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Segment Information - Summary of segment Information (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Dec. 31, 2020
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue $ 524,835 $ 512,871  
Cost of service revenue (excluding depreciation and amortization) 310,272 321,202  
General and administrative expenses 163,249 157,866  
Impairment of intangibles and other 177 0  
Operating income 51,137 33,803  
Interest expense (263) (2,768)  
Income before income taxes and noncontrolling interest 50,874 31,035  
Income tax expense (benefit) 9,441 3,359  
Net income 41,433 27,676  
Less net income (loss) attributable to noncontrolling interests 6,774 5,652  
Net income attributable to LHC Group, Inc.’s common stockholders 34,659 22,024  
Total assets 2,522,854 2,212,282 $ 2,483,354
Home health services      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 373,828 367,821  
Cost of service revenue (excluding depreciation and amortization) 212,373 220,440  
General and administrative expenses 119,397 116,023  
Impairment of intangibles and other 177    
Operating income 41,881 31,358  
Interest expense (182) (1,900)  
Income before income taxes and noncontrolling interest 41,699 29,458  
Income tax expense (benefit) 7,890 3,289  
Net income 33,809 26,169  
Less net income (loss) attributable to noncontrolling interests 4,849 4,606  
Net income attributable to LHC Group, Inc.’s common stockholders 28,960 21,563  
Total assets 1,785,486 1,548,224  
Hospice services      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 62,734 60,531  
Cost of service revenue (excluding depreciation and amortization) 38,570 38,034  
General and administrative expenses 18,127 16,626  
Impairment of intangibles and other 0    
Operating income 6,037 5,871  
Interest expense (36) (303)  
Income before income taxes and noncontrolling interest 6,001 5,568  
Income tax expense (benefit) 1,067 608  
Net income 4,934 4,960  
Less net income (loss) attributable to noncontrolling interests 1,015 967  
Net income attributable to LHC Group, Inc.’s common stockholders 3,919 3,993  
Total assets 308,009 251,354  
Home and community-based services      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 49,125 48,464  
Cost of service revenue (excluding depreciation and amortization) 34,872 38,453  
General and administrative expenses 11,529 11,459  
Impairment of intangibles and other 0    
Operating income 2,724 (1,448)  
Interest expense (24) (266)  
Income before income taxes and noncontrolling interest 2,700 (1,714)  
Income tax expense (benefit) 518 (206)  
Net income 2,182 (1,508)  
Less net income (loss) attributable to noncontrolling interests 279 (155)  
Net income attributable to LHC Group, Inc.’s common stockholders 1,903 (1,353)  
Total assets 262,538 252,846  
Facility-based services      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 33,369 29,681  
Cost of service revenue (excluding depreciation and amortization) 21,175 20,342  
General and administrative expenses 11,257 10,380  
Impairment of intangibles and other 0    
Operating income 937 (1,041)  
Interest expense (14) (219)  
Income before income taxes and noncontrolling interest 923 (1,260)  
Income tax expense (benefit) 57 (199)  
Net income 866 (1,061)  
Less net income (loss) attributable to noncontrolling interests 657 243  
Net income attributable to LHC Group, Inc.’s common stockholders 209 (1,304)  
Total assets 97,692 90,791  
HCI      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 5,779 6,374  
Cost of service revenue (excluding depreciation and amortization) 3,282 3,933  
General and administrative expenses 2,939 3,378  
Impairment of intangibles and other 0    
Operating income (442) (937)  
Interest expense (7) (80)  
Income before income taxes and noncontrolling interest (449) (1,017)  
Income tax expense (benefit) (91) (133)  
Net income (358) (884)  
Less net income (loss) attributable to noncontrolling interests (26) (9)  
Net income attributable to LHC Group, Inc.’s common stockholders (332) (875)  
Total assets $ 69,129 $ 69,067