Segment Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Segment Information
Revenues	$ 431,434	$ 396,233	$ 852,917	$ 785,687
Operating income (loss)	19,827	23,772	36,042	44,970
Total assets	1,104,520	1,067,129	1,104,520	1,067,129	1,086,277
Capital expenditures	5,413	4,109	9,976	8,212
Depreciation and amortization	9,113	8,531	18,068	16,726
Corporate, Non-Segment [Member]
Segment Information
Operating income (loss)	(29,551)	(20,007)	(57,405)	(39,206)
Total assets	133,566	135,622	133,566	135,622
Capital expenditures	2,107	1,848	3,716	3,845
Depreciation and amortization	2,068	2,180	4,152	4,275
Residential Services [Member] | Operating Segments [Member]
Segment Information
Revenues	237,927	215,530	471,759	428,057
Operating income (loss)	31,956	26,388	60,051	52,600
Total assets	628,965	603,034	628,965	603,034
Capital expenditures	3,031	1,913	5,585	3,632
Depreciation and amortization	5,647	5,356	11,153	10,449
Res Care Home Care [Member] | Operating Segments [Member]
Segment Information
Revenues	95,684	89,607	189,263	177,039
Operating income (loss)	8,683	8,316	16,355	15,021
Total assets	187,907	180,074	187,907	180,074
Capital expenditures	133	172	322	368
Depreciation and amortization	831	560	1,634	1,127
Education and Training Services [Member] | Operating Segments [Member]
Segment Information
Revenues	34,046	34,928	68,170	69,418
Operating income (loss)	2,724	2,241	5,545	4,897
Total assets	51,510	51,292	51,510	51,292
Capital expenditures	19	3	24	10
Depreciation and amortization	145	129	290	259
Workforce Services [Member] | Operating Segments [Member]
Segment Information
Revenues	42,381	39,596	82,188	79,414
Operating income (loss)	4,883	4,258	8,616	8,054
Total assets	81,712	78,321	81,712	78,321
Capital expenditures	15	109	135	124
Depreciation and amortization	384	268	762	546
Pharmacy Services [Member] | Operating Segments [Member]
Segment Information
Revenues	21,396	16,572	41,537	31,759
Operating income (loss)	1,132	2,576	2,880	3,604
Total assets	20,860	18,786	20,860	18,786
Capital expenditures	108	64	194	233
Depreciation and amortization	$ 38	$ 38	$ 77	$ 70