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Income Taxes - Income Tax Reconciliation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Provision for income taxes [Abstract]    
Income taxes using U.S federal statutory rate $ (5,073) $ (1,865)
Nondeductible interest 315 994
Loss on extinguishment of debt   361
Loss of tax benefit of state net operating loss carryforwards (11) 1,477
Loss of tax benefit of federal tax credit carryforwards   324
Branch income (238)  
State income taxes, net of federal benefit (1,788) (1,461)
Foreign rate differential (238) 664
Valuation allowance 6,281 3,512
Derivative charge 595 (3,674)
Stock option exercises and cancellations 308  
Research and development costs (166) (316)
Other 15 (16)
Total $ 0 $ 0