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Debt - Additional Information (Details)
12 Months Ended
Apr. 02, 2018
USD ($)
Instrument
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Jun. 18, 2014
USD ($)
Debt Instrument [Line Items]        
Credit facility, borrowing capacity       $ 225,000,000
Letter of credit, sub-limit amount $ 50,000,000.0     $ 15,000,000
Available credit under agreement 500,000,000.0      
Credit facility maximum borrowing capacity under accordion feature 200,000,000.0      
Debt issuance costs 1,900,000      
Interest rate percentage   4.19%    
Line of credit facility drawn $ 247,400,000 $ 235,000,000 $ 144,000,000  
Letter of credit outstanding   $ 30,400,000 $ 9,600,000  
Minimum        
Debt Instrument [Line Items]        
Commitment fee rates for unused commitments 0.20%      
Maximum        
Debt Instrument [Line Items]        
Commitment fee rates for unused commitments 0.35%      
Federal Funds Rate        
Debt Instrument [Line Items]        
Line of credit facility interest rate 0.50%      
Eurodollar        
Debt Instrument [Line Items]        
Line of credit facility interest rate 1.50% 4.19%    
Line of credit facility, borrowing outstanding | Instrument 15      
Eurodollar | Minimum        
Debt Instrument [Line Items]        
Line of credit facility interest rate 1.50%      
Eurodollar | Maximum        
Debt Instrument [Line Items]        
Line of credit facility interest rate 2.25%      
Base rate        
Debt Instrument [Line Items]        
Line of credit facility interest rate   5.50%    
Base rate | Minimum        
Debt Instrument [Line Items]        
Line of credit facility interest rate 0.50%      
Base rate | Maximum        
Debt Instrument [Line Items]        
Line of credit facility interest rate 1.25%      
LHC Group        
Debt Instrument [Line Items]        
Line of credit facility drawn $ 125,100,000      
Almost Family | Line of Credit        
Debt Instrument [Line Items]        
Credit facility, borrowing capacity 350,000,000.0      
Line of credit facility drawn $ 107,300,000