Consolidated Statements of Operations - USD ($)	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Revenues	$ 26,067,933	$ 24,394,010
Reimbursable revenues	911,725	1,025,500
Total revenues	26,979,658	25,419,510
Cost of goods sold	4,394,918	3,913,407
Reimbursable expenses-cost of goods sold	885,972	1,461,425
Total cost of goods sold	5,280,890	5,374,832
Gross margin	21,698,768	20,044,678
Operating expenses
Salaries, benefits and related taxes	13,200,837	11,383,727
Rent and occupancy expenses	1,125,147	1,071,363
Consulting services	321,472	185,340
Legal and professional fees	533,221	364,859
Travel	986,092	774,379
Telephone and internet	152,926	164,014
Selling, general and administrative	1,356,427	1,462,774
Bad debt expense	130,346	132,767
Depreciation expense	336,102	302,893
Amortization expense	22,048	37,331
Total operating expenses	18,164,618	15,879,447
Operating income/(loss)	3,534,150	4,165,231
Other income/(expense)
Interest expense, related parties	(947,688)	(918,189)
Interest expense	(419,432)	(421,713)
Interest income	593	2
Change in derivative liabilities	795,779	(2,657,910)
Transaction gain/(loss)	5,010	(64,472)
Income/(loss) before income taxes	2,968,412	102,949
Income tax (expense)	(1,194)	(1,069)
Net income/(loss) attributable to common stockholders	$ 2,967,218	$ 101,880
Net income/(loss) per share
Basic (in dollars per share)	$ 0.02	$ 0
Diluted (in dollars per share)	$ 0.02	$ 0
Weighted average number of shares outstanding
Basic (in shares)	147,865,246	145,868,227
Diluted (in shares)	148,177,984	146,162,427