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Property And Equipment (Tables)
12 Months Ended
Jun. 30, 2012
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment Disclosure [Text Block]
(in thousands)
 
2012
 
2011
Property and equipment:
 
 
 
 
Computer software
 
$
235,922

 
$
214,845

Computer hardware and office equipment
 
84,831

 
96,764

Leasehold improvements
 
85,928

 
87,606

Medical equipment
 
18,122

 
19,492

Furniture and fixtures
 
26,066

 
27,474

Buildings
 
3,585

 
3,811

Office equipment and other assets
 
17,496

 
24,596

Total
 
471,950

 
474,588

Less: accumulated depreciation
 
(264,172
)
 
(273,246
)
Total
 
$
207,778

 
$
201,342