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Segment Information - Summary of segment Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue $ 2,282,771 $ 2,219,622 $ 2,063,204
Cost of service revenue (excluding depreciation and amortization) 1,399,158 1,336,609 1,250,403
General and administrative expenses 764,239 696,435 632,847
Impairment of intangibles and other 10,854 937 1,849
Operating income 108,520 185,641 178,105
Interest expense (31,311) (4,338) (4,129)
Income (loss) before income taxes and noncontrolling interests 77,209 181,303 173,976
Income tax expense (benefit) 16,961 37,687 36,043
Net income 60,248 143,616 137,933
Less net income (loss) attributable to noncontrolling interests 20,377 27,888 26,337
Net income attributable to LHC Group, Inc.’s common stockholders 39,871 115,728 111,596
Total assets 2,896,957 2,895,621 2,483,354
Home Health      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 1,531,491 1,551,542 1,463,779
Cost of service revenue (excluding depreciation and amortization) 894,002 901,685 848,663
General and administrative expenses 521,184 501,132 464,568
Impairment of intangibles and other 6,295 937 1,249
Operating income 110,010 147,788 149,299
Interest expense (21,979) (3,103) (2,856)
Income (loss) before income taxes and noncontrolling interests 88,031 144,685 146,443
Income tax expense (benefit) 21,144 30,089 30,435
Net income 66,887 114,596 116,008
Less net income (loss) attributable to noncontrolling interests 17,330 22,060 20,525
Net income attributable to LHC Group, Inc.’s common stockholders 49,557 92,536 95,483
Total assets 1,721,288 1,719,403 1,741,044
Hospice      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 407,489 311,218 243,806
Cost of service revenue (excluding depreciation and amortization) 270,177 194,895 150,675
General and administrative expenses 129,237 89,693 66,454
Impairment of intangibles and other 2,727   600
Operating income 5,348 26,630 26,077
Interest expense (4,553) (529) (469)
Income (loss) before income taxes and noncontrolling interests 795 26,101 25,608
Income tax expense (benefit) (1,049) 5,344 4,925
Net income 1,844 20,757 20,683
Less net income (loss) attributable to noncontrolling interests 4,199 4,297 4,822
Net income attributable to LHC Group, Inc.’s common stockholders (2,355) 16,460 15,861
Total assets 797,019 786,671 301,475
Home and Community-Based      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 180,587 189,561 194,584
Cost of service revenue (excluding depreciation and amortization) 130,142 137,852 150,378
General and administrative expenses 48,230 46,724 45,443
Impairment of intangibles and other 1,832 0 0
Operating income 383 4,985 (1,237)
Interest expense (2,832) (413) (390)
Income (loss) before income taxes and noncontrolling interests (2,449) 4,572 (1,627)
Income tax expense (benefit) (694) 1,069 (357)
Net income (1,755) 3,503 (1,270)
Less net income (loss) attributable to noncontrolling interests (130) 467 (171)
Net income attributable to LHC Group, Inc.’s common stockholders (1,625) 3,036 (1,099)
Total assets 235,036 239,314 263,708
Facility-Based      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 127,916 132,098 128,578
Cost of service revenue (excluding depreciation and amortization) 93,336 89,270 85,827
General and administrative expenses 48,073 45,304 43,435
Impairment of intangibles and other 0 0 0
Operating income (13,493) (2,476) (684)
Interest expense (1,327) (208) (297)
Income (loss) before income taxes and noncontrolling interests (14,820) (2,684) (981)
Income tax expense (benefit) (4,087) (919) (185)
Net income (10,733) (1,765) (796)
Less net income (loss) attributable to noncontrolling interests (1,172) 1,105 1,193
Net income attributable to LHC Group, Inc.’s common stockholders (9,561) (2,870) (1,989)
Total assets 79,571 85,005 103,401
HCI      
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]      
Net service revenue 35,288 35,203 32,457
Cost of service revenue (excluding depreciation and amortization) 11,501 12,907 14,860
General and administrative expenses 17,515 13,582 12,947
Impairment of intangibles and other 0 0 0
Operating income 6,272 8,714 4,650
Interest expense (620) (85) (117)
Income (loss) before income taxes and noncontrolling interests 5,652 8,629 4,533
Income tax expense (benefit) 1,647 2,104 1,225
Net income 4,005 6,525 3,308
Less net income (loss) attributable to noncontrolling interests 150 (41) (32)
Net income attributable to LHC Group, Inc.’s common stockholders 3,855 6,566 3,340
Total assets $ 64,043 $ 65,228 $ 73,726