Goodwill (Details) (USD $) In Thousands, unless otherwise specified	6 Months Ended
Jun. 30, 2014	Jun. 30, 2014 Residential Services [Member]	Jun. 30, 2014 Res Care Home Care [Member]	Oct. 02, 2013 Res Care Home Care [Member]	Jun. 30, 2014 Education and Training Services [Member]	Dec. 31, 2013 Education and Training Services [Member]	Jun. 30, 2014 Workforce Services [Member]	Dec. 31, 2013 Workforce Services [Member]	Jun. 30, 2014 Pharmacy Services [Member]	Dec. 31, 2013 Pharmacy Services [Member]
Summary of changes to goodwill
Goodwill, net at the beginning of the period	$ 308,350	$ 182,446	$ 73,547		$ 15,311	$ 15,311	$ 32,720	$ 32,720	$ 4,326	$ 4,326
Goodwill added through acquisitions	449	263	186
Other	128	128
Goodwill, net at the end of the period	$ 308,927	$ 182,837	$ 73,733		$ 15,311	$ 15,311	$ 32,720	$ 32,720	$ 4,326	$ 4,326
Percentage by which fair value exceeded carrying value				7.00%

Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 20

-Section 50

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-URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267

Reference 2: http://www.xbrl.org/2003/role/presentationRef

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-Name Accounting Standards Codification

-Topic 350

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Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination.

+ References

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Amount of other (increase) decrease of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

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Percentage of fair value of reporting unit in excess of carrying amount.

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