Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Cash flows from operating activities:
Net loss	$ (4,051)	$ (7,926)
Adjustments to reconcile net loss to net cash used in operating activities:
Amortization of intangible assets	739	861
Amortization of debt premium and prepaid interest into interest expense	2,536	2,453
Depreciation expense	22	40
Loss (gain) on disposal of fixed assets	5	(3)
Lease expense	(3)	(4)
Allowance for doubtful accounts	10
Goodwill impairment	0	3,905
Compensation recognized under stock compensation plans	115	127
Changes in operating assets and liabilities
Accounts and unbilled receivables	1,482	683
Accounts payable and accrued expenses	(104)	(195)
Accrued compensation and benefits payable	(830)	(315)
Accrued health and wellness program payable	0	(492)
Accrued claim settlements	(185)	(184)
Other current assets and liabilities, net	482	161
Net cash provided by (used in) operating activities	218	(889)
Cash flows from investing activities:
Purchase of property and equipment	(15)	(11)
Net cash used in investing activities	(15)	(11)
Net increase (decrease) in cash and cash equivalents	203	(900)
Cash and cash equivalents, beginning of period	1,340	2,032
Cash and cash equivalents, end of period	1,543	1,132
Supplemental disclosure of cash flow information:
Cash paid for interest	9	12
Cash paid for income taxes, net	$ 0	$ 45