Acquisitions Narrative (Details) (USD $)	3 Months Ended								12 Months Ended			0 Months Ended
	Jan. 31, 2015	Oct. 31, 2014	Jul. 31, 2014	Apr. 30, 2014	Jan. 31, 2014	Oct. 31, 2013	Jul. 31, 2013	Apr. 30, 2013	Jan. 31, 2015	Jan. 31, 2014	Jan. 31, 2013	Aug. 16, 2012	Oct. 25, 2013	Feb. 03, 2014	May 06, 2014	Oct. 31, 2012
Business Acquisition [Line Items]
Cash payment									$ 6,058,225	$ 3,000,000	$ 12,161,614
Cash paid									6,058,225	3,000,000	12,161,614
Net loss	4,810,000	2,256,000	2,275,000	2,671,000	1,947,000	6,232,000	828,000	2,710,000	12,011,457	11,717,190	5,378,729
Meta
Business Acquisition [Line Items]
Effective Date of Acquisition												Aug. 16, 2012
Total purchase price												14,790,000
Cash payment												13,288,000
Issuance of common shares												393,086
Price Per Share												$ 4.07
Fair value of common stock												$ 3.82
Acquisition Related Costs											1,306,000
Percentage of Voting Interests Acquired																100.00%
Indemnification Provisions					394,000					394,000
Deferred Tax Benefit											3,000,000
Cash paid												13,288,000
Montefiore Medical Center
Business Acquisition [Line Items]
Total purchase price													5,225,000
Cash payment													3,000,000
Cash paid													3,000,000
On going Royalty Payments													3,000,000
Unibased
Business Acquisition [Line Items]
Total purchase price														6,500,000
Cash payment														6,118,000
Cash paid														6,118,000
Revenues									1,849,000
Net loss									414,000
CentraMed Inc
Business Acquisition [Line Items]
Cash payment															4,800,000
Cash paid															$ 4,800,000