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Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure        
Pay vs Performance Disclosure, Table
Pay Versus Performance
While the Company’s turnaround has not been linear, particularly given macro environmental and economic events such as the global pandemic, the Company’s executive compensation has been highly correlated with the Company’s performance. Each year the Compensation Committee assesses the performance of the Company over time, the prior year performance, as well as the anticipated performance in the coming year to determine the appropriate level of compensation.
The Pay versus Performance table below shows the strong link between Compensation Actually Paid (“CAP”) and the performance of the Company. The strong correlation between TSR and CAP results from two factors: (i) the role of revenue growth and adjusted diluted net earnings per share in driving the bonus plan payouts; and (ii) the fact that executives do not
realize
value from stock options unless stockholders also see an increase in the stock price, which is the sole driver of value for the stock options (as we do not allow for dividend equivalents for unvested stock options). The Company has added PSUs to its annual equity compensation in March 2023. These PSUs will vest based on the relative performance of Company’s TSR compared to an index of similar companies.
 
                      
Value of Initial Fixed $100
Investment Based On:
        
Fiscal
Year
  
Summary
Compensation
Table (SCT) Total
for PEO
(1)
  
Compensation
Actually Paid to
PEO
(2)
 
Average
Summary
Compensation
Table Total for
Non-PEO NEOs
(1)
  
Average
Compensation
Actually Paid to
Non-PEO NEOs
(3)
 
Total
Shareholder
Return
(4)
 
  
Peer Group
Total
Shareholder
Return
(4)
 
  
Net
Income
(in $M)
 
Adjusted
Diluted Net
Earnings
Per
Share
(5)
(a)
  
(b)
  
(c)
 
(d)
  
(e)
 
(f)
  
(g)
  
(h)
 
(i)
2023
   $7,764,615    $13,280,569   $2,498,754    $3,900,605   $101.04    $124.22    $64.5   $3.45
2022
   $7,835,495    ($8,291,607)   $3,060,984    ($792,323)   $81.19    $113.92    ($80.6)   $2.65
2021
   $9,374,480    $23,174,447   $2,345,015    $5,176,896   $128.81    $140.40    $62.5   $3.21
2020
   $6,461,620    $8,417,084   $1,706,722    $2,092,471   $101.14    $117.63    $9.5   $2.18
 
(1)
The PEO and
Non-PEO
NEOs included in the above compensation reflect the following:
 
     
Fiscal Year
 
  PEO
 
 Non-PEO
NEOs
     
2023
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Heather L. Cohen,
     
2022
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Heather L. Cohen,
     
2021
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Daniel S. Jonas,
     
2020
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, John E. (Jed) Kennedy, Stanley (Bill) W. Peters
 
(2)
The following table sets forth the adjustments made to the SCT Total for the PEO during each year presented to determine compensation actually paid (CAP) to the PEO, with “fair value” calculated in accordance with Compensation – Stock Compensation Topic 718 of FASB ASC as of the end of the specified period.
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
SCT Total
    
$6,461,620
      
$9,374,480
      
$7,835,495
      
$7,764,615
 
         
Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year
     ($4,674,000      ($7,376,003      ($6,340,000      ($5,314,967
         
Fair Value at Fiscal
Year-End
of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year
     $8,622,686        $9,816,627        $2,905,326        $6,768,338  
         
Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years
     $980,642        $9,695,332        ($13,258,089      $3,366,155  
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year
     $0        $0        $0        $0  
         
Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year
     ($2,973,864      $1,664,011        $565,661        $696,428  
         
Fair Value as of Prior Fiscal
Year-End
of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year
     $0        $0        $0        $0  
         
Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
     $0        $0        $0        $0  
         
Compensation Actually Paid
    
$8,417,084
      
$23,174,447
      
($8,291,607
)
 
    
$13,280,569
 
 
  (3)
The following table sets forth the adjustments made to the SCT Total for
Non-PEO
NEOs during each year presented to determine compensation actually paid (CAP) to
Non-PEO
NEOs, with “fair value” calculated in accordance with Compensation – Stock Compensation Topic 718 of FASB ASC as of the end of the specified period.
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
SCT Total
    
$1,706,722
      
$2,345,015
      
$3,060,984
      
$2,498,754
 
         
Exclusion of Change in Pension Value
     $0        $0        $0        ($1,608
         
Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year
     ($968,563      ($1,475,201      ($2,257,040      ($1,374,971
         
Fair Value at Fiscal
Year-End
of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year
     $1,701,547        $1,963,325        $1,034,296        $1,737,855  
         
Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years
     $184,123        $2,034,891        ($2,739,248      $882,023  
         
Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year
     $0        $0        $0        $0  
         
Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year
     ($531,358      $308,866        $108,685        $158,552  
         
Fair Value as of Prior Fiscal
Year-End
of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year
     $0        $0        $0        $0  
         
Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
     $0        $0        $0        $0  
         
Compensation Actually Paid
    
$2,092,471
      
$5,176,896
      
($792,323
)
 
    
$3,900,605
 
 
(4)
Pursuant to SEC rules, each year reflects what the cumulative value of $100 would be, including the reinvestment of dividends, if such amount were invested on December 31, 2019. The Peer Group referenced for purposes of TSR comparisons reflects the group of companies in the S&P 500 Health Care Equipment Index, which is the industry peer group as reflected in our Annual Report on Form
10-K
pursuant to Item 201(e) of Regulation
S-K
for the fiscal year ended December 31, 2023.
 
 
(5)
Adjusted diluted net earnings per share (“EPS”) is a financial measure that the Company believes is an important performance measure to link compensation actually paid to our PEO and
non-PEO
NEOs to the Company’s performance. Adjusted diluted net EPS is a
non-GAAP
measure. Refer to the “GAAP to
Non-GAAP
Reconciliations” section for the most directly comparable GAAP measure, GAAP diluted earnings (loss) per share.
     
Company Selected Measure Name Adjusted diluted net earnings per share      
Named Executive Officers, Footnote
(1)
The PEO and
Non-PEO
NEOs included in the above compensation reflect the following:
 
     
Fiscal Year
 
  PEO
 
 Non-PEO
NEOs
     
2023
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Heather L. Cohen,
     
2022
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Heather L. Cohen,
     
2021
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, Stanley (Bill) W. Peters, Daniel S. Jonas,
     
2020
 
Curt R. Hartman
 
Todd W. Garner, Patrick J. Beyer, John E. (Jed) Kennedy, Stanley (Bill) W. Peters
     
Peer Group Issuers, Footnote Pursuant to SEC rules, each year reflects what the cumulative value of $100 would be, including the reinvestment of dividends, if such amount were invested on December 31, 2019. The Peer Group referenced for purposes of TSR comparisons reflects the group of companies in the S&P 500 Health Care Equipment Index, which is the industry peer group as reflected in our Annual Report on Form
10-K
pursuant to Item 201(e) of Regulation
S-K
for the fiscal year ended December 31, 2023.
     
PEO Total Compensation Amount $ 7,764,615 $ 7,835,495 $ 9,374,480 $ 6,461,620
PEO Actually Paid Compensation Amount $ 13,280,569 (8,291,607) 23,174,447 8,417,084
Adjustment To PEO Compensation, Footnote
(2)
The following table sets forth the adjustments made to the SCT Total for the PEO during each year presented to determine compensation actually paid (CAP) to the PEO, with “fair value” calculated in accordance with Compensation – Stock Compensation Topic 718 of FASB ASC as of the end of the specified period.
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
SCT Total
    
$6,461,620
      
$9,374,480
      
$7,835,495
      
$7,764,615
 
         
Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year
     ($4,674,000      ($7,376,003      ($6,340,000      ($5,314,967
         
Fair Value at Fiscal
Year-End
of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year
     $8,622,686        $9,816,627        $2,905,326        $6,768,338  
         
Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years
     $980,642        $9,695,332        ($13,258,089      $3,366,155  
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year
     $0        $0        $0        $0  
         
Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year
     ($2,973,864      $1,664,011        $565,661        $696,428  
         
Fair Value as of Prior Fiscal
Year-End
of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year
     $0        $0        $0        $0  
         
Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
     $0        $0        $0        $0  
         
Compensation Actually Paid
    
$8,417,084
      
$23,174,447
      
($8,291,607
)
 
    
$13,280,569
 
 
     
Non-PEO NEO Average Total Compensation Amount $ 2,498,754 3,060,984 2,345,015 1,706,722
Non-PEO NEO Average Compensation Actually Paid Amount $ 3,900,605 (792,323) 5,176,896 2,092,471
Adjustment to Non-PEO NEO Compensation Footnote
  (3)
The following table sets forth the adjustments made to the SCT Total for
Non-PEO
NEOs during each year presented to determine compensation actually paid (CAP) to
Non-PEO
NEOs, with “fair value” calculated in accordance with Compensation – Stock Compensation Topic 718 of FASB ASC as of the end of the specified period.
 
         
Fiscal Year
  
2020
    
2021
    
2022
    
2023
 
         
SCT Total
    
$1,706,722
      
$2,345,015
      
$3,060,984
      
$2,498,754
 
         
Exclusion of Change in Pension Value
     $0        $0        $0        ($1,608
         
Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year
     ($968,563      ($1,475,201      ($2,257,040      ($1,374,971
         
Fair Value at Fiscal
Year-End
of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year
     $1,701,547        $1,963,325        $1,034,296        $1,737,855  
         
Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years
     $184,123        $2,034,891        ($2,739,248      $882,023  
         
Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year
     $0        $0        $0        $0  
         
Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year
     ($531,358      $308,866        $108,685        $158,552  
         
Fair Value as of Prior Fiscal
Year-End
of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year
     $0        $0        $0        $0  
         
Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
     $0        $0        $0        $0  
         
Compensation Actually Paid
    
$2,092,471
      
$5,176,896
      
($792,323
)
 
    
$3,900,605
 
     
Compensation Actually Paid vs. Total Shareholder Return

     
Compensation Actually Paid vs. Net Income

     
Compensation Actually Paid vs. Company Selected Measure

     
Total Shareholder Return Vs Peer Group

     
Tabular List, Table
Most Important Performance Measures
The table below lists our most important performance measures used to link compensation actually paid to our NEO’s for 2023 to Company performance as further described in the sections titled “2023” Executive Bonus Plan” and “2023 Equity Compensation” of the CD&A.
 
2023 Most Important Performance Measures (Unranked)
•   Revenue
  
•   Free Cash Flow
•   Adjusted Diluted Net Earnings per Share
  
•   Three-year relative shareholder return
     
Total Shareholder Return Amount $ 101.04 81.19 128.81 101.14
Peer Group Total Shareholder Return Amount 124.22 113.92 140.4 117.63
Net Income (Loss) $ 64,500,000 $ (80,600,000) $ 62,500,000 $ 9,500,000
Company Selected Measure Amount 3.45 2.65 3.21 2.18
PEO Name Curt R. Hartman      
Measure:: 1        
Pay vs Performance Disclosure        
Name Revenue      
Measure:: 2        
Pay vs Performance Disclosure        
Name Adjusted Diluted Net Earnings per Share      
Non-GAAP Measure Description Adjusted diluted net earnings per share (“EPS”) is a financial measure that the Company believes is an important performance measure to link compensation actually paid to our PEO and
non-PEO
NEOs to the Company’s performance. Adjusted diluted net EPS is a
non-GAAP
measure. Refer to the “GAAP to
Non-GAAP
Reconciliations” section for the most directly comparable GAAP measure, GAAP diluted earnings (loss) per share.
     
Measure:: 3        
Pay vs Performance Disclosure        
Name Free Cash Flow      
Measure:: 4        
Pay vs Performance Disclosure        
Name Three-year relative shareholder return      
PEO | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (5,314,967) $ (6,340,000) $ (7,376,003) $ (4,674,000)
PEO | Fair Value at Fiscal Year End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 6,768,338 2,905,326 9,816,627 8,622,686
PEO | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 3,366,155 (13,258,089) 9,695,332 980,642
PEO | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
PEO | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 696,428 565,661 1,664,011 (2,973,864)
PEO | Fair Value as of Prior Fiscal Year End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
PEO | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
Non-PEO NEO | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount (1,374,971) (2,257,040) (1,475,201) (968,563)
Non-PEO NEO | Fair Value at Fiscal Year End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 1,737,855 1,034,296 1,963,325 1,701,547
Non-PEO NEO | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Years [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 882,023 (2,739,248) 2,034,891 184,123
Non-PEO NEO | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
Non-PEO NEO | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 158,552 108,685 308,866 (531,358)
Non-PEO NEO | Fair Value as of Prior Fiscal Year End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
Non-PEO NEO | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount 0 0 0 0
Non-PEO NEO | Exclusion of Change in Pension Value [Member]        
Pay vs Performance Disclosure        
Adjustment to Compensation, Amount $ (1,608) $ 0 $ 0 $ 0