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Consolidated Statements of Comprehensive Income - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Comprehensive Income (Loss), Net of Tax, Attributable to Parent [Abstract]      
Net income $ 375.4 $ 350.2 $ 318.1
Net change in unrealized (loss) gain on available-for-sale securities:      
Unrealized net holding (loss) gain arising during the period 0.0 (0.1) 0.1
Other comprehensive (loss) income before income taxes 0.0 (0.1) 0.1
Provision for income tax expense related to other comprehensive loss items 0.0 0.0 (0.1)
Other comprehensive loss, net of tax: 0.0 (0.1) 0.0
Comprehensive income 375.4 350.1 318.1
Comprehensive income attributable to noncontrolling interests (83.1) (79.1) (70.5)
Comprehensive income attributable to Encompass Health $ 292.3 $ 271.0 $ 247.6