LHC (LHCG) 10-Q 6 Aug 20 2020 Q2 Quarterly report Financial data

Cover page

Cover page - shares	6 Months Ended
	Jun. 30, 2020	Aug. 03, 2020
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Jun. 30, 2020
Entity File Number	001-33989
Entity Registrant Name	LHC Group, Inc
Entity Central Index Key	0001303313
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q2
Amendment Flag	false
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	71-0918189
Entity Address, Address Line One	901 Hugh Wallis Road South
Entity Address, City or Town	Lafayette
Entity Address, State or Province	LA
Entity Address, Postal Zip Code	70508
City Area Code	337
Local Phone Number	233-1307
Title of 12(b) Security	Common Stock, par value of $0.01
Trading Symbol	LHCG
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		31,590,210

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Current assets:
Cash	$ 172,752	$ 31,672
Receivables:
Patient accounts receivable	324,587	284,962
Other receivables	10,674	10,832
Total receivables	335,261	295,794
Prepaid income taxes	6,330	9,652
Prepaid expenses	23,740	21,304
Other current assets	26,698	21,852
Total current assets	564,781	380,274
Property, building and equipment, net of accumulated depreciation of $74,486 and $69,441, respectively	123,408	97,908
Goodwill	1,234,145	1,219,972
Intangible assets, net of accumulated amortization of $17,070 and $16,431, respectively	310,548	305,556
Assets held for sale	1,900	2,500
Operating lease right of use asset	100,834	95,452
Other assets	21,483	38,633
Total assets	2,357,099	2,140,295
Current liabilities:
Accounts payable and other accrued liabilities	70,138	83,572
Salaries, wages, and benefits payable	86,405	85,631
Self-insurance reserves	34,438	31,188
Government stimulus advance	44,273	0
Contract liabilities - deferred revenue	310,712	0
Current operating lease liabilities	34,838	28,701
Amounts due to governmental entities	2,186	1,880
Total current liabilities	582,990	230,972
Deferred income taxes	70,959	60,498
Income taxes payable	6,373	3,867
Revolving credit facility	30,000	253,000
Other long term liabilities	17,818	0
Operating lease payable	68,858	69,556
Total liabilities	776,998	617,893
Noncontrolling interest — redeemable	21,998	15,151
Commitments and contingencies
LHC Group, Inc. stockholders’ equity:
Preferred stock – $0.01 par value; 5,000,000 shares authorized; none issued or outstanding	0	0
Common stock — $0.01 par value; 60,000,000 shares authorized; 36,327,819 and 36,129,280 shares issued, and 31,121,968 and 30,992,390 shares outstanding, respectively	363	361
Treasury stock — 5,205,851 and 5,136,890 shares at cost, respectively	(68,654)	(60,060)
Additional paid-in capital	955,119	949,321
Retained earnings	590,417	523,701
Total LHC Group, Inc. stockholders’ equity	1,477,245	1,413,323
Noncontrolling interest — non-redeemable	80,858	93,928
Total stockholders' equity	1,558,103	1,507,251
Total liabilities and stockholders' equity	$ 2,357,099	$ 2,140,295

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Statement of Financial Position [Abstract]
Property, building and equipment, accumulated depreciation	$ 74,486	$ 69,441
Intangible assets, accumulated amortization	$ 17,070	$ 16,431
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	5,000,000	5,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	60,000,000	60,000,000
Common stock, shares issued (in shares)	36,327,819	36,129,280
Common stock, shares outstanding (in shares)	31,121,968	30,992,390
Treasury stock at cost, shares (in shares)	5,205,851	5,136,890

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Income Statement [Abstract]
Net service revenue	$ 487,320	$ 517,842	$ 1,000,191	$ 1,020,427
Cost of service revenue (excluding depreciation and amortization)	306,712	325,860	627,914	646,852
Gross margin	180,608	191,982	372,277	373,575
General and administrative expenses	150,574	148,584	308,440	293,805
Impairment of intangibles and other	600	1,018	600	7,337
Government stimulus income	(44,435)	0	(44,435)	0
Operating income	73,869	42,380	107,672	72,433
Interest expense	(841)	(2,885)	(3,609)	(5,937)
Income before income taxes and noncontrolling interest	73,028	39,495	104,063	66,496
Income tax expense	15,227	9,557	18,586	13,157
Net income	57,801	29,938	85,477	53,339
Less net income attributable to noncontrolling interests	13,109	4,938	18,761	9,483
Net income attributable to LHC Group, Inc.’s common stockholders	$ 44,692	$ 25,000	$ 66,716	$ 43,856
Earnings per share:
Basic (usd per share)	$ 1.44	$ 0.81	$ 2.15	$ 1.42
Diluted (usd per share)	$ 1.43	$ 0.80	$ 2.13	$ 1.41
Weighted average shares outstanding:
Basic (in shares)	31,104	30,960	31,060	30,899
Diluted (in shares)	31,324	31,201	31,301	31,188
Revenue, Product and Service [Extensible List]			us-gaap:ServiceMember
Cost, Product and Service [Extensible List]			us-gaap:ServiceMember

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($) $ in Thousands	Total	Common Stock	Treasury	Additional Paid-In Capital	Retained Earnings	Noncontrolling Interest Non Redeemable
Beginning balance, Amount at Dec. 31, 2018	$ 1,424,474	$ 358	$ (49,373)	$ 937,965	$ 427,975	$ 107,549
Beginning balance (in shares) at Dec. 31, 2018		35,835,348
Beginning balance, treasury (in shares) at Dec. 31, 2018			5,029,429
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	20,542				18,856	1,686
Acquired noncontrolling interest	820					820
Noncontrolling interest distributions	(6,799)					(6,799)
Purchase of additional controlling interest	(18,000)					(18,000)
Nonvested stock compensation	1,804			1,804
Issuance of vested stock	2	$ 2
Issuance of vested stock (in shares)		174,562
Treasury shares redeemed to pay income tax	(6,841)		$ (6,726)	(115)
Treasury shares redeemed to pay income tax (in shares)			61,465
Exercise of options (in shares)		44,387	24,044
Exercise of options	(850)	$ 1	$ (851)
Issuance of common stock under Employee Stock Purchase Plan (in shares)		5,357
Issuance of common stock under Employee Stock Purchase Plan	478			478
Ending balance, Amount at Mar. 31, 2019	1,415,630	$ 361	$ (56,950)	940,132	446,831	85,256
Ending balance (in shares) at Mar. 31, 2019		36,059,654
Ending balance, treasury (in shares) at Mar. 31, 2019			5,114,938
Beginning balance, Amount at Dec. 31, 2018	1,424,474	$ 358	$ (49,373)	937,965	427,975	107,549
Beginning balance (in shares) at Dec. 31, 2018		35,835,348
Beginning balance, treasury (in shares) at Dec. 31, 2018			5,029,429
Ending balance, Amount at Jun. 30, 2019	1,448,048	$ 361	$ (57,892)	941,920	471,831	91,828
Ending balance (in shares) at Jun. 30, 2019		36,084,393
Ending balance, treasury (in shares) at Jun. 30, 2019			5,124,003
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to noncontrolling interest-redeemable	5,900
Beginning balance, Amount at Mar. 31, 2019	1,415,630	$ 361	$ (56,950)	940,132	446,831	85,256
Beginning balance (in shares) at Mar. 31, 2019		36,059,654
Beginning balance, treasury (in shares) at Mar. 31, 2019			5,114,938
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	26,897				25,000	1,897
Acquired noncontrolling interest	6,170					6,170
Noncontrolling interest distributions	(2,026)					(2,026)
Purchase of additional controlling interest	(752)			(1,283)		531
Nonvested stock compensation	2,588			2,588
Issuance of vested stock	0
Issuance of vested stock (in shares)		17,145
Treasury shares redeemed to pay income tax	(700)		$ (730)	30
Treasury shares redeemed to pay income tax (in shares)			7,199
Exercise of options (in shares)		3,293	1,866
Exercise of options	(212)		$ (212)
Issuance of common stock under Employee Stock Purchase Plan (in shares)		4,301
Issuance of common stock under Employee Stock Purchase Plan	453			453
Ending balance, Amount at Jun. 30, 2019	1,448,048	$ 361	$ (57,892)	941,920	471,831	91,828
Ending balance (in shares) at Jun. 30, 2019		36,084,393
Ending balance, treasury (in shares) at Jun. 30, 2019			5,124,003
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to noncontrolling interest-redeemable	3,000
Beginning balance, Amount at Dec. 31, 2019	$ 1,507,251	$ 361	$ (60,060)	949,321	523,701	93,928
Beginning balance (in shares) at Dec. 31, 2019		36,129,280
Beginning balance, treasury (in shares) at Dec. 31, 2019	5,136,890		5,136,890
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	$ 24,123				22,024	2,099
Acquired noncontrolling interest	2,880					2,880
Noncontrolling interest distributions	(2,093)					(2,093)
Purchase of additional controlling interest	(23,575)			(2,470)		(21,105)
Nonvested stock compensation	3,680			3,680
Issuance of vested stock	2	$ 2
Issuance of vested stock (in shares)		163,163
Treasury shares redeemed to pay income tax	$ (6,933)		$ (7,122)	189
Treasury shares redeemed to pay income tax (in shares)			59,390
Issuance of common stock under Employee Stock Purchase Plan (in shares)	4,663	4,663
Issuance of common stock under Employee Stock Purchase Plan	$ 610			610
Ending balance, Amount at Mar. 31, 2020	1,505,945	$ 363	$ (67,182)	951,330	545,725	75,709
Ending balance (in shares) at Mar. 31, 2020		36,297,106
Ending balance, treasury (in shares) at Mar. 31, 2020			5,196,280
Beginning balance, Amount at Dec. 31, 2019	$ 1,507,251	$ 361	$ (60,060)	949,321	523,701	93,928
Beginning balance (in shares) at Dec. 31, 2019		36,129,280
Beginning balance, treasury (in shares) at Dec. 31, 2019	5,136,890		5,136,890
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Treasury shares redeemed to pay income tax (in shares)	65,646
Ending balance, Amount at Jun. 30, 2020	$ 1,558,103	$ 363	$ (68,654)	955,119	590,417	80,858
Ending balance (in shares) at Jun. 30, 2020		36,327,819
Ending balance, treasury (in shares) at Jun. 30, 2020	5,205,851		5,205,851
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to noncontrolling interest-redeemable	$ 9,604
Beginning balance, Amount at Mar. 31, 2020	1,505,945	$ 363	$ (67,182)	951,330	545,725	75,709
Beginning balance (in shares) at Mar. 31, 2020		36,297,106
Beginning balance, treasury (in shares) at Mar. 31, 2020			5,196,280
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	51,750				44,692	7,058
Noncontrolling interest distributions	(1,909)					(1,909)
Nonvested stock compensation	3,263			3,263
Issuance of vested stock	0	$ 0
Issuance of vested stock (in shares)		19,846
Treasury shares redeemed to pay income tax	(1,139)		$ (950)	(189)
Treasury shares redeemed to pay income tax (in shares)			6,256
Exercise of options (in shares)		7,137	3,315
Exercise of options	$ (304)		$ (522)	218
Issuance of common stock under Employee Stock Purchase Plan (in shares)	3,730	3,730
Issuance of common stock under Employee Stock Purchase Plan	$ 497			497
Ending balance, Amount at Jun. 30, 2020	$ 1,558,103	$ 363	$ (68,654)	$ 955,119	$ 590,417	$ 80,858
Ending balance (in shares) at Jun. 30, 2020		36,327,819
Ending balance, treasury (in shares) at Jun. 30, 2020	5,205,851		5,205,851
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income attributable to noncontrolling interest-redeemable	$ 3,500

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Operating activities:
Net income	$ 85,477	$ 53,339
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization expense	10,385	8,400
Amortization of operating lease right of use asset	17,090	15,528
Stock-based compensation expense	6,943	4,392
Deferred income taxes	10,461	4,821
Loss on disposal of assets	154	312
Impairment of intangibles and other	600	7,337
Changes in operating assets and liabilities, net of acquisitions:
Receivables	(38,186)	(22,704)
Prepaid expenses	(2,436)	(332)
Other assets	(4,169)	8
Prepaid income taxes	3,322	5,063
Accounts payable and accrued expenses	(16,354)	(935)
Salaries, wages, and benefits payable	3,850	(4,547)
Government stimulus advance	44,273
Contract liabilities - deferred revenue	310,712
Other long term liabilities	17,818	0
Operating lease liabilities	(16,876)	(13,253)
Income taxes payable	2,506	374
Net amounts due to/from governmental entities	306	528
Net cash provided by operating activities	435,876	58,331
Investing activities:
Purchases of property, building and equipment	(40,944)	(7,599)
Proceeds from sale of property, building and equipment	7,142	0
Cash received (paid) for acquisitions	3,125	(20,431)
Net cash used in investing activities	(30,677)	(28,030)
Financing activities:
Proceeds from line of credit	256,230	25,000
Payments on line of credit	(479,230)	(30,000)
Proceeds from employee stock purchase plan	1,107	931
Payments on debt	0	(7,650)
Noncontrolling interest distributions	(10,267)	(13,857)
Withholding taxes paid on stock-based compensation	(8,602)	(8,519)
Purchase of additional controlling interest	(23,575)	(18,748)
Exercise of vested awards and stock options	218
Exercise of vested awards and stock options		(84)
Net cash used in financing activities	(264,119)	(52,927)
Change in cash	141,080	(22,626)
Cash at beginning of period	31,672	49,363
Cash at end of period	172,752	26,737
Supplemental disclosures of cash flow information:
Interest paid	4,083	4,038
Income taxes paid	2,375	4,042
Non-Cash Operating Activity:
Operating right of use assets in exchange for lease obligations	18,690	98,070
Non-Cash Investing Activity:
Accrued capital expenditures	$ 2,348	$ 953

Basis of Presentation and Signi

Basis of Presentation and Significant Events	6 Months Ended
	Jun. 30, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation and Significant Events	Organization LHC Group, Inc. (the “Company”) is a health care provider specializing in the post-acute continuum of care. The Company provides services through five segments: home health, hospice, home and community-based services, facility-based services, the latter primarily through long-term acute care hospitals (“LTACHs”), and healthcare innovations services ("HCI"). As of June 30, 2020 , the Company, through its wholly- and majority-owned subsidiaries, equity joint ventures, controlled affiliates, and management agreements operated 816 service locations in 35 states within the continental United States and the District of Columbia. COVID-19 The effects of the worldwide pandemic caused by the outbreak of SARS-CoV-2 (“COVID-19”) have materially impacted our business. In response to the COVID-19 outbreak, we promptly convened a cross-functional COVID-19 task force comprised of the Company's leaders that continually communicates with our clinicians and other employees concerning best practices and changes in Company policies and procedures. We also implemented contingency planning policies, whereby most employees in our home offices located in Louisiana and Kentucky are continuing to work remotely in compliance with CDC recommendations. We continue to invest in technology and equipment that allows our remote work force to provide continued and seamless functionality to our clinicians who continue to care for patients on service. We have undertaken numerous measures to promote the safety of our clinicians and other employees. For example, we have prepared and distributed to our clinicians across the country special kits of personal protective equipment and other supplies needed to properly treat our patients during the COVID-19 outbreak, adopted social distancing guidelines for our agencies and our home offices located in Louisiana and Kentucky and posted reminder signs and markers throughout our work spaces, adopted additional cleaning procedures at all locations, installed plexiglass shields at work spaces that require a physical protective barrier, and instituted temperature check points in our agencies and home office campuses. These and other measures have altered numerous clinical, operational and business processes and significantly increases our supplies and services costs. In addition, we have implemented a number of programs to support our employees, including a pandemic grant program that supports employees experiencing financial hardships, retirement plan amendments, special cash-in opportunities for accumulated paid time off, expanded offerings in our employee assistance program, a wage supplement program designed to restore lost wages for front line patient care employees that qualified, and a paid time off replenishment program designed to restore certain hours of paid time off for front line patient care employees that qualified and for any employees who previously donated their paid time off hours to these front line patient care employees. CARES Act In response to COVID-19, the U.S. Government enacted the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") on March 27, 2020. The CARES Act was passed to provide $100 billion of Provider Relief Funds for distribution to eligible providers who provided diagnoses, testing, or care for individuals with possible or actual case of COVID-19, specifically to reimburse providers for health care related expense related to the prevention of the spread of COVID-19, preparations for treating cases of COVID-19 positive patients, and for lost revenues attributable to COVID-19. The CARES Act also provided financial hardship relief to Medicare providers impacted by the COVID-19 pandemic in order to provide necessary funds when there is a disruption in Medicare claims submission and/or Medicare claims processing by distributing funds through the Accelerated and Advanced Payments Program ("AAPP"). In addition, the CARES Act suspended the 2% sequestration payment adjustments on Medicare patient claims with dates of service from May 1 through December 31, 2020, suspended the application of site-neutral payment for LTACH admissions that were admitted during the Public Health Emergency ("PHE"), and delayed payment of the employer portion of social security tax. Provider Relief Fund During the three months ended June 30, 2020, the Company received $88.7 million in payments from the Provider Relief Fund. The payments received under the Provider Relief Fund are subject to certain terms and conditions, including being subject to potential repayment if those funds are not utilized to address the lost revenue and/or increased costs associated with our efforts associated with COVID-19. During the three months ended June 30, 2020, the Company recognized $44.4 million related to these funds, which was recorded in government stimulus income in our condensed consolidated statements of income. The unrecognized amount of $44.3 million was recorded in government stimulus advance in our condensed consolidated balance sheet. Such unrecognized amounts may be recognized as government stimulus income in future periods if conditions of recognition are met. The Company will continue to monitor compliance with the terms and conditions of the Provider Relief Fund and the impact of covered expenses and lost revenues. Any portion of the unrecognized $44.3 million that does not meet the terms and conditions of the grant will be returned to the government following the end of the PHE. AAPP During the three months ended June 30, 2020, the Company received $310.7 million of accelerated payments under the AAPP, which was recorded in contract liabilities - deferred revenue i n our condensed consolidated balance sheet in accordance with Accounting Standards Update ("ASU") 2014-09, Revenue from Contracts with Customers ("Topic 606") . We are required to begin repaying to the government AAPP funds that we received within 120 days after our receipt of such funds. After the 120-day period, any AAPP funds that remain unpaid will be automatically recouped from Medicare amounts otherwise payable to us by Centers for Medicare and Medicaid Services ("CMS"), until all AAPP funds have been completely repaid. Any unapplied advance payment amounts must be paid in full within 210 days from receipt of the advance payments. Other During the three months ended June 30, 2020, the Company recognized $5.0 million and $2.9 million of net service revenue due to the suspension of the 2% sequestration payment adjustment and the suspension of LTACH site-neutral payments, respectively. As of June 30, 2020, the Company deferred $17.8 million of employer social security taxes, which was recorded in other long term liabilities on our condensed consolidated balance sheets. Unaudited Interim Financial Information The accompanying unaudited condensed consolidated balance sheets as of June 30, 2020 and December 31, 2019 , and the related unaudited condensed consolidated statements of income for the three and six months ended June 30, 2020 and 2019 , condensed consolidated statements of changes in equity for the three and six months ended June 30, 2020 and 2019, condensed consolidated statements of cash flows for the six months ended June 30, 2020 and 2019 , and related notes (collectively, these financial statements are referred to as the "interim financial statements" and together with the related notes are referred to herein as the “interim financial information”) have been prepared by the Company. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) have been included. Operating results for the three and six months ended June 30, 2020 are not necessarily indicative of the results that may be expected for the year ending December 31, 2020 . Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted from the interim financial information presented. This report should be read in conjunction with the Company’s consolidated financial statements and related notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019 (the "2019 Form 10-K"). The 2019 Form 10-K was filed with the Securities and Exchange Commission (the “SEC”) on February 27, 2020 , and includes information and disclosures not included herein. Immaterial Correction of an Error During the six months ended June 30, 2019, the Company increased the reported number of common shares issued by 47,680 , decreased the reported number of treasury shares by 368 , and reclassified the reported number of treasury shares by 25,542 for the six months ended June 30, 2019 due to the exclusion of reporting the number of common shares issued as a result of the exercise of certain outstanding stock options and the number of treasury shares redeemed to pay income tax associated with such stock option exercises. For further details of this noted item, see Note 2 of the Notes to Consolidated Financial Statements in the 2019 10K filed with the SEC on February 27, 2020. The Company has evaluated the effects both qualitatively and quantitatively, and concluded that they did not have a material impact on previously issued financial statements for the six months ended June 30, 2019.

Significant Accounting Policies

Significant Accounting Policies	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Significant Accounting Policies	Significant Accounting Policies Use of Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported revenue and expenses during the reporting period. Actual results could differ from those estimates. Critical Accounting Policies The Company’s most critical accounting policies relate to revenue recognition. Net Service Revenue Net service revenue from contracts with customers is recognized in the period the performance obligations are satisfied under the Company's contracts by transferring the requested services to patients in amounts that reflect the consideration to which is expected to be received in exchange for providing patient care, which is the transaction price allocated to the services provided in accordance with Topic 606 and ASU 2015-14 , Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date (collectively, "ASC 606"). Net service revenue is recognized as performance obligations are satisfied, which can vary depending on the type of services provided. The performance obligation is the delivery of patient care in accordance with the requested services outlined in physicians' orders, which are based on specific goals for each patient. The performance obligations are associated with contracts in duration of less than one year; therefore, the optional exemption provided by ASC 606 was elected resulting in the Company not being required to disclose the aggregate amount of the transaction price allocated to the performance obligations that are unsatisfied or partially unsatisfied as of the end of the reporting period. The Company's unsatisfied or partially unsatisfied performance obligations are primarily completed when the patients are discharged and typically occur within days or weeks of the end of the period. The Company determines the transaction price based on gross charges for services provided, reduced by estimates for explicit and implicit price concessions. Explicit price concessions include contractual adjustments provided to patients and third-party payors. Implicit price concessions include discounts provided to self-pay, uninsured patients or other payors, adjustments resulting from regulatory reviews, audits, billing reviews and other matters. Subsequent changes to the estimate of the transaction price are recorded as adjustments to net service revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (i.e. change in credit risk) are recorded as a provision for doubtful accounts within general and administrative expenses. Explicit price concessions are recorded for the difference between our standard rates and the contracted rates to be realized from patients, third-party payors and others for services provided. Implicit price concessions are recorded for self-pay, uninsured patients and other payors by major payor class based on historical collection experience and current economic conditions, representing the difference between amounts billed and amounts expected to be collected. The Company assesses the ability to collect for the healthcare services provided at the time of patient admission based on the verification of the patient's insurance coverage under Medicare, Medicaid, and other commercial or managed care insurance programs. Amounts due from third-party payors, primarily commercial health insurers and government programs (Medicare and Medicaid), include variable consideration for retroactive revenue adjustments due to settlements of audits and reviews. The Company has determined estimates for price concessions related to regulatory reviews based on historical experience and success rates in the claim appeals and adjudication process. Revenue is recorded at amounts estimated to be realizable for services provided. The following table sets forth the percentage of net service revenue earned by category of payor for the three and six months ended June 30, 2020 and 2019 : Three Months Ended Six Months Ended 2020 2019 2020 2019 Home health: Medicare 66.4 % 70.8 % 67.3 % 71.1 % Managed Care, Commercial, and Other 33.6 29.2 32.7 28.9 100.0 % 100.0 % 100.0 % 100.0 % Hospice: Medicare 92.9 % 92.9 % 92.4 % 92.7 % Managed Care, Commercial, and Other 7.1 7.1 7.6 7.3 100.0 % 100.0 % 100.0 % 100.0 % Home and Community-Based Services: Medicaid 20.9 % 24.3 % 20.7 % 24.7 % Managed Care, Commercial, and Other 79.1 75.7 79.3 75.3 100.0 % 100.0 % 100.0 % 100.0 % Facility-Based Services: Medicare 56.6 % 53.0 % 55.8 % 55.2 % Managed Care, Commercial, and Other 43.4 47.0 44.2 44.8 100.0 % 100.0 % 100.0 % 100.0 % HCI: Medicare 30.7 % 23.5 % 27.3 % 22.8 % Managed Care, Commercial, and Other 69.3 76.5 72.7 77.2 100.0 % 100.0 % 100.0 % 100.0 % Medicare The following describes the payment models in effect during the six months ended June 30, 2020. Such payment models have been subject to temporary adjustments made by CMS in response to COVID-19 pandemic as described elsewhere by this Quarterly Report on Form 10-Q. Home Health Services Effective January 1, 2020, the Patient Driven Groupings Model ("PDGM") became the new payment model for services provided to Medicare patients with dates of service on or after the effective date, including certain Medicare Advantage patients. PDGM was implemented by CMS. Under PDGM, the initial certification of Medicare patient eligibility, plan of care, and comprehensive assessment is for a 60-day episode of care; however, unlike the former Medicare prospective payment system ("PPS"), where each 60-day episode of care could not be final billed until the episode was completed, PDGM provides for each 30-day period within the episode of care to be final billed upon completion. As a result of PDGM, the Company now completes its final billing after each 30-day period instead of the former 60-day period under PPS. For each 30 -day period, the patient is classified into one of 432 home health resource groups prior to receiving services. Each 30 -day period is placed into a subgroup falling under the following categories: (i) timing being early or late, (ii) admission source being community or institutional, (iii) one of 12 clinical groupings based on the patient's principal diagnosis, (iv) functional impairment level of low, medium, or high, and (v) a co-morbidity adjustment of none, low, or high based on the patient's secondary diagnoses. Each 30-day period payment from Medicare reflects base payment adjustments for case-mix and geographic wage differences. All Medicare patient claims with dates of service from January 1, 2020 through April 30, 2020 reflected a 2% sequestration reduction. The 2% sequestration reduction adjustment was suspended for patient claims with dates of service that began May 1, 2020 through December 31, 2020. In addition, payments may reflect one of three retroactive adjustments to the total reimbursement: (a) an outlier payment if the patient’s care was unusually costly; (b) a low utilization adjustment whereby the number of visits is dependent on the clinical grouping; and/or (c) a partial payment if the patient transferred to another provider or from another provider before completing the episode. The retroactive adjustments outlined above are recognized in net service revenue when the event causing the adjustment occurs and during the period in which the services are provided to the patient. The Company reviews these adjustments to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustments is subsequently resolved. Net service revenue and related patient accounts receivable are recorded at amounts estimated to be realized from Medicare for services rendered. Hospice The Company records revenue based upon the date of service at amounts equal to the estimated payment rates. The Company receives one of four predetermined daily rates based upon the level of care provided by the Company, which can be routine care, general inpatient care, continuous home care, and respite care. There are two separate payment rates for routine care: payment for the first 60 days of care and care beyond 60 days. In addition to the two routine rates, the Company may also receive a service intensity add-on ("SIA"). The SIA is based on visits made in the last seven days of life by a registered nurse or medical social worker for patients in a routine level of care. The performance obligation is the delivery of hospice services to the patient, as determined by a physician, each day the patient is on hospice care. Adjustments to Medicare revenue are made from regulatory reviews, audits, billing reviews and other matters. The Company estimates the impact of these adjustments based on our historical experience. Hospice payments are subject to variable consideration through an inpatient cap and an overall Medicare payment cap. The inpatient cap relates to individual programs receiving more than 20% of their total Medicare reimbursement from inpatient care services, and the overall Medicare payment cap relates to individual programs receiving reimbursements in excess of a “cap amount,” determined by Medicare to be payment equal to 12 months of hospice care for the aggregate base of hospice patients, indexed for inflation. The determination for each cap is made annually based on the 12 -month period ending on October 31 of each year. The Company monitors its limits on a provider-by-provider basis and records an estimate of its liability for reimbursements received in excess of the cap amount, if any, in the reporting period. Facility-Based Services Gross revenue is recorded as services are provided under the LTACH prospective payment system. Each patient is assigned a long-term care diagnosis-related group. The Company is paid a predetermined fixed amount intended to reflect the average cost of treating a Medicare LTACH patient classified in that particular long-term care diagnosis-related group. For selected LTACH patients, the amount may be further adjusted based on length-of-stay and facility-specific costs, as well as in instances where a patient is discharged and subsequently re-admitted, among other factors. The Company calculates the adjustment based on a historical average of these types of adjustments for LTACH claims paid. Similar to other Medicare prospective payment systems, the rate is also adjusted for geographic wage differences. Net service revenue adjustments resulting from reviews and audits of Medicare cost report settlements are considered implicit price concessions for LTACHs and are measured at expected value. Non-Medicare Revenues Other sources of net service revenue for all segments fall into Medicaid, managed care or other payors of the Company's services. Medicaid reimbursement is based on a predetermined fee schedule applied to each service provided. Therefore, revenue is recognized for Medicaid services as services are provided based on this fee schedule. The Company's managed care and other payors reimburse the Company based upon a predetermined fee schedule or an episodic basis, depending on the terms of the applicable contract. Accordingly, the Company recognizes revenue from managed care and other payors as services are provided, such costs are incurred, and estimates of expected payments are known for each different payor, thus the Company's revenue is recorded at the estimated transaction price. Contingent Service Revenues The HCI segment provides strategic health management services to Affordable Care Organizations ("ACOs") that have been approved to participate in the Medicare Shared Savings Program ("MSSP"). The HCI segment has service agreements with ACOs that provide for sharing of MSSP payments received by the ACO, if any. ACOs are legal entities that contract with CMS to provide services to the Medicare fee-for-service population for a specified annual period with the goal of providing better care for the individual, improving health for populations and lowering costs. ACOs share savings with CMS to the extent that the actual costs of serving assigned beneficiaries are below certain trended benchmarks of such beneficiaries and certain quality performance measures are achieved. The generation of shared savings is the performance obligation of each ACO, which only become certain upon the final issuance of unembargoed calculations by CMS, generally in the third quarter of each year. Government Grants The Company accounted for these funds as government grants, in accordance with IAS 20, Accounting for Government Grants and Disclosure of Government Assistance . Under IAS 20, government grants are recognized on a systematic basis over the periods in which the Company recognizes expenses and lost revenue for the related costs for which the grants are intended to compensate. The Company will recognize the grant when there is reasonable assurance that (a) the Company will comply with any conditions attached to the grant and (b) the grant will be received. Patient Accounts Receivable The Company reports patient accounts receivable from services rendered at their estimated transaction price, which includes price concessions based on the amounts expected to be due from payors. The Company's patient accounts receivable is uncollateralized and primarily consist of amounts due from Medicare, Medicaid, other third-party payors, and to a lesser degree patients. The credit risk from other payors is limited due to the significance of Medicare as the primary payor. The Company believes the credit risk associated with its Medicare accounts is limited due to (i) the historical collection rate from Medicare and (ii) the fact that Medicare is a U.S. government payor. The Company does not believe that there are any other significant concentrations from any particular payor that would subject it to any significant credit risk in the collection of patient accounts receivable. A portion of the estimated Medicare PDGM system reimbursement from each submitted home nursing episode is received in the form of a request for anticipated payment (“RAP”). For a standard 60-day episode of care, the Company will submit two RAPs, one for the first 30-day period and a second for the next 30-day period. The Company submits a RAP for 20% of the estimated reimbursement for each of the 30-day periods at the start of care. A final bill is submitted at the end of each 30-day period. If a final bill is not submitted within the greater of 120 days from the start of the 30-day period, or 60 days from the date the RAP was paid, any RAP received for that 30-day period will be recouped by Medicare from any other Medicare claims in process for that particular provider. The RAP and final claim must then be resubmitted. Earnings Per Share Basic per share information is computed by dividing the relevant amounts from the condensed consolidated statements of income by the weighted-average number of shares outstanding during the period, under the treasury stock method. Diluted per share information is also computed using the treasury stock method, by dividing the relevant amounts from the condensed consolidated statements of income by the weighted-average number of shares outstanding plus potentially dilutive shares. The following table sets forth shares used in the computation of basic and diluted per share information and, with respect to the data provided for the three and six months ended June 30, 2020 and 2019 (amounts in thousands): Three Months Ended Six Months Ended 2020 2019 2020 2019 Weighted average number of shares outstanding for basic per share calculation 31,104 30,960 31,060 30,899 Effect of dilutive potential shares: Nonvested stock 220 241 241 289 Adjusted weighted average shares for diluted per share calculation 31,324 31,201 31,301 31,188 Anti-dilutive shares 5 13 122 153 Assets Held for Sale As of June 30, 2020, the Company's assets held for sale consisted of property and fixed assets of one hospice facility in Knoxville, Tennessee. The Company has accepted a purchase offer from a buyer that indicated the fair market value of the property was $1.9 million . The Company performed an impairment analysis and recorded an impairment charge of $0.6 million during the three months ended June 30, 2020, which was recorded in impairment of intangibles and other on our condensed consolidated statements of income. Recently Adopted Accounting Pronouncements In January 2017, the FASB issued ASU 2017-04, Intangibles - Goodwill and Other: Simplifying the Test for Goodwill Impairment , which requires an entity to no longer perform a hypothetical purchase price allocation to measure goodwill impairment. Instead, impairment will be measured using the difference between the carrying amount and the fair value of the reporting unit. This ASU was effective for annual and interim periods in fiscal years beginning after December 15, 2019, and did not have a significant impact to the Company. In June 2016, the FASB issued ASU 2016-13, Measurement of Credit Losses on Financial Instruments which amends Financial Instruments - Credit Losses ("Topic 326"). ASU 2016-13 provides guidance for measuring credit losses on financial instruments. Early adoption is permitted. The amendments in this ASU should be applied retrospectively. This ASU was effective for annual and interim periods in fiscal years beginning after December 15, 2019, and did not have a significant impact to the Company. Recently Issued Accounting Pronouncements In December 2019, the FASB issued ASU 2019-12, Simplifications to accounting for income taxes,

Acquisitions and Joint Venture

Acquisitions and Joint Venture Activities	6 Months Ended
	Jun. 30, 2020
Business Combinations [Abstract]
Acquisitions and Joint Venture Activities	Acquisitions and Joint Venture Activities Acquisitions The Company acquired the majority-ownership of six home health agencies, three hospice agencies, and four home and community-based agencies during the six months ended June 30, 2020 . The total aggregate purchase price for these transactions was $13.9 million . The purchase prices were determined based on the Company’s analysis of comparable acquisitions and the target market’s potential future cash flows. The Company funded these acquisitions in 2019 by paying cash consideration of $16.4 million . During the six months ended June 30, 2020, the Company received $3.1 million from an equity joint venture partnership for the partner's noncontrolling interest for one of the Company's acquired home health and hospice agencies. The total cash consideration includes adjustments for assets acquired and liabilities assumed. Goodwill generated from the acquisitions was recognized based on the expected contributions of each acquisition to the overall corporate strategy. The Company expects its portion of goodwill to be fully tax deductible. The acquisitions were accounted for under the acquisition method of accounting. Accordingly, the accompanying interim financial information includes the results of operations of the acquired entities from the date of acquisition. The following table summarizes the amounts of the assets acquired and liabilities assumed at the acquisition dates, as well as their fair value at the acquisition dates and the noncontrolling interest acquired during the six months ended June 30, 2020 : Fair value of total consideration transferred Recognized amounts of identifiable assets acquired and liabilities assumed: Trade name $ 1,944 Certificates of need/licenses 3,584 Other assets and (liabilities), net (410 ) Total identifiable assets $ 5,118 Noncontrolling interest $ 6,388 Goodwill, including noncontrolling interest of $4,661 $ 14,617 Trade names, certificates of need and licenses are indefinite-lived assets and, therefore, not subject to amortization. Acquired trade names that are not being used actively are amortized over the estimated useful life on the straight line basis. Trade names are valued using the relief from royalty method, a form of the income approach. Certificates of need are valued using the replacement cost approach based on registration fees and opportunity costs. Licenses are valued based on the estimated direct costs associated with recreating the asset, including opportunity costs based on an income approach. In the case of states with a moratorium in place, the licenses are valued using the multi-period excess earnings method. Noncontrolling interest is recorded at fair value. Joint Venture Activities During the six months ended June 30, 2020 , the Company purchased a portion of the noncontrolling membership interest in one of our equity joint venture partnerships, which prior to the purchase was classified as a nonredeemable noncontrolling interest in permanent equity. As a result of the purchase, the Company retained its controlling financial interests in the joint venture partnership and the noncontrolling interest of our partner will continue to be classified as a nonredeemable noncontrolling interest in permanent equity. Total consideration for this noncontrolling interest purchase was $23.6 million .

Goodwill and Intangibles

Goodwill and Intangibles	6 Months Ended
	Jun. 30, 2020
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangibles	Goodwill and Intangibles The changes in recorded goodwill and intangible assets by reporting unit for the six months ended June 30, 2020 were as follows (amounts in thousands): Home health reporting unit Hospice reporting unit Home and community-based services reporting unit Facility-based reporting unit HCI reporting unit Total Goodwill: Balance as of December 31, 2019 $ 867,924 $ 128,875 $ 166,629 $ 15,682 $ 40,862 $ 1,219,972 Acquisitions 7,278 2,678 — — — 9,956 Noncontrolling interests 2,882 1,779 — — — 4,661 Adjustments and disposals (108 ) (336 ) — — — (444 ) Balance as of June 30, 2020 $ 877,976 $ 132,996 $ 166,629 $ 15,682 $ 40,862 $ 1,234,145 Intangible assets: Balance as of December 31, 2019 $ 219,872 $ 40,590 $ 24,096 $ 5,317 $ 15,681 $ 305,556 Acquisitions 4,700 930 — — — 5,630 Amortization (288 ) (46 ) (11 ) (3 ) (290 ) (638 ) Balance as of June 30, 2020 $ 224,284 $ 41,474 $ 24,085 $ 5,314 $ 15,391 $ 310,548 The allocation of goodwill from acquisitions purchased during the six months ended June 30, 2020 for each reporting unit is preliminary and subject to change once the valuation analysis required by ASC 805, Business Combinations is finalized. The following tables summarize the changes in intangible assets during the six months ended June 30, 2020 and December 31, 2019 (amounts in thousands): 2020 2019 Indefinite-lived intangible assets: Trade Names $ 165,417 $ 163,499 Certificates of Need/Licenses 133,273 129,689 Net Total $ 298,690 $ 293,188 Definite-lived intangible assets: Trade Names Gross carrying amount $ 10,209 $ 10,182 Accumulated amortization (9,378 ) (9,229 ) Net total $ 831 $ 953 Non-compete agreements Gross carrying amount $ 6,897 $ 6,795 Accumulated amortization (6,191 ) (5,991 ) Net total $ 706 $ 804 Customer relationships Gross carrying amount $ 11,822 $ 11,822 Accumulated amortization (1,501 ) (1,211 ) Net total $ 10,321 $ 10,611 Total definite-lived intangible assets Gross carrying amount $ 28,928 $ 28,799 Accumulated amortization (17,070 ) (16,431 ) Net total $ 11,858 $ 12,368 Total intangible assets: Gross carrying amount $ 327,618 $ 321,987 Accumulated amortization (17,070 ) (16,431 ) Net total $ 310,548 $ 305,556 Remaining useful lives for trade names, customer relationships, and non-compete agreements were 9.3 , 17.7 , and 2.4 years, respectively, at June 30, 2020 . Similar periods at December 31, 2019 were 9.8 , 18.2 , and 2.8 years for trade names, customer relationships, and non-compete agreements, respectively. Amortization expense was $0.6 million and $0.7 million during the six months ended June 30, 2020 and 2019, respectively. Amortization expense was recorded in general and administrative expenses.

Debt

Debt	6 Months Ended
	Jun. 30, 2020
Debt Disclosure [Abstract]
Debt	Debt Credit Facility On March 30, 2018 , the Company entered into a Credit Agreement with JPMorgan Chase Bank, N.A., which was effective on April 2, 2018 (the "Credit Agreement"). The Credit Agreement provides a senior, secured revolving line of credit commitment with a maximum principal borrowing limit of $500.0 million , which includes an additional $200.0 million accordion expansion feature, and a letter of credit sub-limit equal to $50.0 million . The expiration date of the Credit Agreement is March 30, 2023 . The Company’s obligations under the Credit Agreement are secured by substantially all of the assets of the Company and its wholly-owned subsidiaries (subject to customary exclusions), which assets include the Company’s equity ownership of its wholly-owned subsidiaries and its equity ownership in joint venture entities. The Company’s wholly-owned subsidiaries also guarantee the obligations of the Company under the Credit Agreement. Revolving loans under the Credit Agreement bear interest at, as selected by the Company, either a (a) Base Rate, which is defined as a fluctuating rate per annum equal to the highest of (1) the Federal Funds Rate in effect on such day plus 0.5% (2) the Prime Rate in effect on such day and (3) the Eurodollar Rate for a one month interest period on such day plus 1.5% , plus a margin ranging from 0.50% to 1.25% per annum or (b) Eurodollar rate plus a margin ranging from 1.50% to 2.25% per annum, with pricing varying based on the Company's quarterly consolidated Leverage Ratio. Swing line loans bear interest at the Base Rate. The Company is limited to 15 Eurodollar borrowings outstanding at any time. The Company is required to pay a commitment fee for the unused commitments at rates ranging from 0.20% to 0.35% per annum depending upon the Company’s quarterly consolidated Leverage Ratio. The Base Rate as of June 30, 2020 was 4.00% and the LIBOR rate was 2.00% . As of June 30, 2020 , the effective interest rate on outstanding borrowings under the Credit Agreement was 2.00% . As of June 30, 2020 , the Company had $30.0 million drawn, letters of credit issued in the amount of $24.8 million , and $445.2 million of remaining borrowing capacity available under the Credit Agreement. At December 31, 2019 , the Company had $253.0 million drawn and letters of credit issued in the amount of $28.4 million under the Credit Facility. Under the terms of the Credit Agreement, the Company is required to maintain certain financial ratios and comply with certain financial covenants. The Credit Agreement permits the Company to make certain restricted payments, such as purchasing shares of its stock, within certain parameters, provided the Company maintains compliance with those financial ratios and covenants after giving effect to such restricted payments. The Company was in compliance with its debt covenants under the Credit Agreement at June 30, 2020

Stockholder's Equity

Stockholder's Equity	6 Months Ended
	Jun. 30, 2020
Equity [Abstract]
Stockholder's Equity	Stockholder’s Equity Equity Based Awards The 2018 Incentive Plan is administered by the Compensation Committee of the Company’s Board of Directors. The total number of shares of the Company's common stock originally reserved were 2,210,544 shares and a total of 1,874,354 shares are currently available for issuance. A variety of discretionary awards for employees, officers, directors, and consultants are authorized under the 2018 Incentive Plan, including incentive or non-qualified stock options and restricted stock, restricted stock units and performance-based awards. All awards must be evidenced by a written award certificate which will include the provisions specified by the Compensation Committee of the Board of Directors. The Compensation Committee determines the exercise price for stock options, which cannot be less than the fair market value of the Company’s common stock as of the date of grant. Share Based Compensation Nonvested Stock During the six months ended June 30, 2020 , the Company granted 9,900 nonvested shares of common stock to independent directors under the Second Amended and Restated 2005 Non-Employee Directors Compensation Plan. The shares vest 100% on the one year anniversary date. During the six months ended June 30, 2020 , one retired director was granted 775 nonvested shares of common stock under the Second Amended and Restated 2005 Non-Employee Directors Compensation Plan, which shares vest 100% at the grant date. During the six months ended June 30, 2020 , employees and a consultant were granted 113,525 and 10,890 shares, respectively, of nonvested shares of common stock pursuant to the 2018 Incentive Plan. The shares vest over a period of five years , conditioned on continued employment and in accordance with consulting agreement. The fair value of nonvested shares of common stock is determined based on the closing trading price of the Company’s common stock on the grant date. The following table represents the share grants activity for the six months ended June 30, 2020 : Restricted stock Options Number of shares Weighted average grant date fair value Number of shares Weighted average grant date fair value Share grants outstanding as of December 31, 2019 534,331 $ 71.01 98,756 $ 40.71 Granted 135,090 123.10 — — Vested or exercised (185,910 ) 61.79 (7,137 ) 30.62 Share grants outstanding as of June 30, 2020 483,511 $ 88.90 91,619 $ 39.97 As of June 30, 2020 , there was $37.2 million of total unrecognized compensation cost related to nonvested shares of common stock granted. That cost is expected to be recognized over the weighted average period of 3.20 years . The Company records compensation expense related to nonvested stock awards at the grant date for shares of common stock that are awarded fully vested, and over the vesting term on a straight-line basis for shares of common stock that vest over time. The Company estimates forfeitures at the time of grant and revises the estimate in subsequent periods if actual forfeitures differ to ensure that total compensation expense recognized is at least equal to the value of vested awards. The Company recorded $6.9 million and $4.4 million of compensation expense related to nonvested stock grants for the six months ended June 30, 2020 and 2019, respectively. Employee Stock Purchase Plan In 2006, the Company adopted the Employee Stock Purchase Plan whereby eligible employees may purchase the Company’s common stock at 95% of the market price on the last day of the calendar quarter. There were 250,000 shares of common stock initially reserved for the plan. In 2013 , the Company adopted the Amended and Restated Employee Stock Purchase Plan, which reserved an additional 250,000 shares of common stock to the plan. The table below details the shares of common stock issued during 2020 : Number of shares Per share price Shares available as of December 31, 2019 132,449 Shares issued during the three months ended March 31, 2020 4,663 $ 130.87 Shares issued during the three months ended June 30, 2020 3,730 $ 133.19 Shares available as of June 30, 2020 124,056 Treasury Stock In conjunction with the vesting of the nonvested shares of common stock or the exercise of stock options, recipients incur personal income tax obligations. The Company allows the recipients to turn in shares of common stock to satisfy minimum tax obligations. During the six months ended June 30, 2020 , the Company redeemed 65,646 shares of common stock valued at $8.1 million , related to share vesting tax obligations. Such shares are held as treasury stock and are available for reissuance by the Company. In addition, the Company redeemed 3,315 shares of common stock valued at $0.5 million , related to the exercise of options.

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2020
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	Commitments and Contingencies Contingencies The Company provides services in a highly regulated industry and is a party to various proceedings and regulatory and other governmental and internal audits and investigations in the ordinary course of business (including audits by Zone Program Integrity Contractors ("ZPICs") and Recovery Audit Contractors ("RACs") and investigations resulting from the Company's obligation to self-report suspected violations of law). Management cannot predict the ultimate outcome of any regulatory and other governmental and internal audits and investigations. While such audits and investigations are the subject of administrative appeals, the appeals process, even if successful, may take several years to resolve. The Department of Justice, CMS, or other federal and state enforcement and regulatory agencies may conduct additional investigations related to the Company's businesses. These audits and investigations have caused and could potentially continue to cause delays in collections, recoupments from governmental payors. Currently, the Company has recorded $16.9 million in other assets, which are due from government payors related to the disputed finding of pending appeals of ZPIC audits. Additionally, these audits may subject the Company to sanctions, damages, extrapolation of damage findings, additional recoupments, fines, and other penalties (some of which may not be covered by insurance), which may, either individually or in the aggregate, have a material adverse effect on the Company's business and financial condition. On January 18, 2018, Jordan Rosenblatt, a purported shareholder of Almost Family filed a complaint for violations of the Securities Exchange Act of 1934 in the United States District Court for the Western District of Kentucky, styled Rosenblatt v. Almost Family, Inc., et al. , Case No. 3:18-cv-40-TBR (the “Rosenblatt Action”). The Rosenblatt Action was filed against the Company, Almost Family, Almost Family’s board of directors, and Merger Sub. The complaint in the Rosenblatt Action (“Rosenblatt Complaint”) asserted, among other things, that the Form S-4 Registration Statement (“Registration Statement”) filed on December 21, 2017 in connection with the Merger contained false and misleading statements with respect to the Merger. In addition to the Rosenblatt Action, two additional complaints were filed against Almost Family in the United States District Court for the District of Delaware (the "Delaware Actions") alleging similar violations as the Rosenblatt Action. On February 22, 2018, plaintiffs in the Delaware Actions moved for a preliminary injunction to enjoin the merger of Almost Family and Merger Sub. On March 22, 2018, the court denied plaintiffs’ motion for preliminary injunction. The next day, on March 23, 2018, one of the plaintiffs in the Delaware Actions moved to consolidate the Delaware Actions with the Rosenblatt Action and for the appointment of a lead plaintiff. On December 19, 2018, the Court granted the motion to consolidate, appointed Leonard Stein, a purported Almost Family shareholder, as the Lead Plaintiff, and approved Stein's selection of Lead Counsel. On February 1, 2019, Lead Plaintiff filed his Consolidated Amended Class Action Complaint (the "Consolidated Complaint"). The Consolidated Complaint asserted claims against Almost Family, the Company and Almost Family's board of directors for violations of Section 14(a) of the 1934 Act in connection with the dissemination of the Company's and Almost Family's Proxy Statement concerning the Merger, and asserted breach of fiduciary duty claims and claims for violations of Section 20(a) of the 1934 Act against Almost Family's former board of directors. On February 11, 2020, the court granted the Company's motion to dismiss and the Company's motion to strike and dismissed Lead Plaintiff's federal claims with prejudice and state law claims without prejudice. On March 12, 2020, Lead Plaintiff appealed the court's decision to the United States Court of Appeals for the Sixth Circuit. On April 17, 2020, Lead Plaintiff moved to voluntarily dismiss his appeal, and on April 23, 2020, the United States Court of Appeals for the Sixth Circuit granted Lead Plaintiff's motion and dismissed the appeal, and thus the case is now terminated. We are involved in various legal proceedings arising in the ordinary course of business. Although the results of litigation cannot be predicted with certainty, we believe the outcome of pending litigation will not have a material adverse effect, after considering the effect of our insurance coverage, on our consolidated financial information. Legal fees related to all legal matters are expensed as incurred. Joint Venture Buy/Sell Provisions Most of the Company’s joint ventures include a buy/sell option that grants to the Company and its joint venture partners the right to require the other joint venture party to either purchase all of the exercising member’s membership interests or sell to the exercising member all of the non-exercising member’s membership interest, at the non-exercising member’s option, within 30 days of the receipt of notice of the exercise of the buy/sell option. In some instances, the purchase price is based on a multiple of the historical or future earnings before income taxes and depreciation and amortization of the equity joint venture at the time the buy/sell option is exercised. In other instances, the buy/sell purchase price will be negotiated by the partners and subject to a fair market valuation process. The Company has not received notice from any joint venture partners of their intent to exercise the terms of the buy/sell agreement nor has the Company notified any joint venture partners of its intent to exercise the terms of the buy/sell agreement. Compliance The laws and regulations governing the Company’s operations, along with the terms of participation in various government programs, regulate how the Company does business, the services offered and its interactions with patients and the public. These laws and regulations, and their interpretations, are subject to frequent change. Changes in existing laws or regulations, or their interpretations, or the enactment of new laws or regulations could materially and adversely affect the Company’s operations and financial condition. The Company is subject to various routine and non-routine governmental reviews, audits and investigations. In recent years, federal and state civil and criminal enforcement agencies have heightened and coordinated their oversight efforts related to the health care industry, including referral practices, cost reporting, billing practices, joint ventures and other financial relationships among health care providers. Violation of the laws governing the Company’s operations, or changes in the interpretation of those laws, could result in the imposition of fines, civil or criminal penalties and/or termination of the Company’s rights to participate in federal and state-sponsored programs and suspension or revocation of the Company’s licenses. The Company believes that it is in material compliance with all applicable laws and regulations.

Noncontrolling interests

Noncontrolling interests	6 Months Ended
	Jun. 30, 2020
Noncontrolling Interest [Abstract]
Noncontrolling interests	Noncontrolling interests The Company classifies noncontrolling interests of its joint venture parties based upon a review of the legal provisions governing the redemption of such interests. In each of the Company’s joint ventures, those provisions are embodied within the joint venture’s operating agreement. For joint ventures with operating agreement provisions that establish an obligation for the Company to purchase the third-party partners’ noncontrolling interests other than as a result of events that lead to a liquidation of the joint venture, such noncontrolling interests are classified as redeemable noncontrolling interests in temporary equity. For joint ventures with operating agreement provisions that establish an obligation that the Company purchase the third party partners’ noncontrolling interests, but which obligation is triggered by events that lead to a liquidation of the joint venture, such noncontrolling interests are classified as nonredeemable noncontrolling interests in permanent equity. Additionally, for joint ventures with operating agreement provisions that do not establish an obligation for the Company to purchase the third-party partners’ noncontrolling interests (e.g., where the Company has the option, but not the obligation, to purchase the third-party partners’ noncontrolling interests), such noncontrolling interests are classified as nonredeemable noncontrolling interests in permanent equity. The Company’s equity joint ventures that are classified as redeemable noncontrolling interests are subject to operating agreement provisions that require the Company to purchase the noncontrolling partner’s interest upon the occurrence of certain triggering events, which are defined as the bankruptcy of the partner or the partner’s exclusion from the Medicare or Medicaid programs. These triggering events and the related repurchase provisions are specific to each redeemable equity joint venture, since the triggering of a repurchase obligation for any one redeemable noncontrolling interest in an equity joint venture does not necessarily impact any of the other redeemable noncontrolling interests in other equity joint ventures. Upon the occurrence of a triggering event requiring the purchase of a redeemable noncontrolling interest, the Company would be required to purchase the noncontrolling partner’s interest based upon a valuation methodology set forth in the applicable joint venture agreement. Redeemable noncontrolling interests and nonredeemable noncontrolling interests are initially recorded at their fair value as of the closing date of the transaction establishing the joint venture. Such fair values are determined using various accepted valuation methods, including the income approach, the market approach, the cost approach, and a combination of one or more of these approaches. A number of facts and circumstances concerning the operation of the joint venture are evaluated for each transaction, including (but not limited to) the ability to choose management, control over acquiring or liquidating assets, and controlling the joint venture’s strategy and direction, in order to determine the fair value of the noncontrolling interest. Based upon the Company’s evaluation of the redemption provisions concerning redeemable noncontrolling interests as of June 30, 2020 , the Company determined in accordance with authoritative accounting guidance that it was not probable that an event otherwise requiring redemption of any redeemable noncontrolling interest would occur (i.e., the date for such event was not set or such event is not certain to occur). Therefore, none of the redeemable noncontrolling interests were identified as mandatorily redeemable interests at such times, and the Company did not record any values in respect of any mandatorily redeemable interests. Subsequent to the closing date of the transaction establishing the joint venture, the Company records adjustments to the carrying amounts of noncontrolling interests during each reporting period to reflect (a) comprehensive income (loss) attributed to each noncontrolling interest, which is calculated by multiplying the noncontrolling interest percentage by the comprehensive income (loss) of the joint venture’s operations, (b) dividends paid to the noncontrolling interest partner, and (c) any other transactions that increase or decrease the Company’s ownership interest in each joint venture, as a result of which the Company retains its controlling interest. If the Company determines that, based upon its analysis as of the end of each reporting period in accordance with authoritative accounting guidance, that it is not probable that an event would occur to otherwise require the redemption of a redeemable noncontrolling interest (i.e., the date for such event is not set or such event is not certain to occur), then the Company does not adjust the recorded amount of such redeemable noncontrolling interest. The carrying amount of each redeemable equity instrument presented in temporary equity for the six months ended June 30, 2020 is not less than the initial amount reported for each instrument. The following table summarizes the activity of noncontrolling interest-redeemable for the six months ended June 30, 2020 (amounts in thousands): Balance as of December 31, 2019 $ 15,151 Net income attributable to noncontrolling interest-redeemable 9,604 Noncontrolling interest-redeemable distributions (6,265 ) Acquired noncontrolling interest-redeemable 3,508 Balance as of June 30, 2020 $ 21,998

Leases

Leases	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Leases	Leases The Company determines if a contract contains a lease at inception date. The Company's leases are operating leases, primarily for office and office equipment, that expire at various dates over the next nine years . The office leases have renewal options for periods ranging from one to five years . As it is not reasonably certain these renewal options will be exercised, the options were not considered in the lease term, and payments associated with the option years are excluded from lease payments. Payments due under operating leases include fixed and variable payments. These variable payments for the Company's office leases can include operating expenses, utilities, property taxes, insurance, common area maintenance, and other facility-related expense. Additionally, any leases with terms less than one year were not recognized as operating lease right of use assets or payables for short term leases in accordance with the election of ‘package of practical expedient’ under ASU 2016-02. The Company recognizes operating lease right of use assets and operating lease payable based on the present value of the future minimum lease payments at the lease commencement date. The Company's leases do not provide implicit rates. Therefore, the Company used an incremental borrowing rate based on the information available at the lease commencement date in determining the present value of future payments. As of June 30, 2020, the weighted-average remaining lease term was 4.33 and weighted-average discount rate was 4.57% . Information related to the Company's operating lease right of use assets and related lease liabilities for office and equipment leases were as follows: (amounts in thousands): June 30, 2020 December 31, 2019 Operating lease right of use asset 100,834 95,452 Current operating lease payable 34,838 28,701 Long-term operating lease payable 68,858 69,556 The Company incurred operating lease costs of (amounts in thousands): Three months ended June 30, Six months ended June 30, 2020 2019 2020 2019 Operating lease cost $ 12,328 $ 13,546 $ 24,437 $ 26,070 Maturities of operating lease liabilities as of June 30, 2020 were as follows (amounts in thousands): Month ending June 30, 2020 $ 18,406 2021 32,335 2022 23,532 2023 15,513 2024 9,404 Thereafter 14,800 Total future minimum lease payments 113,990 Less: Imputed interest (10,294 ) Total $ 103,696

Fair Value of Financial Instrum

Fair Value of Financial Instruments	6 Months Ended
	Jun. 30, 2020
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments	Fair Value of Financial Instruments The carrying amounts of the Company’s cash, receivables, accounts payable and accrued liabilities approximate their fair values because of their short maturity. The estimated fair value of intangible assets acquired was calculated using level 3 inputs based on the present value of anticipated future benefits. For the six months ended June 30, 2020 , the carrying value of the Company’s long-term debt approximates fair value, as the interest rates approximate current rates.

Segment Information

Segment Information	6 Months Ended
	Jun. 30, 2020
Segment Reporting [Abstract]
Segment Information	Segment Information The Company's reporting segments include (1) home health services, (2) hospice services, (3) home and community-based services, (4) facility-based services, and (5) HCI. The accounting policies of the segments are the same as those described in the summary of significant accounting policies, as described in Note 2 of the Notes to Condensed Consolidated Financial Statements. Reportable segments have been identified based upon how management has organized the business by services provided to customers and how the chief operating decision maker manages the business and allocates resources, consistent with the criteria in ASC 280, Segment Reporting. The following tables summarize the Company’s segment information for the three and six months ended June 30, 2020 and 2019 (amounts in thousands): Three Months Ended June 30, 2020 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 339,872 $ 61,055 $ 47,675 $ 33,639 $ 5,079 $ 487,320 Cost of service revenue (excluding depreciation and amortization) 205,146 37,271 38,747 21,785 3,763 306,712 General and administrative expenses 110,209 16,266 11,124 10,165 2,810 150,574 Impairment of intangibles and other — 600 — — — 600 Government stimulus income (35,019 ) (4,731 ) (2,865 ) (1,656 ) (164 ) (44,435 ) Operating income (loss) 59,536 11,649 669 3,345 (1,330 ) 73,869 Interest expense (594 ) (97 ) (79 ) (47 ) (24 ) (841 ) Income (loss) before income taxes and noncontrolling interest 58,942 11,552 590 3,298 (1,354 ) 73,028 Income tax expense (benefit) 12,807 2,439 (12 ) 373 (380 ) 15,227 Net income (loss) 46,135 9,113 602 2,925 (974 ) 57,801 Less net income (loss) attributable to non controlling interests 9,922 2,164 33 997 (7 ) 13,109 Net income (loss) attributable to LHC Group, Inc.'s common stockholder $ 36,213 $ 6,949 $ 569 $ 1,928 $ (967 ) $ 44,692 Total assets $ 1,656,022 $ 268,771 $ 259,742 $ 101,258 $ 71,306 $ 2,357,099 Three Months Ended June 30, 2019 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 375,253 $ 55,057 $ 52,414 $ 27,975 $ 7,143 $ 517,842 Cost of service revenue (excluding depreciation and amortization) 230,545 34,858 39,505 17,572 3,380 325,860 General and administrative expenses 108,958 15,096 11,213 9,335 3,982 148,584 Impairment of intangibles and other 748 270 — — — 1,018 Operating income (loss) 35,002 4,833 1,696 1,068 (219 ) 42,380 Interest expense (2,023 ) (323 ) (284 ) (170 ) (85 ) (2,885 ) Income (loss) before income taxes and noncontrolling interest 32,979 4,510 1,412 898 (304 ) 39,495 Income tax expense (benefit) 8,070 1,581 (171 ) 148 (71 ) 9,557 Net income (loss) 24,909 2,929 1,583 750 (233 ) 29,938 Less net income (loss) attributable to noncontrolling interests 3,948 898 (267 ) 365 (6 ) 4,938 Net income (loss) attributable to LHC Group, Inc.'s common stockholders $ 20,961 $ 2,031 $ 1,850 $ 385 $ (227 ) $ 25,000 Total assets $ 1,407,221 $ 234,789 $ 240,746 $ 77,686 $ 69,413 $ 2,029,855 Six Months Ended June 30, 2020 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 707,693 $ 121,586 $ 96,139 $ 63,320 $ 11,453 $ 1,000,191 Cost of service revenue (excluding depreciation and amortization) 425,586 75,305 77,200 42,127 7,696 627,914 General and administrative expenses 226,232 32,892 22,583 20,545 6,188 308,440 Impairment of intangibles and other — 600 — — — 600 Government stimulus income (35,019 ) (4,731 ) (2,865 ) (1,656 ) (164 ) (44,435 ) Operating income (loss) 90,894 17,520 (779 ) 2,304 (2,267 ) 107,672 Interest expense (2,494 ) (400 ) (345 ) (266 ) (104 ) (3,609 ) Income (loss) before income taxes and noncontrolling interest 88,400 17,120 (1,124 ) 2,038 (2,371 ) 104,063 Income tax expense (benefit) 16,096 3,047 (218 ) 174 (513 ) 18,586 Net income (loss) 72,304 14,073 (906 ) 1,864 (1,858 ) 85,477 Less net income (loss) attributable to non controlling interests 14,528 3,131 (122 ) 1,240 (16 ) 18,761 Net income (loss) attributable to LHC Group, Inc.'s common stockholder $ 57,776 $ 10,942 $ (784 ) $ 624 $ (1,842 ) $ 66,716 Six Months Ended June 30, 2019 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 738,288 $ 106,793 $ 104,199 $ 55,676 $ 15,471 $ 1,020,427 Cost of service revenue (excluding depreciation and amortization) 456,668 68,034 79,360 35,304 7,486 646,852 General and administrative expenses 213,797 29,949 22,195 18,512 9,352 293,805 Impairment of intangibles and other 7,066 271 — — — 7,337 Operating income (loss) 60,757 8,539 2,644 1,860 (1,367 ) 72,433 Interest expense (4,161 ) (666 ) (585 ) (350 ) (175 ) (5,937 ) Income (loss) before income taxes and noncontrolling interest 56,596 7,873 2,059 1,510 (1,542 ) 66,496 Income tax expense (benefit) 11,278 2,027 (20 ) 153 (281 ) 13,157 Net income (loss) 45,318 5,846 2,079 1,357 (1,261 ) 53,339 Less net income (loss) attributable to noncontrolling interests 7,728 1,499 (577 ) 846 (13 ) 9,483 Net income (loss) attributable to LHC Group, Inc.'s common stockholders $ 37,590 $ 4,347 $ 2,656 $ 511 $ (1,248 ) $ 43,856

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2020
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The effective tax rate for the six months ended June 30, 2020 benefited from $1.6 million of excess tax benefits associated with stock-based compensation arrangements and $2.2 million ( $4.3 million and $2.1 million , as further described below) associated with increased tax benefits associated with the Coronavirus Aid, Relief, and Economic Security Act (the "CARES Act"). For the six months ended June 30, 2019, the effective tax rate benefited from $2.6 million of excess tax benefits associated with stock-based compensation arrangements. In response to the COVID-19 pandemic, the CARES Act was signed into law in March 2020. The CARES Act lifts certain deduction limitations originally imposed by the Tax Cuts and Jobs Act of 2017 ("2017 Tax Act"). Corporate taxpayers may carryback net operating losses ("NOLs") originating during 2018 through 2020 for up to five years, which was not previously allowed under the 2017 Tax Act. The CARES Act also eliminates the 80% of taxable income limitations by allowing corporate entities to fully utilize NOL carryforwards to offset taxable income in 2018, 2019, or 2020. Taxpayers may generally deduct interest up to the sum of 50% of adjusted taxable income plus business interest income (30% limit under the 2017 Tax Act) for tax years beginning January 1, 2019 and 2020. The CARES Act allows taxpayers with alternative minimum tax credits to claim a refund in 2020 for the entire amount of the credits instead of recovering the credits through refunds over a period of years, as originally enacted by the 2017 Tax Act. In addition, the CARES Act raises the corporate charitable deduction limit to 25% of taxable income and makes qualified improvement property generally eligible for 15-year cost-recovery and 100% bonus depreciation. The effective tax rate for the six months ended June 30, 2020 benefited from a $4.3 million impact from the enactment of the CARES Act. There was no material impact to our net deferred tax assets as of June 30, 2020. U.S. GAAP prescribes a recognition threshold and measurement attribute for the accounting and financial statement disclosure of tax positions taken or expected to be taken in a tax return. The evaluation of a tax position is a two-step process. The first step requires the Company to determine whether it is more likely than not that a tax position will be sustained upon examination based on the technical merits of the position. The second step requires the Company to recognize in the financial statements each tax position that meets the more likely than not criteria, measured at the amount of benefit that has a greater than 50% likelihood of being realized. The Company’s unrecognized tax benefits would affect the tax rate, if recognized. The Company includes the full amount of unrecognized tax benefits in other noncurrent liabilities in the Company's Condensed Consolidated Balance Sheets. The Company anticipates it is reasonably possible an increase or decrease in the amount of unrecognized tax benefits could be made in the next twelve months. However, the Company does not presently anticipate that any increase or decrease in unrecognized tax benefits will be material to the consolidated financial statements. The impact of the CARES Act increased unrecognized tax benefits by $2.1 million , which also had an impact on the Company's effective tax rate for the six months ended June 30, 2020. As of June 30, 2020 and December 31, 2019, the Company recognized $6.4 million and $3.9 million , respectively, in unrecognized tax benefits.

Significant Accounting Polici_2

Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported revenue and expenses during the reporting period. Actual results could differ from those estimates.
Critical Accounting Policies	Critical Accounting Policies The Company’s most critical accounting policies relate to revenue recognition.
Net Service Revenue	Home Health Services Effective January 1, 2020, the Patient Driven Groupings Model ("PDGM") became the new payment model for services provided to Medicare patients with dates of service on or after the effective date, including certain Medicare Advantage patients. PDGM was implemented by CMS. Under PDGM, the initial certification of Medicare patient eligibility, plan of care, and comprehensive assessment is for a 60-day episode of care; however, unlike the former Medicare prospective payment system ("PPS"), where each 60-day episode of care could not be final billed until the episode was completed, PDGM provides for each 30-day period within the episode of care to be final billed upon completion. As a result of PDGM, the Company now completes its final billing after each 30-day period instead of the former 60-day period under PPS. For each 30 -day period, the patient is classified into one of 432 home health resource groups prior to receiving services. Each 30 -day period is placed into a subgroup falling under the following categories: (i) timing being early or late, (ii) admission source being community or institutional, (iii) one of 12 clinical groupings based on the patient's principal diagnosis, (iv) functional impairment level of low, medium, or high, and (v) a co-morbidity adjustment of none, low, or high based on the patient's secondary diagnoses. Each 30-day period payment from Medicare reflects base payment adjustments for case-mix and geographic wage differences. All Medicare patient claims with dates of service from January 1, 2020 through April 30, 2020 reflected a 2% sequestration reduction. The 2% sequestration reduction adjustment was suspended for patient claims with dates of service that began May 1, 2020 through December 31, 2020. In addition, payments may reflect one of three retroactive adjustments to the total reimbursement: (a) an outlier payment if the patient’s care was unusually costly; (b) a low utilization adjustment whereby the number of visits is dependent on the clinical grouping; and/or (c) a partial payment if the patient transferred to another provider or from another provider before completing the episode. The retroactive adjustments outlined above are recognized in net service revenue when the event causing the adjustment occurs and during the period in which the services are provided to the patient. The Company reviews these adjustments to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustments is subsequently resolved. Net service revenue and related patient accounts receivable are recorded at amounts estimated to be realized from Medicare for services rendered. Hospice The Company records revenue based upon the date of service at amounts equal to the estimated payment rates. The Company receives one of four predetermined daily rates based upon the level of care provided by the Company, which can be routine care, general inpatient care, continuous home care, and respite care. There are two separate payment rates for routine care: payment for the first 60 days of care and care beyond 60 days. In addition to the two routine rates, the Company may also receive a service intensity add-on ("SIA"). The SIA is based on visits made in the last seven days of life by a registered nurse or medical social worker for patients in a routine level of care. The performance obligation is the delivery of hospice services to the patient, as determined by a physician, each day the patient is on hospice care. Adjustments to Medicare revenue are made from regulatory reviews, audits, billing reviews and other matters. The Company estimates the impact of these adjustments based on our historical experience. Hospice payments are subject to variable consideration through an inpatient cap and an overall Medicare payment cap. The inpatient cap relates to individual programs receiving more than 20% of their total Medicare reimbursement from inpatient care services, and the overall Medicare payment cap relates to individual programs receiving reimbursements in excess of a “cap amount,” determined by Medicare to be payment equal to 12 months of hospice care for the aggregate base of hospice patients, indexed for inflation. The determination for each cap is made annually based on the 12 -month period ending on October 31 of each year. The Company monitors its limits on a provider-by-provider basis and records an estimate of its liability for reimbursements received in excess of the cap amount, if any, in the reporting period. Facility-Based Services Gross revenue is recorded as services are provided under the LTACH prospective payment system. Each patient is assigned a long-term care diagnosis-related group. The Company is paid a predetermined fixed amount intended to reflect the average cost of treating a Medicare LTACH patient classified in that particular long-term care diagnosis-related group. For selected LTACH patients, the amount may be further adjusted based on length-of-stay and facility-specific costs, as well as in instances where a patient is discharged and subsequently re-admitted, among other factors. The Company calculates the adjustment based on a historical average of these types of adjustments for LTACH claims paid. Similar to other Medicare prospective payment systems, the rate is also adjusted for geographic wage differences. Net service revenue adjustments resulting from reviews and audits of Medicare cost report settlements are considered implicit price concessions for LTACHs and are measured at expected value. Non-Medicare Revenues Other sources of net service revenue for all segments fall into Medicaid, managed care or other payors of the Company's services. Medicaid reimbursement is based on a predetermined fee schedule applied to each service provided. Therefore, revenue is recognized for Medicaid services as services are provided based on this fee schedule. The Company's managed care and other payors reimburse the Company based upon a predetermined fee schedule or an episodic basis, depending on the terms of the applicable contract. Accordingly, the Company recognizes revenue from managed care and other payors as services are provided, such costs are incurred, and estimates of expected payments are known for each different payor, thus the Company's revenue is recorded at the estimated transaction price. Contingent Service Revenues Net Service Revenue Net service revenue from contracts with customers is recognized in the period the performance obligations are satisfied under the Company's contracts by transferring the requested services to patients in amounts that reflect the consideration to which is expected to be received in exchange for providing patient care, which is the transaction price allocated to the services provided in accordance with Topic 606 and ASU 2015-14 , Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date (collectively, "ASC 606"). Net service revenue is recognized as performance obligations are satisfied, which can vary depending on the type of services provided. The performance obligation is the delivery of patient care in accordance with the requested services outlined in physicians' orders, which are based on specific goals for each patient. The performance obligations are associated with contracts in duration of less than one year; therefore, the optional exemption provided by ASC 606 was elected resulting in the Company not being required to disclose the aggregate amount of the transaction price allocated to the performance obligations that are unsatisfied or partially unsatisfied as of the end of the reporting period. The Company's unsatisfied or partially unsatisfied performance obligations are primarily completed when the patients are discharged and typically occur within days or weeks of the end of the period. The Company determines the transaction price based on gross charges for services provided, reduced by estimates for explicit and implicit price concessions. Explicit price concessions include contractual adjustments provided to patients and third-party payors. Implicit price concessions include discounts provided to self-pay, uninsured patients or other payors, adjustments resulting from regulatory reviews, audits, billing reviews and other matters. Subsequent changes to the estimate of the transaction price are recorded as adjustments to net service revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (i.e. change in credit risk) are recorded as a provision for doubtful accounts within general and administrative expenses. Explicit price concessions are recorded for the difference between our standard rates and the contracted rates to be realized from patients, third-party payors and others for services provided. Implicit price concessions are recorded for self-pay, uninsured patients and other payors by major payor class based on historical collection experience and current economic conditions, representing the difference between amounts billed and amounts expected to be collected. The Company assesses the ability to collect for the healthcare services provided at the time of patient admission based on the verification of the patient's insurance coverage under Medicare, Medicaid, and other commercial or managed care insurance programs. Amounts due from third-party payors, primarily commercial health insurers and government programs (Medicare and Medicaid), include variable consideration for retroactive revenue adjustments due to settlements of audits and reviews. The Company has determined estimates for price concessions related to regulatory reviews based on historical experience and success rates in the claim appeals and adjudication process. Revenue is recorded at amounts estimated to be realizable for services provided.
Patient Accounts Receivable	Accounts Receivable The Company reports patient accounts receivable from services rendered at their estimated transaction price, which includes price concessions based on the amounts expected to be due from payors. The Company's patient accounts receivable is uncollateralized and primarily consist of amounts due from Medicare, Medicaid, other third-party payors, and to a lesser degree patients. The credit risk from other payors is limited due to the significance of Medicare as the primary payor. The Company believes the credit risk associated with its Medicare accounts is limited due to (i) the historical collection rate from Medicare and (ii) the fact that Medicare is a U.S. government payor. The Company does not believe that there are any other significant concentrations from any particular payor that would subject it to any significant credit risk in the collection of patient accounts receivable. A portion of the estimated Medicare PDGM system reimbursement from each submitted home nursing episode is received in the form of a request for anticipated payment (“RAP”). For a standard 60-day episode of care, the Company will submit two RAPs, one for the first 30-day period and a second for the next 30-day period. The Company submits a RAP for 20% of the estimated reimbursement for each of the 30-day periods at the start of care. A final bill is submitted at the end of each 30-day period. If a final bill is not submitted within the greater of 120 days from the start of the 30-day period, or 60 days from the date the RAP was paid, any RAP received for that 30-day period will be recouped by Medicare from any other Medicare claims in process for that particular provider. The RAP and final claim must then be resubmitted.
Earnings Per Share	Earnings Per Share Basic per share information is computed by dividing the relevant amounts from the condensed consolidated statements of income by the weighted-average number of shares outstanding during the period, under the treasury stock method. Diluted per share information is also computed using the treasury stock method, by dividing the relevant amounts from the condensed consolidated statements of income by the weighted-average number of shares outstanding plus potentially dilutive shares.
Recently Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements In January 2017, the FASB issued ASU 2017-04, Intangibles - Goodwill and Other: Simplifying the Test for Goodwill Impairment , which requires an entity to no longer perform a hypothetical purchase price allocation to measure goodwill impairment. Instead, impairment will be measured using the difference between the carrying amount and the fair value of the reporting unit. This ASU was effective for annual and interim periods in fiscal years beginning after December 15, 2019, and did not have a significant impact to the Company. In June 2016, the FASB issued ASU 2016-13, Measurement of Credit Losses on Financial Instruments which amends Financial Instruments - Credit Losses ("Topic 326"). ASU 2016-13 provides guidance for measuring credit losses on financial instruments. Early adoption is permitted. The amendments in this ASU should be applied retrospectively. This ASU was effective for annual and interim periods in fiscal years beginning after December 15, 2019, and did not have a significant impact to the Company.

Significant Accounting Polici_3

Significant Accounting Policies (Tables)	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Percentage of Net Service Revenue Earned by Category of Payor	The following table sets forth the percentage of net service revenue earned by category of payor for the three and six months ended June 30, 2020 and 2019 : Three Months Ended Six Months Ended 2020 2019 2020 2019 Home health: Medicare 66.4 % 70.8 % 67.3 % 71.1 % Managed Care, Commercial, and Other 33.6 29.2 32.7 28.9 100.0 % 100.0 % 100.0 % 100.0 % Hospice: Medicare 92.9 % 92.9 % 92.4 % 92.7 % Managed Care, Commercial, and Other 7.1 7.1 7.6 7.3 100.0 % 100.0 % 100.0 % 100.0 % Home and Community-Based Services: Medicaid 20.9 % 24.3 % 20.7 % 24.7 % Managed Care, Commercial, and Other 79.1 75.7 79.3 75.3 100.0 % 100.0 % 100.0 % 100.0 % Facility-Based Services: Medicare 56.6 % 53.0 % 55.8 % 55.2 % Managed Care, Commercial, and Other 43.4 47.0 44.2 44.8 100.0 % 100.0 % 100.0 % 100.0 % HCI: Medicare 30.7 % 23.5 % 27.3 % 22.8 % Managed Care, Commercial, and Other 69.3 76.5 72.7 77.2 100.0 % 100.0 % 100.0 % 100.0 %
Shares Used in Computation of Basic and Diluted Per Share Information	The following table sets forth shares used in the computation of basic and diluted per share information and, with respect to the data provided for the three and six months ended June 30, 2020 and 2019 (amounts in thousands): Three Months Ended Six Months Ended 2020 2019 2020 2019 Weighted average number of shares outstanding for basic per share calculation 31,104 30,960 31,060 30,899 Effect of dilutive potential shares: Nonvested stock 220 241 241 289 Adjusted weighted average shares for diluted per share calculation 31,324 31,201 31,301 31,188 Anti-dilutive shares 5 13 122 153

Acquisitions and Joint Ventur_2

Acquisitions and Joint Venture Activities (Tables)	6 Months Ended
	Jun. 30, 2020
Business Combinations [Abstract]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed	The following table summarizes the amounts of the assets acquired and liabilities assumed at the acquisition dates, as well as their fair value at the acquisition dates and the noncontrolling interest acquired during the six months ended June 30, 2020 : Fair value of total consideration transferred Recognized amounts of identifiable assets acquired and liabilities assumed: Trade name $ 1,944 Certificates of need/licenses 3,584 Other assets and (liabilities), net (410 ) Total identifiable assets $ 5,118 Noncontrolling interest $ 6,388 Goodwill, including noncontrolling interest of $4,661 $ 14,617

Goodwill and Intangibles (Table

Goodwill and Intangibles (Tables)	6 Months Ended
	Jun. 30, 2020
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Changes in Recorded Goodwill by Reporting Unit	The changes in recorded goodwill and intangible assets by reporting unit for the six months ended June 30, 2020 were as follows (amounts in thousands): Home health reporting unit Hospice reporting unit Home and community-based services reporting unit Facility-based reporting unit HCI reporting unit Total Goodwill: Balance as of December 31, 2019 $ 867,924 $ 128,875 $ 166,629 $ 15,682 $ 40,862 $ 1,219,972 Acquisitions 7,278 2,678 — — — 9,956 Noncontrolling interests 2,882 1,779 — — — 4,661 Adjustments and disposals (108 ) (336 ) — — — (444 ) Balance as of June 30, 2020 $ 877,976 $ 132,996 $ 166,629 $ 15,682 $ 40,862 $ 1,234,145 Intangible assets: Balance as of December 31, 2019 $ 219,872 $ 40,590 $ 24,096 $ 5,317 $ 15,681 $ 305,556 Acquisitions 4,700 930 — — — 5,630 Amortization (288 ) (46 ) (11 ) (3 ) (290 ) (638 ) Balance as of June 30, 2020 $ 224,284 $ 41,474 $ 24,085 $ 5,314 $ 15,391 $ 310,548
Summary of Changes in Intangible Assets, Indefinite	The following tables summarize the changes in intangible assets during the six months ended June 30, 2020 and December 31, 2019 (amounts in thousands): 2020 2019 Indefinite-lived intangible assets: Trade Names $ 165,417 $ 163,499 Certificates of Need/Licenses 133,273 129,689 Net Total $ 298,690 $ 293,188 Definite-lived intangible assets: Trade Names Gross carrying amount $ 10,209 $ 10,182 Accumulated amortization (9,378 ) (9,229 ) Net total $ 831 $ 953 Non-compete agreements Gross carrying amount $ 6,897 $ 6,795 Accumulated amortization (6,191 ) (5,991 ) Net total $ 706 $ 804 Customer relationships Gross carrying amount $ 11,822 $ 11,822 Accumulated amortization (1,501 ) (1,211 ) Net total $ 10,321 $ 10,611 Total definite-lived intangible assets Gross carrying amount $ 28,928 $ 28,799 Accumulated amortization (17,070 ) (16,431 ) Net total $ 11,858 $ 12,368 Total intangible assets: Gross carrying amount $ 327,618 $ 321,987 Accumulated amortization (17,070 ) (16,431 ) Net total $ 310,548 $ 305,556
Summary of Changes in Intangible Assets, Finite	The following tables summarize the changes in intangible assets during the six months ended June 30, 2020 and December 31, 2019 (amounts in thousands): 2020 2019 Indefinite-lived intangible assets: Trade Names $ 165,417 $ 163,499 Certificates of Need/Licenses 133,273 129,689 Net Total $ 298,690 $ 293,188 Definite-lived intangible assets: Trade Names Gross carrying amount $ 10,209 $ 10,182 Accumulated amortization (9,378 ) (9,229 ) Net total $ 831 $ 953 Non-compete agreements Gross carrying amount $ 6,897 $ 6,795 Accumulated amortization (6,191 ) (5,991 ) Net total $ 706 $ 804 Customer relationships Gross carrying amount $ 11,822 $ 11,822 Accumulated amortization (1,501 ) (1,211 ) Net total $ 10,321 $ 10,611 Total definite-lived intangible assets Gross carrying amount $ 28,928 $ 28,799 Accumulated amortization (17,070 ) (16,431 ) Net total $ 11,858 $ 12,368 Total intangible assets: Gross carrying amount $ 327,618 $ 321,987 Accumulated amortization (17,070 ) (16,431 ) Net total $ 310,548 $ 305,556

Stockholder's Equity (Tables)

Stockholder's Equity (Tables)	6 Months Ended
	Jun. 30, 2020
Equity [Abstract]
Share Grants Activity	The following table represents the share grants activity for the six months ended June 30, 2020 : Restricted stock Options Number of shares Weighted average grant date fair value Number of shares Weighted average grant date fair value Share grants outstanding as of December 31, 2019 534,331 $ 71.01 98,756 $ 40.71 Granted 135,090 123.10 — — Vested or exercised (185,910 ) 61.79 (7,137 ) 30.62 Share grants outstanding as of June 30, 2020 483,511 $ 88.90 91,619 $ 39.97
Shares of Common Stock Issued Under Employee Stock Purchase Plan	The table below details the shares of common stock issued during 2020 : Number of shares Per share price Shares available as of December 31, 2019 132,449 Shares issued during the three months ended March 31, 2020 4,663 $ 130.87 Shares issued during the three months ended June 30, 2020 3,730 $ 133.19 Shares available as of June 30, 2020 124,056

Noncontrolling interests (Table

Noncontrolling interests (Tables)	6 Months Ended
	Jun. 30, 2020
Noncontrolling Interest [Abstract]
Summary of Activity of Noncontrolling Interest-Redeemable	The following table summarizes the activity of noncontrolling interest-redeemable for the six months ended June 30, 2020 (amounts in thousands): Balance as of December 31, 2019 $ 15,151 Net income attributable to noncontrolling interest-redeemable 9,604 Noncontrolling interest-redeemable distributions (6,265 ) Acquired noncontrolling interest-redeemable 3,508 Balance as of June 30, 2020 $ 21,998

Leases (Tables)

Leases (Tables)	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Assets And Liabilities, Lessee	Information related to the Company's operating lease right of use assets and related lease liabilities for office and equipment leases were as follows: (amounts in thousands): June 30, 2020 December 31, 2019 Operating lease right of use asset 100,834 95,452 Current operating lease payable 34,838 28,701 Long-term operating lease payable 68,858 69,556
Lease, Cost	The Company incurred operating lease costs of (amounts in thousands): Three months ended June 30, Six months ended June 30, 2020 2019 2020 2019 Operating lease cost $ 12,328 $ 13,546 $ 24,437 $ 26,070
Lessee, Operating Lease, Liability, Maturity	Maturities of operating lease liabilities as of June 30, 2020 were as follows (amounts in thousands): Month ending June 30, 2020 $ 18,406 2021 32,335 2022 23,532 2023 15,513 2024 9,404 Thereafter 14,800 Total future minimum lease payments 113,990 Less: Imputed interest (10,294 ) Total $ 103,696

Segment Information (Tables)

Segment Information (Tables)	6 Months Ended
	Jun. 30, 2020
Segment Reporting [Abstract]
Schedule of Segment Information	The following tables summarize the Company’s segment information for the three and six months ended June 30, 2020 and 2019 (amounts in thousands): Three Months Ended June 30, 2020 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 339,872 $ 61,055 $ 47,675 $ 33,639 $ 5,079 $ 487,320 Cost of service revenue (excluding depreciation and amortization) 205,146 37,271 38,747 21,785 3,763 306,712 General and administrative expenses 110,209 16,266 11,124 10,165 2,810 150,574 Impairment of intangibles and other — 600 — — — 600 Government stimulus income (35,019 ) (4,731 ) (2,865 ) (1,656 ) (164 ) (44,435 ) Operating income (loss) 59,536 11,649 669 3,345 (1,330 ) 73,869 Interest expense (594 ) (97 ) (79 ) (47 ) (24 ) (841 ) Income (loss) before income taxes and noncontrolling interest 58,942 11,552 590 3,298 (1,354 ) 73,028 Income tax expense (benefit) 12,807 2,439 (12 ) 373 (380 ) 15,227 Net income (loss) 46,135 9,113 602 2,925 (974 ) 57,801 Less net income (loss) attributable to non controlling interests 9,922 2,164 33 997 (7 ) 13,109 Net income (loss) attributable to LHC Group, Inc.'s common stockholder $ 36,213 $ 6,949 $ 569 $ 1,928 $ (967 ) $ 44,692 Total assets $ 1,656,022 $ 268,771 $ 259,742 $ 101,258 $ 71,306 $ 2,357,099 Three Months Ended June 30, 2019 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 375,253 $ 55,057 $ 52,414 $ 27,975 $ 7,143 $ 517,842 Cost of service revenue (excluding depreciation and amortization) 230,545 34,858 39,505 17,572 3,380 325,860 General and administrative expenses 108,958 15,096 11,213 9,335 3,982 148,584 Impairment of intangibles and other 748 270 — — — 1,018 Operating income (loss) 35,002 4,833 1,696 1,068 (219 ) 42,380 Interest expense (2,023 ) (323 ) (284 ) (170 ) (85 ) (2,885 ) Income (loss) before income taxes and noncontrolling interest 32,979 4,510 1,412 898 (304 ) 39,495 Income tax expense (benefit) 8,070 1,581 (171 ) 148 (71 ) 9,557 Net income (loss) 24,909 2,929 1,583 750 (233 ) 29,938 Less net income (loss) attributable to noncontrolling interests 3,948 898 (267 ) 365 (6 ) 4,938 Net income (loss) attributable to LHC Group, Inc.'s common stockholders $ 20,961 $ 2,031 $ 1,850 $ 385 $ (227 ) $ 25,000 Total assets $ 1,407,221 $ 234,789 $ 240,746 $ 77,686 $ 69,413 $ 2,029,855 Six Months Ended June 30, 2020 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 707,693 $ 121,586 $ 96,139 $ 63,320 $ 11,453 $ 1,000,191 Cost of service revenue (excluding depreciation and amortization) 425,586 75,305 77,200 42,127 7,696 627,914 General and administrative expenses 226,232 32,892 22,583 20,545 6,188 308,440 Impairment of intangibles and other — 600 — — — 600 Government stimulus income (35,019 ) (4,731 ) (2,865 ) (1,656 ) (164 ) (44,435 ) Operating income (loss) 90,894 17,520 (779 ) 2,304 (2,267 ) 107,672 Interest expense (2,494 ) (400 ) (345 ) (266 ) (104 ) (3,609 ) Income (loss) before income taxes and noncontrolling interest 88,400 17,120 (1,124 ) 2,038 (2,371 ) 104,063 Income tax expense (benefit) 16,096 3,047 (218 ) 174 (513 ) 18,586 Net income (loss) 72,304 14,073 (906 ) 1,864 (1,858 ) 85,477 Less net income (loss) attributable to non controlling interests 14,528 3,131 (122 ) 1,240 (16 ) 18,761 Net income (loss) attributable to LHC Group, Inc.'s common stockholder $ 57,776 $ 10,942 $ (784 ) $ 624 $ (1,842 ) $ 66,716 Six Months Ended June 30, 2019 Home health services Hospice services Home and community-based services Facility-based services HCI Total Net service revenue $ 738,288 $ 106,793 $ 104,199 $ 55,676 $ 15,471 $ 1,020,427 Cost of service revenue (excluding depreciation and amortization) 456,668 68,034 79,360 35,304 7,486 646,852 General and administrative expenses 213,797 29,949 22,195 18,512 9,352 293,805 Impairment of intangibles and other 7,066 271 — — — 7,337 Operating income (loss) 60,757 8,539 2,644 1,860 (1,367 ) 72,433 Interest expense (4,161 ) (666 ) (585 ) (350 ) (175 ) (5,937 ) Income (loss) before income taxes and noncontrolling interest 56,596 7,873 2,059 1,510 (1,542 ) 66,496 Income tax expense (benefit) 11,278 2,027 (20 ) 153 (281 ) 13,157 Net income (loss) 45,318 5,846 2,079 1,357 (1,261 ) 53,339 Less net income (loss) attributable to noncontrolling interests 7,728 1,499 (577 ) 846 (13 ) 9,483 Net income (loss) attributable to LHC Group, Inc.'s common stockholders $ 37,590 $ 4,347 $ 2,656 $ 511 $ (1,248 ) $ 43,856

Basis of Presentation and Sig_2

Basis of Presentation and Significant Events (Organization) (Details)	Jun. 30, 2020LocationState
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Number of service providers operated | Location	816
Number of states in which Company operates | State	35

Basis of Presentation and Sig_3

Basis of Presentation and Significant Events (COVID-19) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Adjustments Due to Legislation [Line Items]
Net service revenue	$ 487,320	$ 517,842	$ 1,000,191	$ 1,020,427
Proceeds from Provider Relief Funds	88,700
Government stimulus income	44,435	$ 0	44,435	$ 0
Government stimulus advance	44,273		44,273		$ 0
Contract liabilities - deferred revenue	310,712		310,712		$ 0
Sequestration Payment Adjustment and Suspension of LTACH [Member]
Adjustments Due to Legislation [Line Items]
Net service revenue	5,000		2,900
Employee-related liabilities	$ 17,800		$ 17,800

Basis of Presentation and Sig_4

Basis of Presentation and Significant Events (Immaterial Correction of an Error) (Details) - Shares Correction	3 Months Ended
	Mar. 31, 2019shares
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Common shares increased (in shares)	47,680
Treasury shares issued decrease (in shares)	368
Treasury shares reclassified (in shares)	25,542

Significant Accounting Polici_4

Significant Accounting Policies - Percentage of Net Service Revenue Earned by Category of Payor (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Home health services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	100.00%	100.00%	100.00%	100.00%
Hospice services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	100.00%	100.00%	100.00%	100.00%
Home and community-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	100.00%	100.00%	100.00%	100.00%
Facility-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	100.00%	100.00%	100.00%	100.00%
HCI
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	100.00%	100.00%	100.00%	100.00%
Medicare | Home health services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	66.40%	70.80%	67.30%	71.10%
Medicare | Hospice services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	92.90%	92.90%	92.40%	92.70%
Medicare | Facility-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	56.60%	53.00%	55.80%	55.20%
Medicare | HCI
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	30.70%	23.50%	27.30%	22.80%
Medicaid | Home and community-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	20.90%	24.30%	20.70%	24.70%
Managed Care, Commercial, and Other | Home health services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	33.60%	29.20%	32.70%	28.90%
Managed Care, Commercial, and Other | Hospice services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	7.10%	7.10%	7.60%	7.30%
Managed Care, Commercial, and Other | Home and community-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	79.10%	75.70%	79.30%	75.30%
Managed Care, Commercial, and Other | Facility-based services
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	43.40%	47.00%	44.20%	44.80%
Managed Care, Commercial, and Other | HCI
Disaggregation of Revenue [Line Items]
Percentage of net service revenue	69.30%	76.50%	72.70%	77.20%

Significant Accounting Polici_5

Significant Accounting Policies - Additional Information (Details) $ in Millions	3 Months Ended	6 Months Ended
	Jun. 30, 2020USD ($)facility	Jun. 30, 2020GroupPeriodicRate
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Number of days from date RAP paid to submit final Medicare bill		30 days
Number of Medicare home health resource groups | Group		432
Medicare sequestration reduction for episodes beginning after March 31, 2013		2.00%
Selected hospice, periodic rate used to calculate revenue | PeriodicRate		1
Number of hospice, periodic rates used to calculate revenue | PeriodicRate		4
Percentage subject to inpatient cap		20.00%
Determination period for hospice Medicare inpatient reimbursement cap		12 months
Reimbursement for initial episode of care		20.00%
Number of days from start of episode to submit final Medicare bill		120 days
Number of facilities sold | facility	1
Proceeds from sale of property held-for-sale | $	$ 1.9
Impairment of intangibles and other | $	$ 0.6
Maximum
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Number of days from date RAP paid to submit final Medicare bill		60 days

Significant Accounting Polici_6

Significant Accounting Policies - Shares Used in Computation of Basic and Diluted Per Share Information (Details) - shares shares in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Accounting Policies [Abstract]
Weighted average number of shares outstanding for basic per share calculation (in shares)	31,104	30,960	31,060	30,899
Effect of dilutive potential shares:
Nonvested stock (in shares)	220	241	241	289
Adjusted weighted average shares for diluted per share calculation (in shares)	31,324	31,201	31,301	31,188
Anti-dilutive shares (in shares)	5	13	122	153

Acquisitions and Joint Ventur_3

Acquisitions and Joint Venture Activities - Narrative (Details) $ in Millions	6 Months Ended
	Jun. 30, 2020USD ($)Agencyagency
Business Acquisition [Line Items]
Total consideration for this noncontrolling interest purchase	$ 23.6
Home Health Agencies
Business Acquisition [Line Items]
Number of agencies | Agency	6
Hospice Agencies
Business Acquisition [Line Items]
Number of agencies | Agency	3
Home and Community Based
Business Acquisition [Line Items]
Number of agencies | agency	4
Home health agencies and hospice agency
Business Acquisition [Line Items]
Consideration transferred	$ 13.9
Cash paid to for acquisitions	16.4
Cash proceeds from joint venture	$ 3.1

Acquisitions and Joint Ventur_4

Acquisitions and Joint Venture Activities - Price Allocation (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Business Acquisition [Line Items]
Goodwill	$ 1,234,145	$ 1,219,972
Home health agencies and hospice agency
Business Acquisition [Line Items]
Other assets and (liabilities), net	(410)
Total identifiable assets and liabilities	5,118
Noncontrolling interest	6,388
Goodwill	14,617
Goodwill, Noncontrolling interest portion	4,660
Trade Names | Home health agencies and hospice agency
Business Acquisition [Line Items]
Indefinite-lived intangible assets	1,944
Certificates of need/licenses | Home health agencies and hospice agency
Business Acquisition [Line Items]
Indefinite-lived intangible assets	$ 3,584

Goodwill and Intangibles - Sche

Goodwill and Intangibles - Schedule of Changes in Recorded Goodwill by Reporting Unit (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Goodwill [Roll Forward]
Balance as of December 31, 2019	$ 1,219,972
Acquisitions	9,956
Noncontrolling interests	4,661
Adjustments and disposals	(444)
Balance as of June 30, 2020	1,234,145
Intangible assets:
Balance as of December 31, 2019	305,556
Acquisitions	5,630
Amortization	(638)	$ (700)
Balance as of June 30, 2020	310,548
Home health reporting unit
Goodwill [Roll Forward]
Balance as of December 31, 2019	867,924
Acquisitions	7,278
Noncontrolling interests	2,882
Adjustments and disposals	(108)
Balance as of June 30, 2020	877,976
Intangible assets:
Balance as of December 31, 2019	219,872
Acquisitions	4,700
Amortization	(288)
Balance as of June 30, 2020	224,284
Hospice reporting unit
Goodwill [Roll Forward]
Balance as of December 31, 2019	128,875
Acquisitions	2,678
Noncontrolling interests	1,779
Adjustments and disposals	(336)
Balance as of June 30, 2020	132,996
Intangible assets:
Balance as of December 31, 2019	40,590
Acquisitions	930
Amortization	(46)
Balance as of June 30, 2020	41,474
Home and community-based services reporting unit
Goodwill [Roll Forward]
Balance as of December 31, 2019	166,629
Acquisitions	0
Noncontrolling interests	0
Adjustments and disposals	0
Balance as of June 30, 2020	166,629
Intangible assets:
Balance as of December 31, 2019	24,096
Acquisitions	0
Amortization	(11)
Balance as of June 30, 2020	24,085
Facility-based reporting unit
Goodwill [Roll Forward]
Balance as of December 31, 2019	15,682
Acquisitions	0
Noncontrolling interests	0
Adjustments and disposals	0
Balance as of June 30, 2020	15,682
Intangible assets:
Balance as of December 31, 2019	5,317
Acquisitions	0
Amortization	(3)
Balance as of June 30, 2020	5,314
HCI reporting unit
Goodwill [Roll Forward]
Balance as of December 31, 2019	40,862
Acquisitions	0
Noncontrolling interests	0
Adjustments and disposals	0
Balance as of June 30, 2020	40,862
Intangible assets:
Balance as of December 31, 2019	15,681
Acquisitions	0
Amortization	(290)
Balance as of June 30, 2020	$ 15,391

Goodwill and Intangibles - Addi

Goodwill and Intangibles - Additional Information (Details) - USD ($) $ in Thousands	6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]
Amortization of intangible assets	$ 638	$ 700
Trade name
Finite-Lived Intangible Assets [Line Items]
Useful life	9 years 3 months 18 days		9 years 9 months 18 days
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Useful life	17 years 8 months 12 days		18 years 2 months 12 days
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Useful life	2 years 4 months 24 days		2 years 9 months 18 days

Goodwill and Intangibles - Summ

Goodwill and Intangibles - Summary of Changes in Intangible Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]
Indefinite-lived intangible assets:	$ 298,690	$ 293,188
Gross carrying amount, definite-lived intangible assets	28,928	28,799
Accumulated amortization	(17,070)	(16,431)
Net total	11,858	12,368
Gross carrying amount, intangible assets	327,618	321,987
Net total	310,548	305,556
Trade Names
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount, definite-lived intangible assets	10,209	10,182
Accumulated amortization	(9,378)	(9,229)
Net total	831	953
Non-compete agreements
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount, definite-lived intangible assets	6,897	6,795
Accumulated amortization	(6,191)	(5,991)
Net total	706	804
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount, definite-lived intangible assets	11,822	11,822
Accumulated amortization	(1,501)	(1,211)
Net total	10,321	10,611
Trade Names
Finite-Lived Intangible Assets [Line Items]
Indefinite-lived intangible assets:	165,417	163,499
Certificates of Need/Licenses
Finite-Lived Intangible Assets [Line Items]
Indefinite-lived intangible assets:	$ 133,273	$ 129,689

Debt - Additional Information (

Debt - Additional Information (Details)	Apr. 02, 2018USD ($)Instrument	Jun. 30, 2020USD ($)	Dec. 31, 2019USD ($)
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 500,000,000
Credit facility maximum borrowing capacity under accordion feature	200,000,000
Letter of credit, sub-limit amount	$ 50,000,000
Interest rate percentage		2.00%
Line of credit facility drawn		$ 30,000,000	$ 253,000,000
Letter of credit outstanding		24,800,000	$ 28,400,000
Available credit under agreement		$ 445,200,000
Minimum
Debt Instrument [Line Items]
Commitment fee rates for unused commitments	0.20%
Maximum
Debt Instrument [Line Items]
Commitment fee rates for unused commitments	0.35%
Federal Funds Rate
Debt Instrument [Line Items]
Line of credit facility interest rate	0.50%
Eurodollar
Debt Instrument [Line Items]
Line of credit facility interest rate	1.50%
Line of credit facility, borrowing outstanding | Instrument	15
Eurodollar | Minimum
Debt Instrument [Line Items]
Line of credit facility interest rate	1.50%
Eurodollar | Maximum
Debt Instrument [Line Items]
Line of credit facility interest rate	2.25%
Base rate
Debt Instrument [Line Items]
Line of credit facility interest rate		4.00%
Base rate | Minimum
Debt Instrument [Line Items]
Line of credit facility interest rate	0.50%
Base rate | Maximum
Debt Instrument [Line Items]
Line of credit facility interest rate	1.25%
LIBOR
Debt Instrument [Line Items]
Line of credit facility interest rate		2.00%

Stockholder's Equity - Addition

Stockholder's Equity - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended		12 Months Ended
	Jun. 30, 2020	Mar. 31, 2020	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2013	Dec. 31, 2006	Dec. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total unrecognized compensation cost related to nonvested shares of common stock granted	$ 37,200				$ 37,200
Weighted average period of cost recognized					3 years 2 months 12 days
Compensation expense related to nonvested stock grants					$ 6,900	$ 4,400
Price of shares issued under Employee Stock Purchase Plan as a percentage of FMV								95.00%
Number of shares reserved for the Employee Stock Purchase Plan (in shares)								250,000
Additional shares authorized for issuance (in shares)							250,000
Shares redeemed to satisfy personal tax obligations (in shares)					65,646
Treasury shares redeemed to pay income tax	$ 1,139	$ 6,933	$ 700	$ 6,841
Stock repurchased (in shares)					3,315
Stock repurchased					$ 500
Employee
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Treasury shares redeemed to pay income tax					$ 8,100
2018 Long-Term Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock reserved for issuance (in shares)									2,210,544
Common stock available for issuance (in shares)									1,874,354
2018 Long-Term Incentive Plan | Employee
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Period of vested shares					5 years
Nonvested stock grants to employees (in shares)					113,525
2018 Long-Term Incentive Plan | Consultants
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Nonvested stock grants to employees (in shares)					10,890
Second Amended and Restated 2005 Non-Employee Directors Compensation Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Nonvested stock grants to Independent directors (in shares)					775
Percentage of directors' stock grant vested on one year anniversary date					100.00%
Period of vested shares					1 year
Second Amended and Restated 2005 Non-Employee Directors Compensation Plan | Director
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Nonvested stock grants to Independent directors (in shares)					9,900
Percentage of directors' stock grant vested on grant date					100.00%

Stockholder's Equity - Nonveste

Stockholder's Equity - Nonvested Stock Activity (Details)	6 Months Ended
	Jun. 30, 2020$ / sharesshares
Restricted stock
Number of shares
Share grants outstanding, beginning balance | shares	534,331
Granted (in shares) | shares	135,090
Vested (in shares) | shares	(185,910)
Share grants outstanding, ending balance | shares	483,511
Weighted average grant date fair value
Beginning balance, Weighted average grant date fair value (in dollars per share) | $ / shares	$ 71.01
Granted (in dollars per share) | $ / shares	123.10
Vested (in dollars per share) | $ / shares	61.79
Ending balance, Weighted average grant date fair value (in dollars per share) | $ / shares	$ 88.90
Options
Number of shares
Share grants outstanding, beginning balance | shares	98,756
Granted (in shares) | shares	0
Vested or exercised (in shares) | shares	(7,137)
Share grants outstanding, ending balance | shares	91,619
Weighted average grant date fair value
Share grants outstanding, beginning balance (in dollars per share) | $ / shares	$ 40.71
Granted (in dollars per share) | $ / shares	0
Vested or exercised (in dollars per share) | $ / shares	30.62
Share grants outstanding, ending balance (in dollars per share) | $ / shares	$ 39.97

Stockholder's Equity - Shares o

Stockholder's Equity - Shares of Common Stock Issued Under Employee Stock Purchase Plan (Details) - $ / shares	3 Months Ended
	Jun. 30, 2020	Mar. 31, 2020
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Number of shares available, beginning balance (in shares)		132,449
Shares issued during period (in shares)	3,730	4,663
Number of shares available, ending balance (in shares)	124,056
Per share price of shares issued during period (in dollars per share)	$ 133.19	$ 130.87

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Details) $ in Millions	6 Months Ended
	Jun. 30, 2020USD ($)
Commitments and Contingencies Disclosure [Abstract]
Other assets, amount from government payors	$ 16.9
Period of joint venture buy/sell option	30 days

Noncontrolling interests - Summ

Noncontrolling interests - Summary of Activity of Noncontrolling Interest-Redeemable (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Stockholders' Equity Attributable to Noncontrolling Interest [Roll Forward]
Balance as of December 31, 2019			$ 15,151
Net income attributable to noncontrolling interest-redeemable	$ 3,500	$ 3,000	9,604	$ 5,900
Noncontrolling interest-redeemable distributions			(6,265)
Acquired noncontrolling interest-redeemable			3,508
Balance as of June 30, 2020	$ 21,998		$ 21,998

Leases (Details)

Leases (Details)	Jun. 30, 2020
Lessee, Lease, Description [Line Items]
Operating lease term	9 years
Weighted-average remaining lease term	4 years 3 months 29 days
Weighted-average discount rate	4.57%
Minimum
Lessee, Lease, Description [Line Items]
Renewal term	1 year
Maximum
Lessee, Lease, Description [Line Items]
Renewal term	5 years

Leases - Right of Use and Liabi

Leases - Right of Use and Liabilities (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Leases [Abstract]
Operating lease right of use asset	$ 100,834	$ 95,452
Current operating lease payable	34,838	28,701
Long-term operating lease payable	$ 68,858	$ 69,556

Leases - Lease Cost (Details)

Leases - Lease Cost (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Leases [Abstract]
Operating Lease, Cost	$ 12,328	$ 13,546	$ 24,437	$ 26,070

Leases - Lease Maturities (Deta

Leases - Lease Maturities (Details) $ in Thousands	Jun. 30, 2020USD ($)
Leases [Abstract]
2020	$ 18,406
2021	32,335
2022	23,532
2023	15,513
2024	9,404
Thereafter	14,800
Total future minimum lease payments	113,990
Less: Imputed interest	(10,294)
Total	$ 103,696

Segment Information - Summary o

Segment Information - Summary of segment Information (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	$ 487,320	$ 517,842	$ 1,000,191	$ 1,020,427
Cost of service revenue (excluding depreciation and amortization)	306,712	325,860	627,914	646,852
General and administrative expenses	150,574	148,584	308,440	293,805
Impairment of intangibles and other	600	1,018	600	7,337
Government Stimulus Income	(44,435)	0	(44,435)	0
Operating income	73,869	42,380	107,672	72,433
Interest expense	(841)	(2,885)	(3,609)	(5,937)
Income before income taxes and noncontrolling interest	73,028	39,495	104,063	66,496
Income tax expense (benefit)	15,227	9,557	18,586	13,157
Net income	57,801	29,938	85,477	53,339
Less net income (loss) attributable to noncontrolling interests	13,109	4,938	18,761	9,483
Net income attributable to LHC Group, Inc.’s common stockholders	44,692	25,000	66,716	43,856
Total assets	2,357,099	2,029,855	2,357,099	2,029,855	$ 2,140,295
Home health services
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	339,872	375,253	707,693	738,288
Cost of service revenue (excluding depreciation and amortization)	205,146	230,545	425,586	456,668
General and administrative expenses	110,209	108,958	226,232	213,797
Impairment of intangibles and other	0	748	0	7,066
Government Stimulus Income	(35,019)		(35,019)
Operating income	59,536	35,002	90,894	60,757
Interest expense	(594)	(2,023)	(2,494)	(4,161)
Income before income taxes and noncontrolling interest	58,942	32,979	88,400	56,596
Income tax expense (benefit)	12,807	8,070	16,096	11,278
Net income	46,135	24,909	72,304	45,318
Less net income (loss) attributable to noncontrolling interests	9,922	3,948	14,528	7,728
Net income attributable to LHC Group, Inc.’s common stockholders	36,213	20,961	57,776	37,590
Total assets	1,656,022	1,407,221	1,656,022	1,407,221
Hospice services
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	61,055	55,057	121,586	106,793
Cost of service revenue (excluding depreciation and amortization)	37,271	34,858	75,305	68,034
General and administrative expenses	16,266	15,096	32,892	29,949
Impairment of intangibles and other	600	270	600	271
Government Stimulus Income	(4,731)		(4,731)
Operating income	11,649	4,833	17,520	8,539
Interest expense	(97)	(323)	(400)	(666)
Income before income taxes and noncontrolling interest	11,552	4,510	17,120	7,873
Income tax expense (benefit)	2,439	1,581	3,047	2,027
Net income	9,113	2,929	14,073	5,846
Less net income (loss) attributable to noncontrolling interests	2,164	898	3,131	1,499
Net income attributable to LHC Group, Inc.’s common stockholders	6,949	2,031	10,942	4,347
Total assets	268,771	234,789	268,771	234,789
Home and community-based services
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	47,675	52,414	96,139	104,199
Cost of service revenue (excluding depreciation and amortization)	38,747	39,505	77,200	79,360
General and administrative expenses	11,124	11,213	22,583	22,195
Impairment of intangibles and other	0	0	0	0
Government Stimulus Income	(2,865)		(2,865)
Operating income	669	1,696	(779)	2,644
Interest expense	(79)	(284)	(345)	(585)
Income before income taxes and noncontrolling interest	590	1,412	(1,124)	2,059
Income tax expense (benefit)	(12)	(171)	(218)	(20)
Net income	602	1,583	(906)	2,079
Less net income (loss) attributable to noncontrolling interests	33	(267)	(122)	(577)
Net income attributable to LHC Group, Inc.’s common stockholders	569	1,850	(784)	2,656
Total assets	259,742	240,746	259,742	240,746
Facility-based services
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	33,639	27,975	63,320	55,676
Cost of service revenue (excluding depreciation and amortization)	21,785	17,572	42,127	35,304
General and administrative expenses	10,165	9,335	20,545	18,512
Impairment of intangibles and other	0	0	0	0
Government Stimulus Income	(1,656)		(1,656)
Operating income	3,345	1,068	2,304	1,860
Interest expense	(47)	(170)	(266)	(350)
Income before income taxes and noncontrolling interest	3,298	898	2,038	1,510
Income tax expense (benefit)	373	148	174	153
Net income	2,925	750	1,864	1,357
Less net income (loss) attributable to noncontrolling interests	997	365	1,240	846
Net income attributable to LHC Group, Inc.’s common stockholders	1,928	385	624	511
Total assets	101,258	77,686	101,258	77,686
HCI
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]
Net service revenue	5,079	7,143	11,453	15,471
Cost of service revenue (excluding depreciation and amortization)	3,763	3,380	7,696	7,486
General and administrative expenses	2,810	3,982	6,188	9,352
Impairment of intangibles and other	0	0	0	0
Government Stimulus Income	(164)		(164)
Operating income	(1,330)	(219)	(2,267)	(1,367)
Interest expense	(24)	(85)	(104)	(175)
Income before income taxes and noncontrolling interest	(1,354)	(304)	(2,371)	(1,542)
Income tax expense (benefit)	(380)	(71)	(513)	(281)
Net income	(974)	(233)	(1,858)	(1,261)
Less net income (loss) attributable to noncontrolling interests	(7)	(6)	(16)	(13)
Net income attributable to LHC Group, Inc.’s common stockholders	(967)	(227)	(1,842)	(1,248)
Total assets	$ 71,306	$ 69,413	$ 71,306	$ 69,413

Income Taxes - Additional Infor

Income Taxes - Additional Information (Details) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019	Jun. 30, 2019
Income Tax Disclosure [Abstract]
Excess tax benefits associated with stock-based compensation	$ 1.6		$ 2.6
Valuation allowance increase	2.2
CARES Act impact, tax benefit	4.3
Unrecognized tax benefits, period increase	2.1
Unrecognized tax benefits	$ 6.4	$ 3.9