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Property And Equipment (Tables)
12 Months Ended
Jun. 30, 2014
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment Disclosure [Text Block]
(in thousands)
 
2014
 
2013
Property and equipment:
 
 
 
 
Computer software
 
$
337,494

 
$
282,681

Computer hardware and office equipment
 
108,717

 
94,932

Leasehold improvements
 
97,280

 
87,982

Medical equipment
 
17,577

 
16,337

Furniture and fixtures
 
28,837

 
26,370

Office equipment and other assets
 
17,930

 
19,224

Total
 
607,835

 
527,526

Less: accumulated depreciation
 
(373,671
)
 
(303,301
)
Total
 
$
234,164

 
$
224,225