Estimated Fair Values of Assets Acquired and Liabilities Assumed (Detail) (USD $) In Thousands, unless otherwise specified	Sep. 03, 2012 Faculdade Do Vale Do Ipojuca	Aug. 03, 2011 American University of Caribbean	Apr. 02, 2012 Falcon Physician Reviews	Feb. 29, 2012 Faculdade Boa Viagem
Business Acquisition [Line Items]
Current Assets	$ 4,414	$ 3,901	$ 670	$ 548
Property and Equipment	2,897	35,125	41	12,822
Other Long-term Assets	844
Intangible Assets	13,571	131,400	2,260	19,108
Goodwill	14,272	68,321	3,699	14,092
Total Assets Acquired	35,998	238,747	6,670	46,570
Liabilities Assumed	5,677	12,844	1,288	22,323
Net Assets Acquired	$ 30,321	$ 225,903	$ 5,382	$ 24,247

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The amount of acquisition cost of a business combination allocated to assets acquired.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

-Paragraph 37

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The total purchase price of the acquired entity. This includes cash paid to equity interest holders of the acquired entity, fair value of debt and equity securities issued to equity holders of the acquired entity, and transaction costs paid to third parties to consummate the acquisition.

+ References

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The amount of acquisition cost of a business combination allocated to current assets.

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Amount of goodwill arising from a business combination, which is the excess of the cost of the acquired entity over the amounts assigned to assets acquired and liabilities assumed.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

-Paragraph 52

-Subparagraph c

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

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-Subparagraph d

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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Amount of acquisition cost of a business combination allocated to assets, excluding financial assets and goodwill, lacking physical substance.

+ References

No definition available.

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The amount of acquisition cost of a business combination allocated to liabilities assumed.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Emerging Issues Task Force (EITF)

-Number 98-1

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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Amount of acquisition cost of a business combination allocated to other noncurrent assets not separately disclosed.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

-Paragraph 51

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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Emerging Issues Task Force (EITF)

-Number 98-1

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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The amount of acquisition cost of a business combination allocated to property, plant and equipment to be used in ongoing operations.

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