Summary of Significant Accounting Policies (Tables)

12 Months Ended

Oct. 31, 2012

Summary of Significant Accounting Policies

Schedule of fair value measurements

	10/31/2012		Quoted Prices in Active Markets for Identical Assets/Liabilities	Significant Other Observable Inputs		Significant Unobservable Inputs
			Level 1	Level 2		Level 3
Assets:
Cash surrender value of officers’ life insurance policies (a component of Other Assets)	$	866	—	$	866	—

Schedule of adjustments made to gross service revenues to arrive at net service revenues

	October, 31
	2012			2011			2010
Gross Revenues	$	3,052,431		$	2,482,349		$	1,902,573
Contractual Adjustments and Discounts:
Medicare/Medicaid Portion	320,697			293,874			281,002
All Other Third Party and Direct Payors*	2,070,073			1,629,833			1,163,547
Total Contractual Adjustments and Discounts	2,390,770			1,923,707			1,444,549
Net Service Revenues	$	661,661		$	558,642		$	458,024
Percent of Contractual Adjustments and Discounts To Gross Revenues	78.3		%	77.5		%	75.9		%

Schedule of amounts for contractual credits and doubtful accounts

	October 31
	2012		2011
Contractual Credits/Discounts	$	267,921	$	235,922
Doubtful Accounts	51,274		45,220
Total Allowance	$	319,195	$	281,142