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Segment Reporting Segment Reporting - Table 3 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]    
General and administrative expenses $ (34.6)us-gaap_GeneralAndAdministrativeExpense $ (30.7)us-gaap_GeneralAndAdministrativeExpense
Depreciation and amortization (31.9)us-gaap_DepreciationDepletionAndAmortization (26.4)us-gaap_DepreciationDepletionAndAmortization
Gain (loss) on disposal or impairment of assets 1.5us-gaap_GainLossOnSalesOfAssetsAndAssetImpairmentCharges (1.3)us-gaap_GainLossOnSalesOfAssetsAndAssetImpairmentCharges
Government, class action, and related settlements (8.0)hls_GovernmentClassActionAndRelatedSettlementsGainLoss 0hls_GovernmentClassActionAndRelatedSettlementsGainLoss
Professional fees - accounting, tax, and legal (2.2)hls_ProfessionalFeesAccountingTaxAndLegal (1.6)hls_ProfessionalFeesAccountingTaxAndLegal
Loss on extinguishment of debt (1.2)us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt
Interest expense and amortization of debt discounts and fees (31.8)us-gaap_InterestAndDebtExpense (27.9)us-gaap_InterestAndDebtExpense
Net income attributable to noncontrolling interests 16.5us-gaap_NetIncomeLossAttributableToNoncontrollingInterest 14.8us-gaap_NetIncomeLossAttributableToNoncontrollingInterest
Income from continuing operations before income tax expense 89.6us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest 94.4us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
Inpatient Rehabilitation Hospital and Home Health and Hospice [Member]    
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]    
Total segment Adjusted EBITDA $ 181.3hls_AdjustedEBITDA
/ us-gaap_StatementBusinessSegmentsAxis
= hls_InpatientRehabilitationHospitalandHomeHealthandHospiceMember
$ 167.5hls_AdjustedEBITDA
/ us-gaap_StatementBusinessSegmentsAxis
= hls_InpatientRehabilitationHospitalandHomeHealthandHospiceMember