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Condensed Consolidating Financial Information - Balance Sheet Tables (Details) - USD ($)
$ in Millions
Mar. 31, 2019
Dec. 31, 2018
Mar. 31, 2018
Dec. 31, 2017
Current assets:        
Cash and cash equivalents $ 56.1 $ 69.2 $ 86.4 $ 54.4
Restricted cash 59.0 59.0 69.4 62.4
Accounts receivable 500.6 467.7    
Other current assets 67.0 66.2    
Total current assets 682.7 662.1    
Property and equipment, net 1,736.2 1,634.8    
Operating lease right-of-use assets 284.9 0.0    
Goodwill 2,111.6 2,100.8    
Intangible assets, net 435.4 443.4    
Deferred income tax assets 40.5 42.9    
Other long-term assets 292.5 291.0    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 0.0 0.0    
Total assets 5,583.8 [1] 5,175.0    
Current liabilities:        
Current portion of long-term debt 37.3 35.8    
Current operating lease liabilities 48.3 0.0    
Accounts payable 94.7 90.0    
Accrued expenses and other current liabilities 587.9 546.7    
Total current liabilities 768.2 672.5    
Long-term debt, net of current portion 2,521.8 2,478.6    
Long-term operating lease liabilities 245.0 0.0    
Intercompany notes payable 0.0 0.0    
Other long-term liabilities 159.3 205.2    
Intercompany payable 0.0 0.0    
Total Liabilities 3,694.3 3,356.3    
Commitments and contingencies    
Redeemable noncontrolling interests 273.0 261.7    
Shareholders' equity:        
Encompass Health shareholders’ equity 1,314.3 1,276.7    
Noncontrolling interests 302.2 280.3    
Total shareholders’ equity 1,616.5 1,557.0 1,409.9 1,395.4
Total liabilities and shareholders' equity 5,583.8 [1] 5,175.0    
Encompass Health Corporation [Member]        
Current assets:        
Cash and cash equivalents 34.7 41.5 69.0 34.3
Restricted cash 0.0 0.0 0.0 0.0
Accounts receivable 0.0 0.0    
Other current assets 69.3 36.3    
Total current assets 104.0 77.8    
Property and equipment, net 126.0 123.9    
Operating lease right-of-use assets 15.2      
Goodwill 0.0 0.0    
Intangible assets, net 20.5 21.4    
Deferred income tax assets 38.5 47.9    
Other long-term assets 50.7 47.9    
Intercompany notes receivable 540.4 535.3    
Intercompany receivable and investments in consolidated affiliates 2,957.6 2,904.4    
Total assets 3,852.9 3,758.6    
Current liabilities:        
Current portion of long-term debt 35.4 35.0    
Current operating lease liabilities 2.5      
Accounts payable 9.5 8.9    
Accrued expenses and other current liabilities 262.2 211.8    
Total current liabilities 309.6 255.7    
Long-term debt, net of current portion 2,176.8 2,188.7    
Long-term operating lease liabilities 12.9      
Intercompany notes payable 0.0 0.0    
Other long-term liabilities 39.3 37.5    
Intercompany payable 0.0 0.0    
Total Liabilities 2,538.6 2,481.9    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity:        
Encompass Health shareholders’ equity 1,314.3 1,276.7    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity 1,314.3 1,276.7    
Total liabilities and shareholders' equity 3,852.9 3,758.6    
Guarantor Subsidiaries [Member]        
Current assets:        
Cash and cash equivalents 3.5 3.0 3.0 3.0
Restricted cash 0.0 0.0 0.0 0.0
Accounts receivable 292.5 270.7    
Other current assets 32.2 17.6    
Total current assets 328.2 291.3    
Property and equipment, net 1,090.6 1,041.5    
Operating lease right-of-use assets 176.6      
Goodwill 912.2 912.2    
Intangible assets, net 93.4 96.5    
Deferred income tax assets 28.9 28.9    
Other long-term assets 95.4 101.3    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 546.6 456.8    
Total assets 3,271.9 2,928.5    
Current liabilities:        
Current portion of long-term debt 8.5 7.6    
Current operating lease liabilities 25.6      
Accounts payable 48.7 46.4    
Accrued expenses and other current liabilities 86.4 76.4    
Total current liabilities 169.2 130.4    
Long-term debt, net of current portion 292.1 262.1    
Long-term operating lease liabilities 155.0      
Intercompany notes payable 0.0 0.0    
Other long-term liabilities 10.8 17.1    
Intercompany payable 0.0 0.0    
Total Liabilities 627.1 409.6    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity:        
Encompass Health shareholders’ equity 2,644.8 2,518.9    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity 2,644.8 2,518.9    
Total liabilities and shareholders' equity 3,271.9 2,928.5    
Nonguarantor Subsidiaries [Member]        
Current assets:        
Cash and cash equivalents 17.9 24.7 14.4 17.1
Restricted cash 59.0 59.0 69.4 62.4
Accounts receivable 208.1 197.0    
Other current assets 67.6 31.1    
Total current assets 352.6 311.8    
Property and equipment, net 519.6 469.4    
Operating lease right-of-use assets 122.7      
Goodwill 1,199.4 1,188.6    
Intangible assets, net 321.5 325.5    
Deferred income tax assets 0.0 0.0    
Other long-term assets 146.4 141.8    
Intercompany notes receivable 0.0 0.0    
Intercompany receivable and investments in consolidated affiliates 0.0 0.0    
Total assets 2,662.2 2,437.1    
Current liabilities:        
Current portion of long-term debt 10.9 10.7    
Current operating lease liabilities 27.5      
Accounts payable 36.5 34.7    
Accrued expenses and other current liabilities 323.9 259.8    
Total current liabilities 398.8 305.2    
Long-term debt, net of current portion 52.9 27.8    
Long-term operating lease liabilities 99.4      
Intercompany notes payable 540.4 535.3    
Other long-term liabilities 136.0 184.4    
Intercompany payable 64.6 53.3    
Total Liabilities 1,292.1 1,106.0    
Redeemable noncontrolling interests 273.0 261.7    
Shareholders' equity:        
Encompass Health shareholders’ equity 794.9 789.1    
Noncontrolling interests 302.2 280.3    
Total shareholders’ equity 1,097.1 1,069.4    
Total liabilities and shareholders' equity 2,662.2 2,437.1    
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 0.0 0.0    
Other current assets (102.1) (18.8)    
Total current assets (102.1) (18.8)    
Property and equipment, net 0.0 0.0    
Operating lease right-of-use assets (29.6)      
Goodwill 0.0 0.0    
Intangible assets, net 0.0 0.0    
Deferred income tax assets (26.9) (33.9)    
Other long-term assets 0.0 0.0    
Intercompany notes receivable (540.4) (535.3)    
Intercompany receivable and investments in consolidated affiliates (3,504.2) (3,361.2)    
Total assets (4,203.2) (3,949.2)    
Current liabilities:        
Current portion of long-term debt (17.5) (17.5)    
Current operating lease liabilities (7.3)      
Accounts payable 0.0 0.0    
Accrued expenses and other current liabilities (84.6) (1.3)    
Total current liabilities (109.4) (18.8)    
Long-term debt, net of current portion 0.0 0.0    
Long-term operating lease liabilities (22.3)      
Intercompany notes payable (540.4) (535.3)    
Other long-term liabilities (26.8) (33.8)    
Intercompany payable (64.6) (53.3)    
Total Liabilities (763.5) (641.2)    
Redeemable noncontrolling interests 0.0 0.0    
Shareholders' equity:        
Encompass Health shareholders’ equity (3,439.7) (3,308.0)    
Noncontrolling interests 0.0 0.0    
Total shareholders’ equity (3,439.7) (3,308.0)    
Total liabilities and shareholders' equity $ (4,203.2) $ (3,949.2)    
[1] Our consolidated assets as of March 31, 2019 and December 31, 2018 include total assets of variable interest entities of $216.2 million and $197.5 million, respectively, which cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of March 31, 2019 and December 31, 2018 include total liabilities of the variable interest entities of $62.2 million and $50.8 million, respectively. See Note 3, Variable Interest Entities.