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General (Details 8) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Dec. 31, 2014
Income Taxes      
Effective income tax rates (as a percent) 46.80% 52.60%  
The ownership percentage for which the entity files a consolidated federal income tax return, low end of range 80.00%    
Deferred Tax Assets, Valuation Allowance $ 12.5   $ 12.4
Federal      
Income Taxes      
Operating Loss Carryforwards 3.0    
State      
Income Taxes      
Operating Loss Carryforwards 160.5    
AlphaCare | Federal      
Income Taxes      
Operating Loss Carryforwards $ 24.5