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Segment Information - Segment Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Dec. 31, 2013
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue $ 187,713 $ 164,748 $ 540,261 $ 493,003  
Cost of service revenue 113,122 97,966 321,983 288,223  
Provision for bad debts 3,974 2,708 11,699 9,833  
General and administrative expenses 58,432 53,047 172,658 158,827  
Operating income 12,185 11,027 33,921 36,120  
Interest expense (643) (430) (1,861) (1,555)  
Non-operating income 235 54 159 184  
Income before income taxes and noncontrolling interest 11,777 10,651 32,219 34,749  
Income tax expense 3,924 3,782 11,199 12,236  
Net income 7,853 6,869 21,020 22,513  
Less net income attributable to noncontrolling interests 1,679 1,572 4,717 5,140  
Net income attributable to LHC Group, Inc.’s common stockholders 6,174 5,297 16,303 17,373  
Total assets 495,631 414,033 495,631 414,033 422,226
Home- Based Services
         
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 152,648 132,739 435,588 394,453  
Cost of service revenue 91,506 78,307 258,173 229,466  
Provision for bad debts 3,753 2,333 10,475 8,009  
General and administrative expenses 48,591 44,002 142,747 131,048  
Operating income 8,798 8,097 24,193 25,930  
Interest expense (515) (348) (1,489) (1,268)  
Non-operating income 190 33 103 94  
Income before income taxes and noncontrolling interest 8,473 7,782 22,807 24,756  
Income tax expense 3,034 3,028 8,763 9,993  
Net income 5,439 4,754 14,044 14,763  
Less net income attributable to noncontrolling interests 1,185 1,077 3,329 3,417  
Net income attributable to LHC Group, Inc.’s common stockholders 4,254 3,677 10,715 11,346  
Total assets 424,780 351,804 424,780 351,804  
Hospice Services
         
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 17,071 14,171 49,361 40,988  
Cost of service revenue 10,431 8,775 29,479 25,458  
Provision for bad debts 269 318 467 787  
General and administrative expenses 4,756 3,967 13,994 11,860  
Operating income 1,615 1,111 5,421 2,883  
Interest expense (64) (39) (186) (136)  
Non-operating income 35 3 40 21  
Income before income taxes and noncontrolling interest 1,586 1,075 5,275 2,768  
Income tax expense 521 394 1,397 1,069  
Net income 1,065 681 3,878 1,699  
Less net income attributable to noncontrolling interests 292 202 828 677  
Net income attributable to LHC Group, Inc.’s common stockholders 773 479 3,050 1,022  
Total assets 34,622 27,536 34,622 27,536  
Facility- Based Services
         
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 17,994 17,838 55,312 57,562  
Cost of service revenue 11,185 10,884 34,331 33,299  
Provision for bad debts (48) 57 757 1,037  
General and administrative expenses 5,085 5,078 15,917 15,919  
Operating income 1,772 1,819 4,307 7,307  
Interest expense (64) (43) (186) (151)  
Non-operating income 10 18 16 69  
Income before income taxes and noncontrolling interest 1,718 1,794 4,137 7,225  
Income tax expense 369 360 1,039 1,174  
Net income 1,349 1,434 3,098 6,051  
Less net income attributable to noncontrolling interests 202 293 560 1,046  
Net income attributable to LHC Group, Inc.’s common stockholders 1,147 1,141 2,538 5,005  
Total assets $ 36,229 $ 34,693 $ 36,229 $ 34,693