Annual report pursuant to Section 13 and 15(d)

Segment Reporting - Schedule of Revenues, Operating Expenses and Operating Income (Loss) by Reportable Segment (Details)

v3.19.3.a.u2
Segment Reporting - Schedule of Revenues, Operating Expenses and Operating Income (Loss) by Reportable Segment (Details) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Net revenue $ 64,438,594 $ 50,545,781
Direct operating costs 41,186,024 31,252,535
Selling and marketing 1,521,815 1,611,982
General and administrative 17,911,797 16,264,473
Research and development 870,780 1,029,510
Change in contingent consideration (343,768) 73,271
Depreciation and amortization 3,005,606 2,853,827
Restructuring and impairment charges 219,013
Total operating expenses 64,371,267 53,085,598
Operating income (loss) 67,327 (2,539,817)
Healthcare IT [Member]    
Net revenue 51,171,508 44,044,700
Direct operating costs 30,798,404 26,289,770
Selling and marketing 1,487,196 1,593,052
General and administrative 11,124,271 9,834,749
Research and development 870,780 1,029,510
Change in contingent consideration (343,768) 73,271
Depreciation and amortization 2,689,240 2,700,577
Restructuring and impairment charges 219,013  
Total operating expenses 46,845,136 41,520,929
Operating income (loss) 4,326,372 2,523,771
Practice Management [Member]    
Net revenue 13,267,086 6,501,081
Direct operating costs 10,387,620 4,962,765
Selling and marketing 34,619 18,930
General and administrative 2,066,522 1,164,505
Research and development
Change in contingent consideration
Depreciation and amortization 316,366 153,250
Restructuring and impairment charges  
Total operating expenses 12,805,127 6,299,450
Operating income (loss) 461,959 201,631
Unallocated Corporate Expenses [Member]    
Net revenue
Direct operating costs
Selling and marketing
General and administrative 4,721,004 5,265,219
Research and development
Change in contingent consideration
Depreciation and amortization
Restructuring and impairment charges  
Total operating expenses 4,721,004 5,265,219
Operating income (loss) $ (4,721,004) $ (5,265,219)