Condensed Consolidated Statements of Operations (Unaudited) - USD ($)	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Revenues	$ 5,534,298	$ 7,040,369
Reimbursable revenues	181,521	150,103
Total revenues	5,715,819	7,190,472
Cost of goods sold	1,054,681	1,153,625
Reimbursable expenses-cost of goods sold	69,219	57,876
Total cost of goods sold	1,123,900	1,211,501
Gross margin	4,591,919	5,978,971
Operating expenses
Salaries, benefits and related taxes	3,662,432	3,659,340
Rent and occupancy expenses	311,799	289,334
Consulting services	50,827	125,536
Legal and professional fees	131,763	221,252
Travel	148,562	200,396
Telephone and internet	50,634	29,683
Selling, general and administrative	440,533	409,756
Bad debt expense	(23,353)	(3,387)
Depreciation expense	128,800	77,776
Amortization expense	87,700	64,149
Total operating expenses	4,989,697	5,073,835
Operating income/(loss)	(397,778)	905,136
Other income/(expense)
Interest expense, related parties	(190,109)	(225,418)
Interest expense	(79,270)	(90,943)
Interest income	4	5
Change in derivative liabilities	(583,657)	28,416
Transaction gain/(loss)	(15,726)	(22,678)
Income/(loss) before income taxes	(1,266,536)	594,518
Income tax (expense)	11	(1,035)
Net income/(loss) attributable to common stockholders	$ (1,266,525)	$ 593,483
Net income/(loss) per share
Basic (in dollars per share)	$ (0.01)	$ 0
Diluted (in dollars per share)	$ (0.01)	$ 0
Weighted average number of shares outstanding
Basic (in shares)	157,341,946	149,653,916
Diluted (in shares)	157,341,946	152,693,666