Consolidated Statements of Changes in Stockholders' Equity - USD ($) $ in Thousands	Common Stock [Member]	Additional Paid-in Capital [Member]	Treasury Stock [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Parent [Member]	Noncontrolling Interest [Member]	Total
Balance (in shares) at Dec. 31, 2020	31,029,642		(353,063)
Balance at Dec. 31, 2020	$ 31	$ 171,616	$ (413)	$ (149,681)	$ (4,406)	$ 17,147	$ 0	$ 17,147
Issuance of common stock via equity raises (in shares)	25,966,515		0
Issuance of common stock via equity raises	$ 26	78,020	$ 0	0	0	78,046	0	78,046
Common stock issued for acquisitions (in shares)	18,653,576		0
Common stock issued for acquisitions	$ 18	36,917	$ 0	0	0	36,935	0	36,935
Common stock issued and issuable for compensation, services and royalty payments (in shares)	1,891,056		0
Common stock issued and issuable for compensation, services and royalty payments	$ 2	12,155	$ 0	0	0	12,157	0	12,157
Common stock issued to lenders for OID (in shares)	1,636,651		0
Common stock issued to lenders for OID	$ 2	3,811	$ 0	0	0	3,813	0	3,813
Common stock issued for debt repayment (in shares)	3,082,299		0
Common stock issued for debt repayment	$ 3	8,968	$ 0	0	0	8,971	0	8,971
Net loss	0	0	0	(61,253)	0	(61,253)	39	(61,214)
Other comprehensive loss	$ 0	0	$ 0	0	411	411	0	411
Balance (in shares) at Dec. 31, 2021	82,259,739		(353,063)
Balance at Dec. 31, 2021	$ 82	311,487	$ (413)	(210,934)	(3,995)	96,227	39	96,266
Issuance of common stock via equity raises (in shares)	20,194,537		0
Issuance of common stock via equity raises	$ 20	3,935	$ 0	0	0	3,955	0	3,955
Common stock issued for acquisitions (in shares)	125,000		0
Common stock issued for acquisitions	$ 0	146	$ 0	0	0	146	0	146
Common stock issued and issuable for compensation, services and royalty payments (in shares)	2,889,457		0
Common stock issued and issuable for compensation, services and royalty payments	$ 3	1,299	$ 0	0	0	1,302	0	1,302
Common stock issued to lenders for OID (in shares)	24,963,451		0
Common stock issued to lenders for OID	$ 25	7,642	$ 0	0	0	7,667	0	7,667
Common stock issued for debt repayment (in shares)	20,297,993		0
Common stock issued for debt repayment	$ 21	15,916	$ 0	0	0	15,937	0	15,937
Net loss	0	0	0	(276,187)	0	(276,187)	(4,065)	(280,252)
Other comprehensive loss	$ 0	0	$ 0	0	3,304	3,304	0	3,304
Issuance of common stock upon exercise of pre-funded warrants, net (in shares)	7,153,847		0
Issuance of common stock upon exercise of pre-funded warrants, net	$ 7	6,932	$ 0	0	0	6,939	0	6,939
Balance (in shares) at Dec. 31, 2022	157,884,024		(353,063)
Balance at Dec. 31, 2022	$ 158	$ 347,357	$ (413)	$ (487,121)	$ (691)	$ (140,710)	$ (4,026)	$ (144,736)