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19. Restructuring Plans (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Accrued restructuring costs $ 265 $ 618 $ 104
Restructuring charges 88 2,287  
Restructuring cash (441) (1,773)  
Restructuring noncash $ 0 0  
Restructuring and Related Activities, Description

On July 7, 2016, the Company announced a restructuring of its sales force and operations. The reorganization plan included (1) a reduction of 54 sales positions, primarily from the Company's Neurology sales team; (2) prioritization and reorganization of sales territories to reduce the inefficient time that sales representatives spent driving long distances between customers; (3) improvement of the Company's compensation plan to incentivize the field sales staff to increase the frequency of calls on the focused targets; and (4) consolidation of the Neurology and Pain sales forces under one sales management structure to eliminate redundancies. In addition, as part of this initiative, the Company reduced its administrative staff by six employees. The Company incurred $88,000 during the twelve months ended December 31, 2017 in contract termination costs associated with the 2016 Restructuring. To date, the Company has incurred $2.4 million in costs related to the 2016 Restructuring, consisting of $1.4 million related to employee termination benefits and $1.0 million related to contract termination costs. All associated contract termination payments are expected to be made by June 30, 2018.

The Company incurred $2.3 million during the year ended December 31, 2016 in severance and other related cash expenses. The charge during the year ended December 31, 2016 was comprised of $1.3 million in severance related cash expenses, and $1.0 million in other cash related expenses. Associated severance payments were paid by December 31, 2017.

On March 16, 2015, the Company decided to institute an initiative to restructure operations and shut down the Charleston, South Carolina site. This step was done to consolidate operations within the Company's headquarters located in Morristown, New Jersey. During the year ended December 31, 2015, the Company incurred a charge of $1.1 million related to the restructuring. The charge during the year ended December 31, 2015 was comprised of $485,000 in severance related cash expenses, and $653,000 for the modification and accelerated vesting of options and awards under existing employee agreements. Associated severance payments were paid by May 31, 2016.

 

    
2016 Restructing Costs      
Accrued restructuring costs $ 265 618 0
Restructuring charges 88 2,287  
Restructuring cash (441) (1,669)  
Restructuring noncash $ 0 0  
2015 Restructing Costs      
Accrued restructuring costs   0 $ 104
Restructuring charges   0  
Restructuring cash   (104)  
Restructuring noncash   $ 0