Segment Reporting |
18.
segment reporting
Both our Chief Executive Officer and Executive
Chairman serve as the 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 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 summary
of significant accounting policies. The following tables present revenues, operating expenses and operating income (loss) by reportable
segment for the years ended December 31, 2020 and 2019:
|
|
Year Ended December 31, 2020 |
|
|
|
($ in thousands) |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses
|
|
|
Total |
|
Net revenue |
|
$ |
93,324 |
|
|
$ |
11,798 |
|
|
$ |
- |
|
|
$ |
105,122 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
55,653 |
|
|
|
9,168 |
|
|
|
- |
|
|
|
64,821 |
|
Selling and marketing |
|
|
6,549 |
|
|
|
33 |
|
|
|
- |
|
|
|
6,582 |
|
General and administrative |
|
|
14,578 |
|
|
|
1,978 |
|
|
|
6,255 |
|
|
|
22,811 |
|
Research and development |
|
|
9,311 |
|
|
|
- |
|
|
|
- |
|
|
|
9,311 |
|
Change in contingent consideration |
|
|
(1,000 |
) |
|
|
- |
|
|
|
- |
|
|
|
(1,000 |
) |
Depreciation and amortization |
|
|
9,587 |
|
|
|
318 |
|
|
|
- |
|
|
|
9,905 |
|
Impairment and unoccupied lease charges |
|
|
963 |
|
|
|
- |
|
|
|
- |
|
|
|
963 |
|
Total operating expenses |
|
|
95,641 |
|
|
|
11,497 |
|
|
|
6,255 |
|
|
|
113,393 |
|
Operating (loss) income |
|
$ |
(2,317 |
) |
|
$ |
301 |
|
|
$ |
(6,255 |
) |
|
$ |
(8,271 |
) |
|
|
Year Ended December 31, 2019 |
|
|
|
($ in thousands) |
|
|
|
Healthcare IT |
|
|
Practice Management |
|
|
Unallocated Corporate
Expenses
|
|
|
Total |
|
Net revenue |
|
$ |
51,172 |
|
|
$ |
13,267 |
|
|
$ |
- |
|
|
$ |
64,439 |
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct operating costs |
|
|
30,798 |
|
|
|
10,388 |
|
|
|
- |
|
|
|
41,186 |
|
Selling and marketing |
|
|
1,487 |
|
|
|
35 |
|
|
|
- |
|
|
|
1,522 |
|
General and administrative |
|
|
11,124 |
|
|
|
2,067 |
|
|
|
4,721 |
|
|
|
17,912 |
|
Research and development |
|
|
871 |
|
|
|
- |
|
|
|
- |
|
|
|
871 |
|
Change in contingent consideration |
|
|
(344 |
) |
|
|
- |
|
|
|
- |
|
|
|
(344 |
) |
Depreciation and amortization |
|
|
2,689 |
|
|
|
317 |
|
|
|
- |
|
|
|
3,006 |
|
Restructuring and impairment charges |
|
|
219 |
|
|
|
- |
|
|
|
- |
|
|
|
219 |
|
Total operating expenses |
|
|
46,844 |
|
|
|
12,807 |
|
|
|
4,721 |
|
|
|
64,372 |
|
Operating income (loss) |
|
$ |
4,328 |
|
|
$ |
460 |
|
|
$ |
(4,721 |
) |
|
$ |
67 |
|
|