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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, 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
Numerator:                      
Income from continuing operations $ 90.2 $ 119.5 $ 111.0 $ 125.7 $ 46.2 $ 109.4 $ 113.0 $ 105.7 $ 446.4 $ 374.3 $ 350.6
Less: Net income attributable to noncontrolling interests $ (22.6) $ (21.9) $ (19.7) $ (22.9) $ (19.6) $ (20.7) $ (21.4) $ (21.4) (87.1) (83.1) (79.1)
Less: Income allocated to participating securities                 (1.3) (0.9) (0.9)
Income from continuing operations attributable to Encompass Health common shareholders                 358.0 290.3 270.6
(Loss) income from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 (0.6) 1.1 (0.4)
Net income attributable to Encompass Health common shareholders                 $ 357.4 $ 291.4 $ 270.2
Denominator:                      
Basic weighted average common shares outstanding (shares)                 98.0 97.9 93.7
Basic earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.69 $ 0.99 $ 0.93 $ 1.05 $ 0.27 $ 0.90 $ 0.93 $ 0.86 $ 3.66 $ 2.97 $ 2.88
Discontinued operations (in dollars per share) 0 0 0 (0.01) 0.02 0 0 (0.01) (0.01) 0.01 0
Net income (in dollars per share) $ 0.69 $ 0.99 $ 0.93 $ 1.04 $ 0.29 $ 0.90 $ 0.93 $ 0.85 $ 3.65 $ 2.98 $ 2.88
Numerator:                      
Income from continuing operations $ 90.2 $ 119.5 $ 111.0 $ 125.7 $ 46.2 $ 109.4 $ 113.0 $ 105.7 $ 446.4 $ 374.3 $ 350.6
Add: Interest on convertible debt, net of tax                 0.0 0.0 4.6
Add: Loss on extinguishment of convertible debt, net of tax                 0.0 0.0 6.2
Income from continuing operations attributable to Encompass Health common shareholders                 359.3 291.2 282.3
(Loss) income from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 (0.6) 1.1 (0.4)
Net income attributable to Encompass Health common shareholders                 $ 358.7 $ 292.3 $ 281.9
Denominator:                      
Diluted weighted average common shares outstanding (shares)                 99.4 99.8 99.3
Diluted earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.68 $ 0.98 $ 0.92 $ 1.04 $ 0.26 $ 0.89 $ 0.92 $ 0.85 $ 3.62 $ 2.92 $ 2.84
Discontinued operations (in dollars per share) 0 0 0 (0.01) 0.02 0 0 (0.01) (0.01) 0.01 0
Net income (in dollars per share) $ 0.68 $ 0.98 $ 0.92 $ 1.03 $ 0.28 $ 0.89 $ 0.92 $ 0.84 $ 3.61 $ 2.93 $ 2.84