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Segment Information (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Sep. 30, 2012
Sep. 30, 2011
Dec. 31, 2011
Segment information          
Net service revenue $ 158,926 $ 153,398 $ 475,742 $ 476,196  
Cost of service revenue 91,234 87,815 273,311 262,987  
Provision for bad debts 2,987 3,199 8,395 8,903  
General and administrative expenses 52,464 52,656 154,313 159,851  
Other intangibles impairment charge 650   650    
Settlement with government agencies   65,000   65,000  
Operating income (loss) 11,591 (55,272) 39,073 (20,545)  
Interest expense (405) (217) (972) (507)  
Non-operating income 94 1,396 108 1,573  
Income (loss) before income taxes and noncontrolling interest 11,280 (54,093) 38,209 (19,479)  
Income tax expense (benefit) 3,388 (18,130) 12,706 (6,420)  
Net income (loss) 7,892 (35,963) 25,503 (13,059)  
Noncontrolling interest 1,556 1,997 5,463 7,419  
Net income (loss) available to LHC Group, Inc.'s common stockholders 6,336 (37,960) 20,040 (20,478)  
Total assets 387,498 397,893 387,498 397,893 396,376
Home Based Services [Member]
         
Segment information          
Net service revenue 140,256 134,950 419,847 418,735  
Cost of service revenue 80,579 77,331 240,347 229,153  
Provision for bad debts 2,669 3,097 7,626 8,503  
General and administrative expenses 47,110 47,522 137,902 145,043  
Other intangibles impairment charge 650   650    
Settlement with government agencies   65,000   65,000  
Operating income (loss) 9,248 (58,000) 33,322 (28,964)  
Interest expense (364) (196) (874) (457)  
Non-operating income 74 1,374 77 1,516  
Income (loss) before income taxes and noncontrolling interest 8,958 (56,822) 32,525 (27,905)  
Income tax expense (benefit) 3,050 (18,506) 11,478 (7,912)  
Net income (loss) 5,908 (38,316) 21,047 (19,993)  
Noncontrolling interest 1,308 1,622 4,826 6,404  
Net income (loss) available to LHC Group, Inc.'s common stockholders 4,600 (39,938) 16,221 (26,397)  
Total assets 352,541 356,417 352,541 356,417  
Facility Based Services [Member]
         
Segment information          
Net service revenue 18,670 18,448 55,895 57,461  
Cost of service revenue 10,655 10,484 32,964 33,834  
Provision for bad debts 318 102 769 400  
General and administrative expenses 5,354 5,134 16,411 14,808  
Operating income (loss) 2,343 2,728 5,751 8,419  
Interest expense (41) (21) (98) (50)  
Non-operating income 20 22 31 57  
Income (loss) before income taxes and noncontrolling interest 2,322 2,729 5,684 8,426  
Income tax expense (benefit) 338 376 1,228 1,492  
Net income (loss) 1,984 2,353 4,456 6,934  
Noncontrolling interest 248 375 637 1,015  
Net income (loss) available to LHC Group, Inc.'s common stockholders 1,736 1,978 3,819 5,919  
Total assets $ 34,957 $ 41,476 $ 34,957 $ 41,476