Acquisitions and Divestitures - Narrative (Details) - USD ($)					1 Months Ended		3 Months Ended
	Dec. 01, 2016	Sep. 08, 2016	Feb. 03, 2014	Oct. 25, 2013	Dec. 31, 2016	Nov. 30, 2014	Jan. 31, 2017	Apr. 30, 2017
Business Acquisition [Line Items]
Royalty liability							$ 2,350,754	$ 2,391,563
Montefiore Medical Center
Business Acquisition [Line Items]
Proprietary lease term (in years)				15 years
Royalty fee				$ 3,000,000
Additional royalty payment				$ 3,000,000
Periodic royalty payment, term (in years)				6 years 6 months
Unibased Systems Architecture, Inc
Business Acquisition [Line Items]
Total purchase price			$ 6,500,000
Opportune IT Healthcare Solutions, Inc.
Business Acquisition [Line Items]
Total purchase price		$ 1,400,000
Looking Glass Patient Engagement | Disposal Group, Not Discontinued Operations
Business Acquisition [Line Items]
Cash payment for sale of assets	$ 2,000,000
Gain on sale of business							238,000
Credit Agreement
Business Acquisition [Line Items]
Repayments of debt						$ 7,400,000
Senior Notes | Credit Agreement
Business Acquisition [Line Items]
Repayments of debt					$ 500,000		$ 500,000