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1. Description of Business (Narrative) (USD $)
3 Months Ended 6 Months Ended 9 Months Ended 3 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Mar. 31, 2013
Sep. 30, 2013
Building and Building Improvements
Sep. 30, 2013
Equipment
Sep. 30, 2013
DSH and CMAC
Sep. 30, 2012
DSH and CMAC
Sep. 30, 2013
DSH and CMAC
Sep. 30, 2012
DSH and CMAC
Mar. 31, 2013
DSH and CMAC
Sep. 30, 2013
Medicare and Medicaid
Sep. 30, 2012
Medicare and Medicaid
Sep. 30, 2013
Medicare and Medicaid
Sep. 30, 2012
Medicare and Medicaid
Sep. 30, 2013
Self-Pay Uninsured and Insured
Mar. 31, 2013
Self-Pay Uninsured and Insured
Sep. 30, 2013
Self-Pay Uninsured
Mar. 31, 2013
Self-Pay Uninsured
Sep. 30, 2013
Self-Pay After Insurance
Mar. 31, 2013
Self-Pay After Insurance
Sep. 30, 2013
Managed Care
Sep. 30, 2012
Managed Care
Sep. 30, 2013
Managed Care
Sep. 30, 2012
Managed Care
Mar. 31, 2013
Managed Care
Liquidity                                                      
Working capital $ 3,800,000   $ 3,800,000                                                
Credit line facility availability 15,900,000   15,900,000                                                
Concentration of Risk                                                      
Percentage of patient service revenue                         67.00% 63.00% 76.00% 60.00%                      
Patient Service Revenues                                                      
Settlement payables 170,000   170,000   179,000                                            
Proceeds from supplemental payments               4,000 (600,000) 5,600,000 4,100,000                                
Revenue received from supplemental payments 97,072,000 138,491,000 334,592,000 229,238,000       4,200,000 5,100,000 7,500,000 6,900,000   20,600,000 19,700,000 40,400,000 43,300,000             26,827,000 33,016,000 56,203,000 61,134,000  
Accounts receivable from government payors 7,775,000   7,775,000   5,882,000     7,800,000   7,800,000   5,900,000                              
Charity care cost                         $ 1,700,000 $ 2,500,000 $ 4,000,000 $ 4,600,000                      
Receivables and Allowance for Doubtful Accounts                                                      
Self pay collection rate                                 6.10% 6.50%                  
Self pay collection rate - allowance for doubtful accounts                                     95.20% 95.20% 76.10% 78.00% 16.80%   16.80%   20.30%
Property and Equipment                                                      
Estimated useful lives           25 years 3-15 years