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Income Taxes - Table 2 (Details)
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Effective Income Tax Rate Reconciliation      
Tax expense at statutory rate 35.00% 35.00% 35.00%
Increase (decrease) in tax rate resulting from:      
State and other income taxes, net of federal tax benefit 3.60% 4.30% 4.00%
Increase (decrease) in valuation allowance 1.20% (1.90%) (2.30%)
Settlement of tax claims 0.10% 0.00% (28.70%)
Noncontrolling interests (5.30%) (5.10%) (5.10%)
Acquisition of additional equity interest in Fairlawn 0.00% (3.60%) 0.00%
Other, net 1.30% (0.10%) 0.30%
Income tax expense 35.90% 28.60% 3.20%