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Segment Information - Summary of segment Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue $ 2,219,622 $ 2,063,204 $ 2,080,241
Cost of service revenue (excluding depreciation and amortization) 1,336,609 1,250,403 1,324,887
General and administrative expenses 696,435 632,847 596,006
Impairment of intangibles and other 937 1,849 7,734
Operating income 185,641 178,105 151,614
Interest expense (4,338) (4,129) (11,155)
Income (loss) before income taxes and noncontrolling interests 181,303 173,976 140,459
Income tax expense (benefit) 37,687 36,043 26,607
Net income 143,616 137,933 113,852
Less net income (loss) attributable to noncontrolling interests 27,888 26,337 18,126
Net income attributable to LHC Group, Inc.’s common stockholders 115,728 111,596 95,726
Total assets 2,895,621 2,483,354 2,140,295
Home Health      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 1,551,542 1,463,779 1,503,393
Cost of service revenue (excluding depreciation and amortization) 901,685 848,663 939,035
General and administrative expenses 501,132 464,568 437,276
Impairment of intangibles and other 937 1,249 7,443
Operating income 147,788 149,299 119,639
Interest expense (3,103) (2,856) (7,762)
Income (loss) before income taxes and noncontrolling interests 144,685 146,443 111,877
Income tax expense (benefit) 30,089 30,435 21,147
Net income 114,596 116,008 90,730
Less net income (loss) attributable to noncontrolling interests 22,060 20,525 14,651
Net income attributable to LHC Group, Inc.’s common stockholders 92,536 95,483 76,079
Total assets 1,719,403 1,741,044 1,486,012
Hospice      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 311,218 243,806 226,922
Cost of service revenue (excluding depreciation and amortization) 194,895 150,675 140,177
General and administrative expenses 89,693 66,454 61,190
Impairment of intangibles and other 0 600 291
Operating income 26,630 26,077 25,264
Interest expense (529) (469) (1,269)
Income (loss) before income taxes and noncontrolling interests 26,101 25,608 23,995
Income tax expense (benefit) 5,344 4,925 4,353
Net income 20,757 20,683 19,642
Less net income (loss) attributable to noncontrolling interests 4,297 4,822 3,979
Net income attributable to LHC Group, Inc.’s common stockholders 16,460 15,861 15,663
Total assets 786,671 301,475 244,105
Home and Community-Based      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 189,561 194,584 208,455
Cost of service revenue (excluding depreciation and amortization) 137,852 150,378 157,817
General and administrative expenses 46,724 45,443 44,025
Impairment of intangibles and other 0 0 0
Operating income 4,985 (1,237) 6,613
Interest expense (413) (390) (1,112)
Income (loss) before income taxes and noncontrolling interests 4,572 (1,627) 5,501
Income tax expense (benefit) 1,069 (357) 1,394
Net income 3,503 (1,270) 4,107
Less net income (loss) attributable to noncontrolling interests 467 (171) (906)
Net income attributable to LHC Group, Inc.’s common stockholders 3,036 (1,099) 5,013
Total assets 239,314 263,708 249,524
Facility-Based      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 132,098 128,578 111,809
Cost of service revenue (excluding depreciation and amortization) 89,270 85,827 73,274
General and administrative expenses 45,304 43,435 38,358
Impairment of intangibles and other 0 0 0
Operating income (2,476) (684) 177
Interest expense (208) (297) (678)
Income (loss) before income taxes and noncontrolling interests (2,684) (981) (501)
Income tax expense (benefit) (919) (185) (204)
Net income (1,765) (796) (297)
Less net income (loss) attributable to noncontrolling interests 1,105 1,193 435
Net income attributable to LHC Group, Inc.’s common stockholders (2,870) (1,989) (732)
Total assets 85,005 103,401 91,337
HCI      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 35,203 32,457 29,662
Cost of service revenue (excluding depreciation and amortization) 12,907 14,860 14,584
General and administrative expenses 13,582 12,947 15,157
Impairment of intangibles and other 0 0 0
Operating income 8,714 4,650 (79)
Interest expense (85) (117) (334)
Income (loss) before income taxes and noncontrolling interests 8,629 4,533 (413)
Income tax expense (benefit) 2,104 1,225 (83)
Net income 6,525 3,308 (330)
Less net income (loss) attributable to noncontrolling interests (41) (32) (33)
Net income attributable to LHC Group, Inc.’s common stockholders 6,566 3,340 (297)
Total assets $ 65,228 $ 73,726 $ 69,317