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General - Income Taxes (Details) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Dec. 31, 2015
Income Taxes      
Effective income tax rates (as a percent) 62.60% 46.80%  
The ownership percentage for which the entity files a consolidated federal income tax return, low end of range 80.00%    
Deferred Tax Assets, Valuation Allowance $ 20.2   $ 15.5
Federal      
Income Taxes      
Operating Loss Carryforwards 2.4    
State      
Income Taxes      
Operating Loss Carryforwards 153.5    
AlphaCare | Federal      
Income Taxes      
Operating Loss Carryforwards $ 37.6