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Summary of Significant Accounting Policies (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2016
Mar. 31, 2015
Sep. 30, 2016
Dec. 31, 2015
Carrying Value, Fair Value Disclosure [Member]        
Fair value of financial instruments [Abstract]        
Debt $ 3,700.0   $ 3,700.0 $ 3,900.0
Estimate of Fair Value, Fair Value Disclosure [Member]        
Fair value of financial instruments [Abstract]        
Debt 3,700.0   $ 3,700.0 $ 3,900.0
Reclassification [Member]        
Accounting Changes and Error Corrections [Abstract]        
Facility Operating Expense   $ 5.3    
Term of residency agreements- minimum     30 days  
Term of residency agreements - maximum     1 year  
Increase (Decrease) in Insurance Liabilities [Abstract]        
Increase (Decrease) in Liability for Claims and Claims Adjustment Expense Reserve $ 13.9   $ 27.6  
Increase (Decrease) in Workers' Compensation Liabilities     7.6  
Increase (Decrease) in Other Insurance Liabilities     $ 20.0