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The Company (Details) (USD $)
3 Months Ended
Mar. 31, 2015
Channel
Mar. 31, 2014
Dec. 31, 2014
Jan. 31, 2015
Revenue Recognition [Abstract]        
Number of distribution channels 2phmd_NumberOfDistributionChannels      
Period of sales deferred 14 days      
Derivatives [Abstract]        
Balance of derivative instruments $ 468,000us-gaap_DerivativeAssets      
Amount recognized as financing income 206,000us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax      
Notional amounts of foreign currency derivatives 7,200,000invest_DerivativeNotionalAmount      
Activity in warranty accrual [Roll Forward]        
Accrual at beginning of year 761,000us-gaap_ProductWarrantyAccrual 1,151,000us-gaap_ProductWarrantyAccrual    
Additions charged to warranty expense 271,000us-gaap_ProductWarrantyExpense 256,000us-gaap_ProductWarrantyExpense    
Expiring warranties (102,000)phmd_StandardProductWarrantyAccrualExpiringWarranties (69,000)phmd_StandardProductWarrantyAccrualExpiringWarranties    
Claims satisfied (116,000)us-gaap_ProductWarrantyAccrualPayments (247,000)us-gaap_ProductWarrantyAccrualPayments    
Total 814,000us-gaap_ProductWarrantyAccrual 1,091,000us-gaap_ProductWarrantyAccrual    
Less: current portion (673,000)us-gaap_ProductWarrantyAccrualClassifiedCurrent (1,021,000)us-gaap_ProductWarrantyAccrualClassifiedCurrent (665,000)us-gaap_ProductWarrantyAccrualClassifiedCurrent  
Accrued extended warranty 141,000us-gaap_ProductWarrantyAccrualNoncurrent 70,000us-gaap_ProductWarrantyAccrualNoncurrent    
Weighted-average number of common and common equivalent shares outstanding [Abstract]        
Basic number of common shares outstanding (in shares) 19,794,210us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 18,719,419us-gaap_WeightedAverageNumberOfSharesOutstandingBasic    
Dilutive effect of stock options and warrants (in shares) 0us-gaap_IncrementalCommonSharesAttributableToCallOptionsAndWarrants 0us-gaap_IncrementalCommonSharesAttributableToCallOptionsAndWarrants    
Diluted number of common and common stock equivalent shares outstanding (in shares) 19,794,210us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 18,719,419us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding    
Common stock options and warrants excluded from computation of diluted earnings per share (in shares) 3,563,503us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount 2,444,016us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount    
Fee Payment Each Month For May and June 2015 [Member]        
Business Acquisition [Line Items]        
Lenders fee 750,000phmd_LendersFee
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= us-gaap_DebtInstrumentRedemptionPeriodOneMember
     
Fee Payment Each Month For July Through September 2015 [Member]        
Business Acquisition [Line Items]        
Lenders fee 1,000,000phmd_LendersFee
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= us-gaap_DebtInstrumentRedemptionPeriodTwoMember
     
Fee Payment Each Month For October Through December 2015 [Member]        
Business Acquisition [Line Items]        
Lenders fee 1,250,000phmd_LendersFee
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= us-gaap_DebtInstrumentRedemptionPeriodThreeMember
     
Fee Payment Each Month For January Through March 2016 [Member]        
Business Acquisition [Line Items]        
Lenders fee 1,500,000phmd_LendersFee
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= us-gaap_DebtInstrumentRedemptionPeriodFourMember
     
Senior-Secured Credit Facilities [Member]        
Business Acquisition [Line Items]        
Maximum borrowing capacity 85,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_SecuredDebtMember
     
Revolving Credit Facility [Member]        
Business Acquisition [Line Items]        
Maximum borrowing capacity 10,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
     
Term Loan [Member]        
Business Acquisition [Line Items]        
Maximum borrowing capacity 75,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= phmd_TermLoanMember
     
Term loan period 4 years      
Prepayments on term loan 125,000phmd_PrepaymentOfTermLoan
/ us-gaap_CreditFacilityAxis
= phmd_TermLoanMember
     
Minimum amount of cash specified against payment of revolving loans 5,000,000phmd_MinimumAmountOfCashSpecifiedAgainstPaymentOfRevolvingLoans
/ us-gaap_CreditFacilityAxis
= phmd_TermLoanMember
     
Minimum [Member]        
Warranty on Product Sales [Line Items]        
Period of warranty on product sales 1 year      
Extended period of warranty on domestic sale of laser equipment 3 years      
Maximum [Member]        
Warranty on Product Sales [Line Items]        
Period of warranty on product sales 2 years      
Extended period of warranty on domestic sale of laser equipment 4 years      
Maximum [Member] | Term Loan [Member]        
Business Acquisition [Line Items]        
Outstanding principal amount 10,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_CreditFacilityAxis
= phmd_TermLoanMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
     
Forbearance Agreement [Member]        
Business Acquisition [Line Items]        
Possible increase in interest (in hundredths) 2.00%phmd_PossibleIncreaseInInterest
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Maximum capital expenditures on medical devices 100,000phmd_MaximumCapitalExpendituresOnMedicalDevices
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Lenders fee 500,000phmd_LendersFee
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Prepayments on term loan 250,000phmd_PrepaymentOfTermLoan
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Percentage of exceeded cash on hand to be paid against revolving loans (in hundredths) 100.00%phmd_PercentageOfExceededCashOnHandToBePaidAgainstRevolvingLoans
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Minimum amount of cash specified against payment of revolving loans 7,000,000phmd_MinimumAmountOfCashSpecifiedAgainstPaymentOfRevolvingLoans
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Percentage of accrued and earned lender's fee for remaining period (in hundredths) 50.00%phmd_PercentageOfAccruedAndEarnedLendersFeeForRemainingPeriod
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
     
Forbearance Agreement [Member] | CB Floating Rate [Member]        
Business Acquisition [Line Items]        
Effective interest rate (in hundredths) 4.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
/ us-gaap_TypeOfArrangementAxis
= phmd_ForbearanceAgreementMember
/ us-gaap_VariableRateAxis
= phmd_CBFloatingRateMember
     
LCA Vision Inc [Member]        
Business Acquisition [Line Items]        
Percentage of shares acquired by wholly-owned subsidiary (in hundredths) 100.00%phmd_DisposalGroupIncludingDiscontinuedOperationsPercentageOfVotingRightsSold
/ dei_LegalEntityAxis
= phmd_LcaVisionIncMember
    100.00%phmd_DisposalGroupIncludingDiscontinuedOperationsPercentageOfVotingRightsSold
/ dei_LegalEntityAxis
= phmd_LcaVisionIncMember
Effective date of merger May 12, 2014      
Cash consideration from sale of business       40,000,000us-gaap_DisposalGroupIncludingDiscontinuedOperationConsideration
/ dei_LegalEntityAxis
= phmd_LcaVisionIncMember
Net proceeds realized from sale of business       $ 37,700,000phmd_DisposalGroupIncludingDiscontinuedOperationNetProceeds
/ dei_LegalEntityAxis
= phmd_LcaVisionIncMember