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Segment Information - Summary of segment Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
Sep. 30, 2020
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Dec. 31, 2020
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue $ 545,907   $ 487,320 $ 1,070,742 $ 1,000,191  
Cost of service revenue (excluding depreciation and amortization) 317,872   306,712 628,144 627,914  
General and administrative expenses 167,061   150,574 330,310 308,440  
Impairment of intangibles and other 760   600 937 600  
Government stimulus income 0 $ (44,400) (44,435) 0 (44,435)  
Operating income 60,214   73,869 111,351 107,672  
Interest expense (143)   (841) (406) (3,609)  
Income (loss) before income taxes and noncontrolling interest 60,071   73,028 110,945 104,063  
Income tax expense (benefit) 13,318   15,227 22,759 18,586  
Net income 46,753   57,801 88,186 85,477  
Less net income (loss) attributable to non controlling interests 9,110   13,109 15,884 18,761  
Net income attributable to LHC Group, Inc.’s common stockholders 37,643   44,692 72,302 66,716  
Total assets 2,367,125   2,357,099 2,367,125 2,357,099 $ 2,483,354
Home health services            
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue 396,534   339,872 770,362 707,693  
Cost of service revenue (excluding depreciation and amortization) 219,925   205,146 432,298 425,586  
General and administrative expenses 123,245   110,209 242,642 226,232  
Impairment of intangibles and other 760   0 937 0  
Government stimulus income     (35,019)   (35,019)  
Operating income 52,604   59,536 94,485 90,894  
Interest expense (106)   (594) (288) (2,494)  
Income (loss) before income taxes and noncontrolling interest 52,498   58,942 94,197 88,400  
Income tax expense (benefit) 11,706   12,807 19,596 16,096  
Net income 40,792   46,135 74,601 72,304  
Less net income (loss) attributable to non controlling interests 7,500   9,922 12,349 14,528  
Net income attributable to LHC Group, Inc.’s common stockholders 33,292   36,213 62,252 57,776  
Total assets 1,681,871   1,656,022 1,681,871 1,656,022  
Hospice services            
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue 63,804   61,055 126,538 121,586  
Cost of service revenue (excluding depreciation and amortization) 39,647   37,271 78,217 75,305  
General and administrative expenses 18,114   16,266 36,241 32,892  
Impairment of intangibles and other 0   600 0 600  
Government stimulus income     (4,731)   (4,731)  
Operating income 6,043   11,649 12,080 17,520  
Interest expense (20)   (97) (56) (400)  
Income (loss) before income taxes and noncontrolling interest 6,023   11,552 12,024 17,120  
Income tax expense (benefit) 1,280   2,439 2,347 3,047  
Net income 4,743   9,113 9,677 14,073  
Less net income (loss) attributable to non controlling interests 1,208   2,164 2,223 3,131  
Net income attributable to LHC Group, Inc.’s common stockholders 3,535   6,949 7,454 10,942  
Total assets 288,985   268,771 288,985 268,771  
Home and community-based services            
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue 48,407   47,675 97,532 96,139  
Cost of service revenue (excluding depreciation and amortization) 34,683   38,747 69,555 77,200  
General and administrative expenses 11,923   11,124 23,452 22,583  
Impairment of intangibles and other 0   0 0 0  
Government stimulus income     (2,865)   (2,865)  
Operating income 1,801   669 4,525 (779)  
Interest expense (10)   (79) (34) (345)  
Income (loss) before income taxes and noncontrolling interest 1,791   590 4,491 (1,124)  
Income tax expense (benefit) 470   (12) 988 (218)  
Net income 1,321   602 3,503 (906)  
Less net income (loss) attributable to non controlling interests 85   33 364 (122)  
Net income attributable to LHC Group, Inc.’s common stockholders 1,236   569 3,139 (784)  
Total assets 245,071   259,742 245,071 259,742  
Facility-based services            
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue 31,030   33,639 64,399 63,320  
Cost of service revenue (excluding depreciation and amortization) 20,460   21,785 41,635 42,127  
General and administrative expenses 10,906   10,165 22,163 20,545  
Impairment of intangibles and other 0   0 0 0  
Government stimulus income     (1,656)   (1,656)  
Operating income (336)   3,345 601 2,304  
Interest expense (5)   (47) (19) (266)  
Income (loss) before income taxes and noncontrolling interest (341)   3,298 582 2,038  
Income tax expense (benefit) (152)   373 (95) 174  
Net income (189)   2,925 677 1,864  
Less net income (loss) attributable to non controlling interests 322   997 979 1,240  
Net income attributable to LHC Group, Inc.’s common stockholders (511)   1,928 (302) 624  
Total assets 85,520   101,258 85,520 101,258  
HCI            
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]            
Net service revenue 6,132   5,079 11,911 11,453  
Cost of service revenue (excluding depreciation and amortization) 3,157   3,763 6,439 7,696  
General and administrative expenses 2,873   2,810 5,812 6,188  
Impairment of intangibles and other 0   0 0 0  
Government stimulus income     (164)   (164)  
Operating income 102   (1,330) (340) (2,267)  
Interest expense (2)   (24) (9) (104)  
Income (loss) before income taxes and noncontrolling interest 100   (1,354) (349) (2,371)  
Income tax expense (benefit) 14   (380) (77) (513)  
Net income 86   (974) (272) (1,858)  
Less net income (loss) attributable to non controlling interests (5)   (7) (31) (16)  
Net income attributable to LHC Group, Inc.’s common stockholders 91   (967) (241) (1,842)  
Total assets $ 65,678   $ 71,306 $ 65,678 $ 71,306