Annual report pursuant to Section 13 and 15(d)

SCHEDULE OF REVENUES, OPERATING EXPENSES AND OPERATING INCOME (LOSS) BY REPORTABLE SEGMENT (Details)

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SCHEDULE OF REVENUES, OPERATING EXPENSES AND OPERATING INCOME (LOSS) BY REPORTABLE SEGMENT (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Segment Reporting Information [Line Items]    
NET REVENUE $ 139,599 $ 105,122
Direct operating costs 86,918 64,821
Selling and marketing 8,786 6,582
General and administrative 24,273 22,811
Research and development 4,408 9,311
Change in contingent consideration (2,515) (1,000)
Depreciation and amortization 12,195 9,905
Impairment and unoccupied lease charges 2,005 963
Total operating expenses 136,070 113,393
Operating income (loss) 3,529 (8,271)
Healthcare IT [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE 127,080 93,324
Direct operating costs 76,981 55,653
Selling and marketing 8,755 6,549
General and administrative 13,910 14,578
Research and development 4,408 9,311
Change in contingent consideration (2,515) (1,000)
Depreciation and amortization 11,854 9,587
Impairment and unoccupied lease charges 2,005 963
Total operating expenses 115,398 95,641
Operating income (loss) 11,682 (2,317)
Medical Practice Management [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE 12,519 11,798
Direct operating costs 9,937 9,168
Selling and marketing 31 33
General and administrative 2,080 1,978
Research and development
Change in contingent consideration
Depreciation and amortization 341 318
Impairment and unoccupied lease charges
Total operating expenses 12,389 11,497
Operating income (loss) 130 301
Unallocated Corporate Expenses [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE
Direct operating costs
Selling and marketing
General and administrative 8,283 6,255
Research and development
Change in contingent consideration
Depreciation and amortization
Impairment and unoccupied lease charges
Total operating expenses 8,283 6,255
Operating income (loss) $ (8,283) $ (6,255)