v3.25.4
SCHEDULE OF REVENUES, OPERATING EXPENSES AND OPERATING INCOME (LOSS) BY REPORTABLE SEGMENT (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Segment Reporting Information [Line Items]    
Net revenue $ 120,499 $ 110,837
Direct operating costs 64,456 60,842
Selling and marketing 4,818 6,232
General and administrative 18,386 16,123
Research and development 6,382 3,781
Depreciation and amortization 14,960 14,142
Lease termination and restructuring costs 154 596
Total operating expenses 109,156 101,716
Operating income (loss) 11,343 9,121
Unallocated corporate expenses (5,944) (5,119)
Net interest expense (81) (812)
Other expense (265) (298)
Income before income taxes 10,997 8,011
Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net revenue 120,499 110,837
Direct operating costs 64,456 60,842
Selling and marketing 4,818 6,232
General and administrative 12,442 11,004
Research and development 6,382 3,781
Depreciation and amortization 14,960 14,142
Lease termination and restructuring costs 154 596
Total operating expenses 103,212 96,597
Operating income (loss) 17,287 14,240
Healthcare IT [Member] | Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net revenue 106,566 96,405
Direct operating costs 53,077 49,945
Selling and marketing 4,789 6,201
General and administrative 9,932 9,093
Research and development 6,382 3,781
Depreciation and amortization 14,632 13,813
Lease termination and restructuring costs 154 596
Total operating expenses 88,966 83,429
Operating income (loss) 17,600 12,976
Medical Practice Management [Member]    
Segment Reporting Information [Line Items]    
Net revenue 13,933 14,432
Medical Practice Management [Member] | Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Net revenue [1] 13,933 14,432
Direct operating costs 11,379 10,897
Selling and marketing 29 31
General and administrative 2,510 1,911
Research and development
Depreciation and amortization 328 329
Lease termination and restructuring costs
Total operating expenses 14,246 13,168
Operating income (loss) $ (313) $ 1,264
[1] This revenue represents fees based on our actual costs plus a percentage of the operating profit.