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Segment Reporting Segment Reporting - Table 4 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Segment Reporting, Asset Reconciling Item [Line Items]      
Total assets $ 3,577.9us-gaap_Assets   $ 3,408.8us-gaap_Assets
Reclassification of noncurrent deferred income tax liabilities to net noncurrent deferred income tax assets (64.3)us-gaap_PriorPeriodReclassificationAdjustment (64.3)us-gaap_PriorPeriodReclassificationAdjustment  
Inpatient Rehabilitation Hospital and Home Health and Hospice [Member]      
Segment Reporting, Asset Reconciling Item [Line Items]      
Total assets $ 3,642.2us-gaap_Assets
/ us-gaap_StatementBusinessSegmentsAxis
= hls_InpatientRehabilitationHospitalandHomeHealthandHospiceMember
  $ 3,473.1us-gaap_Assets
/ us-gaap_StatementBusinessSegmentsAxis
= hls_InpatientRehabilitationHospitalandHomeHealthandHospiceMember