0 0.0 (1.7) 11.3
Other (shares)   0.8          
Balance at end of period at Sep. 30, 2019 1,671.3 $ 1.1 2,417.8 (594.1) 0.0 (491.7) 338.2
Balance at end of period (shares) at Sep. 30, 2019   98.6          
Balance at beginning of period at Jun. 30, 2019 1,583.8 $ 1.1 2,455.6 (691.7) 0.0 (489.1) 307.9
Balance at beginning of period (shares) at Jun. 30, 2019   98.6          
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net income 115.8     97.6     18.2
Receipt of treasury stock (0.1)         (0.1)  
Receipt of treasury stock (shares)   0.0          
Dividends declared (per share) (27.8)   (27.8)        
Stock-based compensation 7.8   7.8        
Distributions declared (20.2)           (20.2)
Capital contributions from consolidated affiliates 7.2           7.2
Fair value adjustments to redeemable noncontrolling interests, net of tax (18.2)   (18.2)        
Consolidation of Yuma Rehabilitation Hospital 25.0           25.0
Repurchases of common stock in open market (2.1)         (2.1)  
Repurchases of common stock in open market (shares)   (0.1)          
Other 0.1   0.4 0.0 0.0 (0.4) 0.1
Other (shares)   0.1          
Balance at end of period at Sep. 30, 2019 $ 1,671.3 $ 1.1 $ 2,417.8 $ (594.1) $ 0.0 $ (491.7) $ 338.2
Balance at end of period (shares) at Sep. 30, 2019   98.6