Annual report pursuant to Section 13 and 15(d)

Acquisitions - Schedule of Business Acquisitions, by Acquisition (Details)

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Acquisitions - Schedule of Business Acquisitions, by Acquisition (Details) - USD ($)
Dec. 31, 2017
Dec. 31, 2016
Business Acquisition [Line Items]    
Goodwill $ 12,263,943 $ 12,178,868
Washington Medical Billing, LLC [Member] | 2017 Acquisitions [Member]    
Business Acquisition [Line Items]    
Customer relationships 120,000  
Goodwill 85,000  
Total $ 205,000  
Gulf Coast Billing Inc [Member] | 2016 Acquisitions [Member]    
Business Acquisition [Line Items]    
Customer relationships   1,100,000
Working capital  
Goodwill   344,000
Non-compete agreement   20,000
Tangible assets   16,000
Software and trademarks  
Total   1,480,000
Renaissance Medical Billing, LLC [Member] | 2016 Acquisitions [Member]    
Business Acquisition [Line Items]    
Customer relationships   190,000
Working capital  
Goodwill   135,000
Non-compete agreement  
Tangible assets  
Software and trademarks  
Total   325,000
WFS Services, Inc. [Member] | 2016 Acquisitions [Member]    
Business Acquisition [Line Items]    
Customer relationships   265,000
Working capital  
Goodwill   23,000
Non-compete agreement   10,000
Tangible assets  
Software and trademarks  
Total   298,000
MediGain Acquisition [Member] | 2016 Acquisitions [Member]    
Business Acquisition [Line Items]    
Customer relationships   2,650,000
Working capital   813,000
Goodwill   2,707,000
Non-compete agreement  
Tangible assets   229,000
Software and trademarks   601,000
Total   $ 7,000,000