XML 47 R33.htm IDEA: XBRL DOCUMENT
v3.8.0.1

Basis of Presentation - Table 1 (Details) - state | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2017 | Sep. 30, 2016 | Sep. 30, 2017 | Sep. 30, 2016
Concentration Risk [Line Items] |  |  |  |
Number of states in which entity operates | 36 |  | 36 |
Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Number of states in which entity operates | 31 |  | 31 |
Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Number of states in which entity operates | 28 |  | 28 |
Net operating revenues [Member] | Payor Source [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 100.00% | 100.00% | 100.00% | 100.00%
Net operating revenues [Member] | Payor Source [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 100.00% | 100.00% | 100.00% | 100.00%
Net operating revenues [Member] | Payor Source [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 100.00% | 100.00% | 100.00% | 100.00%
Net operating revenues [Member] | Payor Source [Member] | Other Income Source [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 1.10% | 1.10% | 1.10% | 1.20%
Net operating revenues [Member] | Payor Source [Member] | Other Income Source [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 1.40% | 1.30% | 1.30% | 1.40%
Net operating revenues [Member] | Payor Source [Member] | Other Income Source [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.10% | 0.10% | 0.10% | 0.10%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 75.70% | 74.80% | 75.30% | 75.00%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 73.30% | 73.30% | 73.10% | 73.30%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 85.20% | 81.80% | 84.70% | 82.40%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare Advantage [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 8.40% | 7.90% | 8.70% | 7.90%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare Advantage [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 8.10% | 7.60% | 8.40% | 7.70%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicare Advantage [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 9.60% | 8.80% | 10.00% | 8.90%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Managed Care [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 9.40% | 10.10% | 9.60% | 9.90%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Managed Care [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 10.70% | 11.40% | 11.00% | 11.30%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Managed Care [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 3.90% | 4.50% | 3.80% | 3.70%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicaid [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 2.90% | 3.30% | 2.80% | 3.30%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicaid [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 3.40% | 3.00% | 3.10% | 3.00%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Medicaid [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 1.10% | 4.70% | 1.30% | 4.80%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Other Third-party Payors [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 1.30% | 1.50% | 1.30% | 1.40%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Other Third-party Payors [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 1.60% | 1.80% | 1.60% | 1.70%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Workers' Compensation [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.70% | 0.80% | 0.70% | 0.80%
Net operating revenues [Member] | Payor Source [Member] | Third-Party Payor [Member] | Workers' Compensation [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.90% | 1.00% | 0.90% | 1.00%
Net operating revenues [Member] | Payor Source [Member] | Self-Pay [Member] | Patients [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.50% | 0.50% | 0.50% | 0.50%
Net operating revenues [Member] | Payor Source [Member] | Self-Pay [Member] | Patients [Member] | Inpatient Rehabilitation Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.60% | 0.60% | 0.60% | 0.60%
Net operating revenues [Member] | Payor Source [Member] | Self-Pay [Member] | Patients [Member] | Home Health and Hospice Segment [Member] |  |  |  |
Concentration Risk [Line Items] |  |  |  |
Net operating revenues by payor source (percent) | 0.10% | 0.10% | 0.10% | 0.10%

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_ConcentrationRiskLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 18 -URI http://asc.fasb.org/extlink&oid=84177426&loc=d3e6351-108592 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 20 -URI http://asc.fasb.org/extlink&oid=77997519&loc=d3e13531-108611 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 20 -URI http://asc.fasb.org/extlink&oid=84177426&loc=d3e6404-108592 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=77997519&loc=d3e13537-108611 + Details
Name: | us-gaap_ConcentrationRiskPercentage1
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition The number of states the entity operates in as of the balance sheet date. + References No definition available. + Details
Name: | us-gaap_NumberOfStatesInWhichEntityOperates
Namespace Prefix: | us-gaap_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=hls_InpatientRehabilitationSegmentMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=hls_HomeHealthandHospiceSegmentMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ConcentrationRiskByBenchmarkAxis=us-gaap_SalesRevenueNetMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ConcentrationRiskByTypeAxis=hls_PayorSourceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_OtherIncomeSourceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=us-gaap_ThirdPartyPayorMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_MedicareMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_MedicareAdvantageMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_ManagedCareMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_MedicaidMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_OtherThirdpartyPayorsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_WorkersCompensationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=us-gaap_SelfPayMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CounterpartyNameAxis=hls_PatientsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |