Commitments and Contingencies (Details) (USD $)	12 Months Ended
	Dec. 31, 2014 Customer State Executive Lease	Dec. 31, 2013	Dec. 31, 2012
Commitments and Contingencies [Abstract]
Number of minority operating lease	1
Loss Contingencies [Line Items]
Rent expense	$ 4,708,000	$ 1,002,000	$ 908,000
Number of executives	2
Maximum settlement amount	100,000
Number of customers	12
Number of states	10
Annual minimum payments under operating lease [Abstract]
2015	814,000
2016	472,000
2017	176,000
Thereafter	366,000
Total	1,828,000
Amount of aggregate commitment under the executive severance agreements should all covered executives and employees be terminated other than for cause	10,073,000
Amount of commitment should all covered executives and certain key employees be terminated following a change in control of the Company	9,820,000
LCA-Vision [Member]
Loss Contingencies [Line Items]
Rent expense	3,690,000
Annual minimum payments under operating lease [Abstract]
Total	$ 17,916,000