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Note 14. Share-based Compensation (Details)
$ / shares in Units, $ in Thousands
9 Months Ended
Sep. 30, 2016
USD ($)
shares
Sep. 30, 2015
USD ($)
$ / shares
shares
Dec. 31, 2015
USD ($)
shares
Independence Holding Company Share Based Plans Total Member      
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant | shares 0    
Independence Holding Company Share Based Plans Total Member | Modified Stock Option Awards Member      
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Number of Employees Affected 13    
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost $ 170    
Independence Holding Company Share Based Plans Total Member | Employee Stock Option      
Proceeds from Stock Options Exercised 84    
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value 67    
Employee Service Share-based Compensation, Tax Benefit Realized from Exercise of Stock Options 15    
Independence Holding Company Share Based Plans Total Member | Restricted Stock Units (RSUs)      
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value $ 120 $ 89  
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period | shares 0 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 | $ / shares   $ 11.78  
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Share-based Awards Other than Options $ 69    
Employee Service Share-Based Compensation, Nonvested Awards, Total Compensation Cost Not Yet Recognized, Period For Recognition 1 1 year 3 months 18 days    
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 | shares 73,150   125,850
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Exercised | shares 52,700    
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Share-based Liabilities Paid $ 436    
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 718   $ 743
American Independence Corp Share Based Plans Total Member | Employee Stock Option      
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value 212    
Employee Service Share-based Compensation, Cash Received from Exercise of Stock Options $ 262    
American Independence Corp Share Based Plans Total Member | Cancelled Stock Option Awards Member      
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Number of Employees Affected 7    
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost $ 646