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Contingencies and Other Commitments - Textual (Details)
$ in Millions
12 Months Ended
May 18, 2016
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Jun. 30, 2018
USD ($)
Feb. 28, 2015
patient
Apr. 24, 2014
facilities
Aug. 12, 2013
facilities
Mar. 04, 2013
facilities
patient
Other Commitments [Abstract]                
2019   $ 45.9            
2020   44.0            
2021   28.1            
2022   9.5            
2023   7.6            
Thereafter   6.5            
HHS-OIG Investigation [Member]                
Loss Contingencies [Line Items]                
Number of additional patient medical records requested | patient         70      
Pending Litigation [Member] | Honts lawsuit [Member]                
Loss Contingencies [Line Items]                
Number of hospitals involved in lawsuit | facilities             1  
Verdict returned in favor of plaintiff $ 20.0              
Additional net charge recorded     $ 5.7          
Liability recorded       $ 20.1        
Receivable recorded for portion of liability expected to be covered by excess insurance coverages       $ 15.5        
Maximum claim covered through captive insurance subsidiary   6.0            
Pending Litigation [Member] | HHS-OIG Investigation [Member]                
Loss Contingencies [Line Items]                
Liability recorded   $ 48.0            
Number of hospitals that received subpoenas | facilities           7   4
Number of patient medical records requested for each hospital in subpoenas | patient               100
Number of hospitals that received supplemental subpoenas | facilities           2    
Compliance threshold under Health Care Act (percent)   60.00%