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Property And Equipment (Tables)
12 Months Ended
Jun. 30, 2015
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment Disclosure [Text Block]
(in thousands)
 
2015
 
2014
Property and equipment:
 
 
 
 
Computer software
 
$
377,843

 
$
337,494

Computer hardware and office equipment
 
110,874

 
108,717

Leasehold improvements
 
100,372

 
97,280

Medical equipment
 
16,496

 
17,577

Furniture and fixtures
 
30,179

 
28,837

Office equipment and other assets
 
16,370

 
17,930

Total
 
652,134

 
607,835

Less: accumulated depreciation
 
(410,923
)
 
(373,671
)
Total
 
$
241,211

 
$
234,164