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Summary of Significant Accounting Policies - Textual (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Finite-Lived Intangible Assets [Line Items]      
Use of Estimates, Policy [Policy Text Block] 180 days    
Summary of Significant Accounting Policies (Textual) [Abstract]      
Number of States in which Entity Operates 34    
Compliance Threshold Percentage Under The Medicare, Medicaid, and SCHIP Extension Act of 2007 60.00%    
Reduction in Net Operating Revenue, Post-Payment Claims $ (0.6) $ 0.4  
Medicare Denials, Percentage Collected After Appeal 71.00%    
Medicare Denials, Percentage Collected After Appeal, Including Administrative Law Judge Hearings 70.00%    
Minimum amount of loss contingency accrual to consider the associated estimated legal fees as accrued $ 5.0    
Advertising expenses, included in Other operating expenses $ 7.3 $ 5.3 $ 5.2
Market access assets [Member]      
Summary of Significant Accounting Policies (Textual) [Abstract]      
Market Access Assets, Useful Life 20 years    
Finite-Lived Intangible Assets, Amortization Method accelerated    
RAC Audits [Member]      
Summary of Significant Accounting Policies (Textual) [Abstract]      
Percentage of average annual patient discharges requested for review, less than 1.00%