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Pay vs Performance Disclosure - USD ($) | 5 Months Ended | 7 Months Ended | 12 Months Ended
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Jun. 07, 2020 | Dec. 31, 2020 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Pay vs Performance Disclosure [Table] |  |  |  |  |
Pay vs Performance [Table Text Block] |  |  | The following table sets forth compensation of our CEO (the Principal Executive Officer, referred to in this section as “PEO”) and our other named executive officers (the “Non-PEO NEOs”), on an average basis, along with total shareholder return, net income, and total revenue for our fiscal years 2022, 2021, and 2020.
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​ | ​ | ​ | ​ | ​ | ​ | ​ | Value of Initial Fixed $100 Investment Based on: | ​ | ​
Year (1) | Summary Compensation Table Total for Current PEO ($) | Compensation Actually Paid to Current PEO (2) ($) | Summary Compensation Table Total for Former PEO ($) | Compensation Actually Paid to Former PEO (2) ($) | Average Summary Compensation Table Total for Non-PEO NEOs ($) | Average Compensation Actually Paid to Non-PEO NEOs (2) ($) | Company Total Shareholder Return (3) ($) | Peer Group Total Shareholder Return (3) ($) | Net Income (Loss) ($) (in thousands) | Total Revenue (4) ($) (in thousands)
2022 | 3,220,584 | 1,851,324 | — | — | 1,166,401 | 768,103 | 17.00 | 104.93 | (17,866) | 246,785
2021 | 2,076,884 | 459,477 | — | — | 941,781 | 359,062 | 28.18 | 137.24 | (11,811) | 208,057
2020 | 2,024,978 | 2,465,081 | 687,888 | (1,156,368) | 1,391,233 | 515,160 | 66.57 | 132.83 | (620) | 187,130
​ (1) Daniel L. Reuvers was our PEO in each of 2022 and 2021, as well as in 2020 starting on June 8, 2020. Gerald R. Mattys served as our PEO in 2020 through June 8 2020. In 2022 and 2021, Brent Moen, Kristie Burns and Eric Pauls were our Non-PEO NEOs. In 2020, Brent Moen, Robert Folkes and Bryan Rishe were our Non-PEO NEOs. (2) The dollar amounts reported represent the Compensation Actually Paid (“CAP”) to the NEOs in accordance with, and using the adjustments set forth in, Item 402(v) of Regulation S-K. The following adjustments related to equity awards were made to their total compensation each year as reported in the Summary Compensation Table (“SCT”) to determine the CAP: Reconciliation of PEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2022 | 3,220,584 | (1,369,260) | 1,851,324
2021 | 2,076,884 | (1,617,407) | 459,477
2020 (Current) | 2,024,978 | 440,103 | 2,465,081
2020 (Former) | 687,888 | (1,844,256) | (1,156,368)
​ Reconciliation of Average Non-PEO NEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2022 | 1,166,401 | (398,298) | 768,103
2021 | 941,781 | (582,719) | 359,062
2020 | 1,391,233 | (876,073) | 515,160
​ (3) Our peer group for the calculation of total shareholder return (“TSR”) is the S&P Healthcare Equipment Select Industry Index, which is the industry index used in our stock price performance graph in our Form 10-K for the fiscal year ended December 31, 2022. TSR, in the case of both the Company and our peer group, reflects the cumulative return on $100 as if invested on December 31, 2019, including reinvestment of any dividends. (4) Our company-selected measure, which we believe represents the most important financial performance measure (that is not otherwise required to be disclosed in the table) used by the Company to link CAP to the NEOs for 2022 to company performance, is revenue. Revenue is one of the metrics under both the 2022 annual cash incentive program and the 2022 PSUs. ​ In order to calculate CAP, the following amounts were excluded from or added to the SCT total compensation: Current PEO
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Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | (1,999,984) | 1,081,241 | (323,775) | — | (126,742) | — | — | (1,369,260)
2021 | (1,499,930) | 598,713 | (382,129) | — | (334,060) | — | — | (1,617,407)
2020 | (1,417,951) | 1,858,054 | — | — | — | — | — | 440,103
​ In connection with his appointment as CEO in 2020, Mr. Reuvers received a grant of stock options that included a market condition related to stock price in order to vest. Due to that market condition, the grant date fair value of those stock options was determined using the Monte Carlo Simulation model. The market condition was satisfied in the first quarter of 2021, and as a result, we have used the Black-Scholes valuation model (which is the valuation model used for all other stock option awards we have granted) to value these stock options for all dates subsequent to the grant date as part of the CAP calculations. ​ Former PEO
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Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | — | — | — | — | — | — | — | —
2021 | — | — | — | — | — | — | — | —
2020 | — | — | (546,525) | — | (484,627) | (813,103) | — | (1,844,256)
​ Average Non-PEO NEOs
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | (599,979) | 333,793 | (104,006) | — | (28,107) | — | — | (398,298)
2021 | (622,120) | 239,005 | (114,494) | — | (5,881) | (79,229) | — | (582,719)
2020 | (933,225) | 614,574 | (159,351) | 33,592 | (258,905) | (172,758) | — | (876,073)
​ ​ |  |
Company Selected Measure Name |  |  | Revenue |  |
Named Executive Officers, Footnote [Text Block] |  |  | (1) Daniel L. Reuvers was our PEO in each of 2022 and 2021, as well as in 2020 starting on June 8, 2020. Gerald R. Mattys served as our PEO in 2020 through June 8 2020. In 2022 and 2021, Brent Moen, Kristie Burns and Eric Pauls were our Non-PEO NEOs. In 2020, Brent Moen, Robert Folkes and Bryan Rishe were our Non-PEO NEOs. |  |
Peer Group Issuers, Footnote [Text Block] |  |  | (3) Our peer group for the calculation of total shareholder return (“TSR”) is the S&P Healthcare Equipment Select Industry Index, which is the industry index used in our stock price performance graph in our Form 10-K for the fiscal year ended December 31, 2022. TSR, in the case of both the Company and our peer group, reflects the cumulative return on $100 as if invested on December 31, 2019, including reinvestment of any dividends. |  |
Adjustment To PEO Compensation, Footnote [Text Block] |  |  | Reconciliation of PEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2022 | 3,220,584 | (1,369,260) | 1,851,324
2021 | 2,076,884 | (1,617,407) | 459,477
2020 (Current) | 2,024,978 | 440,103 | 2,465,081
2020 (Former) | 687,888 | (1,844,256) | (1,156,368)
​ Current PEO
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | (1,999,984) | 1,081,241 | (323,775) | — | (126,742) | — | — | (1,369,260)
2021 | (1,499,930) | 598,713 | (382,129) | — | (334,060) | — | — | (1,617,407)
2020 | (1,417,951) | 1,858,054 | — | — | — | — | — | 440,103
​ In connection with his appointment as CEO in 2020, Mr. Reuvers received a grant of stock options that included a market condition related to stock price in order to vest. Due to that market condition, the grant date fair value of those stock options was determined using the Monte Carlo Simulation model. The market condition was satisfied in the first quarter of 2021, and as a result, we have used the Black-Scholes valuation model (which is the valuation model used for all other stock option awards we have granted) to value these stock options for all dates subsequent to the grant date as part of the CAP calculations. ​ Former PEO
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | — | — | — | — | — | — | — | —
2021 | — | — | — | — | — | — | — | —
2020 | — | — | (546,525) | — | (484,627) | (813,103) | — | (1,844,256)
Non-PEO NEO Average Total Compensation Amount |  |  | $ 1,166,401 | $ 941,781 | $ 1,391,233
Non-PEO NEO Average Compensation Actually Paid Amount |  |  | $ 768,103 | 359,062 | 515,160
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] |  |  | Reconciliation of Average Non-PEO NEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2022 | 1,166,401 | (398,298) | 768,103
2021 | 941,781 | (582,719) | 359,062
2020 | 1,391,233 | (876,073) | 515,160
​ ​ Average Non-PEO NEOs
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Year-over-Year Change in Fair Value of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Covered Year ($) | Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation ($) | Total Equity Award Adjustments ($)
2022 | (599,979) | 333,793 | (104,006) | — | (28,107) | — | — | (398,298)
2021 | (622,120) | 239,005 | (114,494) | — | (5,881) | (79,229) | — | (582,719)
2020 | (933,225) | 614,574 | (159,351) | 33,592 | (258,905) | (172,758) | — | (876,073)
​ |  |
Compensation Actually Paid vs. Net Income [Text Block] |  |  | Compensation Actually Paid versus Net Loss: ​ |  |
Compensation Actually Paid vs. Company Selected Measure [Text Block] |  |  | Compensation Actually Paid versus Total Revenue: |  |
Total Shareholder Return Vs Peer Group [Text Block] |  |  | Compensation Actually Paid versus Company and Peer Group TSR: |  |
Tabular List [Table Text Block] |  |  | ​
​
Most Important Company Performance Measures
Total Revenue
Adjusted EBITDA
Total Shareholder Return Amount |  |  | $ 17.00 | 28.18 | 66.57
Peer Group Total Shareholder Return Amount |  |  | 104.93 | 137.24 | 132.83
Net Income (Loss) |  |  | $ (17,866) | $ (11,811) | $ (620)
Company Selected Measure Amount |  |  | 246,785 | 208,057 | 187,130
PEO Name | Gerald R. Mattys | Daniel L. Reuvers | Daniel L. Reuvers | Daniel L. Reuvers |
Measure [Axis]: 1 |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Measure Name |  |  | Total Revenue |  |
Non-GAAP Measure Description [Text Block] |  |  | (4) Our company-selected measure, which we believe represents the most important financial performance measure (that is not otherwise required to be disclosed in the table) used by the Company to link CAP to the NEOs for 2022 to company performance, is revenue. Revenue is one of the metrics under both the 2022 annual cash incentive program and the 2022 PSUs. ​ |  |
Measure [Axis]: 2 |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Measure Name |  |  | Adjusted EBITDA |  |
Reuvers [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
PEO Total Compensation Amount |  | $ 2,024,978 | $ 3,220,584 | $ 2,076,884 |
PEO Actually Paid Compensation Amount |  | 2,465,081 | 1,851,324 | 459,477 |
Mattys [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
PEO Total Compensation Amount | $ 687,888 |  |  |  |
PEO Actually Paid Compensation Amount | (1,156,368) |  |  |  |
PEO [Member] | Reuvers [Member] | Total Net Adjustments For Equity Awards [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  | 440,103 | (1,369,260) | (1,617,407) |
PEO [Member] | Reuvers [Member] | Equity Awards Value In Compensation Table For The Applicable Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  | (1,417,951) | (1,999,984) | (1,499,930) |
PEO [Member] | Reuvers [Member] | Year-end Fair Value Of Awards Granted In The Current Fiscal Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  | $ 1,858,054 | 1,081,241 | 598,713 |
PEO [Member] | Reuvers [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | (323,775) | (382,129) |
PEO [Member] | Reuvers [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | (126,742) | (334,060) |
PEO [Member] | Mattys [Member] | Total Net Adjustments For Equity Awards [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount | (1,844,256) |  |  |  |
PEO [Member] | Mattys [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount | (546,525) |  |  |  |
PEO [Member] | Mattys [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount | (484,627) |  |  |  |
PEO [Member] | Mattys [Member] | Adjustments For Equity Awards Failed To Meet Performance Conditions [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount | $ (813,103) |  |  |  |
Non-PEO NEO [Member] | Total Net Adjustments For Equity Awards [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | (398,298) | (582,719) | $ (876,073)
Non-PEO NEO [Member] | Equity Awards Value In Compensation Table For The Applicable Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | (599,979) | (622,120) | (933,225)
Non-PEO NEO [Member] | Year-end Fair Value Of Awards Granted In The Current Fiscal Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | 333,793 | 239,005 | 614,574
Non-PEO NEO [Member] | Change In Fair Value Of Outstanding And Unvested Awards Granted In Prior Fiscal Years [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | (104,006) | (114,494) | (159,351)
Non-PEO NEO [Member] | Change In Fair Value As Of Vesting Date Of Current Year Awards Vested During Current Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  |  |  | 33,592
Non-PEO NEO [Member] | Change In Fair Value As Of Vesting Date Of Prior Year Awards Vested During Current Year [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  | $ (28,107) | (5,881) | (258,905)
Non-PEO NEO [Member] | Adjustments For Equity Awards Failed To Meet Performance Conditions [Member] |  |  |  |  |
Pay vs Performance Disclosure [Table] |  |  |  |  |
Adjustment to Compensation Amount |  |  |  | $ (79,229) | $ (172,758)

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