Consolidated Statements of Operations (USD $) In Millions, except Share data in Thousands, unless otherwise specified	3 Months Ended
	Sep. 30, 2012	Sep. 30, 2011
Income Statement [Abstract]
Patient service revenues	$ 1,463.9	$ 1,351.5
Less: Provision for doubtful accounts	(169.6)	(126.2)
Patient service revenues, net	1,294.3	1,225.3
Premium revenues	176.4	211.0
Total revenues	1,470.7	1,436.3
Costs and Expenses:
Salaries and benefits (includes stock compensation of $2.2 and $0.7, respectively)	680.2	665.0
Health plan claims expense	134.3	164.7
Supplies	226.1	213.6
Purchased services	147.2	127.0
Rents and leases	19.0	18.0
Other operating expenses	144.2	133.1
Medicare and Medicaid EHR incentives	(11.3)	(3.1)
Depreciation and amortization	65.6	62.6
Interest, net	50.8	45.8
Acquisition related expenses	0	12.2
Debt extinguishment costs	0	38.9
Other	(5.1)	(2.4)
Income (loss) from continuing operations before income taxes	19.7	(39.1)
Income tax benefit (expense)	(4.9)	15.2
Income (loss) from continuing operations	14.8	(23.9)
Income (loss) from discontinued operations, net of taxes	0.1	(0.1)
Net income (loss)	14.9	(24.0)
Net loss (income) attributable to non-controlling interests	(1.0)	2.3
Net income (loss) attributable to Vanguard Health Systems, Inc. stockholders	13.9	(21.7)
Amounts attributable to Vanguard Health Systems, Inc. stockholders:
Income (loss) from continuing operations, net of taxes	13.8	(21.6)
Income (loss) from discontinued operations, net of taxes	0.1	(0.1)
Net income (loss) attributable to Vanguard Health Systems, Inc. stockholders	$ 13.9	$ (21.7)
Earnings (loss) per share attributable to Vanguard Health Systems, Inc. stockholders
Basic earnings (loss) per share	$ 0.18	$ (0.29)
Diluted earnings (loss) per share	$ 0.17	$ (0.29)
Weighted average shares (in thousands):
Basic, shares	75,697	74,854
Diluted, shares	78,813	74,854