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Revenues and Revenue Deductions (Details) (USD $)
In Millions, except Per Share data, unless otherwise specified
3 Months Ended 9 Months Ended 12 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Mar. 31, 2013
Mar. 31, 2012
Jun. 30, 2012
Health Care Organization, Disclosures for Certain Health Care Entities [Abstract]          
Minimum days aged for 100% reserve     365 days    
Maximum days aged for standard percentage reserve for uninsured accounts     365 days    
Maximum days aged for standard percentage reserve for self-pay after insurance/Medicare accounts     365 days    
Allowance for doubtful accounts $ 371.4   $ 371.4   $ 366.5
Allowance for doubtful accounts as a percentage of accounts receivable     36.30%   34.30%
Allowance for doubtful accounts, uninsured discounts and charity care as a percentage of accounts receivable     100.00%   100.00%
Uncompensated care, prior to uncompensated care deductions     324 291  
Charity Care [Abstract]          
Revenue deduction 62.9 57.4 180.0 169.2  
Estimated costs 14.7 15.3 42.0 45.0  
Health Care Organization, Third Party Settlements [Abstract]          
Change in income from continuing operations due to adjustment for final settlement (0.3) 1.8 (0.8) 6.7  
Change in income from continuing operations due to adjustment for final settlement, net of tax (0.2) 1.1 (0.5) 4.1  
Change in earnings per diluted share due to adjustment for final settlement   $ 0.01 $ 0.01 $ 0.05  
Health Care Organization, Recovery Audit Program [Abstract]          
Maximum period from claim date for Recovery Audit     3 years    
Increase (decrease) in Recovery Audit Program reserve     (14.5)    
Increase (decrease) in Recovery Audit Program reserve, net of taxes     (8.9)    
Increase (decrease) in diluted earnings per share due to change in Recovery Audit Program reserve     $ (0.11)    
Patient service revenues 1,467.2 1,525.5 4,412.6 4,305.1  
Patient Service Revenues, Gross, as Percentage of Patient Service Revenues, Net 111.50% 109.60% 112.30% 110.30%  
Less: Provision for doubtful accounts (151.2) (133.8) (482.5) (401.5)  
Patient Service Revenue Provision for Bad Debts, As Percentage of Patient Service Revenues, Net (11.50%) (9.60%) (12.30%) (10.30%)  
Patient service revenues, net 1,316.0 1,391.7 3,930.1 3,903.6  
Percentage of patient service revenues, net 100.00% 100.00% 100.00% 100.00%  
Other accrued expenses and current liabilities [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Recovery Audit Program reserve, current 2.2   2.2   1.9
Other liabilities [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Recovery Audit Program reserve, noncurrent 9.2   9.2   23.8
Minimum [Member]
         
Charity Care [Abstract]          
Percent of federal poverty guidelines     200.00%    
Maximum [Member]
         
Charity Care [Abstract]          
Percent of federal poverty guidelines     500.00%    
Medicare [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 361.8 408.0 1,055.4 1,068.1  
Percentage of patient service revenues, net 27.50% 29.30% 26.90% 27.40%  
Medicaid [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 156.5 189.0 499.5 535.0  
Percentage of patient service revenues, net 11.90% 13.60% 12.70% 13.70%  
Managed Medicare [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 161.6 145.7 451.5 403.0  
Percentage of patient service revenues, net 12.30% 10.50% 11.50% 10.30%  
Managed Medicaid [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 140.6 129.3 398.2 364.1  
Percentage of patient service revenues, net 10.70% 9.30% 10.10% 9.30%  
Managed Care [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 411.3 444.4 1,268.5 1,280.9  
Percentage of patient service revenues, net 31.30% 31.90% 32.30% 32.80%  
Commercial [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 22.0 17.4 62.3 50.7  
Percentage of patient service revenues, net 1.70% 1.30% 1.60% 1.30%  
Third-Party Payor [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 1,253.8 1,333.8 3,735.4 3,701.8  
Percentage of patient service revenues, net 95.30% 95.80% 95.00% 94.80%  
Self-Pay [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues 152.8 131.6 502.1 421.2  
Percentage of patient service revenues, net 11.60% 9.50% 12.80% 10.80%  
Other [Member]
         
Health Care Organization, Recovery Audit Program [Abstract]          
Patient service revenues $ 60.6 $ 60.1 $ 175.1 $ 182.1  
Percentage of patient service revenues, net 4.60% 4.30% 4.50% 4.70%