Insurance Programs (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Commitments and Contingencies Disclosure [Abstract]
Health Insurance	$ 11.7	$ 11.2
Wokers Compensation	23.9	20.8
Professional Liability	4.1	3.9
Estimated Insurance Total	39.7	35.9
Estimated Insurance Long Term Portion	(0.9)	(1.0)
Estimated Insurance Excluding Long Term Portion	$ 38.8	$ 34.9