Financial Information for Subsidiary Guarantors and Non-guarantor Subsidiaries (Condendsed Consolidating Statements of Operations) (Details) (USD $) In Millions, unless otherwise specified	3 Months Ended		9 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Mar. 31, 2013	Mar. 31, 2012
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	$ 1,316.0	$ 1,391.7	$ 3,930.1	$ 3,903.6
Premium revenues	182.1	190.8	551.8	590.6
Total revenues	1,498.1	1,582.5	4,481.9	4,494.2
Salaries and benefits	695.3	721.8	2,073.6	2,089.2
Health plan claims expense	137.3	146.6	421.4	458.6
Supplies	229.1	235.5	687.7	677.0
Purchased services	155.6	144.6	451.0	405.0
Rents and leases	19.4	19.0	57.2	55.7
Other operating expenses	124.4	142.7	413.7	407.1
Medicare and Medicaid EHR incentives	(5.4)	(2.4)	(31.2)	(26.8)
Depreciation and amortization	60.7	62.9	194.1	191.3
Interest, net	48.8	43.4	149.3	132.4
Acquisition related expenses	0.1	1.2	0.2	13.8
Debt extinguishment costs	1.3	0	1.3	38.9
Management fees	0	0	0	0
Other	(4.9)	(2.2)	(11.8)	(6.4)
Income from continuing operations before income taxes	36.4	69.4	75.4	58.4
Income tax benefit (expense)	(12.4)	(24.3)	(24.5)	(20.4)
Equity in earnings of subsidiaries	0	0	0	0
Income from continuing operations	24.0	45.1	50.9	38.0
Income (loss) from discontinued operations, net of taxes	0	(0.1)	0.1	(0.5)
Net income (loss)	24.0	45.0	51.0	37.5
Net loss (income) attributable to non-controlling interests	(2.7)	(1.0)	(3.6)	0.5
Net income attributable to Vanguard Health Systems, Inc. stockholders	21.3	44.0	47.4	38.0
Parent [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	0	0	0	0
Premium revenues	0	0	0	0
Total revenues	0	0	0	0
Salaries and benefits	0.6	1.9	5.5	6.5
Health plan claims expense	0	0	0	0
Supplies	0	0	0	0
Purchased services	0	0	0	0
Rents and leases	0	0	0	0
Other operating expenses	0.1	0.2	0.3	0.3
Medicare and Medicaid EHR incentives	0	0	0	0
Depreciation and amortization	0	0	0	0
Interest, net	0	0	0	0
Acquisition related expenses	0	0	0	0
Debt extinguishment costs			0	0
Management fees	0	0	0	0
Other	0	0	0	0
Income from continuing operations before income taxes	(0.7)	(2.1)	(5.8)	(6.8)
Income tax benefit (expense)	(12.4)	(24.3)	(24.5)	(20.4)
Equity in earnings of subsidiaries	34.4	70.4	77.7	65.2
Income from continuing operations		44.0	47.4	38.0
Income (loss) from discontinued operations, net of taxes		0	0	0
Net income (loss)	21.3	44.0	47.4	38.0
Net loss (income) attributable to non-controlling interests	0	0	0	0
Net income attributable to Vanguard Health Systems, Inc. stockholders	21.3	44.0	47.4	38.0
Issuers of Senior Notes and Term Debt [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	0	0	0	0
Premium revenues	0	0	0	0
Total revenues	0	0	0	0
Salaries and benefits	0	0	0	0
Health plan claims expense	0	0	0	0
Supplies	0	0	0	0
Purchased services	0	0	0	0
Rents and leases	0	0	0	0
Other operating expenses	0	0	0	0
Medicare and Medicaid EHR incentives	0	0	0	0
Depreciation and amortization	0	0	0	0
Interest, net	51.5	43.5	154.3	129.8
Acquisition related expenses	0	0	0	0
Debt extinguishment costs			0.5	0
Management fees	0	0	0	0
Other	0	0	0	0
Income from continuing operations before income taxes	(52.0)	(43.5)	(154.8)	(129.8)
Income tax benefit (expense)	0	0	0	0
Equity in earnings of subsidiaries	0	0	0	0
Income from continuing operations		(43.5)	(154.8)	(129.8)
Income (loss) from discontinued operations, net of taxes		0	0	0
Net income (loss)	(52.0)	(43.5)	(154.8)	(129.8)
Net loss (income) attributable to non-controlling interests	0	0	0	0
Net income attributable to Vanguard Health Systems, Inc. stockholders	(52.0)	(43.5)	(154.8)	(129.8)
Issuers of Senior Discount Notes [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	0	0	0	0
Premium revenues	0	0	0	0
Total revenues	0	0	0	0
Salaries and benefits	0	0	0	0
Health plan claims expense	0	0	0	0
Supplies	0	0	0	0
Purchased services	0	0	0	0
Rents and leases	0	0	0	0
Other operating expenses	0	0	0	0
Medicare and Medicaid EHR incentives	0	0	0	0
Depreciation and amortization	0	0	0	0
Interest, net	0.2	0.4	0.8	4.2
Acquisition related expenses	0	0	0	0
Debt extinguishment costs			0.8	38.9
Management fees	0	0	0	0
Other	0	0	0	0
Income from continuing operations before income taxes	(1.0)	(0.4)	(1.6)	(43.1)
Income tax benefit (expense)	0	0	0	0
Equity in earnings of subsidiaries	0	0	0	0
Income from continuing operations		(0.4)	(1.6)	(43.1)
Income (loss) from discontinued operations, net of taxes		0	0	0
Net income (loss)	(1.0)	(0.4)	(1.6)	(43.1)
Net loss (income) attributable to non-controlling interests	0	0	0	0
Net income attributable to Vanguard Health Systems, Inc. stockholders	(1.0)	(0.4)	(1.6)	(43.1)
Guarantor Subsidiaries [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	1,058.4	1,245.5	3,259.7	3,541.6
Premium revenues	52.6	23.5	82.6	63.4
Total revenues	1,111.0	1,269.0	3,342.3	3,605.0
Salaries and benefits	549.2	649.4	1,638.8	1,902.5
Health plan claims expense	9.2	7.6	26.2	23.9
Supplies	201.1	209.7	608.8	613.4
Purchased services	122.1	122.9	354.5	349.4
Rents and leases	14.4	15.6	42.4	46.8
Other operating expenses	97.5	122.4	334.6	354.9
Medicare and Medicaid EHR incentives	(5.3)	(2.4)	(25.7)	(26.8)
Depreciation and amortization	49.9	53.5	162.3	166.8
Interest, net	(10.0)	(4.7)	(27.8)	(12.3)
Acquisition related expenses	0.1	0	0.2	8.0
Debt extinguishment costs			0	0
Management fees	(3.4)	(7.6)	(10.0)	(21.0)
Other	(4.9)	(2.2)	(11.6)	(6.1)
Income from continuing operations before income taxes	91.1	104.8	249.6	205.5
Income tax benefit (expense)	0	0	0	0
Equity in earnings of subsidiaries	0	0	0	0
Income from continuing operations		104.8	249.6	205.5
Income (loss) from discontinued operations, net of taxes		(0.1)	0.1	(0.5)
Net income (loss)	91.1	104.7	249.7	205.0
Net loss (income) attributable to non-controlling interests	0	0	0	0
Net income attributable to Vanguard Health Systems, Inc. stockholders	91.1	104.7	249.7	205.0
Combined Non-Guarantors [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	264.0	155.5	690.2	384.4
Premium revenues	129.5	171.0	469.2	538.5
Total revenues	393.5	326.5	1,159.4	922.9
Salaries and benefits	145.5	70.5	429.3	180.2
Health plan claims expense	134.5	148.3	415.0	457.1
Supplies	28.0	25.8	78.9	63.6
Purchased services	33.5	21.7	96.5	55.6
Rents and leases	5.0	3.4	14.8	8.9
Other operating expenses	26.8	23.8	78.8	63.2
Medicare and Medicaid EHR incentives	(0.1)	0	(5.5)	0
Depreciation and amortization	10.8	9.4	31.8	24.5
Interest, net	7.1	4.2	22.0	10.7
Acquisition related expenses	0	1.2	0	5.8
Debt extinguishment costs			0	0
Management fees	3.4	7.6	10.0	21.0
Other	0	0	(0.2)	(0.3)
Income from continuing operations before income taxes	(1.0)	10.6	(12.0)	32.6
Income tax benefit (expense)	6.6	(4.5)	(11.6)	(14.2)
Equity in earnings of subsidiaries	0	0	0	0
Income from continuing operations		6.1	(23.6)	18.4
Income (loss) from discontinued operations, net of taxes		0	0	0
Net income (loss)	5.6	6.1	(23.6)	18.4
Net loss (income) attributable to non-controlling interests	(2.7)	(1.0)	(3.6)	0.5
Net income attributable to Vanguard Health Systems, Inc. stockholders	2.9	5.1	(27.2)	18.9
Eliminations [Member]
Condensed Financial Statements, Captions [Line Items]
Patient service revenues, net	(6.4)	(9.3)	(19.8)	(22.4)
Premium revenues	0	(3.7)	0	(11.3)
Total revenues	(6.4)	(13.0)	(19.8)	(33.7)
Salaries and benefits	0	0	0	0
Health plan claims expense	(6.4)	(9.3)	(19.8)	(22.4)
Supplies		0	0	0
Purchased services	0	0	0	0
Rents and leases	0	0	0	0
Other operating expenses	0	(3.7)	0	(11.3)
Medicare and Medicaid EHR incentives	0	0	0	0
Depreciation and amortization	0	0	0	0
Interest, net	0	0	0	0
Acquisition related expenses	0	0	0	0
Debt extinguishment costs			0	0
Management fees	0	0	0	0
Other	0	0	0	0
Income from continuing operations before income taxes	0	0	0	0
Income tax benefit (expense)	(6.6)	4.5	11.6	14.2
Equity in earnings of subsidiaries	(34.4)	(70.4)	(77.7)	(65.2)
Income from continuing operations		(65.9)	(66.1)	(51.0)
Income (loss) from discontinued operations, net of taxes		0		0
Net income (loss)	(41.0)	(65.9)	(66.1)	(51.0)
Net loss (income) attributable to non-controlling interests	0	0	0	0
Net income attributable to Vanguard Health Systems, Inc. stockholders	$ (41.0)	$ (65.9)	$ (66.1)	$ (51.0)