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Condensed Consolidating Financial Information - Condensed Consolidating Statement of Operations (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Condensed Consolidating Statements of Operations                      
Net operating revenues $ 1,184,400,000 $ 1,161,600,000 $ 1,135,000,000.0 $ 1,124,000,000.0 $ 1,096,000,000.0 $ 1,067,600,000 $ 1,067,700,000 $ 1,046,000,000.0 $ 4,605,000,000.0 $ 4,277,300,000 $ 3,913,900,000
Operating expenses:                      
Salaries and benefits                 2,573,000,000.0 2,354,000,000.0 2,154,600,000
Other operating expenses                 623,600,000 585,100,000 531,600,000
Occupancy costs                 82,300,000 78,000,000.0 73,500,000
Supplies                 167,900,000 158,700,000 149,300,000
General and administrative expenses                 247,000,000.0 220,200,000 171,700,000
Depreciation and amortization                 218,700,000 199,700,000 183,800,000
Government, class action, and related settlements                 0 52,000,000.0 0
Total operating expenses                 3,912,500,000 3,647,700,000 3,264,500,000
Loss on early extinguishment of debt                 7,700,000 0 10,700,000
Interest expense and amortization of debt discounts and fees                 159,700,000 147,300,000 154,400,000
Other (income) loss                 (30,500,000) (2,200,000) (4,100,000)
Equity in net income of nonconsolidated affiliates                 (6,700,000) (8,700,000) (8,000,000.0)
Equity in net income of consolidated affiliates                 0 0 0
Management fees                 0 0 0
Income from continuing operations before income tax expense                 562,300,000 493,200,000 496,400,000
Provision for income tax (benefit) expense 27,300,000 34,300,000 23,500,000 30,800,000 29,400,000 30,200,000 29,300,000 30,000,000.0 115,900,000 118,900,000 145,800,000
Income from continuing operations 90,200,000 119,500,000 111,000,000.0 125,700,000 46,200,000 109,400,000 113,000,000.0 105,700,000 446,400,000 374,300,000 350,600,000
(Loss) income from discontinued operations, net of tax 0 0 (100,000) (500,000) 1,500,000 (100,000) 200,000 (500,000) (600,000) 1,100,000 (400,000)
Net income 90,200,000 119,500,000 110,900,000 125,200,000 47,700,000 109,300,000 113,200,000 105,200,000 445,800,000 375,400,000 350,200,000
Less: Net income attributable to noncontrolling interests (22,600,000) (21,900,000) (19,700,000) (22,900,000) (19,600,000) (20,700,000) (21,400,000) (21,400,000) (87,100,000) (83,100,000) (79,100,000)
Net income attributable to Encompass Health $ 67,600,000 $ 97,600,000 $ 91,200,000 $ 102,300,000 $ 28,100,000 $ 88,600,000 $ 91,800,000 $ 83,800,000 358,700,000 292,300,000 271,100,000
Comprehensive income                 445,800,000 375,400,000 350,100,000
Comprehensive income attributable to Encompass Health                 358,700,000 292,300,000 271,000,000.0
Encompass Health Corporation                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 20,700,000 21,000,000.0 21,300,000
Operating expenses:                      
Salaries and benefits                 59,600,000 49,500,000 34,700,000
Other operating expenses                 45,000,000.0 37,900,000 32,800,000
Occupancy costs                 2,100,000 1,900,000 1,900,000
Supplies                 0 0 0
General and administrative expenses                 160,000,000.0 161,000,000.0 143,700,000
Depreciation and amortization                 19,900,000 14,300,000 8,800,000
Government, class action, and related settlements                   52,000,000.0  
Total operating expenses                 286,600,000 316,600,000 221,900,000
Loss on early extinguishment of debt                 7,700,000   10,700,000
Interest expense and amortization of debt discounts and fees                 131,000,000.0 124,200,000 130,500,000
Other (income) loss                 (32,300,000) (22,400,000) (21,700,000)
Equity in net income of nonconsolidated affiliates                 0 0 0
Equity in net income of consolidated affiliates                 (492,600,000) (465,600,000) (342,100,000)
Management fees                 (160,800,000) (153,100,000) (145,000,000.0)
Income from continuing operations before income tax expense                 281,100,000 221,300,000 167,000,000.0
Provision for income tax (benefit) expense                 (78,200,000) (69,900,000) (104,500,000)
Income from continuing operations                 359,300,000 291,200,000 271,500,000
(Loss) income from discontinued operations, net of tax                 (600,000) 1,100,000 (400,000)
Net income                 358,700,000 292,300,000 271,100,000
Less: Net income attributable to noncontrolling interests                 0 0 0
Net income attributable to Encompass Health                 358,700,000 292,300,000 271,100,000
Comprehensive income                 358,700,000 292,300,000 271,000,000.0
Comprehensive income attributable to Encompass Health                 358,700,000 292,300,000 271,000,000.0
Guarantor Subsidiaries                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 2,425,500,000 2,351,800,000 2,252,500,000
Operating expenses:                      
Salaries and benefits                 1,176,500,000 1,132,200,000 1,088,700,000
Other operating expenses                 351,800,000 344,300,000 324,800,000
Occupancy costs                 100,800,000 95,700,000 93,700,000
Supplies                 98,000,000.0 95,800,000 94,200,000
General and administrative expenses                 0 0 0
Depreciation and amortization                 106,800,000 108,200,000 106,600,000
Government, class action, and related settlements                   0  
Total operating expenses                 1,833,900,000 1,776,200,000 1,708,000,000.0
Loss on early extinguishment of debt                 0   0
Interest expense and amortization of debt discounts and fees                 24,700,000 22,600,000 23,200,000
Other (income) loss                 (21,100,000) (1,000,000.0) 200,000
Equity in net income of nonconsolidated affiliates                 (5,100,000) (7,100,000) (6,900,000)
Equity in net income of consolidated affiliates                 (67,000,000.0) (63,400,000) (39,000,000.0)
Management fees                 117,800,000 114,000,000.0 109,500,000
Income from continuing operations before income tax expense                 542,300,000 510,500,000 457,500,000
Provision for income tax (benefit) expense                 140,300,000 136,600,000 182,600,000
Income from continuing operations                 402,000,000.0 373,900,000 274,900,000
(Loss) income from discontinued operations, net of tax                 0 0 0
Net income                 402,000,000.0 373,900,000 274,900,000
Less: Net income attributable to noncontrolling interests                 0 0 0
Net income attributable to Encompass Health                 402,000,000.0 373,900,000 274,900,000
Comprehensive income                 402,000,000.0 373,900,000 274,900,000
Comprehensive income attributable to Encompass Health                 402,000,000.0 373,900,000 274,900,000
Non-Guarantor Subsidiaries                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 1,221,700,000 1,118,900,000 1,006,400,000
Operating expenses:                      
Salaries and benefits                 608,700,000 550,400,000 508,900,000
Other operating expenses                 189,300,000 177,400,000 160,200,000
Occupancy costs                 27,500,000 25,400,000 23,000,000.0
Supplies                 49,300,000 44,900,000 41,700,000
General and administrative expenses                 0 0 0
Depreciation and amortization                 54,900,000 47,600,000 44,700,000
Government, class action, and related settlements                   0  
Total operating expenses                 929,700,000 845,700,000 778,500,000
Loss on early extinguishment of debt                 0   0
Interest expense and amortization of debt discounts and fees                 5,600,000 2,200,000 2,500,000
Other (income) loss                 (7,100,000) (3,500,000) (3,600,000)
Equity in net income of nonconsolidated affiliates                 (400,000) (400,000) (400,000)
Equity in net income of consolidated affiliates                 0 0 0
Management fees                 43,000,000.0 39,100,000 35,500,000
Income from continuing operations before income tax expense                 250,900,000 235,800,000 193,900,000
Provision for income tax (benefit) expense                 40,300,000 38,400,000 66,800,000
Income from continuing operations                 210,600,000 197,400,000 127,100,000
(Loss) income from discontinued operations, net of tax                 0 0 0
Net income                 210,600,000 197,400,000 127,100,000
Less: Net income attributable to noncontrolling interests                 (83,300,000) (77,800,000) (68,700,000)
Net income attributable to Encompass Health                 127,300,000 119,600,000 58,400,000
Comprehensive income                 210,600,000 197,400,000 127,100,000
Comprehensive income attributable to Encompass Health                 127,300,000 119,600,000 58,400,000
Holdings                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 1,074,100,000 915,900,000 759,800,000
Operating expenses:                      
Salaries and benefits                 748,900,000 643,300,000 543,300,000
Other operating expenses                 88,400,000 75,300,000 62,400,000
Occupancy costs                 17,300,000 14,100,000 11,400,000
Supplies                 20,600,000 18,000,000.0 13,400,000
General and administrative expenses                 87,000,000.0 59,200,000 28,000,000.0
Depreciation and amortization                 37,100,000 29,600,000 23,700,000
Government, class action, and related settlements                   0  
Total operating expenses                 999,300,000 839,500,000 682,200,000
Loss on early extinguishment of debt                 0   0
Interest expense and amortization of debt discounts and fees                 28,400,000 23,500,000 19,200,000
Other (income) loss                 0 (500,000) 0
Equity in net income of nonconsolidated affiliates                 (1,200,000) (1,200,000) (700,000)
Equity in net income of consolidated affiliates                 0 0 0
Management fees                 0 0 0
Income from continuing operations before income tax expense                 47,600,000 54,600,000 59,100,000
Provision for income tax (benefit) expense                 13,500,000 13,800,000 900,000
Income from continuing operations                 34,100,000 40,800,000 58,200,000
(Loss) income from discontinued operations, net of tax                 0 0 0
Net income                 34,100,000 40,800,000 58,200,000
Less: Net income attributable to noncontrolling interests                 (3,800,000) (5,300,000) (10,400,000)
Net income attributable to Encompass Health                 30,300,000 35,500,000 47,800,000
Comprehensive income                 34,100,000 40,800,000 58,200,000
Comprehensive income attributable to Encompass Health                 30,300,000 35,500,000 47,800,000
Eliminating Entries                      
Condensed Consolidating Statements of Operations                      
Net operating revenues                 (137,000,000.0) (130,300,000) (126,100,000)
Operating expenses:                      
Salaries and benefits                 (20,700,000) (21,400,000) (21,000,000.0)
Other operating expenses                 (50,900,000) (49,800,000) (48,600,000)
Occupancy costs                 (65,400,000) (59,100,000) (56,500,000)
Supplies                 0 0 0
General and administrative expenses                 0 0 0
Depreciation and amortization                 0 0 0
Government, class action, and related settlements                   0  
Total operating expenses                 (137,000,000.0) (130,300,000) (126,100,000)
Loss on early extinguishment of debt                 0   0
Interest expense and amortization of debt discounts and fees                 (30,000,000.0) (25,200,000) (21,000,000.0)
Other (income) loss                 30,000,000.0 25,200,000 21,000,000.0
Equity in net income of nonconsolidated affiliates                 0 0 0
Equity in net income of consolidated affiliates                 559,600,000 529,000,000.0 381,100,000
Management fees                 0 0 0
Income from continuing operations before income tax expense                 (559,600,000) (529,000,000.0) (381,100,000)
Provision for income tax (benefit) expense                 0 0 0
Income from continuing operations                 (559,600,000) (529,000,000.0) (381,100,000)
(Loss) income from discontinued operations, net of tax                 0 0 0
Net income                 (559,600,000) (529,000,000.0) (381,100,000)
Less: Net income attributable to noncontrolling interests                 0 0 0
Net income attributable to Encompass Health                 (559,600,000) (529,000,000.0) (381,100,000)
Comprehensive income                 (559,600,000) (529,000,000.0) (381,100,000)
Comprehensive income attributable to Encompass Health                 $ (559,600,000) $ (529,000,000.0) $ (381,100,000)