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Discontinued Operations - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 0 Months Ended 1 Months Ended
Sep. 30, 2013
Jul. 02, 2012
Memorial Hospital of Adel [Member]
Dec. 31, 2012
Dexter Hospital [Member]
Beds
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of bed facility sold     50
Proceeds from sale   $ 8,350 $ 9,930
Sale value of assets and leasehold interest net of expenses     7,400
Proceeds from sale of business   7,500 5,200
Contribution to pension plan $ 0