Mezzanine and Shareholders' Equity - Equity Incentive Plans (Details) - USD ($)			1 Months Ended	12 Months Ended				24 Months Ended
	Mar. 21, 2018	Dec. 08, 2017	Dec. 31, 2017	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock issued during period and issued for services (in shares)	37,593
Shares issued for exercise of options and warrants (in shares)				241,214	488,464
Shares issued for cash and exercise of options						$ 2,059,533
Cashless options, exercises in period (in shares)				0	151,346
Cashless options, exercises in period, net					109,438
Options outstanding (term)				5 years
Share-based compensation expense			$ 800,000	$ 1,546,861	$ 1,441,089	$ 2,743,116
2010 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock issued during period and issued for services (in shares)		500,000
2013 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized (in shares)		500,000
2015 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized (in shares)		1,500,000
Number of share available for grant (in shares)			1,000,000	500,000	900,000	1,000,000		900,000
Restricted stock units
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation expense				$ 900,000
Allied Pacific of California
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares issued for exercise of options and warrants (in shares)				0	0	1,056,600		7,110,150
Options outstanding (term)				0 years	9 months	1 year 9 months	2 years 9 months
Weighted average exercise price (in dollars per share)			$ 0.167	$ 0.000	$ 0.167	$ 0.167	$ 0.167	$ 0.167
Incentive consideration per provider				$ 25,000
Incentive consideration preferred provider				$ 15,000
Fair value assumptions. exercise price (in dollars per share)				$ 2.44	$ 0.17			$ 0.17
Proceeds from stock options exercised								$ 1,200,000
Deferred compensation liability			$ 1,200,000		$ 1,200,000	$ 1,200,000		$ 1,200,000
Adjustment to APIC for reclassification of liability				$ 1,200,000
APC Stock Option
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares issued for cash and exercise of options				$ 1,500,000	$ 1,800,000
Board Members
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options, grants in period (in shares)				145,228
Executives
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options, grants in period (in shares)				56,092
Weighted average exercise price (in dollars per share)				$ 18.91
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options exercisable weighted average exercise price (in usd per share)				1.50	$ 0.01			$ 0.01
Minimum | Board Members
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted average exercise price (in dollars per share)				15.35
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options exercisable weighted average exercise price (in usd per share)				10.00	$ 10.00			$ 10.00
Maximum | Board Members
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted average exercise price (in dollars per share)				$ 18.11