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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net loss $ (5,693) $ (2,896)
Adjustments to reconcile net loss to net cash provided by (used in) operations:    
Depreciation and amortization 5,279 2,553
Provision for doubtful accounts 474 150
Share-based compensation 523 225
Accounts receivable (2,576) (3,486)
Inventory (745) (2)
Prepaid expenses and other assets (52) (891)
Accounts payable (280) (244)
Accrued expenses and other long-term obligations (632) 9
Deferred revenue (1,294) 973
Net cash used in operating activities (4,996) (3,609)
CASH FLOWS FROM INVESTING ACTIVITIES:    
Acquisitions net of cash acquired (44,167) (43,698)
Purchases of property and equipment (738) (782)
Software capitalization costs (1,563) 0
Net change in funds held for clients 18,497 3,657
Net cash used in investing activities (27,971) (40,823)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from notes payable 36,750 45,777
Payments on notes payable (5,388) (6,391)
Proceeds from revolving line of credit 4,540 0
Payments on revolving line of credit (2,379) 0
Net proceeds from issuance of common stock 39,220 27,916
Debt financing fees (1,661) (1,433)
Payments on capital leases (68) (91)
Net change in client fund obligations (18,497) (3,602)
Net cash provided by financing activities 52,517 62,176
Effect of foreign exchange rates (497) (92)
Net increase in cash and cash equivalents 19,053 17,652
Cash and cash equivalents at beginning of period 27,792 12,767
Cash and cash equivalents at end of period 46,845 30,419
Cash paid for:    
Interest 3,525 889
Income taxes 26 0
Non-cash Investing and Financing Activities:    
Subordinated notes payable –acquisitions 5,812 8,165
Equity issued in connection with acquisitions $ 1,200 $ 21,825