Consolidated Statements of Operations - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Revenues	$ 26,129,229	$ 26,067,933
Reimbursable revenues	975,251	911,725
Total revenues	27,104,480	26,979,658
Cost of goods sold	4,284,588	4,394,918
Reimbursable expenses-cost of goods sold	617,509	885,972
Total cost of goods sold	4,902,097	5,280,890
Gross margin	22,202,383	21,698,768
Operating expenses
Salaries, benefits and related taxes	14,094,550	13,200,837
Rent and occupancy expenses	1,254,087	1,125,147
Consulting services	298,097	321,472
Legal and professional fees	477,102	533,221
Travel	856,187	986,092
Telephone and internet	153,540	152,926
Selling, general and administrative	1,676,869	1,356,427
Bad debt expense	41,782	130,346
Intangible asset impairment	79,634	0
Depreciation expense	398,654	336,102
Amortization expense	337,704	22,048
Total operating expenses	19,668,206	18,164,618
Operating income/(loss)	2,534,177	3,534,150
Other income/(expense)
Interest expense, related parties	(935,839)	(947,688)
Interest expense	(406,145)	(419,432)
Interest income	21	593
Change in derivative liabilities	3,111,760	795,779
Transaction gain/(loss)	(125,794)	5,010
Income/(loss) before income taxes	4,178,180	2,968,412
Income tax (expense)	(490,215)	(1,194)
Net income/(loss) attributable to common stockholders	$ 3,687,965	$ 2,967,218
Net income/(loss) per share
Basic (in dollars per share)	$ 0.02	$ 0.02
Diluted (in dollars per share)	$ 0.02	$ 0.02
Weighted average number of shares outstanding
Basic (in shares)	150,832,451	147,865,246
Diluted (in shares)	164,618,868	148,177,984