CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Revenues:
Patient care revenues	$ 220,750	$ 191,921
Management revenues	2,097	2,156
Total revenues	222,847	194,077
Expenses:
Cost of services (exclusive of facility rent, depreciation and amortization)	185,612	160,700
General and administrative expenses	19,032	17,005
Audit committee investigation expense	2,386	0
Facility rent expense	7,028	7,068
Depreciation and amortization	7,940	6,538
Salary retirement and continuation costs	154	43
Total expenses	222,152	191,354
Income from Operations	695	2,723
Other Income (Expense):
Interest expense, net	(12,888)	(12,687)
Acquisition costs, net of gains	(562)	(1,962)
Derivative gain (loss)	3,006	(1,741)
(Loss) gain on extinguishment of debt	(109)	500
Loss impairment	(799)	0
(Loss) gain on disposal of assets	(10)	2
Other expense	(306)	(124)
Total other expense, net	(11,668)	(16,012)
Loss from Continuing Operations Before Income Taxes	(10,973)	(13,289)
Income tax expense	(142)	(97)
Loss from Continuing Operations	(11,115)	(13,386)
(Loss) Income from Discontinued Operations, net of tax	(2,248)	5,846
Net Loss	(13,363)	(7,540)
Net Loss Attributable to Noncontrolling Interests	796	656
Net Loss Attributable to AdCare Health Systems, Inc.	(12,567)	(6,884)
Preferred stock dividend	(1,564)	(156)
Net Income (Loss) Available to Common Stockholders, Basic	$ (14,131)	$ (7,040)
Net Income (Loss) per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders—Basic:
Continuing Operations	$ (0.79)	$ (0.92)
Discontinued Operations	$ (0.15)	$ 0.42
Net Loss per Common Share-Basic (in dollars per share)	$ (0.94)	$ (0.50)
Net Income (Loss) per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders—Diluted:
Continuing Operations	$ (0.79)	$ (0.92)
Discontinued Operations	$ (0.15)	$ 0.42
Net Loss per Common Share-Diluted (in dollars per share)	$ (0.94)	$ (0.50)
Weighted Average Common Shares Outstanding:
Basic	15,044	14,033
Diluted	15,044	14,033