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Segment Information - Segment Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Dec. 31, 2012
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue $ 164,748 $ 158,926 $ 493,003 $ 475,742  
Cost of service revenue 97,966 91,234 288,223 273,311  
Provision for bad debts 2,708 2,987 9,833 8,395  
General and administrative expenses 53,047 52,464 158,827 154,313  
Other intangibles impairment charge   650   650  
Operating income 11,027 11,591 36,120 39,073  
Interest expense (430) (405) (1,555) (972)  
Non-operating income 54 94 184 108  
Income before income taxes and noncontrolling interest 10,651 11,280 34,749 38,209  
Income tax expense 3,782 3,388 12,236 12,706  
Net income 6,869 7,892 22,513 25,503  
Less net income attributable to noncontrolling interests 1,572 1,556 5,140 5,463  
Net income attributable to LHC Group, Inc.'s common stockholders 5,297 6,336 17,373 20,040  
Total assets 414,033 387,498 414,033 387,498 386,894
Home-based services [Member]
         
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 146,910 140,256 435,441 419,847  
Cost of service revenue 87,082 80,579 254,924 240,347  
Provision for bad debts 2,651 2,669 8,796 7,626  
General and administrative expenses 47,969 47,110 142,908 137,902  
Other intangibles impairment charge   250   250  
Operating income 9,208 9,648 28,813 33,722  
Interest expense (387) (364) (1,404) (874)  
Non-operating income 36 74 115 77  
Income before income taxes and noncontrolling interest 8,857 9,358 27,524 32,925  
Income tax expense 3,422 3,213 11,062 11,641  
Net income 5,435 6,145 16,462 21,284  
Less net income attributable to noncontrolling interests 1,279 1,308 4,094 4,826  
Net income attributable to LHC Group, Inc.'s common stockholders 4,156 4,837 12,368 16,458  
Total assets 379,340 352,941 379,340 352,941  
Facility-based services [Member]
         
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 17,838 18,670 57,562 55,895  
Cost of service revenue 10,884 10,655 33,299 32,964  
Provision for bad debts 57 318 1,037 769  
General and administrative expenses 5,078 5,354 15,919 16,411  
Other intangibles impairment charge   400   400  
Operating income 1,819 1,943 7,307 5,351  
Interest expense (43) (41) (151) (98)  
Non-operating income 18 20 69 31  
Income before income taxes and noncontrolling interest 1,794 1,922 7,225 5,284  
Income tax expense 360 175 1,174 1,065  
Net income 1,434 1,747 6,051 4,219  
Less net income attributable to noncontrolling interests 293 248 1,046 637  
Net income attributable to LHC Group, Inc.'s common stockholders 1,141 1,499 5,005 3,582  
Total assets $ 34,693 $ 34,557 $ 34,693 $ 34,557