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Unaudited Summarized Quarterly Financial Information (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]                      
Net service revenue $ 509,842 $ 507,043 $ 502,024 $ 291,054 $ 291,140 $ 269,678 $ 257,535 $ 244,249 $ 1,809,963 $ 1,062,602 $ 900,033
Gross margin 185,303 184,847 181,020 102,436 103,714 96,822 96,377 89,879 653,606 386,792 342,383
Net Income Attributable to LHC Group Inc.'s Common Stockholders $ 20,552 $ 21,230 $ 16,797 $ 4,995 $ 18,435 $ 10,906 $ 11,304 $ 9,467 $ 63,574 $ 50,112 $ 36,583
Net income attributable to LHC Group' Inc.'s common stockholders                      
Basic earnings per share (in dollars per share) $ 0.67 $ 0.69 $ 0.55 $ 0.28 $ 1.04 $ 0.61 $ 0.64 $ 0.54 $ 2.31 $ 2.83 $ 2.08
Diluted earnings per share (in dollars per share) $ 0.66 $ 0.68 $ 0.55 $ 0.28 $ 1.02 $ 0.61 $ 0.63 $ 0.53 $ 2.29 $ 2.79 $ 2.07
Weighted average shares outstanding:                      
Basic (in shares) 30,777,556 30,750,227 30,497,501 17,789,863 17,749,872 17,740,818 17,728,567 17,643,463 27,498,351 17,715,992 17,559,477
Diluted (in shares) 31,142,061 31,083,815 30,742,293 18,039,345 18,043,297 18,010,522 17,964,387 17,817,880 27,773,396 17,961,018 17,682,820