$RHE
Regional Health Properties Inc Stock $rhe

$rhe Overview Financials Valuation SEC Filings Company Website

2013 Q4 Form 10-K Financial Statement

#000100472414000038 Filed on March 31, 2014

Income Statement

Concept	2013 Q4	2013	2012 Q4
Revenue	$23.75M	$185.8M	$51.92M
YoY Change	-54.26%	-4.29%	60.74%
Cost Of Revenue	$18.19M	$185.6M	$45.06M
YoY Change	-59.63%	10.34%	67.51%
Gross Profit	$5.570M	$37.20M	$6.860M
YoY Change	-18.8%	11.04%	27.04%
Gross Profit Margin	23.45%	20.03%	13.21%
Selling, General & Admin	$6.360M	$28.40M	$6.590M
YoY Change	-3.49%	14.98%	23.64%
% of Gross Profit	114.18%	76.34%	96.06%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$1.670M	$6.918M	$1.810M
YoY Change	-7.73%	5.81%	54.7%
% of Gross Profit	29.98%	18.6%	26.38%
Operating Expenses	$8.020M	$187.4M	$8.400M
YoY Change	-4.52%	-2.08%	14.6%
Operating Profit	-$2.450M	-$1.631M	-$1.540M
YoY Change	59.09%	-159.9%	-20.21%
Interest Expense	-$2.060M	$12.35M	-$3.610M
YoY Change	-42.94%	-2.65%	109.88%
% of Operating Profit
Other Income/Expense, Net	-$320.0K	-$10.34M	$130.0K
YoY Change	-346.15%	-35.45%	-750.0%
Pretax Income	-$4.880M	-$11.97M	-$5.820M
YoY Change	-16.15%	-9.96%	40.58%
Income Tax	$120.0K	$142.0K	-$40.00K
% Of Pretax Income
Net Earnings	-$3.090M	-$12.57M	$90.00K
YoY Change	-3533.33%	82.55%	-101.99%
Net Earnings / Revenue	-13.01%	-6.77%	0.17%
Basic Earnings Per Share		-$0.94
Diluted Earnings Per Share	-$2.359M	-$0.94	$73.77K
COMMON SHARES
Basic Shares Outstanding	15.77M shares	15.04M shares	14.66M shares
Diluted Shares Outstanding		15.04M shares

Balance Sheet

Concept	2013 Q4	2013	2012 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments	$19.40M	$19.40M	$15.90M
YoY Change	22.01%	22.01%	114.86%
Cash & Equivalents	$19.37M	$19.40M	$15.94M
Short-Term Investments
Other Short-Term Assets	$15.80M	$10.60M	$9.200M
YoY Change	71.74%	26.19%	253.85%
Inventory
Prepaid Expenses
Receivables	$23.60M	$23.60M	$26.83M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$58.74M	$53.60M	$51.94M
YoY Change	13.09%	6.35%	80.72%
LONG-TERM ASSETS
Property, Plant & Equipment	$138.2M	$143.4M	$151.0M
YoY Change	-8.46%	-5.1%	47.4%
Goodwill	$4.224M		$5.023M
YoY Change	-15.91%		39.53%
Intangibles	$42.10M		$45.63M
YoY Change	-7.75%		29.4%
Long-Term Investments
YoY Change
Other Assets	$12.00K	$17.90M	$3.611M
YoY Change	-99.67%	-4.28%	2859.84%
Total Long-Term Assets	$167.7M	$172.8M	$183.3M
YoY Change	-8.52%	-6.09%	40.61%
TOTAL ASSETS
Total Short-Term Assets	$58.74M	$53.60M	$51.94M
Total Long-Term Assets	$167.7M	$172.8M	$183.3M
Total Assets	$226.4M	$226.4M	$235.2M
YoY Change	-3.75%	-3.41%	47.86%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$23.78M	$23.80M	$20.30M
YoY Change	17.16%	22.05%	68.11%
Accrued Expenses	$13.26M	$13.30M	$13.73M
YoY Change	-3.39%	-2.92%	38.94%
Deferred Revenue
YoY Change
Short-Term Debt	$32.20M	$2.700M	$1.500M
YoY Change	2046.67%	80.0%	-79.45%
Long-Term Debt Due	$23.40M	$23.40M	$17.90M
YoY Change	30.73%	30.73%	289.13%
Total Short-Term Liabilities	$69.24M	$69.20M	$57.08M
YoY Change	21.3%	22.91%	67.36%
LONG-TERM LIABILITIES
Long-Term Debt	$128.1M	$128.1M	$148.8M
YoY Change	-13.91%	-13.91%	41.58%
Other Long-Term Liabilities	$1.589M	$1.600M	$1.394M
YoY Change	13.99%	-68.0%	-42.82%
Total Long-Term Liabilities	$1.589M	$129.7M	$1.394M
YoY Change	13.99%	-15.67%	-42.82%
TOTAL LIABILITIES
Total Short-Term Liabilities	$69.24M	$69.20M	$57.08M
Total Long-Term Liabilities	$1.589M	$129.7M	$1.394M
Total Liabilities	$199.1M	$197.5M	$211.0M
YoY Change	-5.64%	-5.68%	46.95%
SHAREHOLDERS EQUITY
Retained Earnings	-$39.88M		-$25.75M
YoY Change	54.87%		37.62%
Common Stock
YoY Change
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	$8.486M	$28.90M	$15.89M
YoY Change
Total Liabilities & Shareholders Equity	$226.4M	$226.4M	$235.2M
YoY Change	-3.75%	-3.41%	47.86%

Cashflow Statement

Concept	2013 Q4	2013	2012 Q4
OPERATING ACTIVITIES
Net Income	-$3.090M	-$12.57M	$90.00K
YoY Change	-3533.33%	82.55%	-101.99%
Depreciation, Depletion And Amortization	$1.670M	$6.918M	$1.810M
YoY Change	-7.73%	5.81%	54.7%
Cash From Operating Activities	$2.370M	$5.063M	-$2.020M
YoY Change	-217.33%	249.9%	-310.42%
INVESTING ACTIVITIES
Capital Expenditures	-$1.470M	$4.520M	-$2.950M
YoY Change	-50.17%	-19.5%	94.08%
Acquisitions		$0.00
YoY Change		-100.0%
Other Investing Activities	$2.910M	$1.370M	$1.040M
YoY Change	179.81%	-102.57%	-121.58%
Cash From Investing Activities	$1.440M	-$3.123M	-$1.900M
YoY Change	-175.79%	-94.72%	-69.98%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net		$0.00
YoY Change		-100.0%
Debt Paid & Issued, Net	$1.800M
YoY Change
Cash From Financing Activities	2.850M	$1.497M	10.17M
YoY Change	-71.98%	-97.75%	279.48%
NET CHANGE
Cash From Operating Activities	2.370M	$5.063M	-2.020M
Cash From Investing Activities	1.440M	-$3.123M	-1.900M
Cash From Financing Activities	2.850M	$1.497M	10.17M
Net Change In Cash	6.660M	$3.437M	6.250M
YoY Change	6.56%	-60.73%	-332.34%
FREE CASH FLOW
Cash From Operating Activities	$2.370M	$5.063M	-$2.020M
Capital Expenditures	-$1.470M	$4.520M	-$2.950M
Free Cash Flow	$3.840M	$543.0K	$930.0K
YoY Change	312.9%	-113.03%	-62.5%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
CY2012Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	20299000	USD
CY2013Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	23783000	USD
CY2012Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	26832000	USD
CY2013Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	23598000	USD
CY2013Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current AccrualForTaxesOtherThanIncomeTaxesCurrent	1543000	USD
CY2012Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current AccrualForTaxesOtherThanIncomeTaxesCurrent	1245000	USD
CY2013Q4	us-gaap	Accrued Employee Benefits Current AccruedEmployeeBenefitsCurrent	3712000	USD
CY2012Q4	us-gaap	Accrued Employee Benefits Current AccruedEmployeeBenefitsCurrent	3790000	USD
CY2012Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	13729000	USD
CY2013Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	13264000	USD
CY2012Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	8862000	USD
CY2013Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	15159000	USD
CY2012	us-gaap	Adjustment Of Warrants Granted For Services AdjustmentOfWarrantsGrantedForServices	107000	USD
CY2013	us-gaap	Adjustment Of Warrants Granted For Services AdjustmentOfWarrantsGrantedForServices	89000	USD
CY2012	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	715000	USD
CY2013	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	1097000	USD
CY2013	us-gaap	Adjustments To Additional Paid In Capital Warrant Issued AdjustmentsToAdditionalPaidInCapitalWarrantIssued	80000	USD
CY2013	us-gaap	Advertising Cost Policy Expensed Advertising Cost AdvertisingCostPolicyExpensedAdvertisingCost	<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:10px;padding-top:10px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Advertising</font></div><div style="line-height:120%;padding-bottom:10px;padding-top:10px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Advertising costs are expensed as incurred.</font></div></div>
CY2013	us-gaap	Advertising Expense AdvertisingExpense	500000	USD
CY2012	us-gaap	Advertising Expense AdvertisingExpense	400000	USD
CY2012	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	891000	USD
CY2013	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	1097000	USD
CY2013Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	4989000	USD
CY2012Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	3729000	USD
CY2013	us-gaap	Amortization Of Debt Discount Premium AmortizationOfDebtDiscountPremium	519000	USD
CY2012	us-gaap	Amortization Of Debt Discount Premium AmortizationOfDebtDiscountPremium	750000	USD
CY2013	us-gaap	Amortization Of Financing Costs AmortizationOfFinancingCosts	2244000	USD
CY2012	us-gaap	Amortization Of Financing Costs AmortizationOfFinancingCosts	1923000	USD
CY2012	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2521000	USD
CY2013	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2487000	USD
CY2012	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	12260000	shares
CY2013	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	11280000	shares
CY2013Q4	us-gaap	Assets Assets	226428000	USD
CY2012Q4	us-gaap	Assets Assets	235244000	USD
CY2012Q4	us-gaap	Assets Current AssetsCurrent	51937000	USD
CY2013Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	16016000	shares
CY2013Q4	us-gaap	Assets Of Disposal Group Including Discontinued Operation Current AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent	400000	USD
CY2013Q4	us-gaap	Assets Current AssetsCurrent	53601000	USD
CY2012Q4	us-gaap	Assets Of Disposal Group Including Discontinued Operation Current AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent	6159000	USD
CY2012	us-gaap	Business Acquisitions Pro Forma Net Income Loss BusinessAcquisitionsProFormaNetIncomeLoss	4072000	USD
CY2012	us-gaap	Business Acquisitions Pro Forma Revenue BusinessAcquisitionsProFormaRevenue	220745000	USD
CY2013	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	562000	USD
CY2012	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	1962000	USD
CY2013	us-gaap	Business Combination Pro Forma Information Earnings Or Loss Of Acquiree Since Acquisition Date Actual BusinessCombinationProFormaInformationEarningsOrLossOfAcquireeSinceAcquisitionDateActual	300000	USD
CY2013	us-gaap	Business Combination Pro Forma Information Revenue Of Acquiree Since Acquisition Date Actual BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual	35100000	USD
CY2012Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	15937000	USD
CY2013Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	19374000	USD
CY2011Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	7364000	USD
CY2012	us-gaap	Cash And Cash Equivalents Period Increase Decrease CashAndCashEquivalentsPeriodIncreaseDecrease	8753000	USD
CY2013	us-gaap	Cash And Cash Equivalents Period Increase Decrease CashAndCashEquivalentsPeriodIncreaseDecrease	3437000	USD
CY2013	us-gaap	Cash Divested From Deconsolidation CashDivestedFromDeconsolidation	0	USD
CY2012	us-gaap	Cash Divested From Deconsolidation CashDivestedFromDeconsolidation	180000	USD
CY2013	us-gaap	Cash Provided By Used In Financing Activities Discontinued Operations CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations	-5611000	USD
CY2012	us-gaap	Cash Provided By Used In Financing Activities Discontinued Operations CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations	-6154000	USD
CY2013	us-gaap	Cash Provided By Used In Investing Activities Discontinued Operations CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations	5031000	USD
CY2012	us-gaap	Cash Provided By Used In Investing Activities Discontinued Operations CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations	11635000	USD
CY2012	us-gaap	Cash Provided By Used In Operating Activities Discontinued Operations CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations	-229000	USD
CY2013	us-gaap	Cash Provided By Used In Operating Activities Discontinued Operations CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations	-234000	USD
CY2013Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies		USD
CY2012Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies		USD
CY2013Q4	us-gaap	Common Stock Capital Shares Reserved For Future Issuance CommonStockCapitalSharesReservedForFutureIssuance	11660000	shares
CY2012Q4	us-gaap	Common Stock Dividends Shares CommonStockDividendsShares	700000	shares
CY2013Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0
CY2012Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0
CY2012Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	29000000	shares
CY2013Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	55000000	shares
CY2013Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	16016000	shares
CY2012Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	14659000	shares
CY2012Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	14659000	shares
CY2012Q4	us-gaap	Common Stocks Including Additional Paid In Capital CommonStocksIncludingAdditionalPaidInCapital	41644000	USD
CY2013Q4	us-gaap	Common Stocks Including Additional Paid In Capital CommonStocksIncludingAdditionalPaidInCapital	48370000	USD
CY2013	us-gaap	Concentration Risk Credit Risk ConcentrationRiskCreditRisk	<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:10px;padding-top:10px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Concentrations of Credit Risk</font></div><div style="line-height:120%;padding-bottom:10px;padding-top:10px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Financial instruments which potentially expose the Company to concentrations of credit risk consist primarily of cash and cash equivalents, restricted cash, restricted investments, and accounts receivable. Cash and cash equivalents, restricted cash and restricted investments are held with various financial institutions. From time to time, these balances exceed the federally insured limits. These balances are maintained with high quality financial institutions which management believes limits the risk.</font></div><div style="line-height:120%;padding-bottom:10px;padding-top:10px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Accounts receivable are recorded at net realizable value. The Company performs ongoing evaluations of its residents and significant third-party payors with which they contract, and generally does not require collateral. Management believes that credit risk with respect to accounts receivable from residents is limited based on the stature and diversity of the third-party payers with which they contract. The Company maintains an allowance for doubtful accounts which management believes is sufficient to cover potential losses. Delinquent accounts receivable are charged against the allowance for doubtful accounts once likelihood of collection has been determined. Accounts receivable are considered to be past due and placed on delinquent status based upon contractual terms, how frequently payments are received, and on an individual account basis.</font></div></div>
CY2012	us-gaap	Concentration Risk Percentage1 ConcentrationRiskPercentage1	0.84
CY2013	us-gaap	Concentration Risk Percentage1 ConcentrationRiskPercentage1	0.84
CY2012Q4	us-gaap	Convertible Debt Current ConvertibleDebtCurrent	10948000	USD
CY2013Q4	us-gaap	Convertible Debt Current ConvertibleDebtCurrent	11389000	USD
CY2013Q4	us-gaap	Convertible Debt Noncurrent ConvertibleDebtNoncurrent	7500000	USD
CY2012Q4	us-gaap	Convertible Debt Noncurrent ConvertibleDebtNoncurrent	12009000	USD
CY2012	us-gaap	Cost Of Services Excluding Depreciation Depletion And Amortization CostOfServicesExcludingDepreciationDepletionAndAmortization	160700000	USD
CY2013	us-gaap	Cost Of Services Excluding Depreciation Depletion And Amortization CostOfServicesExcludingDepreciationDepletionAndAmortization	185612000	USD
CY2012	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-97000	USD
CY2013	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	0	USD
CY2013	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	55000	USD
CY2012	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-7000	USD
CY2013	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	55000	USD
CY2012	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	90000	USD
CY2012	us-gaap	Debt Conversion Converted Instrument Amount1 DebtConversionConvertedInstrumentAmount1	0	USD
CY2013	us-gaap	Debt Conversion Converted Instrument Amount1 DebtConversionConvertedInstrumentAmount1	4770000	USD
CY2012Q4	us-gaap	Debt Current DebtCurrent	19387000	USD
CY2013Q4	us-gaap	Debt Current DebtCurrent	26154000	USD
CY2013Q4	us-gaap	Debt Instrument Convertible Conversion Price1 DebtInstrumentConvertibleConversionPrice1	3.73
CY2013	us-gaap	Debt Instrument Periodic Payment DebtInstrumentPeriodicPayment	200000	USD
CY2013Q4	us-gaap	Debt Instrument Unamortized Discount DebtInstrumentUnamortizedDiscount	415000	USD
CY2013Q4	us-gaap	Debt Instrument Unamortized Premium DebtInstrumentUnamortizedPremium	268000	USD
CY2013Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	160307000	USD
CY2012Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	171876000	USD
CY2012	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	104000	USD
CY2013	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	87000	USD
CY2013Q4	us-gaap	Deferred Finance Costs Noncurrent Net DeferredFinanceCostsNoncurrentNet	4542000	USD
CY2012Q4	us-gaap	Deferred Finance Costs Noncurrent Net DeferredFinanceCostsNoncurrentNet	6137000	USD
CY2013	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	87000	USD
CY2012	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	104000	USD
CY2012	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	0	USD
CY2013	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	0	USD
CY2012Q4	us-gaap	Deferred Tax Assets Gross Current DeferredTaxAssetsGrossCurrent	1729000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Gross Current DeferredTaxAssetsGrossCurrent	1686000	USD
CY2012Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	4825000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	8789000	USD
CY2012Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost	848000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost	1081000	USD
CY2012Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities	464000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities	48000	USD
CY2012Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	1265000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	1638000	USD
CY2012Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	8014000	USD
CY2013Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	11542000	USD
CY2013Q4	us-gaap	Deferred Tax Liabilities Noncurrent DeferredTaxLiabilitiesNoncurrent	191000	USD
CY2012Q4	us-gaap	Deferred Tax Liabilities Noncurrent DeferredTaxLiabilitiesNoncurrent	104000	USD
CY2013	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	100000	USD
CY2012	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	200000	USD
CY2013	us-gaap	Defined Contribution Plan Employer Matching Contribution Percent DefinedContributionPlanEmployerMatchingContributionPercent	0.02
CY2012	us-gaap	Depreciation And Amortization Discontinued Operations DepreciationAndAmortizationDiscontinuedOperations	1400000	USD
CY2013	us-gaap	Depreciation And Amortization Discontinued Operations DepreciationAndAmortizationDiscontinuedOperations	1000000	USD
CY2012	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	6538000	USD
CY2013	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	7940000	USD
CY2012	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	-1741000	USD
CY2013	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	3006000	USD
CY2013Q4	us-gaap	Derivative Liabilities Noncurrent DerivativeLiabilitiesNoncurrent	0	USD
CY2012Q4	us-gaap	Derivative Liabilities Noncurrent DerivativeLiabilitiesNoncurrent	3630000	USD
CY2012	us-gaap	Discontinued Operation Tax Effect Of Discontinued Operation DiscontinuedOperationTaxEffectOfDiscontinuedOperation	-20000	USD
CY2013	us-gaap	Discontinued Operation Tax Effect Of Discontinued Operation DiscontinuedOperationTaxEffectOfDiscontinuedOperation	33000	USD
CY2013	us-gaap	Disposal Group Including Discontinued Operation Operating Income Loss DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss	-2248000	USD
CY2012	us-gaap	Disposal Group Including Discontinued Operation Operating Income Loss DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss	5846000	USD
CY2013	us-gaap	Dividends Preferred Stock DividendsPreferredStock	1564000	USD
CY2012	us-gaap	Dividends Preferred Stock DividendsPreferredStock	156000	USD
CY2012	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.50
CY2013	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.94
CY2012	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.50
CY2013	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.94
CY2012	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.010
CY2013	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.013
CY2012	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.34
CY2013	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.34
CY2013	us-gaap	Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance	0.263
CY2012	us-gaap	Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance	0.261
CY2013	us-gaap	Effective Income Tax Rate Reconciliation Nondeductible Expense EffectiveIncomeTaxRateReconciliationNondeductibleExpense	0.048
CY2012	us-gaap	Effective Income Tax Rate Reconciliation Nondeductible Expense EffectiveIncomeTaxRateReconciliationNondeductibleExpense	0.015
CY2012	us-gaap	Effective Income Tax Rate Reconciliation Other Adjustments EffectiveIncomeTaxRateReconciliationOtherAdjustments	0.036
CY2013	us-gaap	Effective Income Tax Rate Reconciliation Other Adjustments EffectiveIncomeTaxRateReconciliationOtherAdjustments	0.017
CY2013	us-gaap	Effective Income Tax Rate Reconciliation State And Local Income Taxes EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes	0.005
CY2012	us-gaap	Effective Income Tax Rate Reconciliation State And Local Income Taxes EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes	0.008
CY2013	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1 EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1	P1Y11M12D
CY2013Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions	1700000	USD
CY2013Q3	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	300000	USD
CY2012	us-gaap	Goodwill Written Off Related To Sale Of Business Unit GoodwillWrittenOffRelatedToSaleOfBusinessUnit	-906000	USD
CY2012	us-gaap	Health Care Organization Revenue HealthCareOrganizationRevenue	191921000	USD
CY2013	us-gaap	Health Care Organization Revenue HealthCareOrganizationRevenue	220750000	USD
CY2013	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-10973000	USD
CY2011Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	1618000	USD
CY2013Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	6626000	USD
CY2012Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	4139000	USD
CY2012Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	6123000	USD
CY2013Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	4889000	USD
CY2013	us-gaap	Gain Loss On Disposition Of Assets GainLossOnDispositionOfAssets	-10000	USD
CY2012	us-gaap	Gain Loss On Disposition Of Assets GainLossOnDispositionOfAssets	2000	USD
CY2012	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	500000	USD
CY2013	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-109000	USD
CY2012	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	17005000	USD
CY2013	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	19032000	USD
CY2012Q4	us-gaap	Goodwill Goodwill	5023000	USD
CY2013Q4	us-gaap	Goodwill Goodwill	4224000	USD
CY2011Q4	us-gaap	Goodwill Goodwill	3600000	USD
CY2012	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	3451000	USD
CY2012Q4	us-gaap	Goodwill Gross GoodwillGross	5023000	USD
CY2011Q4	us-gaap	Goodwill Gross GoodwillGross	5374000	USD
CY2013Q4	us-gaap	Goodwill Gross GoodwillGross	5023000	USD
CY2012Q4	us-gaap	Goodwill Impaired Accumulated Impairment Loss GoodwillImpairedAccumulatedImpairmentLoss	0	USD
CY2011Q4	us-gaap	Goodwill Impaired Accumulated Impairment Loss GoodwillImpairedAccumulatedImpairmentLoss	1774000	USD
CY2013Q4	us-gaap	Goodwill Impaired Accumulated Impairment Loss GoodwillImpairedAccumulatedImpairmentLoss	799000	USD
CY2013	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	799000	USD
CY2012	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0	USD
CY2013	us-gaap	Goodwill Period Increase Decrease GoodwillPeriodIncreaseDecrease	-799000	USD
CY2012	us-gaap	Goodwill Period Increase Decrease GoodwillPeriodIncreaseDecrease	1423000	USD
CY2012	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-13289000	USD
CY2013	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	-11115000	USD
CY2012	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	-13386000	USD
CY2013	us-gaap	Income Loss From Continuing Operations Per Basic Share IncomeLossFromContinuingOperationsPerBasicShare	-0.79
CY2012	us-gaap	Income Loss From Continuing Operations Per Basic Share IncomeLossFromContinuingOperationsPerBasicShare	-0.92
CY2012	us-gaap	Income Loss From Continuing Operations Per Diluted Share IncomeLossFromContinuingOperationsPerDilutedShare	-0.92
CY2013	us-gaap	Income Loss From Continuing Operations Per Diluted Share IncomeLossFromContinuingOperationsPerDilutedShare	-0.79
CY2012	us-gaap	Income Loss From Discontinued Operations Net Of Tax IncomeLossFromDiscontinuedOperationsNetOfTax	5846000	USD
CY2013	us-gaap	Income Loss From Discontinued Operations Net Of Tax IncomeLossFromDiscontinuedOperationsNetOfTax	-2248000	USD
CY2013	us-gaap	Income Loss From Discontinued Operations Net Of Tax Per Basic Share IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare	-0.15
CY2012	us-gaap	Income Loss From Discontinued Operations Net Of Tax Per Basic Share IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare	0.42
CY2013	us-gaap	Income Loss From Discontinued Operations Net Of Tax Per Diluted Share IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare	-0.15
CY2012	us-gaap	Income Loss From Discontinued Operations Net Of Tax Per Diluted Share IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare	0.42
CY2012	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	97000	USD
CY2013	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	142000	USD
CY2012	us-gaap	Income Tax Expense Benefit Intraperiod Tax Allocation IncomeTaxExpenseBenefitIntraperiodTaxAllocation	77000	USD
CY2013	us-gaap	Income Tax Expense Benefit Intraperiod Tax Allocation IncomeTaxExpenseBenefitIntraperiodTaxAllocation	175000	USD
CY2013	us-gaap	Income Taxes Paid IncomeTaxesPaid	0	USD
CY2012	us-gaap	Income Taxes Paid IncomeTaxesPaid	0	USD
CY2012	us-gaap	Increase Decrease In Accounts Payable And Accrued Liabilities IncreaseDecreaseInAccountsPayableAndAccruedLiabilities	11408000	USD
CY2013	us-gaap	Increase Decrease In Accounts Payable And Accrued Liabilities IncreaseDecreaseInAccountsPayableAndAccruedLiabilities	5279000	USD
CY2013	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	3937000	USD
CY2012	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	12973000	USD
CY2013	us-gaap	Increase Decrease In Other Operating Assets IncreaseDecreaseInOtherOperatingAssets	-360000	USD
CY2012	us-gaap	Increase Decrease In Other Operating Assets IncreaseDecreaseInOtherOperatingAssets	-330000	USD
CY2012	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-90000	USD
CY2013	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	25000	USD
CY2013	us-gaap	Increase Decrease In Restricted Cash And Investments IncreaseDecreaseInRestrictedCashAndInvestments	6905000	USD
CY2012	us-gaap	Increase Decrease In Restricted Cash And Investments IncreaseDecreaseInRestrictedCashAndInvestments	3284000	USD
CY2013Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	2471000	USD
CY2012Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	2471000	USD
CY2012Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	45634000	USD
CY2013Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	43147000	USD
CY2011Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	35265000	USD
CY2012	us-gaap	Interest Expense InterestExpense	12687000	USD
CY2013	us-gaap	Interest Expense InterestExpense	12888000	USD
CY2013	us-gaap	Interest Paid InterestPaid	10420000	USD
CY2012	us-gaap	Interest Paid InterestPaid	9673000	USD
CY2012	us-gaap	Issuance Of Stock And Warrants For Services Or Claims IssuanceOfStockAndWarrantsForServicesOrClaims	859000	USD
CY2013	us-gaap	Issuance Of Stock And Warrants For Services Or Claims IssuanceOfStockAndWarrantsForServicesOrClaims	9000	USD
CY2013Q4	us-gaap	Liabilities Liabilities	199134000	USD
CY2012Q4	us-gaap	Liabilities Liabilities	211032000	USD
CY2013Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	226428000	USD
CY2012Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	235244000	USD
CY2013Q4	us-gaap	Liabilities Current LiabilitiesCurrent	69235000	USD
CY2012Q4	us-gaap	Liabilities Current LiabilitiesCurrent	57077000	USD
CY2013Q4	us-gaap	Liabilities Of Disposal Group Including Discontinued Operation Current LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent	0	USD
CY2012Q4	us-gaap	Liabilities Of Disposal Group Including Discontinued Operation Current LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent	3662000	USD
CY2012Q4	us-gaap	Lines Of Credit Current LinesOfCreditCurrent	1498000	USD
CY2013Q4	us-gaap	Lines Of Credit Current LinesOfCreditCurrent	2738000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal After Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive	45338000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Next Twelve Months LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths	32102000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive	1609000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Four LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour	3646000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Three LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree	33120000	USD
CY2013Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Two LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo	44639000	USD
CY2012Q4	us-gaap	Long Term Line Of Credit LongTermLineOfCredit	7706000	USD
CY2013Q4	us-gaap	Long Term Line Of Credit LongTermLineOfCredit	5765000	USD
CY2013Q4	us-gaap	Long Term Notes And Loans LongTermNotesAndLoans	128119000	USD
CY2012Q4	us-gaap	Long Term Notes And Loans LongTermNotesAndLoans	148827000	USD
CY2013	us-gaap	Management Fees Revenue ManagementFeesRevenue	2097000	USD
CY2012	us-gaap	Management Fees Revenue ManagementFeesRevenue	2156000	USD
CY2012Q4	us-gaap	Minority Interest MinorityInterest	-838000	USD
CY2013Q4	us-gaap	Minority Interest MinorityInterest	-1634000	USD
CY2013	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	1500000	USD
CY2012	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	66468000	USD
CY2013	us-gaap	Net Cash Provided By Used In Financing Activities Continuing Operations NetCashProvidedByUsedInFinancingActivitiesContinuingOperations	7111000	USD
CY2012	us-gaap	Net Cash Provided By Used In Financing Activities Continuing Operations NetCashProvidedByUsedInFinancingActivitiesContinuingOperations	72622000	USD
CY2012	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-59162000	USD
CY2013	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-3124000	USD
CY2012	us-gaap	Net Cash Provided By Used In Investing Activities Continuing Operations NetCashProvidedByUsedInInvestingActivitiesContinuingOperations	-70797000	USD
CY2013	us-gaap	Net Cash Provided By Used In Investing Activities Continuing Operations NetCashProvidedByUsedInInvestingActivitiesContinuingOperations	-8155000	USD
CY2012	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	1447000	USD
CY2013	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	5061000	USD
CY2012	us-gaap	Net Cash Provided By Used In Operating Activities Continuing Operations NetCashProvidedByUsedInOperatingActivitiesContinuingOperations	1676000	USD
CY2013	us-gaap	Net Cash Provided By Used In Operating Activities Continuing Operations NetCashProvidedByUsedInOperatingActivitiesContinuingOperations	5295000	USD
CY2013	us-gaap	Net Income Loss NetIncomeLoss	-12567000	USD
CY2012	us-gaap	Net Income Loss NetIncomeLoss	-6884000	USD
CY2012	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-656000	USD
CY2013	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-796000	USD
CY2013	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-14131000	USD
CY2012	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-7040000	USD
CY2012	us-gaap	Noncash Or Part Noncash Acquisition Other Assets Acquired1 NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1	0	USD
CY2013	us-gaap	Noncash Or Part Noncash Acquisition Other Assets Acquired1 NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1	80000	USD
CY2012	us-gaap	Noncash Or Part Noncash Acquisition Value Of Liabilities Assumed1 NoncashOrPartNoncashAcquisitionValueOfLiabilitiesAssumed1	11056000	USD
CY2013	us-gaap	Noncash Or Part Noncash Acquisition Value Of Liabilities Assumed1 NoncashOrPartNoncashAcquisitionValueOfLiabilitiesAssumed1	0	USD
CY2012	us-gaap	Noncontrolling Interest Decrease From Deconsolidation NoncontrollingInterestDecreaseFromDeconsolidation	660000	USD
CY2013	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	-11668000	USD
CY2012	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	-16012000	USD
CY2013Q4	us-gaap	Notes And Loans Payable Current NotesAndLoansPayableCurrent	12027000	USD
CY2012Q4	us-gaap	Notes And Loans Payable Current NotesAndLoansPayableCurrent	6941000	USD
CY2012	us-gaap	Operating Expenses OperatingExpenses	191354000	USD
CY2013	us-gaap	Operating Expenses OperatingExpenses	222152000	USD
CY2013	us-gaap	Operating Income Loss OperatingIncomeLoss	695000	USD
CY2012	us-gaap	Operating Income Loss OperatingIncomeLoss	2723000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	42981000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	6347000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due In Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	5918000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due In Four Years OperatingLeasesFutureMinimumPaymentsDueInFourYears	5971000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	6066000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due In Two Years OperatingLeasesFutureMinimumPaymentsDueInTwoYears	6190000	USD
CY2013Q4	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	12489000	USD
CY2013	us-gaap	Operating Leases Rent Expense Net OperatingLeasesRentExpenseNet	7028000	USD
CY2012	us-gaap	Operating Leases Rent Expense Net OperatingLeasesRentExpenseNet	7068000	USD
CY2013Q4	us-gaap	Operating Loss Carryforwards OperatingLossCarryforwards	25800000	USD
CY2013Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	2805000	USD
CY2012Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	3068000	USD
CY2012Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	3611000	USD
CY2013Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	12000	USD
CY2013Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	1589000	USD
CY2012Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	1394000	USD
CY2012Q4	us-gaap	Other Long Term Debt Noncurrent OtherLongTermDebtNoncurrent	864000	USD
CY2013Q4	us-gaap	Other Long Term Debt Noncurrent OtherLongTermDebtNoncurrent	0	USD
CY2012	us-gaap	Other Noncash Income Expense OtherNoncashIncomeExpense	-40000	USD
CY2013	us-gaap	Other Noncash Income Expense OtherNoncashIncomeExpense	0	USD
CY2012	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-124000	USD
CY2013	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-306000	USD
CY2013	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	864000	USD
CY2012	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	3063000	USD
CY2013	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	1564000	USD
CY2012	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	156000	USD
CY2012	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	61901000	USD
CY2013	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	0	USD
CY2013	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	4490000	USD
CY2012	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	5615000	USD
CY2012Q4	us-gaap	Pledged Assets Not Separately Reported Other Financial Instruments PledgedAssetsNotSeparatelyReportedOtherFinancialInstruments	1357000	USD
CY2013Q4	us-gaap	Pledged Assets Not Separately Reported Other Financial Instruments PledgedAssetsNotSeparatelyReportedOtherFinancialInstruments	0	USD
CY2012	us-gaap	Preferred Stock Dividends Income Statement Impact PreferredStockDividendsIncomeStatementImpact	156000	USD
CY2013	us-gaap	Preferred Stock Dividends Income Statement Impact PreferredStockDividendsIncomeStatementImpact	1564000	USD
CY2012Q4	us-gaap	Preferred Stock Par Or Stated Value Per Share PreferredStockParOrStatedValuePerShare	0
CY2013Q4	us-gaap	Preferred Stock Par Or Stated Value Per Share PreferredStockParOrStatedValuePerShare	0
CY2012Q4	us-gaap	Preferred Stock Redemption Amount PreferredStockRedemptionAmount	11250000	USD
CY2013Q4	us-gaap	Preferred Stock Redemption Amount PreferredStockRedemptionAmount	23750000	USD
CY2013Q4	us-gaap	Preferred Stock Shares Authorized PreferredStockSharesAuthorized	5000000	shares
CY2012Q4	us-gaap	Preferred Stock Shares Authorized PreferredStockSharesAuthorized	1000000	shares
CY2013Q4	us-gaap	Preferred Stock Shares Issued PreferredStockSharesIssued	950000	shares
CY2012Q4	us-gaap	Preferred Stock Shares Issued PreferredStockSharesIssued	450000	shares
CY2012Q4	us-gaap	Preferred Stock Shares Outstanding PreferredStockSharesOutstanding	450000	shares
CY2013Q4	us-gaap	Preferred Stock Shares Outstanding PreferredStockSharesOutstanding	950000	shares
CY2013Q4	us-gaap	Preferred Stock Value PreferredStockValue	20442000	USD
CY2012Q4	us-gaap	Preferred Stock Value PreferredStockValue	9159000	USD
CY2013Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	483000	USD
CY2012Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	489000	USD
CY2013	us-gaap	Proceeds From Collection Of Notes Receivable ProceedsFromCollectionOfNotesReceivable	3240000	USD
CY2012	us-gaap	Proceeds From Collection Of Notes Receivable ProceedsFromCollectionOfNotesReceivable	0	USD
CY2012	us-gaap	Proceeds From Issuance Of Common Stock ProceedsFromIssuanceOfCommonStock	3779000	USD
CY2013	us-gaap	Proceeds From Issuance Of Common Stock ProceedsFromIssuanceOfCommonStock	0	USD
CY2013	us-gaap	Proceeds From Issuance Of Preferred Stock And Preference Stock ProceedsFromIssuanceOfPreferredStockAndPreferenceStock	11283000	USD
CY2012	us-gaap	Proceeds From Issuance Of Preferred Stock And Preference Stock ProceedsFromIssuanceOfPreferredStockAndPreferenceStock	9159000	USD
CY2012	us-gaap	Proceeds From Notes Payable ProceedsFromNotesPayable	92476000	USD
CY2013	us-gaap	Proceeds From Notes Payable ProceedsFromNotesPayable	7332000	USD
CY2013	us-gaap	Proceeds From Repayments Of Lines Of Credit ProceedsFromRepaymentsOfLinesOfCredit	-701000	USD
CY2012	us-gaap	Proceeds From Repayments Of Lines Of Credit ProceedsFromRepaymentsOfLinesOfCredit	365000	USD
CY2013	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	0	USD
CY2012	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	3000	USD
CY2012	us-gaap	Proceeds From Warrant Exercises ProceedsFromWarrantExercises	137000	USD
CY2013	us-gaap	Proceeds From Warrant Exercises ProceedsFromWarrantExercises	67000	USD
CY2012	us-gaap	Professional Fees ProfessionalFees	40000	USD
CY2012	us-gaap	Profit Loss ProfitLoss	-7540000	USD
CY2013	us-gaap	Profit Loss ProfitLoss	-13363000	USD
CY2013Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	158527000	USD
CY2012Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	159869000	USD
CY2013Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	143368000	USD
CY2012Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	151007000	USD
CY2013Q4	adk	Allowance For Uncollectible Accounts Management Fees Receivables AllowanceForUncollectibleAccountsManagementFeesReceivables	5000000	USD
CY2013Q4	adk	Assetsof Variable Interest Entity Held For Sale Current AssetsofVariableInterestEntityHeldForSaleCurrent	5945000	USD
CY2012Q4	adk	Assetsof Variable Interest Entity Held For Sale Current AssetsofVariableInterestEntityHeldForSaleCurrent	0	USD
CY2013	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	4651000	USD
CY2012	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	4185000	USD
CY2012	us-gaap	Provision For Loan And Lease Losses ProvisionForLoanAndLeaseLosses	430000	USD
CY2013	us-gaap	Provision For Loan And Lease Losses ProvisionForLoanAndLeaseLosses	194000	USD
CY2012Q3	us-gaap	Related Party Transaction Expenses From Transactions With Related Party RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty	42500	USD
CY2011Q1	us-gaap	Related Party Transaction Expenses From Transactions With Related Party RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty	60000	USD
CY2013Q4	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	1800000	USD
CY2013	us-gaap	Repayments Of Notes Payable RepaymentsOfNotesPayable	8442000	USD
CY2012	us-gaap	Repayments Of Notes Payable RepaymentsOfNotesPayable	30075000	USD
CY2013Q4	us-gaap	Replacement Reserve Escrow ReplacementReserveEscrow	383000	USD
CY2012Q4	us-gaap	Replacement Reserve Escrow ReplacementReserveEscrow	372000	USD
CY2013Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	3801000	USD
CY2012Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	1742000	USD
CY2013Q4	us-gaap	Restricted Cash And Investments RestrictedCashAndInvestments	15407000	USD
CY2012Q4	us-gaap	Restricted Cash And Investments RestrictedCashAndInvestments	8957000	USD
CY2012Q4	us-gaap	Restricted Cash And Investments Current RestrictedCashAndInvestmentsCurrent	1742000	USD
CY2013Q4	us-gaap	Restricted Cash And Investments Current RestrictedCashAndInvestmentsCurrent	3801000	USD
CY2013Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	11606000	USD
CY2012Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	7215000	USD
CY2011Q4	us-gaap	Restructuring Reserve RestructuringReserve	1540000	USD
CY2013Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-39884000	USD
CY2012Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-25753000	USD
CY2013	us-gaap	Revenue Recognition Services Management Fees RevenueRecognitionServicesManagementFees	<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:10px;padding-top:10px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Management Fee Receivables and Revenue</font></div><div style="line-height:120%;padding-bottom:10px;padding-top:10px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Management fee receivables and revenue are recorded in the month that services are provided. As of </font><font style="font-family:inherit;font-size:10pt;">December 31, 2013</font><font style="font-family:inherit;font-size:10pt;"> and </font><font style="font-family:inherit;font-size:10pt;">2012</font><font style="font-family:inherit;font-size:10pt;">, the Company evaluated collectibility of management fees and determined that no allowance was required.</font></div></div>
CY2012	us-gaap	Revenues Revenues	194077000	USD
CY2013	us-gaap	Revenues Revenues	222847000	USD
CY2013	us-gaap	Use Of Estimates UseOfEstimates	<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:10px;padding-top:10px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Use of Estimates</font></div><div style="line-height:120%;padding-bottom:10px;padding-top:10px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported results of operations during the reporting period. Examples of significant estimates include allowance for doubtful accounts, contractual allowances for Medicaid, Medicare, and managed care reimbursements, deferred tax valuation allowance, fair value of derivative instruments, fair value of employee and nonemployee stock based awards, fair value estimation methods used to determine the assigned fair value of assets and liabilities acquired in acquisitions, and valuation of goodwill and other long-lived assets. Actual results could differ materially from those estimates.</font></div></div>
CY2013	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	15044000	shares
CY2012	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	14033000	shares
CY2013	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	15044000	shares
CY2012	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	14033000	shares
CY2012Q4	adk	Accrued Payroll Related Expenses Current AccruedPayrollRelatedExpensesCurrent	5626000	USD
CY2013Q4	adk	Accrued Payroll Related Expenses Current AccruedPayrollRelatedExpensesCurrent	5204000	USD
CY2012	adk	Audit Committee Investigation Expense AuditCommitteeInvestigationExpense	0	USD
CY2013	adk	Audit Committee Investigation Expense AuditCommitteeInvestigationExpense	2386000	USD
CY2012	adk	Business Acquisitions Pro Forma Operating Expenses BusinessAcquisitionsProFormaOperatingExpenses	216673000	USD
CY2014Q1	adk	Closing Market Price Of Common Share ClosingMarketPriceOfCommonShare	4.00
CY2013Q4	us-gaap	Security Deposit SecurityDeposit	1715000	USD
CY2012Q4	us-gaap	Security Deposit SecurityDeposit	1720000	USD
CY2012Q4	us-gaap	Senior Long Term Notes SeniorLongTermNotes	112160000	USD
CY2013Q4	us-gaap	Senior Long Term Notes SeniorLongTermNotes	107858000	USD
CY2012	us-gaap	Severance Costs1 SeveranceCosts1	43000	USD
CY2013	us-gaap	Severance Costs1 SeveranceCosts1	154000	USD
CY2012	us-gaap	Share Based Compensation ShareBasedCompensation	891000	USD
CY2013	us-gaap	Share Based Compensation ShareBasedCompensation	1097000	USD
CY2012Q4	adk	Allowance For Uncollectible Accounts Management Fees Receivables AllowanceForUncollectibleAccountsManagementFeesReceivables	3700000	USD
CY2013	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	20000	USD
CY2012	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	190000	USD
CY2013	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	1.92
CY2012	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	1.36
CY2013Q4	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions	538940	shares
CY2013Q4	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions	1804000	shares
CY2013Q4	us-gaap	Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Exercisable Options Weighted Average Exercise Price1 SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1	4.77
CY2013Q4	us-gaap	Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Exercise Price Beginning Balance1 SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1	4.54
CY2013	us-gaap	Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Remaining Contractual Term2 SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageRemainingContractualTerm2	P7Y6M
CY2013Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	32200000	USD
CY2012	us-gaap	Stock Issued During Period Value Acquisitions StockIssuedDuringPeriodValueAcquisitions	756000	USD
CY2013	us-gaap	Stock Issued During Period Value Conversion Of Convertible Securities StockIssuedDuringPeriodValueConversionOfConvertibleSecurities	5472000	USD
CY2012	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	3779000	USD
CY2013	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	1000	USD
CY2012	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	351000	USD
CY2013	us-gaap	Stock Issued During Period Value Stock Options Exercised StockIssuedDuringPeriodValueStockOptionsExercised	67000	USD
CY2012	us-gaap	Stock Issued During Period Value Stock Options Exercised StockIssuedDuringPeriodValueStockOptionsExercised	137000	USD
CY2013Q4	us-gaap	Stockholders Equity StockholdersEquity	8486000	USD
CY2012Q4	us-gaap	Stockholders Equity StockholdersEquity	15891000	USD
CY2013Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	6852000	USD
CY2012Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	15053000	USD
CY2011Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	15493000	USD
CY2013Q4	adk	Common Stock Capital Shares Reserved For Future Issuance Convertible Debt CommonStockCapitalSharesReservedForFutureIssuanceConvertibleDebt	5611000	shares
CY2013Q4	adk	Common Stock Capital Shares Reserved For Future Issuance Exercisable Stock Warrants Employee CommonStockCapitalSharesReservedForFutureIssuanceExercisableStockWarrantsEmployee	1876000	shares
CY2013Q4	adk	Common Stock Capital Shares Reserved For Future Issuance Exercisable Stock Warrants Nonemployee CommonStockCapitalSharesReservedForFutureIssuanceExercisableStockWarrantsNonemployee	1989000	shares
CY2013Q4	adk	Common Stock Capital Shares Reserved For Future Issuance Stock Options CommonStockCapitalSharesReservedForFutureIssuanceStockOptions	2184000	shares
CY2012Q3	adk	Common Stock Dividend Rate Percentage CommonStockDividendRatePercentage	0.05
CY2013Q4	adk	Debt Instrument Unamortized Discount Current DebtInstrumentUnamortizedDiscountCurrent	182000	USD
CY2013Q4	adk	Debt Instrument Unamortized Premium Current DebtInstrumentUnamortizedPremiumCurrent	268000	USD
CY2013Q4	adk	Debt Long Term And Short Term Combined Amount Before Unamortized Discount Premium DebtLongTermAndShortTermCombinedAmountBeforeUnamortizedDiscountPremium	160454000	USD
CY2013Q4	adk	Defeased Bonds Escrow DefeasedBondsEscrow	3138000	USD
CY2012Q4	adk	Defeased Bonds Escrow DefeasedBondsEscrow	0	USD
CY2012Q4	adk	Deferred Tax Assets Convertible Debt Adjustments DeferredTaxAssetsConvertibleDebtAdjustments	1876000	USD
CY2013Q4	adk	Deferred Tax Assets Convertible Debt Adjustments DeferredTaxAssetsConvertibleDebtAdjustments	2141000	USD
CY2013Q4	adk	Deferred Tax Assets Liabilities Noncurrent DeferredTaxAssetsLiabilitiesNoncurrent	9665000	USD
CY2012Q4	adk	Deferred Tax Assets Liabilities Noncurrent DeferredTaxAssetsLiabilitiesNoncurrent	6181000	USD
CY2012Q4	adk	Deferred Tax Assets Liabilities Other DeferredTaxAssetsLiabilitiesOther	-277000	USD
CY2013Q4	adk	Deferred Tax Assets Liabilities Other DeferredTaxAssetsLiabilitiesOther	0	USD
CY2013Q4	adk	Deferred Tax Assets Net Of Liabilities Gross DeferredTaxAssetsNetOfLiabilitiesGross	11351000	USD
CY2012Q4	adk	Deferred Tax Assets Net Of Liabilities Gross DeferredTaxAssetsNetOfLiabilitiesGross	7910000	USD
CY2012Q4	adk	Deferred Tax Liabilities Property Plant And Equipment And Intangible Assets DeferredTaxLiabilitiesPropertyPlantAndEquipmentAndIntangibleAssets	1091000	USD
CY2013Q4	adk	Deferred Tax Liabilities Property Plant And Equipment And Intangible Assets DeferredTaxLiabilitiesPropertyPlantAndEquipmentAndIntangibleAssets	2346000	USD
CY2013	adk	Defined Contribution Plan Eligible Age Of Employees Covered DefinedContributionPlanEligibleAgeOfEmployeesCovered	P21Y
CY2013	adk	Defined Contribution Plan Eligible Period Of Service DefinedContributionPlanEligiblePeriodOfService	P1Y
CY2013	adk	Defined Contribution Plan Employer Match Percentage DefinedContributionPlanEmployerMatchPercentage	0.50
CY2013	adk	Depreciation And Amortization Excluding Amortization Of Intangible Assets DepreciationAndAmortizationExcludingAmortizationOfIntangibleAssets	7900000	USD
CY2012	adk	Depreciation And Amortization Excluding Amortization Of Intangible Assets DepreciationAndAmortizationExcludingAmortizationOfIntangibleAssets	6500000	USD
CY2012Q4	adk	Discontinued Operation Number Of Assisted Living Facilities Agreed To Be Sold DiscontinuedOperationNumberOfAssistedLivingFacilitiesAgreedToBeSold	6	facility
CY2012Q4	adk	Disposal Group Including Discontinued Operation Notes Payable DisposalGroupIncludingDiscontinuedOperationNotesPayable	3662000	USD
CY2013Q4	adk	Disposal Group Including Discontinued Operation Other Assets Heldfor Use DisposalGroupIncludingDiscontinuedOperationOtherAssetsHeldforUse	0	USD
CY2012Q4	adk	Disposal Group Including Discontinued Operation Other Assets Heldfor Use DisposalGroupIncludingDiscontinuedOperationOtherAssetsHeldforUse	778000	USD
CY2012	adk	Effective Income Tax Rate Reconciliation Affiliates EffectiveIncomeTaxRateReconciliationAffiliates	0.030
CY2013	adk	Effective Income Tax Rate Reconciliation Affiliates EffectiveIncomeTaxRateReconciliationAffiliates	0.020
CY2012Q4	adk	Escrow Deposit Current EscrowDepositCurrent	279000	USD
CY2013Q4	adk	Escrow Deposit Current EscrowDepositCurrent	91000	USD
CY2012	adk	Finite And Indefinite Lived Intangible Assets Acquired FiniteAndIndefiniteLivedIntangibleAssetsAcquired	19763000	USD
CY2011Q4	adk	Finite And Indefinite Lived Intangible Assets Gross FiniteAndIndefiniteLivedIntangibleAssetsGross	36883000	USD
CY2012Q4	adk	Finite And Indefinite Lived Intangible Assets Gross FiniteAndIndefiniteLivedIntangibleAssetsGross	49773000	USD
CY2013Q4	adk	Finite And Indefinite Lived Intangible Assets Gross FiniteAndIndefiniteLivedIntangibleAssetsGross	49773000	USD
CY2012	adk	Finiteand Indefinite Lived Intangible Assets Transferred Out FiniteandIndefiniteLivedIntangibleAssetsTransferredOut	721000	USD
CY2012	adk	Goodwill Adjustment From Deconsolidation Of Variable Interest Entities GoodwillAdjustmentFromDeconsolidationOfVariableInterestEntities	-1122000	USD
CY2012	adk	Intangible Assets Deconsolidation Of Variable Interest Entities IntangibleAssetsDeconsolidationOfVariableInterestEntities	-3458000	USD
CY2012	adk	Intangible Assets Reclassification Adjustment IntangibleAssetsReclassificationAdjustment	2694000	USD
CY2013Q4	adk	Lenders Collection Account LendersCollectionAccount	488000	USD
CY2012Q4	adk	Lenders Collection Account LendersCollectionAccount	0	USD
CY2013Q4	adk	Liabilitiesof Variable Interest Entity Held For Sale Current LiabilitiesofVariableInterestEntityHeldForSaleCurrent	6034000	USD
CY2012Q4	adk	Liabilitiesof Variable Interest Entity Held For Sale Current LiabilitiesofVariableInterestEntityHeldForSaleCurrent	0	USD
CY2012Q4	adk	Long Term Bond Non Current LongTermBondNonCurrent	16088000	USD
CY2013Q4	adk	Long Term Bond Non Current LongTermBondNonCurrent	6996000	USD
CY2012	adk	Noncash Deferred Income Tax NoncashDeferredIncomeTax	104000	USD
CY2013	adk	Noncash Deferred Income Tax NoncashDeferredIncomeTax	87000	USD
CY2013	adk	Number Of Assisted Living Facilities NumberOfAssistedLivingFacilities	2	facility
CY2013	adk	Number Of Assisted Living Facilities Acquired NumberOfAssistedLivingFacilitiesAcquired	1	facility
CY2013Q4	adk	Number Of Beds In Skilled Nursing Facility NumberOfBedsInSkilledNursingFacility	3669	bed
CY2010	adk	Number Of Certificates Of Deposit Obtained And Held As Collateral NumberOfCertificatesOfDepositObtainedAndHeldAsCollateral	2	certificate_of_deposit
CY2013	adk	Number Of Discontinued Operations NumberOfDiscontinuedOperations	7	facility
CY2013Q2	adk	Number Of Entities Controlled By Related Party Against Which Complaint Filed In The District Court Of Oklahoma County NumberOfEntitiesControlledByRelatedPartyAgainstWhichComplaintFiledInTheDistrictCourtOfOklahomaCounty	5	entity
CY2013	adk	Number Of Facilities NumberOfFacilities	46	facility
CY2013	adk	Number Of Facilities Leased And Operated NumberOfFacilitiesLeasedAndOperated	9	facility
CY2013	adk	Number Of Facilities Managed NumberOfFacilitiesManaged	11	facility
CY2013	adk	Number Of Facilities Owned And Operated NumberOfFacilitiesOwnedAndOperated	26	facility
CY2013	adk	Number Of Independent Living And Senior Housing Facilities NumberOfIndependentLivingAndSeniorHousingFacilities	1	facility
CY2013	adk	Number Of Skilled Nursing Facilities NumberOfSkilledNursingFacilities	43	facility
CY2013	adk	Number Of Skilled Nursing Facilities Acquired NumberOfSkilledNursingFacilitiesAcquired	11	facility
CY2013Q2	adk	Number Of Skilled Nursing Facilities Owned By Related Party In Oklahoma NumberOfSkilledNursingFacilitiesOwnedByRelatedPartyInOklahoma	5	facility
CY2013Q2	adk	Number Of Skilled Nursing Facilities Which Are Alleged To Interfere With Contractual Relations And Prospective Economic Advantage Of Plaintiffs NumberOfSkilledNursingFacilitiesWhichAreAllegedToInterfereWithContractualRelationsAndProspectiveEconomicAdvantageOfPlaintiffs	7	facility
CY2013	adk	Number Of Units In Facilities NumberOfUnitsInFacilities	4700	bed
CY2013Q4	adk	Numberof Units Under Agreementto Sale NumberofUnitsUnderAgreementtoSale	105	bed
CY2013	adk	Operating Leases Number Of Skilled Nursing Facilities Leased OperatingLeasesNumberOfSkilledNursingFacilitiesLeased	9	facility
CY2013	adk	Percentage Of Skilled Nursing Facility Beds Certified PercentageOfSkilledNursingFacilityBedsCertified	0.97
CY2012Q4	adk	Principal And Interest Escrow PrincipalAndInterestEscrow	106000	USD
CY2013Q4	adk	Principal And Interest Escrow PrincipalAndInterestEscrow	0	USD
CY2013Q4	adk	Proceedsfrom Releaseof Collateral ProceedsfromReleaseofCollateral	1400000	USD
CY2012	adk	Profit Loss After Payment Of Preferred Dividends ProfitLossAfterPaymentOfPreferredDividends	-7540000	USD
CY2013	adk	Profit Loss After Payment Of Preferred Dividends ProfitLossAfterPaymentOfPreferredDividends	-13363000	USD
CY2013Q4	adk	Property Tax Escrow PropertyTaxEscrow	84000	USD
CY2012Q4	adk	Property Tax Escrow PropertyTaxEscrow	0	USD
CY2013Q4	adk	Repairand Remediation Replacement Reserves RepairandRemediationReplacementReserves	18000	USD
CY2012Q4	adk	Repairand Remediation Replacement Reserves RepairandRemediationReplacementReserves	0	USD
CY2013Q4	adk	Restricted Cash And Cash Equivalent Reserve For Specified Purpose RestrictedCashAndCashEquivalentReserveForSpecifiedPurpose	1481000	USD
CY2012Q4	adk	Restricted Cash And Cash Equivalent Reserve For Specified Purpose RestrictedCashAndCashEquivalentReserveForSpecifiedPurpose	1602000	USD
CY2012Q4	adk	Restricted Cash Cash Equivalents And Investments Other RestrictedCashCashEquivalentsAndInvestmentsOther	5241000	USD
CY2013Q4	adk	Restricted Cash Cash Equivalents And Investments Other RestrictedCashCashEquivalentsAndInvestmentsOther	9724000	USD
CY2012Q2	adk	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Restriction Period ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsRestrictionPeriod	P3Y
CY2012Q2	adk	Share Based Compensation Arrangement By Share Based Payment Award Number Of Directors ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfDirectors	9	directors
CY2013	adk	Sharebased Compensation Arrangement By Sharebased Payment Award Number Of Plans SharebasedCompensationArrangementBySharebasedPaymentAwardNumberOfPlans	3	stock_plan
CY2010	adk	Term Of Certificates Of Deposit To Be Held As Collateral For Other Debt Obligations TermOfCertificatesOfDepositToBeHeldAsCollateralForOtherDebtObligations	P5Y
CY2012	adk	Warrants Issued For Financings Costs WarrantsIssuedForFinancingsCosts	756000	USD
CY2013	adk	Warrants Issued For Financings Costs WarrantsIssuedForFinancingsCosts	9000	USD
CY2013Q4	adk	Working Capital WorkingCapital	15600000	USD
CY2013	dei	Amendment Flag AmendmentFlag	false
CY2013	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2013	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	FY
CY2013	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2013
CY2013	dei	Document Period End Date DocumentPeriodEndDate	2013-12-31
CY2013	dei	Document Type DocumentType	10-K
CY2013	dei	Entity Central Index Key EntityCentralIndexKey	0001004724
CY2014Q1	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	17498962	shares
CY2013	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
CY2013	dei	Entity Filer Category EntityFilerCategory	Smaller Reporting Company
CY2013Q2	dei	Entity Public Float EntityPublicFloat	58698778	USD
CY2013	dei	Entity Registrant Name EntityRegistrantName	ADCARE HEALTH SYSTEMS, INC
CY2013	dei	Entity Voluntary Filers EntityVoluntaryFilers	No
CY2013	dei	Entity Well Known Seasoned Issuer EntityWellKnownSeasonedIssuer	No

Files In Submission

Name	View Source	Status
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0001004724-14-000038-index.html	Edgar Link	pending
0001004724-14-000038.txt	Edgar Link	pending
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exhibit10333letteragreement.htm	Edgar Link	pending
exhibit10334brogdonnote.htm	Edgar Link	pending
exhibit10335keybank4thamen.htm	Edgar Link	pending
exhibit10336exitfeeagreeme.htm	Edgar Link	pending
exhibit211subsidiaries.htm	Edgar Link	pending
exhibit231kpmgconsent.htm	Edgar Link	pending
exhibit37bylawsamendment.htm	Edgar Link	pending
exhibit423regrightsagmt.htm	Edgar Link	pending
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$RHE
Regional Health Properties Inc Stock $rhe

2013 Q4 Form 10-K Financial Statement

#000100472414000038 Filed on March 31, 2014

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Facts In Submission

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$RHE Regional Health Properties Inc Stock $rhe

2013 Q4 Form 10-K Financial Statement

#000100472414000038 Filed on March 31, 2014

Income Statement

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Facts In Submission

Files In Submission

$RHE
Regional Health Properties Inc Stock $rhe