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Quarterly Data (unaudited) (Details) (USD $)
3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Quarterly Data (unaudited)                      
Revenues $ 421,012,000 $ 409,934,000 $ 396,233,000 $ 389,454,000 $ 405,027,000 $ 396,838,000 $ 399,902,000 $ 397,342,000 $ 1,616,633,000 $ 1,599,109,000 $ 1,579,335,000
Gross profit 111,411,000 104,511,000 101,065,000 95,078,000 106,953,000 100,841,000 98,759,000 98,062,000 412,065,000 404,615,000 388,925,000
Net income:                      
Net income-including noncontrolling interest 16,904,000 11,334,000 10,239,000 11,296,000 18,235,000 12,244,000 4,799,000 5,735,000 49,773,000 41,013,000 52,992,000
Net loss-noncontrolling interest   (34,000) (40,000) (36,000) (25,000) (24,000) (31,000) (30,000) (110,000) (110,000) (171,000)
Net income - Res-Care, Inc. 16,904,000 11,368,000 10,279,000 11,332,000 18,260,000 12,268,000 4,830,000 5,765,000 49,883,000 41,123,000 53,163,000
Additional disclosures                      
Loss on extinguishment of debt, net of tax             4,400,000        
Reduction to income tax expense related to the reinstatement of the jobs credit provisions retroactive to January 1, 2012   100,000   3,300,000 0 0 0 0 (3,400,000)    
Loss on extinguishment of debt             7,100,000     7,129,000  
Net income, before tax                 70,856,000 66,773,000 61,841,000
Net income, after tax                 49,773,000 41,013,000 41,836,000
Overstatement | Pharmacy operation | Erroneous physical inventory adjustment
                     
Quarterly Data (unaudited)                      
Gross profit     1,000,000                
Additional disclosures                      
Gross profit, net of tax     600,000                
Adjustment
                     
Quarterly Data (unaudited)                      
Revenues   (1,300,000)                  
Amount of current period adjustment related to a prior period     (400,000) (400,000)           (500,000)  
Additional disclosures                      
Net income, before tax   (2,300,000)                  
Net income, after tax   (1,400,000)                  
Adjustment | Pharmacy operation | Erroneous physical inventory adjustment
                     
Quarterly Data (unaudited)                      
Gross profit   (1,000,000)                  
Additional disclosures                      
Gross profit, net of tax   $ (600,000)