Annual report pursuant to Section 13 and 15(d)

Revenue - Schedule of Disaggregation of Revenue (Details)

v3.19.1
Revenue - Schedule of Disaggregation of Revenue (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Net revenue $ 50,545,781 $ 31,810,635
Revenue Cycle Management Services [Member]    
Net revenue 38,559,180 28,410,557
Professional Services [Member]    
Net revenue 1,244,894 281,572
Ancillary Services [Member]    
Net revenue 1,594,364 1,002,296
Group Purchasing Services [Member]    
Net revenue 654,805
Printing and Mailing Services [Member]    
Net revenue 1,344,011 1,372,239
Clearinghouse and EDI Services [Member]    
Net revenue 647,446 743,971
Practice Management Services [Member]    
Net revenue $ 6,501,081