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Segment Information - Segment Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Segment Reporting Information [Line Items]          
Revenue By Payor 100.00% 100.00% 100.00% 100.00%  
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue $ 502,024 $ 257,535 $ 793,078 $ 501,784  
Cost of service revenue 329,646 161,158 518,264 315,528  
General and administrative expenses 141,350 73,552 233,381 145,563  
Operating income 31,028 22,825 41,433 40,693  
Interest expense (3,202) (840) (4,652) (1,620)  
Income before income taxes and noncontrolling interest 27,826 21,985 36,781 39,073  
Income tax expense 7,170 7,792 8,147 12,965  
Net income 20,656 14,193 28,634 26,108  
Less net income (loss) attributable to noncontrolling interests 3,859 2,889 6,842 5,337  
Net income attributable to LHC Group, Inc.’s common stockholders 16,797 11,304 21,792 20,771  
Total assets 1,881,670 672,666 $ 1,881,670 672,666 $ 793,702
Document Fiscal Year Focus     2018    
Home health services          
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 360,276 192,409 $ 564,463 373,067  
Cost of service revenue 230,293 117,606 360,453 229,692  
General and administrative expenses 99,162 55,268 165,452 109,190  
Operating income 30,821 19,535 38,558 34,185  
Interest expense (2,256) (630) (3,343) (1,215)  
Income before income taxes and noncontrolling interest 28,565 18,905 35,215 32,970  
Income tax expense 7,091 6,757 7,813 11,010  
Net income 21,474 12,148 27,402 21,960  
Less net income (loss) attributable to noncontrolling interests 3,810 2,266 6,047 4,294  
Net income attributable to LHC Group, Inc.’s common stockholders 17,664 9,882 21,355 17,666  
Total assets 1,306,773 466,308 1,306,773 466,308  
Hospice services          
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 50,554 37,851 93,180 73,799  
Cost of service revenue 33,493 24,473 61,512 47,746  
General and administrative expenses 14,613 10,743 27,910 21,149  
Operating income 2,448 2,635 3,758 4,904  
Interest expense (473) (126) (690) (243)  
Income before income taxes and noncontrolling interest 1,975 2,509 3,068 4,661  
Income tax expense 483 849 594 1,508  
Net income 1,492 1,660 2,474 3,153  
Less net income (loss) attributable to noncontrolling interests 412 480 829 766  
Net income attributable to LHC Group, Inc.’s common stockholders 1,080 1,180 1,645 2,387  
Total assets 189,447 138,519 189,447 138,519  
Home and community-based services          
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 52,753 10,746 66,844 21,287  
Cost of service revenue 40,349 7,986 51,139 15,934  
General and administrative expenses 11,777 2,261 15,075 4,572  
Operating income 627 499 630 781  
Interest expense (158) (42) (230) (81)  
Income before income taxes and noncontrolling interest 469 457 400 700  
Income tax expense 139 180 124 263  
Net income 330 277 276 437  
Less net income (loss) attributable to noncontrolling interests (90) 5 (70) 13  
Net income attributable to LHC Group, Inc.’s common stockholders 420 272 346 424  
Total assets 255,456 33,292 255,456 33,292  
Facility-based services          
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 28,304 16,529 58,454 33,631  
Cost of service revenue 19,307 11,093 38,956 22,156  
General and administrative expenses 11,088 5,280 20,234 10,652  
Operating income (2,091) 156 (736) 823  
Interest expense (159) (42) (232) (81)  
Income before income taxes and noncontrolling interest (2,250) 114 (968) 742  
Income tax expense (313) 6 (154) 184  
Net income (1,937) 108 (814) 558  
Less net income (loss) attributable to noncontrolling interests (207) 138 102 264  
Net income attributable to LHC Group, Inc.’s common stockholders (1,730) (30) (916) 294  
Total assets 66,665 $ 34,547 66,665 $ 34,547  
HCI          
Segment Reporting Information [Line Items]          
Revenue By Payor   0.00%   0.00%  
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]          
Net service revenue 10,137 $ 0 10,137 $ 0  
Cost of service revenue 6,204 0 6,204 0  
General and administrative expenses 4,710 0 4,710 0  
Operating income (777) 0 (777) 0  
Interest expense (156) 0 (157) 0  
Income before income taxes and noncontrolling interest (933) 0 (934) 0  
Income tax expense (230) 0 (230) 0  
Net income (703) 0 (704) 0  
Less net income (loss) attributable to noncontrolling interests (66) 0 (66) 0  
Net income attributable to LHC Group, Inc.’s common stockholders (637) 0 (638)    
Total assets $ 63,329 $ 0 $ 63,329 $ 0  
Home Health Medicare          
Segment Reporting Information [Line Items]          
Revenue By Payor 72.90% 72.40% 72.30% 73.00%  
Hospice Medicare          
Segment Reporting Information [Line Items]          
Revenue By Payor 91.10% 92.90% 91.70% 93.50%  
Community Based Services Medicaid          
Segment Reporting Information [Line Items]          
Revenue By Payor 24.70% 18.00% 23.10% 17.30%  
Facility-Based Medicare revenue          
Segment Reporting Information [Line Items]          
Revenue By Payor 58.70% 65.00% 61.40% 64.40%