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Pay vs Performance Disclosure
Unit_pure in Thousands
 12 Months Ended
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]
Pay Versus Performance
In accordance with rules adopted by the SEC pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, we are providing the following disclosure regarding executive compensation for our pr
i
ncipal executive officers (“PEO”) and
Non-PEO
NEOs and Company performance for the fiscal years listed below. The Compensation Committee did not consider the pay versus performance disclosure below in making its pay decisions for any of the years shown.
 
Year
  
Summary
Compensation
Table Total
for Douglas
($)(1)
 
  
Compensation
Actually Paid
to Douglas
($)(1)(2)(3)
 
  
Summary
Compensation
Table Total
for Fowler
($)(1)
 
  
Compensation
Actually Paid
to Fowler
($)(1)(2)(3)
 
  
Average
Summary
Compensation
Table Total
for
Non-PEO

NEOs

($)(1)
 
  
Average
Compensation
Actually Paid
to
Non-PEO

NEOs
($)(1)(2)(3)
 
  
Value of Initial
Fixed $100
Investment

based on: (4)
 
  
Net
Income
($) (in

thousands)
 
  
Adjusted
EBITDA
($)(5) (in
thousands)
 
  
TSR

($)
 
  
Peer
Group
TSR

($)
 
2022
      1,613,201        983,714        2,008,322        1,298,118        1,165,379        722,374        104.30        105.55      $ 15,867      $ 55,899  
2021
      1,889,943        1,797,189        —          —          1,405,425        1,333,071        112.27        136.66      $ 18,430      $ 52,677  
2020
      1,274,209        990,996        —          —          1,023,409        801,007        102.85        123.94      $ 14,246      $ 43,387  
 
(1)
J. Boyd Douglas was our PEO from May 17, 2006 to June 30, 2022. Christopher L. Fowler was our PEO from July 1, 2022 to present. The individuals comprising the
Non-PEO
NEOs for each year presented are listed below.
 
2020
  
2021
  
2022
Matt J. Chambless
  
Matt J. Chambless
  
Matt J. Chambless
David A. Dye
  
David A. Dye
  
David A. Dye
Christopher L. Fowler
  
Christopher L. Fowler
  
Dawn M. Severance
Troy D. Rosser
  
Troy D. Rosser
  
Amaris McComas
  
  
Troy D. Rosser
 
(2)
The amounts shown for Compensation Actually Paid have been calculated in accordance with Item 402(v) of Regulation
S-K
and do not reflect compensation actually earned, realized, or received by the Company’s NEOs. These amounts reflect the Summary Compensation Table Total with certain adjustments as described in footnote 3 below.
(3)
Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEOs and the
Non-PEO
NEOs as set forth below. Equity values are calculated in accordance with FASB ASC Topic 718. Amounts in the Exclusion of Stock Awards column are the totals from the Stock Awards column set forth in the Summary Compensation Table.
 
Year
   
Summary
Compensation Table
Total for Boyd Douglas
($)
     
Exclusion of Stock
Awards for Boyd
Douglas

($)
     
Inclusion of Equity
Values for Boyd
Douglas

($)
     
Compensation Actually
Paid to Boyd Douglas
($)
  
2022
      1,613,201        (738,338 )       108,851        983,714  
2021
      1,889,943        (726,843 )       634,089        1,797,189  
2020
      1,274,209        (632,366 )       349,153        990,996  
Year
   
 
Summary
Compensation Table
Total for Christopher
Fowler
($)
     
Exclusion of Stock
Awards for Christopher
Fowler

($)
     
Inclusion of Equity
Values for Christopher
Fowler

($)
     
Compensation Actually
Paid to Christopher
Fowler

($)
  
2022
      2,008,322        (1,238,352 )       528,148        1,298,118  
 
Year
  
Average Summary
Compensation Table
Total for
Non-PEO

NEOs

($)
 
  
Average Exclusion of
Stock Awards for Non -PEO

NEOs

($)
 
  
Average Inclusion of
Equity Values for Non- PEO

NEOs

($)
 
  
Average Compensation
Actually Paid to Non- PEO

NEOs

($)
 
2022
      1,165,379        (526,478 )       83,473        722,374  
2021
      1,405,425        (629,160 )       556,806        1,333,071  
2020
      1,023,409        (529,008 )       306,606        801,007  
The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:
 
Year
  
Year-End Fair

Value of Equity
Awards
Granted During
Year That
Remained
Unvested as of
Last Day of
Year for Boyd
Douglas

($)
 
  
Change in
Fair Value
from Last
Day of Prior
Year to Last
Day of Year
of Unvested
Equity
Awards for
Boyd Douglas

($)
 
 
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for Boyd
Douglas

($)
 
  
Change in Fair
Value from Last
Day of Prior
Year to Vesting
Date of
Unvested Equity
Awards that
Vested During
Year for Boyd
Douglas

($)
 
 
Fair Value at
Last Day of
Prior Year of
Equity
Awards
Forfeited
During Year
for Boyd
Douglas

($)
 
  
Value of
Dividends or
Other
Earnings
Paid on
Equity
Awards Not
Otherwise
Included for
Boyd Douglas
($)
 
  
Total -
Inclusion of
Equity
Values for
Boyd Douglas
($)
 
2022
      219,856        (159,850 )      0        48,845       0        0        108,851  
2021
      699,890        (89,049 )      0        23,248       0        0        634,089  
2020
      381,626        11,187       0        (43,660 )      0        0        349,153  
 
Year
  
Year-End Fair

Value of Equity
Awards
Granted During
Year That
Remained
Unvested as of
Last Day of
Year for
Christopher
Fowler

($)
 
  
Change in
Fair Value
from Last
Day of Prior
Year to Last
Day of Year
of Unvested
Equity
Awards for
Christopher
Fowler

($)
 
 
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for
Christopher
Fowler

($)
 
  
Change in Fair
Value from Last
Day of Prior
Year to Vesting
Date of
Unvested Equity
Awards that
Vested During
Year for
Christopher
Fowler

($)
 
 
Fair Value at
Last Day of
Prior Year of
Equity
Awards
Forfeited
During Year
for
Christopher
Fowler

($)
 
  
Value of
Dividends or
Other
Earnings
Paid on
Equity
Awards Not
Otherwise
Included for
Christopher
Fowler

($)
 
  
Total -

Inclusion of
Equity
Values for
Christopher
Fowler

($)
 
2022
      639,153        (159,850 )      0        48,845        0        0        528,148  
 
Year
  
Average Year-End

Fair Value

of Equity

Awards

Granted During
Year That
Remained
Unvested as of
Last Day of

Year for
Non-PEO
NEOs
($)
 
  
Average
Change in Fair
Value from
Last Day of
Prior Year to
Last Day of
Year of
Unvested
Equity Awards
for
Non-PEO

NEOs

($)
 
 
Average
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for
Non-PEO

NEOs

($)
 
  
Average Change
in Fair Value
from Last Day
of Prior Year to
Vesting Date of
Unvested Equity
Awards that
Vested During
Year for
Non-PEO
NEOs
($)
 
 
Average Fair
Value at Last
Day of Prior
Year of
Equity
Awards
Forfeited
During Year
for
Non-PEO

NEOs

($)
 
  
Average Value
of Dividends
or Other
Earnings Paid
on Equity
Awards Not
Otherwise
Included for
Non-PEO

NEOs

($)
 
  
Total -
Average
Inclusion of
Equity
Values for
Non-PEO

NEOs

($)
 
2022
      156,771        (101,887 )      0        28,589       0        0        83,473  
2021
      605,829        (76,579 )      0        27,556       0        0        556,806  
2020
      333,411        10,833       0        (37,638 )      0        0        306,606  
 
(4)
The Peer Group TSR set forth in this table utilizes the S&P 600 Health Care Equipment & Services (Industry Group) (“S&P 600 Health Care Equipment & Services”), which we also utilize in the stock performance graph required by Item 201(e) of Regulation
S-K
included in our Annual Report on Form
10-K
for the year ended December 31, 2022. The comparison assumes $100 was invested for the period starting December 31, 2019, through the end of the listed year, in the Company and in the S&P 600 Health Care Equipment & Services, respectively. Historical stock performance is not necessarily indicative of future stock performance.
(5)
The Company selected Adjusted EBITDA as the most important financial measure it used to link Company performance to Compensation Actually Paid to our PEOs and
Non-PEO
NEOs in 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 and we may determine a different financial performance measure to be the most important financial performance measure in future years.
   
Company Selected Measure Name Adjusted EBITDA    
Named Executive Officers, Footnote [Text Block]
J. Boyd Douglas was our PEO from May 17, 2006 to June 30, 2022. Christopher L. Fowler was our PEO from July 1, 2022 to present. The individuals comprising the
Non-PEO
NEOs for each year presented are listed below.
 
2020
  
2021
  
2022
Matt J. Chambless
  
Matt J. Chambless
  
Matt J. Chambless
David A. Dye
  
David A. Dye
  
David A. Dye
Christopher L. Fowler
  
Christopher L. Fowler
  
Dawn M. Severance
Troy D. Rosser
  
Troy D. Rosser
  
Amaris McComas
  
  
Troy D. Rosser
 
    
Peer Group Issuers, Footnote [Text Block] The Peer Group TSR set forth in this table utilizes the S&P 600 Health Care Equipment & Services (Industry Group) (“S&P 600 Health Care Equipment & Services”), which we also utilize in the stock performance graph required by Item 201(e) of Regulation
S-K
included in our Annual Report on Form
10-K
for the year ended December 31, 2022. 		   
Adjustment To PEO Compensation, Footnote [Text Block]
 
Year
   
Summary
Compensation Table
Total for Boyd Douglas
($)
     
Exclusion of Stock
Awards for Boyd
Douglas

($)
     
Inclusion of Equity
Values for Boyd
Douglas

($)
     
Compensation Actually
Paid to Boyd Douglas
($)
  
2022
      1,613,201        (738,338 )       108,851        983,714  
2021
      1,889,943        (726,843 )       634,089        1,797,189  
2020
      1,274,209        (632,366 )       349,153        990,996  
Year
   
 
Summary
Compensation Table
Total for Christopher
Fowler
($)
     
Exclusion of Stock
Awards for Christopher
Fowler

($)
     
Inclusion of Equity
Values for Christopher
Fowler

($)
     
Compensation Actually
Paid to Christopher
Fowler

($)
  
2022
      2,008,322        (1,238,352 )       528,148        1,298,118  
The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:
 
Year
  
Year-End Fair

Value of Equity
Awards
Granted During
Year That
Remained
Unvested as of
Last Day of
Year for Boyd
Douglas

($)
 
  
Change in
Fair Value
from Last
Day of Prior
Year to Last
Day of Year
of Unvested
Equity
Awards for
Boyd Douglas

($)
 
 
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for Boyd
Douglas

($)
 
  
Change in Fair
Value from Last
Day of Prior
Year to Vesting
Date of
Unvested Equity
Awards that
Vested During
Year for Boyd
Douglas

($)
 
 
Fair Value at
Last Day of
Prior Year of
Equity
Awards
Forfeited
During Year
for Boyd
Douglas

($)
 
  
Value of
Dividends or
Other
Earnings
Paid on
Equity
Awards Not
Otherwise
Included for
Boyd Douglas
($)
 
  
Total -
Inclusion of
Equity
Values for
Boyd Douglas
($)
 
2022
      219,856        (159,850 )      0        48,845       0        0        108,851  
2021
      699,890        (89,049 )      0        23,248       0        0        634,089  
2020
      381,626        11,187       0        (43,660 )      0        0        349,153  
 
Year
  
Year-End Fair

Value of Equity
Awards
Granted During
Year That
Remained
Unvested as of
Last Day of
Year for
Christopher
Fowler

($)
 
  
Change in
Fair Value
from Last
Day of Prior
Year to Last
Day of Year
of Unvested
Equity
Awards for
Christopher
Fowler

($)
 
 
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for
Christopher
Fowler

($)
 
  
Change in Fair
Value from Last
Day of Prior
Year to Vesting
Date of
Unvested Equity
Awards that
Vested During
Year for
Christopher
Fowler

($)
 
 
Fair Value at
Last Day of
Prior Year of
Equity
Awards
Forfeited
During Year
for
Christopher
Fowler

($)
 
  
Value of
Dividends or
Other
Earnings
Paid on
Equity
Awards Not
Otherwise
Included for
Christopher
Fowler

($)
 
  
Total -

Inclusion of
Equity
Values for
Christopher
Fowler

($)
 
2022
      639,153        (159,850 )      0        48,845        0        0        528,148  
 
    
Non-PEO NEO Average Total Compensation Amount $ 1,165,379 $ 1,405,425 $ 1,023,409
Non-PEO NEO Average Compensation Actually Paid Amount $ 722,374 1,333,071 801,007
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Year
  
Average Summary
Compensation Table
Total for
Non-PEO

NEOs

($)
 
  
Average Exclusion of
Stock Awards for Non -PEO

NEOs

($)
 
  
Average Inclusion of
Equity Values for Non- PEO

NEOs

($)
 
  
Average Compensation
Actually Paid to Non- PEO

NEOs

($)
 
2022
      1,165,379        (526,478 )       83,473        722,374  
2021
      1,405,425        (629,160 )       556,806        1,333,071  
2020
      1,023,409        (529,008 )       306,606        801,007  
Year
  
Average Year-End

Fair Value

of Equity

Awards

Granted During
Year That
Remained
Unvested as of
Last Day of

Year for
Non-PEO
NEOs
($)
 
  
Average
Change in Fair
Value from
Last Day of
Prior Year to
Last Day of
Year of
Unvested
Equity Awards
for
Non-PEO

NEOs

($)
 
 
Average
Vesting-Date

Fair Value of
Equity
Awards
Granted
During Year
that Vested
During Year
for
Non-PEO

NEOs

($)
 
  
Average Change
in Fair Value
from Last Day
of Prior Year to
Vesting Date of
Unvested Equity
Awards that
Vested During
Year for
Non-PEO
NEOs
($)
 
 
Average Fair
Value at Last
Day of Prior
Year of
Equity
Awards
Forfeited
During Year
for
Non-PEO

NEOs

($)
 
  
Average Value
of Dividends
or Other
Earnings Paid
on Equity
Awards Not
Otherwise
Included for
Non-PEO

NEOs

($)
 
  
Total -
Average
Inclusion of
Equity
Values for
Non-PEO

NEOs

($)
 
2022
      156,771        (101,887 )      0        28,589       0        0        83,473  
2021
      605,829        (76,579 )      0        27,556       0        0        556,806  
2020
      333,411        10,833       0        (37,638 )      0        0        306,606  
    
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
Description of Relationship Between PEOs and Other NEO Compensation Actually Paid and Company Total Shareholder Return (“TSR”)
The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensat
i
on Actually Paid to our other NEOs, and the Company’s cumulative TSR over the three most recently completed fiscal years.
 

  		   
Compensation Actually Paid vs. Net Income [Text Block]
Description of Relationship Between PEOs and Other NEO Compensation Actually Paid and Net Income
The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our other NEOs, and our Net Income during the three most recently completed fiscal years.
 
    
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Description of Relationship Between PEOs and Other NEO Compensation Actually Paid and Adjusted EBITDA
The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the averag
e
of Comp
e
nsation Actually Paid to our other NEOs, and our Adjusted EBITDA during the three most recently completed fiscal years.
 
    
Total Shareholder Return Vs Peer Group [Text Block]
Description of Relationship Between Company TSR and Peer Group TSR
The following chart compares our cumulative TSR over the three most recently completed fiscal years to that of the S&P 600 Healt
h
Care Equipment & Services (Industry Group) over the same period.
 

    
Total Shareholder Return Amount $ 104.3 112.27 102.85
Peer Group Total Shareholder Return Amount 105.55 136.66 123.94
Net Income (Loss) $ 15,867,000 $ 18,430,000 $ 14,246,000
Company Selected Measure Amount 55,899 52,677 43,387
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Non-GAAP Measure Description [Text Block] The Company selected Adjusted EBITDA as the most important financial measure it used to link Company performance to Compensation Actually Paid to our PEOs and
Non-PEO
NEOs in 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 and we may determine a different financial performance measure to be the most important financial performance measure in future years. 		   
J. Boyd Douglas [Member]      
Pay vs Performance Disclosure [Table]      
PEO Total Compensation Amount $ 1,613,201 $ 1,889,943 $ 1,274,209
PEO Actually Paid Compensation Amount $ 983,714 1,797,189 990,996
PEO Name J. Boyd Douglas    
Christopher L. Fowler [Member]      
Pay vs Performance Disclosure [Table]      
PEO Total Compensation Amount $ 2,008,322 0 0
PEO Actually Paid Compensation Amount $ 1,298,118 0 0
PEO Name Christopher L. Fowler    
PEO [Member] | J. Boyd Douglas [Member] | Exclusion Of Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ (738,338) (726,843) (632,366)
PEO [Member] | J. Boyd Douglas [Member] | Inclusion Of Equity Values [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 108,851 634,089 349,153
PEO [Member] | J. Boyd Douglas [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 219,856 699,890 381,626
PEO [Member] | J. Boyd Douglas [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (159,850) (89,049) 11,187
PEO [Member] | J. Boyd Douglas [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
PEO [Member] | J. Boyd Douglas [Member] | Change in Fair Value From Last Day Of Prior Year To Vesting Date Of Unvested Equity Awards That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 48,845 23,248 (43,660)
PEO [Member] | J. Boyd Douglas [Member] | Fair Value At Last Day Of Prior Year Of Equity Awards Forfeited During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
PEO [Member] | J. Boyd Douglas [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
PEO [Member] | Christopher L. Fowler [Member] | Exclusion Of Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (1,238,352)    
PEO [Member] | Christopher L. Fowler [Member] | Inclusion Of Equity Values [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 528,148    
PEO [Member] | Christopher L. Fowler [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 639,153    
PEO [Member] | Christopher L. Fowler [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (159,850)    
PEO [Member] | Christopher L. Fowler [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0    
PEO [Member] | Christopher L. Fowler [Member] | Change in Fair Value From Last Day Of Prior Year To Vesting Date Of Unvested Equity Awards That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 48,845    
PEO [Member] | Christopher L. Fowler [Member] | Fair Value At Last Day Of Prior Year Of Equity Awards Forfeited During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0    
PEO [Member] | Christopher L. Fowler [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0    
Non-PEO NEO [Member] | Exclusion Of Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (526,478) (629,160) (529,008)
Non-PEO NEO [Member] | Inclusion Of Equity Values [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 83,473 556,806 306,606
Non-PEO NEO [Member] | Year End Fair Value Of Equity Awards Granted During Year That Remained Unvested As Of Last Day Of Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 156,771 605,829 333,411
Non-PEO NEO [Member] | Change In Fair Value From Last Day Of Prior Year To Last Day Of Year Of Unvested Equity Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (101,887) (76,579) 10,833
Non-PEO NEO [Member] | Vesting Date Fair Value Of Equity Awards Granted During Year That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Non-PEO NEO [Member] | Change in Fair Value From Last Day Of Prior Year To Vesting Date Of Unvested Equity Awards That Vested During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 28,589 27,556 (37,638)
Non-PEO NEO [Member] | Fair Value At Last Day Of Prior Year Of Equity Awards Forfeited During Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Non-PEO NEO [Member] | Value Of Dividends Or Other Earnings Paid On Equity Awards Not Otherwise Included [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 0 $ 0 $ 0