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Condensed Consolidating Financial Information - Condensed Consolidating Balance Sheet (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Current assets:        
Cash and cash equivalents $ 69.2 $ 54.4 $ 40.5 $ 61.6
Restricted cash 59.0 62.4 60.9 45.9
Accounts receivable, net 467.7 472.1    
Prepaid expenses and other current assets 66.2 113.3    
Total current assets 662.1 702.2    
Property and equipment, net 1,634.8 1,517.1    
Goodwill 2,100.8 1,972.6 1,927.2 1,890.1
Intangible assets, net 443.4 403.1    
Deferred income tax assets 42.9 34.4    
Other long-term assets 291.0 235.1    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 0.0 0.0    
Total assets [1] 5,175.0 4,864.5    
Current liabilities:        
Current portion of long-term debt 35.8 32.3    
Accounts payable 90.0 78.4    
Accrued payroll 188.4 172.1    
Accrued interest payable 24.4 24.7    
Other current liabilities 333.9 210.0    
Total current liabilities 672.5 517.5    
Long-term debt, net of current portion 2,478.6 2,545.4    
Intercompany notes payable 0.0 0.0    
Self-insured risks 119.6 110.1    
Other long-term liabilities 85.6 75.2    
Intercompany payable 0.0 0.0    
Total liabilities 3,356.3 3,248.2    
Commitments and contingencies    
Redeemable noncontrolling interests 261.7 220.9    
Shareholders' equity        
Encompass Health shareholders’ equity 1,276.7 1,152.5    
Noncontrolling interests 280.3 242.9    
Total shareholders’ equity 1,557.0 1,395.4 910.6 765.4
Total liabilities and shareholders’ equity 5,175.0 4,864.5    
Consolidation, Eliminations [Member]        
Current assets:        
Cash and cash equivalents 0.0 0.0 0.0 0.0
Restricted cash 0.0 0.0 0.0 0.0
Accounts receivable, net 0.0 0.0    
Prepaid expenses and other current assets (18.8) (18.5)    
Total current assets (18.8) (18.5)    
Property and equipment, net 0.0 0.0    
Goodwill 0.0 0.0    
Intangible assets, net 0.0 0.0    
Deferred income tax assets (33.9) (42.2)    
Other long-term assets 0.0 0.0    
Intercompany notes receivable (535.3) (486.2)    
Intercompany receivable and investments in consolidated affiliates (3,420.1) (3,150.4)    
Total assets (4,008.1) (3,697.3)    
Current liabilities:        
Current portion of long-term debt (17.5) (17.5)    
Accounts payable 0.0 0.0    
Accrued payroll 0.0 0.0    
Accrued interest payable (0.3) 0.0    
Other current liabilities (1.0) (1.0)    
Total current liabilities (18.8) (18.5)    
Long-term debt, net of current portion 0.0 0.0    
Intercompany notes payable (535.3) (486.2)    
Self-insured risks 0.0 0.0    
Other long-term liabilities (33.8) (42.1)    
Intercompany payable (44.7) (144.8)    
Total liabilities (632.6) (691.6)    
Commitments and contingencies    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity        
Encompass Health shareholders’ equity (3,375.5) (3,005.7)    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity (3,375.5) (3,005.7)    
Total liabilities and shareholders’ equity (4,008.1) (3,697.3)    
Encompass Health Corporation [Member]        
Current assets:        
Cash and cash equivalents 41.5 34.3 20.6 41.2
Restricted cash 0.0 0.0 0.0 0.0
Accounts receivable, net 0.0 0.0    
Prepaid expenses and other current assets 36.3 61.4    
Total current assets 77.8 95.7    
Property and equipment, net 123.9 101.8    
Goodwill 0.0 0.0    
Intangible assets, net 21.4 11.8    
Deferred income tax assets 47.9 68.2    
Other long-term assets 47.9 49.2    
Intercompany notes receivable 535.3 486.2    
Intercompany receivable and investments in consolidated affiliates 2,904.4 2,839.1    
Total assets 3,758.6 3,652.0    
Current liabilities:        
Current portion of long-term debt 35.0 32.8    
Accounts payable 8.9 10.4    
Accrued payroll 35.0 36.1    
Accrued interest payable 22.3 21.9    
Other current liabilities 154.5 108.8    
Total current liabilities 255.7 210.0    
Long-term debt, net of current portion 2,188.7 2,258.5    
Intercompany notes payable 0.0 0.0    
Self-insured risks 16.1 9.6    
Other long-term liabilities 21.4 21.4    
Intercompany payable 0.0 0.0    
Total liabilities 2,481.9 2,499.5    
Commitments and contingencies    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity        
Encompass Health shareholders’ equity 1,276.7 1,152.5    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity 1,276.7 1,152.5    
Total liabilities and shareholders’ equity 3,758.6 3,652.0    
Guarantor Subsidiaries [Member]        
Current assets:        
Cash and cash equivalents 2.9 2.9 1.6 1.2
Restricted cash 0.0 0.0 0.0 0.0
Accounts receivable, net 268.1 285.2    
Prepaid expenses and other current assets 17.5 21.7    
Total current assets 288.5 309.8    
Property and equipment, net 1,015.3 991.5    
Goodwill 854.6 854.6    
Intangible assets, net 94.6 105.1    
Deferred income tax assets 28.9 8.4    
Other long-term assets 101.3 100.5    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 515.7 311.3    
Total assets 2,898.9 2,681.2    
Current liabilities:        
Current portion of long-term debt 6.8 7.4    
Accounts payable 46.1 43.5    
Accrued payroll 68.5 63.8    
Accrued interest payable 2.2 2.6    
Other current liabilities 4.8 15.6    
Total current liabilities 128.4 132.9    
Long-term debt, net of current portion 235.2 242.2    
Intercompany notes payable 0.0 0.0    
Self-insured risks 0.0 0.0    
Other long-term liabilities 17.1 17.8    
Intercompany payable 0.0 0.0    
Total liabilities 380.7 392.9    
Commitments and contingencies    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity        
Encompass Health shareholders’ equity 2,518.2 2,288.3    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity 2,518.2 2,288.3    
Total liabilities and shareholders’ equity 2,898.9 2,681.2    
Non-Guarantor Subsidiaries [Member]        
Current assets:        
Cash and cash equivalents 24.8 17.2 18.3 19.2
Restricted cash 59.0 62.4 $ 60.9 $ 45.9
Accounts receivable, net 199.6 186.9    
Prepaid expenses and other current assets 31.2 48.7    
Total current assets 314.6 315.2    
Property and equipment, net 495.6 423.8    
Goodwill 1,246.2 1,118.0    
Intangible assets, net 327.4 286.2    
Deferred income tax assets 0.0 0.0    
Other long-term assets 141.8 85.4    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 0.0 0.0    
Total assets 2,525.6 2,228.6    
Current liabilities:        
Current portion of long-term debt 11.5 9.6    
Accounts payable 35.0 24.5    
Accrued payroll 84.9 72.2    
Accrued interest payable 0.2 0.2    
Other current liabilities 175.6 86.6    
Total current liabilities 307.2 193.1    
Long-term debt, net of current portion 54.7 44.7    
Intercompany notes payable 535.3 486.2    
Self-insured risks 103.5 100.5    
Other long-term liabilities 80.9 78.1    
Intercompany payable 44.7 144.8    
Total liabilities 1,126.3 1,047.4    
Commitments and contingencies    
Redeemable noncontrolling interests 261.7 220.9    
Shareholders' equity        
Encompass Health shareholders’ equity 857.3 717.4    
Noncontrolling interests 280.3 242.9    
Total shareholders’ equity 1,137.6 960.3    
Total liabilities and shareholders’ equity $ 2,525.6 $ 2,228.6    
[1] Our consolidated assets as of December 31, 2018 and December 31, 2017 include total assets of variable interest entities of $197.5 million and $264.1 million, respectively, which cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of December 31, 2018 and December 31, 2017 include total liabilities of the variable interest entities of $50.8 million and $52.5 million, respectively. See Note 3, Variable Interest Entities.