Annual report pursuant to Section 13 and 15(d)

Debt (Details Narrative)

v3.20.4
Debt (Details Narrative) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 12 Months Ended
Oct. 31, 2017
Dec. 31, 2020
Dec. 31, 2019
Sep. 30, 2018
Debt balance payable   $ 442    
Vehicle Financing Notes [Member]        
Vehicle financing in United stated and Pakistan Three to six year terms      
Debt balance payable   $ 79    
Insurance Financing [Member]        
Debt instrument interest rate   4.00%    
Debt balance payable   $ 337    
Payable to Managed Practices [Member]        
Debt balance payable   26    
Payable to Managed Practices [Member] | Orion Acquisition [Member]        
Non-interest bearing   236    
SVB Debt Agreement [Member]        
Payment of upfront fees $ 50      
Class of warrant or right, number of securities called by warrants or rights 125,000      
Payments for annual anniversary fee $ 50      
Warrant strike price $ 3.92      
Warrant exercise term 5 years      
Warrants price per share $ 3.12      
Decrease in interest rate due to increase in line of credit 0.25%      
Upfront fee paid for increase in SVB credit line limit $ 50      
SVB Debt Agreement [Member] | Additional Warrant [Member]        
Class of warrant or right, number of securities called by warrants or rights 28,489      
Warrant strike price $ 5.26      
Warrant exercise term 5 years      
Warrants price per share $ 3.58      
SVB Credit Facility [Member]        
Secured revolving line of credit percentage 200.00%      
Borrowing credit facility    
Unused portion of credit line fee, percentage 1.00%      
Unused portion of credit line fee percentage, description There is also a fee of one-half of 1% annually for the unused portion of the credit line.      
Percentage of shares in offshore facilities secured for SVB credit line 65.00%      
SVB Credit Facility [Member] | Prime Rate [Member]        
Revolving line of credit, interest rate 1.50%      
SVB Credit Facility [Member] | Old [Member]        
Revision of borrowing limit from SVB Bank       $ 5,000
SVB Credit Facility [Member] | New [Member]        
Revision of borrowing limit from SVB Bank       $ 10,000