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Condensed Consolidating Financial Information - Condensed Consolidating Statement of Operations (Details) - USD ($)
$ 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
Condensed Consolidating Statements of Operations                      
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 expenses:                      
Salaries and benefits                 2,354.0 2,154.6 1,985.9
Other operating expenses                 585.1 531.6 490.6
Occupancy costs                 78.0 73.5 71.3
Supplies                 158.7 149.3 140.0
General and administrative expenses                 220.2 171.7 133.4
Depreciation and amortization                 199.7 183.8 172.6
Government, class action, and related settlements                 52.0 0.0 0.0
Total operating expenses                 3,647.7 3,264.5 2,993.8
Loss on early extinguishment of debt                 0.0 10.7 7.4
Interest expense and amortization of debt discounts and fees                 147.3 154.4 172.1
Other (income) loss                 (2.2) (4.1) (2.9)
Equity in net income of nonconsolidated affiliates                 (8.7) (8.0) (9.8)
Equity in net income of consolidated affiliates                 0.0 0.0 0.0
Management fees                 0.0 0.0 0.0
Income from continuing operations before income tax expense                 493.2 496.4 482.0
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
Income (loss) 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
Comprehensive income                 375.4 350.1 318.1
Comprehensive income attributable to Encompass Health                 292.3 271.0 247.6
Encompass Health Corporation [Member]                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 21.0 21.3 20.1
Operating expenses:                      
Salaries and benefits                 49.5 34.7 45.5
Other operating expenses                 37.9 32.8 27.4
Occupancy costs                 1.9 1.9 2.9
Supplies                 0.0 0.0 0.0
General and administrative expenses                 161.0 143.7 126.7
Depreciation and amortization                 14.3 8.8 9.4
Government, class action, and related settlements                 52.0    
Total operating expenses                 316.6 221.9 211.9
Loss on early extinguishment of debt                   10.7 7.4
Interest expense and amortization of debt discounts and fees                 124.2 130.5 147.3
Other (income) loss                 (22.4) (21.7) (19.6)
Equity in net income of nonconsolidated affiliates                 0.0 0.0 0.0
Equity in net income of consolidated affiliates                 (465.0) (341.6) (347.2)
Management fees                 (153.1) (145.0) (136.2)
Income from continuing operations before income tax expense                 220.7 166.5 156.5
Provision for income tax expense                 (70.5) (105.0) (91.1)
Income from continuing operations                 291.2 271.5 247.6
Income (loss) from discontinued operations, net of tax                 1.1 (0.4) 0.0
Net income                 292.3 271.1 247.6
Less: Net income attributable to noncontrolling interests                 0.0 0.0 0.0
Net income attributable to Encompass Health                 292.3 271.1 247.6
Comprehensive income                 292.3 271.0 247.6
Comprehensive income attributable to Encompass Health                 292.3 271.0 247.6
Guarantor Subsidiaries [Member]                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 2,325.6 2,228.0 2,129.9
Operating expenses:                      
Salaries and benefits                 1,120.0 1,077.4 1,006.1
Other operating expenses                 340.7 321.8 309.8
Occupancy costs                 95.5 93.4 89.8
Supplies                 94.7 93.2 89.9
General and administrative expenses                 0.0 0.0 0.0
Depreciation and amortization                 106.0 103.4 102.8
Government, class action, and related settlements                 0.0    
Total operating expenses                 1,756.9 1,689.2 1,598.4
Loss on early extinguishment of debt                   0.0 0.0
Interest expense and amortization of debt discounts and fees                 20.6 21.1 21.6
Other (income) loss                 (1.0) 0.2 (0.4)
Equity in net income of nonconsolidated affiliates                 (7.5) (7.3) (9.0)
Equity in net income of consolidated affiliates                 (65.8) (40.3) (41.2)
Management fees                 112.7 108.3 103.1
Income from continuing operations before income tax expense                 509.7 456.8 457.4
Provision for income tax expense                 136.4 182.3 182.6
Income from continuing operations                 373.3 274.5 274.8
Income (loss) from discontinued operations, net of tax                 0.0 0.0 0.0
Net income                 373.3 274.5 274.8
Less: Net income attributable to noncontrolling interests                 0.0 0.0 0.0
Net income attributable to Encompass Health                 373.3 274.5 274.8
Comprehensive income                 373.3 274.5 274.8
Comprehensive income attributable to Encompass Health                 373.3 274.5 274.8
Non-Guarantor Subsidiaries [Member]                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 2,061.0 1,790.7 1,610.5
Operating expenses:                      
Salaries and benefits                 1,205.9 1,063.5 952.6
Other operating expenses                 256.3 225.6 199.7
Occupancy costs                 39.7 34.7 31.9
Supplies                 64.0 56.1 50.1
General and administrative expenses                 59.2 28.0 6.7
Depreciation and amortization                 79.4 71.6 60.4
Government, class action, and related settlements                 0.0    
Total operating expenses                 1,704.5 1,479.5 1,301.4
Loss on early extinguishment of debt                   0.0 0.0
Interest expense and amortization of debt discounts and fees                 27.7 23.8 23.1
Other (income) loss                 (4.0) (3.6) (2.8)
Equity in net income of nonconsolidated affiliates                 (1.2) (0.7) (0.8)
Equity in net income of consolidated affiliates                 0.0 0.0 0.0
Management fees                 40.4 36.7 33.1
Income from continuing operations before income tax expense                 293.6 255.0 256.5
Provision for income tax expense                 53.0 68.5 72.4
Income from continuing operations                 240.6 186.5 184.1
Income (loss) from discontinued operations, net of tax                 0.0 0.0 0.0
Net income                 240.6 186.5 184.1
Less: Net income attributable to noncontrolling interests                 (83.1) (79.1) (70.5)
Net income attributable to Encompass Health                 157.5 107.4 113.6
Comprehensive income                 240.6 186.5 184.1
Comprehensive income attributable to Encompass Health                 157.5 107.4 113.6
Eliminating Entries                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 (130.3) (126.1) (117.9)
Operating expenses:                      
Salaries and benefits                 (21.4) (21.0) (18.3)
Other operating expenses                 (49.8) (48.6) (46.3)
Occupancy costs                 (59.1) (56.5) (53.3)
Supplies                 0.0 0.0 0.0
General and administrative expenses                 0.0 0.0 0.0
Depreciation and amortization                 0.0 0.0 0.0
Government, class action, and related settlements                 0.0    
Total operating expenses                 (130.3) (126.1) (117.9)
Loss on early extinguishment of debt                   0.0 0.0
Interest expense and amortization of debt discounts and fees                 (25.2) (21.0) (19.9)
Other (income) loss                 25.2 21.0 19.9
Equity in net income of nonconsolidated affiliates                 0.0 0.0 0.0
Equity in net income of consolidated affiliates                 530.8 381.9 388.4
Management fees                 0.0 0.0 0.0
Income from continuing operations before income tax expense                 (530.8) (381.9) (388.4)
Provision for income tax expense                 0.0 0.0 0.0
Income from continuing operations                 (530.8) (381.9) (388.4)
Income (loss) from discontinued operations, net of tax                 0.0 0.0 0.0
Net income                 (530.8) (381.9) (388.4)
Less: Net income attributable to noncontrolling interests                 0.0 0.0 0.0
Net income attributable to Encompass Health                 (530.8) (381.9) (388.4)
Comprehensive income                 (530.8) (381.9) (388.4)
Comprehensive income attributable to Encompass Health                 $ (530.8) $ (381.9) $ (388.4)