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General - Income Taxes (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2017
Sep. 30, 2016
Dec. 31, 2016
Income Taxes        
Effective income tax rates (as a percent)   34.40% 51.90%  
Unrecognized tax benefits: Changes due to lapses of statutes of limitations $ 1.7      
Interest expense related to unrecognized tax benefits (0.1)      
Deferred Tax Assets, Valuation Allowance 17.2 $ 17.2   $ 17.1
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      
Federal        
Income Taxes        
Operating Loss Carryforwards 1.8 1.8    
State        
Income Taxes        
Operating Loss Carryforwards 104.2 104.2    
AlphaCare | Federal        
Income Taxes        
Operating Loss Carryforwards $ 40.4 $ 40.4