Acquisitions and Divestitures - Narrative (Details) - USD ($)					1 Months Ended			3 Months Ended
	Dec. 01, 2016	Sep. 08, 2016	Feb. 03, 2014	Oct. 25, 2013	Jun. 30, 2017	Dec. 31, 2016	Nov. 30, 2014	Jul. 31, 2017	Jan. 31, 2017	Oct. 31, 2017
Business Acquisition [Line Items]
Royalty liability									$ 2,350,754	$ 2,456,233
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		$ 500,000	500,000
Looking Glass Patient Engagement | Disposal Group, Not Discontinued Operations
Business Acquisition [Line Items]
Cash received for sale of assets	$ 2,000,000
Gain on sale of business									$ 238,000
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