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Schedule II - Schedule of Valuation and Qualifying Accounts (Parenthetical) (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Dec. 31, 2016
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Increase in real estate impairment reserve     $ 48.0    
Increase in accounts receivable reserve     9.3    
Increase (decrease) in valuation allowance     $ (7.7) $ (4.9) $ (6.1)
Domestic Valuation Allowances [Member]          
Increase (decrease) in valuation allowance $ (4.4)        
Foreign Valuation Allowances [Member]          
Increase (decrease) in valuation allowance   $ (4.0)      
Twelve Oaks Facility [Member]          
Rent reserves   1.9     1.9
Write offs related to payment of rent, late fees, and loans   3.3     3.3
Corinth Facility [Member]          
Rent reserves   0.8     0.8
Write offs for rent and interest reserves   0.8     0.8
M/C Healthcare Loan [Member]          
Write offs related to loan   $ 0.1     $ 0.1