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Employee Benefit Plans - Textual (Details)
$ in Millions
12 Months Ended
Dec. 31, 2018
USD ($)
yr
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Defined Contribution Plan Disclosure [Line Items]      
Company healthcare plan costs, net of employee payments $ 134.9 $ 120.8 $ 119.0
Payments under the Senior Management Bonus Program $ 20.4 14.7 11.2
Encompass Health Retirement Investment Plan [Member]      
Defined Contribution Plan Disclosure [Line Items]      
Contribution as percentage of salary allowed under the Plan (percent) 100.00%    
Employer match criteria 50% of the first 6% of each participant’s elective deferrals    
Age requirement to participate in the Plan | yr 21    
Vesting percentage in employer contributions (percent) 100.00%    
Vesting period 3    
Employer contributions $ 19.8 18.2 16.6
Forfeitures used to fund the matching contributions $ 2.4 $ 1.4 $ 0.6