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Unaudited Summarized Quarterly Financial Information - Unaudited Quarterly Results of Operations (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]                      
Net service revenue $ 292,386 $ 272,872 $ 260,210 $ 246,618 $ 235,443 $ 230,797 $ 226,031 $ 222,552 $ 1,072,086 $ 914,823 $ 816,366
Gross margin 104,960 100,016 99,052 92,248 91,354 89,965 88,903 86,951 396,276 357,173 335,488
Net Income Attributable to LHC Group Inc.'s Common Stockholders $ 18,435 $ 10,906 $ 11,304 $ 9,467 $ 9,817 $ 9,616 $ 9,464 $ 7,686 $ 50,112 $ 36,583 $ 32,335
Earnings Per Share - Basic:                      
Net income attributable to LHC Group, Inc.' common stockholders $ 1.04 $ 0.61 $ 0.64 $ 0.54 $ 0.56 $ 0.55 $ 0.54 $ 0.44 $ 2.83 $ 2.08 $ 1.86
Earnings Per Share - Diluted:                      
Net income attributable to LHC Group, Inc.' common stockholders $ 1.02 $ 0.61 $ 0.63 $ 0.53 $ 0.55 $ 0.54 $ 0.54 $ 0.44 $ 2.79 $ 2.07 $ 1.84
Weighted Average Shares Outstanding:                      
Basic 17,749,872 17,740,818 17,728,567 17,643,463 17,597,190 17,588,163 17,566,097 17,485,766 17,715,992 17,559,477 17,405,379
Diluted 18,043,297 18,010,522 17,964,387 17,817,880 17,764,066 17,719,473 17,685,147 17,633,549 17,961,018 17,682,820 17,547,531