CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011
Revenues:
Patient care revenues	$ 199,502	$ 136,592
Management revenues	2,156	1,620
Total revenues	201,658	138,212
Expenses:
Cost of services (exclusive of facility rent, depreciation and amortization)	168,207	111,819
General and administrative expenses	17,005	13,281
Facility rent expense	7,689	7,193
Depreciation and amortization	6,805	3,359
Salary retirement and continuation costs	43	1,451
Total expenses	199,749	137,103
Income from Operations	1,909	1,109
Other Income (Expense):
Interest expense, net	(13,224)	(7,381)
Acquisition costs, net of gains	(1,962)	(1,163)
Derivative (loss) gain	(1,741)	957
Gain (loss) on extinguishment of debt	500	(141)
Gain (loss) on disposal of assets	2	(111)
Other income	(124)	551
Total other expense, net	(16,549)	(7,288)
Loss from Continuing Operations Before Income Taxes	(14,640)	(6,179)
Income tax expense	(97)	(215)
Loss from Continuing Operations	(14,737)	(6,394)
Income (Loss) from Discontinued Operations, net of tax	7,197	(1,158)
Net Loss	(7,540)	(7,552)
Net Loss Attributable to Noncontrolling Interests	656	1,388
Net Loss Attributable to AdCare Health Systems, Inc.	(6,884)	(6,164)
Preferred stock dividend	(156)
Net Income (Loss) Attributable to AdCare Health Systems, Inc. Common Stockholders	$ (7,040)	$ (6,164)
Net Income (Loss) per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders-Basic:
Continuing Operations (in dollars per share)	$ (1.01)	$ (0.48)
Discontinued Operations (in dollars per share)	$ 0.51	$ (0.11)
Net Loss per Common Share-Basic (in dollars per share)	$ (0.50)	$ (0.59)
Net Income (Loss) per Common Share attributable to AdCare Health Systems, Inc. Common Stockholders-Diluted:
Continuing Operations (in dollars per share)	$ (1.01)	$ (0.48)
Discontinued Operations (in dollars per share)	$ 0.51	$ (0.11)
Net Loss per Common Share-Diluted (in dollars per share)	$ (0.50)	$ (0.59)
Weighted Average Common Shares Outstanding:
Basic (in shares)	14,033	10,491
Diluted (in shares)	14,033	10,491