Document_And_Entity_Informatio
Document And Entity Information | 6 Months Ended | |
Feb. 28, 2014 | Apr. 10, 2014 | |
Document Information [Line Items] | ' | ' |
Document Type | '10-Q | ' |
Amendment Flag | 'false | ' |
Document Period End Date | 28-Feb-14 | ' |
Document Fiscal Year Focus | '2014 | ' |
Document Fiscal Period Focus | 'Q2 | ' |
Trading Symbol | 'DYII | ' |
Entity Common Stock, Shares Outstanding | ' | 14,418,626 |
Entity Registrant Name | 'DYNACQ HEALTHCARE INC | ' |
Entity Central Index Key | '0000890908 | ' |
Current Fiscal Year End Date | '--08-31 | ' |
Entity Filer Category | 'Smaller Reporting Company | ' |
Consolidated_Balance_Sheets
Consolidated Balance Sheets (USD $) | Feb. 28, 2014 | Aug. 31, 2013 |
Current assets: | ' | ' |
Cash and cash equivalents | $17,293,027 | $13,585,447 |
Accounts receivable, net of allowances of approximately $162,107,000 and $170,198,000 | 1,441,586 | 1,062,029 |
Inventories | 286,442 | 293,565 |
Trading securities | 0 | 1,071,346 |
Interest receivable | 109,441 | 102,964 |
Prepaid expenses | 109,306 | 180,883 |
Income tax receivable | 569,430 | 569,430 |
Total current assets | 19,809,232 | 16,865,664 |
Investments available-for-sale | 20,101,192 | 17,458,985 |
Property and equipment, net | 6,234,892 | 6,323,657 |
Income tax receivable | 800,920 | 800,920 |
Other assets | 231,160 | 187,101 |
Total assets | 47,177,396 | 41,636,327 |
Current liabilities: | ' | ' |
Accounts payable | 1,083,373 | 1,012,328 |
Accrued liabilities | 15,993,592 | 11,845,317 |
Current portion of notes payable | 27,094 | 40,256 |
Current portion of capital lease obligations | 28,044 | 115,737 |
Total current liabilities | 17,132,103 | 13,013,638 |
Non-current liabilities: | ' | ' |
Long-term portion of notes payable | 0 | 6,744 |
Long-term portion of capital lease obligations | 55,757 | 69,978 |
Total liabilities | 17,187,860 | 13,090,360 |
Commitments and contingencies | ' | ' |
Dynacq stockholders' equity: | ' | ' |
Preferred stock, $.01 par value; 5,000,000 shares authorized, none issued or outstanding | 0 | 0 |
Common stock, $.001 par value; 100,000,000 shares authorized, 14,418,626 shares issued and outstanding at February 28, 2014; 14,543,626 shares issued and outstanding at August 31, 2013 | 14,419 | 14,544 |
Additional paid-in capital | 10,381,063 | 10,282,256 |
Accumulated other comprehensive income | 11,953,646 | 9,382,334 |
Retained earnings | 7,576,951 | 8,803,410 |
Total Dynacq stockholders' equity | 29,926,079 | 28,482,544 |
Non-controlling interest | 63,457 | 63,423 |
Total equity | 29,989,536 | 28,545,967 |
Total liabilities and equity | $47,177,396 | $41,636,327 |
Consolidated_Balance_Sheets_Pa
Consolidated Balance Sheets [Parenthetical] (USD $) | Feb. 28, 2014 | Aug. 31, 2013 |
Allowance For Doubtful Accounts Receivable Current (in dollars) | $162,107,000 | $170,198,000 |
Preferred stock, par value (in dollars per share) | $0.01 | $0.01 |
Preferred stock, shares authorized | 5,000,000 | 5,000,000 |
Preferred stock, shares issued | 0 | 0 |
Preferred stock, shares outstanding | 0 | 0 |
Common stock, par value (in dollars per share) | $0.00 | $0.00 |
Common stock, shares authorized | 100,000,000 | 100,000,000 |
Common stock, shares issued | 14,418,626 | 14,543,626 |
Common Stock, shares outstanding | 14,418,626 | 14,543,626 |
Consolidated_Statements_of_Ope
Consolidated Statements of Operations (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Net patient service revenue | $2,231,387 | $1,437,822 | $4,490,634 | $2,955,849 |
Costs and expenses: | ' | ' | ' | ' |
Compensation and benefits | 1,592,448 | 1,394,940 | 3,044,215 | 2,783,764 |
Medical services and supplies | 304,093 | 374,986 | 921,563 | 770,526 |
Other operating expenses | 1,046,262 | 1,122,331 | 2,158,740 | 3,694,582 |
Depreciation and amortization | 86,535 | 121,743 | 194,844 | 245,495 |
Total costs and expenses | 3,029,338 | 3,014,000 | 6,319,362 | 7,494,367 |
Operating loss | -797,951 | -1,576,178 | -1,828,728 | -4,538,518 |
Other income (expense): | ' | ' | ' | ' |
Rent and other income | 141,564 | 561,979 | 417,109 | 3,531,070 |
Interest income | 224,292 | 170,840 | 426,615 | 475,654 |
Interest expense | -85,470 | -139,512 | -241,422 | -280,773 |
Total other income, net | 280,386 | 593,307 | 602,302 | 3,725,951 |
Loss before income taxes from continuing operations | -517,565 | -982,871 | -1,226,426 | -812,567 |
Provision (benefit) for income taxes | 0 | 0 | 0 | 0 |
Loss from continuing operations | -517,565 | -982,871 | -1,226,426 | -812,567 |
Discontinued operations, net of income taxes | 0 | 128,728 | 0 | 370,086 |
Net loss | -517,565 | -854,143 | -1,226,426 | -442,481 |
Less: Net (income) loss attributable to noncontrolling interest | -59 | -25 | -33 | 2,773 |
Net loss attributable to Dynacq Healthcare, Inc. | ($517,624) | ($854,168) | ($1,226,459) | ($439,708) |
Basic and diluted income (loss) per common share: | ' | ' | ' | ' |
Loss from continuing operations attributable to Dynacq Healthcare, Inc. (in dollars per share) | ($0.04) | ($0.07) | ($0.08) | ($0.06) |
Discontinued operations, net of income taxes (in dollars per share) | $0 | $0.01 | $0 | $0.03 |
Net loss attributable to Dynacq Healthcare, Inc. (in dollars per share) | ($0.04) | ($0.06) | ($0.08) | ($0.03) |
Basic and diluted average common shares outstanding (in shares) | 14,418,626 | 14,543,626 | 14,436,483 | 14,543,626 |
Consolidated_Statements_of_Com
Consolidated Statements of Comprehensive Income (Loss) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Net loss | ($517,565) | ($854,143) | ($1,226,426) | ($442,481) |
Other comprehensive income (loss): | ' | ' | ' | ' |
Net change in foreign currency translation adjustment, net of taxes of $-0-, $-0-, $-0-and $(4,414) | 0 | 0 | 0 | -8,196 |
Net change in fair value of available-for-sale securities, net of taxes of $-0- for all periods presented | 750,396 | 976,823 | 2,571,312 | -23,672 |
Other comprehensive income (loss) | 750,396 | 976,823 | 2,571,312 | -31,868 |
Comprehensive income (loss) | 232,831 | 122,680 | 1,344,886 | -474,349 |
Less comprehensive (income) loss attributable to noncontrolling interest | -59 | -25 | -33 | 2,773 |
Comprehensive income (loss) attributable to Dynacq Healthcare, Inc. | $232,772 | $122,655 | $1,344,853 | ($471,576) |
Consolidated_Statements_of_Com1
Consolidated Statements of Comprehensive Income (Loss) [Parenthetical] (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Net change in foreign currency translation adjustment, net of taxes | $0 | $0 | $0 | ($4,414) |
Net change in fair value of available-for-sale securities, net of taxes | $0 | $0 | $0 | $0 |
Consolidated_Statements_of_Cas
Consolidated Statements of Cash Flows (USD $) | 6 Months Ended | |
Feb. 28, 2014 | Feb. 28, 2013 | |
Cash flows from operating activities | ' | ' |
Net loss | ($1,226,426) | ($442,481) |
Less (income) loss from discontinued operations, net of income taxes | 0 | -370,086 |
Net loss before discontinued operations | -1,226,426 | -812,567 |
Adjustments to reconcile net loss before discontinued operations to net cash from operating activities: | ' | ' |
Depreciation and amortization | 194,844 | 245,495 |
Gain on sale of investments available-for-sale and trading securities | -161,864 | -2,731,173 |
Gain on sale of investment in real estate | 0 | -480,108 |
Stock based compensation | 98,682 | 10,780 |
Gain on sale of assets | 0 | -27,509 |
Foreign currency exchange gains | -70,971 | -94,120 |
Changes in operating assets and liabilities: | ' | ' |
Accounts receivable | -379,557 | 201,264 |
Interest receivable | -6,477 | 60,237 |
Inventories | 7,123 | 120,330 |
Prepaid expenses | 71,577 | 226,533 |
Other assets | -44,059 | 49,793 |
Accounts payable | 71,045 | -587,949 |
Accrued liabilities | 4,148,276 | -236,445 |
Cash from continuing activities | 2,702,193 | -4,055,439 |
Cash from discontinued activities | 0 | 370,086 |
Net cash from operating activities | 2,702,193 | -3,685,353 |
Cash flows from investing activities | ' | ' |
Sales proceeds of investments available-for-sale and trading securities | 1,233,286 | 2,650,000 |
Sales proceeds of investment in real estate | 0 | 2,365,017 |
Purchase of equipment | -106,079 | -2,810 |
Sales proceeds of equipment | 0 | 14,270 |
Cash from continuing activities | 1,127,207 | 5,026,477 |
Cash from discontinued activities | 0 | 313,201 |
Net cash from investing activities | 1,127,207 | 5,339,678 |
Cash flows from financing activities | ' | ' |
Principal payments on notes payable | -19,905 | -1,113,477 |
Payments on capital lease | -101,915 | -53,906 |
Cash from continuing activities | -121,820 | -1,167,383 |
Cash from discontinued activities | 0 | 0 |
Net cash from financing activities | -121,820 | -1,167,383 |
Net change in cash and cash equivalents | 3,707,580 | 486,942 |
Cash at beginning of period | 13,585,447 | 10,638,217 |
Cash at end of period | 17,293,027 | 11,125,159 |
Cash paid during the period for: | ' | ' |
Interest | 20,130 | 210,788 |
Income taxes | 0 | 0 |
Non cash investing and financing activities: | ' | ' |
Unrealized change in fair value of available-for-sale securities | 2,571,312 | -23,672 |
Purchase of equipment under capital lease | $0 | $115,360 |
General
General | 6 Months Ended |
Feb. 28, 2014 | |
Accounting Policies [Abstract] | ' |
Business Description and Basis of Presentation [Text Block] | ' |
General | |
Dynacq Healthcare, Inc., a Nevada corporation (the “Company”), is a holding company that through its subsidiaries in the United States develops and manages general acute care hospitals that principally provide specialized surgeries. The Company through its United States subsidiaries owns and operates one general acute care hospital in Pasadena, Texas. The Company through its subsidiary in Hong Kong invests in debt and equity securities, including short-term investments in initial public offerings and pre-initial public offerings. | |
Basis_of_Presentation
Basis of Presentation | 6 Months Ended |
Feb. 28, 2014 | |
Organization Consolidation And Presentation Of Financial Statements [Abstract] | ' |
Basis of Presentation and Significant Accounting Policies [Text Block] | ' |
Basis of Presentation | |
The accompanying consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete consolidated financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. All such adjustments are of a normal and recurring nature. The majority of the Company's expenses are "cost of revenue" items. Costs that could be classified as general and administrative by the Company would include the corporate office costs, including advertising and marketing expenses, which were approximately $1.0 million and $1.0 million for the three months ended February 28, 2014 and 2013, respectively, and approximately $1.9 million and $3.3 million for the six months ended February 28, 2014 and 2013, respectively. These financial statements should be read in conjunction with the audited financial statements as of August 31, 2013. Operating results for the three and six months ended February 28, 2014 are not necessarily indicative of the results that may be expected for the year ending August 31, 2014. | |
Reclassification
Reclassification | 6 Months Ended |
Feb. 28, 2014 | |
Reclassification [Abstract] | ' |
Disclosure of Reclassification Amount [Text Block] | ' |
Reclassification | |
Certain previously reported financial information has been reclassified to conform to the current period’s presentation. The impact of such reclassification was not significant to the prior period’s overall presentation. | |
Cash_and_Cash_Equivalents
Cash and Cash Equivalents | 6 Months Ended |
Feb. 28, 2014 | |
Cash And Cash Equivalents [Abstract] | ' |
Cash and Cash Equivalents Disclosure [Text Block] | ' |
Cash and Cash Equivalents | |
The Company considers all highly liquid instruments with maturities of three months or less on the date of purchase to be cash equivalents. Cash equivalents are carried at cost, which approximates fair value. | |
Investments_in_AvailableforSal
Investments in Available-for-Sale and Trading Securities | 6 Months Ended |
Feb. 28, 2014 | |
Investments Debt And Equity Securities [Abstract] | ' |
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block] | ' |
Investments in Available-for-Sale and Trading Securities | |
The Company’s investments in debt instruments (corporate and municipal bonds) are recorded at fair value based on quoted market prices that are traded in less active markets or priced using a quoted market price for similar investments or are priced using non-binding market consensus prices that can be corroborated by observable market data (Level 2). These investments are classified as available-for-sale securities. These investments are subject to default risk. Unrealized gains in the fair value are reported in accumulated other comprehensive income, net of related income tax effect. The Company regularly monitors its investment portfolio for any decline in fair value that is other than temporary and records any such impairment as an impairment loss. The determination of the gain or loss on the sale of any security is made using the specific identification method. | |
The Company also invests in initial public offerings of equity securities on the Hong Kong Stock Exchange. These investments are classified as trading securities, and are carried at fair value. These investments are subject to fluctuations in the market price. During the six months ended February 28, 2014 and 2013, the Company had a net gain of $161,864 and $531,673, respectively, in these securities. During the first quarter of fiscal year 2014, the Company sold all of its trading securities and does not hold any such securities as of February 28, 2014. | |
Investment_in_Real_Estate_and_
Investment in Real Estate and Notes Payable | 6 Months Ended |
Feb. 28, 2014 | |
Investment In Real Estate And Notes Payable [Abstract] | ' |
Investment In Real Estates And Notes Payable [Text Block] | ' |
Investment in Real Estate and Notes Payable | |
In October 2012, the Company sold an apartment in Hong Kong, which was purchased in March 2010. The net proceeds from the sale of the apartment were $1,273,403, after repayment of the associated note payable, resulting in a gain of $480,108. | |
In November 2011 and September 2010, the Company borrowed $116,339 and $65,000 as notes payable from a financial institution at an interest rate of 4.5% and 6%, which notes are to be repaid in 36 and 24 monthly installments, respectively, and are secured by specific equipment purchased at our Pasadena facility. The $65,000 note payable was fully repaid during the three months ended November 30, 2012. The Company paid down $19,905 during the six months ended February 28, 2014, and the current and long-term portions of the notes payable as of February 28, 2014 are $27,094 and $-0-, respectively. | |
Inventories
Inventories | 6 Months Ended |
Feb. 28, 2014 | |
Inventory Disclosure [Abstract] | ' |
Inventory Disclosure [Text Block] | ' |
Inventories | |
Inventories, consisting primarily of medical supplies, are stated at the lower of cost or market, with cost determined by use of the average cost method. | |
Use_of_Estimates
Use of Estimates | 6 Months Ended |
Feb. 28, 2014 | |
Use Of Estimates [Abstract] | ' |
Usage Of Estimates [Text Block] | ' |
Use of Estimates | |
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The most significant of the Company’s estimates is the determination of revenue to recognize for the services the Company provides and the determination of allowances, which includes the contractual allowance and the provision for doubtful accounts. See “Revenue Recognition” below for further discussion. Actual results could differ materially from those estimates used in the preparation of these financial statements. | |
Discontinued_Operations
Discontinued Operations | 6 Months Ended | |||||||
Feb. 28, 2014 | ||||||||
Discontinued Operations And Disposal Groups [Abstract] | ' | |||||||
Disposal Groups Including Discontinued Operations Disclosure [Text Block] | ' | |||||||
Discontinued Operations | ||||||||
The Company classifies assets to be disposed of as held for sale or, if appropriate, discontinued operations when appropriate approvals for the disposal are made by management or the Board of Directors. Cash flows from discontinued businesses are reflected as discontinued operating, investing, and financing activities in our statement of cash flows. | ||||||||
The Company closed the Garland facility on September 30, 2011, and sold it in July 2013. The Company took an impairment charge of approximately $1.1 million during the three months ended August 31, 2012, based on the sales price negotiated at that time. An additional loss of $122,975 was taken based on the final sales price during the three months ended August 31, 2013. | ||||||||
The following is a summary of financial information related to our discontinued operations at the Garland facility for the three and six months ended February 28, 2013: | ||||||||
Three months | Six months | |||||||
ended February | ended February | |||||||
28, 2013 | 28, 2013 | |||||||
Net patient service revenue | $ | 191,333 | $ | 402,158 | ||||
Total costs and expenses | 52,225 | 52,515 | ||||||
Operating income | 139,108 | 349,643 | ||||||
Other income (expense), net | -10,380 | 20,443 | ||||||
Income before income taxes | 128,728 | 370,086 | ||||||
Provision for income taxes | — | — | ||||||
Total income on discontinued operations, net of taxes | $ | 128,728 | $ | 370,086 | ||||
Net_Income_Loss_per_Share
Net Income (Loss) per Share | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Earnings Per Share [Abstract] | ' | |||||||||||||
Earnings Per Share [Text Block] | ' | |||||||||||||
Net Income (Loss) per Share | ||||||||||||||
The following table presents the computation of basic and diluted income (loss) per common share attributable to the Company: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Basic and diluted loss per common share: | ||||||||||||||
Numerator: | ||||||||||||||
Loss from continuing operations | $ | -517,565 | $ | -982,871 | $ | -1,226,426 | $ | -812,567 | ||||||
Less: Net (income) loss attributable to noncontrolling interest | -59 | -25 | -33 | 2,773 | ||||||||||
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | -517,624 | -982,896 | -1,226,459 | -809,794 | ||||||||||
Discontinued operations, net of income taxes | — | 128,728 | — | 370,086 | ||||||||||
Net loss attributable to Dynacq Healthcare, Inc. | $ | -517,624 | $ | -854,168 | $ | -1,226,459 | $ | -439,708 | ||||||
Denominator: | ||||||||||||||
Basic and diluted average common shares outstanding | 14,418,626 | 14,543,626 | 14,436,483 | 14,543,626 | ||||||||||
Basic and diluted loss per common share: | ||||||||||||||
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | $ | -0.04 | $ | -0.07 | $ | -0.08 | $ | -0.06 | ||||||
Discontinued operations, net of income taxes | — | 0.01 | — | 0.03 | ||||||||||
Net loss attributable to Dynacq Healthcare, Inc. | $ | -0.04 | $ | -0.06 | $ | -0.08 | $ | -0.03 | ||||||
Basic net income (loss) per share is computed by dividing net income (loss) available to common shareholders by the weighted average number of common shares outstanding for the reporting period. Diluted net income (loss) per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock. For the calculation of diluted net income (loss) per share, the basic weighted average number of shares is increased by the dilutive effect of stock options determined using the treasury stock method. However, if it is anti-dilutive, the dilutive effect of the stock options is not included in the calculation of diluted net income (loss) per share. Stock options with exercise prices exceeding current market prices that were excluded from the computation of net income (loss) per share amounted to approximately 1,069,000 shares and 2,077,000 shares for the six months ended February 28, 2014 and 2013, respectively. | ||||||||||||||
Treasury_Stock
Treasury Stock | 6 Months Ended |
Feb. 28, 2014 | |
Equity [Abstract] | ' |
Treasury Stock [Text Block] | ' |
Treasury Stock | |
In September 2013, as part of a settlement agreement with a former employee, the Company received 125,000 shares of common stock of the Company previously issued to him. These shares were accounted for as treasury shares with zero cost, and were retired in the second quarter of fiscal year 2014. | |
Stock_Based_Compensation
Stock Based Compensation | 6 Months Ended | |||||||||||
Feb. 28, 2014 | ||||||||||||
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract] | ' | |||||||||||
Disclosure of Compensation Related Costs, Share-based Payments [Text Block] | ' | |||||||||||
Stock Based Compensation | ||||||||||||
Year 2011 Stock Incentive Plan | ||||||||||||
The purpose of the Year 2011 Stock Incentive Plan (“2011 Plan”) is to strengthen the Company by providing an incentive to its employees, officers, consultants and directors and to encourage them to devote their abilities and industry to the success of the Company’s business enterprise. It is intended that this purpose be achieved by extending to employees, officers, consultants and directors of the Company and its subsidiaries an added long-term incentive for high levels of performance and unusual efforts through the grant of incentive stock options, non-qualified stock options, stock appreciation rights, dividend equivalent rights, performance awards and restricted stock. The Company has reserved 15,000,000 shares of common stock for issuance under the 2011 Plan. | ||||||||||||
On January 12, 2012, the Compensation Committee granted stock options to purchase 250,000 shares under the 2011 Plan, with an exercise price of $1.10 to the Company’s chief executive officer, Eric K. Chan. These stock options vest in annual installments of 25 percent beginning on the first anniversary date, and expire after ten years. The shares underlying these stock options are registered under the Securities Act. | ||||||||||||
As of February 28, 2014, there remain 250,000 shares to be issued upon exercise of outstanding options, and 14,750,000 shares which can be issued under the 2011 Plan after giving effect to shares issued and canceled. | ||||||||||||
2000 Incentive Plan | ||||||||||||
The Company's 2000 Incentive Plan ("2000 Plan") provides for options and other stock-based awards that may be granted to eligible employees, officers, consultants and non-employee directors of the Company or its subsidiaries. The Company had reserved 5,000,000 shares of common stock for future issuance under the 2000 Plan. The 2000 Plan does not have a fixed termination date, provided that no incentive stock option can be granted subsequent to August 29, 2011. As of February 28, 2014, there remain 788,600 shares to be issued upon exercise of outstanding options, and no new stock options awards will be issued under the 2000 Plan. | ||||||||||||
The following table summarizes the stock option activities for the six months ended February 28, 2014 (share amounts in thousands): | ||||||||||||
Shares | Weighted Average | |||||||||||
Option Exercise | ||||||||||||
Price Per Share | ||||||||||||
Outstanding, August 31, 2013 | 1,097 | $ | 2.21 | |||||||||
Granted | — | — | ||||||||||
Exercised | — | — | ||||||||||
Expired or canceled | -58 | 2.6 | ||||||||||
Outstanding, February 28, 2014 | 1,039 | 2.18 | ||||||||||
For the six months ended February 28, 2014 and 2013, there were no stock options exercised. The aggregate intrinsic value of the stock options outstanding as of February 28, 2014 and 2013 is $-0-, since the market price is lower than the exercise price. | ||||||||||||
The following summarizes information related to stock options outstanding as of February 28, 2014, and related weighted average price and life information: | ||||||||||||
Options Outstanding | Options Exercisable | |||||||||||
Exercise Prices | Number of Shares | Weighted Average Remaining Contractual | Number of Shares | |||||||||
Life (Years) | ||||||||||||
(Share Amounts In Thousands) | ||||||||||||
$ | 1.1 | 250 | 7.9 | 125 | ||||||||
$ | 1.86 | 616 | 7.4 | 313 | ||||||||
$ | 4.9 | 173 | 0.8 | 173 | ||||||||
Total | 1,039 | 6.4 | 611 | |||||||||
For the three months ended February 28, 2014 and 2013, stock-based compensation expense associated with the Company’s stock options was $49,341 and $44,327, respectively. For the six months ended February 28, 2014 and 2013, stock-based compensation expense associated with the Company’s stock options was $98,682 and $10,780, respectively. The total unrecognized compensation expense for outstanding stock options as of February 28, 2014 was $280,000, and will be recognized, in general, over 1.4 years. | ||||||||||||
Fair_Value_of_Financial_Instru
Fair Value of Financial Instruments | 6 Months Ended | ||||||||||
Feb. 28, 2014 | |||||||||||
Fair Value Disclosures [Abstract] | ' | ||||||||||
Fair Value Disclosures [Text Block] | ' | ||||||||||
Fair Value of Financial Instruments | |||||||||||
The fair value of financial instruments is estimated based on market trading information, where available. Absent published market values for an instrument or other assets, management uses observable market data to arrive at its estimates of fair value. Management believes that the carrying amount of cash and cash equivalents, accounts receivable and accrued liabilities approximate fair value. Fair value is defined as an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. A three-level fair value hierarchy prioritizes the inputs used to measure fair value. The three levels of inputs used to measure fair value are as follows: | |||||||||||
Level 1 | Quoted prices in active markets for identical assets or liabilities. | ||||||||||
Level 2 | Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted price for identical or similar assets and liabilities in markets that are not active; or other input that are observable or can be corroborated by observable market data. | ||||||||||
Level 3 | Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. | ||||||||||
The following table summarizes our financial assets and liabilities measured and reported in the Company’s statement of financial position at fair value on a recurring basis as of February 28, 2014, segregated among the appropriate levels within the fair value hierarchy: | |||||||||||
Quoted prices in active markets for identical | Significant other observable inputs | Significant unobservable | |||||||||
(Level 1) | (Level 2) | (Level 3) | |||||||||
Assets | |||||||||||
Investments available-for-sale | $ | — | $ | 20,101,192 | $ | — | |||||
The Company’s investments in Level 2 are in perpetual debt instruments (corporate and municipal bonds) traded on the European markets, at a cost of $7,984,646, are recorded at fair value based on quoted market prices that are traded in less active markets or priced using a quoted market price for similar investments or are priced using non-binding market consensus prices that can be corroborated by observable market data (Level 2), and there has been no change in valuation techniques for these investments (Level 2). | |||||||||||
Foreign_Currency_Translation
Foreign Currency Translation | 6 Months Ended |
Feb. 28, 2014 | |
Foreign Currency [Abstract] | ' |
Foreign Currency Disclosure [Text Block] | ' |
Foreign Currency Translation | |
The functional currency of the Company as a whole is the U.S. Dollar. The Company has designated the U.S. Dollar as the functional currency for Sino Bond Inc. Limited, a Hong Kong corporation and wholly owned subsidiary of the Company (“Sino Bond”). The effects of foreign currency exchange adjustments are included as a component of Rent and Other Income in the Consolidated Statements of Operations. | |
Revenue_Recognition
Revenue Recognition | 6 Months Ended | ||||||||||||||||
Feb. 28, 2014 | |||||||||||||||||
Revenue Recognition [Abstract] | ' | ||||||||||||||||
Revenue Recognition [Text Block] | ' | ||||||||||||||||
Revenue Recognition | |||||||||||||||||
Background | |||||||||||||||||
The Company’s revenue recognition policy is significant because net patient service revenue is a primary component of its results of operations. Revenue is recognized as services are delivered. The determination of the amount of revenue to be recognized in connection with the Company’s services is subject to significant judgments and estimates, which are discussed below. | |||||||||||||||||
Revenue Recognition Policy | |||||||||||||||||
The Company has established billing rates for its medical services which it bills as gross revenue as services are delivered. Gross billed revenues are then reduced by the Company’s estimate of allowances, which includes the contractual allowance and the provision for doubtful accounts, to arrive at net patient service revenues. Net patient service revenues may not represent amounts ultimately collected. The Company adjusts current period revenue for differences in estimated revenue recorded in prior periods and actual cash collections. | |||||||||||||||||
The following table shows gross revenues and allowances for the three and six months ended February 28, 2014 and 2013: | |||||||||||||||||
Three months ended February 28, | Six months ended February 28, | ||||||||||||||||
2014 | 2013 | 2014 | 2013 | ||||||||||||||
Gross billed charges | $ | 6,618,079 | $ | 4,488,742 | $ | 13,658,418 | $ | 9,135,745 | |||||||||
Allowances | 4,386,692 | 3,050,920 | 9,167,784 | 6,179,896 | |||||||||||||
Net revenue | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | |||||||||
Allowance percentage | 66 | % | 68 | % | 67 | % | 68 | % | |||||||||
Contractual Allowance | |||||||||||||||||
The Company computes its contractual allowance based on the estimated collections on its gross billed charges. The Company computes its estimate by taking into account collections received, up to 30 days after the end of the period, for the services performed and also estimating amounts collectible for the services performed within the last six months. A significant amount of our net revenue results from Texas workers' compensation claims, which are governed by the rules and regulations of the Texas Department of Workers’ Compensation (“TDWC”) and the workers’ compensation healthcare networks. If our hospital chooses to participate in a network, the amount of revenue that will be generated from workers’ compensation claims will be governed by the network contract. | |||||||||||||||||
For claims arising prior to the implementation of workers’ compensation networks and out of network claims, inpatient and outpatient surgical services are either reimbursed pursuant to the Acute Care In-Patient Hospital Fee Guideline or at a "fair and reasonable" rate for services in which the fee guideline is not applicable. Starting March 1, 2008, the Texas Workers’ Compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines (the “Guidelines”) became effective. Under these Guidelines, the reimbursement amounts are determined by applying the most recently adopted and effective Medicare reimbursement formula and factors; however, if the maximum allowable reimbursement for the procedure performed cannot be calculated using these Guidelines, then reimbursement is determined on a fair and reasonable basis. | |||||||||||||||||
Based on these Guidelines, the reimbursement due the Company for workers’ compensation cases is lower than we previously experienced. The Company has continued accepting Texas workers’ compensation cases, and has not made any substantial changes in its focus towards such cases. Our net patient service revenue for Texas workers’ compensation cases as a percentage of gross billings has decreased primarily as a result of lower reimbursement rates for workers’ compensation procedures still being performed. | |||||||||||||||||
Should we disagree with the amount of reimbursement provided by a third-party payer, we are required to pursue the medical dispute resolution (“MDR”) process at the TDWC to request proper reimbursement for services. From January 2007 to November 2008, the Company had been successful in its pursuit of collections regarding the stop-loss cases pending before the State Office of Administrative Hearings (“SOAH”), receiving positive rulings in over 90% of its claims presented for administrative determination. A 2007 district court decision upholding our interpretation of the statute as applied to the stop-loss claims was appealed by certain insurance carriers, and on November 13, 2008 the Third Court of Appeals determined that in order for a hospital to be reimbursed at 75% of its usual and customary audited charges for an inpatient admission, the hospital must not only bill at least $40,000, but also show that the admission involved unusually costly and unusually extensive services. Procedurally, the decision means that each case where a carrier raised an issue regarding whether the services provided were unusually costly or unusually extensive would be remanded to either SOAH or MDR for a case-by-case determination of whether the services provided meet these standards. As a result of the Third Court of Appeals opinion, any stop-loss cases pending at SOAH have been remanded to the TDWC since these cases have not been reviewed or decided by the two-prong standard decided by the Third Court of Appeals. The SOAH Administrative Law judges determined that the most appropriate location for these cases is the TDWC. | |||||||||||||||||
A petition asking the Texas Supreme Court to review the Third Court of Appeals decision has been denied. Therefore, the Company is bound by the Third Court of Appeals decision. The Texas Supreme Court’s decision delayed final adjudication in these pending stop-loss cases. The uncertain outcome in these cases will depend on a very lengthy process. We anticipate further, lengthy litigation at the Travis County District Courts and the Texas Courts of Appeals. Because of this lengthy process and the uncertainty of recovery in these cases, collection of a material amount of funds in these pending stop-loss cases cannot be anticipated. | |||||||||||||||||
Through February 2014, insurance carriers have voluntarily paid the awards in the decisions and orders issued by SOAH, plus interest, in approximately 180 cases, involving approximately $11 million in claims. In most of these cases, when the payments were made, the carriers requested refunds of the payments made in the event that the SOAH decisions and orders were reversed on appeal (which they were). Our request that the TDWC Commissioner enforce the awards which were not voluntarily paid by the carriers was refused in approximately 130 cases. As a result of the reversal of the SOAH decisions and orders, Texas Mutual Insurance Company and other carriers filed petitions in Travis County district court seeking a refund in cases in which the awards were voluntarily paid. The district court found in favor of Texas Mutual and the Company was ordered to refund approximately $4.2 million, including prejudgment interest, pending remand for a case-by-case determination of whether the services provided were unusually costly and unusually extensive. The Company did not object to the reversal and remand of the SOAH decisions and orders, but did object to the judgments ordering refunds and those judgments were appealed to the Third Court of Appeals. As part of the appeals, the Company deposited the amounts that were ordered to be refunded as cash deposits into the registry of the court in order to stay execution of the judgments ordering refunds. On June 6, 2013, the judgments ordering refunds were reversed by the Court of Appeals. The Court of Appeals held that if Texas Mutual wants a refund, it must pursue the refund demand administratively through the TDWC rather than through the district courts. Texas Mutual filed a motion for rehearing with the Court of Appeals which ultimately was denied. The Company filed motions in all 47 cases with the district court asking that the district clerk be ordered to release the deposited funds to the Company, and in January 2014, the Company received the deposits and accrued interest totaling $4.2 million.. In addition, Texas Mutual filed three additional petitions in district court for cases that were left out of the original 47. The court granted Texas Mutual’s petitions and ordered the Company to refund approximately $300,000, including prejudgment interest to Texas Mutual. These judgments were granted before the Court of Appeals reversed the district court’s original judgments. These three cases were appealed to the Court of Appeals and the funds ordered refunded were deposited with the district clerk. As with the other 47 cases, the Court of Appeals reversed the district court’s final judgments in these three cases and the Company filed motions with the district court asking that the district clerk be ordered to release the deposited funds to the Company, and in February 2014, the Company received the deposits and accrued interest totaling $300,000. During the time that the carriers’ petitions seeking refunds were pending, because of the uncertainty of the results at that time, as of February 28, 2014, the Company has accrued the total potential refund amount of $11.3 million, and an additional amount of $3.3 million in interest payable, as accrued liabilities. This includes the deposit amounts refunded back to the Company in January and February 2014. We do not anticipate that any other carriers will pursue refund demands through district court but instead will pursue them administratively through TDWC. The cases in which the SOAH decisions and orders were reversed have been or are being remanded to TDWC for determinations of whether the services provided were unusually costly and unusually extensive. Voluntary payments made pursuant to the Decisions and Orders are premature payments by the carriers and may be ordered to be refunded. After the reversal of the judgments it obtained from the district court ordering refunds, on December 4, 2013, Texas Mutual made a formal request to the Commissioner of Workers’ Compensation that he administratively order the Company to make refunds to Texas Mutual (in the same amount that was sought in the district court). The Company responded to this request on December 11, 2013, asking that it be denied. The matter is pending at this time. As to the matters remanded to TDWC and SOAH, once the Company is given the opportunity to present its evidence regarding whether the services provided were unusually costly and unusually extensive, the Company anticipates that it will prevail in many of the underlying stop-loss fee disputes and that payments refunded to the carriers will be recaptured. On March 13, 2014, a settlement conference with one self-insured entity successfully resolved the stop-loss cases in which that entity was involved. Although the Company is willing to participate in settlement negotiations, we anticipate that few, if any, other carriers are interested in doing so at this time. | |||||||||||||||||
Due to the uncertainties associated with these stop-loss fee dispute cases, the Company recognized increases in the contractual allowance at our Pasadena facility of $10,254,990 during fiscal year 2011 and $149,875 during the fiscal quarter ended August 31, 2013, (and an additional contractual allowance amount of $779,583 during fiscal year 2011 and $136,542 during the fiscal quarter ended August 31, 2013, at our Garland facility, which was classified as discontinued operations). The Company has also recognized interest expense related to these refunds starting from fiscal year 2011. | |||||||||||||||||
Claims regarding payment for ambulatory surgical center and hospital outpatient services remain pending at the TDWC. It is expected that these claims will be adjudicated at SOAH and possibly in the Texas district and appellate courts. The basis for reimbursement for these services made the subject of these pending cases is the determination of “fair and reasonable” charges. In 2007, we received unfavorable rulings from SOAH in all of our appeals of unfavorable decisions related to services provided in 2001 and 2002. The 179 cases, which were appealed to the Travis County district courts, challenged the constitutionality of the relevant statutory language. The Company received an unfavorable ruling in its lead case in March 2009, which ruling was appealed to and was upheld by the Third Court of Appeals on August 26, 2010. The Texas Supreme Court denied a petition asking for review of the Third Court of Appeals decision. The unfavorable interpretation by the Texas Courts of Appeal in our lead case negatively affects the recovery of additional reimbursement, not only in the lead case, but in the remaining 178 pending cases. Consequently, the Company is bound by the Third Court of Appeals’ ruling that interprets the applicable statute and fee guideline to require that the amount that will be paid to a provider must not only be at a “fair and reasonable rate” but also must “ensure the quality of medical care” and “achieve effective cost control” and be the same or less than that charged to others with an equivalent standard of living. This ruling will impact cases in which a fee guideline was not applicable, specifically all pending cases involving ambulatory surgical services provided from 2001 through 2004 as well as all pending cases involving hospital outpatient services provided prior to March 1, 2008, when the Guidelines took effect. Since the Third Court of Appeals’ unfavorable ruling, collection, if any, in these cases depends on the Company’s ability to establish the criteria in this ruling. The Company was given the opportunity to establish the criteria in approximately 80 cases, which were set for hearing on the merits from March through May 2012 and was unsuccessful. Additionally, there are several thousand ambulatory surgical center and hospital outpatient cases pending at SOAH which will be heard beginning in March, 2014. Settlement offers have been made in the vast majority of these cases and the Company has been successful in settling many of the cases in which offers were made. Settlement discussions are on-going. Even so, it is likely that hundreds, if not more than a thousand, of these cases may go to hearing at SOAH at which the Company will have the opportunity to continue to establish the criteria in the cases still pending at SOAH during the 2014 fiscal year. On March 31, 2014, 23 of the hospital outpatient cases were tried at SOAH. The parties have been given until May 2, 2014 to file closing arguments and an additional 15 days to respond to the other side’s arguments. It is not known when decisions in these 23 cases will be handed down. It is anticipated that the decisions in these cases will impact many of the other hospital outpatient cases that are pending at SOAH. | |||||||||||||||||
Due to the uncertainties regarding the accounts receivable in the MDR process, the 2008 and 2010 Third Court of Appeals’ opinions and our legal counsel’s advice that settlements with insurance carriers in stop-loss cases have virtually stopped, the Company had fully reserved all accounts receivable related to the MDR process as of August 31, 2008. The Company is in active settlement negotiations with insurance carriers for ambulatory surgical center and hospital outpatient cases. Any monies collected for these MDR accounts receivable will be recorded as current period’s net patient service revenues. | |||||||||||||||||
Provision for Doubtful Accounts | |||||||||||||||||
Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service while complying with all federal and state laws and regulations. In non-emergency circumstances or for elective procedures and services, it is our policy to verify insurance prior to a patient being treated; however, there are various exceptions that can occur. | |||||||||||||||||
The Company computes its allowances based on the estimated collections on its gross billed charges. The Company computes its estimate of allowance, which is a combination of contractual allowance and provision for doubtful accounts, by taking into account collections received, up to 30 days after the end of the period, for the services performed and also estimating amounts collectible for the services performed within the last six months. | |||||||||||||||||
Accounts receivable represent net receivables for services provided by the Company. At each balance sheet date management reviews the accounts receivable for collectibility and provides full allowance reserves for any accounts receivable deemed uncollectible. | |||||||||||||||||
The allowances stated as a percentage of gross receivables at the balance sheet dates is larger than the allowance percentage used to reduce gross billed charges due to the application of partial cash collections to the outstanding gross receivable balances, without any adjustment being made to the allowances. The allowance amounts netted against gross receivables are not adjusted until such time as the final collections on an individual receivable are recognized. | |||||||||||||||||
The focal point of our business is providing patient care services, including complex orthopedic and bariatric procedures. The Company pursues optimal reimbursement from third-party payers for these services. In some instances, we do not have contractual arrangements with third-party payers which provide for “prompt payment” which may result in additional time to collect the expected reimbursement. | |||||||||||||||||
The collection process may also be extended due to our efforts to obtain all optimal reimbursement available to the Company. Specifically, for medical services provided to injured workers, the Company may initially receive reimbursement that may not be within the fee guidelines or regulatory guidelines mandating reimbursement. The Company reviews and pursues those particular claims that are determined to warrant additional reimbursement pursuant to the fee or regulatory guidelines. The Company's pursuit of additional reimbursement amounts that it believes are due under fee or regulatory guidelines may be accomplished through established dispute resolution procedures with applicable regulatory authorities. | |||||||||||||||||
Noncontrolling_Interest
Noncontrolling Interest | 6 Months Ended |
Feb. 28, 2014 | |
Noncontrolling Interest [Abstract] | ' |
Noncontrolling Interest Disclosure [Text Block] | ' |
Noncontrolling Interest | |
The equity of minority investors (minority investors are generally physician groups and other healthcare providers that perform surgeries at the Company’s facilities) in certain subsidiaries of the Company is reported on the consolidated balance sheets as noncontrolling interest. Noncontrolling interest reported in the consolidated income statements reflect the respective interests in the income or loss of the limited partnerships or limited liability companies attributable to the minority investors (equity interest ranged from 1.75% to 2.00% at February 28, 2014). | |
Accumulated_Other_Comprehensiv
Accumulated Other Comprehensive Income (Loss) | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Equity [Abstract] | ' | |||||||||||||
Comprehensive Income Note [Text Block] | ' | |||||||||||||
Accumulated Other Comprehensive Income (Loss) | ||||||||||||||
The following table summarizes the changes in accumulated other comprehensive income (loss) by component: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Available-for-sale securities | ||||||||||||||
Accumulated other comprehensive income balance, beginning of period | $ | 11,203,250 | $ | 7,410,633 | $ | 9,382,334 | $ | 8,411,128 | ||||||
Other comprehensive income (loss): | ||||||||||||||
Unrealized gains, net of taxes of $-0- for all periods presented | 750,396 | 976,823 | 2,571,312 | 2,175,828 | ||||||||||
Reclassification adjustments for gains included in rent and other income | — | — | — | -2,199,500 | ||||||||||
Tax provision | — | — | — | — | ||||||||||
Amount reclassified from accumulated other comprehensive income | — | — | — | -2,199,500 | ||||||||||
Other comprehensive income (loss) | 750,396 | 976,823 | 2,571,312 | -23,672 | ||||||||||
Accumulated other comprehensive income balance, end of period | $ | 11,953,646 | $ | 8,387,456 | $ | 11,953,646 | $ | 8,387,456 | ||||||
Foreign currency translation adjustment | ||||||||||||||
Accumulated other comprehensive income balance, beginning of period | $ | — | $ | — | $ | — | $ | 8,196 | ||||||
Other comprehensive income (loss): | ||||||||||||||
Unrealized gains (losses) | — | — | — | — | ||||||||||
Reclassification adjustments for gains included in rent and other income | — | — | — | -12,610 | ||||||||||
Tax provision included in accrued liabilities | — | — | — | 4,414 | ||||||||||
Amount reclassified from accumulated other comprehensive income | — | — | — | -8,196 | ||||||||||
Other comprehensive income (loss) | — | — | — | -8,196 | ||||||||||
Accumulated other comprehensive income balance, end of period | $ | — | $ | — | $ | — | $ | — | ||||||
Contingencies
Contingencies | 6 Months Ended |
Feb. 28, 2014 | |
Commitments And Contingencies Disclosure [Abstract] | ' |
Commitments And Contingencies Disclosure [Text Block] | ' |
Contingencies | |
Due to the uncertainties associated with the stop-loss fee dispute cases, the Company has accrued an amount of $11.3 million, and an additional amount of $3.3 million in interest payable, as accrued liabilities. For a detailed discussion of this, see Revenue Recognition Policy under Notes to Consolidated Financial Statements. | |
The Company maintains various insurance policies that cover its Pasadena facility including occurrence medical malpractice coverage. In addition, all physicians granted privileges at the Pasadena facility are required to maintain medical malpractice insurance coverage. The Company also maintains general liability and property insurance coverage, including flood coverage. The Company does not currently maintain workers’ compensation coverage in Texas. In regard to the Employee Health Insurance Plan, the Company is self-insured with specific and aggregate re-insurance with stop-loss levels appropriate for the Company’s group size. Coverage is maintained in amounts management deems adequate. | |
We do not carry director and officer liability insurance. As permitted under Nevada law and pursuant to our governing documents and indemnification agreements with certain of our officers and directors, we indemnify our directors and officers against monetary damages, including advancing expenses, to the fullest extent permitted by Nevada law. | |
On May 21, 2013, Ping S. Chu and James G. Gerace (both former members of our Board of Directors), along with seven other plaintiffs, filed a lawsuit in Probate Court No. 3 of Harris County, Texas, naming as defendants Ella Y.T.C. Chan (in her individual capacity and in her capacity as Independent Executrix of the Estate of Chiu M. Chan, Deceased, our former Chief Executive Officer and director), Eric K. Chan (our current Chief Executive Officer and director), and Dynacq Healthcare, Inc. In the suit, the plaintiffs alleged that the Chan family had received improper financial benefits from us. The plaintiffs sought damages in connection with claims of breach of fiduciary duty, shareholder oppression, constructive trust and conspiracy. We, through our legal counsel, filed an answer to the original petition, and filed a motion with the Probate Court to dismiss the lawsuit. The Probate Court granted the motion and dismissed the lawsuit. On August 19, 2013, the same lawsuit was re-filed in the 151st District Court of Harris County, Texas, in the form of a counterclaim and third party intervention in a lawsuit previously filed by Ella Chan (as Executrix of the Estate of Chiu M. Chan) against Ping Chu for the return of a personal automobile of Chiu M. Chan. An additional party has joined in the counterclaim and intervention. We believe the counterclaim and intervention are without merit and intend to vigorously defend ourselves in the suit. | |
The Company is routinely involved in litigation and administrative proceedings that are incidental to its business. Specifically, all judicial review of unsatisfactory determinations of reimbursement amounts due us for our Texas facilities’ fees must be made in the district courts of Travis County, Texas in what can often be a lengthy procedure. | |
Recent_Accounting_Pronouncemen
Recent Accounting Pronouncements | 6 Months Ended |
Feb. 28, 2014 | |
Accounting Changes And Error Corrections [Abstract] | ' |
New Accounting Pronouncements and Changes in Accounting Principles [Text Block] | ' |
Recent Accounting Pronouncements | |
No recent accounting pronouncements or other authoritative guidance has been issued that management considers likely to have a material impact on our consolidated financial statements. | |
Industry_Segments_and_Geograph
Industry Segments and Geographic Information | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Segment Reporting [Abstract] | ' | |||||||||||||
Segment Reporting Disclosure [Text Block] | ' | |||||||||||||
Industry Segments and Geographic Information | ||||||||||||||
The Industry Segment “U.S. Division” comprises of the Company’s Pasadena facility. The Company at the present time has the U.S. Division and the Corporate Division. | ||||||||||||||
Certain previously reported financial information has been reclassified to conform to the current period’s presentation. | ||||||||||||||
Corporate Division | ||||||||||||||
The Company closed the Garland facility on September 30, 2011, and sold it in July 2013. The Company took an impairment charge of approximately $1.1 million during the three months ended August 31, 2012, based on the sales price negotiated at that time. An additional loss of $122,975 was taken based on the final sales price during the three months ended August 31, 2013. | ||||||||||||||
The Company organized Sino Bond to hold and manage investments in Hong Kong. Sino Bond invests in debt instruments (corporate and municipal) and equity securities in Europe and Asia, including initial public offerings and pre-initial public offerings. The Company invests in various marketable securities. During the three months ended November 30, 2012, one particular security was called on which the Company had a gain of approximately $2.2 million. As of February 28, 2014, the balance of these securities is valued at approximately $20.1 million. During the six months ended February 28, 2014 and 2013, the Company also traded in initial public offerings of equity securities on the Hong Kong Stock Exchange and had a net gain of $161,864 and $531,673, respectively. During the first quarter of fiscal year 2014, the Company sold all of its trading securities and does not hold any such securities as of February 28, 2014. | ||||||||||||||
The Corporate Division includes interest and other income related to its investments in securities, corporate personnel compensation expenses, and general and administrative expenses. Such expenses and income are not allocated to our operating division, as they relate to our general corporate activities. | ||||||||||||||
We generally evaluate performance based on profit or loss from operations before income taxes and non-recurring charges and other criteria. The accounting policies of the reportable segments are the same as those described in the summary of significant accounting policies. There are no transfers between segments. | ||||||||||||||
Summarized financial information concerning the business segments from continuing operations is as follows: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Revenues from external customers | ||||||||||||||
Net patient service revenues | ||||||||||||||
U.S. Division | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | ||||||
Corporate | — | — | — | — | ||||||||||
Consolidated | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | ||||||
Income (loss) before taxes and discontinued operations | ||||||||||||||
U.S. Division | $ | 25,532 | $ | -782,269 | $ | -352,426 | $ | -1,482,777 | ||||||
Corporate | -543,097 | -200,602 | -874,000 | 670,210 | ||||||||||
Consolidated | $ | -517,565 | $ | -982,871 | $ | -1,226,426 | $ | -812,567 | ||||||
February 28, 2014 | August 31, 2013 | |||||||||||||
Total Assets | ||||||||||||||
U.S. Division | $ | 14,579,640 | $ | 9,924,501 | ||||||||||
Corporate | 32,597,756 | 31,711,826 | ||||||||||||
Consolidated | $ | 47,177,396 | $ | 41,636,327 | ||||||||||
Significant_Accounting_Policie
Significant Accounting Policies (Policies) | 6 Months Ended | ||||||||||||||||
Feb. 28, 2014 | |||||||||||||||||
Accounting Policies [Abstract] | ' | ||||||||||||||||
Basis of Accounting, Policy [Policy Text Block] | ' | ||||||||||||||||
Basis of Presentation | |||||||||||||||||
The accompanying consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete consolidated financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. All such adjustments are of a normal and recurring nature. The majority of the Company's expenses are "cost of revenue" items. Costs that could be classified as general and administrative by the Company would include the corporate office costs, including advertising and marketing expenses, which were approximately $1.0 million and $1.0 million for the three months ended February 28, 2014 and 2013, respectively, and approximately $1.9 million and $3.3 million for the six months ended February 28, 2014 and 2013, respectively. These financial statements should be read in conjunction with the audited financial statements as of August 31, 2013. Operating results for the three and six months ended February 28, 2014 are not necessarily indicative of the results that may be expected for the year ending August 31, 2014. | |||||||||||||||||
Reclassification, Policy [Policy Text Block] | ' | ||||||||||||||||
Reclassification | |||||||||||||||||
Certain previously reported financial information has been reclassified to conform to the current period’s presentation. The impact of such reclassification was not significant to the prior period’s overall presentation. | |||||||||||||||||
Cash and Cash Equivalents, Policy [Policy Text Block] | ' | ||||||||||||||||
Cash and Cash Equivalents | |||||||||||||||||
The Company considers all highly liquid instruments with maturities of three months or less on the date of purchase to be cash equivalents. Cash equivalents are carried at cost, which approximates fair value. | |||||||||||||||||
Marketable Securities, Policy [Policy Text Block] | ' | ||||||||||||||||
Investments in Available-for-Sale and Trading Securities | |||||||||||||||||
The Company’s investments in debt instruments (corporate and municipal bonds) are recorded at fair value based on quoted market prices that are traded in less active markets or priced using a quoted market price for similar investments or are priced using non-binding market consensus prices that can be corroborated by observable market data (Level 2). These investments are classified as available-for-sale securities. These investments are subject to default risk. Unrealized gains in the fair value are reported in accumulated other comprehensive income, net of related income tax effect. The Company regularly monitors its investment portfolio for any decline in fair value that is other than temporary and records any such impairment as an impairment loss. The determination of the gain or loss on the sale of any security is made using the specific identification method. | |||||||||||||||||
The Company also invests in initial public offerings of equity securities on the Hong Kong Stock Exchange. These investments are classified as trading securities, and are carried at fair value. These investments are subject to fluctuations in the market price. During the six months ended February 28, 2014 and 2013, the Company had a net gain of $161,864 and $531,673, respectively, in these securities. During the first quarter of fiscal year 2014, the Company sold all of its trading securities and does not hold any such securities as of February 28, 2014. | |||||||||||||||||
Investment In Real Estates And Notes Payable [Policy Text Block] | ' | ||||||||||||||||
Investment in Real Estate and Notes Payable | |||||||||||||||||
In October 2012, the Company sold an apartment in Hong Kong, which was purchased in March 2010. The net proceeds from the sale of the apartment were $1,273,403, after repayment of the associated note payable, resulting in a gain of $480,108. | |||||||||||||||||
In November 2011 and September 2010, the Company borrowed $116,339 and $65,000 as notes payable from a financial institution at an interest rate of 4.5% and 6%, which notes are to be repaid in 36 and 24 monthly installments, respectively, and are secured by specific equipment purchased at our Pasadena facility. The $65,000 note payable was fully repaid during the three months ended November 30, 2012. The Company paid down $19,905 during the six months ended February 28, 2014, and the current and long-term portions of the notes payable as of February 28, 2014 are $27,094 and $-0-, respectively. | |||||||||||||||||
Inventory, Policy [Policy Text Block] | ' | ||||||||||||||||
Inventories | |||||||||||||||||
Inventories, consisting primarily of medical supplies, are stated at the lower of cost or market, with cost determined by use of the average cost method. | |||||||||||||||||
Use of Estimates, Policy [Policy Text Block] | ' | ||||||||||||||||
Use of Estimates | |||||||||||||||||
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The most significant of the Company’s estimates is the determination of revenue to recognize for the services the Company provides and the determination of allowances, which includes the contractual allowance and the provision for doubtful accounts. See “Revenue Recognition” below for further discussion. Actual results could differ materially from those estimates used in the preparation of these financial statements. | |||||||||||||||||
Fair Value of Financial Instruments, Policy [Policy Text Block] | ' | ||||||||||||||||
Fair Value of Financial Instruments | |||||||||||||||||
The fair value of financial instruments is estimated based on market trading information, where available. Absent published market values for an instrument or other assets, management uses observable market data to arrive at its estimates of fair value. Management believes that the carrying amount of cash and cash equivalents, accounts receivable and accrued liabilities approximate fair value. Fair value is defined as an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. A three-level fair value hierarchy prioritizes the inputs used to measure fair value. The three levels of inputs used to measure fair value are as follows: | |||||||||||||||||
Level 1 | Quoted prices in active markets for identical assets or liabilities. | ||||||||||||||||
Level 2 | Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted price for identical or similar assets and liabilities in markets that are not active; or other input that are observable or can be corroborated by observable market data. | ||||||||||||||||
Level 3 | Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. | ||||||||||||||||
The following table summarizes our financial assets and liabilities measured and reported in the Company’s statement of financial position at fair value on a recurring basis as of February 28, 2014, segregated among the appropriate levels within the fair value hierarchy: | |||||||||||||||||
Quoted prices in active markets for identical | Significant other observable inputs | Significant unobservable | |||||||||||||||
(Level 1) | (Level 2) | (Level 3) | |||||||||||||||
Assets | |||||||||||||||||
Investments available-for-sale | $ | — | $ | 20,101,192 | $ | — | |||||||||||
The Company’s investments in Level 2 are in perpetual debt instruments (corporate and municipal bonds) traded on the European markets, at a cost of $7,984,646, are recorded at fair value based on quoted market prices that are traded in less active markets or priced using a quoted market price for similar investments or are priced using non-binding market consensus prices that can be corroborated by observable market data (Level 2), and there has been no change in valuation techniques for these investments (Level 2). | |||||||||||||||||
Revenue Recognition, Policy [Policy Text Block] | ' | ||||||||||||||||
Revenue Recognition | |||||||||||||||||
Background | |||||||||||||||||
The Company’s revenue recognition policy is significant because net patient service revenue is a primary component of its results of operations. Revenue is recognized as services are delivered. The determination of the amount of revenue to be recognized in connection with the Company’s services is subject to significant judgments and estimates, which are discussed below. | |||||||||||||||||
Revenue Recognition Policy | |||||||||||||||||
The Company has established billing rates for its medical services which it bills as gross revenue as services are delivered. Gross billed revenues are then reduced by the Company’s estimate of allowances, which includes the contractual allowance and the provision for doubtful accounts, to arrive at net patient service revenues. Net patient service revenues may not represent amounts ultimately collected. The Company adjusts current period revenue for differences in estimated revenue recorded in prior periods and actual cash collections. | |||||||||||||||||
The following table shows gross revenues and allowances for the three and six months ended February 28, 2014 and 2013: | |||||||||||||||||
Three months ended February 28, | Six months ended February 28, | ||||||||||||||||
2014 | 2013 | 2014 | 2013 | ||||||||||||||
Gross billed charges | $ | 6,618,079 | $ | 4,488,742 | $ | 13,658,418 | $ | 9,135,745 | |||||||||
Allowances | 4,386,692 | 3,050,920 | 9,167,784 | 6,179,896 | |||||||||||||
Net revenue | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | |||||||||
Allowance percentage | 66 | % | 68 | % | 67 | % | 68 | % | |||||||||
Contractual Allowance | |||||||||||||||||
The Company computes its contractual allowance based on the estimated collections on its gross billed charges. The Company computes its estimate by taking into account collections received, up to 30 days after the end of the period, for the services performed and also estimating amounts collectible for the services performed within the last six months. A significant amount of our net revenue results from Texas workers' compensation claims, which are governed by the rules and regulations of the Texas Department of Workers’ Compensation (“TDWC”) and the workers’ compensation healthcare networks. If our hospital chooses to participate in a network, the amount of revenue that will be generated from workers’ compensation claims will be governed by the network contract. | |||||||||||||||||
For claims arising prior to the implementation of workers’ compensation networks and out of network claims, inpatient and outpatient surgical services are either reimbursed pursuant to the Acute Care In-Patient Hospital Fee Guideline or at a "fair and reasonable" rate for services in which the fee guideline is not applicable. Starting March 1, 2008, the Texas Workers’ Compensation 2008 Acute Care Hospital Outpatient and Inpatient Facility Fee Guidelines (the “Guidelines”) became effective. Under these Guidelines, the reimbursement amounts are determined by applying the most recently adopted and effective Medicare reimbursement formula and factors; however, if the maximum allowable reimbursement for the procedure performed cannot be calculated using these Guidelines, then reimbursement is determined on a fair and reasonable basis. | |||||||||||||||||
Based on these Guidelines, the reimbursement due the Company for workers’ compensation cases is lower than we previously experienced. The Company has continued accepting Texas workers’ compensation cases, and has not made any substantial changes in its focus towards such cases. Our net patient service revenue for Texas workers’ compensation cases as a percentage of gross billings has decreased primarily as a result of lower reimbursement rates for workers’ compensation procedures still being performed. | |||||||||||||||||
Should we disagree with the amount of reimbursement provided by a third-party payer, we are required to pursue the medical dispute resolution (“MDR”) process at the TDWC to request proper reimbursement for services. From January 2007 to November 2008, the Company had been successful in its pursuit of collections regarding the stop-loss cases pending before the State Office of Administrative Hearings (“SOAH”), receiving positive rulings in over 90% of its claims presented for administrative determination. A 2007 district court decision upholding our interpretation of the statute as applied to the stop-loss claims was appealed by certain insurance carriers, and on November 13, 2008 the Third Court of Appeals determined that in order for a hospital to be reimbursed at 75% of its usual and customary audited charges for an inpatient admission, the hospital must not only bill at least $40,000, but also show that the admission involved unusually costly and unusually extensive services. Procedurally, the decision means that each case where a carrier raised an issue regarding whether the services provided were unusually costly or unusually extensive would be remanded to either SOAH or MDR for a case-by-case determination of whether the services provided meet these standards. As a result of the Third Court of Appeals opinion, any stop-loss cases pending at SOAH have been remanded to the TDWC since these cases have not been reviewed or decided by the two-prong standard decided by the Third Court of Appeals. The SOAH Administrative Law judges determined that the most appropriate location for these cases is the TDWC. | |||||||||||||||||
A petition asking the Texas Supreme Court to review the Third Court of Appeals decision has been denied. Therefore, the Company is bound by the Third Court of Appeals decision. The Texas Supreme Court’s decision delayed final adjudication in these pending stop-loss cases. The uncertain outcome in these cases will depend on a very lengthy process. We anticipate further, lengthy litigation at the Travis County District Courts and the Texas Courts of Appeals. Because of this lengthy process and the uncertainty of recovery in these cases, collection of a material amount of funds in these pending stop-loss cases cannot be anticipated. | |||||||||||||||||
Through February 2014, insurance carriers have voluntarily paid the awards in the decisions and orders issued by SOAH, plus interest, in approximately 180 cases, involving approximately $11 million in claims. In most of these cases, when the payments were made, the carriers requested refunds of the payments made in the event that the SOAH decisions and orders were reversed on appeal (which they were). Our request that the TDWC Commissioner enforce the awards which were not voluntarily paid by the carriers was refused in approximately 130 cases. As a result of the reversal of the SOAH decisions and orders, Texas Mutual Insurance Company and other carriers filed petitions in Travis County district court seeking a refund in cases in which the awards were voluntarily paid. The district court found in favor of Texas Mutual and the Company was ordered to refund approximately $4.2 million, including prejudgment interest, pending remand for a case-by-case determination of whether the services provided were unusually costly and unusually extensive. The Company did not object to the reversal and remand of the SOAH decisions and orders, but did object to the judgments ordering refunds and those judgments were appealed to the Third Court of Appeals. As part of the appeals, the Company deposited the amounts that were ordered to be refunded as cash deposits into the registry of the court in order to stay execution of the judgments ordering refunds. On June 6, 2013, the judgments ordering refunds were reversed by the Court of Appeals. The Court of Appeals held that if Texas Mutual wants a refund, it must pursue the refund demand administratively through the TDWC rather than through the district courts. Texas Mutual filed a motion for rehearing with the Court of Appeals which ultimately was denied. The Company filed motions in all 47 cases with the district court asking that the district clerk be ordered to release the deposited funds to the Company, and in January 2014, the Company received the deposits and accrued interest totaling $4.2 million.. In addition, Texas Mutual filed three additional petitions in district court for cases that were left out of the original 47. The court granted Texas Mutual’s petitions and ordered the Company to refund approximately $300,000, including prejudgment interest to Texas Mutual. These judgments were granted before the Court of Appeals reversed the district court’s original judgments. These three cases were appealed to the Court of Appeals and the funds ordered refunded were deposited with the district clerk. As with the other 47 cases, the Court of Appeals reversed the district court’s final judgments in these three cases and the Company filed motions with the district court asking that the district clerk be ordered to release the deposited funds to the Company, and in February 2014, the Company received the deposits and accrued interest totaling $300,000. During the time that the carriers’ petitions seeking refunds were pending, because of the uncertainty of the results at that time, as of February 28, 2014, the Company has accrued the total potential refund amount of $11.3 million, and an additional amount of $3.3 million in interest payable, as accrued liabilities. This includes the deposit amounts refunded back to the Company in January and February 2014. We do not anticipate that any other carriers will pursue refund demands through district court but instead will pursue them administratively through TDWC. The cases in which the SOAH decisions and orders were reversed have been or are being remanded to TDWC for determinations of whether the services provided were unusually costly and unusually extensive. Voluntary payments made pursuant to the Decisions and Orders are premature payments by the carriers and may be ordered to be refunded. After the reversal of the judgments it obtained from the district court ordering refunds, on December 4, 2013, Texas Mutual made a formal request to the Commissioner of Workers’ Compensation that he administratively order the Company to make refunds to Texas Mutual (in the same amount that was sought in the district court). The Company responded to this request on December 11, 2013, asking that it be denied. The matter is pending at this time. As to the matters remanded to TDWC and SOAH, once the Company is given the opportunity to present its evidence regarding whether the services provided were unusually costly and unusually extensive, the Company anticipates that it will prevail in many of the underlying stop-loss fee disputes and that payments refunded to the carriers will be recaptured. On March 13, 2014, a settlement conference with one self-insured entity successfully resolved the stop-loss cases in which that entity was involved. Although the Company is willing to participate in settlement negotiations, we anticipate that few, if any, other carriers are interested in doing so at this time. | |||||||||||||||||
Due to the uncertainties associated with these stop-loss fee dispute cases, the Company recognized increases in the contractual allowance at our Pasadena facility of $10,254,990 during fiscal year 2011 and $149,875 during the fiscal quarter ended August 31, 2013, (and an additional contractual allowance amount of $779,583 during fiscal year 2011 and $136,542 during the fiscal quarter ended August 31, 2013, at our Garland facility, which was classified as discontinued operations). The Company has also recognized interest expense related to these refunds starting from fiscal year 2011. | |||||||||||||||||
Claims regarding payment for ambulatory surgical center and hospital outpatient services remain pending at the TDWC. It is expected that these claims will be adjudicated at SOAH and possibly in the Texas district and appellate courts. The basis for reimbursement for these services made the subject of these pending cases is the determination of “fair and reasonable” charges. In 2007, we received unfavorable rulings from SOAH in all of our appeals of unfavorable decisions related to services provided in 2001 and 2002. The 179 cases, which were appealed to the Travis County district courts, challenged the constitutionality of the relevant statutory language. The Company received an unfavorable ruling in its lead case in March 2009, which ruling was appealed to and was upheld by the Third Court of Appeals on August 26, 2010. The Texas Supreme Court denied a petition asking for review of the Third Court of Appeals decision. The unfavorable interpretation by the Texas Courts of Appeal in our lead case negatively affects the recovery of additional reimbursement, not only in the lead case, but in the remaining 178 pending cases. Consequently, the Company is bound by the Third Court of Appeals’ ruling that interprets the applicable statute and fee guideline to require that the amount that will be paid to a provider must not only be at a “fair and reasonable rate” but also must “ensure the quality of medical care” and “achieve effective cost control” and be the same or less than that charged to others with an equivalent standard of living. This ruling will impact cases in which a fee guideline was not applicable, specifically all pending cases involving ambulatory surgical services provided from 2001 through 2004 as well as all pending cases involving hospital outpatient services provided prior to March 1, 2008, when the Guidelines took effect. Since the Third Court of Appeals’ unfavorable ruling, collection, if any, in these cases depends on the Company’s ability to establish the criteria in this ruling. The Company was given the opportunity to establish the criteria in approximately 80 cases, which were set for hearing on the merits from March through May 2012 and was unsuccessful. Additionally, there are several thousand ambulatory surgical center and hospital outpatient cases pending at SOAH which will be heard beginning in March, 2014. Settlement offers have been made in the vast majority of these cases and the Company has been successful in settling many of the cases in which offers were made. Settlement discussions are on-going. Even so, it is likely that hundreds, if not more than a thousand, of these cases may go to hearing at SOAH at which the Company will have the opportunity to continue to establish the criteria in the cases still pending at SOAH during the 2014 fiscal year. On March 31, 2014, 23 of the hospital outpatient cases were tried at SOAH. The parties have been given until May 2, 2014 to file closing arguments and an additional 15 days to respond to the other side’s arguments. It is not known when decisions in these 23 cases will be handed down. It is anticipated that the decisions in these cases will impact many of the other hospital outpatient cases that are pending at SOAH. | |||||||||||||||||
Due to the uncertainties regarding the accounts receivable in the MDR process, the 2008 and 2010 Third Court of Appeals’ opinions and our legal counsel’s advice that settlements with insurance carriers in stop-loss cases have virtually stopped, the Company had fully reserved all accounts receivable related to the MDR process as of August 31, 2008. The Company is in active settlement negotiations with insurance carriers for ambulatory surgical center and hospital outpatient cases. Any monies collected for these MDR accounts receivable will be recorded as current period’s net patient service revenues. | |||||||||||||||||
Provision for Doubtful Accounts | |||||||||||||||||
Although outcomes vary, our policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service while complying with all federal and state laws and regulations. In non-emergency circumstances or for elective procedures and services, it is our policy to verify insurance prior to a patient being treated; however, there are various exceptions that can occur. | |||||||||||||||||
The Company computes its allowances based on the estimated collections on its gross billed charges. The Company computes its estimate of allowance, which is a combination of contractual allowance and provision for doubtful accounts, by taking into account collections received, up to 30 days after the end of the period, for the services performed and also estimating amounts collectible for the services performed within the last six months. | |||||||||||||||||
Accounts receivable represent net receivables for services provided by the Company. At each balance sheet date management reviews the accounts receivable for collectibility and provides full allowance reserves for any accounts receivable deemed uncollectible. | |||||||||||||||||
The allowances stated as a percentage of gross receivables at the balance sheet dates is larger than the allowance percentage used to reduce gross billed charges due to the application of partial cash collections to the outstanding gross receivable balances, without any adjustment being made to the allowances. The allowance amounts netted against gross receivables are not adjusted until such time as the final collections on an individual receivable are recognized. | |||||||||||||||||
The focal point of our business is providing patient care services, including complex orthopedic and bariatric procedures. The Company pursues optimal reimbursement from third-party payers for these services. In some instances, we do not have contractual arrangements with third-party payers which provide for “prompt payment” which may result in additional time to collect the expected reimbursement. | |||||||||||||||||
The collection process may also be extended due to our efforts to obtain all optimal reimbursement available to the Company. Specifically, for medical services provided to injured workers, the Company may initially receive reimbursement that may not be within the fee guidelines or regulatory guidelines mandating reimbursement. The Company reviews and pursues those particular claims that are determined to warrant additional reimbursement pursuant to the fee or regulatory guidelines. The Company's pursuit of additional reimbursement amounts that it believes are due under fee or regulatory guidelines may be accomplished through established dispute resolution procedures with applicable regulatory authorities. | |||||||||||||||||
New Accounting Pronouncements, Policy [Policy Text Block] | ' | ||||||||||||||||
Recent Accounting Pronouncements | |||||||||||||||||
No recent accounting pronouncements or other authoritative guidance has been issued that management considers likely to have a material impact on our consolidated financial statements. | |||||||||||||||||
Discontinued_Operations_Tables
Discontinued Operations (Tables) | 6 Months Ended | |||||||
Feb. 28, 2014 | ||||||||
Discontinued Operations And Disposal Groups [Abstract] | ' | |||||||
Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block] | ' | |||||||
The following is a summary of financial information related to our discontinued operations at the Garland facility for the three and six months ended February 28, 2013: | ||||||||
Three months | Six months | |||||||
ended February | ended February | |||||||
28, 2013 | 28, 2013 | |||||||
Net patient service revenue | $ | 191,333 | $ | 402,158 | ||||
Total costs and expenses | 52,225 | 52,515 | ||||||
Operating income | 139,108 | 349,643 | ||||||
Other income (expense), net | -10,380 | 20,443 | ||||||
Income before income taxes | 128,728 | 370,086 | ||||||
Provision for income taxes | — | — | ||||||
Total income on discontinued operations, net of taxes | $ | 128,728 | $ | 370,086 | ||||
Net_Income_Loss_per_Share_Tabl
Net Income (Loss) per Share (Tables) | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Earnings Per Share [Abstract] | ' | |||||||||||||
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] | ' | |||||||||||||
The following table presents the computation of basic and diluted income (loss) per common share attributable to the Company: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Basic and diluted loss per common share: | ||||||||||||||
Numerator: | ||||||||||||||
Loss from continuing operations | $ | -517,565 | $ | -982,871 | $ | -1,226,426 | $ | -812,567 | ||||||
Less: Net (income) loss attributable to noncontrolling interest | -59 | -25 | -33 | 2,773 | ||||||||||
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | -517,624 | -982,896 | -1,226,459 | -809,794 | ||||||||||
Discontinued operations, net of income taxes | — | 128,728 | — | 370,086 | ||||||||||
Net loss attributable to Dynacq Healthcare, Inc. | $ | -517,624 | $ | -854,168 | $ | -1,226,459 | $ | -439,708 | ||||||
Denominator: | ||||||||||||||
Basic and diluted average common shares outstanding | 14,418,626 | 14,543,626 | 14,436,483 | 14,543,626 | ||||||||||
Basic and diluted loss per common share: | ||||||||||||||
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | $ | -0.04 | $ | -0.07 | $ | -0.08 | $ | -0.06 | ||||||
Discontinued operations, net of income taxes | — | 0.01 | — | 0.03 | ||||||||||
Net loss attributable to Dynacq Healthcare, Inc. | $ | -0.04 | $ | -0.06 | $ | -0.08 | $ | -0.03 | ||||||
Stock_Based_Compensation_Table
Stock Based Compensation (Tables) | 6 Months Ended | |||||||||||
Feb. 28, 2014 | ||||||||||||
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract] | ' | |||||||||||
Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block] | ' | |||||||||||
The following table summarizes the stock option activities for the six months ended February 28, 2014 (share amounts in thousands): | ||||||||||||
Shares | Weighted Average | |||||||||||
Option Exercise | ||||||||||||
Price Per Share | ||||||||||||
Outstanding, August 31, 2013 | 1,097 | $ | 2.21 | |||||||||
Granted | — | — | ||||||||||
Exercised | — | — | ||||||||||
Expired or canceled | -58 | 2.6 | ||||||||||
Outstanding, February 28, 2014 | 1,039 | 2.18 | ||||||||||
Schedule of Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range [Table Text Block] | ' | |||||||||||
The following summarizes information related to stock options outstanding as of February 28, 2014, and related weighted average price and life information: | ||||||||||||
Options Outstanding | Options Exercisable | |||||||||||
Exercise Prices | Number of Shares | Weighted Average Remaining Contractual | Number of Shares | |||||||||
Life (Years) | ||||||||||||
(Share Amounts In Thousands) | ||||||||||||
$ | 1.1 | 250 | 7.9 | 125 | ||||||||
$ | 1.86 | 616 | 7.4 | 313 | ||||||||
$ | 4.9 | 173 | 0.8 | 173 | ||||||||
Total | 1,039 | 6.4 | 611 | |||||||||
Fair_Value_of_Financial_Instru1
Fair Value of Financial Instruments (Tables) | 6 Months Ended | ||||||||||
Feb. 28, 2014 | |||||||||||
Fair Value Disclosures [Abstract] | ' | ||||||||||
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] | ' | ||||||||||
The following table summarizes our financial assets and liabilities measured and reported in the Company’s statement of financial position at fair value on a recurring basis as of February 28, 2014, segregated among the appropriate levels within the fair value hierarchy: | |||||||||||
Quoted prices in active markets for identical | Significant other observable inputs | Significant unobservable | |||||||||
(Level 1) | (Level 2) | (Level 3) | |||||||||
Assets | |||||||||||
Investments available-for-sale | $ | — | $ | 20,101,192 | $ | — | |||||
Revenue_Recognition_Tables
Revenue Recognition (Tables) | 6 Months Ended | ||||||||||||||||
Feb. 28, 2014 | |||||||||||||||||
Revenue Recognition [Abstract] | ' | ||||||||||||||||
Schedule Of Gross Revenues And Contractual Allowance [Table Text Block] | ' | ||||||||||||||||
The following table shows gross revenues and allowances for the three and six months ended February 28, 2014 and 2013: | |||||||||||||||||
Three months ended February 28, | Six months ended February 28, | ||||||||||||||||
2014 | 2013 | 2014 | 2013 | ||||||||||||||
Gross billed charges | $ | 6,618,079 | $ | 4,488,742 | $ | 13,658,418 | $ | 9,135,745 | |||||||||
Allowances | 4,386,692 | 3,050,920 | 9,167,784 | 6,179,896 | |||||||||||||
Net revenue | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | |||||||||
Allowance percentage | 66 | % | 68 | % | 67 | % | 68 | % | |||||||||
Accumulated_Other_Comprehensiv1
Accumulated Other Comprehensive Income (Loss) (Tables) | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Equity [Abstract] | ' | |||||||||||||
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block] | ' | |||||||||||||
Accumulated Other Comprehensive Income (Loss) | ||||||||||||||
The following table summarizes the changes in accumulated other comprehensive income (loss) by component: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Available-for-sale securities | ||||||||||||||
Accumulated other comprehensive income balance, beginning of period | $ | 11,203,250 | $ | 7,410,633 | $ | 9,382,334 | $ | 8,411,128 | ||||||
Other comprehensive income (loss): | ||||||||||||||
Unrealized gains, net of taxes of $-0- for all periods presented | 750,396 | 976,823 | 2,571,312 | 2,175,828 | ||||||||||
Reclassification adjustments for gains included in rent and other income | — | — | — | -2,199,500 | ||||||||||
Tax provision | — | — | — | — | ||||||||||
Amount reclassified from accumulated other comprehensive income | — | — | — | -2,199,500 | ||||||||||
Other comprehensive income (loss) | 750,396 | 976,823 | 2,571,312 | -23,672 | ||||||||||
Accumulated other comprehensive income balance, end of period | $ | 11,953,646 | $ | 8,387,456 | $ | 11,953,646 | $ | 8,387,456 | ||||||
Foreign currency translation adjustment | ||||||||||||||
Accumulated other comprehensive income balance, beginning of period | $ | — | $ | — | $ | — | $ | 8,196 | ||||||
Other comprehensive income (loss): | ||||||||||||||
Unrealized gains (losses) | — | — | — | — | ||||||||||
Reclassification adjustments for gains included in rent and other income | — | — | — | -12,610 | ||||||||||
Tax provision included in accrued liabilities | — | — | — | 4,414 | ||||||||||
Amount reclassified from accumulated other comprehensive income | — | — | — | -8,196 | ||||||||||
Other comprehensive income (loss) | — | — | — | -8,196 | ||||||||||
Accumulated other comprehensive income balance, end of period | $ | — | $ | — | $ | — | $ | — | ||||||
Industry_Segments_and_Geograph1
Industry Segments and Geographic Information (Tables) | 6 Months Ended | |||||||||||||
Feb. 28, 2014 | ||||||||||||||
Segment Reporting [Abstract] | ' | |||||||||||||
Reconciliation of Revenue from Segments to Consolidated [Table Text Block] | ' | |||||||||||||
Summarized financial information concerning the business segments from continuing operations is as follows: | ||||||||||||||
Three months ended February 28, | Six months ended February 28, | |||||||||||||
2014 | 2013 | 2014 | 2013 | |||||||||||
Revenues from external customers | ||||||||||||||
Net patient service revenues | ||||||||||||||
U.S. Division | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | ||||||
Corporate | — | — | — | — | ||||||||||
Consolidated | $ | 2,231,387 | $ | 1,437,822 | $ | 4,490,634 | $ | 2,955,849 | ||||||
Income (loss) before taxes and discontinued operations | ||||||||||||||
U.S. Division | $ | 25,532 | $ | -782,269 | $ | -352,426 | $ | -1,482,777 | ||||||
Corporate | -543,097 | -200,602 | -874,000 | 670,210 | ||||||||||
Consolidated | $ | -517,565 | $ | -982,871 | $ | -1,226,426 | $ | -812,567 | ||||||
Reconciliation of Assets from Segment to Consolidated [Table Text Block] | ' | |||||||||||||
February 28, 2014 | August 31, 2013 | |||||||||||||
Total Assets | ||||||||||||||
U.S. Division | $ | 14,579,640 | $ | 9,924,501 | ||||||||||
Corporate | 32,597,756 | 31,711,826 | ||||||||||||
Consolidated | $ | 47,177,396 | $ | 41,636,327 | ||||||||||
Basis_of_Presentation_Details_
Basis of Presentation (Details Textual) (USD $) | 3 Months Ended | 6 Months Ended | ||
In Millions, unless otherwise specified | Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 |
Basis Of Presentation [Line Items] | ' | ' | ' | ' |
Corporate Office Costs | $1 | $1 | $1.90 | $3.30 |
Investments_in_AvailableforSal1
Investments in Available-for-Sale and Trading Securities (Details Textual) (USD $) | 6 Months Ended | |
Feb. 28, 2014 | Feb. 28, 2013 | |
Investment Securities [Line Items] | ' | ' |
Trading Securities Realized Gain Loss | $161,864 | $531,673 |
HONG KONG [Member] | ' | ' |
Investment Securities [Line Items] | ' | ' |
Trading Securities Realized Gain Loss | $161,864 | $531,673 |
Investment_in_Real_Estate_and_1
Investment in Real Estate and Notes Payable (Details Textual) (USD $) | 1 Months Ended | 3 Months Ended | 6 Months Ended | |||
Oct. 31, 2012 | Nov. 30, 2011 | Sep. 30, 2010 | Nov. 30, 2012 | Feb. 28, 2014 | Feb. 28, 2013 | |
Schedule Of Investments In Real Estate [Line Items] | ' | ' | ' | ' | ' | ' |
Proceeds from Sale of Real Estate | $1,273,403 | ' | ' | ' | ' | ' |
Gains Losses On Sales Of Investment Real Estate | 480,108 | ' | ' | ' | 0 | 480,108 |
Secured Debt | ' | 116,339 | 65,000 | ' | ' | ' |
Notes Payable Secured By Equipment At Interest Rate | ' | 4.50% | 6.00% | ' | ' | ' |
Notes Payable Repayment Period | ' | '36 months | '24 months | ' | ' | ' |
Repayments of Long-term Debt, Total | ' | ' | ' | 65,000 | ' | ' |
Repayments Of Notes Payable Secured By Equipment | ' | ' | ' | ' | 19,905 | ' |
Notes Payable Secured By Equipment Amount Outstanding Current | ' | ' | ' | ' | 27,094 | ' |
Notes Payable Secured By Equipment Amount Outstanding Non Current | ' | ' | ' | ' | $0 | ' |
Discontinued_Operations_Detail
Discontinued Operations (Details) (USD $) | 3 Months Ended | 6 Months Ended | |
Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] | ' | ' | ' |
Net patient service revenue | $191,333 | ' | $402,158 |
Total costs and expenses | 52,225 | ' | 52,515 |
Operating income | 139,108 | ' | 349,643 |
Other income (expense), net | -10,380 | ' | 20,443 |
Income before income taxes | 128,728 | ' | 370,086 |
Provision for income taxes | 0 | ' | 0 |
Total income on discontinued operations, net of taxes | $128,728 | $0 | $370,086 |
Discontinued_Operations_Detail1
Discontinued Operations (Details Textual) (USD $) | 3 Months Ended | |
Aug. 31, 2012 | Aug. 31, 2013 | |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] | ' | ' |
Disposal Group Impairment Charge | $1,100,000 | ' |
Assets of Disposal Group, Including Discontinued Operation | ' | $122,975 |
Net_Income_Loss_per_Share_Deta
Net Income (Loss) per Share (Details) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Numerator: | ' | ' | ' | ' |
Loss from continuing operations | ($517,565) | ($982,871) | ($1,226,426) | ($812,567) |
Less: Net (income) loss attributable to noncontrolling interest | -59 | -25 | -33 | 2,773 |
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | -517,624 | -982,896 | -1,226,459 | -809,794 |
Discontinued operations, net of income taxes | 0 | 128,728 | 0 | 370,086 |
Net loss attributable to Dynacq Healthcare, Inc. | ($517,624) | ($854,168) | ($1,226,459) | ($439,708) |
Denominator: | ' | ' | ' | ' |
Basic and diluted average common shares outstanding | 14,418,626 | 14,543,626 | 14,436,483 | 14,543,626 |
Basic and diluted loss per common share: | ' | ' | ' | ' |
Loss from continuing operations attributable to Dynacq Healthcare, Inc. | ($0.04) | ($0.07) | ($0.08) | ($0.06) |
Discontinued operations, net of income taxes | $0 | $0.01 | $0 | $0.03 |
Net loss attributable to Dynacq Healthcare, Inc. | ($0.04) | ($0.06) | ($0.08) | ($0.03) |
Net_Income_Loss_per_Share_Deta1
Net Income (Loss) per Share (Details Textual) | 6 Months Ended | |
Feb. 28, 2014 | Feb. 28, 2013 | |
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ' | ' |
Stock options with exercise prices exceeding current market prices | 1,069,000 | 2,077,000 |
Treasury_Stock_Details_Textual
Treasury Stock (Details Textual) (USD $) | 1 Months Ended | 3 Months Ended |
Sep. 30, 2013 | Feb. 28, 2014 | |
Treasury Stock [Line Items] | ' | ' |
Treasury Stock, Shares, Acquired | 125,000 | ' |
Treasury Stock, Value, Acquired, Cost Method | ' | $0 |
Stock_Based_Compensation_Detai
Stock Based Compensation (Details) (USD $) | 6 Months Ended | |
In Thousands, except Per Share data, unless otherwise specified | Feb. 28, 2014 | Feb. 28, 2013 |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ' | ' |
Shares Outstanding, Beginning balance | 1,097 | ' |
Shares, Granted | 0 | ' |
Shares, Exercised | 0 | 0 |
Shares, Expired or canceled | -58 | ' |
Shares Outstanding, Ending balance | 1,039 | ' |
Weighted Average Option Exercise Price Per Share Outstanding, Beginning balance | $2.21 | ' |
Weighted Average Option Exercise Price Per Share, Granted | $0 | ' |
Weighted Average Option Exercise Price Per Share, Exercised | $0 | $0 |
Weighted Average Option Exercise Price Per Share, Expired or canceled | $2.60 | ' |
Weighted Average Option Exercise Price Per Share, Ending balance | $2.18 | ' |
Stock_Based_Compensation_Detai1
Stock Based Compensation (Details 1) (USD $) | 6 Months Ended |
In Thousands, except Per Share data, unless otherwise specified | Feb. 28, 2014 |
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ' |
Options Outstanding, Shares | 1,039 |
Options Outstanding, Weighted Average Remaining Contractual Life (Years) | '6 years 4 months 24 days |
Options Exercisable, Shares | 611 |
Range One [Member] | ' |
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ' |
Range of Exercise Prices, Lower Range Limit | 1.1 |
Options Outstanding, Shares | 250 |
Options Outstanding, Weighted Average Remaining Contractual Life (Years) | '7 years 10 months 24 days |
Options Exercisable, Shares | 125 |
Range Two [Member] | ' |
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ' |
Range of Exercise Prices, Lower Range Limit | 1.86 |
Options Outstanding, Shares | 616 |
Options Outstanding, Weighted Average Remaining Contractual Life (Years) | '7 years 4 months 24 days |
Options Exercisable, Shares | 313 |
Range Three [Member] | ' |
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ' |
Range of Exercise Prices, Lower Range Limit | 4.9 |
Options Outstanding, Shares | 173 |
Options Outstanding, Weighted Average Remaining Contractual Life (Years) | '9 months 18 days |
Options Exercisable, Shares | 173 |
Stock_Based_Compensation_Detai2
Stock Based Compensation (Details Textual) (USD $) | 3 Months Ended | 6 Months Ended | 0 Months Ended | ||||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | Jan. 12, 2012 | Feb. 28, 2014 | Feb. 28, 2014 | |
Year 2011 Stock Incentive Plan [Member] | Year 2011 Stock Incentive Plan [Member] | Year 2000 Stock Incentive Plan [Member] | |||||
Share Based Compensation Arrangement By Share Based Payment Award [Line Items] | ' | ' | ' | ' | ' | ' | ' |
Common Stock, Capital Shares Reserved for Future Issuance | ' | ' | ' | ' | ' | 15,000,000 | 5,000,000 |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross | ' | ' | 0 | ' | 250,000 | ' | ' |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period | ' | ' | 0 | 0 | ' | ' | ' |
Weighted Average Option Exercise Price Per Share, Exercised | ' | ' | $0 | $0 | $1.10 | ' | ' |
Share Based Compensation Arrangement By Share Based Payment Award Stock Options Vested In Annual Installments Percentage | ' | ' | ' | ' | 25.00% | ' | ' |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number | ' | ' | ' | ' | ' | 250,000 | 788,600 |
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant | ' | ' | ' | ' | ' | 14,750,000 | ' |
Stock-based compensation expense associated with the Company's stock options | $49,341 | $44,327 | $98,682 | $10,780 | ' | ' | ' |
Total unrecognized compensation expense for outstanding stock options | $280,000 | ' | $280,000 | ' | ' | ' | ' |
Employee Service Share Based Compensation Nonvested Stock Options Compensation Cost Not Yet Recognized Period | ' | ' | '1 year 4 months 24 days | ' | ' | ' | ' |
Fair_Value_of_Financial_Instru2
Fair Value of Financial Instruments (Details) (Fair Value, Measurements, Recurring [Member], USD $) | Feb. 28, 2014 |
Quoted Prices in Active Markets for Identical Level 1 [Member] | ' |
Assets | ' |
Investments available-for-sale | $0 |
Significant Other Observable Inputs Level 2 [Member] | ' |
Assets | ' |
Investments available-for-sale | 20,101,192 |
Significant Unobservable Level 3 [Member] | ' |
Assets | ' |
Investments available-for-sale | $0 |
Fair_Value_of_Financial_Instru3
Fair Value of Financial Instruments (Details Textual) (Significant Other Observable Inputs Level 2 [Member], USD $) | Feb. 28, 2014 |
Significant Other Observable Inputs Level 2 [Member] | ' |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ' |
Trading Securities, Cost | $7,984,646 |
Revenue_Recognition_Details
Revenue Recognition (Details) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Gross Revenues And Contractual Allowances [Line Items] | ' | ' | ' | ' |
Gross billed charges | $6,618,079 | $4,488,742 | $13,658,418 | $9,135,745 |
Allowances | 4,386,692 | 3,050,920 | 9,167,784 | 6,179,896 |
Net revenue | $2,231,387 | $1,437,822 | $4,490,634 | $2,955,849 |
Allowance percentage | 66.00% | 68.00% | 67.00% | 68.00% |
Revenue_Recognition_Details_Te
Revenue Recognition (Details Textual) (USD $) | 0 Months Ended | 1 Months Ended | 6 Months Ended | 3 Months Ended | 12 Months Ended | 3 Months Ended | 12 Months Ended |
Nov. 13, 2008 | Jan. 31, 2014 | Feb. 28, 2014 | Aug. 31, 2013 | Aug. 31, 2011 | Aug. 31, 2013 | Aug. 31, 2011 | |
Pasadena Facility [Member] | Pasadena Facility [Member] | Garland Facility [Member] | Garland Facility [Member] | ||||
Health Care Organization, Receivable and Revenue Disclosures [Line Items] | ' | ' | ' | ' | ' | ' | ' |
Receivables Collection Period | ' | ' | '30 days | ' | ' | ' | ' |
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 | ' | ' | ' | ' | ' | ' |
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 | ' | ' | ' | ' |
Accrued Liabilities | ' | ' | 300,000 | ' | ' | ' | ' |
Loss Contingency Amount Of Refund In Case Of Additional Motions Granted | ' | ' | 11,300,000 | ' | ' | ' | ' |
Interest Payable, Current | ' | ' | 3,300,000 | ' | ' | ' | ' |
Loss Contingency Pending Claims Number Negatively Affecting Recovery Of Additional Reimbursement | ' | ' | 178 | ' | ' | ' | ' |
Number Of Cases With Opportunity To Establish Criteria | ' | ' | 80 | ' | ' | ' | ' |
Loss Contingency, Pending Claims, Number | ' | ' | 179 | ' | ' | ' | ' |
Service Period For Estimation Of Amounts Collectible | ' | ' | '6 months | ' | ' | ' | ' |
Increase In Facility Contractual Allowance | ' | ' | ' | 149,875 | 10,254,990 | ' | ' |
Additional Loss Contractual Allowance | ' | ' | ' | ' | ' | 136,542 | 779,583 |
Number Of Cases Filed Motions | ' | ' | 47 | ' | ' | ' | ' |
Loss Contingency, Receivable, Receipts | ' | 4,200,000 | ' | ' | ' | ' | ' |
Accrued Income Current And Non Current | ' | ' | $300,000 | ' | ' | ' | ' |
Noncontrolling_Interest_Detail
Noncontrolling Interest (Details Textual) | Feb. 28, 2014 |
Minimum [Member] | ' |
Noncontrolling Interest [Line Items] | ' |
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners | 1.75% |
Maximum [Member] | ' |
Noncontrolling Interest [Line Items] | ' |
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners | 2.00% |
Accumulated_Other_Comprehensiv2
Accumulated Other Comprehensive Income (Loss) (Details) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Components Of Other Comprehensive Income Loss [Line Items] | ' | ' | ' | ' |
Accumulated Other Comprehensive Income(Loss), Beginning Balance | ' | ' | $9,382,334 | ' |
Other comprehensive income (loss): | ' | ' | ' | ' |
Tax provision included in accrued liabilities | 0 | 0 | 0 | 4,414 |
Other comprehensive income (loss) | 750,396 | 976,823 | 2,571,312 | -31,868 |
Accumulated Other Comprehensive Income (Loss), Ending Balance | 11,953,646 | ' | 11,953,646 | ' |
Available-for-sale Securities [Member] | ' | ' | ' | ' |
Components Of Other Comprehensive Income Loss [Line Items] | ' | ' | ' | ' |
Accumulated Other Comprehensive Income(Loss), Beginning Balance | 11,203,250 | 7,410,633 | 9,382,334 | 8,411,128 |
Other comprehensive income (loss): | ' | ' | ' | ' |
Unrealized gains, net of taxes of $-0- for all periods presented | 750,396 | 976,823 | 2,571,312 | 2,175,828 |
Reclassification adjustments for gains included in rent and other income | 0 | 0 | 0 | -2,199,500 |
Tax provision | 0 | 0 | 0 | 0 |
Amount reclassified from accumulated other comprehensive income | 0 | 0 | 0 | -2,199,500 |
Other comprehensive income (loss) | 750,396 | 976,823 | 2,571,312 | -23,672 |
Accumulated Other Comprehensive Income (Loss), Ending Balance | 11,953,646 | 8,387,456 | 11,953,646 | 8,387,456 |
Foreign currency translation adjustment | ' | ' | ' | ' |
Components Of Other Comprehensive Income Loss [Line Items] | ' | ' | ' | ' |
Accumulated Other Comprehensive Income(Loss), Beginning Balance | 0 | 0 | 0 | 8,196 |
Other comprehensive income (loss): | ' | ' | ' | ' |
Unrealized gains (losses) | 0 | 0 | 0 | 0 |
Reclassification adjustments for gains included in rent and other income | 0 | 0 | 0 | -12,610 |
Tax provision included in accrued liabilities | 0 | 0 | 0 | 4,414 |
Amount reclassified from accumulated other comprehensive income | 0 | 0 | 0 | -8,196 |
Other comprehensive income (loss) | 0 | 0 | 0 | -8,196 |
Accumulated Other Comprehensive Income (Loss), Ending Balance | $0 | $0 | $0 | $0 |
Accumulated_Other_Comprehensiv3
Accumulated Other Comprehensive Income (Loss) (Details Textual) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Accumulated Other Comprehensive Income (Loss) [Line Items] | ' | ' | ' | ' |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Tax | $0 | $0 | $0 | $0 |
Contingencies_Details_Textual
Contingencies (Details Textual) (USD $) | Feb. 28, 2014 |
In Millions, unless otherwise specified | |
Commitment And Contingencies [Line Items] | ' |
Loss Contingencies Additional Refund Payable | $11.30 |
Loss Contingencies Additional Interest Payable Amount | $3.30 |
Industry_Segments_and_Geograph2
Industry Segments and Geographic Information (Details) (USD $) | 3 Months Ended | 6 Months Ended | ||
Feb. 28, 2014 | Feb. 28, 2013 | Feb. 28, 2014 | Feb. 28, 2013 | |
Segment Reporting Information [Line Items] | ' | ' | ' | ' |
Net patient service revenues | $2,231,387 | $1,437,822 | $4,490,634 | $2,955,849 |
Income (loss) before taxes and discontinued operations | -517,565 | -982,871 | -1,226,426 | -812,567 |
US Division [Member] | ' | ' | ' | ' |
Segment Reporting Information [Line Items] | ' | ' | ' | ' |
Net patient service revenues | 2,231,387 | 1,437,822 | 4,490,634 | 2,955,849 |
Income (loss) before taxes and discontinued operations | 25,532 | -782,269 | -352,426 | -1,482,777 |
Corporate [Member] | ' | ' | ' | ' |
Segment Reporting Information [Line Items] | ' | ' | ' | ' |
Net patient service revenues | 0 | 0 | 0 | 0 |
Income (loss) before taxes and discontinued operations | ($543,097) | ($200,602) | ($874,000) | $670,210 |
Industry_Segments_and_Geograph3
Industry Segments and Geographic Information (Details 1) (USD $) | Feb. 28, 2014 | Aug. 31, 2013 |
Segment Reporting Information [Line Items] | ' | ' |
Total Assets | $47,177,396 | $41,636,327 |
US Division [Member] | ' | ' |
Segment Reporting Information [Line Items] | ' | ' |
Total Assets | 14,579,640 | 9,924,501 |
Corporate [Member] | ' | ' |
Segment Reporting Information [Line Items] | ' | ' |
Total Assets | $32,597,756 | $31,711,826 |
Industry_Segments_and_Geograph4
Industry Segments and Geographic Information (Details Textual) (USD $) | 3 Months Ended | 6 Months Ended | |||
Aug. 31, 2013 | Nov. 30, 2012 | Aug. 31, 2012 | Feb. 28, 2014 | Feb. 28, 2013 | |
Segment Reporting Information [Line Items] | ' | ' | ' | ' | ' |
Impairment charge | ' | ' | $1,100,000 | ' | ' |
Gain from marketable securities | ' | 2,200,000 | ' | ' | ' |
Balance from marketable securities | 17,458,985 | ' | ' | 20,101,192 | ' |
Gain (Loss) on the initial public offerings of equity securities | ' | ' | ' | 161,864 | 531,673 |
Discontinued Operation Gain Loss On Disposal Of Discontinued Operation Net Of Tax | 122,975 | ' | ' | ' | ' |
HONG KONG [Member] | ' | ' | ' | ' | ' |
Segment Reporting Information [Line Items] | ' | ' | ' | ' | ' |
Gain (Loss) on the initial public offerings of equity securities | ' | ' | ' | $161,864 | $531,673 |