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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, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Numerator:                      
Income from continuing operations $ 111.7 $ 100.1 $ 48.2 $ 108.8 $ 90.2 $ 119.5 $ 111.0 $ 125.7 $ 368.8 $ 446.4 $ 374.3
Less: Net and comprehensive income attributable to noncontrolling interests $ (25.7) $ (22.4) $ (14.8) $ (21.7) $ (22.6) $ (21.9) $ (19.7) $ (22.9) (84.6) (87.1) (83.1)
Less: Income allocated to participating securities                 (1.0) (1.3) (0.9)
Income from continuing operations attributable to Encompass Health common shareholders                 283.2 358.0 290.3
(Loss) income from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 0.0 (0.6) 1.1
Net income attributable to Encompass Health common shareholders                 $ 283.2 $ 357.4 $ 291.4
Denominator:                      
Basic weighted average common shares outstanding (in shares)                 98.6 98.0 97.9
Basic earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.87 $ 0.78 $ 0.34 $ 0.88 $ 0.69 $ 0.99 $ 0.93 $ 1.05 $ 2.87 $ 3.66 $ 2.97
Discontinued operations (in dollars per share) 0 0 0 0 0 0 0 (0.01) 0 (0.01) 0.01
Net income (in dollars per share) $ 0.87 $ 0.78 $ 0.34 $ 0.88 $ 0.69 $ 0.99 $ 0.93 $ 1.04 $ 2.87 $ 3.65 $ 2.98
Numerator:                      
Income from continuing operations $ 111.7 $ 100.1 $ 48.2 $ 108.8 $ 90.2 $ 119.5 $ 111.0 $ 125.7 $ 368.8 $ 446.4 $ 374.3
Noncontrolling interests $ (25.7) $ (22.4) $ (14.8) $ (21.7) $ (22.6) $ (21.9) $ (19.7) $ (22.9) (84.6) (87.1) (83.1)
Income from continuing operations attributable to Encompass Health common shareholders                 284.2 359.3 291.2
(Loss) income from discontinued operations, net of tax, attributable to Encompass Health common shareholders                 0.0 (0.6) 1.1
Net income attributable to Encompass Health common shareholders                 $ 284.2 $ 358.7 $ 292.3
Denominator:                      
Diluted weighted average common shares outstanding (in shares)                 99.8 99.4 99.8
Diluted earnings per share attributable to Encompass Health common shareholders:                      
Continuing operations (in dollars per share) $ 0.86 $ 0.78 $ 0.34 $ 0.87 $ 0.68 $ 0.98 $ 0.92 $ 1.04 $ 2.85 $ 3.62 $ 2.92
Discontinued operations (in dollars per share) 0 0 0 0 0 0 0 (0.01) 0 (0.01) 0.01
Net income (in dollars per share) $ 0.86 $ 0.78 $ 0.34 $ 0.87 $ 0.68 $ 0.98 $ 0.92 $ 1.03 $ 2.85 $ 3.61 $ 2.93