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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Cash flows from operating activities:    
Net loss $ (1,380) $ (1,314)
Adjustments to reconcile net loss to net cash used in operating activities:    
Amortization of intangible assets 247 299
Amortization of debt premium and prepaid interest into interest expense 828 807
Depreciation expense 8 22
Lease (income) expense 3 (2)
Loss on disposal of fixed assets 11
Compensation recognized under stock compensation plans 35 34
Changes in operating assets and liabilities:    
Accounts and unbilled receivables (38) 219
Accounts payable and accrued expenses (103) (59)
Accrued compensation and benefits payable (70) (358)
Accrued claim settlements (62) (61)
Other current and noncurrent assets and liabilities, net 203 (30)
Net cash used in operating activities (329) (432)
Cash flows from investing activities:    
Purchase of property and equipment (11)
Net cash used in investing activities (11)
Net decrease in cash and cash equivalents (329) (443)
Cash and cash equivalents, beginning of period 1,340 2,032
Cash and cash equivalents, end of period 1,011 1,589
Supplemental disclosure of cash flow information:    
Cash paid for interest $ 5 $ 3