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Pay vs Performance Disclosure - USD ($)
 6 Months Ended 12 Months Ended
Dec. 31, 2022
Jun. 30, 2022
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure              
Pay vs Performance Disclosure, Table    
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 principal 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
($)
  
2024
      —         —         2,363,761        3,848,043        1,436,333        1,902,142        75.57        111.80      $ (23,084 )    $ 53,090  
2023
      —         —         2,306,789        331,873        1,181,139        343,658        42.92        102.92      $ (45,789 )    $ 47,578  
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
   
2023
   
2024
Matt J. Chambless
      Matt J. Chambless      Matt J. Chambless    Matt J. Chambless    Vinay Bassi
David A. Dye
      David A. Dye      David A. Dye    David A. Dye    David A. Dye
Christopher L. Fowler
      Christopher L. Fowler      Dawn M. Severance    Dawn M. Severance    Dawn M. Severance
Troy D. Rosser
      Troy D. Rosser      Amaris McComas    Wes D. Cronkite    Wes D. Cronkite
      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 Christopher
L. Fowler
($)
   
Exclusion of Stock
Awards for Christopher
L. Fowler
($)
   
Inclusion of Equity
Values for Christopher
L. Fowler
($)
   
Compensation Actually
Paid to Christopher
L. Fowler
($)
2024
    2,363,761    (1,292,621)    2,776,903    3,848,043
 
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
($)
2024
    1,436,333    (618,404)    1,084,213    1,902,142
 
52
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
Christopher

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

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

L. Fowler
($)
   
Total -
Inclusion of
Equity
Values for
Christopher

L. Fowler
($)
2024
      2,629,319        188,139        0        (40,555)       0        0        2,776,903  
 
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
($)
2024
      1,053,853        46,583        0        (16,223)       0        0        1,084,213  
 
(4)
The Peer Group TSR set forth in this table utilizes the S&P 600 Health Care Equipment & Services Index, 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, 2024. 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 Index, 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 2024. This performance measure may not have been the most important financial performance measure for prior years, and we may determine a different financial performance measure to be the most important financial performance measure in future years. See “Tabular List of Most Important Financial Performance Measures” below for the definition of Adjusted EBITDA.
       
Company Selected Measure Name     Adjusted EBITDA        
Named Executive Officers, Footnote    
(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
   
2023
   
2024
Matt J. Chambless
      Matt J. Chambless      Matt J. Chambless    Matt J. Chambless    Vinay Bassi
David A. Dye
      David A. Dye      David A. Dye    David A. Dye    David A. Dye
Christopher L. Fowler
      Christopher L. Fowler      Dawn M. Severance    Dawn M. Severance    Dawn M. Severance
Troy D. Rosser
      Troy D. Rosser      Amaris McComas    Wes D. Cronkite    Wes D. Cronkite
      Troy D. Rosser      
       
Peer Group Issuers, Footnote    
(4)
The Peer Group TSR set forth in this table utilizes the S&P 600 Health Care Equipment & Services Index, 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, 2024. 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 Index, respectively. Historical stock performance is not necessarily indicative of future stock performance.
       
Adjustment To PEO Compensation, Footnote    
Year
   
Summary
Compensation Table
Total for Christopher
L. Fowler
($)
   
Exclusion of Stock
Awards for Christopher
L. Fowler
($)
   
Inclusion of Equity
Values for Christopher
L. Fowler
($)
   
Compensation Actually
Paid to Christopher
L. Fowler
($)
2024
    2,363,761    (1,292,621)    2,776,903    3,848,043
 
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
($)
2024
    1,436,333    (618,404)    1,084,213    1,902,142
 
52
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
Christopher

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

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

L. Fowler
($)
   
Total -
Inclusion of
Equity
Values for
Christopher

L. Fowler
($)
2024
      2,629,319        188,139        0        (40,555)       0        0        2,776,903  
 
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
($)
2024
      1,053,853        46,583        0        (16,223)       0        0        1,084,213  
        
Non-PEO NEO Average Total Compensation Amount     $ 1,436,333 $ 1,181,139 $ 1,165,379 $ 1,405,425 $ 1,023,409
Non-PEO NEO Average Compensation Actually Paid Amount     $ 1,902,142 343,658 722,374 1,333,071 801,007
Adjustment to Non-PEO NEO Compensation Footnote    
Year
   
Summary
Compensation Table
Total for Christopher
L. Fowler
($)
   
Exclusion of Stock
Awards for Christopher
L. Fowler
($)
   
Inclusion of Equity
Values for Christopher
L. Fowler
($)
   
Compensation Actually
Paid to Christopher
L. Fowler
($)
2024
    2,363,761    (1,292,621)    2,776,903    3,848,043
 
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
($)
2024
    1,436,333    (618,404)    1,084,213    1,902,142
 
52
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
Christopher

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

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

L. Fowler
($)
   
Total -
Inclusion of
Equity
Values for
Christopher

L. Fowler
($)
2024
      2,629,319        188,139        0        (40,555)       0        0        2,776,903  
 
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
($)
2024
      1,053,853        46,583        0        (16,223)       0        0        1,084,213  
        
Compensation Actually Paid vs. Total Shareholder Return    
Description of Relationship Between PEOs and Other NEO Compensation Actually Paid and Total Shareholder Return (“TSR”)
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 the cumulative TSR over the five most recently completed fiscal years of the Company and the S&P 600 Health Care Equipment & Services Index.
 
LOGO 		       
Compensation Actually Paid vs. Net Income    
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 five most recently completed fiscal years.
 
LOGO 		       
Compensation Actually Paid vs. Company Selected Measure    
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 average of Compensation Actually Paid to our other NEOs, and our Adjusted EBITDA during the five most recently completed fiscal years.
 
LOGO 		       
Total Shareholder Return Vs Peer Group    
Description of Relationship Between PEOs and Other NEO Compensation Actually Paid and Total Shareholder Return (“TSR”)
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 the cumulative TSR over the five most recently completed fiscal years of the Company and the S&P 600 Health Care Equipment & Services Index.
 
LOGO 		       
Tabular List, Table    
Tabular List of Most Important Financial Performance Measures
The following table presents the financial performance measures that the Company considers to have been the most important in linking Compensation Actually Paid to our PEOs and other NEOs for 2024 to Company performance. The measures in this table are not ranked.
 
Performance
Measure
   
Rationale for Use in the Company’s
Incentive Compensation Program
   
Definition
Adjusted
EBITDA
    Adjusted EBITDA is a useful measure to assess the performance and liquidity of the Company as it provides meaningful operating results by excluding the effects of expenses that are not reflective of its operating business performance.   
Non-GAAP
financial measure that consists of GAAP net income as reported, adjusted for (i) deferred revenue purchase accounting adjustments arising from purchase allocation adjustments related to business acquisitions; (ii) depreciation expense; (iii) amortization of software development costs; (iv) amortization of acquisition-related intangible assets; (v) stock-based compensation; (vi) severance and other
non-recurring
charges; (vii) interest expense and other, net; (viii) gain on contingent consideration; and (ix) the provision for income taxes
Total Revenue
    Total revenue represents a key metric both internally for management and externally when assessing the health and growth of the organization.    The total amount of all revenue reported
Adjusted Operating
Cash Flows
    The Committee incorporated adjusted operating cash flows as a performance metric in order to reflect management’s commitment to improving the quality of reported earnings and increasing cash flows through increased rigor and focus on capitalized software investments.    Calculated by subtracting investment in software development from Adjusted EBITDA
        
Total Shareholder Return Amount     $ 75.57 42.92 104.3 112.27 102.85
Peer Group Total Shareholder Return Amount     111.8 102.92 105.55 136.66 123.94
Net Income (Loss)     $ (23,084,000) $ (45,789,000) $ 15,867,000 $ 18,430,000 $ 14,246,000
Company Selected Measure Amount     53,090,000 47,578,000 55,899,000 52,677,000 43,387,000
Measure:: 1              
Pay vs Performance Disclosure              
Name     Adjusted EBITDA        
Measure:: 2              
Pay vs Performance Disclosure              
Name     Total Revenue        
Measure:: 3              
Pay vs Performance Disclosure              
Name     Adjusted Operating Cash Flows        
J. Boyd Douglas [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount     $ 0 $ 0 $ 1,613,201 $ 1,889,943 $ 1,274,209
PEO Actually Paid Compensation Amount     0 0 983,714 $ 1,797,189 $ 990,996
PEO Name   J. Boyd Douglas       J. Boyd Douglas J. Boyd Douglas
Christopher L. Fowler [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount     2,363,761 2,306,789 2,008,322 $ 0 $ 0
PEO Actually Paid Compensation Amount     3,848,043 $ 331,873 $ 1,298,118 $ 0 $ 0
PEO Name Christopher L. Fowler Christopher L. Fowler   Christopher L. Fowler      
PEO | Christopher L. Fowler [Member] | Equity Awards Adjustments              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     2,776,903        
PEO | Christopher L. Fowler [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     2,629,319        
PEO | Christopher L. Fowler [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     188,139        
PEO | Christopher L. Fowler [Member] | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
PEO | Christopher L. Fowler [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (40,555)        
PEO | Christopher L. Fowler [Member] | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
PEO | Christopher L. Fowler [Member] | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
PEO | Christopher L. Fowler [Member] | Exclusion Of Stock Awards [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (1,292,621)        
Non-PEO NEO | Equity Awards Adjustments              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,084,213        
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,053,853        
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     46,583        
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (16,223)        
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
Non-PEO NEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0        
Non-PEO NEO | Exclusion Of Stock Awards [Member]              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     $ (618,404)