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Earnings Per Common Share - Computation of Basic and Diluted Earnings per Common Share (Details) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
 3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Numerator:                      
Income from continuing operations $ 86.7 $ 85.2 $ 79.2 $ 84.7 $ 81.8 $ 78.2 $ 81.3 $ 76.8 $ 335.8 $ 318.1 $ 253.7
Less: Net income attributable to noncontrolling interests included in continuing operations                 (79.1) (70.5) (69.7)
Less: Income allocated to participating securities                 (0.8) (0.8) (1.0)
Less: Convertible perpetual preferred stock dividends                 0.0 0.0 (1.6)
Income from continuing operations attributable to Encompass Health common shareholders                 255.9 246.8 181.4
Loss from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 (0.4) 0.0 (0.9)
Net income attributable to Encompass Health common shareholders                 $ 255.5 $ 246.8 $ 180.5
Denominator:                      
Basic weighted average common shares outstanding (shares)                 93.7 89.1 89.4
Basic earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.62 $ 0.67 $ 0.70 $ 0.75 $ 0.73 $ 0.69 $ 0.70 $ 0.65 $ 2.73 $ 2.77 $ 2.03
Discontinued Operations (in dollars per share) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (0.01)
Net income (in dollars per share) $ 0.62 $ 0.67 $ 0.70 $ 0.75 $ 0.73 $ 0.69 $ 0.70 $ 0.65 $ 2.73 $ 2.77 $ 2.02
Numerator:                      
Income from continuing operations $ 86.7 $ 85.2 $ 79.2 $ 84.7 $ 81.8 $ 78.2 $ 81.3 $ 76.8 $ 335.8 $ 318.1 $ 253.7
Less: Net income attributable to noncontrolling interests included in continuing operations                 (79.1) (70.5) (69.7)
Add: Interest on convertible debt, net of tax                 4.6 9.7 9.4
Add: Loss on extinguishment of convertible debt, net of tax                 6.2 0.0 0.0
Income from continuing operations attributable to Encompass Health common shareholders                 267.5 257.3 193.4
Loss from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 (0.4) 0.0 (0.9)
Net income attributable to Encompass Health common shareholders                 $ 267.1 $ 257.3 $ 192.5
Denominator:                      
Diluted weighted average common shares outstanding (shares)                 99.3 99.5 101.0
Diluted earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.61 $ 0.67 $ 0.70 $ 0.70 $ 0.68 $ 0.64 $ 0.65 $ 0.61 $ 2.69 $ 2.59 $ 1.92
Discontinued operations (in dollars per share) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (0.01)
Net income (in dollars per share) $ 0.61 $ 0.67 $ 0.70 $ 0.70 $ 0.68 $ 0.64 $ 0.65 $ 0.61 $ 2.69 $ 2.59 $ 1.91