Document And Entity Information
Document And Entity Information - shares | 3 Months Ended | |
Mar. 31, 2019 | May 07, 2019 | |
Document Information [Line Items] | ||
Entity Registrant Name | CATASYS, INC. | |
Entity Central Index Key | 0001136174 | |
Trading Symbol | cats | |
Current Fiscal Year End Date | --12-31 | |
Entity Filer Category | Non-accelerated Filer | |
Entity Current Reporting Status | Yes | |
Entity Emerging Growth Company | false | |
Entity Small Business | true | |
Entity Common Stock, Shares Outstanding (in shares) | 16,214,625 | |
Document Type | 10-Q | |
Document Period End Date | Mar. 31, 2019 | |
Document Fiscal Year Focus | 2019 | |
Document Fiscal Period Focus | Q1 | |
Amendment Flag | false |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheets (Current Period Unaudited) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 |
Current assets | ||
Cash and restricted cash | $ 1,296 | $ 3,162 |
Receivables, net | 3,601 | 1,382 |
Prepaid and other current assets | 948 | 942 |
Total current assets | 5,845 | 5,486 |
Long-term assets | ||
Property and equipment, net of accumulated depreciation of $1,839 and $1,801, respectively | 225 | 263 |
Restricted cash, long term | 408 | 408 |
Debt issuance costs | 739 | 166 |
Total Assets | 7,217 | 6,323 |
Current liabilities | ||
Accounts payable | 819 | 497 |
Accrued compensation and benefits | 1,177 | 1,537 |
Deferred revenue | 3,694 | 4,195 |
Loan payable | 1,167 | 0 |
Other accrued liabilities | 1,623 | 1,501 |
Total current liabilities | 8,480 | 7,730 |
Long-term liabilities | ||
Long term debt | 8,861 | 7,472 |
Warrant liabilities | 552 | 86 |
Total Liabilities | 17,893 | 15,288 |
Commitments and Contingencies | ||
Stockholders' deficit | ||
Preferred stock, $0.0001 par value; 50,000,000 shares authorized; no shares issued and outstanding | 0 | 0 |
Common stock, $0.0001 par value; 500,000,000 shares authorized; 16,205,146 and 16,185,146 shares issued and outstanding at March 31, 2019 and December 31, 2018, respectively | 2 | 2 |
Additional paid in capital | 297,898 | 296,688 |
Accumulated deficit | (308,576) | (305,655) |
Total Stockholders' deficit | (10,676) | (8,965) |
Total Liabilities and Stockholders' Deficit | $ 7,217 | $ 6,323 |
Condensed Consolidated Balanc_2
Condensed Consolidated Balance Sheets (Current Period Unaudited) (Parentheticals) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 |
Receivables, allowance for doubtful accounts | ||
Property and equipment, accumulated dereciation | 1,839 | 1,801 |
Long term debt, discount | $ 423 | $ 478 |
Preferred stock, par value (in dollars per share) | $ 0.0001 | $ 0.0001 |
Preferred stock, shares authorized (in shares) | 50,000,000 | 50,000,000 |
Preferred stock, shares issued (in shares) | 0 | 0 |
Preferred stock, shares outstanding (in shares) | 0 | 0 |
Common stock, par value (in dollars per share) | $ 0.0001 | $ 0.0001 |
Common stock, shares authorized (in shares) | 500,000,000 | 500,000,000 |
Common stock, shares issued (in shares) | 16,205,146 | 16,185,146 |
Common stock, shares outstanding (in shares) | 16,205,146 | 16,185,146 |
Consolidated Statements of Oper
Consolidated Statements of Operations (Unaudtied) - USD ($) shares in Thousands | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Revenue | $ 6,811,000 | $ 1,911,000 |
Cost of revenue | 3,027,000 | 2,287,000 |
Gross profit (loss) | 3,784,000 | (376,000) |
Operating expenses | 6,299,000 | 3,871,000 |
Operating loss | (2,515,000) | (4,247,000) |
Other income | 6,000 | 40,000 |
Interest expense | (321,000) | (1,000) |
Change in fair value of warrant liability | (91,000) | (10,000) |
Net loss | $ (2,921,000) | $ (4,218,000) |
Net loss per share, basic and diluted from operations: (in dollars per share) | $ (0.18) | $ (0.27) |
Weighted-average shares used to compute basic and diluted net loss per share (in shares) | 16,198 | 15,898 |
Consolidated Statements of Stoc
Consolidated Statements of Stockholders' Equity (Unaudited) - USD ($) $ in Thousands | Common Stock [Member] | Additional Paid-in Capital [Member] | Retained Earnings [Member] | Total |
Balance (in shares) at Dec. 31, 2016 | 15,889,171 | |||
Balance at Dec. 31, 2016 | $ 2 | $ 294,220 | $ (293,324) | $ 898 |
Balance (in shares) at Dec. 31, 2017 | 15,889,171 | |||
Balance at Dec. 31, 2017 | $ 2 | 294,220 | (291,443) | 2,779 |
Adoption of accounting standard, ASC 606 | 1,881 | 1,881 | ||
Reclassification of warrant liability to equity upon adoption of ASU 2017-11 | Accounting Standards Update 2017-11 [Member] | ||||
Stock compensation expense | 328 | 328 | ||
Net loss | (4,218) | (4,218) | ||
Balance (in shares) at Mar. 31, 2018 | 15,913,171 | |||
Stock Issued During Period, Shares, Issued for Services | 24,000 | |||
Common stock issued for outside services | 112 | 112 | ||
Warrants issued for services | 86 | 86 | ||
Balance at Mar. 31, 2018 | $ 2 | 294,746 | (295,661) | $ (913) |
Balance (in shares) at Dec. 31, 2018 | 16,185,146 | 16,185,146 | ||
Balance at Dec. 31, 2018 | $ 2 | 296,688 | (305,655) | $ (8,965) |
Reclassification of warrant liability to equity upon adoption of ASU 2017-11 | Accounting Standards Update 2017-11 [Member] | 86 | 86 | ||
Cash exercise (in shares) | 20,000 | |||
Cash exercise | 100 | 100 | ||
Stock compensation expense | 1,024 | 1,024 | ||
Net loss | (2,921) | $ (2,921) | ||
Balance (in shares) at Mar. 31, 2019 | 16,205,146 | 16,205,146 | ||
Balance at Mar. 31, 2019 | $ 2 | $ 297,898 | $ (308,576) | $ (10,676) |
Stock Issued During Period, Shares, Issued for Services | 0 |
Consolidated Statements of Cash
Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Operating activities: | ||
Net loss | $ (2,921,000) | $ (4,218,000) |
Adjustments to reconcile net loss to net cash used in operating activities: | ||
Depreciation and amortization | 38,000 | 85,000 |
Amortization of debt discount | 44,000 | |
Issuance of stock and warrants | 86,000 | |
Deferred rent | (26,000) | (22,000) |
Stock compensation expense | 1,024,000 | 328,000 |
Amortization of debt issuance costs | 56,000 | |
Common stock issued for services | 112,000 | |
Fair value adjustment on warrant liability | 91,000 | 10,000 |
Changes in current assets and liabilities: | ||
Receivables | (2,219,000) | (700,000) |
Prepaids and other current assets | (6,000) | 12,000 |
Deferred revenue | (501,000) | 652,000 |
Accounts payable and other accrued liabilities | 61,000 | 239,000 |
Net cash used in operating activities | (4,359,000) | (3,416,000) |
Financing activities: | ||
Debt issuance costs | (105,000) | |
Capital lease obligations | (2,000) | (9,000) |
Proceeds from warrant exercise | 100,000 | |
Net cash provided by (used in) financing activities | 2,493,000 | (9,000) |
Net decrease in cash and restricted cash | (1,866,000) | (3,425,000) |
Cash and restricted cash at beginning of period | 3,570,000 | 4,779,000 |
Cash and restricted cash at end of period | 1,704,000 | 1,354,000 |
Supplemental disclosure of cash flow information: | ||
Interest | 192,000 | 363,000 |
Non-cash activity investing and financing activities: | ||
Warrants issued in connection with A/R Facility | 64,000 | |
Warrants issued in connection with Horizon financing | 461,000 | |
Accounting Standards Update 2017-11 [Member] | ||
Non-cash activity investing and financing activities: | ||
Reclassification of warrant liability to equity upon adoption of ASU 2017-11 | 86,000 | |
Horizon [Member] | Revolving Credit Facility [Member] | ||
Financing activities: | ||
Proceeds from Horizon revolving loan | $ 2,500,000 |
Note 1 - Basis of Consolidation
Note 1 - Basis of Consolidation and Presentation | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] | Note 1. We harness proprietary big data predictive analytics, artificial intelligence and telehealth, combined with human interaction, to deliver improved member health and cost savings to health plans. We identify, engage and treat health plan members with unaddressed behavioral health conditions that worsen medical comorbidities. Our mission is to help improve the health and save the lives of as many people as possible. We apply advanced data analytics and predictive modeling to identify members with untreated behavioral health conditions, whether diagnosed or not, may Trak not Trak The accompanying unaudited consolidated financial statements include Catasys, Inc. and its wholly-owned subsidiaries and variable interest entities. All intercompany balances and transactions have been eliminated in consolidation. The accompanying unaudited consolidated financial statements for Catasys, Inc. and its subsidiaries have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and instructions to Form 10 not not may 10 December 31, 2018, December 31, 2018, As of March 31, 2019, $1.7 $2.6 twelve $1.5 one $925,000. 8 twelve Our ability to fund ongoing operations is dependent on several factors. We aim to increase the number of members that are eligible for our solutions by signing new contracts and identifying more eligible members in existing contracts. Additionally, our funding is dependent upon the success of management’s plan to increase revenue and control expenses. We currently operate our On Trak twenty-four 2019. Management’s Plans Historically, we have seen and continue to see net losses, net loss from operations, negative cash flow from operating activities, and historical working capital deficits as we continue through a period of rapid growth. The accompanying financial statements do not Trak We have a growing customer base and believe we are able to fully scale our operations to service the contracts and future enrollment providing leverage in these investments that we expect will generate positive cash flow by the end of 2019. |
Note 2 - Accounting Standards a
Note 2 - Accounting Standards and Significant Accounting Policies | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Significant Accounting Policies [Text Block] | Note 2. Accounting Standards and Significant Accounting Policies Revenue , Deferred Revenue and Performance Obligations Revenue from contracts with customers is recognized when, or as, we satisfy our performance obligations by transferring the promised goods or services to the customers. A good or service is transferred to a customer when, or as, the customer obtains control of that good or service. A performance obligation may not third The following table disaggregates our revenue by business line: For the Three Months Ended March 31, 2019 March 31, 2018 (in thousands) Revenue Percentage Revenue Percentage Commercial $ 4,152 61 % $ 1,100 58 % Government 2,659 39 % 811 42 % $ 6,811 100 % $ 1,911 100 % Our contracts are generally designed to provide cash fees to us on a monthly basis, an upfront case rate, or fee for service based on enrolled members. Our performance obligation is satisfied over time as the On Trak three March 31, 2019. Cost of R evenue Cost of revenue consists primarily of salaries related to our care coaches, outreach specialists and other staff directly involved in member care, healthcare provider claims payments, and fees charged by our third third Trak Concentration of Credit Risk The following table is a summary of concentration of credit risk by customer revenues and accounts receivables: Three Months Ended March 31, Percentage of Revenue 2019 2018 Largest customer 26.5 % 22.8 % 2nd largest customer 25.8 % 22.1 % 3rd largest customer 16.2 % 19.8 % 4th largest customer 11.5 % 18.3 % Remaining customers 20.0 % 17.0 % 100.0 % 100.0 % Percentage of Three Months Ended March 31, Accounts Receivable 2019 2018 Largest customer 27.9 % 37.2 % 2nd largest customer 23.2 % 17.9 % 3rd largest customer 18.8 % 15.3 % 4th largest customer 14.5 % 12.7 % Remaining customers 15.6 % 16.9 % 100.0 % 100.0 % Net l oss per s hare Basic net loss per share is computed by dividing the net loss by the weighted-average number of shares of common stock outstanding during the period. Diluted net loss per share is computed by giving effect to all potential shares of common stock, preferred stock and outstanding stock options and warrants, to the extent dilutive. Basic and diluted net loss per share was the same for each period presented as the inclusion of all potential shares of common stock outstanding would have been anti-dilutive. Common equivalent shares, consisting of 5,966,224 3,920,531 three March 31, 2019 2018, Common equivalent shares, that could potentially dilute loss per share in the future that were not Three Months Ended March 31, 2019 2018 Warrants to purchase common stock 1,625,108 2,035,528 Options to purchase common stock 4,341,116 1,885,003 Total 5,966,224 3,920,531 Leases Effective January 1, 2019, 842, In calculating the right of use asset and lease liability, we elected to combine lease and non-lease components.We exclude short-term leases having with initial terms of 12 We accounted for leases in the prior period financial statements under ASC Topic 840. Recently Issued or Newly Adopted Accounting Standards From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed, we do not not In August 2018, No. 2018 13, Fair Value Measurement (Topic 820 820, December 15, 2019, In June 2018, 2018 07, Improvements to Nonemployee Share-Based Payment Accounting 2018 07” 505 50 718 December 15, 2018, no 606. 2018 07 January 1, 2019 not In July 2017, 2017 11, Earnings Per Share (Topic 260 ); Distinguishing Liabilities from Equity (Topic 480 ); Derivatives and Hedging (Topic 815 ): (Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Noncontrolling Interests with a Scope Exception 2017 11” no no December 15, 2018, 2017 11 January 1, 2019 $86,000 In June 2016, 2016 13, Financial Instruments - Credit Losses 2016 13” not first 2021. In February 2016, No. 2016 02, Leases 2016 02” 2016 02 December 15, 2018 2016 02 January 1, 2019 12 no |
Note 3 - Accounts Receivable
Note 3 - Accounts Receivable | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Loans, Notes, Trade and Other Receivables Disclosure [Text Block] | Note 3 . Accounts Receivable We use the specific identification method for recording the provision for doubtful accounts. There was no March 31, 2019 December 31, 2018. |
Note 4 - Property and Equipment
Note 4 - Property and Equipment | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Property, Plant and Equipment Disclosure [Text Block] | Note 4 . Property and Equipment Property and equipment consisted of the following as of March 31, 2019 December 31, 2018: (in thousands) March 31, 2019 December 31, 2018 Furniture and equipment $ 1,747 $ 1,746 Leasehold improvements 317 318 Total property and equipment 2,064 2,064 Less accumulated depreciation and amortization (1,839 ) (1,801 ) Total property and equipment, net $ 225 $ 263 Depreciation expense was $38,000 $85,000 three March 31, 2019 2018, |
Note 5 - Common Stock
Note 5 - Common Stock | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Stockholders' Equity Note Disclosure [Text Block] | Note 5 . Common Stock In January 2019, 20,000 $5.00 $100,000 20,000 In addition, there were 0 24,000 three March 31, 2019 2018, |
Note 6 - Stock Compensation
Note 6 - Stock Compensation | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Share-based Payment Arrangement [Text Block] | Note 6 . Stock Compensation Our 2017 “2017 2,333,334 243,853 2010 “2010 August 2018, 2017 1,400,000 “2017 February 2019, 2017 552,884 2017 2017 422A 2017 no ten three five March 31, 2019, 4,291,116 50,000 188,955 Stock compensation expense attributable to operations was $1,024,000 $328,000 three March 31, 2019 2018, Stock Options - Employees and Directors A summary of stock option activity for employees and directors is as follows: Number of shares Weighted Average Exercise Price Balance as of December 31, 2018 3,761,278 $ 9.44 Granted 555,378 10.45 Cancelled (25,521 ) 7.50 Expired (19 ) 744.00 Balance as of March 31, 2019 4,291,116 $ 9.58 As of March 31, 2019, $9.9 2017 3.05 Stock Options and Warrants - Non- E mployees There were 50,000 three March 31, 2019 $9.93 none December 31, 2018. As of March 31, 2019, $312,000 2017 2.91 A summary of warrants activity for non-employees is as follows: Number of shares Weighted Average Exercise Price Balance as of December 31, 2018 1,608,996 $ 4.71 Issued 40,279 9.93 Exercised (20,000 ) 5.00 Expired (4,167 ) 18.00 Balance as of March 31, 2019 1,625,108 $ 4.80 |
Note 7 - Leases
Note 7 - Leases | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Lessee, Operating Leases [Text Block] | Note 7 . Leases We lease office space under agreements classified as operating leases that will expire April 2019. September 2018, 7,869 48 April 2019 $48,000, $408,000 April 2019, 2023. not not not not As of March 31, 2019, no The following summarizes quantitative information about the our operating leases: For the Three Months Ended March 31, 2019 Operating leases: Operating lease cost $ 74,000 Variable lease cost - Operating lease expense 74,000 Short-term lease rent expense 3,000 Total rent expense $ 77,000 For the Three Months Ended March 31, 2019 Operating cash flows from operating leases $ 99,428 Right of use assets exchanged for operating lease liabilities $ - Weighted-average remaining lease term – operating leases - Weighted-average discount rate – operating leases 9.25 % We incurred rent expense of approximately $77,000 $73,000 three March 31, 2019 2018. |
Note 8 - Debt
Note 8 - Debt | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Long-term Debt [Text Block] | Note 8 . Debt In June 2018, $7.5 $5.0 $2.5 not $5.0 three November 30, 2018. August 2018, $2.5 three $5.0 November 30, 2018. June 2018, $2.5 85% February 2019, $976,000 none March 31, 2019. In March 2019, $15.0 $7.5 June 2018 $7.5 three $2.5 three $5.9 $7.0 $8.0 $2.5 $5.9 not July 1, 2019. $2.5 Repayment of the Revolving Loan is on an interest-only basis through September 30, 2020, September 30, 2022, ( The Revolving Loan bears interest at a floating coupon rate of the amount by which one 2.00% 9.75%. September 30, 2020, September 30, 2022), $150,000 6% August 31, 2020. The Loan Agreement includes customary affirmative and restrictive covenants, excluding any covenants to attain or maintain certain financial metrics, and also includes customary events of default, including for payment failures, breaches of covenants, change of control and material adverse changes. Upon the occurrence of an event of default and following any applicable cure periods, a default interest rate of an additional 5% may may In connection with our entry into the Amended Loan Agreement, we issued Horizon 40,921 $600,000 five no 19.9% $9.93. We recorded approximately $105,000 The Company’s summary of debt activity is as follows: March 31, December 31, (in thousands) 2019 2018 Debt Loans payable Horizon term loan $ 7,950 $ 7,950 Horizon debt discount (422 ) (478 ) Horizon revolving loan 2,500 - Total debt $ 10,028 $ 7,472 Current maturities of debt $ 1,167 $ - Long term debt $ 8,861 $ 7,472 During the three March 31, 2019 2018, $321,000 $1,000, three March 31, 2019 $44,000 $56,000 |
Note 9 - Fair Value Measurement
Note 9 - Fair Value Measurements | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Fair Value Disclosures [Text Block] | Note 9 . Fair Value Measurements Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Assets and liabilities recorded at fair value in the consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure fair value. The fair value hierarchy distinguishes between ( 1 2 three three Level Input: Input Definition: Level I Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date. Level II Inputs, other than quoted prices included in Level I, that are observable for the asset or liability through corroboration with market data at the measurement date. Level III Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date. The following tables summarize fair value measurements by level at March 31, 2019 December 31, 2018, Balance at March 31, 2019 (in thousands) Level I Level II Level III Total Certificates of deposits (1) $ 408 $ - $ - $ 408 Total assets $ 408 $ - $ - $ 408 Warrant liabilities $ - $ - $ 552 $ 552 Total liabilities $ - $ - $ 552 $ 552 ( 1 $408,000 March 31, 2019. Balance at December 31, 2018 (in thousands) Level I Level II Level III Total Letter of credit (2) $ 479 $ - $ - $ 479 Total assets $ 479 $ - $ - $ 479 Warrant liabilities $ - $ - $ 86 $ 86 Total liabilities $ - $ - $ 86 $ 86 ( 2 $71,000 $408,000 December 31, 2018. The following is a rollforward of our warrant liabilities: Level III Warrant (in thousands) Liabilities Balance as of December 31, 2018 $ 86 Issuance of new warrant liability 461 Change in fair value of warrant liability 91 Reclassification of warrant liability to equity upon adoption of ASU 2017-11 (86 ) Balance as of March 31, 2019 $ 552 For the three March 31, 2019 2018, $91,000 $10,000, In connection with the Amended Loan Agreement, we issued Horizon 40,279 seven $600,000 five $9.93 may 18 no 19.9% 5 No. 2017 11, January 1, 2019. March 31, 2019 815. The key assumptions used to value the Horizon Warrants were as follows: Assumptions Date of issuance March 13, 2019 March 31, 2019 Expected price volatility 101 % 101 % Expected term (in years) 7 6.95 Risk-free interest rate 2.31 % 2.51 % Dividend yield 0.00 % 0.00 % |
Note 10 - Variable Interest Ent
Note 10 - Variable Interest Entities | 3 Months Ended |
Mar. 31, 2019 | |
Notes to Financial Statements | |
Variable Interest Entity Disclosure [Text Block] | Note 1 0 . Variable I nterest E ntities The amounts and classification of assets and liabilities of the variable interest entities included in our consolidated balance sheets are as follows: March 31, December 31, (in thousands) 2019 2018 Cash and cash equivalents $ 6 $ 45 Accounts receivable 724 94 Prepaid and other current assets 28 29 Total assets $ 758 $ 168 Accounts payable $ 9 $ 7 Accrued liabilities 49 14 Total liabilities $ 58 $ 21 |
Significant Accounting Policies
Significant Accounting Policies (Policies) | 3 Months Ended |
Mar. 31, 2019 | |
Accounting Policies [Abstract] | |
Revenue from Contract with Customer [Policy Text Block] | Revenue , Deferred Revenue and Performance Obligations Revenue from contracts with customers is recognized when, or as, we satisfy our performance obligations by transferring the promised goods or services to the customers. A good or service is transferred to a customer when, or as, the customer obtains control of that good or service. A performance obligation may not third The following table disaggregates our revenue by business line: For the Three Months Ended March 31, 2019 March 31, 2018 (in thousands) Revenue Percentage Revenue Percentage Commercial $ 4,152 61 % $ 1,100 58 % Government 2,659 39 % 811 42 % $ 6,811 100 % $ 1,911 100 % Our contracts are generally designed to provide cash fees to us on a monthly basis, an upfront case rate, or fee for service based on enrolled members. Our performance obligation is satisfied over time as the On Trak three March 31, 2019. |
Cost of Goods and Service [Policy Text Block] | Cost of R evenue Cost of revenue consists primarily of salaries related to our care coaches, outreach specialists and other staff directly involved in member care, healthcare provider claims payments, and fees charged by our third third Trak |
Concentration Risk, Credit Risk, Policy [Policy Text Block] | Concentration of Credit Risk The following table is a summary of concentration of credit risk by customer revenues and accounts receivables: Three Months Ended March 31, Percentage of Revenue 2019 2018 Largest customer 26.5 % 22.8 % 2nd largest customer 25.8 % 22.1 % 3rd largest customer 16.2 % 19.8 % 4th largest customer 11.5 % 18.3 % remaining customers 20.0 % 17.0 % 100.0 % 100.0 % Percentage of Three Months Ended March 31, Acccounts Receivable 2019 2018 Largest customer 27.9 % 37.2 % 2nd largest customer 23.2 % 17.9 % 3rd largest customer 18.8 % 15.3 % 4th largest customer 14.5 % 12.7 % remaining customers 15.6 % 16.9 % 100.0 % 100.0 % |
Earnings Per Share, Policy [Policy Text Block] | Net l oss per s hare Basic net loss per share is computed by dividing the net loss by the weighted-average number of shares of common stock outstanding during the period. Diluted net loss per share is computed by giving effect to all potential shares of common stock, preferred stock and outstanding stock options and warrants, to the extent dilutive. Basic and diluted net loss per share was the same for each period presented as the inclusion of all potential shares of common stock outstanding would have been anti-dilutive. Common equivalent shares, consisting of 5,966,224 3,920,531 three March 31, 2019 2018, Common equivalent shares, that could potentially dilute loss per share in the future that were not Three Months Ended March 31, 2019 2018 Warrants to purchase common stock 1,625,108 2,035,528 Options to purchase common stock 4,341,116 1,885,003 Total 5,966,224 3,920,531 |
Lessee, Leases [Policy Text Block] | Leases Effective January 1, 2019, 842, In calculating the right of use asset and lease liability, we elected to combine lease and non-lease components.We exclude short-term leases having with initial terms of 12 We accounted for leases in the prior period financial statements under ASC Topic 840. |
New Accounting Pronouncements, Policy [Policy Text Block] | Recently Issued or Newly Adopted Accounting Standards From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed, we do not not In August 2018, No. 2018 13, Fair Value Measurement (Topic 820 820, December 15, 2019, In June 2018, 2018 07, Improvements to Nonemployee Share-Based Payment Accounting 2018 07” 505 50 718 December 15, 2018, no 606. 2018 07 January 1, 2019 not In July 2017, 2017 11, Earnings Per Share (Topic 260 ); Distinguishing Liabilities from Equity (Topic 480 ); Derivatives and Hedging (Topic 815 ): (Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Noncontrolling Interests with a Scope Exception 2017 11” no no December 15, 2018, 2017 11 January 1, 2019 $86,000 In June 2016, 2016 13, Financial Instruments - Credit Losses 2016 13” not first 2021. In February 2016, No. 2016 02, Leases 2016 02” 2016 02 December 15, 2018 2016 02 January 1, 2019 12 no |
Note 2 - Accounting Standards_2
Note 2 - Accounting Standards and Significant Accounting Policies (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Disaggregation of Revenue [Table Text Block] | For the Three Months Ended March 31, 2019 March 31, 2018 (in thousands) Revenue Percentage Revenue Percentage Commercial $ 4,152 61 % $ 1,100 58 % Government 2,659 39 % 811 42 % $ 6,811 100 % $ 1,911 100 % |
Schedules of Concentration of Risk, by Risk Factor [Table Text Block] | Three Months Ended March 31, Percentage of Revenue 2019 2018 Largest customer 26.5 % 22.8 % 2nd largest customer 25.8 % 22.1 % 3rd largest customer 16.2 % 19.8 % 4th largest customer 11.5 % 18.3 % Remaining customers 20.0 % 17.0 % 100.0 % 100.0 % Percentage of Three Months Ended March 31, Accounts Receivable 2019 2018 Largest customer 27.9 % 37.2 % 2nd largest customer 23.2 % 17.9 % 3rd largest customer 18.8 % 15.3 % 4th largest customer 14.5 % 12.7 % Remaining customers 15.6 % 16.9 % 100.0 % 100.0 % |
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block] | Three Months Ended March 31, 2019 2018 Warrants to purchase common stock 1,625,108 2,035,528 Options to purchase common stock 4,341,116 1,885,003 Total 5,966,224 3,920,531 |
Note 4 - Property and Equipme_2
Note 4 - Property and Equipment (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Property, Plant and Equipment [Table Text Block] | (in thousands) March 31, 2019 December 31, 2018 Furniture and equipment $ 1,747 $ 1,746 Leasehold improvements 317 318 Total property and equipment 2,064 2,064 Less accumulated depreciation and amortization (1,839 ) (1,801 ) Total property and equipment, net $ 225 $ 263 |
Note 6 - Stock Compensation (Ta
Note 6 - Stock Compensation (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Schedule of Stockholders' Equity Note, Warrants or Rights [Table Text Block] | Number of shares Weighted Average Exercise Price Balance as of December 31, 2018 1,608,996 $ 4.71 Issued 40,279 9.93 Exercised (20,000 ) 5.00 Expired (4,167 ) 18.00 Balance as of March 31, 2019 1,625,108 $ 4.80 |
Employees and Directors [Member] | |
Notes Tables | |
Share-based Payment Arrangement, Option, Activity [Table Text Block] | Number of shares Weighted Average Exercise Price Balance as of December 31, 2018 3,761,278 $ 9.44 Granted 555,378 10.45 Cancelled (25,521 ) 7.50 Expired (19 ) 744.00 Balance as of March 31, 2019 4,291,116 $ 9.58 |
Note 7 - Leases (Tables)
Note 7 - Leases (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Lease, Cost [Table Text Block] | For the Three Months Ended March 31, 2019 Operating leases: Operating lease cost $ 74,000 Variable lease cost - Operating lease expense 74,000 Short-term lease rent expense 3,000 Total rent expense $ 77,000 |
Schedule of Operating Leases Information [Table Text Block] | For the Three Months Ended March 31, 2019 Operating cash flows from operating leases $ 99,428 Right of use assets exchanged for operating lease liabilities $ - Weighted-average remaining lease term – operating leases - Weighted-average discount rate – operating leases 9.25 % |
Note 8 - Debt (Tables)
Note 8 - Debt (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Schedule of Long-term Debt Instruments [Table Text Block] | March 31, December 31, (in thousands) 2019 2018 Debt Loans payable Horizon term loan $ 7,950 $ 7,950 Horizon debt discount (422 ) (478 ) Horizon revolving loan 2,500 - Total debt $ 10,028 $ 7,472 Current maturities of debt $ 1,167 $ - Long term debt $ 8,861 $ 7,472 |
Note 9 - Fair Value Measureme_2
Note 9 - Fair Value Measurements (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] | Balance at March 31, 2019 (in thousands) Level I Level II Level III Total Certificates of deposits (1) $ 408 $ - $ - $ 408 Total assets $ 408 $ - $ - $ 408 Warrant liabilities $ - $ - $ 552 $ 552 Total liabilities $ - $ - $ 552 $ 552 Balance at December 31, 2018 (in thousands) Level I Level II Level III Total Letter of credit (2) $ 479 $ - $ - $ 479 Total assets $ 479 $ - $ - $ 479 Warrant liabilities $ - $ - $ 86 $ 86 Total liabilities $ - $ - $ 86 $ 86 |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] | Level III Warrant (in thousands) Liabilities Balance as of December 31, 2018 $ 86 Issuance of new warrant liability 461 Change in fair value of warrant liability 91 Reclassification of warrant liability to equity upon adoption of ASU 2017-11 (86 ) Balance as of March 31, 2019 $ 552 |
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block] | Assumptions Date of issuance March 13, 2019 March 31, 2019 Expected price volatility 101 % 101 % Expected term (in years) 7 6.95 Risk-free interest rate 2.31 % 2.51 % Dividend yield 0.00 % 0.00 % |
Note 10 - Variable Interest E_2
Note 10 - Variable Interest Entities (Tables) | 3 Months Ended |
Mar. 31, 2019 | |
Notes Tables | |
Schedule of Variable Interest Entities [Table Text Block] | March 31, December 31, (in thousands) 2019 2018 Cash and cash equivalents $ 6 $ 45 Accounts receivable 724 94 Prepaid and other current assets 28 29 Total assets $ 758 $ 168 Accounts payable $ 9 $ 7 Accrued liabilities 49 14 Total liabilities $ 58 $ 21 |
Note 1 - Basis of Consolidati_2
Note 1 - Basis of Consolidation and Presentation (Details Textual) | 3 Months Ended |
Mar. 31, 2019USD ($) | |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Ending Balance | $ 1,700,000 |
Working Capital Deficit | 2,600,000 |
Cash Used, Per Month | 1,500,000 |
Cash Used, One Time Delay in Customer Collection, Total | $ 925,000 |
Number of States in which Entity Operates | 24 |
Note 2 - Accounting Standards_3
Note 2 - Accounting Standards and Significant Accounting Policies (Details Textual) - USD ($) | Jan. 01, 2019 | Mar. 31, 2019 | Mar. 31, 2018 |
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount | 5,966,224 | 3,920,531 | |
Accounting Standards Update 2017-11 [Member] | |||
Reclassification of Warrant Liability to Equity | $ 86,000 | ||
Accounting Standards Update 2017-11 [Member] | Additional Paid-in Capital [Member] | |||
Reclassification of Warrant Liability to Equity | $ 86,000 | $ 86,000 |
Note 2 - Accounting Standards_4
Note 2 - Accounting Standards and Significant Accounting Policies - Disaggregation of Revenue (Details) - USD ($) $ in Thousands | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Revenues | $ 6,811 | $ 1,911 |
Revenues, percentage | 100.00% | 100.00% |
Commercial [Member] | ||
Revenues | $ 4,152 | $ 1,100 |
Revenues, percentage | 61.00% | 58.00% |
Government Contract [Member] | ||
Revenues | $ 2,659 | $ 811 |
Revenues, percentage | 39.00% | 42.00% |
Note 2 - Accounting Standards_5
Note 2 - Accounting Standards and Significant Accounting Policies - Concentration of Credit Risk (Details) - Customer Concentration Risk [Member] | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Concentration risk, Customer revenue | 100.00% | 100.00% |
Revenue Benchmark [Member] | ||
Concentration risk, Customer revenue | 100.00% | 100.00% |
Revenue Benchmark [Member] | Largest Customer [Member] | ||
Concentration risk, Customer revenue | 26.50% | 22.80% |
Revenue Benchmark [Member] | Second Largest Customer [Member] | ||
Concentration risk, Customer revenue | 25.80% | 22.10% |
Revenue Benchmark [Member] | Third Largest Customer [Member] | ||
Concentration risk, Customer revenue | 16.20% | 19.80% |
Revenue Benchmark [Member] | Forth Largest Customer [Member] | ||
Concentration risk, Customer revenue | 11.50% | 18.30% |
Revenue Benchmark [Member] | Other Customer [Member] | ||
Concentration risk, Customer revenue | 20.00% | 17.00% |
Accounts Receivable [Member] | Largest Customer [Member] | ||
Concentration risk, Customer revenue | 27.90% | 37.20% |
Accounts Receivable [Member] | Second Largest Customer [Member] | ||
Concentration risk, Customer revenue | 23.20% | 17.90% |
Accounts Receivable [Member] | Third Largest Customer [Member] | ||
Concentration risk, Customer revenue | 18.80% | 15.30% |
Accounts Receivable [Member] | Forth Largest Customer [Member] | ||
Concentration risk, Customer revenue | 14.50% | 12.70% |
Accounts Receivable [Member] | Other Customer [Member] | ||
Concentration risk, Customer revenue | 15.60% | 16.90% |
Note 2 - Accounting Standards_6
Note 2 - Accounting Standards and Significant Accounting Policies (Details) - shares | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Warrants to purchase common stock (in shares) | 5,966,224 | 3,920,531 |
Warrant [Member] | ||
Warrants to purchase common stock (in shares) | 1,625,108 | 2,035,528 |
Share-based Payment Arrangement, Option [Member] | ||
Warrants to purchase common stock (in shares) | 4,341,116 | 1,885,003 |
Note 3 - Accounts Receivable (D
Note 3 - Accounts Receivable (Details Textual) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 |
Accounts Receivable, Allowance for Credit Loss, Ending Balance | $ 0 | $ 0 |
Note 4 - Property and Equipme_3
Note 4 - Property and Equipment (Details Textual) - USD ($) | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Depreciation, Total | $ 38,000 | $ 85,000 |
Note 4 - Property and Equipme_4
Note 4 - Property and Equipment - Summary of Property and Equipment (Details) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 |
Furniture and equipment | $ 1,747 | $ 1,746 |
Leasehold improvements | 317 | 318 |
Total property and equipment | 2,064 | 2,064 |
Less accumulated depreciation and amortization | (1,839) | (1,801) |
Total property and equipment, net | $ 225 | $ 263 |
Note 5 - Common Stock (Details
Note 5 - Common Stock (Details Textual) - USD ($) | 1 Months Ended | 3 Months Ended | |
Jan. 31, 2019 | Mar. 31, 2019 | Mar. 31, 2018 | |
Class or Warrant or Right, Exercised During the Period | 20,000 | 20,000 | |
Class of Warrant or Right, Exercised During Period, Weighted Average Exercise Price | $ 5 | $ 5 | |
Proceeds from Warrant Exercises | $ 100,000 | $ 100,000 | |
Stock Issued During Period, Shares, Exercise of Warrants | 20,000 | ||
Common Stock [Member] | |||
Stock Issued During Period, Shares, Issued for Services | 0 | 24,000 |
Note 6 - Stock Compensation (De
Note 6 - Stock Compensation (Details Textual) - USD ($) | 1 Months Ended | 3 Months Ended | 12 Months Ended | ||
Feb. 28, 2019 | Aug. 31, 2018 | Mar. 31, 2019 | Mar. 31, 2018 | Dec. 31, 2018 | |
Share-based Payment Arrangement, Noncash Expense, Total | $ 1,024,000 | $ 328,000 | |||
Employees and Directors [Member] | |||||
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross | 555,378 | ||||
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price | $ 10.45 | ||||
The 2017 Stock Incentive Plan [Member] | |||||
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized | 2,333,334 | ||||
Share-based Compensation Arrangement by Share-based Payment Award, Number of Additional Shares Authorized | 552,884 | 1,400,000 | |||
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period | 10 years | ||||
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number | 4,291,116 | ||||
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Number of Shares, Ending Balance | 50,000 | ||||
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant | 188,955 | ||||
Share-based Payment Arrangement, Noncash Expense, Total | $ 1,024,000 | $ 328,000 | |||
The 2017 Stock Incentive Plan [Member] | Employees and Directors [Member] | |||||
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount, Total | $ 9,900,000 | ||||
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition | 3 years 18 days | ||||
The 2017 Stock Incentive Plan [Member] | Nonemployees [Member] | |||||
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount, Total | $ 312,000 | ||||
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition | 2 years 332 days | ||||
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross | 50,000 | 50,000 | 0 | ||
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price | $ 9.93 | ||||
The 2017 Stock Incentive Plan [Member] | Minimum [Member] | |||||
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period | 3 years | ||||
The 2017 Stock Incentive Plan [Member] | Maximum [Member] | |||||
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period | 5 years | ||||
The 2010 Stock Incentive Plan [Member] | |||||
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized | 243,853 |
Note 6 - Stock Compensation - E
Note 6 - Stock Compensation - Employee and Director Stock Option Activity (Details) - Employees and Directors [Member] | 3 Months Ended |
Mar. 31, 2019$ / sharesshares | |
Balance, shares (in shares) | shares | 3,761,278 |
Balance, weighted average exercise price (in dollars per share) | $ / shares | $ 9.44 |
Granted, shares (in shares) | shares | 555,378 |
Granted, weighted average exercise price (in dollars per share) | $ / shares | $ 10.45 |
Cancelled, shares (in shares) | shares | (25,521) |
Cancelled, weighted average exercise price (in dollars per share) | $ / shares | $ 7.50 |
Expired, shares (in shares) | shares | (19) |
Expired, weighted average exercise price (in dollars per share) | $ / shares | $ 744 |
Balance, shares (in shares) | shares | 4,291,116 |
Balance, weighted average exercise price (in dollars per share) | $ / shares | $ 9.58 |
Note 6 - Share Compensation - S
Note 6 - Share Compensation - Summary of Warrant Activity (Details) - $ / shares | 1 Months Ended | 3 Months Ended | |
Jan. 31, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | |
Warrants outstanding, balance (in shares) | 1,608,996 | 1,608,996 | |
Warrants outstanding, exercise price, balance (in dollars per share) | $ 4.80 | $ 4.71 | |
Class of Warrant or Right, Issued During Period | 40,279 | ||
Warrants issued, weighted average exercise price (in dollars per share) | $ 9.93 | ||
Warrants exercised (in shares) | (20,000) | (20,000) | |
Warrants exercised, weighted average exercise price (in dollars per share) | $ 5 | $ 5 | |
Warrants expired (in shares) | (4,167) | ||
Warrants expired (in dollars per share) | $ 18 | ||
Warrants outstanding, balance (in shares) | 1,625,108 |
Note 7 - Leases (Details Textua
Note 7 - Leases (Details Textual) | 1 Months Ended | 3 Months Ended | |||
Sep. 30, 2018USD ($)ft² | Mar. 31, 2019USD ($) | Mar. 31, 2018USD ($) | Sep. 30, 2019USD ($) | Dec. 31, 2018USD ($) | |
Area of Real Estate Property | ft² | 7,869 | ||||
Lessee, Operating Lease, Term of Contract | 4 years | ||||
Lessee, Operating Lease, Base Rent | $ 48,000 | ||||
Restricted Cash, Noncurrent | $ 408,000 | $ 408,000 | |||
Operating Lease, Liability, Total | 0 | ||||
Lease, Cost, Total | $ 77,000 | $ 73,000 | |||
Letter of Credit [Member] | |||||
Restricted Cash, Noncurrent | $ 408,000 |
Note 7 - Leases - Operating Lea
Note 7 - Leases - Operating Leases (Details) - USD ($) | 3 Months Ended | |
Mar. 31, 2019 | Mar. 31, 2018 | |
Operating lease cost | $ 74,000 | |
Variable lease cost | ||
Operating lease expense | 74,000 | |
Short-term lease rent expense | 3,000 | |
Total rent expense | $ 77,000 | $ 73,000 |
Note 7 - Lease - Operating Leas
Note 7 - Lease - Operating Lease Information (Details) | 3 Months Ended |
Mar. 31, 2019USD ($) | |
Operating cash flows from operating leases | $ 99,428 |
Right of use assets exchanged for operating lease liabilities | |
Weighted-average remaining lease term – operating leases (Year) | |
Weighted-average discount rate – operating leases | 9.25% |
Note 8 - Debt (Details Textual)
Note 8 - Debt (Details Textual) - USD ($) | Aug. 31, 2020 | Mar. 31, 2019 | Jun. 30, 2018 | Feb. 28, 2018 | Mar. 31, 2019 | Mar. 31, 2018 | Dec. 31, 2018 | Aug. 31, 2018 |
Class of Warrant or Right, Issued During Period | 40,279 | |||||||
Class of Warrant or Right, Exercise Price of Warrants or Rights | $ 4.80 | $ 4.80 | $ 4.71 | |||||
Payments of Debt Issuance Costs | $ 105,000 | |||||||
Amortization of Debt Issuance Costs | 56,000 | |||||||
Amortization of Debt Discount (Premium) | $ 44,000 | |||||||
Horizon Warrants [Member] | ||||||||
Class of Warrant or Right, Issued During Period | 40,921 | |||||||
Shares Callable by Warrants, Value | $ 600,000 | $ 600,000 | ||||||
Common Stock, Ownership Percentage, Maximum | 19.90% | 19.90% | ||||||
Class of Warrant or Right, Exercise Price of Warrants or Rights | $ 9.93 | $ 9.93 | ||||||
Corporate Finance [Member] | A/R Facility [Member] | ||||||||
Line of Credit Facility, Maximum Borrowing Capacity | $ 2,500,000 | $ 2,500,000 | $ 2,500,000 | |||||
Line of Credit Facility, Percentage of Accounts Receivable as Borrowings | 85.00% | |||||||
Proceeds from Lines of Credit, Total | $ 976,000 | |||||||
Long-term Line of Credit, Total | $ 0 | |||||||
Loan Agreement [Member] | ||||||||
Debt Instrument, Face Amount | $ 5,000,000 | |||||||
Debt Instrument, Face Amount of Potential Additional Loan | 2,500,000 | |||||||
Debt Instrument, Billings Threshold for Additional Loan | 5,000,000 | |||||||
Achievement of Billing, Additional Loan, Amount | $ 2,500,000 | |||||||
Proceeds from Issuance of Long-term Debt, Total | $ 2,500,000 | |||||||
Debt Instrument, Interest Rate, Stated Percentage | 9.75% | 9.75% | ||||||
Debt, Interest Rate, Default Interest Rate | 5.00% | 5.00% | ||||||
Payments of Debt Issuance Costs | $ 105,000 | |||||||
Interest Expense, Debt, Total | 321,000 | $ 1,000 | ||||||
Amortization of Debt Issuance Costs | 44,000 | |||||||
Amortization of Debt Discount (Premium) | 56,000 | |||||||
Loan Agreement [Member] | Forecast [Member] | ||||||||
Debt Instrument, Periodic Payment, Total | $ 150,000 | |||||||
Percentage of Outstanding Principal Balance | 6.00% | |||||||
Loan Agreement [Member] | Revolving Loan [Member] | ||||||||
Debt Instrument, Face Amount of Potential Additional Loan | $ 7,500,000 | 7,500,000 | ||||||
Debt Instrument, Face Amount of Potential Additional Loan, Tranche One | 2,500,000 | 2,500,000 | ||||||
Debt Instrument, First Billings Threshold for Additional Loan | 5,900,000 | |||||||
Debt Instrument, Second Billings Threshold for Additional Loan | 7,000,000 | |||||||
Debt Instrument, Third Billings Threshold for Additional Loan | 8,000,000 | |||||||
Loan Agreement [Member] | Maximum [Member] | ||||||||
Debt Instrument, Face Amount | $ 15,000,000 | $ 7,500,000 | $ 15,000,000 | |||||
Loan Agreement [Member] | Minimum [Member] | London Interbank Offered Rate (LIBOR) [Member] | ||||||||
Debt Instrument, Basis Spread on Variable Rate, Threshold Percent | 2.00% |
Note 8 - Debt - Summary of Debt
Note 8 - Debt - Summary of Debt Activity (Details) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 | Mar. 31, 2018 |
Horizon debt discount | $ (423) | $ (478) | |
Horizon revolving loan | 10,028 | $ 7,472 | |
Current maturities of debt | 1,167 | ||
Long term debt | 8,861 | $ 7,472 | 7,472 |
Horizon [Member] | |||
Horizon debt discount | (422) | (478) | |
Term Loan [Member] | |||
Horizon term loan | 7,950 | 7,950 | |
Revolving Loan [Member] | |||
Horizon revolving loan | $ 2,500 |
Note 9 - Fair Value Measureme_3
Note 9 - Fair Value Measurements (Details Textual) - USD ($) | 3 Months Ended | ||
Mar. 31, 2019 | Mar. 31, 2018 | Dec. 31, 2018 | |
Fair Value Adjustment of Warrants | $ 91,000 | $ 10,000 | |
Class of Warrant or Right, Exercise Price of Warrants or Rights | $ 4.80 | $ 4.71 | |
Stock in Connection With Horizon Warrants [Member] | |||
Class of Warrant Or Right Value of Securities Called By Warrants Or Rights | $ 600,000 | ||
Horizon Warrants [Member] | |||
Class of Warrant or Right, Number of Securities Called by Warrants or Rights | 40,279 | ||
Warrants and Rights Outstanding, Term | 7 years | ||
Class of Warrant or Right, Exercise Price of Warrants or Rights | $ 9.93 | ||
Horizon Warrants [Member] | Maximum [Member] | |||
Percentage of Common Stock Outstanding | 19.90% | ||
Noncurrent Restricted Cash [Member[ | |||
Certificates of Deposit, at Carrying Value | $ 408,000 | $ 408,000 | |
Cash, Cash Equivalents and Restricted Cash [Member] | |||
Certificates of Deposit, at Carrying Value | $ 71,000 |
Note 9 - Fair Value Measureme_4
Note 9 - Fair Value Measurements - Fair Value, Assets and Liabilities Measured on a Recurring Basis (Details) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 | ||
Total assets | $ 408 | $ 479 | ||
Warrant liabilities | 552 | 86 | ||
Total liabilities | 552 | 86 | ||
Certificates of Deposit [Member] | ||||
Certificates of deposits | 408 | [1] | 479 | [2] |
Fair Value, Inputs, Level 1 [Member] | ||||
Total assets | 408 | 479 | ||
Warrant liabilities | ||||
Total liabilities | ||||
Fair Value, Inputs, Level 1 [Member] | Certificates of Deposit [Member] | ||||
Certificates of deposits | 408 | [1] | 479 | [2] |
Fair Value, Inputs, Level 2 [Member] | ||||
Total assets | ||||
Warrant liabilities | ||||
Total liabilities | ||||
Fair Value, Inputs, Level 2 [Member] | Certificates of Deposit [Member] | ||||
Certificates of deposits | [1] | [2] | ||
Fair Value, Inputs, Level 3 [Member] | ||||
Total assets | ||||
Warrant liabilities | 552 | 86 | ||
Total liabilities | 552 | 86 | ||
Fair Value, Inputs, Level 3 [Member] | Certificates of Deposit [Member] | ||||
Certificates of deposits | [1] | [2] | ||
[1] | $408,000 is included in restricted cash, long term on our balance sheet as of March 31, 2019. | |||
[2] | $71,000 is included in cash and restricted cash and $408,000 is included in restricted cash, long term on our balance sheet as of December 31, 2018. |
Note 9 - Fair Value Measureme_5
Note 9 - Fair Value Measurements - Fair Value Measurements Using Significant Level III Inputs (Details) - Warrants [Member] - Fair Value, Inputs, Level 3 [Member] $ in Thousands | 3 Months Ended |
Mar. 31, 2019USD ($) | |
Balance | $ 86 |
Issuance of new warrant liability | 461 |
Change in fair value of warrant liability | 91 |
Balance | 552 |
Accounting Standards Update 2017-11 [Member] | |
Reclassification of warrant liability | $ (86) |
Note 9 - Fair Value Measureme_6
Note 9 - Fair Value Measurements - Fair Value Assumptions, Warrant Liabilities (Details) | Mar. 31, 2019yr | Mar. 13, 2019yr |
Measurement Input, Price Volatility [Member] | ||
Expected price volatility (Year) | 101 | 101 |
Measurement Input, Expected Term [Member] | ||
Expected price volatility (Year) | 0.0695 | 0.07 |
Measurement Input, Risk Free Interest Rate [Member] | ||
Expected price volatility (Year) | 0.0251 | 0.0231 |
Measurement Input, Expected Dividend Rate [Member] | ||
Expected price volatility (Year) | 0 | 0 |
Note 10 - Variable Interest E_3
Note 10 - Variable Interest Entities - Summary of Amounts and Classification of Assets and Liabilities of the VIE in Our Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 |
Cash and cash equivalents | $ 1,296 | $ 3,162 |
Prepaid and other current assets | 948 | 942 |
Total assets | 7,217 | 6,323 |
Accounts payable | 819 | 497 |
Total liabilities | 17,893 | 15,288 |
Variable Interest Entity, Primary Beneficiary, Aggregated Disclosure [Member] | TIH [Member] | ||
Cash and cash equivalents | 6 | 45 |
Accounts receivable | 724 | 94 |
Prepaid and other current assets | 28 | 29 |
Total assets | 758 | 168 |
Accounts payable | 9 | 7 |
Accrued liabilities | 49 | 14 |
Total liabilities | $ 58 | $ 21 |