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Pay vs Performance Disclosure - USD ($) | 12 Months Ended
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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

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