CareCloud (CCLD) 10-Q 11 May 16 2016 Q1 Quarterly report Financial data

Document And Entity Information

Document And Entity Information - shares	3 Months Ended
	Mar. 31, 2016	May. 04, 2016
Document Information [Line Items]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	Q1
Entity Registrant Name	MEDICAL TRANSCRIPTION BILLING, CORP
Entity Central Index Key	1,582,982
Current Fiscal Year End Date	--12-31
Entity Filer Category	Smaller Reporting Company
Trading Symbol	MTBC
Entity Common Stock, Shares Outstanding		10,237,240

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)	Mar. 31, 2016	Dec. 31, 2015
CURRENT ASSETS:
Cash	$ 7,367,102	$ 8,039,562
Accounts receivable - net of allowance for doubtful accounts of $255,000 and $250,000 at March 31, 2016 and December 31, 2015, respectively	2,427,608	2,211,979
Current assets - related party	24,738	13,200
Prepaid expenses and other current assets	547,376	621,492
Total current assets	10,366,824	10,886,233
Property and equipment - net	1,432,824	1,372,283
Intangible assets - net	5,440,035	5,379,404
Goodwill	9,515,994	8,971,994
Other assets	146,020	66,984
TOTAL ASSETS	26,901,697	26,676,898
CURRENT LIABILITIES:
Accounts payable	674,876	370,441
Accrued compensation	598,236	627,450
Accrued expenses	504,658	650,221
Deferred rent	44,391	37,987
Deferred revenue	62,406	73,520
Accrued liability to related party	10,700	10,700
Borrowings under line of credit	2,000,000	2,000,000
Current portion of long-term debt	1,333,333	500,000
Notes payable - other (current portion)	388,011	582,023
Contingent consideration (current portion)	988,709	746,560
Dividend payable	159,236	159,236
Total current liabilities	6,764,556	5,758,138
Long - term debt, net of discount and debt issuance costs	5,952,945	4,836,384
Notes payable - other	114,277	66,539
Deferred rent	476,945	490,588
Deferred revenue	33,162	36,082
Contingent consideration	533,497	425,948
Deferred tax liability	207,847	171,269
Total liabilities	$ 14,083,229	$ 11,784,948
COMMITMENTS AND CONTINGENCIES (Note 10)
SHAREHOLDERS' EQUITY:
Preferred stock, par value $0.001 per share; authorized 1,000,000 shares; issued and outstanding 231,616 shares at March 31, 2016 and December 31, 2015	$ 232	$ 232
Common stock, $0.001 par value - authorized 19,000,000 shares; issued 10,670,351 and 10,345,351 shares at March 31, 2016 and December 31, 2015, respectively; outstanding, 10,050,718 and 10,244,013 shares at March 31, 2016 and December 31, 2015, respectively	10,671	10,346
Additional paid-in capital	24,867,245	24,549,889
Accumulated deficit	(11,131,093)	(9,147,507)
Accumulated other comprehensive loss	(379,433)	(398,979)
Less: 619,633 and 101,338 common shares held in treasury, at cost at March 31, 2016 and December 31, 2015, respectively	(549,154)	(122,031)
Total shareholders' equity	12,818,468	14,891,950
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$ 26,901,697	$ 26,676,898

CONDENSED CONSOLIDATED BALANCE3

CONDENSED CONSOLIDATED BALANCE SHEETS [Parenthetical] - USD ($)	Mar. 31, 2016	Dec. 31, 2015
Allowance for Doubtful Accounts Receivable (in dollars)	$ 255,000	$ 250,000
Preferred Stock, Par Value (in dollars per share)	$ 0.001	$ 0.001
Preferred Stock, Shares Authorized	1,000,000	1,000,000
Preferred Stock, Shares Issued	231,616	231,616
Preferred Stock, Shares Outstanding	231,616	231,616
Common Stock, Par Value (in dollars per share)	$ 0.001	$ 0.001
Common Stock, Shares Authorized	19,000,000	19,000,000
Common Stock, Shares, Issued	10,670,351	10,345,351
Common Stock, Shares, Outstanding	10,050,718	10,244,013
Treasury Stock, Shares	619,633	101,338

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
NET REVENUE	$ 5,109,849	$ 6,137,859
OPERATING EXPENSES:
Direct operating costs	2,301,379	3,546,456
Selling and marketing	343,541	120,440
General and administrative	2,909,838	3,142,411
Research and development	190,786	164,934
Change in contingent consideration	(44,753)	(828,762)
Depreciation and amortization	1,213,510	1,159,515
Total operating expenses	6,914,301	7,304,994
OPERATING LOSS	(1,804,452)	(1,167,135)
OTHER:
Interest income	7,076	6,914
Interest expense	(141,358)	(42,186)
Other (expense) income - net	(2,072)	46,121
LOSS BEFORE INCOME TAXES	(1,940,806)	(1,156,286)
Income tax provision	42,780	9,624
NET LOSS	(1,983,586)	(1,165,910)
Preferred stock dividend	159,236	0
NET LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS	$ (2,142,822)	$ (1,165,910)
Loss per common share:
Basic and diluted loss per share (in dollars per share)	$ (0.21)	$ (0.12)
Weighted-average basic and diluted shares outstanding (in shares)	10,084,928	9,687,097

CONDENSED CONSOLIDATED STATEME5

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS - USD ($)		3 Months Ended
		Mar. 31, 2016		Mar. 31, 2015
NET LOSS		$ (1,983,586)		$ (1,165,910)
OTHER COMPREHENSIVE LOSS, NET OF TAX
Foreign currency translation adjustment	[1]	19,546		(40,789)
COMPREHENSIVE LOSS		$ (1,964,040)	[1]	$ (1,206,699)
[1]	No tax effect has been recorded as the Company recorded a valuation allowance against the tax benefit from its foreign currency translation adjustment.

CONDENSED CONSOLIDATED STATEME6

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS [Parenthetical] - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Other Comprehensive Loss, Foreign Currency Translation Adjustment, Tax	$ 0	$ 0

CONDENSED CONSOLIDATED STATEME7

CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY - 3 months ended Mar. 31, 2016 - USD ($)	Total	Preferred Stock [Member]	Common Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Deficit [Member]	Accumulated Other Comprehensive Loss [Member]	Treasury Stock [Member]
Balance at Dec. 31, 2015	$ 14,891,950	$ 232	$ 10,346	$ 24,549,889	$ (9,147,507)	$ (398,979)	$ (122,031)
Balance (in shares) at Dec. 31, 2015		231,616	10,345,351
Net loss	(1,983,586)	$ 0	$ 0	0	(1,983,586)	0	0
Foreign currency translation adjustment	19,546	0	0	0	0	19,546	0
Restricted share units vested	0	$ 0	$ 325	(325)	0	0	0
Restricted share units vested (in shares)		0	325,000
Stock-based compensation expense	476,917	$ 0	$ 0	476,917	0	0	0
Purchase of common stock	(427,123)	0	0	0	0	0	(427,123)
Preferred stock dividends	(159,236)	0	0	(159,236)	0	0	0
Balance at Mar. 31, 2016	$ 12,818,468	$ 232	$ 10,671	$ 24,867,245	$ (11,131,093)	$ (379,433)	$ (549,154)
Balance (in shares) at Mar. 31, 2016		231,616	10,670,351

CONDENSED CONSOLIDATED STATEME8

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
OPERATING ACTIVITIES:
Net loss	$ (1,983,586)	$ (1,165,910)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	1,213,510	1,159,515
Deferred rent	(9,399)	(2,816)
Deferred revenue	(14,034)	(13,095)
Provision for doubtful accounts	21,941	28,239
Foreign exchange loss (gain)	26,935	(28,689)
Interest accretion on debt	41,753	0
Stock-based compensation expense	489,422	126,849
Change in contingent consideration	(44,753)	(828,762)
Accrued CastleRock settlement payment	0	(110,000)
Changes in operating assets and liabilities:
Accounts receivable	(237,570)	46,006
Other assets	30,882	(108,219)
Accounts payable and other liabilities	61,272	(400,432)
Net cash used in operating activities	(403,627)	(1,297,314)
INVESTING ACTIVITIES:
Capital expenditures	(102,646)	(83,588)
Cash paid for acquisition	(1,250,000)	0
Net cash used in investing activities	(1,352,646)	(83,588)
FINANCING ACTIVITIES:
Proceeds from long term debt, net of costs	1,908,141	0
Repayments of notes payable - other	(237,777)	(254,827)
Proceeds from line of credit	2,000,000	3,435,000
Repayments of line of credit	(2,000,000)	(1,650,000)
Registration statement costs	(20,000)	0
Preferred stock dividends paid	(159,236)	0
Purchase of common shares	(427,123)	0
Net cash provided by financing activities	1,064,005	1,530,173
EFFECT OF EXCHANGE RATE CHANGES ON CASH	19,808	(11,988)
NET (DECREASE) INCREASE IN CASH	(672,460)	137,283
CASH - Beginning of the period	8,039,562	1,048,660
CASH - End of period	7,367,102	1,185,943
SUPPLEMENTAL NONCASH INVESTING AND FINANCING ACTIVITIES:
Vehicle financing obtained	91,110	0
Contingent consideration resulting from acquisition	430,000	0
Dividends declared, not paid	159,236	0
SUPPLEMENTAL INFORMATION - Cash paid during the period for:
Income taxes	16,420	9,759
Interest	$ 89,495	$ 75,576

ORGANIZATION AND BUSINESS

ORGANIZATION AND BUSINESS	3 Months Ended
	Mar. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements Disclosure and Significant Accounting Policies [Text Block]	1. Organization and Business Medical Transcription Billing, Corp. (and together with its subsidiaries, “MTBC” or the “Company”) is a healthcare information technology company that offers an integrated suite of proprietary electronic health records and practice management solutions, together with related business services, to healthcare providers. The Company’s integrated services are designed to help customers increase revenues, streamline workflows and make better business and clinical decisions, while reducing administrative burdens and operating costs. The Company’s services include full-scale revenue cycle management, electronic health records, and other technology-driven practice management services to private and hospital-employed healthcare providers. MTBC has its corporate offices in Somerset, New Jersey and its main operating facilities in Islamabad, Pakistan and Bagh, Pakistan. The Company also has a wholly-owned subsidiary in Poland and small offices in 4 other states. MTBC was founded in 1999 and incorporated under the laws of the State of Delaware in 2001. MTBC Private Limited (or “MTBC Pvt. Ltd.”) is a majority-owned subsidiary of MTBC based in Pakistan and was founded in 2004. MTBC owns 99.99 0.01

LIQUIDITY

LIQUIDITY	3 Months Ended
	Mar. 31, 2016
Liquidity [Abstract]
Liquidity [Text Block]	2. LIQUIDITY We generated net losses of $ 2.0 1.2 404,000 1.3 8 The Company renegotiated its bank financing during the third quarter of 2015 and obtained additional funds through a combination of term loans and a line of credit with Opus Bank, which provided additional liquidity. The term loans plus the line of credit have a combined borrowing limit of $ 10 September 1, 2019 September 1, 2018 The Company completed a preferred stock offering in November 2015 and raised approximately $ 4.7

BASIS OF PRESENTATION

BASIS OF PRESENTATION	3 Months Ended
	Mar. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation and Significant Accounting Policies [Text Block]	3. BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial reporting and as required by Regulation S-X, Rule 10-01. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of the Company’s management, the accompanying unaudited condensed consolidated financial statements contain all adjustments (consisting of items of a normal and recurring nature) necessary to present fairly the Company’s financial position as of March 31, 2016, the results of operations for the three months ended March 31, 2016 and 2015 and cash flows for the three months ended March 31, 2016 and 2015. The results of operations for the three months ended March 31, 2016 and 2015 are not necessarily indicative of the results to be expected for the full year. When preparing financial statements in conformity with GAAP, we must make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ significantly from those estimates. The condensed consolidated balance sheet as of December 31, 2015 was derived from our audited consolidated financial statements. The accompanying unaudited condensed consolidated financial statements and notes thereto should be read in conjunction with the audited consolidated financial statements for the year ended December 31, 2015, which are included in the Company’s Annual Report on Form 10-K, filed with the SEC on March 24, 2016. Recent Accounting Pronouncements — From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) and are adopted by us as of the specified effective date. Unless otherwise discussed, we believe that the impact of recently adopted and recently issued accounting pronouncements will not have a material impact on our consolidated financial position, results of operations, and cash flows. In May 2014, the FASB issued Accounting Standards Update (“ASU”) No. 2014-09 , Revenue from Contracts with Customers, In August 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements-Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern, In September 2015, the FASB issued ASU No. 2015-16, Business Combinations In November 2015, the FASB issued ASU No. 2015-17, Balance Sheet Classification of Deferred Taxes In February 2016, the FASB issued ASU No. 2016-02, Leases In March 2016, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2016-09, Improvements to Employee Share-Based Payment Accounting approach depending on the area covered in this update. The Company is currently in the process of assessing the impact of ASU 2016-09 on the Company’s consolidated financial statements and disclosures.

ACQUISITIONS

ACQUISITIONS	3 Months Ended
	Mar. 31, 2016
Business Combinations [Abstract]
Business Combination Disclosure [Text Block]	4. ACQUISITIONS 2016 Acquisition On February 15, 2016 (the “Closing Date”), the Company entered into an Asset Purchase Agreement (the “APA”) with Gulf Coast Billing Inc., (“GCB”) a Texas corporation and a revenue cycle management company, pursuant to which the Company purchased substantially all of the assets of GCB. The acquisition has been accounted for as a business combination. The aggregate preliminary purchase price for GCB was $ 1,680,000 1,250,000 430,000 In accordance with the terms of the APA, the Company paid $ 1,250,000 28 The above acquisition added a significant number of clients to the Company’s customer base and, similar to previous acquisitions, broadened the Company’s presence in the healthcare information technology industry through geographic expansion of its customer base and by increasing available customer relationship resources and specialized trained staff. The Company engaged a third-party valuation specialist to assist the Company in valuing the assets acquired. The following table summarizes the preliminary purchase price allocation. Customer relationships $ 1,100,000 Goodwill 544,000 Non-compete agreement 20,000 Tangible assets 16,000 $ 1,680,000 In connection with the purchase of GCB, the fair value of the customer relationships was established using a form of the income approach known as the excess earnings method. Under the excess earnings method, value is estimated as the present value of the benefits anticipated from ownership of the subject intangible asset in excess of the returns required on the investment in the contributory assets necessary to realize those benefits. The weighted-average amortization period of the acquired intangible assets is 3 years. Revenues earned from GCB were approximately $ 376,000 15 2015 Acquisitions On July 10, 2015, the Company entered into an APA with SoftCare Solutions, Inc., a Nevada corporation, which is the U.S. subsidiary of QHR Corporation (“QHR”), a publicly traded, Canada-based healthcare technology company. Pursuant to this APA, the Company purchased substantially all of the assets of the RCM division of QHR Technologies, Inc. which represents SoftCare’s clearinghouse, electronic data interchange and billing divisions (collectively “SoftCare”). The acquisition was accounted for as a business combination. The Company made an initial payment of $ 21,888 5 58,127 30 705,248 21,888 58,127 625,233 On August 31, 2015, the Company completed the acquisition of customer contracts from Jesjam Holdings, LLC, doing business as Med Tech Professional Billing (“Med Tech”), a revenue cycle management company. The acquisition was accounted for as a business combination. Per the terms of the purchase agreement, the amounts are based on 5% of gross fees that were earned by Med Tech during the 12 month period immediately preceding the closing date of August 31, 2015 plus 20 th 5 302,610 39,316 263,294 Revenues earned from the SoftCare and Med Tech, collectively the (“2015 Acquisitions”) were approximately $ 571,000 2014 Acquisitions On July 28, 2014, the Company completed the acquisition of three revenue cycle management companies, Omni Medical Billing Services, LLC (“Omni”), Practicare Medical Management, Inc. (“Practicare”) and CastleRock Solutions, Inc. (“CastleRock”), collectively the (“2014 Acquisitions”). The GCB acquisition and the 2014 and 2015 Acquisitions are collectively referred to as the (“Acquisitions”). Under each purchase agreement, the Company was required to issue or entitled to cancel shares issued to the 2014 Acquisitions in the event acquired customer revenues for the 12 months following the closing of the acquisition are above or below a specified threshold. As of March 31, 2016, only 248,625 Pro forma financial information The unaudited pro forma information below represents condensed consolidated results of operations as if the acquisition of SoftCare and GCB occurred on January 1, 2015. The results of operations of Med Tech were not significant and not included in the pro forma information. The pro forma information has been included for comparative purposes and is not indicative of results of operations of the Company had the acquisitions occurred on the above date, nor is it necessarily indicative of future results. For the three months ended March 31, 2016 2015 Total revenue $ 5,494,558 $ 7,670,465 Net loss attributable to common shareholders $ (2,288,000) $ (1,623,227) Net loss per common share $ (0.23) $ (0.17)

GOODWILL AND INTANGIBLE ASSETS

GOODWILL AND INTANGIBLE ASSETS - NET	3 Months Ended
	Mar. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Text Block]	5. GOODWILL AND Intangible Assets March 31, December 31, 2016 2015 Beginning gross balance $ 8,971,994 $ 8,560,336 Acquisitions 544,000 411,658 Ending gross balance $ 9,515,994 $ 8,971,994 March 31, December 31, 2016 2015 Contracts and relationships acquired $ 13,266,546 $ 12,166,546 Non-compete agreements 1,226,272 1,206,272 Other intangible assets 522,918 488,082 Total intangible assets 15,015,736 13,860,900 Less: Accumulated amortization (9,575,701) (8,481,496) Intangible assets - net $ 5,440,035 $ 5,379,404 Amortization expense was $ 1,094,205 1,066,076 Years ending December 31 2016 (nine months) $ 2,850,098 2017 2,040,207 2018 514,220 2019 35,510 Total $ 5,440,035

CONCENTRATIONS

CONCENTRATIONS	3 Months Ended
	Mar. 31, 2016
Risks and Uncertainties [Abstract]
Concentration Risk Disclosure [Text Block]	6. Concentrations Financial Risks 77,524,389 740,992 78,891,565 750,880 Concentrations of credit risk with respect to trade accounts receivable are managed by periodic credit evaluations of customers. The Company does not require collateral for outstanding trade accounts receivable. No one customer accounts for a significant portion of the Company’s trade accounts receivable portfolio and write-offs have not been significant. Geographical Risks The carrying amounts of net assets located in Pakistan were $ 1,036,699 1,049,501 3,692,419 3,434,687 March 31, December 31, 2016 2015 Current assets $ 928,707 $ 908,554 Non-current assets 1,319,700 1,297,294 2,248,407 2,205,848 Current liabilities (1,166,296) (1,131,306) Non-current liabilities (45,412) (25,041) $ 1,036,699 $ 1,049,501 The net assets located in Poland were not significant at March 31, 2016 or December 31, 2015.

NET LOSS PER COMMON SHARE

NET LOSS PER COMMON SHARE	3 Months Ended
	Mar. 31, 2016
Earnings Per Share [Abstract]
Earnings Per Share [Text Block]	7. NET LOss per COMMON share Three Months Ended March 31, 2016 2015 Basic and Diluted: Net loss attributable to common shareholders $ (2,142,822) $ (1,165,910) Weighted average shares applicable to common shareholders used in computing basic and diluted loss per share 10,084,928 9,687,097 Net loss attributable to common shareholders per share - Basic and Diluted $ (0.21) $ (0.12) The unvested restricted share units (“RSUs”) have been excluded from the above calculation as they were anti-dilutive. Vested RSUs and restricted shares have been included in the above calculations. The net loss per share-Diluted excludes both the 248,625 1,287,529 100,000

DEBT

DEBT	3 Months Ended
	Mar. 31, 2016
Debt Disclosure [Abstract]
Debt Disclosure [Text Block]	8. Debt Opus Bank On September 2, 2015, the Company entered into a credit agreement with Opus Bank (“Opus”). Opus extended three credit facilities totaling $ 10 4 2 4 The Company’s obligations to Opus are secured by substantially all of the Company’s domestic assets and 65 The interest rate on all Opus loans will equal the higher of (a) the prime rate plus 1.75% and (b) 5.0% 0.5 September 1, 2019 September 1, 2018 222,222 The Opus credit agreement contains various covenants and conditions governing the long term debt and line of credit. As of March 31, 2016, the Company was in compliance with all the covenants contained in the Opus credit agreement. In connection with the Opus debt, the Company paid $ 100,000 100,000 5.00 Total debt issuance costs were $ 602,000 92,000 4 4 7.33 Face amount of the loans $ 8,000,000 Unamortized debt issuance costs 536,995 Unamortized discount on loan fees 86,631 Unamortized discount of amount allocated to warrants 90,096 Balance at March 31, 2016 $ 7,286,278 Vehicle Financing Notes 3 5 Bank Direct Capital Finance 6.6 Obligation for customer relationships 435,000 185,000 Years ending Vehicle Opus Bank Bank Direct Obligation for Total 2016 (nine months) $ 36,195 $ 666,666 $ 89,136 $ 250,000 $ 1,041,997 2017 51,244 2,666,667 - - 2,717,911 2018 42,031 2,666,667 - - 2,708,698 2019 20,127 2,000,000 - - 2,020,127 Thereafter 13,552 - - - 13,552 Total $ 163,149 $ 8,000,000 $ 89,136 $ 250,000 $ 8,502,285

SHAREHOLDERS' EQUITY

SHAREHOLDERS' EQUITY	3 Months Ended
	Mar. 31, 2016
Stockholders' Equity Note [Abstract]
Stockholders' Equity Note Disclosure [Text Block]	9. SHAREHOLDERS’ EQUITY Treasury stock On December 15, 2015, the Board of Directors of the Company approved a $ 500,000 500,000 101,338 1,000,000 1,000,000 518,295 427,123 Preferred Stock In November 2015, the Company completed a preferred stock offering whereby 231,616 11 25.00 2.75 Commencing on or after November 4, 2020, the Company may redeem, at its option, the Preferred Stock, in whole or in part, at a cash redemption price of $ 25.00 25.00

COMMITMENTS AND CONTINGENCIES

COMMITMENTS AND CONTINGENCIES	3 Months Ended
	Mar. 31, 2016
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Text Block]	10. Commitments and Contingencies Legal Proceedings — The Company is subject to legal proceedings and claims which have arisen in the ordinary course of business and have not been fully adjudicated. These actions, when ultimately concluded and determined, will not, in the opinion of management, have a material adverse effect upon the condensed consolidated financial position, results of operations, or cash flows of the Company. Leases — The Company leases certain office space and other facilities under operating leases expiring through 2021. Years Ending December 31 Total 2016 (nine months) $ 236,160 2017 58,500 Total $ 294,660 Total rental expense, included in direct operating costs and general and administrative expense in the condensed consolidated statements of operations, amounted to $ 185,096 246,904

RELATED PARTIES

RELATED PARTIES	3 Months Ended
	Mar. 31, 2016
Related Party Transactions [Abstract]
Related Party Transactions Disclosure [Text Block]	11. Related PARTIES The Company recorded interest expense on the loan from the CEO of $ 8,114 45,029 The Company had sales to a related party, a physician who is related to the CEO. Revenues from this customer were approximately $ 3,936 4,354 1,645 1,402 The Company is a party to a nonexclusive aircraft dry lease agreement with Kashmir Air, Inc. (“KAI”), which is owned by the CEO. The Company recorded expense of $ 32,100 10,700 The Company leases its corporate offices in New Jersey, its temporary housing for its foreign visitors, a storage facility and its backup operations center in Bagh, Pakistan, from the CEO. The related party rent expense for the three months ended March 31, 2016 and 2015 was $ 44,380 43,798 13,200 11,538

EMPLOYEE BENEFIT PLANS

EMPLOYEE BENEFIT PLANS	3 Months Ended
	Mar. 31, 2016
Compensation and Retirement Disclosure [Abstract]
Pension and Other Postretirement Benefits Disclosure [Text Block]	Employee Benefit PlanS The Company has a qualified 401(k) plan covering all U.S. employees who have completed three months of service. The plan provides for matching contributions by the Company equal to 100 3 50 2 25,096 23,562 Additionally, the Company has a defined contribution retirement plan covering all employees located in Pakistan who have completed 90 days of service. The plan provides for monthly contributions by the Company which are the lower of 10% of qualified employees’ basic monthly compensation or 750 Pakistani rupees. 30,996 37,980

STOCK-BASED COMPENSATION

STOCK-BASED COMPENSATION	3 Months Ended
	Mar. 31, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]	STOCK-BASED COMPENSATION In April 2014, the Company adopted the Medical Transcription Billing, Corp. 2014 Equity Incentive Plan (the “2014 Plan”), reserving a total of 1,351,000 369,033 The RSUs contain a provision in which the units shall immediately vest and become converted into the right to receive a cash payment payable on the original vesting date after a change in control as defined in the award agreement. The Compensation Committee of the Board of Directors decided there would be no cash bonuses paid to executives for 2015, and instead approved the issuance of a total of 225,000 100,000 The Company recognizes compensation expense on a straight-line basis over the total requisite service period for the entire award. For RSUs classified as equity, the market price of our common stock on the date of grant is used in recording the fair value of the award. For RSUs classified as a liability, the earned amount is marked to market based on the end of period common stock price. The amount of RSUs classified as a liability was $ 43,750 Stock-based compensation included in the Condensed Consolidated Three Months Ended March 31, Statement of Operations: 2016 2015 Direct operating costs $ 2,755 $ 4,640 General and administrative 478,566 120,996 Research and development 1,747 1,213 Selling and marketing 6,354 - Total stock-based compensation expense $ 489,422 $ 126,849 Outstanding and unvested at January 1, 2016 386,733 Granted 413,200 Forfeited (336,333) Outstanding and unvested at March 31, 2016 463,600

INCOME TAXES

INCOME TAXES	3 Months Ended
	Mar. 31, 2016
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Text Block]	14. INCOME TAXES The tax provision for the quarters ended March 31, 2016 and 2015 was $ 42,780 9,624 37,000 15 Although the Company is forecasting a return to profitability, it incurred cumulative losses which make realization of a deferred tax asset difficult to support in accordance with Accounting Standards Codification (“ASC”) 740. Accordingly, a valuation allowance has been recorded against all Federal and state deferred tax assets as of March 31, 2016 and December 31, 2015. The Company’s plan to repatriate earnings in Pakistan to the United States requires that U.S. Federal taxes be provided on the Company’s earnings in Pakistan. For state tax purposes, the Company’s Pakistan earnings generally are not taxed due to a subtraction modification available in most states.

OTHER (EXPENSE) INCOME - NET

OTHER (EXPENSE) INCOME - NET	3 Months Ended
	Mar. 31, 2016
Other Income and Expenses [Abstract]
Other Nonoperating Income and Expense [Text Block]	15. OTHER (EXPENSE) INCOME – NET Three Months Ended March 31, 2016 2015 Foreign exchange (loss) gain $ (26,935) $ 31,463 Other 24,863 14,658 Other (expense) income - net $ (2,072) $ 46,121 Foreign currency transaction gains (losses) result from transactions related to the intercompany receivable for which transaction adjustments are recorded in the condensed consolidated statements of operations as they are not deemed to be permanently reinvested. A decrease in the exchange rate of the Pakistan rupee per U.S. dollar of 0.21% and an increase of 0.4% for the three months ended March 31, 2016 and 2015 respectively, caused a foreign exchange loss of $ 26,935 31,463

FAIR VALUE OF FINANCIAL INSTRUM

FAIR VALUE OF FINANCIAL INSTRUMENTS	3 Months Ended
	Mar. 31, 2016
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Text Block]	16. FAIR VALUE OF FINANCIAL INSTRUMENTS As of March 31, 2016 and December 31, 2015, the carrying amounts of cash, receivables, and accounts payable and accrued expenses approximated their estimated fair values because of the short term nature of these financial instruments. Our notes payable, line of credit and term loans are carried at cost and approximate fair value since the interest rates being charged approximates market rates. Contingent Consideration The Company’s contingent consideration of $ 1,522,206 1,172,508 Financial instruments measured at fair value on a recurring basis: Fair Value Measurement at Reporting Three Months Ended 2016 2015 Balance - January 1, $ 1,172,508 $ 2,626,323 GCB Acquisition 430,000 - Change in fair value (44,753) (695,883) Payment (35,549) - Balance - March 31, $ 1,522,206 $ 1,930,440

SUBSEQUENT EVENTS

SUBSEQUENT EVENTS	3 Months Ended
	Mar. 31, 2016
Subsequent Events [Abstract]
Subsequent Events [Text Block]	17. SUBSEQUENT EVENTS In connection with the common stock repurchase program approved by the Board of Directors on January 25, 2016, the Company purchased an additional 126,270 119,022 On May 2, 2016, (the “Closing Date”), the Company entered into an APA with Renaissance Medical Billing, LLC, a Tennessee limited liability company (“RMB”), pursuant to which the Company purchased substantially all of the assets of RMB. In accordance with the APA, the Company paid $ 175,000

ACQUISITIONS (Tables)

ACQUISITIONS (Tables)	3 Months Ended
	Mar. 31, 2016
Business Combinations [Abstract]
Schedule of Business Acquisitions, by Acquisition [Table Text Block]	Allocation of Preliminary Purchase Price: Customer relationships $ 1,100,000 Goodwill 544,000 Non-compete agreement 20,000 Tangible assets 16,000 $ 1,680,000
Business Acquisition, Pro Forma Information [Table Text Block]	For the three months ended March 31, 2016 2015 Total revenue $ 5,494,558 $ 7,670,465 Net loss attributable to common shareholders $ (2,288,000) $ (1,623,227) Net loss per common share $ (0.23) $ (0.17)

GOODWILL AND INTANGIBLE ASSET27

GOODWILL AND INTANGIBLE ASSETS - NET (Tables)	3 Months Ended
	Mar. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Intangible Assets and Goodwill [Table Text Block]	The following is the summary of the changes to the carrying amount of goodwill for the three months ended March 31, 2016 and the year ended December 31, 2015. March 31, December 31, 2016 2015 Beginning gross balance $ 8,971,994 $ 8,560,336 Acquisitions 544,000 411,658 Ending gross balance $ 9,515,994 $ 8,971,994
Schedule of Finite-Lived Intangible Assets [Table Text Block]	Intangible assets-net as of March 31, 2016 and December 31, 2015 consist of following: March 31, December 31, 2016 2015 Contracts and relationships acquired $ 13,266,546 $ 12,166,546 Non-compete agreements 1,226,272 1,206,272 Other intangible assets 522,918 488,082 Total intangible assets 15,015,736 13,860,900 Less: Accumulated amortization (9,575,701) (8,481,496) Intangible assets - net $ 5,440,035 $ 5,379,404
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]	Years ending December 31 2016 (nine months) $ 2,850,098 2017 2,040,207 2018 514,220 2019 35,510 Total $ 5,440,035

CONCENTRATIONS (Tables)

CONCENTRATIONS (Tables)	3 Months Ended
	Mar. 31, 2016
Risks and Uncertainties [Abstract]
Schedules of Concentration of Risk, by Geographical Risks Factor [Table Text Block]	March 31, December 31, 2016 2015 Current assets $ 928,707 $ 908,554 Non-current assets 1,319,700 1,297,294 2,248,407 2,205,848 Current liabilities (1,166,296) (1,131,306) Non-current liabilities (45,412) (25,041) $ 1,036,699 $ 1,049,501

NET LOSS PER COMMON SHARE (Tabl

NET LOSS PER COMMON SHARE (Tables)	3 Months Ended
	Mar. 31, 2016
Earnings Per Share [Abstract]
Schedule of Losses Per Share, Basic and Diluted [Table Text Block]	The following table reconciles the weighted-average shares outstanding for basic and diluted net loss per share for the three months ended March 31, 2016 and 2015: Three Months Ended March 31, 2016 2015 Basic and Diluted: Net loss attributable to common shareholders $ (2,142,822) $ (1,165,910) Weighted average shares applicable to common shareholders used in computing basic and diluted loss per share 10,084,928 9,687,097 Net loss attributable to common shareholders per share - Basic and Diluted $ (0.21) $ (0.12)

DEBT (Tables)

DEBT (Tables)	3 Months Ended
	Mar. 31, 2016
Debt Disclosure [Abstract]
Schedule of Debt [Table Text Block]	The long term debt at March 31, 2016 is recorded at its accredited value and consists of the following: Face amount of the loans $ 8,000,000 Unamortized debt issuance costs 536,995 Unamortized discount on loan fees 86,631 Unamortized discount of amount allocated to warrants 90,096 Balance at March 31, 2016 $ 7,286,278
Schedule of Maturities of Long-term Debt [Table Text Block]	Maturities of the outstanding notes payable, term loans and other obligations as of March 31, 2016 are as follows: Years ending Vehicle Opus Bank Bank Direct Obligation for Total 2016 (nine months) $ 36,195 $ 666,666 $ 89,136 $ 250,000 $ 1,041,997 2017 51,244 2,666,667 - - 2,717,911 2018 42,031 2,666,667 - - 2,708,698 2019 20,127 2,000,000 - - 2,020,127 Thereafter 13,552 - - - 13,552 Total $ 163,149 $ 8,000,000 $ 89,136 $ 250,000 $ 8,502,285

COMMITMENTS AND CONTINGENCIES (

COMMITMENTS AND CONTINGENCIES (Tables)	3 Months Ended
	Mar. 31, 2016
Commitments and Contingencies Disclosure [Abstract]
Schedule of Future Minimum Lease Payments Under Non-cancelable Operating Leases [Table Text Block]	Future minimum lease payments under non-cancelable operating leases for office space as of March 31, 2016 are as follows: Years Ending December 31 Total 2016 (nine months) $ 236,160 2017 58,500 Total $ 294,660

STOCK-BASED COMPENSATION (Table

STOCK-BASED COMPENSATION (Tables)	3 Months Ended
	Mar. 31, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table Text Block]	The following table summarizes the components of share-based compensation expense for the three months ended March 31, 2016 and 2015: Stock-based compensation included in the Condensed Consolidated Three Months Ended March 31, Statement of Operations: 2016 2015 Direct operating costs $ 2,755 $ 4,640 General and administrative 478,566 120,996 Research and development 1,747 1,213 Selling and marketing 6,354 - Total stock-based compensation expense $ 489,422 $ 126,849
Disclosure of Share-based Compensation Arrangements by Share-based Payment Award [Table Text Block]	The following table summarizes transactions for RSUs and restricted stock under the 2014 Plan for the three months ended March 31, 2016: Outstanding and unvested at January 1, 2016 386,733 Granted 413,200 Forfeited (336,333) Outstanding and unvested at March 31, 2016 463,600

OTHER (EXPENSE) INCOME - NET (T

OTHER (EXPENSE) INCOME - NET (Tables)	3 Months Ended
	Mar. 31, 2016
Other Nonoperating Income (Expense) [Abstract]
Schedule of Other Nonoperating (Expense) Income [Table Text Block]	Other (expense) income - net for the three months ended March 31, 2016 and 2015 consisted of the following: Three Months Ended March 31, 2016 2015 Foreign exchange (loss) gain $ (26,935) $ 31,463 Other 24,863 14,658 Other (expense) income - net $ (2,072) $ 46,121

FAIR VALUE OF FINANCIAL INSTR34

FAIR VALUE OF FINANCIAL INSTRUMENTS (Tables)	3 Months Ended
	Mar. 31, 2016
Fair Value Disclosures [Abstract]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]	Financial instruments measured at fair value on a recurring basis: Fair Value Measurement at Reporting Three Months Ended 2016 2015 Balance - January 1, $ 1,172,508 $ 2,626,323 GCB Acquisition 430,000 - Change in fair value (44,753) (695,883) Payment (35,549) - Balance - March 31, $ 1,522,206 $ 1,930,440

ORGANIZATION AND BUSINESS (Deta

ORGANIZATION AND BUSINESS (Details Textual)	Mar. 31, 2016
Description of Business [Line Items]
Equity Method Investment, Ownership Percentage In Majority-Owned Subsidiary Based In Pakistan	99.99%
Chief Executive Officer [Member]
Description of Business [Line Items]
Equity Method Investment, Ownership Percentage In Majority-Owned Subsidiary Based In Pakistan	0.01%

LIQUIDITY (Details Textual)

LIQUIDITY (Details Textual) - USD ($)	1 Months Ended	3 Months Ended
	Nov. 30, 2015	Mar. 31, 2016	Mar. 31, 2015	Dec. 31, 2015	Dec. 31, 2014
Liquidity [Line Items]
Term Loan and Line of Credit		$ 10,000,000
Line of Credit Facility, Expiration Date		Sep. 1, 2018
Term Loan Expiration Date		Sep. 1, 2019
Net Income (Loss) Available to Common Stockholders, Basic, Total		$ (2,142,822)	$ (1,165,910)
Net cash used in operating activities		(403,627)	(1,297,314)
Cash and Cash Equivalents, at Carrying Value		$ 7,367,102	$ 1,185,943	$ 8,039,562	$ 1,048,660
Series A Preferred Stock [Member]
Liquidity [Line Items]
Issuance of preferred stock, net of fees and expenses	$ 4,700,000

ACQUISITIONS (Details)

ACQUISITIONS (Details) - USD ($)	Mar. 31, 2016	Feb. 15, 2016	Dec. 31, 2015	Dec. 31, 2014
Business Acquisition [Line Items]
Goodwill	$ 9,515,994		$ 8,971,994	$ 8,560,336
Gulf Coast Billing Inc [Member]
Business Acquisition [Line Items]
Goodwill	544,000
Tangible assets	16,000
Total	1,680,000	$ 1,680,000
Customer relationships [Member] | Gulf Coast Billing Inc [Member]
Business Acquisition [Line Items]
Business combination, recognized identifiable assets acquired and liabilities assumed, intangible assets, other than goodwill, total	1,100,000
Non-compete agreements [Member] | Gulf Coast Billing Inc [Member]
Business Acquisition [Line Items]
Business combination, recognized identifiable assets acquired and liabilities assumed, intangible assets, other than goodwill, total	$ 20,000

ACQUISITIONS (Details 1)

ACQUISITIONS (Details 1) - Medical Transcription Billing, Corp. [Member] - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Business Acquisition [Line Items]
Total revenue	$ 5,494,558	$ 7,670,465
Net loss attributable to common shareholders	$ (2,288,000)	$ (1,623,227)
Net loss per common share	$ (0.23)	$ (0.17)

ACQUISITIONS (Details Textual)

ACQUISITIONS (Details Textual) - USD ($)	Jul. 10, 2015	Feb. 15, 2016	Aug. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net				$ 1,250,000	$ 0
Revenue earned				$ 5,109,849	$ 6,137,859
Common Stock, Shares Held in Escrow				248,625
2015 Acquisition [Member]
Business Acquisition [Line Items]
Revenue earned				$ 571,000
Acquired Businesses [Member] | Goodwill [Member]
Business Acquisition [Line Items]
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life				15 years
Med Tech [Member]
Business Acquisition [Line Items]
Initial Payment Percentage of Revenue			5.00%
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net, Total			$ 302,610
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents			39,316
Business Combination, Contingent Consideration, Asset			$ 263,294
Med Tech [Member] | 2015 Acquisition [Member]
Business Acquisition [Line Items]
Med tech Percentage, Fee Earned and Collected			20.00%
Gulf Coast Billing Inc [Member]
Business Acquisition [Line Items]
Revenues				$ 376,000
Initial payment to acquire business, Gross		$ 1,250,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life		3 years
Initial Payment Percentage of Revenue		28.00%
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net, Total		$ 1,680,000		$ 1,680,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents		1,250,000
Business Combination, Contingent Consideration, Asset		$ 430,000
Soft Care [Member] | Asset Purchase Agreement [Member]
Business Acquisition [Line Items]
Initial Payment Percentage of Revenue	5.00%
SCS(QHR) [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Net	$ 21,888
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities, Total	$ 58,127
QHR Percentage, Fee Earned and Collected	30.00%
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net, Total	$ 705,248
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents	21,888
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Deferred Revenue	58,127
Business Combination, Contingent Consideration, Asset	$ 625,233

GOODWILL AND INTANGIBLE ASSET40

GOODWILL AND INTANGIBLE ASSETS - NET (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2016	Dec. 31, 2015
Goodwill [Line Items]
Beginning gross balance	$ 8,971,994	$ 8,560,336
Acquisitions	544,000	411,658
Ending gross balance	$ 9,515,994	$ 8,971,994

GOODWILL AND INTANGIBLE ASSET41

GOODWILL AND INTANGIBLE ASSETS - NET (Details 1) - USD ($)	Mar. 31, 2016	Dec. 31, 2015
Intangible assets-net
Contracts and relationships acquired	$ 13,266,546	$ 12,166,546
Non-compete agreements	1,226,272	1,206,272
Other intangible assets	522,918	488,082
Total intangible assets	15,015,736	13,860,900
Less: Accumulated amortization	(9,575,701)	(8,481,496)
Intangible assets - net	$ 5,440,035	$ 5,379,404

GOODWILL AND INTANGIBLE ASSET42

GOODWILL AND INTANGIBLE ASSETS - NET (Details 2) - USD ($)	Mar. 31, 2016	Dec. 31, 2015
Future amortization expense, Year ending, December 31
2016 (nine months)	$ 2,850,098
2,017	2,040,207
2,018	514,220
2,019	35,510
Total	$ 5,440,035	$ 5,379,404

GOODWILL AND INTANGIBLE ASSET43

GOODWILL AND INTANGIBLE ASSETS - NET (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 1,094,205	$ 1,066,076

CONCENTRATIONS (Details)

CONCENTRATIONS (Details) - USD ($)	Mar. 31, 2016	Dec. 31, 2015
Unusual Risk or Uncertainty [Line Items]
Current assets	$ 10,366,824	$ 10,886,233
Assets	26,901,697	26,676,898
Current liabilities	(6,764,556)	(5,758,138)
Subsidiary in Pakistan [Member]
Unusual Risk or Uncertainty [Line Items]
Current assets	928,707	908,554
Non-current assets	1,319,700	1,297,294
Assets	2,248,407	2,205,848
Current liabilities	(1,166,296)	(1,131,306)
Non-current liabilities	(45,412)	(25,041)
Net assets	$ 1,036,699	$ 1,049,501

CONCENTRATIONS (Details Textual

CONCENTRATIONS (Details Textual)	Mar. 31, 2016USD ($)	Mar. 31, 2016PKR	Dec. 31, 2015USD ($)	Dec. 31, 2015PKR
Unusual Risk or Uncertainty [Line Items]
Fair Value, Concentration of Risk, Cash and Cash Equivalents	$ 740,992	PKR 77,524,389	$ 750,880	PKR 78,891,565
Subsidiary in Pakistan [Member]
Unusual Risk or Uncertainty [Line Items]
Intercompany Receivables	3,692,419		3,434,687
Net Assets	$ 1,036,699		$ 1,049,501

NET LOSS PER COMMON SHARE (Deta

NET LOSS PER COMMON SHARE (Details) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Basic and Diluted:
Net loss attributable to common shareholders	$ (2,142,822)	$ (1,165,910)
Weighted average shares applicable to common shareholders used in computing basic and diluted loss per share	10,084,928	9,687,097
Net loss attributable to common shareholders per share - Basic and Diluted	$ (0.21)	$ (0.12)

NET LOSS PER COMMON SHARE (De47

NET LOSS PER COMMON SHARE (Details Textual) - shares	1 Months Ended	3 Months Ended
	Sep. 30, 2015	Mar. 31, 2016	Mar. 31, 2015
Earnings Per Share [Line Items]
Contingently issued shares		248,625	1,287,529
Warrant [Member]
Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount	100,000

DEBT (Details)

DEBT (Details)	Mar. 31, 2016USD ($)
Debt Instrument [Line Items]
Face amount of the loans	$ 8,000,000
Unamortized debt issuance costs	536,995
Unamortized discount on loan fees	86,631
Unamortized discount of amount allocated to warrants	90,096
Balance at March 31, 2016	$ 7,286,278

DEBT (Details 1)

DEBT (Details 1)	Mar. 31, 2016USD ($)
Year Ending December 31
2016 (nine months)	$ 1,041,997
2,017	2,717,911
2,018	2,708,698
2,019	2,020,127
Thereafter	13,552
Total	8,502,285
Vehicle Financing Notes [Member]
Year Ending December 31
2016 (nine months)	36,195
2,017	51,244
2,018	42,031
2,019	20,127
Thereafter	13,552
Total	163,149
Opus Bank Term Loan [Member]
Year Ending December 31
2016 (nine months)	666,666
2,017	2,666,667
2,018	2,666,667
2,019	2,000,000
Thereafter	0
Total	8,000,000
Bank Direct Capital Finance [Member]
Year Ending December 31
2016 (nine months)	89,136
2,017	0
2,018	0
2,019	0
Thereafter	0
Total	89,136
Obligation For Customer Relationships [Member]
Year Ending December 31
2016 (nine months)	250,000
2,017	0
2,018	0
2,019	0
Thereafter	0
Total	$ 250,000

DEBT (Details Textual)

DEBT (Details Textual) - USD ($)	1 Months Ended		3 Months Ended	12 Months Ended
	Oct. 01, 2016	Nov. 30, 2015	Mar. 31, 2016	Dec. 31, 2015	Sep. 02, 2015
Debt Instrument [Line Items]
Credit Facility, Maximum Borrowing Capacity			$ 10,000,000
Term Loan Expiration Date			Sep. 1, 2019
Line of Credit Facility, Expiration Date			Sep. 1, 2018
Proceeds from issuance of additional debt			$ 4,000,000
Vehicle Financing Notes [Member] | Minimum [Member]
Debt Instrument [Line Items]
Debt Instrument, Term			3 years
Vehicle Financing Notes [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt Instrument, Term			5 years
Bank Direct Capital Finance [Member]
Debt Instrument [Line Items]
Debt Instrument, Interest Rate, Stated Percentage			6.60%
Opus Bank [Member]
Debt Instrument [Line Items]
Debt Instrument, Interest Rate Terms			equal the higher of (a) the prime rate plus 1.75% and (b) 5.0%
Term Loan Facility			September 12,019
Medical Billing Company [Member] | Customer Relationships [Member]
Debt Instrument [Line Items]
Payments to Acquire Intangible Assets			$ 185,000
Finite-lived Intangible Assets Acquired		$ 435,000
Opus Bank Loan [Member]
Debt Instrument [Line Items]
Credit Facility, Maximum Borrowing Capacity					$ 10,000,000
Term Loan Expiration Date			Sep. 1, 2019
Line of Credit Facility, Expiration Date			Sep. 1, 2018
Debt Instrument, Periodic Payment, Principal	$ 222,222
Debt Instrument, Fee Amount				$ 100,000
Class of Warrant or Right, Number of Securities Called by Warrants or Rights				100,000
Debt Issuance Cost			$ 602,000
Warrants Price Per Share				$ 5
Debt Instrument, Term			4 years
Percentage Of Shares Secured For Debt			65.00%
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage			0.50%
Debt Instrument, Interest Rate, Effective Percentage			7.33%
Deferred Finance Cost, Capitalized, Net			$ 92,000
Opus Bank Loan [Member] | Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Credit Facility, Maximum Borrowing Capacity					2,000,000
Opus Bank Loan [Member] | Additional Term Loans [Member]
Debt Instrument [Line Items]
Credit Facility, Maximum Borrowing Capacity					4,000,000
Opus Bank Loan [Member] | Term Loan [Member]
Debt Instrument [Line Items]
Credit Facility, Maximum Borrowing Capacity					$ 4,000,000

SHAREHOLDERS' EQUITY (Details T

SHAREHOLDERS' EQUITY (Details Textual) - USD ($)	Nov. 04, 2015	Jan. 16, 2016	Mar. 31, 2016	Jan. 25, 2016	Dec. 15, 2015
Class of Stock [Line Items]
Preferred Stock, Redemption Price Per Share			$ 25
Preferred Stock, Liquidation Preference Per Share			$ 25
Treasury Stock [Member]
Class of Stock [Line Items]
Stock Repurchase Program, Authorized Amount				$ 1,000,000	$ 500,000
Stock Repurchased During Period, Shares		101,338	518,295
Stock Repurchased During Period, Value			$ 427,123
Common Stock [Member]
Class of Stock [Line Items]
Stock Repurchase Program, Authorized Amount				$ 1,000,000	$ 500,000
Series A Cumulative Refeemable Preferred Stock [Member]
Class of Stock [Line Items]
Stock Issued During Period, Shares, New Issues	231,616
Shares Issued, Price Per Share	$ 25
Preferred Stock, Dividend Rate, Percentage	11.00%
Preferred Stock, Dividend Rate, Per Share, Amount	$ 2.75

COMMITMENTS AND CONTINGENCIES52

COMMITMENTS AND CONTINGENCIES (Details)	Dec. 31, 2015USD ($)
Years Ending, December 31:
2016 (nine months)	$ 236,160
2,017	58,500
Total	$ 294,660

COMMITMENTS AND CONTINGENCIES53

COMMITMENTS AND CONTINGENCIES (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Direct Operating Costs and General and Administrative Expense [Member]
Operating Leased Assets [Line Items]
Operating Leases, Rent Expense	$ 185,096	$ 246,904

RELATED PARTIES (Details Textua

RELATED PARTIES (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Dec. 31, 2015
Physician [Member]
Related Party Transaction [Line Items]
Accounts Receivable, Related Parties, Current	$ 1,645		$ 1,402
Revenues	3,936	$ 4,354
Chief Executive Officer [Member]
Related Party Transaction [Line Items]
Interest Expense, Debt		8,114
Interest Paid		45,029
Security Deposit	13,200		13,200
Prepaid Rent	11,538
Operating Leases, Rent Expense	44,380	43,798
Kashmir Air, Inc [Member]
Related Party Transaction [Line Items]
Operating Leases, Rent Expense	32,100	$ 32,100
Due to Related Parties	$ 10,700		$ 10,700

EMPLOYEE BENEFIT PLANS (Details

EMPLOYEE BENEFIT PLANS (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
United States Postretirement Benefit Plan of US Entity [Member]
Defined Contribution Plan Disclosure [Line Items]
Defined Benefit Plan, Contributions by Employer	$ 25,096	$ 23,562
Domestic Postretirement Benefit Plan of Foreign Entity [Member]
Defined Contribution Plan Disclosure [Line Items]
Description of Defined Contribution Pension and Other Postretirement Plans	The plan provides for monthly contributions by the Company which are the lower of 10% of qualified employees basic monthly compensation or 750 Pakistani rupees.
PK [Member] | Domestic Postretirement Benefit Plan of Foreign Entity [Member]
Defined Contribution Plan Disclosure [Line Items]
Defined Benefit Plan, Contributions by Employer	$ 30,996	$ 37,980
Qualified Compensation Deferred Plan [Member] | United States Postretirement Benefit Plan of US Entity [Member]
Defined Contribution Plan Disclosure [Line Items]
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay	3.00%
Defined Contribution Plan, Employer Matching Contribution, Percent of Match	100.00%
Deferred Plan [Member] | United States Postretirement Benefit Plan of US Entity [Member]
Defined Contribution Plan Disclosure [Line Items]
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay	2.00%
Defined Contribution Plan, Employer Matching Contribution, Percent of Match	50.00%

STOCK-BASED COMPENSATION (Detai

STOCK-BASED COMPENSATION (Details) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Stock-based compensation included in the Consolidated Statement of Operations:
Allocated Share-based Compensation Expense	$ 489,422	$ 126,849
Direct operating costs [Member]
Stock-based compensation included in the Consolidated Statement of Operations:
Allocated Share-based Compensation Expense	2,755	4,640
General and administrative [Member]
Stock-based compensation included in the Consolidated Statement of Operations:
Allocated Share-based Compensation Expense	478,566	120,996
Research and development [Member]
Stock-based compensation included in the Consolidated Statement of Operations:
Allocated Share-based Compensation Expense	1,747	1,213
Selling and marketing [Member]
Stock-based compensation included in the Consolidated Statement of Operations:
Allocated Share-based Compensation Expense	$ 6,354	$ 0

STOCK-BASED COMPENSATION (Det57

STOCK-BASED COMPENSATION (Details 1) - Restricted Stock Units (RSUs) [Member]	3 Months Ended
	Mar. 31, 2016shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Outstanding and unvested at January 1, 2016	386,733
Granted	413,200
Forfeited	(336,333)
Outstanding and unvested at March 31, 2016	463,600

STOCK-BASED COMPENSATION (Det58

STOCK-BASED COMPENSATION (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Apr. 30, 2014
Restricted Stock Units (RSUs) [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant	369,033
Deferred Compensation Share-based Arrangements, Liability, Current	$ 43,750
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period	413,200
Restricted Stock Units (RSUs) [Member] | Executive Officer [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period	225,000
Restricted Stock Units (RSUs) [Member] | Outside s [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period	100,000
2014 Equity Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized		1,351,000

INCOME TAXES (Details Textual)

INCOME TAXES (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Income Tax Expense (Benefit)	$ 42,780	$ 9,624
Goodwill Amortization Period For Tax Purposes	15 years
Goodwill [Member]
Deferred Income Tax Expense (Benefit), Total	$ 37,000

OTHER (EXPENSE) INCOME - NET (D

OTHER (EXPENSE) INCOME - NET (Details) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Other (Expense) Income - Net [Line Items]
Foreign exchange (loss) gain	$ (26,935)	$ 31,463
Other	24,863	14,658
Other (expense) income - net	$ (2,072)	$ 46,121

OTHER (EXPENSE) INCOME - NET 61

OTHER (EXPENSE) INCOME - NET (Details Textual) - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Other (Expense) Income - Net [Line Items]
Percentage of Increase (Decrease) in Foreign Currency Exchange Rate	(0.21%)	0.40%
Foreign Currency Transaction Gain (Loss), before Tax	$ (26,935)	$ 31,463

FAIR VALUE OF FINANCIAL INSTR62

FAIR VALUE OF FINANCIAL INSTRUMENTS (Details) - Fair Value, Input, Level 3 [Member] - USD ($)	3 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Balance - January 1,	$ 1,172,508	$ 2,626,323
GCB Acquisition	430,000	0
Change in fair value	(44,753)	(695,883)
Payment	(35,549)	0
Balance - March 31,	$ 1,522,206	$ 1,930,440

FAIR VALUE OF FINANCIAL INSTR63

FAIR VALUE OF FINANCIAL INSTRUMENTS (Details Textual) - USD ($)	Mar. 31, 2016	Dec. 31, 2015
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Business Combination, Contingent Consideration, Liability, Current	$ 988,709	$ 746,560
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Business Combination, Contingent Consideration, Liability, Current	$ 1,522,206	$ 1,172,508

SUBSEQUENT EVENTS (Details Text

SUBSEQUENT EVENTS (Details Textual) - Subsequent Event [Member] - USD ($)	1 Months Ended
	May. 04, 2016	May. 02, 2016
Subsequent Event [Line Items]
Stock Repurchased During Period, Shares	126,270
Stock Repurchased During Period, Value	$ 119,022
Renaissance Medical Billing Inc [Member]
Subsequent Event [Line Items]
Business Combination, Contingent Consideration Arrangements, Description		The Company will pay RMB twenty-seven percent (27%) of the revenue earned and received from RMB accounts for three years, less the Initial Payment which will be deducted in full from required payments
Initial Payments to Acquire Businesses, Gross		$ 175,000