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Lines of Credit and Long Term Debt - Components of Long Term Debt (Details) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Debt Instrument [Line Items]    
Long term debt $ 8,037 $ 7,948
Less current portion 502 386
Long term debt, less current portion 7,535 7,562
Notes payable    
Debt Instrument [Line Items]    
Long term debt 5,010 5,453
Royalty-based financing    
Debt Instrument [Line Items]    
Long term debt 2,132 1,896
Other    
Debt Instrument [Line Items]    
Long term debt $ 895 $ 599