Organization and Significant Accounting Policies - Insurance Risk Programs (Details) - Insurance Risk Programs - USD ($) $ in Millions	12 Months Ended
Dec. 31, 2015	Dec. 31, 2014
Insurance risk programs
Discount rate for provisions for losses for professional liability (as a percent)	3.00%	3.00%
Liability recorded after discounting	$ 157.4	$ 101.9
Value of aggregate liability, if the entity did not discount the provisions for losses	$ 165.8	$ 105.5

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

No definition available.

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- Definition

The rate applied as of the balance sheet date to reduce the undiscounted amount of a guarantee fund and other insurance-related assessments to present value.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 405
-SubTopic 30
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6392405&loc=d3e24119-109301

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- Definition

The present value of the liability as of the balance sheet date representing required funding mandated by statute or regulatory authority that is related directly or indirectly to underwriting activities, including pools for self-insurance and excluding premium taxes and income taxes. The funds derived from the assessments generally enable a government guarantor to pay insurance claims in the event that the underwriting insurer is insolvent or otherwise unable to meet its payment obligations.

+ References

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- Definition

The liability as of the balance sheet date representing required funding mandated by statute or regulatory authority that is related directly or indirectly to underwriting activities, including pools for self-insurance and excluding premium taxes and income taxes. The funds derived from the assessments generally enable a government guarantor to pay insurance claims in the event that the underwriting insurer is insolvent or otherwise unable to meet its payment obligations.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 405
-SubTopic 30
-Section 15
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=51828112&loc=d3e23169-109297

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 405
-SubTopic 30
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6392405&loc=d3e24119-109301

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