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Acquisitions (Details) - SWH Acquisition - USD ($)
$ in Millions
Oct. 31, 2017
Sep. 30, 2018
Acquisitions    
Amount of consideration paid in cash $ 400.0  
Incentive payment for Medicare & Medicaid Services Star Rating $ 10.0  
Increase (decrease) in goodwill due to measurement period adjustment   $ 8.7