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Revenue Recognition (Details Textual) - USD ($)
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2014
Nov. 30, 2015
Aug. 31, 2013
Aug. 31, 2011
Feb. 28, 2014
Health Care Organization, Receivable and Revenue Disclosures [Line Items]          
Accrued Liabilities         $ 300,000
Loss Contingency, Pending Claims, Number   179      
Service Period For Estimation Of Amounts Collectible   6 months      
Number Of Cases Filed Motions   47      
Loss Contingency, Receivable, Receipts $ 4,200,000 $ 300,000      
Loss Contingency, Claims Settled, Number   50      
Litigation Settlement, Amount   $ 4,476,097      
Additional Interest Payable Current And Noncurrent   $ 4,100,000      
Increase In Facility Contractual Allowance     $ 149,875 $ 10,254,990  
Additional Loss Contractual Allowance     $ 136,542 $ 779,583  
Loss Contingency Pending Claims Number Negatively Affecting Recovery Of Additional Reimbursement   178      
Number Of Cases With Opportunity To Establish Criteria   80      
Percentage Of Claims With Positive Rulings   90.00%      
Reimbursement Of Usual And Customary Audited Charges Percentage   75.00%      
Minimum Billing Requirement For Reimbursement   $ 40,000      
Receivables Collection Period   30 days      
Number Of Cases Awards Paid By Insurance Carriers   180      
Awards Paid By Insurance Carriers Amount   $ 11,000,000      
Number Of Cases In Which Awards Not Paid By Insurance Carriers   130      
Loss Contingency Refund Of Voluntary Award Including Prejudgment Interest   $ 4,200,000      
Interest Payable   $ 11,300,000