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Lines of Credit and Long Term Debt - Schedule of Long Term Debt Instruments (Details) - USD ($)
$ in Thousands
Mar. 31, 2016
Dec. 31, 2015
Debt Instrument [Line Items]    
Long term debt $ 8,506 $ 8,528
Less current portion 893 930
Long term debt, net of current portion 7,613 7,598
Notes payable    
Debt Instrument [Line Items]    
Long term debt 6,363 6,477
Royalty-based financing    
Debt Instrument [Line Items]    
Long term debt 1,945 1,807
Other    
Debt Instrument [Line Items]    
Long term debt $ 198 $ 244