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Contingencies and Other Commitments - Textual (Details)
$ in Millions
12 Months Ended
May 18, 2016
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Feb. 28, 2015
patient
Apr. 24, 2014
facilities
Aug. 12, 2013
facilities
Mar. 04, 2013
facilities
patient
Other Commitments [Abstract]              
2018   $ 35.6          
2019   20.5          
2020   16.9          
2021   8.8          
2022   1.7          
Thereafter   2.0          
HHS-OIG Investigation [Member]              
Loss Contingencies [Line Items]              
Number of additional patient medical records requested | patient       70      
Pending Litigation [Member] | Honts lawsuit [Member]              
Loss Contingencies [Line Items]              
Number of hospitals involved in lawsuit | facilities           1  
Verdict returned in favor of plaintiff $ 20.0            
Additional net charge recorded     $ 5.7        
Liability recorded   20.2          
Receivable recorded for portion of liability expected to be covered by excess insurance coverages   15.5          
Maximum claim covered through captive insurance subsidiary   $ 6.0          
Pending Litigation [Member] | HHS-OIG Investigation [Member]              
Loss Contingencies [Line Items]              
Number of hospitals that received subpoenas | facilities         7   4
Number of patient medical records requested for each hospital in subpoenas | patient             100
Number of hospitals that received supplemental subpoenas | facilities         2    
Compliance threshold under Health Care Act (percent)   60.00%