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Consolidated Statements of Cash Flows - USD ($) | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Cash flows from operating activities: |  |  |  |  |  |  |  |  |
Net income (loss) |  |  |  |  | $ (3,418,904) | $ (3,546,511) | $ (7,038,772) |  |
Discontinued operations net of tax | $ 872,064 | $ 818,273 | $ 2,396,981 | $ 1,147,136 | 3,206,875 | 5,665,177 | 3,782,224 |  |
Net income (loss) from continuing operations | (1,787,530) | (1,883,418) | (3,369,329) | (1,187,553) | (6,625,779) | (9,211,688) | (10,820,996) |  |
Adjustments to reconcile net income (loss) to net cash flows provided by (used in) operating activities: |  |  |  |  |  |  |  |  |
Depreciation and amortization expense |  |  |  |  | 4,748,565 | 4,404,175 | 2,982,703 |  |
Deferred tax expense |  |  |  |  | 21,802 | 65,408 | 81,886 |  |
Share-based compensation |  |  |  |  | 1,046,516 | 1,485,898 | 1,364,698 |  |
Excess tax (benefit) expense derived from exercise of stock options |  |  |  |  | 0 | 0 | (81,886) |  |
Decrease in non-cash contingent consideration |  |  |  |  | (1,160,202) | (804,167) | 0 |  |
Write off of deferred offering costs |  |  |  |  | 440,091 | 0 | 0 |  |
Increase in cash surrender value of life insurance policies over premiums paid |  |  |  |  | (154,611) | 0 | 0 |  |
Noncash interest expense |  |  |  |  | 47,636 | 47,525 | 99,883 |  |
Noncash investment gains |  |  |  |  | 0 | (26,315) | (168,440) |  |
Net changes in assets and liabilities affecting operating activities: |  |  |  |  |  |  |  |  |
Accounts receivable |  |  |  |  | (4,518,707) | (1,399,012) | (47,288) |  |
Inventories |  |  |  |  | 2,131,347 | 1,106,175 | 528,153 |  |
Prepaid, other current assets and other assets |  |  |  |  | 1,210,489 | (615,199) | 676,750 |  |
Accounts payable and other current liabilities |  |  |  |  | 6,569,002 | 3,221,780 | 4,153,287 |  |
Other long-term liabilities |  |  |  |  | (1,859,330) | (729,820) | (159,558) |  |
Net cash provided by (used in) operating activities from continuing operations |  |  |  |  | 1,896,819 | (2,455,240) | (1,390,808) |  |
Discontinued operations |  |  |  |  | 3,518,242 | 5,511,596 | 4,503,545 |  |
Net cash provided by (used in) operating activities |  |  |  |  | 5,415,061 | 3,056,356 | 3,112,737 |  |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |
Additions to property and equipment |  |  |  |  | (140,817) | (246,202) | (455,569) |  |
Additions to intangible assets |  |  |  |  | (1,973,110) | (772,944) | (3,819,486) |  |
Proceeds from Life Insurance Policy |  |  |  |  | 460,888 | 0 | 0 |  |
Increase (Decrease) In Proceeds from Life Insurance Policy |  |  |  |  | (104,750) | 0 | 0 |  |
Cash paid for acquisition |  |  |  |  | 0 | (5,000,000) | (20,000,000) |  |
Proceeds from sale of marketable securities |  |  |  |  | 0 | 20,062,132 | 16,122,376 |  |
Purchases of marketable securities |  |  |  |  | 0 | (11,745,138) | (19,572,139) |  |
Net cash provided by (used in) investing activities |  |  |  |  | (1,757,789) | 2,297,848 | (27,724,818) |  |
Cash flows from financing activities: |  |  |  |  |  |  |  |  |
Borrowings on line of credit |  |  |  |  | 59,000,000 | 76,000,000 | 56,000,000 |  |
Repayments on line of credit |  |  |  |  | (62,500,000) | (77,500,000) | (45,800,000) |  |
Proceeds from Stock Options Exercised |  |  |  |  | 0 | 0 | 200,909 |  |
Repurchase of common shares |  |  |  |  | (1,851,526) | (3,494,921) | (2,879,426) |  |
Payments of deferred equity offering costs |  |  |  |  | (135,405) | 0 | (383,310) |  |
Payments of Financing Costs |  |  |  |  | (10,000) | (52,500) | 0 |  |
Payment for Contingent Consideration Liability, Financing Activities |  |  |  |  | (819,180) | (1,033,108) | 0 |  |
Payments for Repurchase of Redeemable Noncontrolling Interest |  |  |  |  | (800,000) |  |  | $ 0 | $ 0
Proceeds from Noncontrolling Interests |  |  |  |  | 0 | 1,000,000 | 0 |  |
Net cash provided by (used in) financing activities |  |  |  |  | (7,116,111) | (5,080,529) | 7,138,173 |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect, Total |  |  |  |  | (3,458,839) | 273,675 | (17,473,908) |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Beginning Balance |  | $ 28,212,635 |  | $ 27,938,960 | 28,212,635 | 27,938,960 | 45,412,868 |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Ending Balance | $ 24,753,796 |  | $ 28,212,635 |  | 24,753,796 | 28,212,635 | 27,938,960 | $ 45,412,868 |
Net cash paid (refunded) during the year for: |  |  |  |  |  |  |  |  |
Interest |  |  |  |  | 215,991 | 198,661 | 95,965 |  |
Income taxes |  |  |  |  | (91,486) | 16,694 | 15,441 |  |
Noncash investing and financing activities: |  |  |  |  |  |  |  |  |
Change in unpaid invoices for purchases of intangibles |  |  |  |  | (340,997) | (576,837) | (539,467) |  |
Deferred offering costs included in accounts payable and other accrued expenses |  |  |  |  | 200,000 | 0 | 0 |  |
Noncash increase in liabilities related to acquisition (see Note 3) |  |  |  |  | 0 | 0 | 14,034,000 |  |
Recognition of operating lease assets and liabilities through adoption of ASC 842 |  |  |  |  | 0 | 3,629,320 | 0 |  |
Vesting of shares related to RediTrex approval |  |  |  |  | 0 | 862,200 | 0 |  |
Repurchase of subsidiary shares from noncontrolling interests |  |  |  |  | 0 | (800,000) | 0 |  |
Additions to intangible assets from final purchase price allocation |  |  |  |  | $ 0 | $ 148,000 | $ 0 |  |

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