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Note 9. Share-based Compensation (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Independence Holding Company Share Based Plans Total Member
   
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant 384,139  
Independence Holding Company Share Based Plans Total Member | Employee Stock Option
   
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number 616,858 616,858
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price $ 9.35 $ 9.35
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options $ 254  
Employee Service Share-Based Compensation, Nonvested Awards, Total Compensation Cost Not Yet Recognized, Period For Recognition 1 1 year  
Independence Holding Company Share Based Plans Total Member | Restricted Stock Units (RSUs)
   
Employee Service Share-Based Compensation, Nonvested Awards, Total Compensation Cost Not Yet Recognized, Period For Recognition 1 1 year 7 months 6 days  
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number 14,850 14,850
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value $ 10.60 $ 10.60
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Share-based Awards Other than Options 98  
Independence Holding Company Share Based Plans Total Member | Stock Appreciation Rights (SARs)
   
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Outstanding, Number 251,800 251,800
Independence Holding Company Share Based Plans Total Member | Stock Appreciation Rights (SARs) | Accounts Payable and Accrued Liabilities
   
Deferred Compensation Share-based Arrangements, Liability, Current and Noncurrent 1,226 1,307
American Independence Corp Share Based Plans Total Member | Employee Stock Option
   
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number 173,283 222,285
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price $ 10.74 $ 11.46
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options $ 47