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Commitments and Contingencies - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Sep. 30, 2013
Physician
acre
Sep. 30, 2012
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2009
Commitment And Contingencies [Line Items]          
Real property 24.74        
Income tax returns filed for the tax years under examination     2011 2010 2009
Number of physicians under guarantee agreements 1        
Expenditure on physician guarantees and recruitment $ 34 $ 31      
Physician Guarantees [Member]
         
Commitment And Contingencies [Line Items]          
Remaining non-cancelable commitments $ 0