Revenue Recognition and Accounts Receivable - Summary of Allowance for Doubtful Accounts (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Mar. 31, 2015	Mar. 31, 2014	Mar. 31, 2015	Mar. 31, 2014
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Beginning balance	$ 7,279	$ 7,239	$ 6,903	$ 7,761
Additions recognized as a reduction to earnings/revenues	1,619	2,596	7,950	8,308
Accounts written off, net of recoveries	(3,266)	(2,591)	(9,221)	(8,825)
Ending balance	5,632	7,244	5,632	7,244
Healthcare Facilities Segment [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Beginning balance	7,055	6,760	6,649	7,286
Additions recognized as a reduction to earnings/revenues	1,554	2,521	7,805	8,138
Accounts written off, net of recoveries	(3,165)	(2,552)	(9,010)	(8,695)
Ending balance	5,444	6,729	5,444	6,729
Specialty Pharmacy Segment [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Beginning balance	224	479	254	475
Additions recognized as a reduction to earnings/revenues	65	75	145	170
Accounts written off, net of recoveries	(101)	(39)	(211)	(130)
Ending balance	$ 188	$ 515	$ 188	$ 515