XML 36 R50.htm IDEA: XBRL DOCUMENT v3.19.3
Revenue Recognition (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2017
Apr. 01, 2019
Oct. 01, 2018
Sep. 30, 2016
Revenue from External Customer [Line Items]                            
Revenues $ 782,800,000 $ 726,800,000 $ 714,200,000 $ 683,500,000 $ 759.2 $ 708.6 $ 710.5 $ 669.7 $ 2,907,300,000 $ 2,848,000,000.0 $ 2,743,700,000      
Trade accounts receivable, net of allowances of $20.6 in 2019 and $21.8 in 2018 653,300,000       580,700,000       653,300,000 580,700,000        
Product sales and service                 2,615,000,000.0 2,469,600,000 2,358,100,000      
Rental revenue                 292,300,000 378,400,000 385,600,000      
Total cost of net revenue                 1,330,700,000 1,274,100,000 1,235,800,000      
Rental expenses                 (151,600,000) (179,700,000) (187,300,000)      
Income tax expense (benefit)                 56,400,000 (55,200,000) 50,700,000      
Accounts and Other Receivables, Net, Current         580,700,000         580,700,000     $ 609,800,000  
Cumulative Effect on Retained Earnings, Tax                 4,800,000          
Other current assets 106,700,000       100,200,000       106,700,000 100,200,000     122,000,000.0  
Property, Plant and Equipment, Net 296,800,000       328,300,000       296,800,000 328,300,000     322,700,000  
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent 33,100,000       35,000,000.0       33,100,000 35,000,000.0     40,600,000  
Other assets 91,300,000       75,100,000       91,300,000 75,100,000     78,500,000  
Deferred Revenue 107,300,000       40,000,000.0       107,300,000 40,000,000.0        
Revenue Deferred due to ASC 606 Initial Adoption                 58,400,000          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Deferred Revenue                       $ 10,700,000    
Deferred Revenue, Additions                 282,100,000          
Deferred Revenue, Revenue Recognized                 (273,200,000)          
Deferred Revenue, Current         40,000,000.0         40,000,000.0     87,500,000  
Other current liabilities 95,200,000       67,100,000       95,200,000 67,100,000     67,900,000  
Other long-term liabilities 70,500,000       40,400,000       70,500,000 40,400,000     51,300,000  
Retained Earnings (Accumulated Deficit) 1,967,400,000       1,876,200,000       1,967,400,000 1,876,200,000     1,871,300,000  
Net Income                 152,200,000 252,400,000 132,300,000      
Capitalized Contract Cost, Gross 10,000,000.0               10,000,000.0          
Capitalized Contract Cost, Amortization                 14,700,000          
Accounting Standards Update 2014-09 [Member]                            
Revenue from External Customer [Line Items]                            
Accounts and Other Receivables, Net, Current                         29,100,000  
Cumulative Effect on Retained Earnings, Net of Tax                 (4,900,000)          
Other current assets                         21,800,000  
Property, Plant and Equipment, Net                         (5,600,000)  
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent                         5,600,000  
Other assets                         3,400,000  
Deferred Revenue, Current                         47,500,000  
Other current liabilities                         800,000  
Other long-term liabilities                         10,900,000  
Retained Earnings (Accumulated Deficit)                         $ (4,900,000)  
Retained Earnings [Member]                            
Revenue from External Customer [Line Items]                            
Retained Earnings (Accumulated Deficit) 1,967,400,000       1,876,200,000       1,967,400,000 1,876,200,000 1,676,200,000     $ 1,589,700,000
Retained Earnings [Member] | Accounting Standards Update 2014-09 [Member]                            
Revenue from External Customer [Line Items]                            
Cumulative Effect on Retained Earnings, Net of Tax                 (4,900,000)          
Other Current Assets [Member]                            
Revenue from External Customer [Line Items]                            
Equipment and Other Costs 11,900,000               11,900,000          
Other Noncurrent Assets [Member]                            
Revenue from External Customer [Line Items]                            
Equipment and Other Costs 2,600,000               2,600,000          
Other Noncurrent Liabilities [Member]                            
Revenue from External Customer [Line Items]                            
Deferred Revenue 125,800,000       $ 47,800,000       125,800,000 47,800,000        
reclassification from rental revenue [Member]                            
Revenue from External Customer [Line Items]                            
Product sales and service                 95,300,000          
reclassification from rental expenses [Member]                            
Revenue from External Customer [Line Items]                            
Product sales and service                 21,100,000          
Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 15,200,000          
Trade accounts receivable, net of allowances of $20.6 in 2019 and $21.8 in 2018 30,800,000               30,800,000          
Product sales and service                 112,200,000          
Rental revenue                 (97,000,000.0)          
Total cost of net revenue                 26,400,000          
Rental expenses                 (21,700,000)          
Income tax expense (benefit)                 2,200,000          
Other current assets 13,600,000               13,600,000          
Property, Plant and Equipment, Net (6,100,000)               (6,100,000)          
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent 5,600,000               5,600,000          
Other assets 2,600,000               2,600,000          
Deferred Revenue 31,800,000               31,800,000          
Other current liabilities 700,000               700,000          
Other long-term liabilities 8,500,000               8,500,000          
Retained Earnings (Accumulated Deficit) 3,400,000               3,400,000          
Net Income                 8,300,000          
Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 2,892,100,000          
Trade accounts receivable, net of allowances of $20.6 in 2019 and $21.8 in 2018 622,500,000               622,500,000          
Product sales and service                 2,502,800,000          
Rental revenue                 389,300,000          
Total cost of net revenue                 1,304,300,000          
Rental expenses                 (173,300,000)          
Income tax expense (benefit)                 54,200,000          
Other current assets 93,100,000               93,100,000          
Property, Plant and Equipment, Net 302,900,000               302,900,000          
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent 27,500,000               27,500,000          
Other assets 88,700,000               88,700,000          
Deferred Revenue 75,500,000               75,500,000          
Other current liabilities 94,500,000               94,500,000          
Other long-term liabilities 62,000,000.0               62,000,000.0          
Retained Earnings (Accumulated Deficit) $ 1,964,000,000.0               1,964,000,000.0          
Net Income                 143,900,000          
Patient Support Systems [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 13,500,000          
Patient Support Systems [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,477,000,000.0          
Front Line Care [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,700,000          
Front Line Care [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 976,400,000          
Surgical Solutions [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 0          
Surgical Solutions [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 438,700,000          
Operating Segments [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 2,907,300,000 2,848,000,000.0 2,743,700,000      
Operating Segments [Member] | Patient Support Systems [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,490,500,000 1,429,500,000 1,423,900,000      
Operating Segments [Member] | Front Line Care [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 978,100,000 960,200,000 885,300,000      
Operating Segments [Member] | Surgical Solutions [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 438,700,000 458,300,000 434,500,000      
UNITED STATES                            
Revenue from External Customer [Line Items]                            
Revenues                 2,056,800,000 1,956,400,000 1,887,600,000      
UNITED STATES | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 14,800,000          
UNITED STATES | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 2,042,000,000.0          
UNITED STATES | Patient Support Systems [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 13,100,000          
UNITED STATES | Patient Support Systems [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,121,900,000          
UNITED STATES | Front Line Care [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,700,000          
UNITED STATES | Front Line Care [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 698,900,000          
UNITED STATES | Surgical Solutions [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 0          
UNITED STATES | Surgical Solutions [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 221,200,000          
UNITED STATES | Operating Segments [Member] | Patient Support Systems [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 1,135,000,000.0          
UNITED STATES | Operating Segments [Member] | Front Line Care [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 700,600,000          
UNITED STATES | Operating Segments [Member] | Surgical Solutions [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 221,200,000          
Non-US [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 850,500,000 $ 891,600,000 $ 856,100,000      
Non-US [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 400,000          
Non-US [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 850,100,000          
Non-US [Member] | Patient Support Systems [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 400,000          
Non-US [Member] | Patient Support Systems [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 355,100,000          
Non-US [Member] | Front Line Care [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 0          
Non-US [Member] | Front Line Care [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 277,500,000          
Non-US [Member] | Surgical Solutions [Member] | Difference between Revenue Guidance in Effect before and after Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 0          
Non-US [Member] | Surgical Solutions [Member] | Calculated under Revenue Guidance in Effect before Topic 606 [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 217,500,000          
Non-US [Member] | Operating Segments [Member] | Patient Support Systems [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 355,500,000          
Non-US [Member] | Operating Segments [Member] | Front Line Care [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 277,500,000          
Non-US [Member] | Operating Segments [Member] | Surgical Solutions [Member]                            
Revenue from External Customer [Line Items]                            
Revenues                 $ 217,500,000          
Voalte [Member]                            
Revenue from External Customer [Line Items]                            
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Deferred Revenue                       $ 10,700,000