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CONSOLIDATED STATEMENTS OF OPERATIONS (USD $)
In Thousands, except Per Share data, unless otherwise specified
 12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Revenues:    
Patient care revenues $ 189,989us-gaap_HealthCareOrganizationRevenue $ 182,777us-gaap_HealthCareOrganizationRevenue
Management revenues 1,493us-gaap_ManagementFeesRevenue 2,097us-gaap_ManagementFeesRevenue
Rental revenues 1,832us-gaap_OperatingLeasesIncomeStatementMinimumLeaseRevenue 876us-gaap_OperatingLeasesIncomeStatementMinimumLeaseRevenue
Total revenues 193,314us-gaap_Revenues 185,750us-gaap_Revenues
Expenses:    
Cost of services (exclusive of facility rent, depreciation and amortization) 159,434us-gaap_CostOfServicesExcludingDepreciationDepletionAndAmortization 152,577us-gaap_CostOfServicesExcludingDepreciationDepletionAndAmortization
General and administrative expenses 15,541us-gaap_GeneralAndAdministrativeExpense 19,032us-gaap_GeneralAndAdministrativeExpense
Audit committee investigation expense 0adk_AuditCommitteeInvestigationExpense 2,386adk_AuditCommitteeInvestigationExpense
Facility rent expense 7,080us-gaap_OperatingLeasesRentExpenseNet 6,314us-gaap_OperatingLeasesRentExpenseNet
Depreciation and amortization 7,300us-gaap_DepreciationDepletionAndAmortization 6,918us-gaap_DepreciationDepletionAndAmortization
Salary retirement and continuation costs 2,636us-gaap_SeveranceCosts1 154us-gaap_SeveranceCosts1
Total expenses 191,991us-gaap_OperatingExpenses 187,381us-gaap_OperatingExpenses
Income (loss) from Operations 1,323us-gaap_OperatingIncomeLoss (1,631)us-gaap_OperatingIncomeLoss
Other Income (Expense):    
Interest expense, net (10,780)us-gaap_InterestExpense (12,351)us-gaap_InterestExpense
Acquisition costs, net of gains (8)us-gaap_BusinessCombinationAcquisitionRelatedCosts (565)us-gaap_BusinessCombinationAcquisitionRelatedCosts
Derivative gain 0us-gaap_DerivativeGainLossOnDerivativeNet 3,006us-gaap_DerivativeGainLossOnDerivativeNet
Loss on extinguishment of debt (1,803)us-gaap_GainsLossesOnExtinguishmentOfDebt (109)us-gaap_GainsLossesOnExtinguishmentOfDebt
Loss on legal settlement (600)us-gaap_GainLossRelatedToLitigationSettlement 0us-gaap_GainLossRelatedToLitigationSettlement
Loss on disposal of assets (7)us-gaap_GainLossOnDispositionOfAssets (10)us-gaap_GainLossOnDispositionOfAssets
Other expense (888)us-gaap_OtherNonoperatingIncomeExpense (306)us-gaap_OtherNonoperatingIncomeExpense
Total other expense, net (14,086)us-gaap_NonoperatingIncomeExpense (10,335)us-gaap_NonoperatingIncomeExpense
Loss from Continuing Operations Before Income Taxes (12,763)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest (11,966)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
Income tax expense (132)us-gaap_IncomeTaxExpenseBenefit (142)us-gaap_IncomeTaxExpenseBenefit
Loss from Continuing Operations (12,895)us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest (12,108)us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
Loss from Discontinued Operations, net of tax (1,510)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (1,255)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Net Loss (14,405)us-gaap_ProfitLoss (13,363)us-gaap_ProfitLoss
Net Loss Attributable to Noncontrolling Interests 806us-gaap_NetIncomeLossAttributableToNoncontrollingInterest 796us-gaap_NetIncomeLossAttributableToNoncontrollingInterest
Net Loss Attributable to AdCare Health Systems, Inc. (13,599)us-gaap_NetIncomeLoss (12,567)us-gaap_NetIncomeLoss
Preferred stock dividend (2,584)us-gaap_PreferredStockDividendsIncomeStatementImpact (1,564)us-gaap_PreferredStockDividendsIncomeStatementImpact
Net Loss Attributable to AdCare Health Systems, Inc. Common Stockholders (16,183)us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic (14,131)us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic
Net Loss per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders—Basic:    
Continuing Operations $ (0.82)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.86)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare
Discontinued Operations $ (0.08)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.08)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
Net Loss per Common Share-Basic (in dollars per share) $ (0.90)us-gaap_EarningsPerShareBasic $ (0.94)us-gaap_EarningsPerShareBasic
Conversion of debt and accrued interest to equity $ 6,942us-gaap_DebtConversionConvertedInstrumentAmount1 $ 4,770us-gaap_DebtConversionConvertedInstrumentAmount1
Net Loss per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders—Diluted:    
Continuing Operations $ (0.82)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.86)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare
Discontinued Operations $ (0.08)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.08)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
Net Loss per Common Share-Diluted (in dollars per share) $ (0.90)us-gaap_EarningsPerShareDiluted $ (0.94)us-gaap_EarningsPerShareDiluted
Weighted Average Common Shares Outstanding:    
Basic 17,930us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 15,044us-gaap_WeightedAverageNumberOfSharesOutstandingBasic
Diluted 17,930us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 15,044us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding