Quarterly report pursuant to Section 13 or 15(d)

Term Loan Agreements and Long Term Debt - Schedule of Debt (Details)

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Term Loan Agreements and Long Term Debt - Schedule of Debt (Details) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Note Payable    
Long term debt $ 74,276 $ 24,544,789
Less current revolving loan   (4,000,000)
Less current maturities of long term debt (35,962) (735,017)
Long-term portion 38,314 19,809,772
MidCap Term Loan Agreement    
Note Payable    
Long term debt   20,445,900
MidCap Revolving Loan Agreement    
Note Payable    
Long term debt   4,000,000
Equipment Lease Agreement | Cisco Capital    
Note Payable    
Long term debt 20,644 36,930
Equipment Lease Agreement | Raymond Leasing Corporation    
Note Payable    
Long term debt 25,192 29,998
Equipment Lease Agreement | B&B Office Systems    
Note Payable    
Long term debt $ 28,440 $ 31,961