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Property And Equipment (Tables)
12 Months Ended
Jun. 30, 2013
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment Disclosure [Text Block]
(in thousands)
 
2013
 
2012
Property and equipment:
 
 
 
 
Computer software
 
$
282,681

 
$
235,922

Computer hardware and office equipment
 
94,932

 
84,831

Leasehold improvements
 
87,982

 
85,928

Medical equipment
 
16,337

 
18,122

Furniture and fixtures
 
26,370

 
26,066

Buildings
 
31

 
3,585

Office equipment and other assets
 
19,193

 
17,496

Total
 
527,526

 
471,950

Less: accumulated depreciation
 
(303,301
)
 
(264,172
)
Total
 
$
224,225

 
$
207,778