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SCHEDULE OF REVENUES, OPERATING EXPENSES AND OPERATING INCOME (LOSS) BY REPORTABLE SEGMENT (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Segment Reporting Information [Line Items] |  |  |  |  |
Net revenue |  | $ 27,377 | $ 28,090 | $ 55,009 | $ 54,052
Direct operating costs |  | 14,480 | 15,242 | 29,944 | 30,419
Selling and marketing |  | 1,118 | 1,664 | 2,249 | 3,434
General and administrative |  | 4,358 | 4,028 | 8,690 | 7,749
Research and development |  | 1,020 | 1,055 | 2,255 | 1,968
Depreciation and amortization |  | 3,382 | 3,714 | 6,719 | 7,644
Restructuring costs |  | 23 | 116 | 137 | 438
Total operating expenses |  | 24,381 | 25,819 | 49,994 | 51,652
OPERATING INCOME |  | 2,996 | 2,271 | 5,015 | 2,400
Unallocated corporate expenses |  | (1,446) | (1,530) | (3,024) | (2,236)
Net interest expense |  | (17) | (264) | (33) | (602)
Other expenses |  | (35) | (294) | (49) | (287)
Income before income taxes |  | 2,944 | 1,713 | 4,933 | 1,511
Operating Segments [Member] |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net revenue |  | 27,377 | 28,090 | 55,009 | 54,052
Direct operating costs |  | 14,480 | 15,242 | 29,944 | 30,419
Selling and marketing |  | 1,118 | 1,664 | 2,249 | 3,434
General and administrative |  | 2,912 | 2,498 | 5,666 | 5,513
Research and development |  | 1,020 | 1,055 | 2,255 | 1,968
Depreciation and amortization |  | 3,382 | 3,714 | 6,719 | 7,644
Restructuring costs |  | 23 | 116 | 137 | 438
Total operating expenses |  | 22,935 | 24,289 | 46,970 | 49,416
OPERATING INCOME |  | 4,442 | 3,801 | 8,039 | 4,636
Healthcare IT [Member] | Operating Segments [Member] |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net revenue |  | 24,077 | 24,580 | 48,719 | 47,301
Direct operating costs |  | 11,763 | 12,710 | 24,666 | 25,254
Selling and marketing |  | 1,110 | 1,657 | 2,234 | 3,417
General and administrative |  | 2,343 | 2,021 | 4,455 | 4,602
Research and development |  | 1,020 | 1,055 | 2,255 | 1,968
Depreciation and amortization |  | 3,300 | 3,633 | 6,555 | 7,478
Restructuring costs |  | 23 | 116 | 137 | 438
Total operating expenses |  | 19,559 | 21,192 | 40,302 | 43,157
OPERATING INCOME |  | 4,518 | 3,388 | 8,417 | 4,144
Medical Practice Management [Member] | Operating Segments [Member] |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Net revenue | [1] | 3,300 | 3,510 | 6,290 | 6,751
Direct operating costs |  | 2,717 | 2,532 | 5,278 | 5,165
Selling and marketing |  | 8 | 7 | 15 | 17
General and administrative |  | 569 | 477 | 1,211 | 911
Research and development |  |  |  |  |
Depreciation and amortization |  | 82 | 81 | 164 | 166
Restructuring costs |  |  |  |  |
Total operating expenses |  | 3,376 | 3,097 | 6,668 | 6,259
OPERATING INCOME |  | $ (76) | $ 413 | $ (378) | $ 492
[1] | This revenue represents fees based on our actual costs plus a percentage of the operating profit.

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