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Capitalized Lease Obligations (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Oct. 31, 2012
Oct. 31, 2011
Oct. 31, 2010
Assets under capital leases      
Totals $ 20,789 $ 17,244  
Less: Accumulated Depreciation 6,776 4,950  
Net 14,013 12,294  
Depreciation expense on assets under capital leases 3,792 1,418 2,364
Future minimum rentals under capital leases      
2013 1,200    
2014 1,199    
2015 1,199    
2016 1,199    
2017 598    
Total 5,395    
Less Interest 440    
Total 4,955    
Medical Equipment
     
Assets under capital leases      
Totals 12,078 7,732  
Automobiles
     
Assets under capital leases      
Totals $ 8,711 $ 9,512