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Pay vs Performance Disclosure - USD ($) | 4 Months Ended | 5 Months Ended | 12 Months Ended | 15 Months Ended | 102 Months Ended
--- | --- | --- | --- | --- | ---
Oct. 03, 2021 | May 31, 2021 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2022 | Jan. 11, 2021
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Pay vs Performance Disclosure, Table |  |  |
Year | Summary Compensation Table Total for Kevin King 1 ($) | Summary Compensation Table Total for Michael Coyle 2 ($) | Summary Compensation Table Total for Douglas Devine 3,5 ($) | Summary Compensation Table Total for Quentin Blackford 4 ($) | Compensation Actually Paid to Kevin King 1,6 ($) | Compensation Actually Paid to Michael Coyle 2,6 ($) | Compensation Actually Paid to Douglas Devine 3,5,6 ($) | Compensation Actually Paid to Quentin Blackford 4,6 ($) | Average Summary Compensation Table Total for Non-PEO NEOs 5 ($) | Average Compensation Actually Paid to Non-PEO NEOs 5,6 ($)
(a) | (b) | (b) | (b) | (b) | (c) | (c) | (c) | (c) | (d) | (e)
2023 | — |  | — |  | — |  | 16,595,149 |  | — |  | — |  | — |  | 16,262,069 |  | 5,424,319 |  | 4,909,386 |
2022 | — |  | — |  | — |  | 7,966,744 |  | — |  | — |  | — |  | 5,272,014 |  | 4,422,956 |  | 4,044,855 |
2021 | 30,709 |  | 461,422 |  | 5,699,043 |  | 9,246,384 |  | (9,810,498) |  | 461,422 |  | 2,902,001 |  | 18,170,537 |  | 3,360,713 |  | 136,903 |
2020 | 4,885,062 |  | — |  | — |  | — |  | 24,257,924 |  | — |  | — |  | — |  | 1,769,376 |  | 6,988,690 |
Year |  | Value of Initial Fixed $100 Investment based on:7 |  | Net Income ($ Millions) |  | Revenue 8 ($ Millions)
| TSR ($) |  | Peer Group TSR ($) |  | Peer Group TSR ($) |  |
(a) |  | (f) |  | (g)(1) |  | (g)(2) |  | (h) |  | (i)
2023 |  | 157.20 |  | 118.87 |  | 99.63 |  | (123) |  | 493
2022 |  | 137.57 |  | 113.65 |  | 105.61 |  | (116) |  | 411
2021 |  | 172.84 |  | 126.45 |  | 137.80 |  | (101) |  | 323
2020 |  | 348.38 |  | 126.42 |  | 133.15 |  | (44) |  | 265
Company Selected Measure Name |  |  | revenue |  |  |  |  |
Named Executive Officers, Footnote |  |  | Kevin King was our President and Chief Executive Officer from July 2012 through January 11, 2021.Michael Coyle was our President and Chief Executive Officer from January 12, 2021, through June 1, 2021.Douglas Devine was our Interim Chief Executive Officer from June 1, 2021, through October 3, 2021. Mr. Devine also served as our Chief Financial Officer from June 2020 until August 2022. In accordance with Item 402(v) of Regulation S-K, this table and the accompanying narrative present Mr. Devine as a PEO for 2021 and a Non-PEO NEO for 2020 and 2022. Quentin Blackford has been our President and Chief Executive Officer since October 4, 2021. The individuals comprising the Non-PEO NEOs for each year are listed below. As described above, this table and the accompanying narrative present Mr. Devine as a PEO for 2021 and a Non-PEO NEO for 2020 and 2022.
2020 | 2021 | 2022 | 2023
Douglas Devine | Mark Day | Douglas Devine | Brice Bobzien
Mark Day | Daniel Wilson | Brice Bobzien | Patrick Murphy
Matthew Garrett | David Vort | Patrick Murphy | Chad Patterson
Daniel Wilson |  | Chad Patterson | Minang Turakhia
David Vort |  | Minang Turakhia |
Peer Group Issuers, Footnote |  |  | . |  |  |  |  |
Adjustment To PEO Compensation, Footnote |  |  | Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEO 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 Quentin Blackford ($) |  | Exclusion of Stock Awards for Quentin Blackford ($) |  | Inclusion of Equity Values for Quentin Blackford ($) |  | Compensation Actually Paid to Quentin Blackford ($)
2023 |  | 16,595,149 |  |  | (15,172,621) |  |  | 14,839,541 |  |  | 16,262,069 |
The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:
Year |  | Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Quentin Blackford ($) |  | Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Quentin Blackford ($) |  | Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for Quentin Blackford ($) |  | Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Quentin Blackford ($) |  | Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Quentin Blackford ($) |  | Total - Inclusion of Equity Values for Quentin Blackford ($)
2023 |  | 14,876,834 |  |  | 338,758 |  |  | — |  |  | (376,051) |  |  | — |  |  | 14,839,541 |
Non-PEO NEO Average Total Compensation Amount |  |  | $ 5,424,319 | $ 4,422,956 | $ 3,360,713 | $ 1,769,376 |  |
Non-PEO NEO Average Compensation Actually Paid Amount |  |  | $ 4,909,386 | 4,044,855 | 136,903 | 6,988,690 |  |
Adjustment to Non-PEO NEO Compensation Footnote |  |  | Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEO 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 |  | 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 ($) |  | Average Compensation Actually Paid to Non-PEO NEOs ($)
2023 |  | 5,424,319 |  |  | (4,657,347) |  |  | 4,142,414 |  |  | 4,909,386 |
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 ($) |  | Total - Average Inclusion of Equity Values for Non-PEO NEOs ($)
2023 |  | 4,575,928 |  |  | (469,753) |  |  | — |  |  | 36,239 |  |  | — |  |  | 4,142,414 |
Compensation Actually Paid vs. Total Shareholder Return |  |  | The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and the Company’s cumulative TSR over the four most recently completed fiscal years. |  |  |  |  |
Compensation Actually Paid vs. Net Income |  |  | Description of Relationship Between PEO and Non-PEO 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 Non-PEO NEOs, and our net income during the four most recently completed fiscal years. |  |  |  |  |
Compensation Actually Paid vs. Company Selected Measure |  |  | Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Revenue The following chart sets forth the relationship between Compensation Actually Paid to our PEO, the average of Compensation Actually Paid to our Non-PEO NEOs, and our revenue during the four most recently completed fiscal years. |  |  |  |  |
Total Shareholder Return Vs Peer Group |  |  | Description of Relationship Between Company TSR and Peer Group TSR The following chart compares our cumulative TSR over the four most recently completed fiscal years to that of the NASDAQ Biotechnology Index and S&P Healthcare Equipment Select Industry Index. |  |  |  |  |
Tabular List, Table |  |  |
Revenue
Adjusted EBITDA
Unit volume growth
Total Shareholder Return Amount |  |  | $ 157.20 | 137.57 | 172.84 | 348.38 |  |
Peer Group Total Shareholder Return Amount |  |  | 99.63 | 105.61 | 137.80 | 133.15 |  |
Net Income (Loss) |  |  | $ (123,000,000) | $ (116,000,000) | $ (101,000,000) | $ (44,000,000) |  |
Company Selected Measure Amount |  |  | 493,000,000 | 411,000,000 | 323,000,000 | 265,000,000 |  |
PEO Name | Douglas Devine | Michael Coyle |  |  |  |  | Quentin Blackford | Kevin King
Additional 402(v) Disclosure |  |  | In accordance with rules adopted by the Securities and Exchange Commission pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, we provide the following disclosure regarding executive compensation for our principal executive officers (“PEOs”) and Non-PEO NEOs and Company performance for the fiscal years listed below. The Committee did not consider the pay versus performance disclosure below in making its pay decisions for any of the years shown. 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 the following table and footnotes. We determined revenue to be the most important financial performance measure used to link Company performance to Compensation Actually Paid to our PEO and Non-PEO NEOs in 2023 and 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 we may determine a different financial performance measure to be the most important financial performance measure in future years. |  |  |  |  |
Peer Group Total Shareholder Return Amount, Two |  |  | $ 118.87 | $ 113.65 | $ 126.45 | $ 126.42 |  |
Measure:: 1 |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Name |  |  | Revenue |  |  |  |  |
Measure:: 2 |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Name |  |  | Adjusted EBITDA |  |  |  |  |
Measure:: 3 |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Name |  |  | Unit volume growth |  |  |  |  |
Quentin Blackford [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount |  |  | $ 16,595,149 | 7,966,744 | 9,246,384 |  |  |
PEO Actually Paid Compensation Amount |  |  | 16,262,069 | $ 5,272,014 | 18,170,537 |  |  |
Kevin King [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount |  |  |  |  | 30,709 | 4,885,062 |  |
PEO Actually Paid Compensation Amount |  |  |  |  | (9,810,498) | $ 24,257,924 |  |
Michael Coyle [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount |  |  |  |  | 461,422 |  |  |
PEO Actually Paid Compensation Amount |  |  |  |  | 461,422 |  |  |
Douglas Devine [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount |  |  |  |  | 5,699,043 |  |  |
PEO Actually Paid Compensation Amount |  |  |  |  | $ 2,902,001 |  |  |
PEO | Quentin Blackford [Member] | Equity Awards Reported Value [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (15,172,621) |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Award Adjustments [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 14,839,541 |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Awards Granted During the Year, Unvested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 14,876,834 |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Awards Granted in Prior Years, Unvested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 338,758 |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Awards Granted During the Year, Vested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 0 |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Awards Granted in Prior Years, Vested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (376,051) |  |  |  |  |
PEO | Quentin Blackford [Member] | Equity Awards that Failed to Meet Vesting Conditions [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 0 |  |  |  |  |
Non-PEO NEO | Equity Awards Reported Value [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (4,657,347) |  |  |  |  |
Non-PEO NEO | Equity Award Adjustments [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 4,142,414 |  |  |  |  |
Non-PEO NEO | Equity Awards Granted During the Year, Unvested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 4,575,928 |  |  |  |  |
Non-PEO NEO | Equity Awards Granted in Prior Years, Unvested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (469,753) |  |  |  |  |
Non-PEO NEO | Equity Awards Granted During the Year, Vested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 0 |  |  |  |  |
Non-PEO NEO | Equity Awards Granted in Prior Years, Vested [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 36,239 |  |  |  |  |
Non-PEO NEO | Equity Awards that Failed to Meet Vesting Conditions [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | $ 0 |  |  |  |  |

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