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Business Combinations (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jan. 06, 2019
Nov. 13, 2018
Jul. 06, 2018
Mar. 31, 2019
Mar. 31, 2018
Mar. 31, 2019
Mar. 31, 2018
Oct. 15, 2018
Business Combinations [Line Items]                
Revenues       $ 662,228 $ 591,634 $ 1,901,608 $ 1,716,566  
Income before income taxes       137,929 130,143 423,082 380,394  
Income from operations       156,977 136,373 458,187 394,947  
Acquisition related expenses           6,123    
Income tax expense (benefit)       32,513 20,018 87,291 174,617  
MatrixCare [Member]                
Business Combinations [Line Items]                
Revenues       30,200   45,600    
Income before income taxes       1,500   2,600    
Other Acquisitions [Member]                
Business Combinations [Line Items]                
Assets acquired       455,673   455,673    
Acquisition related expenses           6,100    
MatrixCare [Member]                
Business Combinations [Line Items]                
Percentage of acquisition shares   100.00%            
Total purchase price of acquisition   $ 750,000            
Assets acquired       867,281   867,281    
Deferred revenue, fair value adjustment       2,200   4,300    
Amortization of intangible assets       6,100   9,100    
MatrixCare [Member] | Excluding Impact Of Fair Value Purchase Price Adjustment To Deferred Revenue [Member]                
Business Combinations [Line Items]                
Revenues       32,400   49,900    
Income from operations       6,700   10,800    
MatrixCare [Member] | Pro Forma [Member]                
Business Combinations [Line Items]                
Amortization of intangible assets       0 3,100 1,300 10,600  
Net interest expense associated with debt issued       0 3,100 2,600 9,700  
Acquisition related expenses       0   16,700    
Income tax expense (benefit)       $ 0 $ 1,500 $ 1,400 $ 5,900  
Healthcarefirst [Member]                
Business Combinations [Line Items]                
Date of acquisition agreement           Jul. 06, 2018    
Percentage of acquisition shares     100.00%          
Total purchase price of acquisition     $ 126,300          
HB Healthcare [Member]                
Business Combinations [Line Items]                
Percentage of acquisition shares               100.00%
Propeller Health [Member]                
Business Combinations [Line Items]                
Total purchase price of acquisition $ 242,900