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Lines of Credit and Long Term Debt - Schedule of Long Term Debt Instruments (Details) - USD ($)
$ in Thousands
Mar. 31, 2017
Dec. 31, 2016
Debt Instrument [Line Items]    
Long term debt $ 7,996 $ 7,948
Less current portion 388 386
Long term debt, net of current portion 7,608 7,562
Notes payable    
Debt Instrument [Line Items]    
Long term debt 5,343 5,453
Royalty-based financing    
Debt Instrument [Line Items]    
Long term debt 1,940 1,896
Other    
Debt Instrument [Line Items]    
Long term debt $ 713 $ 599