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Quarterly Data (Unaudited) - Schedule of Quarterly Data (Details) - USD ($)
$ / shares in Units, $ in Millions
 3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Quarterly Financial Data                      
Net operating revenues $ 1,096.0 $ 1,067.6 $ 1,067.7 $ 1,046.0 $ 1,008.8 $ 981.6 $ 966.4 $ 957.1 $ 4,277.3 $ 3,913.9 $ 3,642.6
Operating earnings 93.4 154.5 157.3 150.0 144.7 145.2 141.3 147.1 555.2 578.3  
Provision for income tax expense 29.4 30.2 29.3 30.0 34.4 43.1 28.6 39.7 118.9 145.8 163.9
Income from continuing operations 46.2 109.4 113.0 105.7 101.5 85.2 79.2 84.7 374.3 350.6 318.1
(Loss) income from discontinued operations, net of tax 1.5 (0.1) 0.2 (0.5) (0.2) (0.1) 0.2 (0.3) 1.1 (0.4) 0.0
Net income 47.7 109.3 113.2 105.2 101.3 85.1 79.4 84.4 375.4 350.2 318.1
Less: Net income attributable to noncontrolling interests (19.6) (20.7) (21.4) (21.4) (25.9) (19.2) (16.4) (17.6) (83.1) (79.1) (70.5)
Net income attributable to Encompass Health $ 28.1 $ 88.6 $ 91.8 $ 83.8 $ 75.4 $ 65.9 $ 63.0 $ 66.8 $ 292.3 $ 271.1 $ 247.6
Basic earnings (loss) per share attributable to HealthSouth common shareholders:                      
Continuing operations (in dollars per share) $ 0.27 $ 0.90 $ 0.93 $ 0.86 $ 0.77 $ 0.67 $ 0.70 $ 0.75 $ 2.97 $ 2.88 $ 2.77
Discontinued Operations (in dollars per share) 0.02 0.00 0.00 (0.01) 0.00 0.00 0.00 0.00 0.01 0.00 0.00
Net income (in dollars per share) 0.29 0.90 0.93 0.85 0.77 0.67 0.70 0.75 2.98 2.88 2.77
Diluted earnings (loss) per share attributable to HealthSouth common shareholders:                      
Continuing operations (in dollars per share) 0.26 0.89 0.92 0.85 0.76 0.67 0.70 0.70 2.92 2.84 2.59
Discontinued operations (in dollars per share) 0.02 0.00 0.00 (0.01) 0.00 0.00 0.00 0.00 0.01 0.00 0.00
Net income (in dollars per share) $ 0.28 $ 0.89 $ 0.92 $ 0.84 $ 0.76 $ 0.67 $ 0.70 $ 0.70 $ 2.93 $ 2.84 $ 2.59
As Reported [Member]                      
Quarterly Financial Data                      
Provision for income tax expense         $ 49.2         $ 160.6  
Income from continuing operations         86.7         335.8  
Net income         86.5         335.4  
Net income attributable to Encompass Health         $ 60.6         $ 256.3  
Basic earnings (loss) per share attributable to HealthSouth common shareholders:                      
Net income (in dollars per share)         $ 0.62         $ 2.73  
Diluted earnings (loss) per share attributable to HealthSouth common shareholders:                      
Net income (in dollars per share)         $ 0.61         $ 2.69  
Adjustment [Member]                      
Quarterly Financial Data                      
Provision for income tax expense         $ (14.8)         $ (14.8)  
Income from continuing operations         14.8         14.8  
Net income         14.8         14.8  
Net income attributable to Encompass Health         $ 14.8         $ 14.8  
Basic earnings (loss) per share attributable to HealthSouth common shareholders:                      
Net income (in dollars per share)         $ 0.15         $ 0.15  
Diluted earnings (loss) per share attributable to HealthSouth common shareholders:                      
Net income (in dollars per share)         $ 0.15         $ 0.15