XML 11 R2.htm IDEA: XBRL DOCUMENT v3.25.1
Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Pay vs Performance Disclosure                
Pay vs Performance Disclosure, Table
Value of Initial Fixed $100 Investment Based On(7):
Year
Summary Compensation Table Total for PEO(1)
Compensation Actually Paid to PEO ($)(2)(3)
Average Summary Compensation Table Total for non-PEO NEOs($)(4)
Average Compensation Actually Paid to non-PEO NEOs ($)(2)(4)(5)
Total Shareholder Return ($)
Peer Group Total Shareholder Return ($)(6)
Net Income
(thousands) ($)
Revenue (thousands) ($)(8)
20241,361,112(16,038,379)6,515,975(953,437)62.84134.7454,3361,167,221
20231,093,5127,268,130986,1312,429,254135.45133.8562,0371,088,598
202268,580,07231,304,2649,301,761(708,249)113.48133.4430,358786,913
2021862,46212,703,2375,449,1366,880,527183.42138.3565,769500,621
2020987,31219,593,349793,8432,978,511154.43111.4346,459344,858
              
Company Selected Measure Name Revenue              
Named Executive Officers, Footnote Mr. Schlanger served as our CEO from January 2017 to December 2021. Mr. Anevski has served as our CEO since January 1, 2022.Non-PEO NEOs include the following for 2022, 2023, and 2024: Mr. Livingston, Mr. Schlanger, Ms. Swartz, and Mr. Sturmer. For 2021, the non-PEO NEOs include Mr. Anevski, Mr. Livingston, Ms. Bealer, and Ms. Greenbaum. For 2020, the non-PEO NEOs include Mr. Anevski, Ms. Ajmani, Ms. Bealer, Ms. Greenbaum, and Mr. Livingston.              
Peer Group Issuers, Footnote The peer group used for this purpose is Standard & Poor’s 500 Health Care Index, which is one of the peer groups reported in our Annual Report on Form 10-K pursuant to Item 201(e) of Regulation S-K.              
PEO Total Compensation Amount $ 1,361,112 $ 1,093,512 $ 68,580,072 $ 862,462 $ 987,312      
PEO Actually Paid Compensation Amount $ (16,038,379) 7,268,130 31,304,264 12,703,237 19,593,349      
Adjustment To PEO Compensation, Footnote Compensation actually paid to our PEOs represents the “Total” compensation reported in the Summary Compensation Table for the applicable fiscal year, as adjusted as follows:
2024 ($)2023 ($)2022 ($)2021 ($)2020 ($)
Summary Compensation Table Total1,361,1121,093,51268,580,072862,462987,312
Less, value of Stock Awards and Options Awards in Summary Compensation Table——(67,568,600)——
Plus, year-end fair value of outstanding and unvested equity awards granted in the year——39,410,940——
Plus/Less, year-over-year change in fair value of outstanding and unvested equity awards granted in prior years(14,121,283)4,879,355(3,368,117)5,284,97018,392,284
Plus/Less, change in fair value from the end of the prior fiscal year to the vesting date of equity awards granted in prior years that vested in the year(3,278,208)1,295,263(5,750,031)6,555,805213,753
Compensation Actually Paid to PEOs(16,038,379)7,268,13031,304,26412,703,23719,593,349
              
Non-PEO NEO Average Total Compensation Amount $ 6,515,975 986,131 9,301,761 5,449,136 793,843      
Non-PEO NEO Average Compensation Actually Paid Amount $ (953,437) 2,429,254 (708,249) 6,880,527 2,978,511      
Adjustment to Non-PEO NEO Compensation Footnote Average compensation actually paid to our non-PEO NEOs represents the average “Total” compensation reported in the Summary Compensation Table for the applicable fiscal year, as adjusted as follows:
2024 ($)2023 ($)2022 ($)2021 ($)2020 ($)
Average Summary Compensation Table Total6,515,975986,1319,301,7615,449,136793,843
Less, average value of Stock Awards and Options Awards in Summary Compensation Table(5,872,570)(324,669)(8,766,978)(4,777,735)(188,928)
Plus, average year-end fair value of outstanding and unvested equity awards granted in the year3,205,690328,1795,604,0533,820,260360,083
Plus/Less, average year-over-year change in fair value of outstanding and unvested equity awards granted in prior years(2,751,154)938,008(3,796,209)1,617,0464,340,920
Plus, average fair value of equity awards granted and vested in the year————27,950
Plus/Less, change in fair value from the end of the prior fiscal year to the vesting date of equity awards granted in prior years that vested in the year(2,051,378)501,605(3,050,876)1,950,757(75,463)
Less, average fair value of equity awards granted in prior years that failed to meet vesting conditions in the year———(1,178,937)(2,279,894)
Average Compensation Actually Paid to non-PEO NEOs(953,437)2,429,254(708,249)6,880,5272,978,511
              
Compensation Actually Paid vs. Total Shareholder Return
The graphs below compare the compensation actually paid to our PEO and the average of the compensation actually paid to our remaining NEOs with (i) our five-year cumulative TSR, (ii) our five-year Peer Group TSR, (iii) our net income, and (iv) our revenue, in each case, for the fiscal years ended December 31, 2020, 2021, 2022, 2023, and 2024. TSR amounts reported in the graph assume an initial fixed investment of $100 and that all dividends, if any, were reinvested.
Screenshot 2025-04-10 095823.jpg
              
Compensation Actually Paid vs. Net Income
Screenshot 2025-04-10 095925.jpg
              
Compensation Actually Paid vs. Company Selected Measure
Screenshot 2025-04-10 100023.jpg
              
Total Shareholder Return Vs Peer Group
The graphs below compare the compensation actually paid to our PEO and the average of the compensation actually paid to our remaining NEOs with (i) our five-year cumulative TSR, (ii) our five-year Peer Group TSR, (iii) our net income, and (iv) our revenue, in each case, for the fiscal years ended December 31, 2020, 2021, 2022, 2023, and 2024. TSR amounts reported in the graph assume an initial fixed investment of $100 and that all dividends, if any, were reinvested.
Screenshot 2025-04-10 095823.jpg
              
Tabular List, Table Revenue.              
Total Shareholder Return Amount $ 62.84 135.45 113.48 183.42 154.43      
Peer Group Total Shareholder Return Amount 134.74 133.85 133.44 138.35 111.43      
Net Income (Loss) $ 54,336,000 $ 62,037,000 $ 30,358,000 $ 65,769,000 $ 46,459,000      
Company Selected Measure Amount 1,167,221,000 1,088,598,000 786,913,000 500,621,000 344,858,000      
PEO Name Mr. Anevski Mr. Anevski Mr. Anevski Mr. Schlanger Mr. Schlanger Mr. Schlanger Mr. Schlanger Mr. Schlanger se
Additional 402(v) Disclosure The fair values of RSUs, PSUs, and stock options included in the CAP to our PEOs and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report. Any changes to the RSU fair values from the grant date (for current year grants) and from prior year-end (for prior year RSU grants) are based on our updated stock price at the respective measurement dates and updated performance target projections (for PSUs). Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end stock option fair value from the fair value on the grant date were primarily driven by changes in the stock price.The total shareholder return and peer group total shareholder return are four year cumulative returns assuming an initial fixed investment of $100 and that all dividends, if any, were reinvested.Revenue is a GAAP measure. The Company selected revenue as the Company-Selected Measure because it is an important financial measure that helps link CAP to the Company’s NEOs to the Company’s performance for the most recently completed fiscal year. Specifically, revenue is used as a performance metric in our long-term equity incentive program for our PSUs, which are eligible to be earned based on achievement of specific revenue targets over a five-year performance period.              
Measure:: 1                
Pay vs Performance Disclosure                
Name Revenue              
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table                
Pay vs Performance Disclosure                
Adjustment to Compensation, Amount $ 0 $ 0 $ (67,568,600) $ 0 $ 0      
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested                
Pay vs Performance Disclosure                
Adjustment to Compensation, Amount 0 0 39,410,940 0 0      
PEO | 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 (14,121,283) 4,879,355 (3,368,117) 5,284,970 18,392,284      
PEO | 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 (3,278,208) 1,295,263 (5,750,031) 6,555,805 213,753      
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table                
Pay vs Performance Disclosure                
Adjustment to Compensation, Amount (5,872,570) (324,669) (8,766,978) (4,777,735) (188,928)      
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 3,205,690 328,179 5,604,053 3,820,260 360,083      
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 (2,751,154) 938,008 (3,796,209) 1,617,046 4,340,920      
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 0 0 0 27,950      
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 (2,051,378) 501,605 (3,050,876) 1,950,757 (75,463)      
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 $ 0 $ 0 $ (1,178,937) $ (2,279,894)