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Pay vs Performance Disclosure
12 Months Ended
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
$ / shares
Pay vs Performance Disclosure        
Pay vs Performance Disclosure, Table
Pay vs. Performance
The disclosure included in this section is prescribed by SEC rules and is not incorporated by reference to Part III of the Company’s Annual Report on Form 10-K for the year ended December 31, 2023. The Compensation and Human Resources Committee did not consider the pay versus performance data presented below in making its pay decisions for any of the years shown.
As described in greater detail above in the “Compensation Discussion and Analysis” section, our executive compensation program strongly links executive pay and the achievement of enterprise goals, which are aligned to the economic interests of our shareholders. This strong pay-for-performance linkage is a core principle of our executive compensation philosophy, with a large majority of executive officers’ compensation at risk and weighted towards long-term compensation to promote long-term shareholder value creation. Approximately 82% of total compensation granted to our named executive offers in 2023 was stock-based long-term compensation that is earned over multiple years only if our company and stock perform for shareholders. Our robust oversight and governance practices discourage excessive or unnecessary risk-taking and include a balanced set of performance measures with different metrics used for our annual and long-term incentive plans. Our stock retention policy requires executive officers to hold, for at least one year, one-third of the net shares acquired upon vesting or exercise of any stock compensation award. For example, an executive exercising options which had been held for ten years is required to retain one-third of the net shares acquired for an additional year. In addition, our compensation clawback policies allow, and in some cases require, the Board to seek cash or stock compensation reimbursement from our senior executives in certain circumstances, including specified situations involving financial restatements, material detrimental conduct, or violation of non-compete, non-solicit or confidentiality provisions.
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The following table sets forth information concerning the compensation imputed to our current and former Principal Executive Officers (each, a PEO) and to our other Named Executive Officers (NEOs) compared to certain performance measures for the years ended December 31, 2023, 2022, 2021, and 2020.
Value of Initial
Fixed $100
Investment
Based on:
Year
Summary
Compensation
Table Total for
Current

PEO(2)(4)
Summary
Compensation
Table Total for
Former

PEO(2)(4)
Compensation
Actually Paid
Current

PEO(1)(2)(5)(6)
Compensation
Actually Paid
Former

PEO(1)(2)(5)(6)
Average
Summary
Compensation
Table Total for
Non-PEO
Named
Executive
Officers
(3)(4)
Average
Compensation
Actually Paid
Non-PEO
Named
Executive
Officers
(1)(3)(5)(6)
TSR
Peer
Group

TSR
(S&P

Health
Care
Index)
(7)
Net Income
Adjusted
EPS(8)
2023 $ 23,534,936 $ 20,178,170 $ 12,198,157 $ 10,383,382 $ 190 $ 143 $ 23,144,000,000 $ 25.12
2022 $ 20,865,106 $ 31,259,796 $ 13,210,724 $ 17,698,638 $ 188 $ 140 $ 20,639,000,000 $ 22.19
2021 $ 18,433,143 $ 11,221,093 $ 55,452,750 $ 36,611,403 $ 11,347,389 $ 29,088,841 $ 176 $ 143 $ 17,732,000,000 $ 19.02
2020 $ 17,872,713 $ 37,166,242 $ 11,312,854 $ 19,941,168 $ 121 $ 113 $ 15,769,000,000 $ 16.88
(1)
The term compensation actually paid is a mandated SEC naming convention, and the methodology for calculating compensation actually paid also is mandated by the SEC rule. The amount shown for any period, however, does not reflect total compensation actually earned during the period. Instead, the amounts shown reflect, among other things, adjustments to the grant date fair value of stock compensation awards reported in the Summary Compensation Table to reflect their fair value as of the last day of the fiscal year and increases or decreases in the value of unvested stock compensation awards granted in prior years, which may never actually vest or may have a different value when they do vest. Accordingly, these totals change from year to year based primarily upon share performance, but do not reflect actual compensation paid or earned by an executive for any year. Compensation resulting from an award of options or RSUs is not actually realized until exercise, in the case of options, which vest over 4 years and have a 10-year duration; vesting of RSUs which vest ratably over 4 years; or completion and achievement of a long-term performance share plan, which has a 3-year duration. See footnote 5 below for a more detailed break down between earned/vested and unearned/unvested amounts.
(2)
Andrew Witty has served as our PEO since February 3, 2021. Dave Wichmann, our former PEO, served as our PEO until February 2, 2021. These columns reflect amounts for both PEOs in 2021 when both served as PEO for a portion of the year.
(3)
For 2022 and 2023, our other NEOs were John Rex, Dirk McMahon, Brian Thompson and Rupert Bondy. For 2021, our other NEOs were John Rex, Dirk McMahon, Brian Thompson and Marianne Short. For 2020, our other NEOs were John Rex, Andrew Witty, Dirk McMahon and Patricia Lewis.
(4)
The values reflected in this column reflect the Total compensation set forth in the Summary Compensation Table (SCT) on page 50. See the footnotes to the SCT for further detail regarding the amounts in these columns.
(5)
In accordance with SEC rules, the Compensation Actually Paid (CAP) totals reflected in these columns is computed by deducting and adding the following amounts from the Total column of the SCT (fair value at each measurement date is computed in a manner consistent with the fair value methodology used to account for share-based payments in our financial statements under GAAP). The change in value from the SCT to CAP is based on the
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Board of
Directors
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Corporate
Governance
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Executive
Compensation
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Audit
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Annual
Meeting
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Other
Information
change in fair value of outstanding long-term incentive awards which is primarily driven by changes in our share price and company performance between measurement dates:
2023
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 23,534,936 $ 12,198,157
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (20,001,084) $ (9,825,797)
Add Fair Value of Awards Granted in 2023 (Unvested / Unearned) as of 12/31/23 $ 20,931,590 $ 10,203,134
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/23
$ (2,051,233) $ (1,122,439)
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2023 as
of the Vesting Date
$ (2,236,039) $ (1,069,673)
CAP Total $ 20,178,170 $ 10,383,382
2022
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 20,865,106 $ 13,210,724
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (16,500,772) $ (9,700,891)
Add Fair Value of Awards Granted in 2022 (Unvested / Unearned) as of 12/31/22 $ 19,765,736 $ 11,470,624
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/22
$ 4,501,423 $ 2,159,448
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2022 as
of the Vesting Date
$ 2,628,303 $ 558,733
CAP Total $ 31,259,796 $ 17,698,638
2021
Current PEO
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 18,433,143 $ 11,221,093 $ 11,347,389
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (14,375,350) $ (8,575,523)
Add Fair Value of Awards Granted in 2021 (Unvested / Unearned) as of
12/31/21
$ 24,998,702 $ 14,389,137
Add Change in Fair Value of Awards Granted in Prior Years (Unvested /
Unearned)
as of 12/31/21
$ 22,167,623 $ 22,084,683 $ 10,877,212
Add Change in Fair Value of Awards Granted in Prior Years that Vested
during 2021
as of the Vesting Date
$ 4,228,632 $ 3,305,627 $ 1,050,626
CAP Total $ 55,452,750 $ 36,611,403 $ 29,088,841
2020
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 17,872,713 $ 11,312,854
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (12,800,630) $ (8,050,262)
Add Fair Value of Awards Granted in 2020 (Unvested / Unearned) as of 12/31/20 $ 16,861,629 $ 10,678,145
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/20
$ 9,852,819 $ 4,699,669
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2020 as
of the Vesting Date
$ 5,379,711 $ 1,300,762
CAP Total $ 37,166,242 $ 19,941,168
(6)
The methodology used to determine the fair value of long-term incentive awards at each measurement date for purposes of the SEC pay versus performance disclosure rules is consistent with the methodology used to calculate the grant date fair value of these same awards for purposes of SCT Total Compensation. The inclusion of long-term incentive awards granted in prior years and the change in our stock price at each measurement date (and the
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Other
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resulting impact on the fair value calculation) is the most significant factor in the difference between the reported SCT Total Compensation and the determination of compensation amounts attributable in determining CAP for each reporting year under the SEC pay versus performance rules.
(7)
Reflects our cumulative TSR and the cumulative TSR of the S&P Health Care Index for the year ended December 31, 2020, the two-years ended December 31, 2021, the three years ended December 31, 2022, and the four years ended December 31, 2023, assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of all dividends.
(8)
Performance shares granted under our long-term incentive plan, which are selected to ensure a strong pay-for-performance alignment between the Company’s executive compensation program and drivers of shareholder value, account for 42% and 40% of overall compensation respectively to our PEO and non-PEO NEOs during the most recently completed fiscal year and are weighted equally between cumulative adjusted EPS and average return on equity for the three-year performance period. Cumulative adjusted EPS includes the adjusted EPS for each year of the three-year performance period. Refer to Appendix A for a description of how adjusted EPS is calculated from the Company’s financial statements and the section entitled “Long-Term Awards” in the “Compensation Discussion and Analysis” section of this proxy statement for additional information related to the adjusted EPS performance measure within our long-term performance share awards. The correlation and impact of operating income (a performance measure described in more detail in our discussion of our annual incentive plan in the “Compensation Discussion and Analysis” section above) on adjusted EPS is the reason we selected adjusted EPS for inclusion in our Pay Versus Performance table as opposed to the return on equity metric.
     
Company Selected Measure Name Adjusted EPS      
Named Executive Officers, Footnote
(2)
Andrew Witty has served as our PEO since February 3, 2021. Dave Wichmann, our former PEO, served as our PEO until February 2, 2021. These columns reflect amounts for both PEOs in 2021 when both served as PEO for a portion of the year.
(3)
For 2022 and 2023, our other NEOs were John Rex, Dirk McMahon, Brian Thompson and Rupert Bondy. For 2021, our other NEOs were John Rex, Dirk McMahon, Brian Thompson and Marianne Short. For 2020, our other NEOs were John Rex, Andrew Witty, Dirk McMahon and Patricia Lewis.
     
Peer Group Issuers, Footnote
(7)
Reflects our cumulative TSR and the cumulative TSR of the S&P Health Care Index for the year ended December 31, 2020, the two-years ended December 31, 2021, the three years ended December 31, 2022, and the four years ended December 31, 2023, assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of all dividends.
     
Adjustment To PEO Compensation, Footnote
(4)
The values reflected in this column reflect the Total compensation set forth in the Summary Compensation Table (SCT) on page 50. See the footnotes to the SCT for further detail regarding the amounts in these columns.
(5)
In accordance with SEC rules, the Compensation Actually Paid (CAP) totals reflected in these columns is computed by deducting and adding the following amounts from the Total column of the SCT (fair value at each measurement date is computed in a manner consistent with the fair value methodology used to account for share-based payments in our financial statements under GAAP). The change in value from the SCT to CAP is based on the
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Board of
Directors
2
Corporate
Governance
3
Executive
Compensation
4
Audit
5
Annual
Meeting
6
Other
Information
change in fair value of outstanding long-term incentive awards which is primarily driven by changes in our share price and company performance between measurement dates:
2023
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 23,534,936 $ 12,198,157
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (20,001,084) $ (9,825,797)
Add Fair Value of Awards Granted in 2023 (Unvested / Unearned) as of 12/31/23 $ 20,931,590 $ 10,203,134
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/23
$ (2,051,233) $ (1,122,439)
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2023 as
of the Vesting Date
$ (2,236,039) $ (1,069,673)
CAP Total $ 20,178,170 $ 10,383,382
2022
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 20,865,106 $ 13,210,724
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (16,500,772) $ (9,700,891)
Add Fair Value of Awards Granted in 2022 (Unvested / Unearned) as of 12/31/22 $ 19,765,736 $ 11,470,624
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/22
$ 4,501,423 $ 2,159,448
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2022 as
of the Vesting Date
$ 2,628,303 $ 558,733
CAP Total $ 31,259,796 $ 17,698,638
2021
Current PEO
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 18,433,143 $ 11,221,093 $ 11,347,389
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (14,375,350) $ (8,575,523)
Add Fair Value of Awards Granted in 2021 (Unvested / Unearned) as of
12/31/21
$ 24,998,702 $ 14,389,137
Add Change in Fair Value of Awards Granted in Prior Years (Unvested /
Unearned)
as of 12/31/21
$ 22,167,623 $ 22,084,683 $ 10,877,212
Add Change in Fair Value of Awards Granted in Prior Years that Vested
during 2021
as of the Vesting Date
$ 4,228,632 $ 3,305,627 $ 1,050,626
CAP Total $ 55,452,750 $ 36,611,403 $ 29,088,841
2020
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 17,872,713 $ 11,312,854
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (12,800,630) $ (8,050,262)
Add Fair Value of Awards Granted in 2020 (Unvested / Unearned) as of 12/31/20 $ 16,861,629 $ 10,678,145
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/20
$ 9,852,819 $ 4,699,669
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2020 as
of the Vesting Date
$ 5,379,711 $ 1,300,762
CAP Total $ 37,166,242 $ 19,941,168
     
Non-PEO NEO Average Total Compensation Amount $ 12,198,157 $ 13,210,724 $ 11,347,389 $ 11,312,854
Non-PEO NEO Average Compensation Actually Paid Amount $ 10,383,382 17,698,638 29,088,841 19,941,168
Adjustment to Non-PEO NEO Compensation Footnote
(4)
The values reflected in this column reflect the Total compensation set forth in the Summary Compensation Table (SCT) on page 50. See the footnotes to the SCT for further detail regarding the amounts in these columns.
(5)
In accordance with SEC rules, the Compensation Actually Paid (CAP) totals reflected in these columns is computed by deducting and adding the following amounts from the Total column of the SCT (fair value at each measurement date is computed in a manner consistent with the fair value methodology used to account for share-based payments in our financial statements under GAAP). The change in value from the SCT to CAP is based on the
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Board of
Directors
2
Corporate
Governance
3
Executive
Compensation
4
Audit
5
Annual
Meeting
6
Other
Information
change in fair value of outstanding long-term incentive awards which is primarily driven by changes in our share price and company performance between measurement dates:
2023
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 23,534,936 $ 12,198,157
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (20,001,084) $ (9,825,797)
Add Fair Value of Awards Granted in 2023 (Unvested / Unearned) as of 12/31/23 $ 20,931,590 $ 10,203,134
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/23
$ (2,051,233) $ (1,122,439)
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2023 as
of the Vesting Date
$ (2,236,039) $ (1,069,673)
CAP Total $ 20,178,170 $ 10,383,382
2022
Current PEO
Non-PEO NEOs
SCT Total Compensation $ 20,865,106 $ 13,210,724
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the
SCT)
$ (16,500,772) $ (9,700,891)
Add Fair Value of Awards Granted in 2022 (Unvested / Unearned) as of 12/31/22 $ 19,765,736 $ 11,470,624
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/22
$ 4,501,423 $ 2,159,448
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2022 as
of the Vesting Date
$ 2,628,303 $ 558,733
CAP Total $ 31,259,796 $ 17,698,638
2021
Current PEO
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 18,433,143 $ 11,221,093 $ 11,347,389
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (14,375,350) $ (8,575,523)
Add Fair Value of Awards Granted in 2021 (Unvested / Unearned) as of
12/31/21
$ 24,998,702 $ 14,389,137
Add Change in Fair Value of Awards Granted in Prior Years (Unvested /
Unearned)
as of 12/31/21
$ 22,167,623 $ 22,084,683 $ 10,877,212
Add Change in Fair Value of Awards Granted in Prior Years that Vested
during 2021
as of the Vesting Date
$ 4,228,632 $ 3,305,627 $ 1,050,626
CAP Total $ 55,452,750 $ 36,611,403 $ 29,088,841
2020
Former PEO
Non-PEO NEOs
SCT Total Compensation $ 17,872,713 $ 11,312,854
Deduct Grant Date Fair Value of Stock Awards and Option Awards (as disclosed in the SCT) $ (12,800,630) $ (8,050,262)
Add Fair Value of Awards Granted in 2020 (Unvested / Unearned) as of 12/31/20 $ 16,861,629 $ 10,678,145
Add Change in Fair Value of Awards Granted in Prior Years (Unvested / Unearned) as
of 12/31/20
$ 9,852,819 $ 4,699,669
Add Change in Fair Value of Awards Granted in Prior Years that Vested during 2020 as
of the Vesting Date
$ 5,379,711 $ 1,300,762
CAP Total $ 37,166,242 $ 19,941,168
     
Tabular List, Table
Most Important Performance Measures. The most important performance measures that we use in setting pay-for-performance compensation for the most recently completed fiscal year are listed alphabetically in the table below. The manner in which these measures determine the amounts of incentive compensation paid to our NEOs is described above in the “Compensation Discussion and Analysis” section of this proxy statement.
Most Important Performance Measures
Adjusted Earnings Per Share (EPS)
Cash Flow from Operations
Employee Experience Index (EXI)
Operating Income
Net Promoter System (NPS)
Return on Equity
Revenue
     
Total Shareholder Return Amount $ 190 188 176 121
Peer Group Total Shareholder Return Amount 143 140 143 113
Net Income (Loss) $ 23,144,000,000 $ 20,639,000,000 $ 17,732,000,000 $ 15,769,000,000
Company Selected Measure Amount | $ / shares 25.12 22.19 19.02 16.88
PEO Name Andrew Witty      
Measure:: 1        
Pay vs Performance Disclosure        
Name Adjusted Earnings Per Share (EPS)      
Non-GAAP Measure Description
(8)
Performance shares granted under our long-term incentive plan, which are selected to ensure a strong pay-for-performance alignment between the Company’s executive compensation program and drivers of shareholder value, account for 42% and 40% of overall compensation respectively to our PEO and non-PEO NEOs during the most recently completed fiscal year and are weighted equally between cumulative adjusted EPS and average return on equity for the three-year performance period. Cumulative adjusted EPS includes the adjusted EPS for each year of the three-year performance period. Refer to Appendix A for a description of how adjusted EPS is calculated from the Company’s financial statements and the section entitled “Long-Term Awards” in the “Compensation Discussion and Analysis” section of this proxy statement for additional information related to the adjusted EPS performance measure within our long-term performance share awards. The correlation and impact of operating income (a performance measure described in more detail in our discussion of our annual incentive plan in the “Compensation Discussion and Analysis” section above) on adjusted EPS is the reason we selected adjusted EPS for inclusion in our Pay Versus Performance table as opposed to the return on equity metric.
     
Measure:: 2        
Pay vs Performance Disclosure        
Name Cash Flow from Operations      
Measure:: 3        
Pay vs Performance Disclosure        
Name Employee Experience Index (EXI)      
Measure:: 4        
Pay vs Performance Disclosure        
Name Operating Income      
Measure:: 5        
Pay vs Performance Disclosure        
Name Net Promoter System (NPS)      
Measure:: 6        
Pay vs Performance Disclosure        
Name Return on Equity      
Measure:: 7        
Pay vs Performance Disclosure        
Name Revenue      
Andrew Witty [Member]        
Pay vs Performance Disclosure        
PEO Total Compensation Amount $ 23,534,936 $ 20,865,106 $ 18,433,143
PEO Actually Paid Compensation Amount 20,178,170 31,259,796 55,452,750
Dave Wichmann [Member]        
Pay vs Performance Disclosure        
PEO Total Compensation Amount 11,221,093 17,872,713
PEO Actually Paid Compensation Amount 36,611,403 37,166,242
PEO [Member]        
Pay vs Performance Disclosure        
Performance Shares Granted As A Percentage Of Overall Compensation To PEO 42.00%      
PEO [Member] | Andrew Witty [Member] | Equity Awards Value In Summary Compensation Table (Grant Date Value) [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (20,001,084) (16,500,772) (14,375,350)  
PEO [Member] | Andrew Witty [Member] | Year-end Fair Value Of Awards Granted In The Current Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 20,931,590 19,765,736 24,998,702  
PEO [Member] | Andrew Witty [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (2,051,233) 4,501,423 22,167,623  
PEO [Member] | Andrew Witty [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (2,236,039) 2,628,303 4,228,632  
PEO [Member] | Dave Wichmann [Member] | Equity Awards Value In Summary Compensation Table (Grant Date Value) [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount     (12,800,630)
PEO [Member] | Dave Wichmann [Member] | Year-end Fair Value Of Awards Granted In The Current Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount     16,861,629
PEO [Member] | Dave Wichmann [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount     22,084,683 9,852,819
PEO [Member] | Dave Wichmann [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount     3,305,627 5,379,711
Non-PEO NEO [Member]        
Pay vs Performance Disclosure        
Performance Shares Granted As A Percentage Of Overall Compensation To NEOs 40.00%      
Non-PEO NEO [Member] | Equity Awards Value In Summary Compensation Table (Grant Date Value) [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (9,825,797) (9,700,891) (8,575,523) (8,050,262)
Non-PEO NEO [Member] | Year-end Fair Value Of Awards Granted In The Current Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 10,203,134 11,470,624 14,389,137 10,678,145
Non-PEO NEO [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (1,122,439) 2,159,448 10,877,212 4,699,669
Non-PEO NEO [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (1,069,673) $ 558,733 $ 1,050,626 $ 1,300,762