Other Contingencies (Details) (USD $)	9 Months Ended
Sep. 30, 2011
Bank line of credit	$ 57,000,000
Borrowings under line of credit	0
Line of credit expiration date	June 30, 2012
Number of states in which the entity operates	47
Percentage of reduction in medicare payments to nursing centers	11.10%
Standby Letter Of Credit [Member]
Irrevocable standby letter of credit, outstanding	$ 40,420,000

Number of states in which services are provided.

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Namespace Prefix:	hcsg
Data Type:	xbrli:integerItemType
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Period Type:	duration

- Definition

Percentage of decrease in Medicare payments to nursing centers.

+ Details

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Namespace Prefix:	hcsg
Data Type:	num:percentItemType
Balance Type:	na
Period Type:	duration

- Definition

The total amount of the contingent obligation under letters of credit outstanding as of the reporting date.

+ Details

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Namespace Prefix:	us-gaap
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

- Definition

Amount borrowed under the credit facility as of the balance sheet date.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 02

-Paragraph 19, 22

-Article 5

+ Details

Name:	us-gaap_LineOfCreditFacilityAmountOutstanding
Namespace Prefix:	us-gaap
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

- Definition

Reflects when the credit facility terminates, which may be presented in a variety of ways (year, month and year, day, month and year, quarter).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 129

-Paragraph 2, 4

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 02

-Paragraph 19, 22

-Article 5

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 210

-SubTopic 10

-Section S99

-Paragraph 1

-Subparagraph (SX 210.5-02.19(b),22(b))

-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

+ Details

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Data Type:	us-types:dateStringItemType
Balance Type:	na
Period Type:	duration

- Definition

Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility.

+ References

+ Details

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Namespace Prefix:	us-gaap
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant