Annual report pursuant to Section 13 and 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 ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Note Payable    
Long term debt $ 63 $ 24,545
Less current revolving loan   (4,000)
Less current maturities of long term debt (28) (735)
Long-term portion 35 19,810
MidCap Term Loan Agreement    
Note Payable    
Long term debt   20,446
MidCap Revolving Loan Agreement    
Note Payable    
Long term debt   4,000
Equipment Lease Agreement | Cisco Capital    
Note Payable    
Long term debt 15 37
Equipment Lease Agreement | Raymond Leasing Corporation    
Note Payable    
Long term debt 22 30
Equipment Lease Agreement | B&B Office Systems    
Note Payable    
Long term debt $ 26 $ 32