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Revenues and Revenue Deductions Revenues and Revenue Deductions (Tables)
9 Months Ended
Mar. 31, 2013
Health Care Organizations [Abstract]  
Schedule of Revenue Sources, Health Care Organization [Table Text Block]
The Company's revenues from third-party payers, the uninsured and other sources are summarized in the following table (dollars in millions).
 
Three months ended March 31,
 
Nine months ended March 31,
 
2012
 
2013
 
2012
 
2013
Medicare
$
408.0

 
29.3
 %
 
$
361.8

 
27.5
 %
 
$
1,068.1

 
27.4
 %
 
$
1,055.4

 
26.9
 %
Medicaid
189.0

 
13.6

 
156.5

 
11.9

 
535.0

 
13.7

 
499.5

 
12.7

Managed Medicare
145.7

 
10.5

 
161.6

 
12.3

 
403.0

 
10.3

 
451.5

 
11.5

Managed Medicaid
129.3

 
9.3

 
140.6

 
10.7

 
364.1

 
9.3

 
398.2

 
10.1

Managed care
444.4

 
31.9

 
411.3

 
31.3

 
1,280.9

 
32.8

 
1,268.5

 
32.3

Commercial
17.4

 
1.3

 
22.0

 
1.7

 
50.7

 
1.3

 
62.3

 
1.6

 
1,333.8

 
95.8

 
1,253.8

 
95.3

 
3,701.8

 
94.8

 
3,735.4

 
95.0

Self pay
131.6

 
9.5

 
152.8

 
11.6

 
421.2

 
10.8

 
502.1

 
12.8

Other
60.1

 
4.3

 
60.6

 
4.6

 
182.1

 
4.7

 
175.1

 
4.5

Patient service revenues before provision for doubtful accounts
1,525.5

 
109.6

 
1,467.2

 
111.5

 
4,305.1

 
110.3

 
4,412.6

 
112.3

Provision for doubtful accounts
(133.8
)
 
(9.6
)
 
(151.2
)
 
(11.5
)
 
(401.5
)
 
(10.3
)
 
(482.5
)
 
(12.3
)
Patient service revenues, net
$
1,391.7

 
100.0
 %
 
$
1,316.0

 
100.0
 %
 
$
3,903.6

 
100.0
 %
 
$
3,930.1

 
100.0
 %