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General (Details 8) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
Income Taxes        
Effective income tax rates (as a percent)   43.50% 34.30%  
The ownership percentage for which the entity files a consolidated federal income tax return, low end of range 80.00% 80.00%    
Unrecognized tax benefits: Changes due to lapses of statutes of limitations $ 1.7      
Deferred Tax Assets, Valuation Allowance 12.9 $ 12.9   $ 12.4
Deferred tax assets        
Income Taxes        
Unrecognized tax benefits: Changes due to lapses of statutes of limitations 0.5      
Income tax expense        
Income Taxes        
Unrecognized tax benefits: Changes due to lapses of statutes of limitations 1.2      
Interest expense related to unrecognized tax benefits 0.1      
Federal        
Income Taxes        
Operating Loss Carryforwards 3.0 3.0    
State        
Income Taxes        
Operating Loss Carryforwards 144.7 144.7    
AlphaCare | Federal        
Income Taxes        
Operating Loss Carryforwards $ 26.2 $ 26.2