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Consolidated Statements of Operations - USD ($)
shares in Millions, $ in Millions
 12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income Statement [Abstract]      
Net operating revenues $ 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 (2.2) (4.1) (2.9)
Equity in net income of nonconsolidated affiliates (8.7) (8.0) (9.8)
Income from continuing operations before income tax expense 493.2 496.4 482.0
Provision for income tax expense 118.9 145.8 163.9
Income from continuing operations 374.3 350.6 318.1
Income (loss) from discontinued operations, net of tax 1.1 (0.4) 0.0
Net income 375.4 350.2 318.1
Less: Net income attributable to noncontrolling interests (83.1) (79.1) (70.5)
Net income attributable to Encompass Health $ 292.3 $ 271.1 $ 247.6
Weighted average common shares outstanding:      
Basic (shares) 97.9 93.7 89.1
Diluted (shares) 99.8 99.3 99.5
Basic earnings per share attributable to Encompass Health common shareholders:      
Continuing operations (in dollars per share) $ 2.97 $ 2.88 $ 2.77
Discontinued Operations (in dollars per share) 0.01 0.00 0.00
Net income (in dollars per share) 2.98 2.88 2.77
Diluted earnings per share attributable to Encompass Health common shareholders:      
Continuing operations (in dollars per share) 2.92 2.84 2.59
Discontinued operations (in dollars per share) 0.01 0.00 0.00
Net income (in dollars per share) $ 2.93 $ 2.84 $ 2.59
Amounts attributable to Encompass Health:      
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 attributable to Encompass Health $ 292.3 $ 271.1 $ 247.6