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Consolidated Statements of Cash Flows - USD ($) | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2021 | Mar. 31, 2021 | Dec. 31, 2020 | Mar. 31, 2020 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2017 | Dec. 31, 2016
Cash flows from operating activities: |  |  |  |  |  |  |  |  |
Net income (loss) |  |  |  |  | $ (3,602,799) | $ (3,418,904) | $ (3,546,511) |  |
Discontinued operations net of tax | $ 503,318 | $ 495,410 | $ 872,064 | $ 818,273 | 1,994,322 | 3,206,875 | 5,665,177 |  |
Net income (loss) from continuing operations | (4,387,576) | (350,749) | (1,787,530) | (1,883,418) | (5,597,121) | (6,625,779) | (9,211,688) |  |
Adjustments to reconcile net income (loss) to net cash flows provided by (used in) operating activities: |  |  |  |  |  |  |  |  |
Depreciation and amortization expense |  |  |  |  | 4,606,366 | 4,748,565 | 4,404,175 |  |
Deferred tax expense |  |  |  |  | 0 | 21,802 | 65,408 |  |
Share-based compensation |  |  |  |  | 741,867 | 1,046,516 | 1,485,898 |  |
Decrease in non-cash contingent consideration |  |  |  |  | (1,147,750) | (1,160,202) | (804,167) |  |
Write off of deferred offering costs |  |  |  |  | 0 | 440,091 | 0 |  |
Increase in cash surrender value of life insurance policies over premiums paid |  |  |  |  | (282,207) | (154,611) | 0 |  |
Noncash interest expense |  |  |  |  | 34,053 | 47,636 | 47,525 |  |
Noncash investment gains |  |  |  |  | 0 | 0 | (26,315) |  |
Gain on forgiveness of debt |  |  |  |  | (2,187,140) | 0 | 0 |  |
Net changes in assets and liabilities affecting operating activities: |  |  |  |  |  |  |  |  |
Accounts receivable |  |  |  |  | 5,500,367 | (4,518,707) | (1,399,012) |  |
Inventories |  |  |  |  | 4,816,450 | 2,131,347 | 1,106,175 |  |
Prepaid, other current assets and other assets |  |  |  |  | (35,568) | 1,210,489 | (615,199) |  |
Accounts payable and other current liabilities |  |  |  |  | (757,591) | 6,569,002 | 3,221,780 |  |
Other long-term liabilities |  |  |  |  | (1,343,605) | (1,859,330) | (729,820) |  |
Net cash provided by (used in) operating activities from continuing operations |  |  |  |  | 4,348,121 | 1,896,819 | (2,455,240) |  |
Discontinued operations |  |  |  |  | 1,994,322 | 3,518,242 | 5,511,596 |  |
Net cash provided by (used in) operating activities |  |  |  |  | 6,342,443 | 5,415,061 | 3,056,356 |  |
Cash flows from investing activities: |  |  |  |  |  |  |  |  |
Additions to property and equipment |  |  |  |  | (103,532) | (140,817) | (246,202) |  |
Additions to intangible assets |  |  |  |  | (250,930) | (1,973,110) | (772,944) |  |
Proceeds from Life Insurance Policy |  |  |  |  | 85,944 | 460,888 | 0 |  |
Increase (Decrease) In Proceeds from Life Insurance Policy |  |  |  |  | (33,375) | (104,750) | 0 |  |
Cash paid for acquisition |  |  |  |  | 0 | 0 | (5,000,000) |  |
Note receivable investment funding |  |  |  |  | (200,000) | 0 | 0 |  |
Proceeds from sale of marketable securities |  |  |  |  | 0 | 0 | 20,062,132 |  |
Purchases of marketable securities |  |  |  |  | 0 | 0 | (11,745,138) |  |
Net cash provided by (used in) investing activities |  |  |  |  | (501,893) | (1,757,789) | 2,297,848 |  |
Cash flows from financing activities: |  |  |  |  |  |  |  |  |
Borrowings on line of credit |  |  |  |  | 59,000,000 | 59,000,000 | 76,000,000 |  |
Repayments on line of credit |  |  |  |  | (59,000,000) | (62,500,000) | (77,500,000) |  |
Repurchase of common shares |  |  |  |  | (1,386,849) | (1,851,526) | (3,494,921) |  |
Payment for Contingent Consideration Liability, Financing Activities |  |  |  |  | (2,166,681) | (819,180) | (1,033,108) |  |
Payments for Repurchase of Redeemable Noncontrolling Interest |  |  |  |  | 0 |  |  | $ (800,000) | $ 0
Proceeds from Noncontrolling Interests |  |  |  |  | 0 | 0 | 1,000,000 |  |
Payments of deferred equity offering costs |  |  |  |  | 0 | (135,405) | 0 |  |
Payments of Financing Costs |  |  |  |  | 0 | (10,000) | (52,500) |  |
Net cash provided by (used in) financing activities |  |  |  |  | (3,553,530) | (7,116,111) | (5,080,529) |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect, Total |  |  |  |  | 2,287,020 | (3,458,839) | 273,675 |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Beginning Balance |  | $ 24,753,796 |  | $ 28,212,635 | 24,753,796 | 28,212,635 | 27,938,960 |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Ending Balance | $ 27,040,816 |  | $ 24,753,796 |  | 27,040,816 | 24,753,796 | 28,212,635 |  |
Net cash paid (refunded) during the year for: |  |  |  |  |  |  |  |  |
Interest |  |  |  |  | 63,978 | 215,991 | 198,661 |  |
Income taxes |  |  |  |  | (327) | (91,486) | 16,694 |  |
Noncash investing and financing activities: |  |  |  |  |  |  |  |  |
Change in unpaid invoices for purchases of intangibles |  |  |  |  | (43,471) | (340,997) | (576,837) |  |
Change in unpaid invoices for offering costs |  |  |  |  | (90,512) | 0 | 0 |  |
Deferred offering costs included in accounts payable and other accrued expenses |  |  |  |  | 0 | 200,000 | 0 |  |
Recognition of operating lease assets and liabilities through adoption of ASC 842 |  |  |  |  | 0 | 0 | 3,629,320 |  |
Vesting of shares related to RediTrex approval |  |  |  |  | 0 | 0 | 862,200 |  |
Repurchase of subsidiary shares from noncontrolling interests |  |  |  |  | 0 | 0 | (800,000) |  |
Additions to intangible assets from final purchase price allocation |  |  |  |  | $ 0 | $ 0 | $ 148,000 |  |

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- Definition Amount after tax of income (loss) from a discontinued operation including the portion attributable to the noncontrolling interest. Includes, but is not limited to, the income (loss) from operations during the phase-out period, gain (loss) on disposal, gain (loss) for reversal of write-down (write-down) to fair value, less cost to sell, and adjustments to a prior period gain (loss) on disposal. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 220 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04(12)) -URI http://asc.fasb.org/extlink&oid=120400993&loc=SL114874131-224263 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=109222650&loc=SL51721683-107760 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 3B -URI http://asc.fasb.org/extlink&oid=109222160&loc=SL51721525-107759 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 5C -Subparagraph (b)(2) -URI http://asc.fasb.org/extlink&oid=109222650&loc=SL51721675-107760 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=109222160&loc=d3e957-107759 Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109222650&loc=d3e1361-107760 Reference 7: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 3A -URI http://asc.fasb.org/extlink&oid=109222160&loc=SL51721523-107759 Reference 8: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=109222160&loc=d3e1012-107759 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 270 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=109227538&loc=d3e44648-109337 + Details
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- Definition The increase (decrease) during the reporting period in amount due within one year (or one business cycle) from customers for the credit sale of goods and services. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3602-108585 + Details
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- Definition The increase (decrease) during the reporting period in the aggregate value of all inventory held by the reporting entity, associated with underlying transactions that are classified as operating activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3602-108585 + Details
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- Definition Amount of cash paid for interest, excluding capitalized interest, classified as operating activity. Includes, but is not limited to, payment to settle zero-coupon bond for accreted interest of debt discount and debt instrument with insignificant coupon interest rate in relation to effective interest rate of borrowing attributable to accreted interest of debt discount. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=123431023&loc=d3e4297-108586 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 17 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3367-108585 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3536-108585 + Details
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- Definition Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3521-108585 + Details
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