Consolidated Statements of Operations (USD $) In Millions, except Share data in Thousands, unless otherwise specified	12 Months Ended
	Jun. 30, 2013		Jun. 30, 2012		Jun. 30, 2011
Income Statement [Abstract]
Health Care Organization, Patient Service Revenue	$ 5,929.6		$ 5,731.0		$ 4,014.6
Less: Provision for doubtful accounts	(667.3)		(539.4)		(302.3)
Patient service revenues, net	5,262.3	[1]	5,191.6	[1]	3,712.3	[1]
Premium revenues	737.1		757.4		869.4
Total revenues	5,999.4		5,949.0		4,581.7
Costs and Expenses:
Salaries and benefits (includes stock compensation of $6.4, $9.2 and $4.8, respectively)	2,740.6		2,746.9		2,020.4
Health plan claims expense	577.4	[1]	578.9	[1]	686.3	[1]
Supplies	917.0		911.6		669.9	[1]
Purchased services	611.8		547.3		360.9
Rents and leases	76.2		75.0		54.1
Other operating expenses	565.3		551.0		383.8
Medicare and Medicaid EHR incentives	(38.0)		(28.2)		(10.1)
Depreciation and amortization	257.1		258.3		193.8
Interest, net	197.0		182.8		171.2
Monitoring fees and expenses	0		0		31.3
Acquisition related expenses	8.1		14.0		12.5
Impairment and restructuring charges	5.2		(0.1)		6.0
Debt extinguishment costs	2.1		38.9		0
Loss (gain) on disposal of assets	(13.3)		0.6		(0.2)
Other	(16.9)		(6.6)		(4.3)
Income (loss) from continuing operations before income taxes	109.8		78.6		6.1
Income tax benefit (expense)	(40.8)		(22.2)		(8.6)
Income (loss) from continuing operations	69.0		56.4		(2.5)
Inomce (loss) from discontinued operations, net of taxes	0.1		(0.5)		(5.9)
Net income (loss)	69.1		55.9		(8.4)
Net (income) loss attributable to non-controlling interests	(7.2)		1.4		(3.6)
Net income (loss) attributable to Vanguard Health Systems, Inc. stockholders	61.9		57.3		(12.0)
Amounts attributable to Vanguard Health Systems, Inc. stockholders:
Income (loss) from continuing operations, net of taxes	61.8		57.8		(6.1)
Income (loss) from discontinued operations, net of taxes	0.1		(0.5)		(5.9)
Net income (loss) attributable to Vanguard Health Systems, Inc. stockholders	$ 61.9		$ 57.3		$ (12.0)
Basic (per share)
Continuing operations, per share	$ 0.78		$ 0.76		$ (0.13)
Discontinued operations, per share	$ 0.00		$ (0.01)		$ (0.13)
Earnings (loss) per share, basic	$ 0.78		$ 0.75		$ (0.26)
Diluted (per share)
Continuing operations, per share	$ 0.75		$ 0.72		$ (0.13)
Discontinued operations, per share	$ 0.00		$ (0.01)		$ (0.13)
Earnings (loss) per share, diluted	$ 0.75		$ 0.71		$ (0.26)
Weighted average shares (in thousands):
Basic, shares	77,146		75,255		45,329
Diluted, shares	79,679		78,873		45,329

[1] The Company eliminates in consolidation those patient service revenues earned by its health care facilities attributable to services provided to members in its owned health plans and eliminates the corresponding medical claims expenses incurred by the health plans for those services.