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Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash flows from operating activities:    
Net income $ 59.0us-gaap_ProfitLoss $ 61.5us-gaap_ProfitLoss
Loss from discontinued operations 0.3us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 0.1us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Adjustments to reconcile net income to net cash provided by operating activities-    
Provision for doubtful accounts 11.6us-gaap_ProvisionForDoubtfulAccounts 7.5us-gaap_ProvisionForDoubtfulAccounts
Depreciation and amortization 31.9us-gaap_DepreciationDepletionAndAmortization 26.4us-gaap_DepreciationDepletionAndAmortization
Equity in net income of nonconsolidated affiliates (1.6)us-gaap_IncomeLossFromEquityMethodInvestments (4.3)us-gaap_IncomeLossFromEquityMethodInvestments
Distributions from nonconsolidated affiliates 1.9us-gaap_EquityMethodInvestmentDividendsOrDistributions 3.4us-gaap_EquityMethodInvestmentDividendsOrDistributions
Stock-based compensation 9.4us-gaap_ShareBasedCompensation 7.3us-gaap_ShareBasedCompensation
Deferred tax expense 26.8us-gaap_DeferredIncomeTaxExpenseBenefit 29.2us-gaap_DeferredIncomeTaxExpenseBenefit
Other 10.8us-gaap_OtherNoncashIncomeExpense 3.1us-gaap_OtherNoncashIncomeExpense
Change in assets and liabilities-    
Accounts receivable (37.3)us-gaap_IncreaseDecreaseInAccountsReceivable (24.7)us-gaap_IncreaseDecreaseInAccountsReceivable
Other assets (2.9)us-gaap_IncreaseDecreaseInOtherOperatingAssets (4.7)us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accounts payable 2.1us-gaap_IncreaseDecreaseInAccountsPayable 2.6us-gaap_IncreaseDecreaseInAccountsPayable
Accrued payroll (23.3)us-gaap_IncreaseDecreaseInAccruedSalaries (11.3)us-gaap_IncreaseDecreaseInAccruedSalaries
Other liabilities 5.4us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 11.2us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Premium received on bond issuance 8.0hls_Premiumreceivedonbondissuance 0hls_Premiumreceivedonbondissuance
Net cash used in operating activities of discontinued operations (0.1)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations (0.2)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
Total adjustments 42.7us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities 45.5us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities 102.0us-gaap_NetCashProvidedByUsedInOperatingActivities 107.1us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:    
Purchases of property and equipment (17.7)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (56.6)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Capitalized software costs (8.9)us-gaap_PaymentsForSoftware (7.0)us-gaap_PaymentsForSoftware
Acquisition of business, net of cash acquired (7.3)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired 0us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Net change in restricted cash (15.0)us-gaap_IncreaseDecreaseInRestrictedCash (5.5)us-gaap_IncreaseDecreaseInRestrictedCash
Other 3.2us-gaap_PaymentsForProceedsFromOtherInvestingActivities 1.3us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash used in investing activities (45.7)us-gaap_NetCashProvidedByUsedInInvestingActivities (67.8)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:    
Proceeds from bond issuance 700.0us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt 0us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt
Principal payments on debt, including pre-payments (252.9)us-gaap_RepaymentsOfLongTermDebt (1.3)us-gaap_RepaymentsOfLongTermDebt
Borrowings on revolving credit facility 35.0us-gaap_ProceedsFromLongTermLinesOfCredit 40.0us-gaap_ProceedsFromLongTermLinesOfCredit
Payments on revolving credit facility (350.0)us-gaap_RepaymentsOfLongTermLinesOfCredit (42.0)us-gaap_RepaymentsOfLongTermLinesOfCredit
Debt amendment and issuance costs (13.7)us-gaap_PaymentsOfDebtIssuanceCosts 0us-gaap_PaymentsOfDebtIssuanceCosts
Repurchase of common stock, including fees and expenses 0us-gaap_PaymentsForRepurchaseOfCommonStock (26.3)us-gaap_PaymentsForRepurchaseOfCommonStock
Dividends paid on common stock (18.6)us-gaap_PaymentsOfDividendsCommonStock (15.8)us-gaap_PaymentsOfDividendsCommonStock
Dividends paid on convertible perpetual preferred stock (1.6)us-gaap_PaymentsOfDividendsPreferredStockAndPreferenceStock (1.6)us-gaap_PaymentsOfDividendsPreferredStockAndPreferenceStock
Distributions paid to noncontrolling interests of consolidated affiliates (13.2)us-gaap_PaymentsOfDividendsMinorityInterest (12.0)us-gaap_PaymentsOfDividendsMinorityInterest
Proceeds from exercise of stock warrants 0us-gaap_ProceedsFromWarrantExercises 6.3us-gaap_ProceedsFromWarrantExercises
Other 0.3us-gaap_ProceedsFromPaymentsForOtherFinancingActivities 2.0us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash provided by (used in) financing activities 85.3us-gaap_NetCashProvidedByUsedInFinancingActivities (50.7)us-gaap_NetCashProvidedByUsedInFinancingActivities
Increase (decrease) in cash and cash equivalents 141.6us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (11.4)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 66.7us-gaap_CashAndCashEquivalentsAtCarryingValue 64.5us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period $ 208.3us-gaap_CashAndCashEquivalentsAtCarryingValue $ 53.1us-gaap_CashAndCashEquivalentsAtCarryingValue