Unaudited Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Statement of Cash Flows [Abstract]    
Net cash used in operating activities (net of effects of acquisitions) $ (1,950) $ (9,896)
Cash flows from investing activities:    
Purchases of property, equipment and software (2,465) (1,448)
Business acquisitions, net of cash received (7,330) (257)
Net cash used in investing activities (9,795) (1,705)
Cash flows from financing activities:    
Change in restricted cash 10 (11,666)
Proceeds from issuance of common stock, net 4,368 6,815
Proceeds from debt issuance 7,597 27,921
Payment of debt issuance cost (163) 0
Repayments of debt 0 (1,350)
Payments of capital lease obligations (182) (128)
Net cash provided by financing activities 11,630 21,592
Net increase (decrease) in cash and cash equivalents (115) 9,991
Cash and cash equivalents:    
Beginning of period 5,422 1,525
End of period 5,307 11,516
Supplemental cash flow information:    
Cash paid for interest 2,661 0
Supplemental schedule of non-cash investing and financing activities:    
Common stock issued in business acquisition transactions 0 9,743
Warrants issued in business acquisition transactions 7,993 10,181
Other non-cash consideration issued in business acquisition transactions 0 2,700
Issuance of common stock upon conversion of debt instruments 0 10,278
Exchange of note receivable for intangible asset $ 0 $ 1,350