Annual report pursuant to Section 13 and 15(d)

Subsequent Events (Details Narrative)

v3.20.4
Subsequent Events (Details Narrative) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended 36 Months Ended
Apr. 21, 2020
Mar. 31, 2020
Jan. 15, 2020
Jan. 10, 2020
Jan. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2019
Apr. 20, 2020
Jul. 31, 2019
Subsequent Event [Line Items]                                    
Number of shares sold in transaction                           97,817        
Preferred stock aggregate value           $ 73 $ 1 $ 594 $ 143 $ 285 $ 1          
Preferred stock dividend percentage                           6.00%        
Letter of credit           $ 3,000             $ 3,000 $ 3,000    
Proceeds from line of credit                           $ 3,000      
Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Aggregate of shares issued                               3,470,000    
Series B Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Aggregate of shares issued                           27,000        
Preferred stock conversion price per shares                           $ 0.60        
Preferred stock adjusted conversion                           6.00        
Series A Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Preferred stock, par value           $ 0.01               $ 0.01   $ 0.01    
Aggregate of shares issued                           270        
Preferred shares stated value           $ 100,000               $ 100,000   $ 100,000    
Preferred stock conversion price per shares                           0.80        
Preferred stock adjusted conversion                           $ 8.00        
Security Purchase and Exchange Agreement [Member]                                    
Subsequent Event [Line Items]                                    
Letter of credit                                   $ 4,000
Subsequent Event [Member]                                    
Subsequent Event [Line Items]                                    
Cash $ 18,400                                  
Description for loans to qualifying businesses value and its term As of April 20, 2020, the Company's PPP loan has not yet been approved, pending new legislation increasing the pool. The PPP provides for loans to qualifying businesses for amounts up to 2.5 times of the average monthly payroll expenses of the qualifying business. The PPP loans and accrued interest are forgivable after eight weeks as long as the borrower uses the loan proceeds for eligible purposes, including payroll, benefits, rent and utilities, and maintains its payroll levels. The amount of loan forgiveness will be reduced if the borrower terminates employees or reduces salaries during the eight-week period. The unforgiven portion of the PPP loan is payable over two years at an interest rate of 1%, with a deferral of payments for the first six months. If the Company is successful in obtaining a PPP loan, we intend to use the proceeds for purposes consistent with the PPP and expect to meet the conditions for forgiveness of the loan.                                  
Payment of line of credit $ 3,400                                  
Letter of credit   $ 350                                
Proceeds from line of credit   $ 600                                
Subsequent Event [Member] | Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Number of shares sold in transaction         20,000                          
Company achieve revenue target         $ 34,000                          
Preferred shares voting rights description         In connection with the Company's application for the PPP loan, both Ampersand and 1315 Capital Ampersand consented to, and agreed to vote (by proxy or otherwise) their preferred shares in favor of any "Fundamental Action" taken by the Company as determined by the Company's Board of Directors. "Fundamental Actions" include the Company's ability to a) authorize, create or issue any debt securities for borrowed money or funded debt; b) merge with or acquire all or substantially all of the assets of one or more other companies or entities with a value in excess of $20 million; c) transfer, by sale, exclusive license or otherwise, material intellectual property rights of the Company or any of its direct or indirect subsidiaries, other than those accomplished in the ordinary course of business; d) declare or pay any cash dividend or make any cash distribution on any equity interests of the Company other than the Series B Shares; d) incur any additional individual debt, indebtedness for borrowed money or other additional liabilities, and e) change any accounting methods or practices of the Company, except for those changes required by GAAP or applicable regulatory agencies or authorities.                          
Payment of line of credit         $ 3,000                          
Subsequent Event [Member] | Centers for Medicare & Medicaid Services [Member]                                    
Subsequent Event [Line Items]                                    
Proceeds from loans payable 2,100                                  
Loans payable                                 $ 2,100  
Subsequent Event [Member] | Department of Health and Human Services [Member]                                    
Subsequent Event [Line Items]                                    
Proceeds from loans payable 650                                  
Loans payable                                 650  
Subsequent Event [Member] | Agreement Agent [Member]                                    
Subsequent Event [Line Items]                                    
Number of shares sold in transaction         80,341                          
Sale of stock transaction amount         $ 500                          
Subsequent Event [Member] | Reverse Stock Split [Member]                                    
Subsequent Event [Line Items]                                    
Reverse stock split, description     Every 10 shares of common stock issued and outstanding were automatically combined into one share of issued and outstanding common stock, without any change in the par value per share. Our common stock began trading on The Nasdaq Capital Market on a Reverse Stock Split-adjusted basis on January 15, 2020.                              
Subsequent Event [Member] | Small Business Administration [Member]                                    
Subsequent Event [Line Items]                                    
Loans payable                                 3,500  
Subsequent Event [Member] | Department of Health and Human Services (HSS) [Member]                                    
Subsequent Event [Line Items]                                    
Loans payable                                 650  
Subsequent Event [Member] | Security Purchase and Exchange Agreement [Member] | Series B Convertible Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Preferred stock aggregate value       $ 20,000                            
Subsequent Event [Member] | Security Purchase and Exchange Agreement [Member] | Series B Preferred Stock [Member]                                    
Subsequent Event [Line Items]                                    
Preferred stock, par value       $ 0.01                            
issuance price of Preferred Stock       $ 1,000                            
Subsequent Event [Member] | Security Purchase and Exchange Agreement [Member] | Series B Preferred Stock [Member] | 1315 Capital [Member]                                    
Subsequent Event [Line Items]                                    
Preferred stock aggregate value       $ 19,000                            
Aggregate of shares issued       19,000                            
Subsequent Event [Member] | Security Purchase and Exchange Agreement [Member] | Series B Preferred Stock [Member] | Ampersand 2018 Limited Partnership [Member]                                    
Subsequent Event [Line Items]                                    
Preferred stock aggregate value       $ 1,000                            
Aggregate of shares issued       1,000                            
Subsequent Event [Member] | Credit Facility [Member]                                    
Subsequent Event [Line Items]                                    
Cash                                 3,400  
Subsequent Event [Member] | Credit Facility [Member] | Minimum [Member]                                    
Subsequent Event [Line Items]                                    
Cash 4,000                               4,000  
Subsequent Event [Member] | Credit Facility [Member] | Maximum [Member]                                    
Subsequent Event [Line Items]                                    
Cash $ 8,000                               $ 8,000