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Nature of Business and Basis of Presentation (Q3) (Policies)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Principles of Consolidation: The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 8 of Regulation S-X. Certain information and note disclosures normally included in the audited annual consolidated financial statements have been condensed or omitted pursuant to those rules and regulations. Accordingly, they do not include all of the information necessary for a fair presentation of results of operations, comprehensive loss, financial condition, and cash flows in conformity with U.S. GAAP. In the opinion of management, the condensed consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation of the results of the Company for the periods presented. Operating results for interim periods are not necessarily indicative of results that may be expected for the year as a whole. The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, expenses, and the related disclosures at the date of the consolidated financial statements and during the reporting period. Actual results could materially differ from these estimates.

For further information, refer to the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.

Going Concern

Going Concern: The Company’s consolidated financial statements have been prepared and presented on a basis assuming it continues as a going concern. During the years ended December 31, 2018 and 2017 and through September 30, 2019, the Company incurred losses from operations and net cash outflows from operating activities as disclosed in the consolidated statements of operations and cash flows, respectively. As of September 30, 2019, the Company had an accumulated deficit of $213.1 million and it expects to incur losses for the immediate future. To date, the Company has been funded by debt and equity financings, and although the Company believes that it will be able to successfully fund its operations, there can be no assurance that it will be able to do so or that it will ever operate profitably. These factors raise substantial doubt about the Company’s ability to continue as a going concern through the next twelve months.

The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability.

On April 24, 2017, November 27, 2017, July 3, 2018, March 12, 2019, October 25, 2019 and November 6, 2019, the Company closed on underwritten public equity offerings for aggregate net proceeds of approximately $41.4 million after deducting the underwriting discounts and commissions and other costs associated with the offerings (see Note 4 –Equity and Note 10-Subsequent Events). The Company will require additional funding to grow its Aquadex Business, which may not be available on terms favorable to the Company, or at all. The Company may receive those funds from the proceeds from future warrant exercises, issuances of equity securities, or other financing transactions. Should warrant exercises not materialize or future capital raising be unsuccessful, the Company may not be able to continue as a going concern. No adjustments have been made relating to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company not continue as a going concern.

Going Concern

The Company’s financial statements have been prepared and presented on a basis assuming it continues as a going concern. During the years ended December 31, 2018 and 2017, the Company incurred losses from operations and net cash outflows from operating activities as disclosed in the consolidated statements of operations and cash flows, respectively. At December 31, 2018, the Company had an accumulated deficit of $199.4 million and it expects to incur losses for the foreseeable future. To date, the Company has been funded by debt and equity financings, and although the Company believes that it will be able to successfully fund its operations, there can be no assurance that it will be able to do so or that it will ever operate profitably. These factors raise substantial doubt about the Company’s ability to continue as a going concern through at least twelve months from the report date.

The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability.

On April 24, 2017, November 27, 2017, and on July 3, 2018, the Company closed on underwritten public equity offerings for aggregate net proceeds of approximately $28.8 million after deducting the underwriting discounts and commissions and other costs associated with the offerings (see Note 6 - Shareholder’s Equity). The Company will require additional funding to grow its Aquadex Business, which may not be available on terms favorable to the Company, or at all. The Company may receive those funds from the proceeds from future warrant exercises, issuances of equity securities, or other financing transactions. Should warrant exercises not materialize or future capital raising be unsuccessful, the Company may not be able to continue as a going concern. No adjustments have been made relating to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company not continue as a going concern.

Revenue Recognition

Revenue Recognition: The Company recognizes revenue in accordance with Accounting Standards Codification (“ASC”), Topic 606, Revenue from Contracts with Customers, which the Company adopted effective January 1, 2018. Accordingly, the Company recognizes revenue when its customers obtain control of its products or services, in an amount that reflects the consideration that the Company expects to receive in exchange for those goods and services. See Note 2 – Revenue Recognition, for additional disclosures. For the three months ended September 30, 2019, three customers represented 11%, 12% and 12% of net sales. For the nine months ended September 30, 2019, one customer represented 10% of net sales. For the three months ended September 30, 2018, two customers represented 15% and 10% of net sales. For the nine months ended September 30, 2018, one customer represented 10% of net sales.

Revenue Recognition

The Company recognizes revenue in accordance with Accounting Standards Codification (“ASC”), Topic 606, Revenue from Contracts with Customers, which the Company adopted effective January 1, 2018. Accordingly, the Company recognizes revenue when its customers obtain control of their products or services, in an amount that reflects the consideration that the Company expects to receive in exchange for those goods and services. See Note 2 – Revenue Recognition for additional accounting policies and transition disclosures.

Accounts Receivable

Accounts Receivable: Accounts receivable are unsecured, recorded at net realizable value, and do not bear interest. The Company makes judgments as to its ability to collect outstanding receivables based upon significant patterns of collectability, historical experience, and managements’ evaluation of specific accounts and will provide an allowance for credit losses when collection becomes doubtful. The Company performs credit evaluations of its customers’ financial condition on an as-needed basis. Payment is generally due 30 days from the invoice date and accounts past 30 days are individually analyzed for collectability. When all collection efforts have been exhausted, the account is written off against the related allowance. To date the Company has not experienced any write-offs or significant deterioration of the aging of its accounts receivable, and therefore, no allowance for doubtful accounts was considered necessary as of September 30, 2019 or December 31, 2018. As of September 30, 2019, two customers represented 14% and 12% of the accounts receivable balance. As of December 31, 2018, three customers represented 18%, 13% and 13% of the accounts receivable balance.

Accounts Receivable

Accounts receivable are unsecured, are recorded at net realizable value, and do not bear interest. The Company makes judgments as to its ability to collect outstanding receivables based upon significant patterns of uncollectability, historical experience, and managements’ evaluation of specific accounts and will provide an allowance for credit losses when collection becomes doubtful. The Company performs credit evaluations of its customers’ financial condition on an as-needed basis. Payment is generally due 30 days from the invoice date and accounts past 30 days are individually analyzed for collectability. When all collection efforts have been exhausted, the account is written off against the related allowance. To date the Company has not experienced any write-offs or significant deterioration of its accounts receivable aging, and therefore, no allowance for doubtful accounts was considered necessary as of December 31, 2018 or 2017.

Inventories

Inventories: Inventories are recorded as the lower of cost or net realizable value using the first-in, first out method. Overhead is allocated to manufactured finished goods inventory based on the normal capacity of the Company’s production facilities. Abnormal amounts of overhead, if any, are expensed as incurred. Inventories consisted of the following:

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

Inventories

Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Contingent Consideration

Contingent consideration: In connection with the Company’s purchase of the Aquadex Business in August 2016, the Company had an obligation to pay additional consideration that was contingent upon the occurrence of certain future events (see Note 9 - Commitments and Contingencies). Contingent consideration was recognized at the acquisition date at $126,000, the estimated fair value of the contingent milestone payments. The fair value of the contingent consideration was remeasured to its estimated fair value at the end of each reporting period, with changes recorded to earnings. As of September 30, 2019, this contingency had expired, therefore its fair value was $0.

Contingent consideration

In connection with the Company’s purchase of the Aquadex Business in August 2016, the Company has an obligation to pay additional consideration that is contingent upon the occurrence of certain future events (see Note 10- Commitments and Contingencies). Contingent consideration is recognized at the acquisition date at the estimated fair value of the contingent milestone payments. The fair value of the contingent consideration is remeasured to its estimated fair value at the end of each reporting period, with changes recorded to earnings. As of December 31, 2018, the contingent consideration was recorded in current liabilities in the accompanying balance sheet to reflect its maturity during 2019.

Loss per Share

Loss per share: Basic loss per share is computed based on the net loss for each period divided by the weighted average number of common shares outstanding. The net loss allocable to common stockholders for the nine months ended September 30, 2019, reflects a $4.5 million increase for the net deemed dividend to preferred stockholders provided in connection with the close of the public offering of Series G Convertible Preferred Stock on March 12, 2019 (see Note 4 - Equity), representing the intrinsic value of the shares at the time of issuance.

Diluted earnings per share is computed based on the net loss allocable to common stockholders for each period divided by the weighted average number of common shares outstanding, increased by the number of additional shares that would have been outstanding had the potentially dilutive common shares been issued, and reduced by the number of shares the Company could have repurchased from the proceeds from issuance of the potentially dilutive shares. Potentially dilutive shares of common stock include shares underlying outstanding convertible preferred stock, warrants, stock options and other stock-based awards granted under stock-based compensation plans.

The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each period presented:

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

Loss per share

Basic loss per share is computed based on the net loss for each period divided by the weighted average number of common shares outstanding. The net loss allocable to common stockholders for the year ended December 31, 2017, reflects increases for net deemed dividends to preferred stockholders provided in connection with the close of the public offering of Series E Convertible Preferred Stock in April of 2017, and the close of the public offering of Series F Convertible Preferred Stock in November of 2017, of $1.0 million and $8.7 million, respectively, representing the intrinsic value of the shares at the time of issuance. In addition, the net loss allocable to common stockholders for the year ended December 31, 2017, reflects an increase for net deemed dividends of $1.8 million to preferred stockholders provided in connection with the shareholder approval of the Series C and D Convertible Preferred Stock transactions in January of 2017, representing the intrinsic value of the shares at the time of issuance. (See Note 6). There were no deemed dividends during 2018.

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

New Accounting Pronouncements

New Accounting Pronouncements: In February 2016, the Financial Accounting Standards Board (“FASB”) issued updated guidance to improve financial reporting about leasing transactions. This guidance required organizations that lease assets to recognize on the balance sheet the assets and liabilities for the rights and obligations created by those leases. The original guidance required application on a modified retrospective basis with the earliest period presented. In August 2018, the FASB issued new guidance which included an option to not restate comparative periods in transition. The Company adopted this new standard on January 1, 2019 with no retrospective adjustments to prior comparative periods. The adoption of this standard on January 1, 2019 resulted in an increase of approximately $0.6 million in the Company’s other long-term assets and in short and long-term liabilities recorded on its consolidated balance sheet. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard which allowed it to carry forward the historical lease classification. See Note 7 –Operating Leases for additional qualitative and quantitative disclosures

In August 2018, the FASB issued updated guidance to improve and simplify the disclosure requirements on fair value measurements for level 3 assets and liabilities valued at fair value. The Company early-adopted the guidance effective in its second quarter and the effect on the consolidated financial statements was not material.

Recent Accounting Pronouncements

In May 2014, August 2015, March 2016, April 2016 and May 2016, the Financial Accounting Standards Board (“FASB”) issued amended revenue recognition guidance to clarify the principles for recognizing revenue from contracts with customers. The guidance requires an entity to recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which an entity expects to be entitled in exchange for those goods or services. The guidance also requires expanded disclosures relating to the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. Additionally, qualitative and quantitative disclosures are required about customer contracts, significant judgments and changes in judgments, and assets recognized from the costs to obtain or fulfill a contract. The Company adopted this new standard on January 1, 2018, utilizing the modified retrospective approach. There was no impact to the amount or timing of revenue that the Company had recognized in prior periods. See Note 2 - Revenue Recognition for additional accounting policy and transition disclosures.

In January 2017, the FASB issued amended guidance to simplify the accounting for goodwill impairment by removing Step 2 of the goodwill impairment test. A goodwill impairment will now be measured as the amount by which a reporting unit’s carrying value exceeds its fair value, limited to the amount of goodwill allocated to that reporting unit. This guidance was to be applied on a prospective basis effective for the Company’s interim and annual periods beginning after January 1, 2019, with early adoption permitted for any impairment tests performed after January 1, 2017. The Company adopted this amended guidance during the year ended December 31, 2017, and recognized a $0.2 million impairment loss related to its goodwill.

In February 2016, the FASB issued updated guidance to improve financial reporting about leasing transactions. This guidance will require organizations that lease assets to recognize on the balance sheet the assets and liabilities for the rights and obligations created by those leases. The original guidance required application on a modified retrospective basis with the earliest period presented. In August 2018, the FASB issued new guidance which includes an option to not restate comparative periods in transition. This guidance is effective for the Company’s annual and quarterly periods beginning January 1, 2019. The Company has nearly completed evaluating the impact that the adoption of this standard will have on its consolidated financial statements. The Company expects that the adoption of this guidance will result in an increase in both the assets and liabilities recorded on its consolidated balance sheets in an amount ranging from $575,000 to $625,000. The Company does not expect that the adoption of this standard will have a material impact on the consolidated statement of operations and comprehensive loss or in the statement of cash flows. We do expect to include additional qualitative and quantitative disclosures as required. The Company expects to use the effective date of this standard as the date of initial application, with no retrospective adjustments to prior comparative periods.

The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Consolidated Balance Sheets (FY) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Current assets
Cash and cash equivalents	$ 5,480	$ 15,595
Accounts receivable	786	545
Inventories	1,658	1,588
Other current assets	203	136
Total current assets	8,127	17,864
Property, plant and equipment, net	536	570
Other assets	113	21
TOTAL ASSETS	8,776	18,455
Current liabilities
Accounts payable	1,133	862
Accrued compensation	1,498	1,021
Other current liabilities	209	208
Total current liabilities	2,840	2,091
Other liabilities	0	126
Total liabilities	2,840	2,217
Commitments and contingencies
Stockholders' equity
Preferred stock	0	0
Common stock as of December 31, 2018 and December 31, 2017, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 513,445 and 271,357, respectively	0	0
Additional paid-in capital	204,101	197,367
Accumulated other comprehensive income:
Foreign currency translation adjustment	1,223	1,227
Accumulated deficit	(199,388)	(182,356)
Total stockholders' equity	5,936	16,238
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	8,776	18,455
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock	$ 0	$ 0

Consolidated Statements of Stockholders' Equity (FY) - USD ($) $ in Thousands	Common Stock [Member]	Additional Paid in Capital [Member]	Accumulated Other Comprehensive Income [Member]	Accumulated Deficit [Member]	Total
Balance at Dec. 31, 2016	$ 0	$ 169,496	$ 1,235	$ (168,974)	$ 1,757
Balance (in shares) at Dec. 31, 2016	2,801
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(13,382)	(13,382)
Foreign currency translation adjustment	0	0	(8)	0	(8)
Stock-based compensation, net	$ 0	499	0	0	499
Stock-based compensation, net (in shares)	17
Issuance of common stock, net	$ 0	5,399	0	0	5,399
Issuance of common stock, net (in shares)	42,017
Issuance of preferred stock, net	$ 0	21,973	0	0	21,973
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	226,522
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,354)	(4,354)
Foreign currency translation adjustment	0	0	1	0	1
Stock-based compensation, net	$ 0	501	0	0	501
Stock-based compensation, net (in shares)	3
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	32,365
Balance at Mar. 31, 2018	$ 0	197,868	1,228	(186,710)	12,386
Balance (in shares) at Mar. 31, 2018	303,725
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss					(12,776)
Foreign currency translation adjustment					(2)
Balance at Sep. 30, 2018	$ 0	203,560	1,225	(195,132)	9,653
Balance (in shares) at Sep. 30, 2018	505,315
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(17,032)	(17,032)
Foreign currency translation adjustment	0		(4)		(4)
Stock-based compensation, net	$ 0	2,087	0	0	2,087
Stock-based compensation, net (in shares)	12
Issuance of unregistered shares	$ 0	0	0	0	0
Issuance of unregistered shares (in shares)	7,116
Issuance of common stock, net	$ 0	4,647	0	0	4,647
Issuance of common stock, net (in shares)	181,941
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	53,019
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Balance at Mar. 31, 2018	$ 0	197,868	1,228	(186,710)	12,386
Balance (in shares) at Mar. 31, 2018	303,725
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,181)	(4,181)
Foreign currency translation adjustment	0	0	(2)	0	(2)
Stock-based compensation, net	$ 0	606	0	0	606
Stock-based compensation, net (in shares)	3
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	18,127
Balance at Jun. 30, 2018	$ 0	198,474	1,226	(190,891)	8,809
Balance (in shares) at Jun. 30, 2018	321,855
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,241)	(4,241)
Foreign currency translation adjustment	0	0	(1)	0	(1)
Stock-based compensation, net	$ 0	437	0	0	437
Stock-based compensation, net (in shares)	3
Issuance of common stock, net	$ 0	4,649	0	0	4,649
Issuance of common stock, net (in shares)	181,941
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	1,516
Balance at Sep. 30, 2018	$ 0	203,560	1,225	(195,132)	9,653
Balance (in shares) at Sep. 30, 2018	505,315
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,727)	(4,727)
Foreign currency translation adjustment	0	0	(2)	0	(2)
Stock-based compensation, net	$ 0	362	0	0	362
Stock-based compensation, net (in shares)	3
Issuance of common stock, net	$ 0	10,959	0	0	10,959
Issuance of common stock, net (in shares)	455,178
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	1,100,394
Balance at Mar. 31, 2019	$ 0	215,422	1,221	(204,115)	12,528
Balance (in shares) at Mar. 31, 2019	2,069,020
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss					(13,666)
Foreign currency translation adjustment					(4)
Balance at Sep. 30, 2019	$ 0	216,173	1,219	(213,054)	4,338
Balance (in shares) at Sep. 30, 2019	2,879,162
Balance at Mar. 31, 2019	$ 0	215,422	1,221	(204,115)	12,528
Balance (in shares) at Mar. 31, 2019	2,069,020
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,430)	(4,430)
Foreign currency translation adjustment	0	0	(3)	0	(3)
Stock-based compensation, net	$ 0	339	0	0	339
Stock-based compensation, net (in shares)	0
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	259,300
Balance at Jun. 30, 2019	$ 0	215,761	1,218	(208,545)	8,434
Balance (in shares) at Jun. 30, 2019	2,328,320
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,509)	(4,509)
Foreign currency translation adjustment	0	0	1	0	1
Stock-based compensation, net	$ 0	412	0	0	412
Stock-based compensation, net (in shares)	0
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	550,842
Balance at Sep. 30, 2019	$ 0	$ 216,173	$ 1,219	$ (213,054)	$ 4,338
Balance (in shares) at Sep. 30, 2019	2,879,162

Intangible Assets (FY) (Details) $ in Thousands	12 Months Ended
Intangible Assets (FY) (Details) $ in Thousands	Dec. 31, 2017 USD ($)	Dec. 31, 2018
Finite-Lived Intangible Assets, Net [Abstract]
Impairment charges related to definite-lived intangible assets	$ 3,800
Discount Rate [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Overall discount rate		0.3

Operating Leases (Q3) (Details)	3 Months Ended		9 Months Ended		12 Months Ended
Operating Leases (Q3) (Details)	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2019 USD ($) $ / ft²	Sep. 30, 2018 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Operating Leases [Abstract]
Annual base rent (per square foot) \| $ / ft²			9.00
Annual increase per square foot (in dollars per square foot) \| $ / ft²			0.25
Cost Components of Operating Leases [Abstract]
Operating lease cost	$ 53,000		$ 158,000
Variable lease cost	26,000		85,000
Total	79,000		243,000
Maturities of Lease Liability [Abstract]
2019	52,000		52,000
2020	213,000		213,000
2021	219,000		219,000
2022	55,000		55,000
Total lease payments	539,000		539,000
Less: Interest	(49,000)		(49,000)
Present value of lease liability	$ 490,000		$ 490,000
Remaining lease term			2 years 6 months
Discount rate	7.50%		7.50%
Operating cash outflows from operating lease			$ 154,000
Rent expense		$ 54,000		$ 160,000	$ 293,000	$ 290,000
Future Minimum Lease Payments [Abstract]
2019	$ 217,000		217,000		217,000
2020	220,000		220,000		220,000
2021	219,000		219,000		219,000
2022	55,000		55,000		55,000
2023	$ 0		$ 0		$ 0

Condensed Consolidated Balance Sheets (Unaudited) (Q3) (Parenthetical) - $ / shares	Sep. 30, 2019	Dec. 31, 2018
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	39,969,465	39,969,465
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)	100,000,000	100,000,000
Common stock, shares issued (in shares)	2,879,162	513,445
Common stock, shares outstanding (in shares)	2,879,162	513,445
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	30,000	30,000
Preferred stock, shares outstanding (in shares)	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	535	535
Preferred stock, shares issued (in shares)	535	535
Preferred stock, shares outstanding (in shares)	535	535
Series G Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	0	0
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0

Nature of Business and Basis of Presentation, Loss Per Share (Q3) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended						9 Months Ended		12 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							5,865,628	767,439	758,032	672,048
Reported net loss with reported net loss per share [Abstract]
Net loss	$ (4,509)	$ (4,430)	$ (4,727)	$ (4,241)	$ (4,181)	$ (4,354)	$ (13,666)	$ (12,776)	$ (17,032)	$ (13,382)
Deemed dividend to preferred shareholders (see Note 4)	0						(4,509)		0	(11,590)
Net loss after deemed dividend	$ (4,509)						$ (18,175)		$ (17,032)	$ (24,972)
Weighted average shares outstanding (in shares)	2,646,000			499,000			1,915,000	369,000	404,000	48,000
Basic and diluted loss per share (in dollars per share)	$ (1.70)			$ (8.50)			$ (9.49)	$ (34.59)	$ (42.14)	$ (525.01)
New Accounting Pronouncement [Abstract]
Operating lease right-of-use asset	$ 487						$ 487		$ 0
Operating lease liability	$ 490						$ 490
Warrants to Purchase Common Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							5,430,721	608,787	599,293	608,787
Series F Convertible Preferred Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							102,185	19,210
Stock Options [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							332,722	139,439	140,546	2,766
Restricted Stock Units [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							0	3	3	15
ASU 2016-02 [Member] \| Adjustments Due to Adoption of ASU 2016-02 [Member]
New Accounting Pronouncement [Abstract]
Operating lease right-of-use asset									$ 600
Operating lease liability									$ 600

Nature of Business and Significant Accounting Policies, Income Taxes and Loss Per Share (FY) (Details) - USD ($)	3 Months Ended						9 Months Ended		12 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Effective Income Tax Rate Reconciliation, Percent [Abstract]
U.S. corporate income tax rate									21.00%	34.00%
Percentage of valuation allowance on deferred tax assets									100.00%
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							5,865,628	767,439	758,032	672,048
Reported net loss with reported net loss per share [Abstract]
Net loss	$ (4,509,000)	$ (4,430,000)	$ (4,727,000)	$ (4,241,000)	$ (4,181,000)	$ (4,354,000)	$ (13,666,000)	$ (12,776,000)	$ (17,032,000)	$ (13,382,000)
Deemed dividend to preferred shareholders (see Note 6)	0						(4,509,000)		0	(11,590,000)
Net loss after deemed dividend	$ (4,509,000)						$ (18,175,000)		$ (17,032,000)	$ (24,972,000)
Weighted average shares outstanding (in shares)	2,646,000			499,000			1,915,000	369,000	404,000	48,000
Basic and diluted loss per share (in dollars per share)	$ (1.70)			$ (8.50)			$ (9.49)	$ (34.59)	$ (42.14)	$ (525.01)
Recent Accounting Pronouncements [Abstract]
Goodwill impairment loss									$ 200,000
Right of use assets	$ 487,000						$ 487,000		$ 0
Lease liabilities	$ 490,000						$ 490,000
Series E Convertible Preferred Stock [Member]
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)										$ (1,000,000)
Series F Convertible Preferred Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)									18,190	60,480
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)										$ (8,700,000)
Series C and D Convertible Preferred Stock [Member]
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)										$ (1,800,000)
Stock Options [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							332,722	139,439	140,546	2,766
Restricted Stock Units [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							0	3	3	15
Warrants to Purchase Common Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)							5,430,721	608,787	599,293	608,787
ASU 2016-02 [Member] \| Plan [Member] \| Minimum [Member]
Recent Accounting Pronouncements [Abstract]
Right of use assets									$ 575,000
Lease liabilities									575,000
ASU 2016-02 [Member] \| Plan [Member] \| Maximum [Member]
Recent Accounting Pronouncements [Abstract]
Right of use assets									625,000
Lease liabilities									$ 625,000

Intangible Assets (FY)	12 Months Ended
Intangible Assets (FY)	Dec. 31, 2018
Intangible Assets [Abstract]
Intangible Assets	Note 4—Intangible Assets The Company’s review of its intangible assets during the year ended December 31, 2017, resulted in $3.8 million of impairment charges related to its definite-lived intangible assets. The impairment charges were based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed in Note 1, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%.

Segment and Geographic Information (FY) (Details)	12 Months Ended
Segment and Geographic Information (FY) (Details)	Dec. 31, 2018 Segment
Segment and Geographic Information [Abstract]
Number of reportable segments	1

Debt, New Loan Agreement (FY) (Details) - Silicon Valley Bank [Member] - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017	Sep. 30, 2016	Aug. 05, 2016
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 5,000	$ 5,000
Term Loan [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity				$ 4,000	$ 4,000
Maturity date	Nov. 30, 2016	Nov. 30, 2016
Revolving Line [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 1,000	$ 1,000
Maturity date	Mar. 31, 2020	Mar. 31, 2020
Total borrowings outstanding	$ 0	$ 0	$ 0
Revolving Line [Member] \| Floating Annual Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.75%	1.75%
Revolving Line [Member] \| Prime Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.00%	1.00%

Debt (Q3) (Details) - Silicon Valley Bank [Member] - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017	Sep. 30, 2016	Aug. 05, 2016
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 5,000	$ 5,000
Term Loan [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity				$ 4,000	$ 4,000
Maturity date	Nov. 30, 2016	Nov. 30, 2016
Revolving Line [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 1,000	$ 1,000
Maturity date	Mar. 31, 2020	Mar. 31, 2020
Total borrowings outstanding	$ 0	$ 0	$ 0
Revolving Line [Member] \| Floating Annual Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.75%	1.75%
Revolving Line [Member] \| Prime Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.00%	1.00%

Nature of Business and Basis of Presentation (Q3)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Nature of Business and Basis of Presentation

Note 1 – Nature of Business and Basis of Presentation

Nature of Business: CHF Solutions, Inc. (the “Company”) is a medical device company focused on developing, manufacturing and commercializing the Aquadex FlexFlow® system for aquapheresis therapy. The Aquadex FlexFlow system (“Aquadex FlexFlow”) is indicated for temporary (up to eight hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and extended (longer than 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and require hospitalization. The Company has submitted an application to the FDA requesting for 510(k) clearance of the Aquadex FlexFlow system to include pediatric patients who weigh 20kg or more. CHF Solutions, Inc. is a Delaware corporation headquartered in Minneapolis with wholly owned subsidiaries in Australia, Ireland and Delaware. The Company has been listed on Nasdaq since February 2012.

Previously, the Company was focused on developing the C-Pulse® Heart Assist System for treatment of Class III and ambulatory Class IV heart failure. In August 2016, the Company acquired the business associated with the Aquadex FlexFlow system (herein referred to as the “Aquadex Business”) from a subsidiary of Baxter International, Inc. (“Baxter”), and refocused its strategy to fully devote its resources to the Aquadex Business.

In December 2018, the Company’s stockholders approved a reverse split of its outstanding common stock at a ratio in the range of 1-for-2 to 1-for 14 and, in January 2019, the board of directors approved a 1-for-14 reverse split of the Company’s outstanding common stock that became effective after trading on January 2, 2019. This reverse stock split did not change the par value of the Company’s common stock or the number of common or preferred shares authorized by the Company’s Fourth Amended and Restated Certificate of Incorporation. All share and per-share amounts have been retroactively adjusted to reflect the reverse stock split for all periods presented.

For further information, refer to the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

Note 1—Nature of Business and Significant Accounting Policies

Nature of Business

CHF Solutions, Inc. (the “Company”) is a medical device company focused on commercializing the Aquadex FlexFlow® system for aquapheresis therapy. The Aquadex FlexFlow system (Aquadex) is indicated for temporary (up to eight hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and extended (longer than 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and require hospitalization. CHF Solutions, Inc. is a Delaware corporation headquartered in Minneapolis with wholly owned subsidiaries in Australia, Ireland and Delaware. The Company has been listed on Nasdaq since February 2012.

Prior to July 2016, the Company was focused on developing the C-Pulse® Heart Assist System for treatment of Class III and ambulatory Class IV heart failure. In August 2016, the Company acquired the Aquadex FlexFlow business from a subsidiary of Baxter International, Inc. (“Baxter”), a global leader in the hospital products and dialysis markets (herein referred to as the “Aquadex Business”). In September 2016, the Company announced a strategic refocus of its strategy that included halting all clinical evaluations of its C-Pulse related technology to fully focus all of its resources on its recently acquired Aquadex Business.

On May 23, 2017, the Company announced it was changing its name from Sunshine Heart, Inc. to CHF Solutions, Inc. to more appropriately reflect the direction of its business.

In December 2018, the Company’s stockholders approved a reverse split of its outstanding common stock at a ratio in the range of 1-for-2 to 1-for-14 and, in January 2019, the board of directors approved a 1-for-14 reverse split of the Company’s outstanding common stock that became effective after trading on January 2, 2019. In addition, during 2017, the Company’s stockholders and board of directors approved two reverse stock splits. The first reverse stock split was a 1-for-30 reverse split of the Company’s outstanding common stock that became effective after trading on January 12, 2017. The second reverse stock split was a 1-for-20 reverse split of the Company’s outstanding common stock that became effective after trading on October 12, 2017. These reverse stock splits did not change the par value of the Company’s common stock or the number of common or preferred shares authorized by the Company’s Fourth Amended and Restated Certificate of Incorporation. All share and per-share amounts have been retroactively adjusted to reflect the reverse stock splits for all periods presented.

Going Concern

The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability.

Basis of Presentation

The accompanying consolidated financial statements include the accounts of CHF Solutions, Inc. and its wholly-owned subsidiaries, CHF Solutions, LLC, Sunshine Heart Company Pty Limited, and Sunshine Heart Ireland Limited. All intercompany accounts and transactions between consolidated entities have been eliminated.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts and disclosures in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Cash and Cash Equivalents

Cash and cash equivalents consist of cash and term deposits with original maturities of three months or less. The carrying value of these instruments approximate fair value. The balances, at times, may exceed federally insured limits. The Company has not experienced any losses on its cash and cash equivalents.

Accounts Receivable

Inventories

Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Other Current Assets

Other current assets represent prepayments and deposits made by the Company.

Property, Plant and Equipment

Property and equipment is stated at cost less accumulated depreciation. Depreciation is computed based upon the estimated useful lives of the respective assets. Leasehold improvements and capital lease assets are amortized using the straight-line method over the shorter of the lease term or the estimated useful life of the assets. Repairs and maintenance costs are expensed as incurred. The cost and accumulated depreciation of property, plant and equipment retired, or otherwise disposed of are removed from the related accounts, and any residual values are charged to expense. Depreciation expense has been calculated using the following estimated useful lives:

Office furniture and equipment	3-5 years
Computer software and equipment	3-4 years
Laboratory and research equipment	3-5 years
Production equipment	3-7 years
Leasehold improvements and capital lease asset	3-5 years

Depreciation expense was $232,000 and $229,000 for the years ended December 31, 2018, and 2017, respectively.

Property and equipment are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. If the impairment tests indicate that the carrying value of the asset, or asset group is greater than the expected undiscounted cash flows to be generated by such asset or asset group further analysis is performed to determine the fair value of the asset or asset group. To the extent the fair value of the asset or asset group is less than its carrying value, an impairment loss is recognized equal to the amount the fair value of the asset or asset group exceeds its carrying amount. The Company generally measures fair value by considering sale prices for similar assets or asset groups, or by discounting estimated future cash flows from such assets or asset groups using an appropriate discount rate. Assets to be disposed of are carried at the lower of their carrying value or fair value less costs to sell. Considerable management judgment is necessary to estimate the fair value of assets or asset groups, and accordingly, actual results could vary significantly from such estimates. The Company periodically reviews its property and equipment for potential impairment and determines if the fair value of property and equipment equals or exceeds its carrying value. There have been no impairment losses recognized for the years ended December 31, 2018 or 2017.

Intangible assets

The Company’s intangible assets consisted of customer relationships, developed technology, and trademarks and tradenames. All intangible assets recognized by the Company resulted from the acquisition of the Aquadex Business. All intangible assets were estimated to have a useful life of 7 years. The Company reviewed its definite lived intangible assets for impairment when impairment indicators existed. When impairment indicators existed, the Company determined if the carrying value of the intangible assets exceeded the related undiscounted cash flows. In cases where the carrying value exceeded the undiscounted cash flows, and the carrying amount was not considered recoverable, the carrying value was written down to its fair value, generally using a discounted cash flow analysis. An impairment loss was recognized for the amount that the intangible assets exceeded their fair value, generally based on discounted cash flow methods and other fair market value indicators. The Company’s review of its intangible assets during the year ended December 31, 2017 resulted in $3.8 million of impairment charges related to its definite lived intangible assets.

The Company had a single reporting unit. The impairment charges were based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%.

Amortization expense was $0 and $540,000 for the years ended December 31, 2018 and 2017, respectively.

Goodwill

Goodwill was the cost paid for the Aquadex Business in excess of the fair value of acquired assets and liabilities, and was recorded as an asset on the balance sheet. Goodwill was not subject to amortization but was to be tested for impairment at least annually. This test required the Company to determine if the implied fair value of the goodwill was less than its carrying amount.

The Company evaluated its recorded goodwill for impairment annually on November 1^st of each calendar year, or to the extent events or conditions indicate a risk of possible impairment during the interim periods prior to its annual impairment test. As described below, the Company early adopted Accounting Standards Update No, 2017-04, Simplifying the Test for Goodwill Impairment, and performed a single step in performing its impairment analysis, which is to determine the estimated fair value of its reporting unit and compare it to the carrying value of the reporting unit, including goodwill. The remaining implied goodwill was then compared to the actual carrying amount of the goodwill for the reporting unit. To the extent the carrying amount of goodwill exceeded the implied goodwill, the difference was the amount of the goodwill impairment. The Company’s annual impairment test on November 1, 2017, resulted in $0.2 million of impairment charges related to goodwill.

The Company had a single reporting unit. The impairment charge was based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%.

Contingent consideration

Common stock warrant liability

The Company recorded its common stock warrant liability at fair value at the date of issuance using primarily a Monte Carlo valuation model. The fair value was remeasured to its estimated fair value at the end of each reporting period with changes recorded to earnings.

Revenue Recognition

Foreign Currency Translation

Sales and expenses denominated in foreign currencies are translated at average exchange rates in effect throughout the year. Assets and liabilities of foreign operations are translated at period-end exchange rates with the impacts of foreign currency translation recognized to cumulative translation adjustment, a component of accumulated other comprehensive income. Foreign currency transactions gains and losses are included in other expense, net in the consolidated statements of operations and other comprehensive loss.

Stock-Based Compensation

The Company recognizes all share-based payments to employees and directors, including grants of stock options, restricted stock units (RSUs) and common stock awards in the consolidated statements of operations and other comprehensive loss as an operating expense, based on their fair value. The Company’s stock awards use a graded vesting schedule. The Company recognizes the option expense over the requisite service period, which is generally the vesting period.

The Company computes the estimated fair values of stock options and certain of its warrants using the Black-Scholes option pricing model. The closing market price of the Company’s common stock at the date of grant is used to calculate the fair value of restricted stock units and common stock awards. Stock-based compensation expense is based on awards ultimately expected to vest and is reduced for estimated forfeitures. Forfeitures are estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates.

Equity instruments issued to non-employees include RSUs or warrants to purchase shares of the Company’s common stock. These RSUs or warrants are either fully-vested and exercisable at the date of grant or vest over a certain period during which services are provided. The Company expenses the fair market value of fully vested awards at the time of grant, and of unvested awards over the period in which the related services are received. Unvested awards are remeasured to fair value until they vest.

See Note 7- Stock Based Compensation, for further information regarding the assumptions used to calculate the fair value of share-based compensation.

Income Taxes

Deferred income taxes are provided on a liability method, whereby deferred tax assets are recognized for deductible temporary differences and operating loss and tax credit carryforwards. Deferred tax liabilities are recognized for taxable temporary differences, which are the differences between the reported amounts of assets and liabilities and their tax bases. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that some portion or all the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in tax laws and rates on the date of enactment. The Tax Reform Act was enacted December 22, 2017. The new legislation made significant changes to U.S. tax law including a reduction in the corporate tax rates, changes to operating loss carry-forwards and carrybacks, and a repeal of the corporate alternative minimum tax. The legislation reduced the U.S corporate income tax rates from 34% to 21%. As a result of the enacted law, the Company was required to revalue its deferred tax assets and liabilities at the new enacted rate. There was no income tax impact from the re-measurement due to the 100% valuation allowance on the Company’s deferred tax assets.

Loss per share

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

Research and Development

Research and development costs include activities related to research, development, design, and testing improvements of the Aquadex FlexFlow system and potential related products. Research and development costs also include expenses related to clinical research that the Company may sponsor or conduct to enhance understanding of the product and its use. Research and development expenses are expensed as incurred.

Recent Accounting Pronouncements

The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Operating Leases (Q3) (Tables)

9 Months Ended

Sep. 30, 2019

Operating Leases [Abstract]

Cost Components of Operating Leases

The cost components of the Company’s operating lease were as follows for the three and nine months ended September 30, 2019:

(in thousands)	Three Months		Nine Months
Operating lease cost	$	53	$	158
Variable lease cost		26		85
Total	$	79	$	243

Maturities of Lease Liability

Maturities of our lease liability for the Company’s operating lease are as follows as of September 30, 2019:

(in thousands)
2019	$	52
2020		213
2021		219
2022		55
Total lease payments		539
Less: Interest		(49	)
Present value of lease liability	$	490

Nature of Business and Basis of Presentation, Nature of Business, Going Concern, Accounts Receivable and Inventories (Q3) (Details) $ in Thousands			1 Months Ended		3 Months Ended		9 Months Ended		12 Months Ended	14 Months Ended	30 Months Ended
	Oct. 12, 2017	Jan. 12, 2017	Jan. 31, 2019	Dec. 31, 2018 USD ($)	Sep. 30, 2019 USD ($)	Sep. 30, 2018	Sep. 30, 2019 USD ($)	Sep. 30, 2018	Dec. 31, 2018 USD ($)	Jul. 03, 2018 USD ($)	Nov. 06, 2019 USD ($)	Dec. 31, 2017 USD ($)	Aug. 31, 2016 USD ($)
Nature of Business [Abstract]
Reverse stock split ratio	0.050	0.033	0.0714
Going Concern [Abstract]
Accumulated deficit				$ (199,388)	$ (213,054)		$ (213,054)		$ (199,388)			$ (182,356)
Net proceeds from issuance of convertible preferred stock										$ 28,800
Accounts Receivable [Abstract]
Accounts receivables maximum credit period from invoice date							30 days		30 days
Allowance for doubtful accounts				0	0		$ 0		$ 0
Inventories [Abstract]
Finished Goods				517	468		468		517			902
Work in Process				34	185		185		34			217
Raw Materials				1,107	959		959		1,107			469
Total				$ 1,658	1,612		1,612		$ 1,658			$ 1,588
Contingent Consideration [Abstract]
Fair value of contingent consideration					0		$ 0
Subsequent Event [Member]
Nature of Business [Abstract]
Reverse stock split ratio			0.0714
Going Concern [Abstract]
Net proceeds from issuance of convertible preferred stock											$ 41,400
Customer One [Member] \| Accounts Receivable [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage							14.00%		18.00%
Customer Two [Member] \| Accounts Receivable [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage							12.00%		13.00%
Customer Three [Member] \| Accounts Receivable [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage									13.00%
Minimum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.5000					0.500
Maximum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.0714					0.0714
Aquadex Product Line [Member]
Contingent Consideration [Abstract]
Fair value of contingent consideration					$ 0		$ 0
Contingent consideration													$ 126
ASC 606 [Member] \| Customer One [Member] \| Net Sales [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage					11.00%	15.00%	10.00%	10.00%
ASC 606 [Member] \| Customer Two [Member] \| Net Sales [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage					12.00%	10.00%
ASC 606 [Member] \| Customer Three [Member] \| Net Sales [Member]
Revenue, Performance Obligation [Abstract]
Concentration risk percentage					12.00%

Subsequent Event (FY)	9 Months Ended	12 Months Ended
Subsequent Event (FY)	Sep. 30, 2019	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Event	Note 10 – Subsequent Events On October 25, 2019, the Company closed on a registered direct offering of 575,830 shares of its common stock at a price of $1.15 per share, for gross proceeds of approximately $660,000, prior to deducting commissions and expenses related to the transaction. In a concurrent private placement, the Company agreed to issue to the investors in the registered direct offering unregistered warrants to purchase up to 575,830 shares of the Company’s common stock at an exercise price of $1.41 per share, which will be exercisable six months from the date of issuance, and will expire five years from the initial exercise date. Additionally, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of this offering, effective October 25, 2019, the conversion price of the Series F preferred stock was reduced from $5.25 to $1.15 per share, the per share price to the public in this transaction. On November 6, 2019, the Company closed on a registered direct offering of 1,219,076 shares of its common stock, or common equivalents, at a price of $1.12 per share, for gross proceeds of approximately $1.36 million prior to deduction of commissions and offering expenses related to the transaction. In a concurrent private placement, the Company agreed to issue to the investors in the registered direct offering unregistered warrants to purchase up to 1,219,076 shares of the Company’s common stock at an exercise price of $0.9942 per share, which will be exercisable upon the date of issuance, and will expire five years from the initial exercise date. Effective November 6, 2019, the conversion price of the Series F preferred stock was reduced from $1.15 to $0.9942, the exercise price of the warrants issued in connection with this financing.	Note 12 – Subsequent Event The Company filed an S-1 on December 31, 2018, which was amended January 22, 2019, to raise additional capital. Changing circumstances may cause the Company to consume capital significantly faster than it currently anticipates and could adversely affect the Company’s ability to raise additional capital. Additional financing may not be available when the Company needs it or may not be available on favorable terms.

Revenue Recognition (FY) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
Revenue Recognition (FY) (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2018-07-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Abstract]
Expected timing of satisfaction, period	1 year		1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2019-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Abstract]
Deferred revenue					$ 43	$ 38
Expected timing of satisfaction, period					1 year	1 year
Sales Revenue [Member] \| Maximum [Member] \| ASC 606 [Member]
Revenue, Performance Obligation [Abstract]
Percentage of net sales	1.00%	1.00%	1.00%	1.00%	1.00%	1.00%

Shareholder's Equity, Convertible Preferred Stock (FY) (Details) - USD ($) $ / shares in Units, $ in Thousands									3 Months Ended	9 Months Ended	12 Months Ended		14 Months Ended
	Mar. 12, 2019	Jul. 03, 2018	Nov. 27, 2017	Apr. 24, 2017	Jan. 10, 2017	Nov. 03, 2016	Oct. 30, 2016	Jul. 20, 2016	Sep. 30, 2019	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017	Jul. 03, 2018
Class of Stock Disclosures [Abstract]
Proceeds from issuance of convertible preferred stock and Warrants					$ 200	$ 3,600	$ 3,800	$ 3,500
Preferred stock, shares outstanding (in shares)									0	0	0	0
Net proceeds from issuance of convertible preferred stock													$ 28,800
Warrants [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)											$ 29.68
Warrants [Member] \| Maximum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)											$ 43,848
Series B Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock								$ 1,600
Series C Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Beneficial conversion amount					1,300
Preferred stock, shares outstanding (in shares)											0	0
Series D Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Beneficial conversion amount					$ 500
Preferred stock, shares outstanding (in shares)											0	0
Series B and B-1 Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Preferred stock, shares outstanding (in shares)											0	0
Series B, C And D Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Aggregate cash placement fee											6.00%
Series E Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock				$ 9,200
Beneficial conversion amount				1,000
Preferred stock, shares outstanding (in shares)											0	0
Net proceeds from issuance of convertible preferred stock				$ 8,000
Series E Convertible Preferred Stock [Member] \| Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issued to the placement agent (in shares)											0
Series F Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock			$ 18,000
Beneficial conversion amount			8,700
Preferred stock, shares outstanding (in shares)									535	535	535	3,780
Net proceeds from issuance of convertible preferred stock			$ 16,200
Conversion price (in dollars per share)	$ 5.25	$ 29.68	$ 63.00										$ 29.68
Number of consecutive trading days considered for expiration									20 days		20 days
Number of consecutive trading days									30 days		30 days
Number of preferred shares converted to common stock (in shares)		34	286,714								279,526	226,504
Preferred stock, shares issued (in shares)			18,000						535	535	535	3,780
Common stock issued (in shares)		181,941
Number of convertible preferred shares converted (in shares)											17,465	14,220
Aggregate cash placement fee	8.00%	8.00%	8.00%	9.00%
Public offering price (in dollars per share)		$ 29.68											$ 29.68
Gross proceeds from public stock offering		$ 5,400
Warrants exercisable (in shares)		554,322											554,322
Series F Convertible Preferred Stock [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Percentage of volume weighted average price of common stock			300.00%
Trading volume for each trading day			$ 200
Series F Convertible Preferred Stock [Member] \| Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)			573,310
Warrants issued to the placement agent (in shares)										0	0
Series F Convertible Preferred Stock [Member] \| Warrant Series 1 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)		$ 29.68	$ 63.00										$ 29.68
Number of preferred shares converted to common stock (in shares)			16
Warrants to purchase shares of common stock (in shares)			16
Series F Convertible Preferred Stock [Member] \| Warrant Series 2 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)		$ 29.68	$ 63.00										$ 29.68
Number of preferred shares converted to common stock (in shares)			16
Warrants to purchase shares of common stock (in shares)			16

Shareholder's Equity, Warrants (FY) (Details) $ / shares in Units, $ in Thousands			1 Months Ended	2 Months Ended	12 Months Ended
	Jan. 10, 2017 USD ($) $ / shares shares	Nov. 03, 2016 USD ($) $ / shares shares	Jul. 31, 2016 USD ($) $ / shares shares	Mar. 31, 2017 USD ($) $ / shares shares	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Sep. 30, 2019
Class of Stock Disclosures [Abstract]
Proceeds from exercise of warrants					$ 0	$ 1,989
Warrants outstanding					0	0
Change in fair value of warrant liability					0	1,475
Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants outstanding					$ 500
Expected Dividend Yield [Member] \| Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0
Expected Stock Price Volatility [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input							1.3621
Expected Stock Price Volatility [Member] \| Replacement Warrants [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.4965
Expected Stock Price Volatility [Member] \| Replacement Warrants [Member] \| Maximum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.5038
Risk-Free Interest Rate [Member] \| Replacement Warrants [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.0195
Risk-Free Interest Rate [Member] \| Replacement Warrants [Member] \| Maximum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.0197
Expected Warrant Option Life [Member] \| Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Expected warrant option life					5 years
Series B Convertible Preferred Stock [Member] \| Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost			$ 0
Warrants to purchase shares of common stock (in shares) \| shares			440
Exercise price of warrants (in dollars per share) \| $ / shares			$ 7,896
Warrants exercisable period					36 months
Period warrants became exercisable from closing date					6 months
Series D Convertible Preferred Stock [Member] \| Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost	$ 0
Warrants to purchase shares of common stock (in shares) \| shares	141
Exercise price of warrants (in dollars per share) \| $ / shares	$ 1,512
Warrants exercisable period					60 months
Period warrants became exercisable from closing date					6 months
Series C and D Convertible Preferred Stock [Member] \| Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost		$ 0
Warrants to purchase shares of common stock (in shares) \| shares		2,522
Exercise price of warrants (in dollars per share) \| $ / shares		$ 1,512
Adjusted exercise price of warrants (in dollars per share) \| $ / shares		$ 1,428
Warrant Exercise Agreement [Member] \| Original Warrants [Member]
Class of Stock Disclosures [Abstract]
Proceeds from exercise of warrants				$ 2,000
Warrants outstanding					$ 0	0
Relinquished amount of warrants						$ 100
Warrant Exercise Agreement [Member] \| Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares) \| shares				3,105
Warrant Exercise Agreement [Member] \| Replacement Warrants [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares				$ 484.4
Warrant Exercise Agreement [Member] \| Replacement Warrants [Member] \| Maximum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares				$ 1,397.2

Nature of Business and Significant Accounting Policies, Property, Plant and Equipment (FY) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 232	$ 229
Impairment losses recognized	$ 0	$ 0
Office Furniture and Equipment [Member] \| Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Office Furniture and Equipment [Member] \| Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years
Computer Software and Equipment [Member] \| Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Computer Software and Equipment [Member] \| Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	4 years
Laboratory and Research Equipment [Member] \| Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Laboratory and Research Equipment [Member] \| Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years
Production Equipment [Member] \| Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Production Equipment [Member] \| Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	7 years
Leasehold Improvements and Capital Lease Asset [Member] \| Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Leasehold Improvements and Capital Lease Asset [Member] \| Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years

Income Taxes, Effective Income Tax Rate Reconciliation (FY) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Effective income tax rate reconciliation [Abstract]
Statutory federal income tax benefit					$ 3,578	$ 4,548
State tax benefit, net of federal taxes					45	48
Foreign tax					(2)	0
Foreign deferred exchange rate adjustments					(1,112)	899
Nondeductible/nontaxable items					(259)	(114)
New federal rate adjustment					0	(16,081)
Other					(72)	(1,085)
Valuation allowance decrease (increase)					(2,184)	11,779
Total income tax benefit expense	$ (1)	$ (1)	$ (5)	$ (3)	$ (6)	$ (6)

Fair Value of Financial Instruments (Q3) (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017
Fair Value of Financial Instruments [Abstract]
Fair value of contingent consideration	$ 0
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	0	$ 0
Change in fair value		0	$ 1,475
Ending balance		0	0
Fair Value Transfers between levels [Abstract]
Level 1 to Level 2 asset transfers	0	0	0
Level 2 to Level 1 asset transfers	0	0	0
Level 1 to Level 2 liability transfers	0	0	0
Level 2 to Level 1 liability transfers	0	0	0
Level 3 [Member]
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	126	0	1,843
Change in fair value	(126)		(1,475)
Ending balance	$ 0	$ 126	$ 0

Stock-Based Compensation (FY)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Stock-Based Compensation [Abstract]

Stock-Based Compensation

Note 5 - Stock-Based Compensation

Under the fair value recognition provisions of U.S. GAAP for accounting for stock-based compensation, the Company measures stock-based compensation expense at the grant date based on the fair value of the award and recognizes the compensation expense over the requisite service period, which is generally the vesting period.

The following table presents the classification of stock-based compensation expense recognized for the periods below:

	Three months ended September 30,					Nine months ended September 30,
(in thousands)	2019		2018			2019		2018
Selling, general and administrative expense	$	383	$	440		$	1,018	$	1,446
Research and development expense		29		(3	)		95		98
Total stock-based compensation expense	$	412	$	437		$	1,113	$	1,544

Note 7— Stock-Based Compensation

Stock Options and Restricted Stock Awards

The Company has various share-based compensation plans, including the Amended and Restated 2002 Stock Plan, the Third Amended and Restated 2017 Equity Incentive Plan, the 2013 Non-Employee Directors’ Equity Incentive Plan and the New-Hire Equity Incentive Plan (collectively, the “Plans”). The Plans are designed to assist in attracting, motivating and retaining employees and directors and to recognize the importance of employees to the long-term performance and success of the Company. The Company has also granted stock options to certain non-employees outside of the Plans.

The Company recognized stock-based compensation expense related to grants of stock options, RSUs and common stock awards to employees, directors and consultants of $2.1 million, and $0.5 million during the years ended December 31, 2018 and 2017, respectively. The following table summarizes the stock-based compensation expense which was recognized in the consolidated statements of operations for the years ended December 31,

(Dollars in thousands)	2018		2017
Selling, general and administrative	$	1,958	$	452
Research and development		129		50
Total	$	2,087	$	502

The majority of the RSUs and options to purchase common stock vest on the anniversary of the date of grant, which ranges from one to four years. Stock-based compensation expense related to these awards is recognized on a straight-line basis over the related vesting term in most cases, which generally is the service period. It is the Company’s policy to issue new shares upon the exercise of options.

Stock Options: The following is a summary of the Plans’ stock option activity during the years ended December 31:

	2018					2017
	Options Outstanding			Weighted Average Exercise Price		Options Outstanding			Weighted Average Exercise Price
Beginning Balance		2,562		$	1,049.93		272		$	31,021.57
Granted		163,997			45.76		2,461			167.30
Exercised		—			—		—			—
Forfeited/expired		(26,013	)		61.01		(171	)		36,429.90
Outstanding at December 31		140,546		$	61.25		2,562		$	1,049.93
Vested at December 31		16,206		$	169.07		148		$	11,338.37

For options outstanding and vested at December 31, 2018, the weighted average remaining contractual life was 9.12 years and 9.07 years, respectively. There were no option exercises in 2018 or 2017. The total fair value of options that vested in 2018 and 2017 was $0.9 million, and $0.7 million, respectively, at the fair value of the options as of the date of grant.

Valuation Assumptions: The fair value of each stock option is estimated at the grant date using the Black-Scholes option pricing model. The fair value of stock options under the Black-Scholes option pricing model requires management to make assumptions regarding projected employee stock option exercise behaviors, risk-free interest rates, volatility of the Company’s stock price, and expected dividends.

The Company has not historically paid cash dividends to its stockholders, and currently does not anticipate paying any cash dividends in the foreseeable future. As a result, the Company has assumed a dividend yield of 0%. The risk-free interest rate is based upon the rates of U.S. Treasury bills with a term that approximates the expected life of the option. Since the Company has limited historical exercise data to reasonably estimate the expected life of its option awards, the expected life is calculated using a simplified method. Expected volatility is based on historical volatility of the Company’s stock.

The following table provides the weighted average assumptions used in the Black-Scholes option pricing model for the years ended December 31:

	2018			2017
Expected dividend yield		0	%		0	%
Risk-free interest rate		2.49	%		1.97	%
Expected volatility		120.54	%		103	%
Expected life (in years)		6.23			6.25

The weighted-average fair value of stock options granted in 2018 and 2017 was $41.04 and $167.3, respectively. As of December 31, 2018, the total compensation cost related to all non-vested stock option awards not yet recognized was approximately $3.9 and is expected to be recognized over the remaining weighted-average period of 3.1 years.

Restricted Stock Awards: The following table summarizes restricted stock award activity during 2018 and 2017:

	2018					2017
	RSUs			Weighted Average Grant Price		RSUs			Weighted Average Grant Price
Nonvested, beginning balance		15		$	7,297.22		33		$	9,052.37
Granted		—			—		11			1,514.80
Vested		(12	)		7,297.22		(29	)		1,854.56
Forfeited		—			—		-			-
Nonvested at December 31		3		$	7,297.22		15		$	7,297.22

Warrants

Warrants to purchase 599,293, and 608,764 shares of common stock were outstanding at December 31, 2018 and 2017, respectively. As of December 31, 2018, warrants outstanding were exercisable at prices ranging from $29.68 to $43,848 per share, and are exercisable over a period ranging from eleven months to 6.5 years.

Nature of Business and Significant Accounting Policies, Intangible assets and Goodwill (FY) (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Finite-lived Intangible Assets [Roll Forward]
Impairment charges related to definite-lived intangible assets		$ 3,800
Amortization expense	$ 0	$ 540
Goodwill [Abstract]
Goodwill impairment loss	$ 200
Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Customer Relationships [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Customer Relationships [Member] \| Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Developed Technology [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Developed Technology [Member] \| Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Trade Names and Trademarks [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Trade Names and Trademarks [Member] \| Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3

Revenue Recognition (FY)	9 Months Ended	12 Months Ended
Revenue Recognition (FY)	Sep. 30, 2019	Dec. 31, 2018
Revenue Recognition [Abstract]
Revenue Recognition	Note 2 – Revenue Recognition Net Sales The Company sells its products in the United States primarily through a direct sales force. Customers who purchase the Company’s products include hospitals and clinics throughout the United States. In countries outside the United States, the Company sells its products through a limited number of specialty healthcare distributors in the United Kingdom, Italy, Spain, Germany, Southeast Asia, Brazil, India and Greece. These distributors resell the Company’s products to hospitals and clinics in their respective geographies. Revenue from product sales are recognized when the customer or distributor obtains control of the product, which occurs at a point in time, most frequently upon shipment of the product or receipt of the product, depending on shipment terms. The Company’s standard shipping terms are FOB shipping point, unless the customer requests that control and title to the inventory transfer upon delivery. Revenue includes shipment and handling fees charged to customers. Revenue is measured as the amount of consideration we expect to receive, adjusted for any applicable estimates of variable consideration and other factors affecting the transaction price, which is based on the invoiced price, in exchange for transferring products. All revenue is recognized when we satisfy our performance obligations under the contract. The majority of our contracts have a single performance obligation and are short term in nature. The Company has entered into extended service plans with customers which are recognized over time. This revenue represents less than 1% of net sales for the three and nine months ended September 30, 2019 and 2018. The unfulfilled performance obligations related to these extended service plans is included in deferred revenue, which is included in other current liabilities on the condensed consolidated balance sheet. The majority of the deferred revenue is expected to be recognized within one year. Sales taxes and value added taxes in foreign jurisdictions that are collected from customers and remitted to governmental authorities are accounted for on a net basis and therefore are excluded from net sales. Revenue includes shipment and handling fees charged to customers. Shipping and handling costs associated with outbound freight after control over a product has transferred to a customer are accounted for as a fulfillment cost and are included in cost of goods sold. Product Returns: The Company offers customers a limited right of return for its product in case of non-conformity or performance issues. The Company estimates the amount of its product sales that may be returned by its customers and records this estimate as a reduction of revenue in the period the related product revenue is recognized. The Company currently estimates product return liabilities using available industry data and its own historical sales and returns information. The Company has not received any returns to date and believes that future returns of its products will be minimal. Therefore, revenue recognized is not currently impacted by variable consideration related to product returns.	Note 2 – Revenue Recognition Net Sales The Company sells its products in the United States primarily through a direct sales force. Customers who purchase the Company’s products include hospitals and clinics throughout the United States. In countries outside the United States, the Company sells its products through a limited number of specialty healthcare distributors in the United Kingdom, Italy, Spain, Germany, Southeast Asia, Brazil and India. The majority of these distributors resell the Company’s products to hospitals and clinics in their respective geographies. Revenue from product sales are recognized when the customer or distributor obtains control of the product, which occurs at a point in time, most frequently upon shipment of the product or receipt of the product, depending on shipment terms. The Company’s standard shipping terms are FOB shipping point, unless the customer requests that control and title to the inventory transfer upon delivery. Revenue includes shipment and handling fees charged to customers. Revenue is measured as the amount of consideration the Company expects to receive, adjusted for any applicable estimates of variable consideration and other factors affecting the transaction price, which is based on the invoiced price, in exchange for transferring products. All revenue is recognized when the Company satisfies its performance obligations under the contract. The majority of the Company’s contracts have a single performance obligation and are short-term in nature. The Company has entered into extended service plans with customers that are recognized over time. Revenue from extended service plans represented less than 1% of net sales during each of the years ended December 31, 2018 and 2017. The unfulfilled performance obligations related to these extended service plans is included in deferred revenue in the amount of $43,000 and $38,000 as of December 31, 2018 and 2017, respectively. Deferred revenue is included in other current liabilities on the consolidated balance sheets. The majority of the deferred revenue is expected to be recognized within one year. Sales taxes and value added taxes in foreign jurisdictions that are collected from customers and remitted to governmental authorities are accounted for on a net basis and therefore are excluded from net sales. Revenue includes shipment and handling fees charged to customers. Shipping and handling costs associated with outbound freight after control over a product has transferred to a customer are accounted for as a fulfillment cost and are included in cost of goods sold. Product Returns: The Company offers customers a limited right of return for its product in case of non-conformity or performance issues. The Company estimates the amount of its product sales that may be returned by its customers and records this estimate as a reduction of revenue in the period the related product revenue is recognized. The Company currently estimates product return liabilities using available industry data and its own historical sales and returns information. The Company has not received any returns to date and believes that future returns of its products will be minimal. Therefore, revenue recognized is not currently impacted by variable consideration related to product returns.

Commitments and Contingencies (FY)	9 Months Ended	12 Months Ended
Commitments and Contingencies (FY)	Sep. 30, 2019	Dec. 31, 2018
Commitments and Contingencies [Abstract]
Commitments and Contingencies	Note 9—Commitments and Contingencies Employee Retirement Plan: The Company has a 401(k)-profit sharing plan that provides retirement benefit to substantially all full-time U.S. employees. Eligible employees may contribute a percentage of their annual compensation, subject to Internal Revenue Service (“IRS”) limitations, with the Company matching a portion of the employee’s contributions at the discretion of the Company. Contingent Consideration: As part of the acquisition of the Aquadex Business from Baxter in August 2016, the Company agreed that if it disposed of any of the Aquadex assets for a price that exceeded $4.0 million within three years of the closing, it would pay Baxter 40% of the amount of such excess. This commitment expired on August 6, 2019. In addition, it also agreed that if shares of its common stock cease to be publicly traded on the Nasdaq Capital Market, Baxter has the option to require the Company to repurchase, in cash, all or any part of the common shares held by Baxter at a price equal to their fair market value, as determined by a third-party appraiser.	Note 10—Commitments and Contingencies Leases The Company leases office space under a non-cancelable operating lease that expires in March 2022. In August 2018, the Company entered into a Third Amendment to the lease, extending the term of the lease from March 31, 2019 to March 31, 2022. Beginning on April 1, 2019, the annual base rent shall be $9.00 per square foot, subject to annual increases of $0.25 per square foot. Rent expense is recognized using the straight-line method over the term of the lease. The Company leases office equipment under non-cancelable operating leases that expire at various times through September 2020. Rent expense related to operating leases was approximately $293,000, and $290,000 for the years ended December 31, 2018 and 2017, respectively. Future minimum lease payments under non-cancelable operating leases as of December 31, 2018, were approximately $217,000, $220,000, $219,000, $55,000, and $0 for each of the years ended December 31, 2019, through 2023, respectively. Employee Retirement Plan The Company has a 401(k)-profit sharing plan that provides retirement benefit to substantially all full-time U.S. employees. Eligible employees may contribute a percentage of their annual compensation, subject to Internal Revenue Service limitations, with the Company matching a portion of the employee’s contributions at the discretion of the Company. Matching contributions totaled $197,000 and $138,000 for the years ended December 31, 2018 and 2017, respectively. Contingent Consideration The Company agreed that if it disposes of any of the Aquadex assets for a price that exceeds $4.0 million within three years of the closing of the purchase of the Aquadex Business, it will pay Baxter 40% of the amount of such excess. In addition, it also agreed that if shares of its common stock cease to be publicly traded on Nasdaq, Baxter has the option to require the Company to repurchase, in cash, all or any part of the common shares held by Baxter at a price equal to their fair market value, as determined by a third-party appraiser.

Property, Plant and Equipment (FY)

12 Months Ended

Dec. 31, 2018

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

Note 3—Property, Plant and Equipment

Property, plant and equipment were as follows:

(in thousands)	December 31, 2018			December 31, 2017
Office Furniture & Fixtures	$	291		$	287
Leasehold Improvements		224			224
Software		142			129
Production Equipment		991			926
Computer Equipment		357			277
Capital Lease Asset		309			307
Total		2,314			2,150
Accumulated Depreciation		(1,778	)		(1,580	)
	$	536		$	570

Debt, Warrants (FY) (Details)	Sep. 30, 2019	Dec. 31, 2018 $ / shares shares
Expected Stock Price Volatility [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	1.3621
Affiliates [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants issued (in shares) \| shares		4
Exercise price of warrants (in dollars per share)		$ 30,912
Value of warrants (in dollars per share)		$ 22,764
Affiliates [Member] \| Expected Dividend Yield [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0
Affiliates [Member] \| Expected Stock Price Volatility [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0.8704
Affiliates [Member] \| Risk-Free Interest Rate [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0.0220
Affiliates [Member] \| Expected Warrant Option Life [Member]
Warrants and Rights Note Disclosure [Abstract]
Expected warrant option life		6 years 3 months
Silicon Valley Bank [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants issued (in shares) \| shares		9
Exercise price of warrants (in dollars per share)		$ 43,848
Value of warrants (in dollars per share)		$ 32,424
Silicon Valley Bank [Member] \| Expected Dividend Yield [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0
Silicon Valley Bank [Member] \| Expected Stock Price Volatility [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0.8807
Silicon Valley Bank [Member] \| Risk-Free Interest Rate [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input		0.0186
Silicon Valley Bank [Member] \| Expected Warrant Option Life [Member]
Warrants and Rights Note Disclosure [Abstract]
Expected warrant option life		6 years 3 months

Fair Value of Financial Instruments (FY) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Fair Value of Financial Instruments [Abstract]

Fair Value of Common Stock Warrant Liability Calculated Using a Monte Carlo Valuation Model Classified as Level 3 in Fair Value Hierarchy

The following is a rollforward of the fair value of Level 3 items:

(in thousands)
Balance December 31, 2018	$	126
Change in fair value		(126	)
Balance as of September 30, 2019	$	-

The following is a rollforward of the fair value of Level 3 warrants:

(in thousands)
Balance December 31, 2016	$	1,843
Change in fair value		(1,475	)
Exercise of warrants		(368	)
Balance as of December 31, 2017	$	-

Nature of Business and Significant Accounting Policies (FY) (Policies)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Going Concern

The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability.

Basis of Presentation

Use of Estimates

Cash and Cash Equivalents

Accounts Receivable

Inventories

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

Inventories

Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Other Current Assets

Other current assets represent prepayments and deposits made by the Company.

Property, Plant and Equipment

Office furniture and equipment	3-5 years
Computer software and equipment	3-4 years
Laboratory and research equipment	3-5 years
Production equipment	3-7 years
Leasehold improvements and capital lease asset	3-5 years

Depreciation expense was $232,000 and $229,000 for the years ended December 31, 2018, and 2017, respectively.

Intangible Assets

Intangible assets

Amortization expense was $0 and $540,000 for the years ended December 31, 2018 and 2017, respectively.

Goodwill

Contingent Consideration

Contingent consideration

Common Stock Warrant Liability

Common stock warrant liability

Revenue Recognition

Foreign Currency Translation

Stock-Based Compensation

See Note 7- Stock Based Compensation, for further information regarding the assumptions used to calculate the fair value of share-based compensation.

Income Taxes

Loss per Share

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

Loss per share

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

Research and Development

Recent Accounting Pronouncements

The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Nature of Business and Basis of Presentation (Q3) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Inventories

Inventories consisted of the following:

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Potential Shares of Common Stock not Included in Diluted Net Loss Per Share

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

Reconciliation of Reported Net Loss with Reported Net Loss Per Share

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

Document and Entity Information	9 Months Ended
Document and Entity Information	Sep. 30, 2019
Cover [Abstract]
Entity Registrant Name	CHF Solutions, Inc.
Entity Central Index Key	0001506492
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Document Type	S-1/A
Amendment Flag	false
Document Period End Date	Sep. 30, 2019

Income Taxes (Q3)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Income Taxes [Abstract]

Income Taxes

Note 8 – Income Taxes

The Company provides for a valuation allowance when it is more likely than not that it will not realize a portion of the deferred tax assets. The Company has established a full valuation allowance for U.S. and foreign deferred tax assets due to the uncertainty that enough taxable income will be generated in those taxing jurisdictions to utilize the assets. Therefore, the Company has not reflected any benefit of such deferred tax assets in the accompanying condensed consolidated financial statements.

As of September 30, 2019, there were no material changes to what the Company disclosed regarding tax uncertainties or penalties in its Annual Report on Form 10-K for the year ended December 31, 2018.

Note 9—Income Taxes

Domestic and foreign loss before income taxes, consists of the following for the years ended December 31:

(in thousands)	2018			2017
Domestic	$	(17,027	)	$	(13,367	)
Foreign		1			(9	)
Loss before income taxes	$	(17,026	)	$	(13,376	)

The components of income tax expense consist of the following for the years ended December 31:

(in thousands)	2018			2017
Current:
United States and state	$	—		$	—
Foreign, net		(6	)		(6	)
Deferred:
United States and state		—			—
Foreign		—			—
Total income tax expense	$	(6	)	$	(6	)

Actual income tax expense differs from statutory federal income tax expense as follows for the years ended December 31:

(in thousands)	2018			2017
Statutory federal income tax benefit	$	3,578		$	4,548
State tax benefit, net of federal taxes		45			48
Foreign tax		(2	)		-
Foreign deferred exchange rate adjustments		(1,112	)		899
Nondeductible/nontaxable items		(259	)		(114	)
New federal rate adjustment		—			(16,081	)
Other		(72	)		(1,085	)
Valuation allowance decrease (increase)		(2,184	)		11,779
Total income tax benefit expense	$	(6	)	$	(6	)

Deferred taxes consist of the following as of December 31:

(in thousands)	2018			2017
Deferred tax assets:
Noncurrent:
Accrued leave	$	50		$	32
Other accrued expenses		—			28
Stock based compensation		483			336
Net operating loss carryforward		41,032			38,947
Other		125			115
Intangibles		847			895
R&D credit carryforward		531			531
Total deferred tax assets		43,068			40,884
Less: valuation allowance		(43,068	)		(40,884	)
Total	$	—		$	—

As of December 31, 2017, the Company had federal net operating loss (“NOLs”) carryforwards of approximately $135.2 million and $29.5 million of state NOL carryforwards., Approximately $120.1 million of federal NOL carryforwards will expire between 2024 and 2037. Pursuant to the Tax Cuts and Jobs Act of 2017, the NOL generated during the current year of approximately $15.1 million does not expire. The expiration of state NOL carryforwards will vary by jurisdiction. As of December 31, 2018, the Company had tax losses in the Commonwealth of Australia of approximately AU$49.0 million which can carry forward indefinitely. Federal or state NOLs cannot be used to offset taxable income in foreign jurisdictions. In addition, future utilization of NOL carryforwards in the U.S. may be subject to certain limitations under Section 382 of the Internal Revenue Code.

The Company provides for a valuation allowance when it is more likely than not that it will not realize a portion of the deferred tax assets. The Company has established a valuation allowance for U.S. and foreign deferred tax assets due to the uncertainty that enough taxable income will be generated in those taxing jurisdictions to utilize the assets. Therefore, the Company has not reflected any benefit of such deferred tax assets in the accompanying consolidated financial statements. For the year ended December 31, 2018, the valuation allowance increased by $2.2 million primarily due to current year operating losses. For the year ended December 31, 2017 the valuation allowance decreased by $11.8 million primarily as result of the impact of the 2017 tax reform re-measurement of deferred tax assets.

During 2017 and 2018, the Company believes it experienced an ownership change as defined in Section 382 of the Internal Revenue Code which will limit the ability to utilize the Company’s net operating losses (NOLs). The Company may have experienced additional ownership changes in earlier years further limiting the NOL carry-forwards that may be utilized. The Company has not yet completed a formal Section 382 analysis. The general limitation rules allow the Company to utilize its NOLs subject to an annual limitation that is determined by multiplying the federal long-term tax-exempt rate by the Company’s value immediately before the ownership change.

The accounting guidance related to uncertain tax positions prescribes a recognition threshold and measurement attribute for recognition and measurement of a tax position taken or expected to be taken in a tax return. It also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Company had no material uncertain tax positions as of December 31, 2018 or 2017.

The Company recognizes interest and penalties on unrecognized tax benefits as well as interest received from favorable tax settlements within income tax expense. At December 31, 2018 and 2017, the Company recorded no accrued interest or penalties related to uncertain tax positions.

The tax years ended December 31, 2015 through December 31, 2018 remain open to examination by the Internal Revenue Service and for the various states where we are subject to taxation. Additionally, the returns of the Company’s Australian and Irish subsidiary are subject to examination by tax authorities of those jurisdictions for the tax years ended and subsequent to June 30, 2013 and December 31, 2014, respectively.

Income Taxes (FY)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Income Taxes [Abstract]

Income Taxes

Note 8 – Income Taxes

As of September 30, 2019, there were no material changes to what the Company disclosed regarding tax uncertainties or penalties in its Annual Report on Form 10-K for the year ended December 31, 2018.

Note 9—Income Taxes

Domestic and foreign loss before income taxes, consists of the following for the years ended December 31:

(in thousands)	2018			2017
Domestic	$	(17,027	)	$	(13,367	)
Foreign		1			(9	)
Loss before income taxes	$	(17,026	)	$	(13,376	)

The components of income tax expense consist of the following for the years ended December 31:

(in thousands)	2018			2017
Current:
United States and state	$	—		$	—
Foreign, net		(6	)		(6	)
Deferred:
United States and state		—			—
Foreign		—			—
Total income tax expense	$	(6	)	$	(6	)

Actual income tax expense differs from statutory federal income tax expense as follows for the years ended December 31:

(in thousands)	2018			2017
Statutory federal income tax benefit	$	3,578		$	4,548
State tax benefit, net of federal taxes		45			48
Foreign tax		(2	)		-
Foreign deferred exchange rate adjustments		(1,112	)		899
Nondeductible/nontaxable items		(259	)		(114	)
New federal rate adjustment		—			(16,081	)
Other		(72	)		(1,085	)
Valuation allowance decrease (increase)		(2,184	)		11,779
Total income tax benefit expense	$	(6	)	$	(6	)

Deferred taxes consist of the following as of December 31:

(in thousands)	2018			2017
Deferred tax assets:
Noncurrent:
Accrued leave	$	50		$	32
Other accrued expenses		—			28
Stock based compensation		483			336
Net operating loss carryforward		41,032			38,947
Other		125			115
Intangibles		847			895
R&D credit carryforward		531			531
Total deferred tax assets		43,068			40,884
Less: valuation allowance		(43,068	)		(40,884	)
Total	$	—		$	—

Consolidated Balance Sheets (FY) (Parenthetical) - $ / shares	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017	Nov. 27, 2017
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	39,969,465	39,969,465	39,966,220
Preferred stock, shares outstanding (in shares)	0	0	0
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)	100,000,000	100,000,000	100,000,000
Common stock, shares issued (in shares)	2,879,162	513,445	271,357
Common stock, shares outstanding (in shares)	2,879,162	513,445	271,357
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	30,000	30,000	30,000
Preferred stock, shares outstanding (in shares)	0	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	535	535	3,780
Preferred stock, shares issued (in shares)	535	535	3,780	18,000
Preferred stock, shares outstanding (in shares)	535	535	3,780

Condensed Consolidated Balance Sheets (Unaudited) (Q3) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017
Current assets
Cash and cash equivalents	$ 3,634	$ 5,480	$ 15,595
Accounts receivable	528	786	545
Inventory	1,612	1,658	1,588
Other current assets	277	203	136
Total current assets	6,051	8,127	17,864
Property, plant and equipment, net	1,025	536	570
Operating lease right-of-use asset, net	487	0
Other assets	21	113	21
TOTAL ASSETS	7,584	8,776	18,455
Current liabilities
Accounts payable	1,427	1,133	862
Accrued compensation	1,242	1,498	1,021
Current portion of operating lease liability	181	0
Other current liabilities	87	209	208
Total current liabilities	2,937	2,840	2,091
Operating lease liability	309	0
Total liabilities	3,246	2,840	2,217
Commitments and contingencies
Stockholders' equity
Preferred stock	0	0	0
Common stock as of September 30, 2019 and December 31, 2018, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 2,879,162 and 513,445, respectively	0	0	0
Additional paid-in capital	216,173	204,101	197,367
Accumulated other comprehensive income:
Foreign currency translation adjustment	1,219	1,223	1,227
Accumulated deficit	(213,054)	(199,388)	(182,356)
Total stockholders' equity	4,338	5,936	16,238
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	7,584	8,776	18,455
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock	0	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock	0	0	$ 0
Series G Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock	$ 0	$ 0

Stock-Based Compensation (FY) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Stock-Based Compensation [Abstract]

Summary of Stock-Based Compensation Expense

The following table presents the classification of stock-based compensation expense recognized for the periods below:

	Three months ended September 30,					Nine months ended September 30,
(in thousands)	2019		2018			2019		2018
Selling, general and administrative expense	$	383	$	440		$	1,018	$	1,446
Research and development expense		29		(3	)		95		98
Total stock-based compensation expense	$	412	$	437		$	1,113	$	1,544

The following table summarizes the stock-based compensation expense which was recognized in the consolidated statements of operations for the years ended December 31,

(Dollars in thousands)	2018		2017
Selling, general and administrative	$	1,958	$	452
Research and development		129		50
Total	$	2,087	$	502

Summary of Plan Stock Option Activity

The following is a summary of the Plans’ stock option activity during the years ended December 31:

	2018					2017
	Options Outstanding			Weighted Average Exercise Price		Options Outstanding			Weighted Average Exercise Price
Beginning Balance		2,562		$	1,049.93		272		$	31,021.57
Granted		163,997			45.76		2,461			167.30
Exercised		—			—		—			—
Forfeited/expired		(26,013	)		61.01		(171	)		36,429.90
Outstanding at December 31		140,546		$	61.25		2,562		$	1,049.93
Vested at December 31		16,206		$	169.07		148		$	11,338.37

Weighted Average Assumptions used in Black-Scholes Option Pricing Model

The following table provides the weighted average assumptions used in the Black-Scholes option pricing model for the years ended December 31:

	2018			2017
Expected dividend yield		0	%		0	%
Risk-free interest rate		2.49	%		1.97	%
Expected volatility		120.54	%		103	%
Expected life (in years)		6.23			6.25

Summary of Restricted Stock Award Activity

The following table summarizes restricted stock award activity during 2018 and 2017:

	2018					2017
	RSUs			Weighted Average Grant Price		RSUs			Weighted Average Grant Price
Nonvested, beginning balance		15		$	7,297.22		33		$	9,052.37
Granted		—			—		11			1,514.80
Vested		(12	)		7,297.22		(29	)		1,854.56
Forfeited		—			—		-			-
Nonvested at December 31		3		$	7,297.22		15		$	7,297.22

Revenue Recognition (Q3)	9 Months Ended	12 Months Ended
Revenue Recognition (Q3)	Sep. 30, 2019	Dec. 31, 2018
Revenue Recognition [Abstract]
Revenue Recognition	Note 2 – Revenue Recognition Net Sales The Company sells its products in the United States primarily through a direct sales force. Customers who purchase the Company’s products include hospitals and clinics throughout the United States. In countries outside the United States, the Company sells its products through a limited number of specialty healthcare distributors in the United Kingdom, Italy, Spain, Germany, Southeast Asia, Brazil, India and Greece. These distributors resell the Company’s products to hospitals and clinics in their respective geographies. Revenue from product sales are recognized when the customer or distributor obtains control of the product, which occurs at a point in time, most frequently upon shipment of the product or receipt of the product, depending on shipment terms. The Company’s standard shipping terms are FOB shipping point, unless the customer requests that control and title to the inventory transfer upon delivery. Revenue includes shipment and handling fees charged to customers. Revenue is measured as the amount of consideration we expect to receive, adjusted for any applicable estimates of variable consideration and other factors affecting the transaction price, which is based on the invoiced price, in exchange for transferring products. All revenue is recognized when we satisfy our performance obligations under the contract. The majority of our contracts have a single performance obligation and are short term in nature. The Company has entered into extended service plans with customers which are recognized over time. This revenue represents less than 1% of net sales for the three and nine months ended September 30, 2019 and 2018. The unfulfilled performance obligations related to these extended service plans is included in deferred revenue, which is included in other current liabilities on the condensed consolidated balance sheet. The majority of the deferred revenue is expected to be recognized within one year. Sales taxes and value added taxes in foreign jurisdictions that are collected from customers and remitted to governmental authorities are accounted for on a net basis and therefore are excluded from net sales. Revenue includes shipment and handling fees charged to customers. Shipping and handling costs associated with outbound freight after control over a product has transferred to a customer are accounted for as a fulfillment cost and are included in cost of goods sold. Product Returns: The Company offers customers a limited right of return for its product in case of non-conformity or performance issues. The Company estimates the amount of its product sales that may be returned by its customers and records this estimate as a reduction of revenue in the period the related product revenue is recognized. The Company currently estimates product return liabilities using available industry data and its own historical sales and returns information. The Company has not received any returns to date and believes that future returns of its products will be minimal. Therefore, revenue recognized is not currently impacted by variable consideration related to product returns.	Note 2 – Revenue Recognition Net Sales The Company sells its products in the United States primarily through a direct sales force. Customers who purchase the Company’s products include hospitals and clinics throughout the United States. In countries outside the United States, the Company sells its products through a limited number of specialty healthcare distributors in the United Kingdom, Italy, Spain, Germany, Southeast Asia, Brazil and India. The majority of these distributors resell the Company’s products to hospitals and clinics in their respective geographies. Revenue from product sales are recognized when the customer or distributor obtains control of the product, which occurs at a point in time, most frequently upon shipment of the product or receipt of the product, depending on shipment terms. The Company’s standard shipping terms are FOB shipping point, unless the customer requests that control and title to the inventory transfer upon delivery. Revenue includes shipment and handling fees charged to customers. Revenue is measured as the amount of consideration the Company expects to receive, adjusted for any applicable estimates of variable consideration and other factors affecting the transaction price, which is based on the invoiced price, in exchange for transferring products. All revenue is recognized when the Company satisfies its performance obligations under the contract. The majority of the Company’s contracts have a single performance obligation and are short-term in nature. The Company has entered into extended service plans with customers that are recognized over time. Revenue from extended service plans represented less than 1% of net sales during each of the years ended December 31, 2018 and 2017. The unfulfilled performance obligations related to these extended service plans is included in deferred revenue in the amount of $43,000 and $38,000 as of December 31, 2018 and 2017, respectively. Deferred revenue is included in other current liabilities on the consolidated balance sheets. The majority of the deferred revenue is expected to be recognized within one year. Sales taxes and value added taxes in foreign jurisdictions that are collected from customers and remitted to governmental authorities are accounted for on a net basis and therefore are excluded from net sales. Revenue includes shipment and handling fees charged to customers. Shipping and handling costs associated with outbound freight after control over a product has transferred to a customer are accounted for as a fulfillment cost and are included in cost of goods sold. Product Returns: The Company offers customers a limited right of return for its product in case of non-conformity or performance issues. The Company estimates the amount of its product sales that may be returned by its customers and records this estimate as a reduction of revenue in the period the related product revenue is recognized. The Company currently estimates product return liabilities using available industry data and its own historical sales and returns information. The Company has not received any returns to date and believes that future returns of its products will be minimal. Therefore, revenue recognized is not currently impacted by variable consideration related to product returns.

Subsequent Events (Q3)	9 Months Ended	12 Months Ended
Subsequent Events (Q3)	Sep. 30, 2019	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events	Note 10 – Subsequent Events On October 25, 2019, the Company closed on a registered direct offering of 575,830 shares of its common stock at a price of $1.15 per share, for gross proceeds of approximately $660,000, prior to deducting commissions and expenses related to the transaction. In a concurrent private placement, the Company agreed to issue to the investors in the registered direct offering unregistered warrants to purchase up to 575,830 shares of the Company’s common stock at an exercise price of $1.41 per share, which will be exercisable six months from the date of issuance, and will expire five years from the initial exercise date. Additionally, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of this offering, effective October 25, 2019, the conversion price of the Series F preferred stock was reduced from $5.25 to $1.15 per share, the per share price to the public in this transaction. On November 6, 2019, the Company closed on a registered direct offering of 1,219,076 shares of its common stock, or common equivalents, at a price of $1.12 per share, for gross proceeds of approximately $1.36 million prior to deduction of commissions and offering expenses related to the transaction. In a concurrent private placement, the Company agreed to issue to the investors in the registered direct offering unregistered warrants to purchase up to 1,219,076 shares of the Company’s common stock at an exercise price of $0.9942 per share, which will be exercisable upon the date of issuance, and will expire five years from the initial exercise date. Effective November 6, 2019, the conversion price of the Series F preferred stock was reduced from $1.15 to $0.9942, the exercise price of the warrants issued in connection with this financing.	Note 12 – Subsequent Event The Company filed an S-1 on December 31, 2018, which was amended January 22, 2019, to raise additional capital. Changing circumstances may cause the Company to consume capital significantly faster than it currently anticipates and could adversely affect the Company’s ability to raise additional capital. Additional financing may not be available when the Company needs it or may not be available on favorable terms.

Shareholder's Equity (FY)	9 Months Ended	12 Months Ended
Shareholder's Equity (FY)	Sep. 30, 2019	Dec. 31, 2018
Equity [Abstract]
Shareholder's Equity	Note 4 - Equity Series F Convertible Preferred Stock: On November 27, 2017, the Company closed on an underwritten public offering of Series F convertible preferred stock and warrants to purchase shares of common stock for gross proceeds of $18.0 million. Net proceeds totaled approximately $16.2 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The offering was comprised of Series F convertible preferred stock, convertible into shares of the Company’s common stock at an initial conversion price of $63.00 per share. Each share of Series F preferred stock was accompanied by a Series 1 warrant, which was to expire on the first anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share, and a Series 2 warrant, which expires on the seventh anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share. The Series F preferred stock and the warrants were immediately separable and were issued separately. The conversion price of the Series F preferred stock will be adjusted in the event of a stock split, combination, reclassification or stock dividend or if the Company consummates a fundamental transaction. The Series F preferred stock also has full ratchet price based anti-dilution protection, subject to customary carve outs, in the event of a down-round financing at a price per share below the conversion price of the Series F preferred stock (which protection will expire if, during any 20 of 30 consecutive trading days, the volume weighted average price of the Company’s common stock exceeds 300% of the then-effective conversion price of the Series F preferred stock and the daily dollar trading volume for each trading day during such period exceeds $200,000). The exercise price of the warrants is fixed and does not contain any variable pricing features, nor any price based anti-dilutive features, apart from customary adjustments for stock splits, combinations, reclassifications, stock dividends or fundamental transactions. A total of 18,000 shares of Series F Convertible Preferred Stock initially convertible into 286,714 shares of common stock and warrants to purchase 573,310 shares of common stock were issued in the offering. As noted below, effective July 3, 2018, the conversion price of the Series F convertible preferred stock was reduced from $63.00 to $29.68, the per share price in the July 2018 Offering described below. Effective March 12, 2019, the conversion price of the Series F convertible preferred stock was reduced again from $29.68 to $5.25, the per share price to the public of the Series G convertible preferred stock which closed in an underwritten public offering on March 12, 2019, and each share of the remaining Series F convertible preferred stock is convertible into 191 shares of the Company’s common stock. As of both September 30, 2019, and December 31, 2018, 535 shares of the Series F convertible preferred stock remained outstanding. July 2018 Offering: On July 3, 2018, the Company closed on an underwritten public offering of 181,941 shares of its common stock at a public offering price of $29.68 per share, for gross proceeds of $5.4 million, including the full exercise of the underwriters’ over-allotment option to purchase additional shares of the Company’s common stock (the “July 2018 Offering”). Net proceeds totaled approximately $4.6 million after deducting underwriting discounts and commissions and offering expenses. In connection with the July 2018 Offering, and to induce certain institutional investors who hold warrants issued by the Company in November 2017 (“November 2017 Warrants”) to participate in the July 2018 Offering, the Company entered into letter agreements with such institutional investors. Pursuant to the terms of these agreements, the Company agreed, effective July 3, 2018, to reduce the per share exercise price of the November 2017 Warrants held by such institutional investors to $29.68 and to extend the expiration date of the warrants that were to expire on November 27, 2018 to November 27, 2019. The number of common shares underlying the warrants that were repriced did not change. The repriced warrants are exercisable for 554,322 shares of common stock in the aggregate, of which, following such amendment, half expire on November 27, 2019 and half expire on November 27, 2024. The repricing of the warrants was accounted as an equity financing cost, with no impact to net proceeds from the offering. As noted above, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of the July 2018 Offering, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price in the July 2018 Offering. Series G Convertible Preferred Stock and March 2019 Offering: On March 12, 2019, the Company closed on an underwritten public offering of common stock, Series G convertible preferred stock and warrants to purchase shares of common stock for gross proceeds of $12.4 million, which included the full exercise of the underwriter’s over-allotment option to purchase additional shares and warrants (“March 2019 Offering”). Net proceeds totaled approximately $11.0 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The Series G convertible preferred stock included a beneficial conversion amount of $4.5 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the nine months ended September 30, 2019. The March 2019 Offering was comprised of 455,178 shares of common stock priced at $5.25 per share and 1,910,536 shares of Series G convertible preferred stock, convertible into common stock at $5.25 per share. Each share of Series G convertible preferred stock and each share of common stock was accompanied by a Series 1 warrant and a Series 2 warrant. The Series 1 warrants are exercisable into 2,365,714 shares of common stock and the Series 2 warrants are exercisable into 2,365,714 shares of common stock. Series 1 warrants expire on the fifth anniversary of the date of issuance and are exercisable at $5.25 to purchase one share of common stock. Series 2 warrants expire on the earlier of: (i) the eighteen-month anniversary of the date of issuance and (ii) the 30th trading day following the public announcement of the receipt from the U.S. Food and Drug Administration of clearance or approval of a modification to the product label for the Aquadex FlexFlow system to include pediatric patients. Series 2 warrants are exercisable at $5.25 per share of common stock. The conversion price of the Series G convertible preferred stock as well as the exercise price of the warrants are fixed and do not contain any variable pricing features, nor any price based anti-dilutive features apart from customary adjustments for splits and reverse splits of common stock. The Series G convertible preferred stock included a beneficial ownership limitation of 4.99% but had no dividend preference (except to extent dividends are also paid on the common stock), liquidation preference or other preferences over common stock. The securities comprising the units were immediately separable and were issued separately. As of September 30, 2019, all 1,910,536 shares of the Series G convertible preferred stock had been converted into common stock and none remained outstanding. As noted above, the Company’s outstanding Series F convertible preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F convertible preferred stock. As a result of the March 2019 Offering, the conversion price of the Series F convertible preferred stock was reduced from $29.68, to $5.25, the per share price of the Series G convertible preferred stock. Placement Agent Fees: In connection with the issuance of the Series F convertible preferred stock, the July 2018 Offering, and the March 2019 Offering, the Company paid the placement agent an aggregate cash placement fee equal to 8% of the aggregate gross proceeds raised in the offering and issued no warrants to the placement agent. Market-Based Warrants: On May 30, 2019, the Company granted a market-based warrant to a consultant in exchange for investor relations services. The warrant represents the right to acquire up to 100,000 shares of the Company’s common stock at an exercise price of $3.18 per share, the closing stock price of the Company’s common shares on May 30, 2019. The warrant is subject to a vesting schedule based on the Company achieving certain market stock prices within a specified period of time. The warrant expires on May 30, 2024. The warrant was valued at $1.93 per share using the Monte Carlo valuation methodology and is being expensed over the term of the consulting engagement which is twelve months. Significant inputs used for the Monte Carlo valuation were the expected stock price volatility of 136.21%, and management’s expectations regarding the timing of regulatory clearance for an expanded label in pediatrics.	Note 6—Shareholder’s Equity Series B/B-1 Convertible Preferred Stock: On July 20, 2016, the Company entered into a securities purchase agreement with an institutional investor for an offering of shares of convertible preferred stock and warrants with gross proceeds of approximately $3.5 million in a registered direct offering. The Series B issued under the securities purchase agreement was exchanged for Series B-1 Convertible Preferred Stock on October 30, 2016. The Series B-1 Convertible Preferred Stock was non-voting and was convertible into shares of common stock at the holder’s election at any time. Approximately $1.6 million of the proceeds were allocated to the preferred stock, representing the residual proceeds after the warrants were recorded at fair value (see below.) As of both December 31, 2018, and 2017, all Series B/B-1-Convertible Preferred Stock had been converted into common stock and none were outstanding. Series C and D Convertible Preferred Stock: On October 30, 2016, the Company entered into a securities purchase agreement with an institutional investor for shares of convertible preferred stock and warrants with an aggregate purchase price of $3.8 million in a registered direct offering and simultaneous private placement. The first closing of the transaction occurred on November 3, 2016, whereby the Company received $3.6 million in gross proceeds and the second closing occurred on January 10, 2017, whereby the Company received gross proceeds of $0.2 million. The Series C and D Convertible Preferred Stock included a contingent beneficial conversion amount of $1.3 million and $0.5 million, respectively, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the first quarter of 2017 when the contingency for the conversion was resolved with the shareholder approval allowing for the conversion of the preferred stock into common stock. As of both December 31, 2018, and 2017, all shares of the Series C and D Convertible Preferred Stock had been converted into shares of common stock and none remained outstanding. Series E Convertible Preferred Stock: On April 24, 2017, the Company closed on an underwritten public offering of common stock, Series E Convertible Preferred Stock and warrants to purchase shares of common stock for gross proceeds of $9.2 million, which included the full exercise of the underwriter’s over-allotment option to purchase additional shares and warrants. Net proceeds totaled approximately $8.0 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The Series E Convertible Preferred Stock included a beneficial conversion amount of $1.0 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the year ended December 31, 2017. As of both December 31, 2018. and 2017, all shares of the Series E Convertible Preferred Stock had been converted into common stock and none remained outstanding. Series F Convertible Preferred Stock: On November 27, 2017, the Company closed on an underwritten public offering Series F Convertible Preferred Stock and warrants to purchase shares of common stock for gross proceeds of $18.0 million. Net proceeds totaled approximately $16.2 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The offering was comprised of Series F preferred stock, convertible into shares of the Company’s common stock at an initial conversion price of $63.00 per share. Each share of Series F preferred stock was accompanied by a Series 1 warrant, which was to expire on the first anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share, and a Series 2 warrant, which expires on the seventh anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share. The Series F preferred stock and the warrants were immediately separable and were issued separately. The conversion price of the Series F preferred stock will be adjusted in the event of a stock split, combination, reclassification or stock dividend or if the Company consummates a fundamental transaction. The Series F preferred stock also has full ratchet price based anti-dilution protection, subject to customary carve outs, in the event of a down-round financing at a price per share below the conversion price of the Series F preferred stock (which protection will expire if, during any 20 of 30 consecutive trading days, the volume weighted average price of the Company’s common stock exceeds 300% of the then-effective conversion price of the Series F preferred stock and the daily dollar trading volume for each trading day during such period exceeds $200,000). The exercise price of the warrants are fixed and do not contain any variable pricing features, nor any price based anti-dilutive features, apart from customary adjustments for stock splits, combinations, reclassifications, stock dividends or fundamental transactions. A total of 18,000 shares of Series F Convertible Preferred Stock initially convertible into 286,714 shares of common stock and warrants to purchase approximately 573,310 shares of common stock were issued in the offering. The Series F Convertible Preferred Stock included a beneficial conversion amount of $8.7 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the year ended December 31, 2017. As noted below, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering described below, and now each share of the remaining Series F preferred stock is convertible into 34 shares of the Company’s common stock. As of December 31, 2018, and 2017, 17,465 and 14,220 shares of the Series F Convertible Preferred Stock had been converted into an aggregate of 279,526 and 226,504 shares of common stock and 535 and 3,780 remained outstanding, respectively. July 2018 Offering: On July 3, 2018, the Company closed on an underwritten public offering of 181,941 shares of its common stock at a public offering price of $29.68 per share, for gross proceeds of $5.4 million, including the full exercise of the underwriters’ over-allotment option to purchase additional shares of the Company’s common stock, prior to deducting underwriting discounts and commissions and offering expenses (the “July 2018 Offering”). In connection with the July 2018 Offering, and to induce certain institutional investors who hold warrants issued by the Company in November 2017 (“November 2017 Warrants”) to participate in the July 2018 Offering, the Company entered into letter agreements with such institutional investors. Pursuant to the terms of these agreements, the Company agreed, effective July 3, 2018, to reduce the per share exercise price of the November 2017 Warrants held by such institutional investors to $29.68 and to extend the expiration date of the warrants that were to expire on November 27, 2018 to November 27, 2019. The number of common shares underlying the warrants that were repriced did not change. The repriced warrants are exercisable for 554,322 shares of common stock in the aggregate, of which, following such amendment, half expire on November 27, 2019 and half expire on November 27, 2024. The repricing of the warrants was accounted as an equity financing cost, with no impact to net proceeds from the offering. As noted above, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of the July 2018 Offering, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering. Placement Agent Fees In connection with the issuance of the Series B, C and D Convertible Preferred Shares, the Company paid the placement agent an aggregate cash placement fee equal to 6% of the aggregate gross proceeds raised in the offering and issued warrants as described below. In connection with the financings completed in April 2017, November 2017, and July 2018, the Company paid the placement agent an aggregate cash placement fee equal to 9%, 8%, and 8%, respectively, of the aggregate gross proceeds raised in the offering and issued no warrants to the placement agent. Investor Warrants: In connection with the issuance of the Series B Convertible Preferred Stock in July 2016, the Company issued the investor, at no additional cost, warrants to purchase 440 shares of common stock at an exercise price of $7,896 per share. The warrants were exercisable for 36 months commencing six months from the closing date and were subject to a reduction of the exercise price if the Company subsequently issued common stock or equivalents at an effective price less than the current exercise price of such warrants. Concurrently with the closing of the Series C and D Convertible Preferred Stock and warrant financing on November 3, 2016, the exercise price for these warrants was adjusted to $1,428 per share. In connection with the issuance of the Series C and D Convertible Preferred Stock in November 2016, the Company issued the investor, at no additional cost, warrants to purchase 2,522 shares of common stock at an exercise price of $1,512 per share. In connection with the issuance of the Series D Convertible Preferred Stock at the second closing in January 2017, the Company issued the investor, at no additional cost, warrants to purchase 141 shares of common stock at an exercise price of $1,512 per share. The warrants were exercisable for 60 months commencing on the earlier of the day of the receipt of approval of the Company’s stockholders of a proposal to approve the issuance of the shares of common stock underlying the warrants, or the six-month anniversary of the date of issuance. These warrants were subject to a reduction of the exercise price if the Company subsequently issued common stock or equivalents at an effective price less than the current exercise price of such warrants. Warrant Exercise Agreement: On February 15, 2017, the Company entered into a letter agreement with the institutional investors that held the majority of its outstanding warrants (the ‘‘Original Warrants’’), to incent the cash exercise of these warrants on or before March 31, 2017. In exchange for any such exercise, the Company agreed to provide the investors a replacement warrant (the ‘‘Replacement Warrants’’) to purchase the same number of shares of common stock as were issued upon exercise of the Original Warrants, with an exercise price equal to the consolidated closing bid price of its common stock on the date of issuance. The Replacement Warrants were issued in the same form as the Original Warrants except the exercise prices are not subject to reduction for subsequent equity issuances and the Replacement Warrants do not allow the investor to demand that the Company purchase the Replacement Warrants in the event of a fundamental transaction involving the Company. In connection with this agreement, between February and March 2017, the investors exercised all of the Original Warrants for gross cash proceeds to the Company of $2.0 million, and the Company issued 3,105 Replacement Warrants with exercise prices ranging from $484.4 per share to $1,397.2 per share. The Company entered into the letter agreement with the investors to incent the exercise of the Original Warrants in order to receive the cash proceeds from the exercise of the Original Warrants and because the exercise of the Original Warrants would allow the Company to remove the warrant liability from its balance sheet and avoid future fair value adjustments and associated volatility in its consolidated financial statements, as the Replacement Warrants are not accounted for as liabilities based on their terms. As of December 31, 2018, and 2017, there were no Original Warrants outstanding and all Replacement Warrants under the letter agreement had been issued. Warrant Valuation: Both the Original Warrants and placement agent warrants were accounted for as liabilities and were recorded at fair value on the date of issuance. These warrants must be measured and recorded at fair value for each subsequent reporting period that the warrants remain outstanding, and any changes in fair value must be recognized in the consolidated statement of operations. In connection with the warrant exchange agreement described above, the Company remeasured each Original Warrant as of the date of exercise and recorded $1.5 million for the change in fair value of these warrants as an unrealized gain in the accompanying consolidated statement of operations for year ended December 31, 2017. There were no warrants outstanding at December 31, 2018 or 2017 that were accounted for as liabilities. The Replacement Warrants were valued at $0.5 million using the Black Scholes option pricing model with the following assumptions: an expected dividend yield of 0%, expected stock price volatility of 49.65%-50.38%, risk-free interest rates of 1.95%-1.97% and an expected life of 5 years. The warrants have a five-year life and were fully vested at the date of grant. The terms of the Replacement Warrants do not require them to be accounted for as liabilities and are therefore recorded in equity. As in incentive to early exercise the Original Warrants, the fair value provided to investors through the Replacement Warrants exceeded the fair value of the Original Warrants that was relinquished by the warrant holders by approximately $0.1 million, which has been reflected as an expense in the consolidated statement of operations for the year ended December 31, 2017.

Debt (Q3)	9 Months Ended	12 Months Ended
Debt (Q3)	Sep. 30, 2019	Dec. 31, 2018
Debt [Abstract]
Debt	Note 3 - Debt On August 5, 2016, the Company entered into a loan and security agreement with Silicon Valley Bank (the Bank). Under this agreement, the Bank agreed to provide the Company with up to $5.0 million in debt financing, consisting of a term loan in an aggregate original principal amount not to exceed $4.0 million (the “Term Loan”) and a revolving line of credit in an aggregate principal amount not to exceed $1.0 million outstanding at any time (the “Revolving Line”). Proceeds from the loans were to be used for general corporate and working capital purposes. Advances under the Term Loan were available to the Company until November 30, 2016 and were subject to the Company’s compliance with liquidity covenants. The Term Loan expired unused on November 30, 2016 and the Term Loan is no longer available to be drawn. Advances under the Revolving Line are available to the Company until March 31, 2020 and accrue interest at a floating annual rate equal to 1.75% or 1.0% above the prime rate, depending on liquidity factors. Outstanding borrowings, if any, are collateralized by all of the Company’s assets, excluding intellectual property which is subject to a negative pledge. There were no borrowings outstanding under this facility as of September 30, 2019 or December 31, 2018.	Note 5—Debt On August 5, 2016, the Company entered into a loan and security agreement with Silicon Valley Bank (the Bank). Under the agreement, the Bank agreed to provide the Company with up to $5.0 million in debt financing, consisting of a term loan in an aggregate original principal amount not to exceed $4.0 million (the “Term Loan”) and a revolving line of credit in an aggregate principal amount not to exceed $1.0 million outstanding at any time (the “Revolving Line”; together with the Term Loan, the “Loans”). Proceeds from the Loans were to be used for general corporate and working capital purposes. The Term Loan expired unused on November 30, 2016. Advances under the Revolving Line, if any, are available to the Company until March 31, 2020 and accrue interest at a floating annual rate equal to 1.75% or 1.0% above the prime rate, depending on liquidity factors. Outstanding borrowings, if any, are collateralized by all of the Company’s assets, excluding intellectual property which is subject to a negative pledge. There were no borrowings outstanding under this facility as of December 31, 2018 or 2017. Warrants: In connection with the funding of term loans under prior agreements, the Company issued warrants to the Bank and one of its affiliates to purchase 9 shares of common stock at an exercise price of $43,848 per share and warrants to purchase 4 shares of common stock at an exercise price of $30,912 per share. The Company valued these warrants at $32,424 per share and $22,764 per share, respectively, utilizing the Black Scholes option pricing model and the following assumptions: an expected dividend yield of 0%, an expected stock price volatility of 88.07% and 87.04%, a risk-free interest rate of 1.86% and 2.20%, and an expected life of 6.25 years. The warrants were fully vested on the date of grant and expire on February 2025, and June 2025, respectively.

Debt (FY)	9 Months Ended	12 Months Ended
Debt (FY)	Sep. 30, 2019	Dec. 31, 2018
Debt [Abstract]
Debt	Note 3 - Debt On August 5, 2016, the Company entered into a loan and security agreement with Silicon Valley Bank (the Bank). Under this agreement, the Bank agreed to provide the Company with up to $5.0 million in debt financing, consisting of a term loan in an aggregate original principal amount not to exceed $4.0 million (the “Term Loan”) and a revolving line of credit in an aggregate principal amount not to exceed $1.0 million outstanding at any time (the “Revolving Line”). Proceeds from the loans were to be used for general corporate and working capital purposes. Advances under the Term Loan were available to the Company until November 30, 2016 and were subject to the Company’s compliance with liquidity covenants. The Term Loan expired unused on November 30, 2016 and the Term Loan is no longer available to be drawn. Advances under the Revolving Line are available to the Company until March 31, 2020 and accrue interest at a floating annual rate equal to 1.75% or 1.0% above the prime rate, depending on liquidity factors. Outstanding borrowings, if any, are collateralized by all of the Company’s assets, excluding intellectual property which is subject to a negative pledge. There were no borrowings outstanding under this facility as of September 30, 2019 or December 31, 2018.	Note 5—Debt On August 5, 2016, the Company entered into a loan and security agreement with Silicon Valley Bank (the Bank). Under the agreement, the Bank agreed to provide the Company with up to $5.0 million in debt financing, consisting of a term loan in an aggregate original principal amount not to exceed $4.0 million (the “Term Loan”) and a revolving line of credit in an aggregate principal amount not to exceed $1.0 million outstanding at any time (the “Revolving Line”; together with the Term Loan, the “Loans”). Proceeds from the Loans were to be used for general corporate and working capital purposes. The Term Loan expired unused on November 30, 2016. Advances under the Revolving Line, if any, are available to the Company until March 31, 2020 and accrue interest at a floating annual rate equal to 1.75% or 1.0% above the prime rate, depending on liquidity factors. Outstanding borrowings, if any, are collateralized by all of the Company’s assets, excluding intellectual property which is subject to a negative pledge. There were no borrowings outstanding under this facility as of December 31, 2018 or 2017. Warrants: In connection with the funding of term loans under prior agreements, the Company issued warrants to the Bank and one of its affiliates to purchase 9 shares of common stock at an exercise price of $43,848 per share and warrants to purchase 4 shares of common stock at an exercise price of $30,912 per share. The Company valued these warrants at $32,424 per share and $22,764 per share, respectively, utilizing the Black Scholes option pricing model and the following assumptions: an expected dividend yield of 0%, an expected stock price volatility of 88.07% and 87.04%, a risk-free interest rate of 1.86% and 2.20%, and an expected life of 6.25 years. The warrants were fully vested on the date of grant and expire on February 2025, and June 2025, respectively.

Segment and Geographic Information (FY)	12 Months Ended
Segment and Geographic Information (FY)	Dec. 31, 2018
Segment and Geographic Information [Abstract]
Segment and Geographic Information	Note 11—Segment and Geographic Information The Company has one reportable segment, cardiac and coronary disease products. At December 31, 2018, long-lived assets were located primarily in the United States.

Consolidated Statements of Operations and Comprehensive Loss (FY) - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Consolidated Statements of Operations and Comprehensive Loss [Abstract]
Net sales	$ 4,998	$ 3,553
Costs and Expenses:
Cost of goods sold	3,670	2,763
Selling, general and administrative	15,311	10,170
Research and development	3,053	1,481
Goodwill and intangibles impairment	0	3,951
Total costs and expenses	22,034	18,365
Loss from operations	(17,036)	(14,812)
Other income (expense):
Other income, net	10	28
Warrant valuation expense	0	(67)
Change in fair value of warrant liability	0	1,475
Total other income, net	10	1,436
Loss before income taxes	(17,026)	(13,376)
Income tax expense	(6)	(6)
Net loss	$ (17,032)	$ (13,382)
Basic and diluted loss per share (in dollars per share)	$ (42.14)	$ (525.01)
Weighted average shares outstanding - basic and diluted (in shares)	404	48
Other comprehensive loss:
Foreign currency translation adjustment	$ (4)	$ (8)
Total comprehensive loss	$ (17,036)	$ (13,390)

Stock-Based Compensation, Warrants (FY) (Details) - Warrants [Member] - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Class of Warrant or Right [Abstract]
Warrants outstanding (in shares)	599,293	608,764
Minimum [Member]
Class of Warrant or Right [Abstract]
Exercise price of warrants (in dollars per share)	$ 29.68
Warrants exercisable period	11 months
Maximum [Member]
Class of Warrant or Right [Abstract]
Exercise price of warrants (in dollars per share)	$ 43,848
Warrants exercisable period	6 years 6 months

Subsequent Events (Q3) (Details) - USD ($) $ / shares in Units, $ in Thousands	Nov. 06, 2019	Oct. 25, 2019	Jul. 03, 2018	Nov. 05, 2019	Oct. 24, 2019	Mar. 12, 2019	Nov. 27, 2017
Subsequent Event [Member]
Subsequent Events [Abstract]
Issuance of common stock, net (in shares)	1,219,076	575,830
Public offering price (in dollars per share)	$ 1.12	$ 1.15
Gross proceeds from public stock offering	$ 1,360	$ 660
Warrants to purchase shares of common stock (in shares)	1,219,076	575,830
Exercise price of warrants (in dollars per share)	$ 0.9942	$ 1.41
Warrants exercisable period		6 months
Warrant expiry period	5 years	5 years
Series F Preferred Stock [Member]
Subsequent Events [Abstract]
Issuance of common stock, net (in shares)			181,941
Public offering price (in dollars per share)			$ 29.68
Conversion price (in dollars per share)			$ 29.68			$ 5.25	$ 63.00
Series F Preferred Stock [Member] \| Subsequent Event [Member]
Subsequent Events [Abstract]
Conversion price (in dollars per share)	$ 0.9942			$ 1.15	$ 5.25

Equity (Q3) (Details) $ / shares in Units, $ in Thousands					3 Months Ended	9 Months Ended	12 Months Ended	14 Months Ended
Equity (Q3) (Details) $ / shares in Units, $ in Thousands	Mar. 12, 2019 USD ($) $ / shares shares	Jul. 03, 2018 USD ($) $ / shares shares	Nov. 27, 2017 USD ($) $ / shares shares	Apr. 24, 2017	Sep. 30, 2019 $ / shares shares	Sep. 30, 2019 USD ($) $ / shares shares	Dec. 31, 2018 $ / shares shares	Jul. 03, 2018 USD ($) $ / shares shares	May 30, 2019 $ / shares shares	Dec. 31, 2017 shares
Class of Stock Disclosures [Abstract]
Net proceeds from issuance of convertible preferred stock \| $								$ 28,800
Preferred stock, shares outstanding (in shares)					0	0	0			0
Expected Stock Price Volatility [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					1.3621	1.3621
July 2018 Offering [Member]
Class of Stock Disclosures [Abstract]
Issuance of common stock, net (in shares)		181,941
Public offering price (in dollars per share) \| $ / shares		$ 29.68						$ 29.68
Gross proceeds from public stock offering \| $		$ 5,400
Net proceeds from public stock offering \| $		$ 4,600
Number of shares issuable on the exercise of warrants (in shares)					554,322	554,322
March 2019 Offering [Member]
Class of Stock Disclosures [Abstract]
Issuance of common stock, net (in shares)	455,178
Public offering price (in dollars per share) \| $ / shares	$ 5.25
Warrants [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares							$ 29.68
Warrants [Member] \| Maximum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares							$ 43,848
Warrants [Member] \| Consultant [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)									100,000
Exercise price of warrants (in dollars per share) \| $ / shares					$ 1.93	$ 1.93			$ 3.18
Series F Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Gross proceeds from issuance of convertible preferred stock \| $			$ 18,000
Net proceeds from issuance of convertible preferred stock \| $			$ 16,200
Conversion price (in dollars per share) \| $ / shares	$ 5.25	$ 29.68	$ 63.00					29.68
Number of consecutive trading days considered for expiration					20 days		20 days
Number of consecutive trading days					30 days		30 days
Preferred stock issued (in shares)			18,000		535	535	535			3,780
Number of shares issuable on conversion of preferred stock (in shares)	191		286,714
Preferred stock, shares outstanding (in shares)					535	535	535			3,780
Issuance of common stock, net (in shares)		181,941
Public offering price (in dollars per share) \| $ / shares		$ 29.68						$ 29.68
Number of shares issuable on the exercise of warrants (in shares)		554,322						554,322
Beneficial conversion amount \| $			$ 8,700
Aggregate cash placement fee	8.00%	8.00%	8.00%	9.00%
Series F Convertible Preferred Stock [Member] \| Minimum [Member]
Class of Stock Disclosures [Abstract]
Percentage of volume weighted average price of common stock			300.00%
Trading volume for each trading day \| $			$ 200
Series F Convertible Preferred Stock [Member] \| Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)			573,310
Warrants issued to the placement agent (in shares)						0	0
Series F Convertible Preferred Stock [Member] \| Warrant Series 1 [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)			16
Exercise price of warrants (in dollars per share) \| $ / shares		$ 29.68	$ 63.00					$ 29.68
Series F Convertible Preferred Stock [Member] \| Warrant Series 2 [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)			16
Exercise price of warrants (in dollars per share) \| $ / shares		$ 29.68	$ 63.00					$ 29.68
Series G Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Gross proceeds from issuance of convertible preferred stock \| $	$ 12,400
Net proceeds from issuance of convertible preferred stock \| $	$ 11,000
Conversion price (in dollars per share) \| $ / shares	$ 5.25
Number of consecutive trading days					30 days
Preferred stock issued (in shares)					0	0	0
Preferred stock, shares outstanding (in shares)					0	0	0
Beneficial conversion amount \| $						$ 4,500
Beneficial ownership limitation	4.99%
Conversion of preferred stock into common stock (in shares)					1,910,536
Series G Convertible Preferred Stock [Member] \| March 2019 Offering [Member]
Class of Stock Disclosures [Abstract]
Number of shares issuable on conversion of preferred stock (in shares)	1,910,536
Series G Convertible Preferred Stock [Member] \| Warrant Series 1 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares	$ 5.25
Number of shares issuable on the exercise of warrants (in shares)	2,365,714
Series G Convertible Preferred Stock [Member] \| Warrant Series 2 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) \| $ / shares	$ 5.25
Number of shares issuable on the exercise of warrants (in shares)	2,365,714

Fair Value of Financial Instruments (FY)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Fair Value of Financial Instruments [Abstract]

Fair Value of Financial Instruments

Note 6 - Fair Value of Financial Instruments

The Company’s financial instruments consist of cash and cash equivalents, warrants, and contingent consideration.

Pursuant to the requirements of ASC Topic 820 “Fair Value Measurement,” the Company’s financial assets and liabilities measured at fair value on a recurring basis are classified and disclosed in one of the following three categories:

•	Level 1 - Financial instruments with unadjusted quoted prices listed on active market exchanges.

•

Level 2 - Financial instruments lacking unadjusted, quoted prices from active market exchanges, including over the counter traded financial instruments. The prices for the financial instruments are determined using prices for recently traded financial instruments with similar underlying terms as well as directly or indirectly observable inputs, such as interest rates and yield curves that are observable at commonly quoted intervals.

•	Level 3 - Financial instruments that are not actively traded on a market exchange. This category includes situations where there is little, if any, market activity for the financial instrument. The prices are determined using significant unobservable inputs or valuation techniques.

The fair value of the Company's contingent consideration, as described in Note 1, was initially measured based on the consideration expected to be transferred (probability-weighted), discounted back to present value, and it was considered a Level 3 instrument. The discount rate used was determined at the time of measurement in accordance with accepted valuation methods. The Company measured the liability on a recurring basis using Level 3 inputs including probabilities of payment and projected payment dates. As of September 30, 2019, this contingency had expired, therefore its fair value was recorded at $0.

The following is a rollforward of the fair value of Level 3 items:

(in thousands)
Balance December 31, 2018	$	126
Change in fair value		(126	)
Balance as of September 30, 2019	$	-

The fair value of the market-based warrants described in Note 4 was calculated using a Monte Carlo valuation model and was classified as Level 3 in the fair value hierarchy. These warrants are classified as permanent equity and as a result, were measured at the grant date and are not required to be remeasured to fair value at each reporting period end.

All cash equivalents are considered Level 1 measurements for all periods presented. The Company does not have any financial instruments classified as Level 2 or any other classified as Level 3 and there were no movements between these categories during the periods ended September 30, 2019 and December 31, 2018. The Company believes that the carrying amounts of all remaining financial instruments approximate their fair value due to their relatively short maturities.

Note 8 - Fair Value of Financial Instruments

The Company’s financial instruments consist of cash and cash equivalents, warrants, and contingent consideration.

·	Level 1 - Financial instruments with unadjusted quoted prices listed on active market exchanges.

·	Level 3 - Financial instruments that are not actively traded on a market exchange. This category includes situations where there is little, if any, market activity for the financial instrument. The prices are determined using significant unobservable inputs or valuation techniques.

The fair value of the Company’s common stock warrant liability related to the investor warrants was calculated using a Monte Carlo valuation model and was classified as Level 3 in the fair value hierarchy. The fair value of the Company’s common stock warrant liability related to the placement agent warrants is calculated using a Black Scholes option pricing model and was classified as Level 3 in the fair value hierarchy.

The following is a rollforward of the fair value of Level 3 warrants:

(in thousands)
Balance December 31, 2016	$	1,843
Change in fair value		(1,475	)
Exercise of warrants		(368	)
Balance as of December 31, 2017	$	-

A significant change in the inputs used for the Monte Carlo and Black Scholes option pricing models such as the expected volatility, bond yield of equivalent securities, or probability of future equity financings, in isolation, would result in significantly higher or lower fair value measurements. In combination, changes in these inputs could result in a significantly higher or lower fair value measurement if the input changes were to be aligned or could result in a minimally higher or lower fair value measurement if the input changes were of a compensating nature.

The fair value of the Company's contingent consideration, was initially measured based on the consideration expected to be transferred (probability-weighted), discounted back to present value, and it is considered a Level 3 instrument. The discount rate used was determined at the time of measurement in accordance with accepted valuation methods. The Company measures the liability on a recurring basis using Level 3 inputs including probabilities of payment and projected payment dates. Changes to any of the inputs may result in significantly higher or lower fair value measurements. There were no changes in the fair value of the contingent consideration subsequent to the initial measurement.

All cash equivalents are considered Level 1 measurements for all periods presented. The Company does not have any financial instruments classified as Level 2 or any other classified as Level 3 and there were no movements between these categories during the periods ended December 31, 2018 and 2017. The Company believes that the carrying amounts of all remaining financial instruments approximate their fair value due to their relatively short maturities.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Income Taxes, Domestic and Foreign Loss Before Income Taxes (FY) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Loss before income taxes [Abstract]
Domestic					$ (17,027)	$ (13,367)
Foreign					1	(9)
Loss before income taxes	$ (4,508)	$ (4,240)	$ (13,661)	$ (12,773)	$ (17,026)	$ (13,376)

Stock-Based Compensation (Q3)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Stock-Based Compensation [Abstract]

Stock-Based Compensation

Note 5 - Stock-Based Compensation

The following table presents the classification of stock-based compensation expense recognized for the periods below:

	Three months ended September 30,					Nine months ended September 30,
(in thousands)	2019		2018			2019		2018
Selling, general and administrative expense	$	383	$	440		$	1,018	$	1,446
Research and development expense		29		(3	)		95		98
Total stock-based compensation expense	$	412	$	437		$	1,113	$	1,544

Note 7— Stock-Based Compensation

Stock Options and Restricted Stock Awards

(Dollars in thousands)	2018		2017
Selling, general and administrative	$	1,958	$	452
Research and development		129		50
Total	$	2,087	$	502

Stock Options: The following is a summary of the Plans’ stock option activity during the years ended December 31:

	2018					2017
	Options Outstanding			Weighted Average Exercise Price		Options Outstanding			Weighted Average Exercise Price
Beginning Balance		2,562		$	1,049.93		272		$	31,021.57
Granted		163,997			45.76		2,461			167.30
Exercised		—			—		—			—
Forfeited/expired		(26,013	)		61.01		(171	)		36,429.90
Outstanding at December 31		140,546		$	61.25		2,562		$	1,049.93
Vested at December 31		16,206		$	169.07		148		$	11,338.37

The following table provides the weighted average assumptions used in the Black-Scholes option pricing model for the years ended December 31:

	2018			2017
Expected dividend yield		0	%		0	%
Risk-free interest rate		2.49	%		1.97	%
Expected volatility		120.54	%		103	%
Expected life (in years)		6.23			6.25

Restricted Stock Awards: The following table summarizes restricted stock award activity during 2018 and 2017:

	2018					2017
	RSUs			Weighted Average Grant Price		RSUs			Weighted Average Grant Price
Nonvested, beginning balance		15		$	7,297.22		33		$	9,052.37
Granted		—			—		11			1,514.80
Vested		(12	)		7,297.22		(29	)		1,854.56
Forfeited		—			—		-			-
Nonvested at December 31		3		$	7,297.22		15		$	7,297.22

Warrants

Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) (Q3) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended						9 Months Ended		12 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Consolidated Statements of Operations and Comprehensive Loss [Abstract]
Net sales	$ 1,252			$ 1,363			$ 4,144	$ 3,499	$ 4,998	$ 3,553
Costs and Expenses:
Cost of goods sold	540			915			1,987	2,686	3,670	2,763
Selling, general and administrative	4,107			3,713			12,098	11,489	15,311	10,170
Research and development	1,112			985			3,719	2,107	3,053	1,481
Total costs and expenses	5,759			5,613			17,804	16,282	22,034	18,365
Loss from operations	(4,507)			(4,250)			(13,660)	(12,783)	(17,036)	(14,812)
Other income (loss), net	(1)			10			(1)	10	10	1,436
Loss before income taxes	(4,508)			(4,240)			(13,661)	(12,773)	(17,026)	(13,376)
Income tax expense	(1)			(1)			(5)	(3)	(6)	(6)
Net loss	$ (4,509)	$ (4,430)	$ (4,727)	$ (4,241)	$ (4,181)	$ (4,354)	$ (13,666)	$ (12,776)	$ (17,032)	$ (13,382)
Basic and diluted loss per share (in dollars per share)	$ (1.70)			$ (8.50)			$ (9.49)	$ (34.59)	$ (42.14)	$ (525.01)
Weighted average shares outstanding - basic and diluted (in shares)	2,646			499			1,915	369	404	48
Other comprehensive loss:
Foreign currency translation adjustments	$ 1	$ (3)	$ (2)	$ (1)	$ (2)	$ 1	$ (4)	$ (2)	$ (4)	$ (8)
Total comprehensive loss	$ (4,508)			$ (4,242)			$ (13,670)	$ (12,778)	$ (17,036)	$ (13,390)

Condensed Consolidated Statements of Cash Flows (Unaudited) (Q3) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018
Operating Activities:
Net loss	$ (13,666)	$ (12,776)
Adjustments to reconcile net loss to cash flows used in operating activities:
Depreciation and amortization	179	174
Stock-based compensation expense, net	1,113	1,544
Changes in operating assets and liabilities:
Accounts receivable	258	(242)
Inventory	(158)	(360)
Other current assets	(74)	(104)
Other assets and liabilities	(27)	0
Accounts payable and accrued expenses	38	(79)
Net cash used in operating activities	(12,337)	(11,843)
Investing activities:
Purchases of property, plant and equipment	(464)	(177)
Net cash used in investing activities	(464)	(177)
Financing activities:
Net proceeds from public stock offering, net	10,959	4,649
Net cash provided by financing activities	10,959	4,649
Effect of exchange rate changes on cash	(4)	(2)
Net decrease in cash and cash equivalents	(1,846)	(7,373)
Cash and cash equivalents - beginning of period	5,480	15,595
Cash and cash equivalents - end of period	3,634	8,222
Supplemental schedule of non-cash activities:
Inventory transferred to property, plant and equipment	$ 204	$ 0

Fair Value of Financial Instruments (FY) (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	$ 0	$ 0
Change in fair value		0	$ 1,475
Ending balance		0	0
Fair Value Transfers between levels [Abstract]
Level 1 to Level 2 asset transfers	0	0	0
Level 2 to Level 1 asset transfers	0	0	0
Level 1 to Level 2 liability transfers	0	0	0
Level 2 to Level 1 liability transfers	0	0	0
Level 3 [Member]
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	126	0	1,843
Change in fair value	(126)		(1,475)
Exercise of warrants			(368)
Ending balance	$ 0	$ 126	$ 0

Nature of Business and Significant Accounting Policies, Nature of Business, Going Concern, Accounts Receivable and Inventory (FY) (Details) $ in Thousands			1 Months Ended		9 Months Ended	12 Months Ended	14 Months Ended	30 Months Ended
	Oct. 12, 2017	Jan. 12, 2017	Jan. 31, 2019	Dec. 31, 2018 USD ($)	Sep. 30, 2019 USD ($)	Dec. 31, 2018 USD ($) StockSplit	Jul. 03, 2018 USD ($)	Nov. 06, 2019 USD ($)	Dec. 31, 2017 USD ($)
Nature of Business [Abstract]
Number of reverse stock split \| StockSplit						2
Reverse stock split ratio	0.050	0.033	0.0714
Going Concern [Abstract]
Accumulated deficit				$ (199,388)	$ (213,054)	$ (199,388)			$ (182,356)
Net proceeds from issuance of convertible preferred stock							$ 28,800
Accounts Receivable [Abstract]
Accounts receivables maximum credit period from invoice date					30 days	30 days
Allowance for doubtful accounts				0	$ 0	$ 0
Inventories [Abstract]
Finished Goods				517	468	517			902
Work in Process				34	185	34			217
Raw Materials				1,107	959	1,107			469
Total				$ 1,658	$ 1,612	$ 1,658			$ 1,588
Subsequent Event [Member]
Nature of Business [Abstract]
Reverse stock split ratio			0.0714
Going Concern [Abstract]
Net proceeds from issuance of convertible preferred stock								$ 41,400
Minimum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.5000		0.500
Maximum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.0714		0.0714

Fair Value of Financial Instruments (Q3)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Fair Value of Financial Instruments [Abstract]

Fair Value of Financial Instruments

Note 6 - Fair Value of Financial Instruments

The Company’s financial instruments consist of cash and cash equivalents, warrants, and contingent consideration.

•	Level 1 - Financial instruments with unadjusted quoted prices listed on active market exchanges.

•

•	Level 3 - Financial instruments that are not actively traded on a market exchange. This category includes situations where there is little, if any, market activity for the financial instrument. The prices are determined using significant unobservable inputs or valuation techniques.

The following is a rollforward of the fair value of Level 3 items:

(in thousands)
Balance December 31, 2018	$	126
Change in fair value		(126	)
Balance as of September 30, 2019	$	-

Note 8 - Fair Value of Financial Instruments

The Company’s financial instruments consist of cash and cash equivalents, warrants, and contingent consideration.

·	Level 1 - Financial instruments with unadjusted quoted prices listed on active market exchanges.

·	Level 3 - Financial instruments that are not actively traded on a market exchange. This category includes situations where there is little, if any, market activity for the financial instrument. The prices are determined using significant unobservable inputs or valuation techniques.

The following is a rollforward of the fair value of Level 3 warrants:

(in thousands)
Balance December 31, 2016	$	1,843
Change in fair value		(1,475	)
Exercise of warrants		(368	)
Balance as of December 31, 2017	$	-

All cash equivalents are considered Level 1 measurements for all periods presented. The Company does not have any financial instruments classified as Level 2 or any other classified as Level 3 and there were no movements between these categories during the periods ended December 31, 2018 and 2017. The Company believes that the carrying amounts of all remaining financial instruments approximate their fair value due to their relatively short maturities.

- Definition

+ References + Details

Stock-Based Compensation, Stock Options and Restricted Stock Awards (FY) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 412	$ 437	$ 1,113	$ 1,544	$ 2,087	$ 502
Minimum [Member]
Additional Disclosures [Abstract]
Award vesting period					1 year
Maximum [Member]
Additional Disclosures [Abstract]
Award vesting period					4 years
Selling, General and Administrative [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	383	440	1,018	1,446	$ 1,958	452
Research and Development [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 29	$ (3)	$ 95	$ 98	$ 129	$ 50
Stock Options [Member]
Stock Options Activity [Roll Forward]
Outstanding, beginning balance (in shares)			140,546	2,562	2,562	272
Granted (in shares)					163,997	2,461
Exercised (in shares)					0	0
Forfeited/expired (in shares)					(26,013)	(171)
Outstanding, ending balance (in shares)					140,546	2,562
Vested at the end of the year (in shares)					16,206	148
Weighted Average Exercise Price [Abstract]
Outstanding, beginning balance (in dollars per share)			$ 61.25	$ 1,049.93	$ 1,049.93	$ 31,021.57
Granted (in dollars per share)					45.76	167.30
Exercised (in dollars per share)					0	0
Forfeited/expired (in dollars per share)					61.01	36,429.90
Outstanding, ending balance (in dollars per share)					61.25	1,049.93
Vested at the end of the year (in dollars per share)					$ 169.07	$ 11,338.37
Weighted Average Remaining Contractual Term [Abstract]
Options outstanding, weighted average remaining contractual life					9 years 1 month 13 days
Options vested, weighted average remaining contractual life					9 years 25 days
Aggregate Intrinsic Value [Abstract]
Fair value of options, vested					$ 900	$ 700
Weighted Average Assumptions used in Black-Scholes Option Pricing Model [Abstract]
Expected dividend yield					0.00%	0.00%
Risk-free interest rate					2.49%	1.97%
Expected volatility					120.54%	103.00%
Expected life					6 years 2 months 23 days	6 years 3 months
Additional Disclosures [Abstract]
Weighted-average fair value of options granted (in dollars per share)					$ 41.04	$ 167.30
Total unrecognized compensation costs related to non-vested stock option awards					$ 3,900
Unrecognized compensation costs related to non-vested stock option awards, recognition period					3 years 1 month 6 days
Restricted Stock Units [Member]
Restricted Stock Awards [Roll Forward]
Nonvested, beginning balance (in shares)			3	15	15	33
Granted (in shares)					0	11
Vested (in shares)					(12)	(29)
Forfeited (in shares)					0	0
Nonvested, ending balance (in shares)					3	15
Weighted Average Grant Price [Abstract]
Nonvested, beginning balance (in dollars per share)			$ 7,297.22	$ 7,297.22	$ 7,297.22	$ 9,052.37
Granted (in dollars per share)					0	1,514.80
Vested (in dollars per share)					7,297.22	1,854.56
Forfeited (in dollars per share)					0	0
Nonvested, ending balance (in dollars per share)					$ 7,297.22	$ 7,297.22

Equity (Q3)	9 Months Ended	12 Months Ended
Equity (Q3)	Sep. 30, 2019	Dec. 31, 2018
Equity [Abstract]
Equity	Note 4 - Equity Series F Convertible Preferred Stock: On November 27, 2017, the Company closed on an underwritten public offering of Series F convertible preferred stock and warrants to purchase shares of common stock for gross proceeds of $18.0 million. Net proceeds totaled approximately $16.2 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The offering was comprised of Series F convertible preferred stock, convertible into shares of the Company’s common stock at an initial conversion price of $63.00 per share. Each share of Series F preferred stock was accompanied by a Series 1 warrant, which was to expire on the first anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share, and a Series 2 warrant, which expires on the seventh anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share. The Series F preferred stock and the warrants were immediately separable and were issued separately. The conversion price of the Series F preferred stock will be adjusted in the event of a stock split, combination, reclassification or stock dividend or if the Company consummates a fundamental transaction. The Series F preferred stock also has full ratchet price based anti-dilution protection, subject to customary carve outs, in the event of a down-round financing at a price per share below the conversion price of the Series F preferred stock (which protection will expire if, during any 20 of 30 consecutive trading days, the volume weighted average price of the Company’s common stock exceeds 300% of the then-effective conversion price of the Series F preferred stock and the daily dollar trading volume for each trading day during such period exceeds $200,000). The exercise price of the warrants is fixed and does not contain any variable pricing features, nor any price based anti-dilutive features, apart from customary adjustments for stock splits, combinations, reclassifications, stock dividends or fundamental transactions. A total of 18,000 shares of Series F Convertible Preferred Stock initially convertible into 286,714 shares of common stock and warrants to purchase 573,310 shares of common stock were issued in the offering. As noted below, effective July 3, 2018, the conversion price of the Series F convertible preferred stock was reduced from $63.00 to $29.68, the per share price in the July 2018 Offering described below. Effective March 12, 2019, the conversion price of the Series F convertible preferred stock was reduced again from $29.68 to $5.25, the per share price to the public of the Series G convertible preferred stock which closed in an underwritten public offering on March 12, 2019, and each share of the remaining Series F convertible preferred stock is convertible into 191 shares of the Company’s common stock. As of both September 30, 2019, and December 31, 2018, 535 shares of the Series F convertible preferred stock remained outstanding. July 2018 Offering: On July 3, 2018, the Company closed on an underwritten public offering of 181,941 shares of its common stock at a public offering price of $29.68 per share, for gross proceeds of $5.4 million, including the full exercise of the underwriters’ over-allotment option to purchase additional shares of the Company’s common stock (the “July 2018 Offering”). Net proceeds totaled approximately $4.6 million after deducting underwriting discounts and commissions and offering expenses. In connection with the July 2018 Offering, and to induce certain institutional investors who hold warrants issued by the Company in November 2017 (“November 2017 Warrants”) to participate in the July 2018 Offering, the Company entered into letter agreements with such institutional investors. Pursuant to the terms of these agreements, the Company agreed, effective July 3, 2018, to reduce the per share exercise price of the November 2017 Warrants held by such institutional investors to $29.68 and to extend the expiration date of the warrants that were to expire on November 27, 2018 to November 27, 2019. The number of common shares underlying the warrants that were repriced did not change. The repriced warrants are exercisable for 554,322 shares of common stock in the aggregate, of which, following such amendment, half expire on November 27, 2019 and half expire on November 27, 2024. The repricing of the warrants was accounted as an equity financing cost, with no impact to net proceeds from the offering. As noted above, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of the July 2018 Offering, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price in the July 2018 Offering. Series G Convertible Preferred Stock and March 2019 Offering: On March 12, 2019, the Company closed on an underwritten public offering of common stock, Series G convertible preferred stock and warrants to purchase shares of common stock for gross proceeds of $12.4 million, which included the full exercise of the underwriter’s over-allotment option to purchase additional shares and warrants (“March 2019 Offering”). Net proceeds totaled approximately $11.0 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The Series G convertible preferred stock included a beneficial conversion amount of $4.5 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the nine months ended September 30, 2019. The March 2019 Offering was comprised of 455,178 shares of common stock priced at $5.25 per share and 1,910,536 shares of Series G convertible preferred stock, convertible into common stock at $5.25 per share. Each share of Series G convertible preferred stock and each share of common stock was accompanied by a Series 1 warrant and a Series 2 warrant. The Series 1 warrants are exercisable into 2,365,714 shares of common stock and the Series 2 warrants are exercisable into 2,365,714 shares of common stock. Series 1 warrants expire on the fifth anniversary of the date of issuance and are exercisable at $5.25 to purchase one share of common stock. Series 2 warrants expire on the earlier of: (i) the eighteen-month anniversary of the date of issuance and (ii) the 30th trading day following the public announcement of the receipt from the U.S. Food and Drug Administration of clearance or approval of a modification to the product label for the Aquadex FlexFlow system to include pediatric patients. Series 2 warrants are exercisable at $5.25 per share of common stock. The conversion price of the Series G convertible preferred stock as well as the exercise price of the warrants are fixed and do not contain any variable pricing features, nor any price based anti-dilutive features apart from customary adjustments for splits and reverse splits of common stock. The Series G convertible preferred stock included a beneficial ownership limitation of 4.99% but had no dividend preference (except to extent dividends are also paid on the common stock), liquidation preference or other preferences over common stock. The securities comprising the units were immediately separable and were issued separately. As of September 30, 2019, all 1,910,536 shares of the Series G convertible preferred stock had been converted into common stock and none remained outstanding. As noted above, the Company’s outstanding Series F convertible preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F convertible preferred stock. As a result of the March 2019 Offering, the conversion price of the Series F convertible preferred stock was reduced from $29.68, to $5.25, the per share price of the Series G convertible preferred stock. Placement Agent Fees: In connection with the issuance of the Series F convertible preferred stock, the July 2018 Offering, and the March 2019 Offering, the Company paid the placement agent an aggregate cash placement fee equal to 8% of the aggregate gross proceeds raised in the offering and issued no warrants to the placement agent. Market-Based Warrants: On May 30, 2019, the Company granted a market-based warrant to a consultant in exchange for investor relations services. The warrant represents the right to acquire up to 100,000 shares of the Company’s common stock at an exercise price of $3.18 per share, the closing stock price of the Company’s common shares on May 30, 2019. The warrant is subject to a vesting schedule based on the Company achieving certain market stock prices within a specified period of time. The warrant expires on May 30, 2024. The warrant was valued at $1.93 per share using the Monte Carlo valuation methodology and is being expensed over the term of the consulting engagement which is twelve months. Significant inputs used for the Monte Carlo valuation were the expected stock price volatility of 136.21%, and management’s expectations regarding the timing of regulatory clearance for an expanded label in pediatrics.	Note 6—Shareholder’s Equity Series B/B-1 Convertible Preferred Stock: On July 20, 2016, the Company entered into a securities purchase agreement with an institutional investor for an offering of shares of convertible preferred stock and warrants with gross proceeds of approximately $3.5 million in a registered direct offering. The Series B issued under the securities purchase agreement was exchanged for Series B-1 Convertible Preferred Stock on October 30, 2016. The Series B-1 Convertible Preferred Stock was non-voting and was convertible into shares of common stock at the holder’s election at any time. Approximately $1.6 million of the proceeds were allocated to the preferred stock, representing the residual proceeds after the warrants were recorded at fair value (see below.) As of both December 31, 2018, and 2017, all Series B/B-1-Convertible Preferred Stock had been converted into common stock and none were outstanding. Series C and D Convertible Preferred Stock: On October 30, 2016, the Company entered into a securities purchase agreement with an institutional investor for shares of convertible preferred stock and warrants with an aggregate purchase price of $3.8 million in a registered direct offering and simultaneous private placement. The first closing of the transaction occurred on November 3, 2016, whereby the Company received $3.6 million in gross proceeds and the second closing occurred on January 10, 2017, whereby the Company received gross proceeds of $0.2 million. The Series C and D Convertible Preferred Stock included a contingent beneficial conversion amount of $1.3 million and $0.5 million, respectively, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the first quarter of 2017 when the contingency for the conversion was resolved with the shareholder approval allowing for the conversion of the preferred stock into common stock. As of both December 31, 2018, and 2017, all shares of the Series C and D Convertible Preferred Stock had been converted into shares of common stock and none remained outstanding. Series E Convertible Preferred Stock: On April 24, 2017, the Company closed on an underwritten public offering of common stock, Series E Convertible Preferred Stock and warrants to purchase shares of common stock for gross proceeds of $9.2 million, which included the full exercise of the underwriter’s over-allotment option to purchase additional shares and warrants. Net proceeds totaled approximately $8.0 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The Series E Convertible Preferred Stock included a beneficial conversion amount of $1.0 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the year ended December 31, 2017. As of both December 31, 2018. and 2017, all shares of the Series E Convertible Preferred Stock had been converted into common stock and none remained outstanding. Series F Convertible Preferred Stock: On November 27, 2017, the Company closed on an underwritten public offering Series F Convertible Preferred Stock and warrants to purchase shares of common stock for gross proceeds of $18.0 million. Net proceeds totaled approximately $16.2 million after deducting the underwriting discounts and commissions and other costs associated with the offering. The offering was comprised of Series F preferred stock, convertible into shares of the Company’s common stock at an initial conversion price of $63.00 per share. Each share of Series F preferred stock was accompanied by a Series 1 warrant, which was to expire on the first anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share, and a Series 2 warrant, which expires on the seventh anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share. The Series F preferred stock and the warrants were immediately separable and were issued separately. The conversion price of the Series F preferred stock will be adjusted in the event of a stock split, combination, reclassification or stock dividend or if the Company consummates a fundamental transaction. The Series F preferred stock also has full ratchet price based anti-dilution protection, subject to customary carve outs, in the event of a down-round financing at a price per share below the conversion price of the Series F preferred stock (which protection will expire if, during any 20 of 30 consecutive trading days, the volume weighted average price of the Company’s common stock exceeds 300% of the then-effective conversion price of the Series F preferred stock and the daily dollar trading volume for each trading day during such period exceeds $200,000). The exercise price of the warrants are fixed and do not contain any variable pricing features, nor any price based anti-dilutive features, apart from customary adjustments for stock splits, combinations, reclassifications, stock dividends or fundamental transactions. A total of 18,000 shares of Series F Convertible Preferred Stock initially convertible into 286,714 shares of common stock and warrants to purchase approximately 573,310 shares of common stock were issued in the offering. The Series F Convertible Preferred Stock included a beneficial conversion amount of $8.7 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the year ended December 31, 2017. As noted below, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering described below, and now each share of the remaining Series F preferred stock is convertible into 34 shares of the Company’s common stock. As of December 31, 2018, and 2017, 17,465 and 14,220 shares of the Series F Convertible Preferred Stock had been converted into an aggregate of 279,526 and 226,504 shares of common stock and 535 and 3,780 remained outstanding, respectively. July 2018 Offering: On July 3, 2018, the Company closed on an underwritten public offering of 181,941 shares of its common stock at a public offering price of $29.68 per share, for gross proceeds of $5.4 million, including the full exercise of the underwriters’ over-allotment option to purchase additional shares of the Company’s common stock, prior to deducting underwriting discounts and commissions and offering expenses (the “July 2018 Offering”). In connection with the July 2018 Offering, and to induce certain institutional investors who hold warrants issued by the Company in November 2017 (“November 2017 Warrants”) to participate in the July 2018 Offering, the Company entered into letter agreements with such institutional investors. Pursuant to the terms of these agreements, the Company agreed, effective July 3, 2018, to reduce the per share exercise price of the November 2017 Warrants held by such institutional investors to $29.68 and to extend the expiration date of the warrants that were to expire on November 27, 2018 to November 27, 2019. The number of common shares underlying the warrants that were repriced did not change. The repriced warrants are exercisable for 554,322 shares of common stock in the aggregate, of which, following such amendment, half expire on November 27, 2019 and half expire on November 27, 2024. The repricing of the warrants was accounted as an equity financing cost, with no impact to net proceeds from the offering. As noted above, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of the July 2018 Offering, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering. Placement Agent Fees In connection with the issuance of the Series B, C and D Convertible Preferred Shares, the Company paid the placement agent an aggregate cash placement fee equal to 6% of the aggregate gross proceeds raised in the offering and issued warrants as described below. In connection with the financings completed in April 2017, November 2017, and July 2018, the Company paid the placement agent an aggregate cash placement fee equal to 9%, 8%, and 8%, respectively, of the aggregate gross proceeds raised in the offering and issued no warrants to the placement agent. Investor Warrants: In connection with the issuance of the Series B Convertible Preferred Stock in July 2016, the Company issued the investor, at no additional cost, warrants to purchase 440 shares of common stock at an exercise price of $7,896 per share. The warrants were exercisable for 36 months commencing six months from the closing date and were subject to a reduction of the exercise price if the Company subsequently issued common stock or equivalents at an effective price less than the current exercise price of such warrants. Concurrently with the closing of the Series C and D Convertible Preferred Stock and warrant financing on November 3, 2016, the exercise price for these warrants was adjusted to $1,428 per share. In connection with the issuance of the Series C and D Convertible Preferred Stock in November 2016, the Company issued the investor, at no additional cost, warrants to purchase 2,522 shares of common stock at an exercise price of $1,512 per share. In connection with the issuance of the Series D Convertible Preferred Stock at the second closing in January 2017, the Company issued the investor, at no additional cost, warrants to purchase 141 shares of common stock at an exercise price of $1,512 per share. The warrants were exercisable for 60 months commencing on the earlier of the day of the receipt of approval of the Company’s stockholders of a proposal to approve the issuance of the shares of common stock underlying the warrants, or the six-month anniversary of the date of issuance. These warrants were subject to a reduction of the exercise price if the Company subsequently issued common stock or equivalents at an effective price less than the current exercise price of such warrants. Warrant Exercise Agreement: On February 15, 2017, the Company entered into a letter agreement with the institutional investors that held the majority of its outstanding warrants (the ‘‘Original Warrants’’), to incent the cash exercise of these warrants on or before March 31, 2017. In exchange for any such exercise, the Company agreed to provide the investors a replacement warrant (the ‘‘Replacement Warrants’’) to purchase the same number of shares of common stock as were issued upon exercise of the Original Warrants, with an exercise price equal to the consolidated closing bid price of its common stock on the date of issuance. The Replacement Warrants were issued in the same form as the Original Warrants except the exercise prices are not subject to reduction for subsequent equity issuances and the Replacement Warrants do not allow the investor to demand that the Company purchase the Replacement Warrants in the event of a fundamental transaction involving the Company. In connection with this agreement, between February and March 2017, the investors exercised all of the Original Warrants for gross cash proceeds to the Company of $2.0 million, and the Company issued 3,105 Replacement Warrants with exercise prices ranging from $484.4 per share to $1,397.2 per share. The Company entered into the letter agreement with the investors to incent the exercise of the Original Warrants in order to receive the cash proceeds from the exercise of the Original Warrants and because the exercise of the Original Warrants would allow the Company to remove the warrant liability from its balance sheet and avoid future fair value adjustments and associated volatility in its consolidated financial statements, as the Replacement Warrants are not accounted for as liabilities based on their terms. As of December 31, 2018, and 2017, there were no Original Warrants outstanding and all Replacement Warrants under the letter agreement had been issued. Warrant Valuation: Both the Original Warrants and placement agent warrants were accounted for as liabilities and were recorded at fair value on the date of issuance. These warrants must be measured and recorded at fair value for each subsequent reporting period that the warrants remain outstanding, and any changes in fair value must be recognized in the consolidated statement of operations. In connection with the warrant exchange agreement described above, the Company remeasured each Original Warrant as of the date of exercise and recorded $1.5 million for the change in fair value of these warrants as an unrealized gain in the accompanying consolidated statement of operations for year ended December 31, 2017. There were no warrants outstanding at December 31, 2018 or 2017 that were accounted for as liabilities. The Replacement Warrants were valued at $0.5 million using the Black Scholes option pricing model with the following assumptions: an expected dividend yield of 0%, expected stock price volatility of 49.65%-50.38%, risk-free interest rates of 1.95%-1.97% and an expected life of 5 years. The warrants have a five-year life and were fully vested at the date of grant. The terms of the Replacement Warrants do not require them to be accounted for as liabilities and are therefore recorded in equity. As in incentive to early exercise the Original Warrants, the fair value provided to investors through the Replacement Warrants exceeded the fair value of the Original Warrants that was relinquished by the warrant holders by approximately $0.1 million, which has been reflected as an expense in the consolidated statement of operations for the year ended December 31, 2017.

Consolidated Statements of Cash Flows (FY) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Operating Activities
Net loss	$ (17,032)	$ (13,382)
Adjustments to reconcile net loss to cash flows from operating activities:
Depreciation and amortization	232	769
Stock-based compensation expense	2,087	499
Goodwill and intangibles impairment	0	3,951
Change in fair value of warrant liability	0	(1,475)
Warrant valuation expense	0	67
Changes in assets and liabilities:
Accounts receivable	(241)	(263)
Inventories	(70)	(911)
Other current assets	(67)	1
Other assets and liabilities	(14)	0
Accounts payable and accrued expenses	545	(1,176)
Net cash used in operating activities	(14,560)	(11,920)
Investing activities:
Purchase of property and equipment	(198)	(259)
Net cash used in investing activities	(198)	(259)
Financing activities:
Net proceeds from public stock offering	4,647	24,281
Net proceeds from exercise of warrants	0	1,989
Net proceeds from the sale of preferred stock, common stock and warrants	0	184
Net cash provided by financing activities	4,647	26,454
Effect of exchange rate changes on cash	(4)	(3)
Net decrease in cash and cash equivalents	(10,115)	14,272
Cash and cash equivalents - beginning of period	15,595	1,323
Cash and cash equivalents - end of period	5,480	15,595
Supplemental schedule of non-cash activities
Financing fees incurred for subsequent equity financing included in other assets and accounts payable	78	0
Warrants issued as inducement to warrant exercise	0	509
Conversion of temporary equity to permanent equity	0	485
Supplemental cash flow information
Cash paid for income taxes	$ 2	$ 6

Income Taxes (FY) (Tables)

12 Months Ended

Dec. 31, 2018

Income Taxes [Abstract]

Domestic and Foreign Loss Before Income Taxes

Domestic and foreign loss before income taxes, consists of the following for the years ended December 31:

(in thousands)	2018			2017
Domestic	$	(17,027	)	$	(13,367	)
Foreign		1			(9	)
Loss before income taxes	$	(17,026	)	$	(13,376	)

Components of Income Tax Expense

The components of income tax expense consist of the following for the years ended December 31:

(in thousands)	2018			2017
Current:
United States and state	$	—		$	—
Foreign, net		(6	)		(6	)
Deferred:
United States and state		—			—
Foreign		—			—
Total income tax expense	$	(6	)	$	(6	)

Actual Income Tax Expense Differs from Statutory Federal Income Tax Expense

Actual income tax expense differs from statutory federal income tax expense as follows for the years ended December 31:

(in thousands)	2018			2017
Statutory federal income tax benefit	$	3,578		$	4,548
State tax benefit, net of federal taxes		45			48
Foreign tax		(2	)		-
Foreign deferred exchange rate adjustments		(1,112	)		899
Nondeductible/nontaxable items		(259	)		(114	)
New federal rate adjustment		—			(16,081	)
Other		(72	)		(1,085	)
Valuation allowance decrease (increase)		(2,184	)		11,779
Total income tax benefit expense	$	(6	)	$	(6	)

Deferred Taxes

Deferred taxes consist of the following as of December 31:

(in thousands)	2018			2017
Deferred tax assets:
Noncurrent:
Accrued leave	$	50		$	32
Other accrued expenses		—			28
Stock based compensation		483			336
Net operating loss carryforward		41,032			38,947
Other		125			115
Intangibles		847			895
R&D credit carryforward		531			531
Total deferred tax assets		43,068			40,884
Less: valuation allowance		(43,068	)		(40,884	)
Total	$	—		$	—

Commitments and Contingencies (Q3)	9 Months Ended	12 Months Ended
Commitments and Contingencies (Q3)	Sep. 30, 2019	Dec. 31, 2018
Commitments and Contingencies [Abstract]
Commitments and Contingencies	Note 9—Commitments and Contingencies Employee Retirement Plan: The Company has a 401(k)-profit sharing plan that provides retirement benefit to substantially all full-time U.S. employees. Eligible employees may contribute a percentage of their annual compensation, subject to Internal Revenue Service (“IRS”) limitations, with the Company matching a portion of the employee’s contributions at the discretion of the Company. Contingent Consideration: As part of the acquisition of the Aquadex Business from Baxter in August 2016, the Company agreed that if it disposed of any of the Aquadex assets for a price that exceeded $4.0 million within three years of the closing, it would pay Baxter 40% of the amount of such excess. This commitment expired on August 6, 2019. In addition, it also agreed that if shares of its common stock cease to be publicly traded on the Nasdaq Capital Market, Baxter has the option to require the Company to repurchase, in cash, all or any part of the common shares held by Baxter at a price equal to their fair market value, as determined by a third-party appraiser.	Note 10—Commitments and Contingencies Leases The Company leases office space under a non-cancelable operating lease that expires in March 2022. In August 2018, the Company entered into a Third Amendment to the lease, extending the term of the lease from March 31, 2019 to March 31, 2022. Beginning on April 1, 2019, the annual base rent shall be $9.00 per square foot, subject to annual increases of $0.25 per square foot. Rent expense is recognized using the straight-line method over the term of the lease. The Company leases office equipment under non-cancelable operating leases that expire at various times through September 2020. Rent expense related to operating leases was approximately $293,000, and $290,000 for the years ended December 31, 2018 and 2017, respectively. Future minimum lease payments under non-cancelable operating leases as of December 31, 2018, were approximately $217,000, $220,000, $219,000, $55,000, and $0 for each of the years ended December 31, 2019, through 2023, respectively. Employee Retirement Plan The Company has a 401(k)-profit sharing plan that provides retirement benefit to substantially all full-time U.S. employees. Eligible employees may contribute a percentage of their annual compensation, subject to Internal Revenue Service limitations, with the Company matching a portion of the employee’s contributions at the discretion of the Company. Matching contributions totaled $197,000 and $138,000 for the years ended December 31, 2018 and 2017, respectively. Contingent Consideration The Company agreed that if it disposes of any of the Aquadex assets for a price that exceeds $4.0 million within three years of the closing of the purchase of the Aquadex Business, it will pay Baxter 40% of the amount of such excess. In addition, it also agreed that if shares of its common stock cease to be publicly traded on Nasdaq, Baxter has the option to require the Company to repurchase, in cash, all or any part of the common shares held by Baxter at a price equal to their fair market value, as determined by a third-party appraiser.

Stock-Based Compensation (Q3) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Stock-Based Compensation [Abstract]

Classification of Stock-Based Compensation Expense

The following table presents the classification of stock-based compensation expense recognized for the periods below:

	Three months ended September 30,					Nine months ended September 30,
(in thousands)	2019		2018			2019		2018
Selling, general and administrative expense	$	383	$	440		$	1,018	$	1,446
Research and development expense		29		(3	)		95		98
Total stock-based compensation expense	$	412	$	437		$	1,113	$	1,544

The following table summarizes the stock-based compensation expense which was recognized in the consolidated statements of operations for the years ended December 31,

(Dollars in thousands)	2018		2017
Selling, general and administrative	$	1,958	$	452
Research and development		129		50
Total	$	2,087	$	502

Commitments and Contingencies (FY) (Details)	3 Months Ended	9 Months Ended		12 Months Ended
Commitments and Contingencies (FY) (Details)	Sep. 30, 2018 USD ($)	Sep. 30, 2019 USD ($) $ / ft²	Sep. 30, 2018 USD ($)	Mar. 31, 2020 $ / ft²	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
Leases [Abstract]
Annual base rent (in dollars per square foot) \| $ / ft²		9.00
Annual base rent increase (in dollars per square foot) \| $ / ft²		0.25
Rent expense related to operating leases	$ 54,000		$ 160,000		$ 293,000	$ 290,000
Future minimum lease payments [Abstract]
2019		$ 217,000			217,000
2020		220,000			220,000
2021		219,000			219,000
2022		55,000			55,000
2023		0			0
Employee Retirement Plan [Abstract]
Employer's matching contribution					197,000	$ 138,000
Plan [Member]
Leases [Abstract]
Annual base rent (in dollars per square foot) \| $ / ft²				9.00
Annual base rent increase (in dollars per square foot) \| $ / ft²				0.25
Aquadex Product Line [Member]
Contingent Consideration [Abstract]
Sale or disposal of business assets threshold for contingent consideration		$ 4,000,000			$ 4,000,000
Percentage of additional payments on disposal of business assets		40.00%			40.00%
Aquadex Product Line [Member] \| Maximum [Member]
Contingent Consideration [Abstract]
Contingent consideration period		3 years			3 years

Nature of Business and Significant Accounting Policies (FY) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Inventories

Inventories consisted of the following:

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Estimated Useful Lives

Depreciation expense has been calculated using the following estimated useful lives:

Office furniture and equipment	3-5 years
Computer software and equipment	3-4 years
Laboratory and research equipment	3-5 years
Production equipment	3-7 years
Leasehold improvements and capital lease asset	3-5 years

Potential Shares of Common Stock not Included in Diluted Net Loss Per Share

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

Reconciles Reported Net Loss with Reported Net Loss Per Share

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

Property, Plant and Equipment (FY) (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		$ 2,314	$ 2,150
Accumulated Depreciation		(1,778)	(1,580)
Property, Plant and Equipment, Net	$ 1,025	536	570
Office Furniture & Fixtures [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		291	287
Leasehold Improvements [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		224	224
Software [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		142	129
Production Equipment [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		991	926
Computer Equipment [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		357	277
Capital Lease Asset [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross		$ 309	$ 307

Income Taxes, Components of Income Tax Expense (FY) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Current [Abstract]
United States and state					$ 0	$ 0
Foreign, net					(6)	(6)
Deferred [Abstract]
United States and state					0	0
Foreign					0	0
Total income tax benefit expense	$ (1)	$ (1)	$ (5)	$ (3)	$ (6)	$ (6)

Condensed Consolidated Statements of Stockholders' Equity (Unaudited) (Q3) - USD ($) $ in Thousands	Common Stock [Member]	Additional Paid in Capital [Member]	Accumulated Other Comprehensive Income [Member]	Accumulated Deficit [Member]	Total
Balance at Dec. 31, 2016	$ 0	$ 169,496	$ 1,235	$ (168,974)	$ 1,757
Balance (in shares) at Dec. 31, 2016	2,801
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(13,382)	(13,382)
Foreign currency translation adjustment	0	0	(8)	0	(8)
Stock-based compensation and stock awards, net	$ 0	499	0	0	499
Stock-based compensation and stock awards, net (in shares)	17
Issuance of common and preferred stock, net	$ 0	5,399	0	0	5,399
Issuance of common and preferred stock, net (in shares)	42,017
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	226,522
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,354)	(4,354)
Foreign currency translation adjustment	0	0	1	0	1
Stock-based compensation and stock awards, net	$ 0	501	0	0	501
Stock-based compensation and stock awards, net (in shares)	3
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	32,365
Balance at Mar. 31, 2018	$ 0	197,868	1,228	(186,710)	12,386
Balance (in shares) at Mar. 31, 2018	303,725
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss					(12,776)
Foreign currency translation adjustment					(2)
Balance at Sep. 30, 2018	$ 0	203,560	1,225	(195,132)	9,653
Balance (in shares) at Sep. 30, 2018	505,315
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(17,032)	(17,032)
Foreign currency translation adjustment	0		(4)		(4)
Stock-based compensation and stock awards, net	$ 0	2,087	0	0	2,087
Stock-based compensation and stock awards, net (in shares)	12
Issuance of common and preferred stock, net	$ 0	4,647	0	0	4,647
Issuance of common and preferred stock, net (in shares)	181,941
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	53,019
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Balance at Mar. 31, 2018	$ 0	197,868	1,228	(186,710)	12,386
Balance (in shares) at Mar. 31, 2018	303,725
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,181)	(4,181)
Foreign currency translation adjustment	0	0	(2)	0	(2)
Stock-based compensation and stock awards, net	$ 0	606	0	0	606
Stock-based compensation and stock awards, net (in shares)	3
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	18,127
Balance at Jun. 30, 2018	$ 0	198,474	1,226	(190,891)	8,809
Balance (in shares) at Jun. 30, 2018	321,855
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,241)	(4,241)
Foreign currency translation adjustment	0	0	(1)	0	(1)
Stock-based compensation and stock awards, net	$ 0	437	0	0	437
Stock-based compensation and stock awards, net (in shares)	3
Issuance of common and preferred stock, net	$ 0	4,649	0	0	4,649
Issuance of common and preferred stock, net (in shares)	181,941
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	1,516
Balance at Sep. 30, 2018	$ 0	203,560	1,225	(195,132)	9,653
Balance (in shares) at Sep. 30, 2018	505,315
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,727)	(4,727)
Foreign currency translation adjustment	0	0	(2)	0	(2)
Stock-based compensation and stock awards, net	$ 0	362	0	0	362
Stock-based compensation and stock awards, net (in shares)	3
Issuance of common and preferred stock, net	$ 0	10,959	0	0	10,959
Issuance of common and preferred stock, net (in shares)	455,178
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	1,100,394
Balance at Mar. 31, 2019	$ 0	215,422	1,221	(204,115)	12,528
Balance (in shares) at Mar. 31, 2019	2,069,020
Balance at Dec. 31, 2018	$ 0	204,101	1,223	(199,388)	5,936
Balance (in shares) at Dec. 31, 2018	513,445
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss					(13,666)
Foreign currency translation adjustment					(4)
Balance at Sep. 30, 2019	$ 0	216,173	1,219	(213,054)	4,338
Balance (in shares) at Sep. 30, 2019	2,879,162
Balance at Mar. 31, 2019	$ 0	215,422	1,221	(204,115)	12,528
Balance (in shares) at Mar. 31, 2019	2,069,020
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,430)	(4,430)
Foreign currency translation adjustment	0	0	(3)	0	(3)
Stock-based compensation and stock awards, net	$ 0	339	0	0	339
Stock-based compensation and stock awards, net (in shares)	0
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	259,300
Balance at Jun. 30, 2019	$ 0	215,761	1,218	(208,545)	8,434
Balance (in shares) at Jun. 30, 2019	2,328,320
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(4,509)	(4,509)
Foreign currency translation adjustment	0	0	1	0	1
Stock-based compensation and stock awards, net	$ 0	412	0	0	412
Stock-based compensation and stock awards, net (in shares)	0
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	550,842
Balance at Sep. 30, 2019	$ 0	$ 216,173	$ 1,219	$ (213,054)	$ 4,338
Balance (in shares) at Sep. 30, 2019	2,879,162

Property, Plant and Equipment (FY) (Tables)

12 Months Ended

Dec. 31, 2018

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

Property, plant and equipment were as follows:

(in thousands)	December 31, 2018			December 31, 2017
Office Furniture & Fixtures	$	291		$	287
Leasehold Improvements		224			224
Software		142			129
Production Equipment		991			926
Computer Equipment		357			277
Capital Lease Asset		309			307
Total		2,314			2,150
Accumulated Depreciation		(1,778	)		(1,580	)
	$	536		$	570

Revenue Recognition (Q3) (Details)	3 Months Ended		9 Months Ended		12 Months Ended
Revenue Recognition (Q3) (Details)	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2018-07-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Abstract]
Expected timing of satisfaction, period	1 year		1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2019-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Abstract]
Expected timing of satisfaction, period					1 year	1 year
Sales Revenue [Member] \| ASC 606 [Member] \| Maximum [Member]
Revenue, Performance Obligation [Abstract]
Percentage of net sales	1.00%	1.00%	1.00%	1.00%	1.00%	1.00%

Income Taxes, Deferred Taxes and Other Information (FY) (Details) $ in Thousands, $ in Millions	12 Months Ended
	Dec. 31, 2018 USD ($)	Dec. 31, 2018 AUD ($)	Dec. 31, 2017 USD ($)
Noncurrent [Abstract]
Accrued leave	$ 50		$ 32
Other accrued expenses	0		28
Stock based compensation	483		336
Net operating loss carryforward	41,032		38,947
Other	125		115
Intangibles	847		895
R&D credit carryforward	531		531
Total deferred tax assets	43,068		40,884
Less: valuation allowance	(43,068)		(40,884)
Total	0		0
Unrecognized Tax Benefits [Abstract]
Uncertain tax positions	0		0
Penalties and Interest Accrued [Abstract]
Interest and penalties accrued on uncertain tax positions	$ 0		0
Earliest Tax Year [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards, expiration date	Dec. 31, 2024
Latest Tax Year [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards, expiration date	Dec. 31, 2037
Federal [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards			135,200
Net operating loss (NOL) carryforwards with expiration date			120,100
Net operating loss (NOL) carryforwards with no expiration date			15,100
State [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards			$ 29,500
Australian [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards		$ 49.0

Operating Leases (Q3)

9 Months Ended

Sep. 30, 2019

Operating Leases [Abstract]

Operating Leases

Note 7 – Operating Leases

The Company leases office and manufacturing space under a non-cancelable operating lease that expires in March 2022. In August 2018, the Company entered into a third amendment to the lease, extending the term of the lease from March 31, 2019 to March 31, 2022. Beginning on April 1, 2019, the annual base rent is $9.00 per square foot, subject to annual increases of $0.25 per square foot.

The cost components of the Company’s operating lease were as follows for the three and nine months ended September 30, 2019:

(in thousands)	Three Months		Nine Months
Operating lease cost	$	53	$	158
Variable lease cost		26		85
Total	$	79	$	243

Variable lease costs consist primarily of taxes, insurance, and common area or other maintenance costs for our leased office and manufacturing space.

Maturities of our lease liability for the Company’s operating lease are as follows as of September 30, 2019:

(in thousands)
2019	$	52
2020		213
2021		219
2022		55
Total lease payments		539
Less: Interest		(49	)
Present value of lease liability	$	490

As of September 30, 2019, the remaining lease term was 2.5 years and discount rate was 7.5%. For the nine months ended September 30, 2019, the operating cash outflows from the Company’s operating lease for office and manufacturing space were $154,000.

Rent expense related to operating leases for office and manufacturing space and office equipment was approximately $54,000 and $160,000 for the three and nine months ended September 30, 2018, respectively. Future minimum lease payments, under non-cancelable operating leases as of December 31, 2018, were approximately $217,000, $220,000, $219,000, $55,000, and $0 for each of the years ended December 31, 2019, through 2023, respectively.

Nature of Business and Significant Accounting Policies (FY)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Nature of Business and Basis of Presentation, Significant Accounting Policies [Abstract]

Nature of Business and Significant Accounting Policies

Note 1 – Nature of Business and Basis of Presentation

For further information, refer to the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.

( in thousands)	September30, 2019		December 31, 2018
Finished Goods	$	468	$	517
Work in Process		185		34
Raw Materials		959		1,107
Total	$	1,612	$	1,658

	September 30
	2019		2018
Warrants to purchase common stock		5,430,721		608,787
Series F convertible preferred stock		102,185		19,210
Stock options		332,722		139,439
Restricted stock units		--		3
Total		5,865,628		767,439

The following table reconciles reported net loss with reported net loss per share for the periods ended September 30, 2019:

(in thousands, except per share amounts)	Three months			Nine months
Net loss	$	(4,509	)	$	(13,666	)
Deemed dividend to preferred shareholders (see Note 4)		—			(4,509	)
Net loss after deemed dividend		(4,509	)		(18,175	)
Weighted average shares outstanding		2,646			1,915
Basic and diluted loss per share	$	(1.70	)	$	(9.49	)

Note 1—Nature of Business and Significant Accounting Policies

Nature of Business

On May 23, 2017, the Company announced it was changing its name from Sunshine Heart, Inc. to CHF Solutions, Inc. to more appropriately reflect the direction of its business.

Going Concern

The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability.

Basis of Presentation

Use of Estimates

Cash and Cash Equivalents

Accounts Receivable

Inventories

Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands):

	2018		2017
Finished Goods	$	517	$	902
Work in Process		34		217
Raw Materials		1,107		469
Total	$	1,658	$	1,588

Other Current Assets

Other current assets represent prepayments and deposits made by the Company.

Property, Plant and Equipment

Office furniture and equipment	3-5 years
Computer software and equipment	3-4 years
Laboratory and research equipment	3-5 years
Production equipment	3-7 years
Leasehold improvements and capital lease asset	3-5 years

Depreciation expense was $232,000 and $229,000 for the years ended December 31, 2018, and 2017, respectively.

Intangible assets

Amortization expense was $0 and $540,000 for the years ended December 31, 2018 and 2017, respectively.

Goodwill

Contingent consideration

Common stock warrant liability

Revenue Recognition

Foreign Currency Translation

Stock-Based Compensation

See Note 7- Stock Based Compensation, for further information regarding the assumptions used to calculate the fair value of share-based compensation.

Income Taxes

Loss per share

	December 31,
	2018		2017
Stock options		140,546		2,766
Restricted stock units		3		15
Warrants to purchase common stock		599,293		608,787
Series F convertible preferred stock		18,190		60,480
Total		758,032		672,048

The following table reconciles reported net loss with reported net loss per share for the years ended December 31:

(in thousands, except per share amounts)	2018			2017
Net loss	$	(17,032	)	$	(13,382	)
Deemed dividend to preferred shareholders (see Note 6)		—			(11,590	)
Net loss after deemed dividend		(17,032	)		(24,972	)
Weighted average shares outstanding		404			48
Basic and diluted loss per share	$	(42.14	)	$	(525.01	)

Research and Development

Recent Accounting Pronouncements

The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Fair Value of Financial Instruments (Q3) (Tables)

9 Months Ended

12 Months Ended

Sep. 30, 2019

Dec. 31, 2018

Fair Value of Financial Instruments [Abstract]

Fair Value of Level 3 Warrants

The following is a rollforward of the fair value of Level 3 items:

(in thousands)
Balance December 31, 2018	$	126
Change in fair value		(126	)
Balance as of September 30, 2019	$	-

The following is a rollforward of the fair value of Level 3 warrants:

(in thousands)
Balance December 31, 2016	$	1,843
Change in fair value		(1,475	)
Exercise of warrants		(368	)
Balance as of December 31, 2017	$	-

Commitments and Contingencies (Q3) (Details) - Aquadex Product Line [Member] - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Contingent Consideration [Abstract]
Sale or disposal of business assets threshold for contingent consideration	$ 4,000	$ 4,000
Percentage of contingent consideration payments on disposal of business assets	40.00%	40.00%
Maximum [Member]
Contingent Consideration [Abstract]
Contingent consideration period	3 years	3 years

Stock-Based Compensation (Q3) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 412	$ 437	$ 1,113	$ 1,544	$ 2,087	$ 502
Selling, General and Administrative Expense [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	383	440	1,018	1,446	1,958	452
Research and Development Expense [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 29	$ (3)	$ 95	$ 98	$ 129	$ 50