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Goodwill and Other Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount $ 731.6 $ 708.3
Accumulated Amortization (288.2) (305.2)
Net 443.4 403.1
Certificates of need [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 148.3 113.7
Accumulated Amortization (28.2) (19.5)
Net 120.1 94.2
Licenses [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 169.1 146.0
Accumulated Amortization (82.2) (71.6)
Net 86.9 74.4
Noncompete agreements [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 65.6 63.5
Accumulated Amortization (58.6) (55.4)
Net 7.0 8.1
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 38.9 35.1
Accumulated Amortization (19.4) (16.4)
Net 19.5 18.7
Internal-use Software [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 161.3 201.6
Accumulated Amortization (89.3) (132.3)
Net 72.0 69.3
Market access assets [Member]    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 13.2 13.2
Accumulated Amortization (10.5) (10.0)
Net $ 2.7 $ 3.2