Employee Severance, Litigation, and Other (Details) - USD ($) $ in Thousands	3 Months Ended
	Dec. 31, 2018	Jun. 30, 2018	Dec. 31, 2017
Restructuring Cost and Reserve [Line Items]
Employee severance	$ 3,765		$ 7,671
Litigation and opioid-related costs	14,539		2,809
Other	22,368		19,541
Total employee severance, litigation, and other	$ 40,672		30,021
Acquisition-related and integration costs
Restructuring Cost and Reserve [Line Items]
Restructuring costs		$ 11,600	4,100
Business transformation efforts
Restructuring Cost and Reserve [Line Items]
Restructuring costs		7,000	4,700
Other restructuring initiatives
Restructuring Cost and Reserve [Line Items]
Restructuring costs		$ 3,800	$ 10,700