Annual report pursuant to Section 13 and 15(d)

GOODWILL AND INTANGIBLE ASSETS ??? NET (Details Narrative)

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GOODWILL AND INTANGIBLE ASSETS – NET (Details Narrative) - USD ($)
1 Months Ended 12 Months Ended
Oct. 31, 2023
Aug. 31, 2023
Dec. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Indefinite-Lived Intangible Assets [Line Items]            
Goodwill     $ 19,186,000 $ 19,186,000 $ 61,186,000 $ 61,186,000
Goodwill impairment charges   $ 0   42,000,000  
Amortization expense       $ 12,400,000 9,800,000  
Weighted-average amortization period       3 years    
Medical Practice Management Segment [Member]            
Indefinite-Lived Intangible Assets [Line Items]            
Goodwill     90,000 $ 90,000 $ 90,000  
Healthcare IT [Member]            
Indefinite-Lived Intangible Assets [Line Items]            
Goodwill impairment charges $ 2,000,000.0   $ 40,000,000.0 $ 42,000,000