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Medicare and Medicaid Electronic Health Records Incentives Deferred Gain - Medicare Electronic Health Records Incentives - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Jun. 30, 2011
Jun. 30, 2014
Hospital
Jun. 30, 2013
Hospital
Jun. 30, 2012
Health Care Organization, Receivable and Revenue Disclosures [Line Items]            
Number of operating segments       2    
Medicare [Member]
           
Health Care Organization, Receivable and Revenue Disclosures [Line Items]            
Number of community hospitals       4 4  
Incentive payments received $ 2,494 $ 5,257 $ 8,521      
Incentive payments recognized       2,494    
Incentive payments deferred gain     8,521   1,136  
Payable on final settlement of cost reports       315    
Receivable on final settlement of cost reports       369   103
Decrease in the incentive payment           140
Increase in the incentive payment       705    
Electronic Health Records incentive payments recognized in discontinued operations         (89)  
Medicaid [Member]
           
Health Care Organization, Receivable and Revenue Disclosures [Line Items]            
Number of operating segments       2    
Amount of recognized incentive payments       593 1,320 2,357
Dexter Hospital [Member] | Medicare [Member]
           
Health Care Organization, Receivable and Revenue Disclosures [Line Items]            
Incentive payments received       1,136    
Incentive payments recognized       $ 1,076