| Fiscal period | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 |
|---|
| Period End Date | 12/31/2020 | 12/31/2019 | 12/31/2018 | 12/31/2017 | 12/31/2016 | 12/31/2015 | 12/31/2014 | 12/31/2013 | 12/31/2012 | 12/31/2011 |
|---|
| NET OPERATING REVENUES | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Patient service operating revenues | 11,039.71 | 10,918.42 | 10,709.98 | 10,093.67 | 9,727.36 | 9,155.45 | 8,868.34 | 8,307.20 | 7,351.90 | 6,470.54 |
| Less: Provision for uncollectible accounts related to patient service operating revenues | (13.46) | (21.72) | (49.59) | (485.36) | (431.30) | (412.91) | (366.88) | (293.55) | (235.22) | (190.23) |
| HCP capitated revenues | -- | -- | -- | -- | -- | -- | 3,261.29 | 2,987.32 | 481.34 | 45.13 |
| Other revenues | 524.35 | 491.77 | 744.46 | 1,268.33 | 1,411.41 | 1,239.70 | 1,032.36 | 763.09 | 588.26 | 406.37 |
| Total Revenues | 11,550.60 | 11,388.48 | 11,404.85 | 10,876.63 | 10,707.47 | 9,982.25 | 12,795.11 | 11,764.05 | 8,186.28 | 6,731.81 |
| Patient care costs | 7,988.61 | 7,914.49 | 8,195.51 | 7,640.01 | 7,431.58 | 6,856.06 | 9,119.31 | 8,198.38 | 5,583.55 | 4,633.62 |
| Depreciation and amortization | 630.44 | 615.15 | 591.04 | 559.91 | 509.50 | 463.91 | 590.94 | 528.74 | 341.97 | 264.23 |
| Goodwill impairment charge | -- | 124.89 | 3.11 | 36.20 | 28.42 | 4.07 | -- | -- | -- | -- |
| General and Administrative | 1,247.58 | 1,103.31 | 1,135.45 | 1,064.03 | 1,072.84 | 1,031.13 | 1,261.51 | 1,176.49 | 889.88 | 684.72 |
| Valuation gain on Alliance and Product Supply Agreement | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Provision for uncollectible accounts | -- | -- | 7.30 | 7.03 | (11.68) | (9.24) | (14.45) | (4.85) | (4.34) | (3.31) |
| Impairments and valuation adjustments | -- | -- | (17.34) | (295.23) | (14.99) | -- | -- | -- | -- | -- |
| Equity investment income | 26.92 | 12.68 | (4.48) | (8.64) | 16.87 | 13.92 | 23.23 | 34.56 | 16.38 | 8.78 |
| Legal proceeding contingency accrual and related expenses | -- | -- | -- | -- | -- | -- | (17.00) | (397.00) | (85.84) | -- |
| Contingent earn-out obligation adjustment | -- | -- | -- | -- | -- | -- | -- | 56.98 | -- | -- |
| Minority interests and equity income | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Gain on changes in ownership interests, net | (16.25) | -- | 60.60 | 6.27 | 374.37 | -- | -- | -- | -- | -- |
| Gain on settlement, net | -- | -- | -- | 526.83 | -- | (495.00) | -- | -- | -- | -- |
| Total operating expenses and charges | 9,855.97 | 9,745.16 | 9,879.03 | 9,063.88 | 8,677.76 | 8,845.48 | 10,979.96 | 10,213.92 | 6,889.20 | 5,577.09 |
| Operating Income / (Loss) | 1,694.64 | 1,643.32 | 1,525.82 | 1,812.76 | 2,029.71 | 1,136.77 | 1,815.14 | 1,550.13 | 1,297.08 | 1,154.71 |
| Minority interests and equity income, net | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Other income (loss) net | 16.76 | 29.35 | 10.09 | 17.67 | 7.51 | 8.07 | 2.37 | 4.79 | 3.74 | 2.98 |
| Refinancing Charges | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Debt expense | (304.11) | (443.82) | (487.44) | (430.63) | (414.12) | (408.38) | (410.29) | (429.94) | (288.55) | (241.09) |
| Swap valuation gains | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Debt refinancing and redemption charges | (89.02) | (33.40) | -- | -- | -- | (48.07) | (97.55) | -- | (10.96) | -- |
| Income (loss) before income taxes | 1,318.26 | 1,195.44 | 1,048.48 | 1,399.79 | 1,623.11 | 688.39 | 1,309.67 | 1,124.98 | 1,001.30 | 916.61 |
| Current- Foreign | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Current: Federal | 47.17 | 208.34 | 140.06 | 330.19 | 322.94 | 124.50 | 188.30 | 334.26 | 239.23 | 202.73 |
| Current: State | 21.44 | 58.03 | 32.99 | 47.23 | 44.53 | 20.44 | 30.79 | 68.72 | 49.18 | 42.19 |
| Deferred: Federal | 198.62 | 44.26 | 52.03 | (98.76) | 88.41 | 71.02 | 192.27 | (6.70) | 64.20 | 63.66 |
| Deferred: State | 27.21 | (25.84) | 21.10 | 37.35 | (28.53) | (9.74) | 32.36 | (8.94) | 6.50 | 7.14 |
| Deferred: International | 2.01 | (20.71) | 4.66 | 4.43 | 2.49 | 0.43 | 0.94 | 0.75 | -- | -- |
| Current: International | 17.48 | 15.55 | 7.56 | 3.42 | 1.93 | 0.86 | 1.69 | 1.76 | 0.66 | -- |
| Provision for Income Taxes - Total | 313.93 | 279.63 | 258.40 | 323.86 | 431.76 | 207.51 | 446.34 | 381.01 | 359.85 | 325.29 |
| Income Tax: Discontinued operations | -- | -- | -- | -- | -- | -- | -- | (0.08) | -- | (8.87) |
| Income tax: Loss on discontinued operations | -- | -- | -- | -- | -- | -- | -- | 8.92 | -- | (0.69) |
| Income from Continuing Operations | 1,004.33 | 915.81 | 790.08 | 1,075.93 | 1,191.34 | 480.88 | 863.33 | 743.97 | 641.46 | 591.31 |
| Gain on disposal of discontinued operations, net of tax | -- | -- | -- | (245.37) | (158.26) | -- | -- | 13.38 | -- | (4.76) |
| Income from operations of discontinued operations, net of tax | (9.65) | 105.48 | (457.04) | -- | -- | (53.47) | -- | (0.14) | (0.22) | (13.16) |
| Income Before Extraordinary Income & Accounting Change | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Extraordinary gain (loss) related to early extinguishment of debt, net | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Consolidated Net Income (Loss) | 994.68 | 1,021.29 | 333.04 | 830.56 | 1,033.08 | 427.41 | 863.33 | 757.20 | 641.24 | 573.40 |
| Less- Net income attributable to noncontrolling interests | 221.04 | 210.31 | 173.65 | 166.94 | 153.21 | 157.68 | 140.22 | 123.76 | 105.22 | 95.39 |
| Net Income (Loss) Available to Common Shareholders | 773.64 | 810.98 | 159.39 | 663.62 | 879.87 | 269.73 | 723.11 | 633.45 | 536.02 | 478.00 |
| Earnings per share from continuing operations | 6.54 | 4.61 | 3.66 | 4.78 | 5.12 | 1.53 | -- | 2.95 | 2.79 | 2.62 |
| Basic income from discontinuing operations per share | -- | -- | -- | -- | -- | -- | -- | -- | -- | (0.09) |
| Extraordinary gain (loss), net of tax | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Net Earnings Per Share (Basic) | 6.46 | 5.29 | 0.93 | 3.52 | 4.36 | 1.27 | 3.41 | 3.02 | 2.79 | 2.53 |
| Earnings per share from continuing operations | 6.39 | 4.60 | 3.62 | 4.71 | 5.04 | 1.49 | -- | 2.89 | 2.74 | 2.57 |
| Diluted income from discontinuing operations per share | -- | -- | -- | -- | -- | -- | -- | -- | -- | (0.09) |
| Extraordinary gain (loss), net of tax | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- |
| Net Earnings Per Share (Diluted) | 6.31 | 5.27 | 0.92 | 3.47 | 4.29 | 1.25 | 3.33 | 2.95 | 2.74 | 2.48 |
| Weighted Average Shares Outstanding (Basic) | 119.80 | 153.18 | 170.79 | 188.63 | 201.64 | 211.87 | 212.30 | 209.94 | 192.04 | 189.32 |
| Weighted Average Shares Outstanding (Diluted) | 122.62 | 153.81 | 172.37 | 191.35 | 204.91 | 216.25 | 216.93 | 214.76 | 195.94 | 193.06 |