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Goodwill and Other Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2016
Dec. 31, 2015
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount $ 667.2 $ 627.8
Accumulated Amortization (255.9) (208.4)
Net 411.3 419.4
Certificate of Need [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 98.6 93.9
Accumulated Amortization (12.9) (6.9)
Net 85.7 87.0
Licenses [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 142.0 138.9
Accumulated Amortization (62.1) (53.7)
Net 79.9 85.2
Noncompete Agreements [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 62.2 58.0
Accumulated Amortization (47.3) (37.0)
Net 14.9 21.0
Trade Name - Encompass [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 135.2 135.2
Accumulated Amortization 0.0 0.0
Net 135.2 135.2
Trade Names [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 34.6 32.9
Accumulated Amortization (13.9) (11.5)
Net 20.7 21.4
Internal-use Software [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 181.4 155.7
Accumulated Amortization (110.2) (90.5)
Net 71.2 65.2
Market Access Assets [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 13.2 13.2
Accumulated Amortization (9.5) (8.8)
Net $ 3.7 $ 4.4