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Goodwill and Other Intangible Assets - Other Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2019
Dec. 31, 2018
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount $ 822.5 $ 731.6
Accumulated Amortization (346.2) (288.2)
Net 476.3 443.4
Certificates of need    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 197.2 148.3
Accumulated Amortization (40.4) (28.2)
Net 156.8 120.1
Licenses    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 187.3 169.1
Accumulated Amortization (94.1) (82.2)
Net 93.2 86.9
Noncompete agreements    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 74.2 65.6
Accumulated Amortization (62.3) (58.6)
Net 11.9 7.0
Trade Name - Encompass    
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    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 41.6 38.9
Accumulated Amortization (22.4) (19.4)
Net 19.2 19.5
Internal-use Software    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 173.8 161.3
Accumulated Amortization (116.0) (89.3)
Net 57.8 72.0
Market access assets    
Schedule of Intangible Assets by Major Class    
Gross Carrying Amount 13.2 13.2
Accumulated Amortization (11.0) (10.5)
Net $ 2.2 $ 2.7