XML 68 R54.htm IDEA: XBRL DOCUMENT v3.10.0.1

Business Combinations - Textual (Details)	Sep. 01, 2017	Dec. 31, 2018 USD ($)	Dec. 01, 2018 location	Nov. 01, 2018 location bed	Oct. 08, 2018 bed	Sep. 05, 2018 bed	Jun. 01, 2018 location	Jan. 01, 2018 location	Dec. 31, 2017 USD ($)	Oct. 01, 2017 location	Aug. 01, 2017 location	Jul. 01, 2017 location	May 01, 2017 location	Apr. 08, 2017 bed	Apr. 01, 2017 bed	Feb. 01, 2017 location	Dec. 31, 2016 USD ($)	Nov. 30, 2016 location	Oct. 31, 2016 location	Sep. 30, 2016 location	Aug. 31, 2016 bed	Jul. 31, 2016 location	May 31, 2016 location	Feb. 29, 2016 bed
Inpatient Rehabilitation Segment [Member] | Murrells Inlet, Winston-Salem and Littleton [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $		$ 0
Inpatient Rehabilitation Segment [Member] | Gulfport, Mount Carmel, Jackson and Heritage Valley [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $									$ 0
Inpatient Rehabilitation Segment [Member] | CHI St. Vincent Hot Springs [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)																								50.00%
Number of beds acquired | bed																								20
Inpatient Rehabilitation Segment [Member] | St. Joseph Regional Health Center (Bryan) [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)																					50.00%
Number of beds acquired | bed																					19
Inpatient Rehabilitation Segment [Member] | The Bernsen Rehabilitation Center at St. John (Broken Arrow) [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)																					51.00%
Number of beds acquired | bed																					24
Inpatient Rehabilitation Segment [Member] | Hot Springs, Bryan and Broken Arrow [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $																	$ 0
Home Health and Hospice Segment [Member] | Camellia Healthcare [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $		96,100,000
Home Health and Hospice Segment [Member] | Golden Age, MSA and Tenet [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $		$ 8,900,000
Home Health and Hospice Segment [Member] | Celtic, Community, Bio Care, VNA, Ware, and Pickens County [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $									$ 21,400,000
Home Health and Hospice Segment [Member] | Series of individually immaterial business acquisitions [Member]
Business Acquisition [Line Items]
Goodwill expected to be tax-deductible | $																	$ 41,400,000
Home health [Member] | Home Health and Hospice Segment [Member] | Tenet [Member]
Business Acquisition [Line Items]
Number of locations				1
Home health [Member] | Home Health and Hospice Segment [Member] | Celtic Healthcare of Maryland, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																2
Home health [Member] | Home Health and Hospice Segment [Member] | Community Health Services, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																2
Home health [Member] | Home Health and Hospice Segment [Member] | Bio Care Home Health Services and Kinsman Enterprises [Member]
Business Acquisition [Line Items]
Number of locations													2
Home health [Member] | Home Health and Hospice Segment [Member] | VNA Healthtrends - IL, IN, AZ [Member]
Business Acquisition [Line Items]
Number of locations												4
Home health [Member] | Home Health and Hospice Segment [Member] | VNA Healthtrends - OH and IL [Member]
Business Acquisition [Line Items]
Number of locations											2
Home health [Member] | Home Health and Hospice Segment [Member] | Ware Visiting Nurses Services, Inc. [Member]
Business Acquisition [Line Items]
Number of locations										1
Home health [Member] | Home Health and Hospice Segment [Member] | Pickens County Health Care Authority [Member]
Business Acquisition [Line Items]
Number of locations										1
Home health [Member] | Home Health and Hospice Segment [Member] | Home Health Agency of Georgia, LLC [Member]
Business Acquisition [Line Items]
Number of locations																							2
Home health [Member] | Home Health and Hospice Segment [Member] | Advantage Health Inc. [Member]
Business Acquisition [Line Items]
Number of locations																						1
Home health [Member] | Home Health and Hospice Segment [Member] | Summit Home Health Care, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																			2
Home health [Member] | Home Health and Hospice Segment [Member] | LightHouse Health Care, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																			1
Home health [Member] | Home Health and Hospice Segment [Member] | Gulf City Home Care, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																		1
Hospice [Member] | Home Health and Hospice Segment [Member] | Golden Age Hospice, Inc. [Member]
Business Acquisition [Line Items]
Number of locations								1
Hospice [Member] | Home Health and Hospice Segment [Member] | Medical Services of America [Member]
Business Acquisition [Line Items]
Number of locations							1
Hospice [Member] | Home Health and Hospice Segment [Member] | Tenet [Member]
Business Acquisition [Line Items]
Number of locations				1
Hospice [Member] | Home Health and Hospice Segment [Member] | Home Health Agency of Georgia, LLC [Member]
Business Acquisition [Line Items]
Number of locations																							2
Hospice [Member] | Home Health and Hospice Segment [Member] | Sotto International, Inc. [Member]
Business Acquisition [Line Items]
Number of locations																				3
Hospice [Member] | Home Health and Hospice Segment [Member] | Honor Hospice, LLC [Member]
Business Acquisition [Line Items]
Number of locations																		1
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Murrells Inlet [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)						62.00%
Number of beds acquired | bed						29
Number of Certificate of Need Beds Acquired | bed						60
Number of De Novo Beds | bed						46
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Winston-Salem (Novant) [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)					50.00%
Number of beds acquired | bed					68
Number of beds contributed | bed					68
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Littleton [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)				68.00%
Number of beds acquired | bed				17
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Memorial Hospital at Gulfport [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)															80.00%
Number of beds acquired | bed															33
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Mount Carmel West [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)														80.00%
Number of beds acquired | bed														60
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Jackson-Madison County General Hospital [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)												50.00%
Corporate Joint Venture [Member] | Inpatient Rehabilitation Segment [Member] | Heritage Valley Beaver Hospital [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)	75.00%
Interest exchanged in business acquisition (percent)	25.00%
Corporate Joint Venture [Member] | Home health [Member] | Home Health and Hospice Segment [Member] | Tenet [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)				75.00%
Number of locations				1
Corporate Joint Venture [Member] | Hospice [Member] | Home Health and Hospice Segment [Member] | Tenet [Member]
Business Acquisition [Line Items]
Interest acquired in business acquisition (percent)			75.00%
Number of locations			1

X

- Definition

Number of hospital beds acquired as part of a facility acquisition.

+ References

No definition available.

+ Details

Name:	ehc_NumberofBedsAcquired
Namespace Prefix:	ehc_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Number of hospital beds included in the certificate of need acquired as part of a facility acquisition.

+ References

No definition available.

+ Details

Name:	ehc_NumberofCertificateofNeedBedsAcquired
Namespace Prefix:	ehc_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Number of De Novo Beds

+ References

No definition available.

+ Details

Name:	ehc_NumberofDeNovoBeds
Namespace Prefix:	ehc_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

The number of locations acquired as part of a facility acquisition.

+ References

No definition available.

+ Details

Name:	ehc_NumberofLocationsofanAcquiredEntity
Namespace Prefix:	ehc_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Number of hospital beds contributed as part of a facility acquisition.

+ References

No definition available.

+ Details

Name:	ehc_Numberofbedscontributed
Namespace Prefix:	ehc_
Data Type:	xbrli:integerItemType
Balance Type:	na
Period Type:	instant

X

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

+ Details

Name:	us-gaap_BusinessAcquisitionLineItems
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Percentage of voting equity interests acquired at the acquisition date in the business combination.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463

+ Details

Name:	us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
Namespace Prefix:	us-gaap_
Data Type:	num:percentItemType
Balance Type:	na
Period Type:	instant

X

- Definition

The amount of goodwill arising from a business combination that is expected to be deductible for tax purposes.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (d)
-URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479

+ Details

Name:	us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant

X

- Definition

Dividend or interest rate associated with the financial or equity instrument issued as noncash or part noncash consideration for a business or asset acquired. Noncash are transactions that affect recognized assets or liabilities but that do not result in cash receipts or cash payments. Part noncash refers to that portion of the transaction not resulting in cash receipts or cash payments.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 50
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4313-108586

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4304-108586

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4332-108586

+ Details

Name:	us-gaap_NoncashOrPartNoncashAcquisitionNoncashFinancialOrEquityInstrumentConsiderationRate
Namespace Prefix:	us-gaap_
Data Type:	num:percentItemType
Balance Type:	na
Period Type:	duration

X

- Details

Name:	us-gaap_StatementBusinessSegmentsAxis=ehc_InpatientRehabilitationSegmentMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_MurrellsInletWinstonSalemandLittletonMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_GulfportMountCarmelJacksonandHeritageValleyMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_CHISt.VincentHotSpringsMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_St.JosephRegionalHealthCenterMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_TheBernsenRehabilitationCenteratSt.JohnMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_HotSpringsBryanandBrokenArrowMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_StatementBusinessSegmentsAxis=ehc_HomeHealthandHospiceSegmentMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_CamelliaHealthcareMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_GoldenAgeMSAandTenetMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_CelticCommunityBioCareVNAWareandPickensCountyMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_SubsegmentsAxis=ehc_HomehealthMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_TenetMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_CelticHealthcareofMarylandInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_CommunityHealthServicesInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_BioCareHomeHealthServicesandKinsmanEnterprisesMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_VNAHealthtrendsILINAZMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_VNAHealthtrendsOHandILMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_WareVisitingNursesServicesInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_PickensCountyHealthCareAuthorityMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_HomeHealthAgencyofGeorgiaLLCMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_AdvantageHealthInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_SummitHomeHealthCareInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_LightHouseHealthCareInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_GulfCityHomeCareInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_SubsegmentsAxis=ehc_HospiceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_GoldenAgeHospiceInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_MedicalServicesofAmericaMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_SottoInternationalInc.Member
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_HonorHospiceLLCMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_RelatedPartyTransactionsByRelatedPartyAxis=us-gaap_CorporateJointVentureMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_MurrellsInletMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_WinstonSalemNovantMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_LittletonMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_MemorialHospitalatGulfportMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_MountCarmelWestMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_JacksonMadisonCountyGeneralHospitalMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=ehc_HeritageValleyBeaverHospitalMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: