Segment Reporting |
14. SEGMENT
REPORTING
Both our Chief Executive Officer and Executive
Chairman serve as the Chief Operating Decision Maker (“CODM”), organize the Company, manage resource allocations and
measure performance among two operating and reportable segments: (i) Healthcare IT and (ii) Practice Management.
The Healthcare IT
segment includes revenue cycle management, SaaS solutions and other services. The Practice Management segment includes the management
of three medical practices. Each segment is considered a reporting unit. The CODM evaluates financial performance of the business
units on the basis of revenue and direct operating costs excluding unallocated amounts, which are mainly corporate overhead costs.
Our CODM does not evaluate operating segments using asset or liability information. The accounting policies of the segments are
the same as those disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019 filed with the
SEC on February 28, 2020. The following tables present revenues, operating expenses and operating (loss) income by reportable segment:
|
|
Nine Months Ended September 30, 2020 |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses |
|
|
Total |
|
Net revenue |
|
$ |
64,158,133 |
|
|
$ |
8,926,442 |
|
|
$ |
- |
|
|
$ |
73,084,575 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
39,073,783 |
|
|
|
6,768,005 |
|
|
|
- |
|
|
|
45,841,788 |
|
Selling and marketing |
|
|
4,752,713 |
|
|
|
25,105 |
|
|
|
- |
|
|
|
4,777,818 |
|
General and administrative |
|
|
11,067,480 |
|
|
|
1,492,865 |
|
|
|
4,616,248 |
|
|
|
17,176,593 |
|
Research and development |
|
|
6,846,014 |
|
|
|
- |
|
|
|
- |
|
|
|
6,846,014 |
|
Change in contingent consideration |
|
|
(500,000 |
) |
|
|
- |
|
|
|
- |
|
|
|
(500,000 |
) |
Depreciation and amortization |
|
|
6,705,215 |
|
|
|
238,490 |
|
|
|
- |
|
|
|
6,943,705 |
|
Impairment and unoccupied lease charges |
|
|
681,400 |
|
|
|
- |
|
|
|
- |
|
|
|
681,400 |
|
Total operating expenses |
|
|
68,626,605 |
|
|
|
8,524,465 |
|
|
|
4,616,248 |
|
|
|
81,767,318 |
|
Operating (loss) income |
|
$ |
(4,468,472 |
) |
|
$ |
401,977 |
|
|
$ |
(4,616,248 |
) |
|
$ |
(8,682,743 |
) |
|
|
Three Months Ended September 30, 2020 |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses |
|
|
Total |
|
Net revenue |
|
$ |
28,191,057 |
|
|
$ |
3,447,559 |
|
|
$ |
- |
|
|
$ |
31,638,616 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
17,147,137 |
|
|
|
2,571,244 |
|
|
|
- |
|
|
|
19,718,381 |
|
Selling and marketing |
|
|
1,563,255 |
|
|
|
8,168 |
|
|
|
- |
|
|
|
1,571,423 |
|
General and administrative |
|
|
4,173,350 |
|
|
|
468,172 |
|
|
|
1,549,486 |
|
|
|
6,191,008 |
|
Research and development |
|
|
2,366,560 |
|
|
|
- |
|
|
|
- |
|
|
|
2,366,560 |
|
Change in contingent consideration |
|
|
(500,000 |
) |
|
|
- |
|
|
|
- |
|
|
|
(500,000 |
) |
Depreciation and amortization |
|
|
3,126,508 |
|
|
|
79,497 |
|
|
|
- |
|
|
|
3,206,005 |
|
Impairment and unoccupied lease charges |
|
|
320,575 |
|
|
|
- |
|
|
|
- |
|
|
|
320,575 |
|
Total operating expenses |
|
|
28,197,385 |
|
|
|
3,127,081 |
|
|
|
1,549,486 |
|
|
|
32,873,952 |
|
Operating (loss) income |
|
$ |
(6,328 |
) |
|
$ |
320,478 |
|
|
$ |
(1,549,486 |
) |
|
$ |
(1,235,336 |
) |
|
|
Nine Months Ended September 30, 2019 |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses |
|
|
Total |
|
Net revenue |
|
$ |
38,518,361 |
|
|
$ |
10,162,677 |
|
|
$ |
- |
|
|
$ |
48,681,038 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
23,912,120 |
|
|
|
7,867,444 |
|
|
|
- |
|
|
|
31,779,564 |
|
Selling and marketing |
|
|
1,065,750 |
|
|
|
25,774 |
|
|
|
- |
|
|
|
1,091,524 |
|
General and administrative |
|
|
8,549,122 |
|
|
|
1,504,506 |
|
|
|
3,704,177 |
|
|
|
13,757,805 |
|
Research and development |
|
|
648,822 |
|
|
|
- |
|
|
|
- |
|
|
|
648,822 |
|
Change in contingent consideration |
|
|
(343,768 |
) |
|
|
- |
|
|
|
- |
|
|
|
(343,768 |
) |
Depreciation and amortization |
|
|
2,170,204 |
|
|
|
236,907 |
|
|
|
- |
|
|
|
2,407,111 |
|
Restructuring and impairment charges |
|
|
136,332 |
|
|
|
- |
|
|
|
- |
|
|
|
136,332 |
|
Total operating expenses |
|
|
36,138,582 |
|
|
|
9,634,631 |
|
|
|
3,704,177 |
|
|
|
49,477,390 |
|
Operating income (loss) |
|
$ |
2,379,779 |
|
|
$ |
528,046 |
|
|
$ |
(3,704,177 |
) |
|
$ |
(796,352 |
) |
|
|
Three Months Ended September 30, 2019 |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses |
|
|
Total |
|
Net revenue |
|
$ |
12,938,042 |
|
|
$ |
3,913,286 |
|
|
$ |
- |
|
|
$ |
16,851,328 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
7,508,208 |
|
|
|
3,027,421 |
|
|
|
- |
|
|
|
10,535,629 |
|
Selling and marketing |
|
|
339,603 |
|
|
|
7,965 |
|
|
|
- |
|
|
|
347,568 |
|
General and administrative |
|
|
2,791,573 |
|
|
|
548,746 |
|
|
|
1,111,656 |
|
|
|
4,451,975 |
|
Research and development |
|
|
175,758 |
|
|
|
- |
|
|
|
- |
|
|
|
175,758 |
|
Change in contingent consideration |
|
|
(279,565 |
) |
|
|
- |
|
|
|
- |
|
|
|
(279,565 |
) |
Depreciation and amortization |
|
|
735,133 |
|
|
|
79,077 |
|
|
|
- |
|
|
|
814,210 |
|
Restructuring and impairment charges |
|
|
136,332 |
|
|
|
- |
|
|
|
- |
|
|
|
136,332 |
|
Total operating expenses |
|
|
11,407,042 |
|
|
|
3,663,209 |
|
|
|
1,111,656 |
|
|
|
16,181,907 |
|
Operating income (loss) |
|
$ |
1,531,000 |
|
|
$ |
250,077 |
|
|
$ |
(1,111,656 |
) |
|
$ |
669,421 |
|
|