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, 2022
Dec. 31, 2021
Segment Reporting Information [Line Items]    
NET REVENUE $ 138,826 $ 139,599
Direct operating costs 84,434 86,918
Selling and marketing 9,788 8,786
General and administrative 23,820 24,273
Research and development 4,401 4,408
Change in contingent consideration (3,090) (2,515)
Depreciation and amortization 11,725 12,195
Net loss on lease termination, impairment and unoccupied lease charges 1,138 2,005
Total operating expenses 132,216 136,070
OPERATING INCOME (LOSS) 6,610 3,529
Healthcare IT [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE 125,276 127,080
Direct operating costs 73,702 76,981
Selling and marketing 9,760 8,755
General and administrative 12,558 13,910
Research and development 4,401 4,408
Change in contingent consideration (3,090) (2,515)
Depreciation and amortization 11,368 11,854
Net loss on lease termination, impairment and unoccupied lease charges 1,138 2,005
Total operating expenses 109,837 115,398
OPERATING INCOME (LOSS) 15,439 11,682
Medical Practice Management [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE 13,550 12,519
Direct operating costs 10,732 9,937
Selling and marketing 28 31
General and administrative 1,802 2,080
Research and development
Change in contingent consideration
Depreciation and amortization 357 341
Net loss on lease termination, impairment and unoccupied lease charges
Total operating expenses 12,919 12,389
OPERATING INCOME (LOSS) 631 130
Unallocated Corporate Expenses [Member]    
Segment Reporting Information [Line Items]    
NET REVENUE
Direct operating costs
Selling and marketing
General and administrative 9,460 8,283
Research and development
Change in contingent consideration
Depreciation and amortization
Net loss on lease termination, impairment and unoccupied lease charges
Total operating expenses 9,460 8,283
OPERATING INCOME (LOSS) $ (9,460) $ (8,283)