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Property and Equipment - Textual (Details)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2013
USD ($)
Dec. 31, 2015
USD ($)
yr
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Mar. 31, 2008
Property and Equipment (Textual) [Abstract]          
Percentage of property and equipment, net pledged to lenders under credit agreement   75.00%      
Operating Lease Term, Minimum | yr   3      
Operating Lease Term, Maximum | yr   15      
Rental Income from Subleases   $ 5.0 $ 5.1 $ 4.9  
Total Expected Future Minimum Sublease Rental Income   13.5      
Percentage of Net Profit Due Company from Hospital Building Sale         40.00%
Proceeds from sale of Digital Hospital $ 10.8 $ 0.0 $ 0.0 $ 10.8  
Number of sale/leaseback transactions   2      
Sale/Leaseback Transactions, Future Minimum Payments, 2016   $ 2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2017   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2018   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2019   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2020   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2021 & Thereafter   $ 8.3