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Note 12. Share-based Compensation (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
12 Months Ended 1 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Employee Stock Option
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Employee Stock Option
Dec. 31, 2011
Independence Holding Company Share Based Plans Total Member
Employee Stock Option
Mar. 31, 2013
Independence Holding Company Share Based Plans Total Member
Modified Stock Options
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Restricted Stock Units (RSUs)
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Restricted Stock Units (RSUs)
Dec. 31, 2011
Independence Holding Company Share Based Plans Total Member
Restricted Stock Units (RSUs)
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Accounts Payable and Accrued Liabilities
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Stock Appreciation Rights (SARs)
Accounts Payable and Accrued Liabilities
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Performance Shares
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Performance Shares
Dec. 31, 2011
Independence Holding Company Share Based Plans Total Member
Performance Shares
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
Performance Shares
Accounts Payable and Accrued Liabilities
Dec. 31, 2012
Independence Holding Company Share Based Plans Total Member
Performance Shares
Accounts Payable and Accrued Liabilities
Dec. 31, 2013
American Independence Corp Share Based Plans Total Member
Dec. 31, 2013
American Independence Corp Share Based Plans Total Member
Employee Stock Option
Dec. 31, 2012
American Independence Corp Share Based Plans Total Member
Employee Stock Option
Dec. 31, 2011
American Independence Corp Share Based Plans Total Member
Employee Stock Option
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant 384,139                                 6,503,887      
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross   0 0 0                             13,334 0  
Employee Service Share-based Compensation, Cash Received from Exercise of Stock Options   $ 430                                     $ 57
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value   243                                     11
Employee Service Share-based Compensation, Tax Benefit Realized from Exercise of Stock Options   85                                      
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number   616,858 693,836   192,500                           222,285 227,285  
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Number of Employees Affected         5                                
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2         5 years                                
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost         618                                
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period   3 years     2 years                           4 years    
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options   320                                 59    
Employee Service Share-Based Compensation, Nonvested Awards, Total Compensation Cost Not Yet Recognized, Period For Recognition 1   1 year 2 months 16 days       1 year 9 months 18 days                              
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period           7,425 7,425 7,425                          
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value           $ 11.66 $ 9.39 $ 9.84                          
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value           69 40 23                          
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Share-based Awards Other than Options           117                              
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Outstanding, Number                 251,800 269,950                      
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Exercised                 14,850 13,750                      
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Total Share Based Liabilities Paid                 74 33     83 57 55            
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Forfeitures                 3,300 2,750                      
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Granted                   56,000                      
Deferred Compensation Share-based Arrangements, Liability, Current and Noncurrent                     $ 1,307 $ 683       $ 0 $ 97        
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value                                     $ 4.04   $ 3.02
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period   47,300                                 0 0 13,611