Quarterly report pursuant to Section 13 or 15(d)

ACQUISITIONS (Details Narrative)

v3.21.2
ACQUISITIONS (Details Narrative) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Jun. 01, 2021
Jun. 16, 2020
Jan. 08, 2020
Apr. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Business Acquisition [Line Items]                            
Business Combination, Contingent Consideration, Liability, Current                          
Accrued dividends on preferred stock (reversed)           $ 3,642,000 $ 3,638,000 $ 3,128,000 $ 4,230,000 $ 3,277,000 $ 2,643,000 $ 10,408,000 $ 10,150,000  
Business Acquisition, Pro Forma Revenue           38,304,000     35,051,000     119,929,000 101,318,000  
Preferred Stock [Member]                            
Business Acquisition [Line Items]                            
Accrued dividends on preferred stock (reversed)                
Common Stock [Member]                            
Business Acquisition [Line Items]                            
Accrued dividends on preferred stock (reversed)                
Meridian Acquisition [Member]                            
Business Acquisition [Line Items]                            
Business Combination, Separately Recognized Transactions, Revenues and Gains Recognized           9,400,000     10,000,000.0     28,100,000 11,400,000  
Asset and Stock Purchase Agreement [Member]                            
Business Acquisition [Line Items]                            
Business Combination, Separately Recognized Transactions, Revenues and Gains Recognized                       9,000,000.0    
Care Cloud Health Inc [Member]                            
Business Acquisition [Line Items]                            
Business Combination, Separately Recognized Transactions, Revenues and Gains Recognized           8,800,000     $ 8,200,000     26,000,000.0 $ 23,200,000  
Business Acquisition, Pro Forma Revenue                       17,800,000    
Care Cloud Health Inc [Member] | Other Warrants [Member]                            
Business Acquisition [Line Items]                            
Warrants and rights outstanding term     3 years                      
Asset and Stock Purchase Agreement [Member]                            
Business Acquisition [Line Items]                            
Working capital deficiency $ 3,800,000         250,000           $ 250,000    
Business Combination, Separately Recognized Transactions, Revenues and Gains Recognized 6,300,000         9,000,000.0                
Asset and Stock Purchase Agreement [Member] | Maximum [Member]                            
Business Acquisition [Line Items]                            
Maximum earn-out payments based upon acheivements 8,000,000                          
Asset and Stock Purchase Agreement [Member] | Meridian Acquisition [Member]                            
Business Acquisition [Line Items]                            
Consideration paid $ 10,000,000         $ 250,000                
Revenues earn-out payment, description The purchase agreement provides that if revenue and EBITDA over the next 18 months exceeds certain specified amounts, there will be an earn-out payment to the seller equal to such excess, up to $13 million.                          
Business Acquisitions, Purchase Price Allocation, Year of Acquisition, Net Effect on Income $ 6,500,000                          
[custom:PurchasePriceHeldInEscrow] 1,500,000                          
[custom:PaymentsUponRevenueAndBacklogMilestones] $ 500,000                          
Additional shares held in escrow, term 18 months                          
Business Combination, Contingent Consideration, Liability $ 1,000,000.0                          
Business Combination, Contingent Consideration, Liability, Current $ 12,300,000                          
Acquired finite lived intangible assets weighted average useful life 3 years                          
Asset and Stock Purchase Agreement [Member] | Meridian Acquisition [Member] | Maximum [Member]                            
Business Acquisition [Line Items]                            
Maximum earn-out payments based upon acheivements $ 5,000,000                          
Stock Purchase Agreement [Member] | Preferred Stock [Member]                            
Business Acquisition [Line Items]                            
Consideration paid   $ 11,900,000                        
Number of shares issued   200,000                        
Aggregate value of Meridian's negative net working capital and certain long-term lease liabilities   $ 4,800,000                        
Shares held in escrow   100,000                        
Stock Purchase Agreement [Member] | Warrant [Member]                            
Business Acquisition [Line Items]                            
Warrants to purchase   2,250,000                        
Warrants exercise price   $ 7.50                        
Warrants and rights outstanding term   2 years                        
Stock Purchase Agreement [Member] | Meridian Acquisition [Member]                            
Business Acquisition [Line Items]                            
Acquired finite lived intangible assets weighted average useful life   3 years                        
Merger Agreement [Member]                            
Business Acquisition [Line Items]                            
Working capital deficiency     $ 5,100,000                      
Revenues earn-out payment, description     The Merger Agreement provided that if CCH’s 2020 revenues exceed $36 million, there will be an earn-out payment to the seller equal to such excess, up to $3 million.                      
Additional shares held in escrow, term     18 months                      
Shares held in escrow               160,000       160,000    
Additional shares held in escrow     100,000                      
Accrued dividends on preferred stock (reversed)       $ 513,000 $ 102,000                  
Shares released from escrow                       55,822    
Cash payment                       $ 1,300,000    
Merger Agreement [Member] | Preferred Stock [Member]                            
Business Acquisition [Line Items]                            
Consideration paid     $ 11,900,000                      
Number of shares issued     760,000                      
Shares held in escrow, term     24 months                      
Merger Agreement [Member] | Warrant [Member]                            
Business Acquisition [Line Items]                            
Warrants to purchase     2,000,000                      
Merger Agreement [Member] | Common Stock [Member]                            
Business Acquisition [Line Items]                            
Warrants to purchase     1,000,000                      
Warrants exercise price     $ 7.50                      
Warrants and rights outstanding term     2 years                      
Merger Agreement [Member] | Other Warrants [Member]                            
Business Acquisition [Line Items]                            
Warrants to purchase     1,000,000                      
Warrants exercise price     $ 10.00                      
Warrants and rights outstanding term     3 years