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Pay vs Performance Disclosure - USD ($) | 6 Months Ended | 12 Months Ended
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Dec. 31, 2024 | Jun. 30, 2024 | Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Pay vs Performance Disclosure |  |  |  |  |  |  |
Pay vs Performance Disclosure, Table |  |  | 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 stockholder return, net income (loss), and total revenue for our fiscal years 2025, 2024, 2023, 2022, and 2021. ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | 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) ($) | Company Total Stockholder Return (3) ($) | Peer Group Total Stockholder Return (3) ($) | Net Income (Loss) ($) (in thousands) | Total Revenue (4) ($) (in thousands) | ​ | ​
2025 | 3,466,916 | 6,327,870 | — | — | 1,525,229 | 2,703,839 | 64.53 | 77.53 | 19,086 | 329,522 | ​ | ​
2024 | 2,476,841 | 2,815,831 | 2,630,335 | 797,435 | 1,140,558 | 1,296,343 | 38.12 | 78.05 | 16,960 | 292,984 | ​ | ​
2023 | — | — | 2,874,593 | 3,205,532 | 755,916 | 593,656 | 31.82 | 74.29 | 28,515 | 274,423 | ​ | ​
2022 | — | — | 3,220,584 | 1,851,324 | 1,166,401 | 768,103 | 25.55 | 79.00 | (17,866) | 246,785 | ​ | ​
2021 | — | — | 2,076,884 | 459,477 | 941,781 | 359,062 | 42.35 | 103.32 | (11,811) | 208,057 | ​ | ​
(1) | Sheri L. Dodd was our PEO in 2025 and in 2024 starting on July 1, 2024, and Daniel L. Reuvers served as our PEO in 2024 through June 30, 2024 and in each of 2023, 2022 and 2021. In 2025, Elaine M. Birkemeyer and Kristie T. Burns were our Non-PEO NEOs. In 2024, Elaine M. Birkemeyer, Kristie T. Burns and Sherri L. Ferstler were our Non-PEO NEOs. In 2023, Elaine M. Birkemeyer, Kristie T. Burns, Sherri L. Ferstler and Brent A. Moen were our Non-PEO NEOs. In 2022 and 2021, Brent A. Moen, Kristie T. Burns and Eric Pauls were our Non-PEO NEOs.
(2) | The dollar amounts reported represent the Compensation Actually Paid (“CAP”) to the NEOs in accordance with, and using the adjustments set forth in, Item 402(v) of Regulation S-K. The following adjustments related to equity awards were made to their total compensation each year as reported in the Summary Compensation Table (“SCT”) to determine the CAP:
Reconciliation of PEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2025 | 3,466,916 | 2,860,954 | 6,327,870
2024 (Current) | 2,476,841 | 338,990 | 2,815,831
2024 (Former) | 2,630,335 | (1,832,900) | 797,435
2023 | 2,874,593 | 330,939 | 3,205,532
2022 | 3,220,584 | (1,369,260) | 1,851,324
2021 | 2,076,884 | (1,617,407) | 459,477
​ Reconciliation of Average Non-PEO NEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2025 | 1,525,229 | 1,178,610 | 2,703,839
2024 | 1,140,558 | 155,785 | 1,296,343
2023 | 755,916 | (162,260) | 593,656
2022 | 1,166,401 | (398,298) | 768,103
2021 | 941,781 | (582,719) | 359,062
​
(3) | Our peer group for the calculation of total stockholder 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, 2025. TSR, in the case of both the Company and our peer group, reflects the cumulative return on $100 as if invested on December 31, 2020, including reinvestment of any dividends.
(4) | Our company-selected measure, which we believe represents the most important financial performance measure (that is not otherwise required to be disclosed in the table) used by the Company to link CAP to the NEOs for 2025 to company performance, is revenue. Revenue is one of the metrics under both the 2025 annual cash incentive program and the 2025 PSUs.
In order to calculate CAP, the following amounts were excluded from or added to the SCT total compensation: Current PEO ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | 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 ($)
2025 | (2,019,978) | 3,808,802 | 1,252,095 | — | (179,965) | — | — | 2,860,954
2024 | (1,869,991) | 2,212,463 | — | — | (3,482) | — | — | 338,990
2023 | — | — | — | — | — | — | — | —
2022 | — | — | — | — | — | — | — | —
2021 | — | — | — | — | — | — | — | —
​ Former PEO
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | 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 ($)
2025 | — | — | — | — | — | — | — | —
2024 | (1,999,997) | 411,377 | 212,604 | — | 44,732 | (501,615) | — | (1,832,900)
2023 | (1,506,836) | 1,406,539 | 249,724 | — | 181,513 | — | — | 330,939
2022 | (1,999,984) | 1,081,241 | (323,775) | — | (126,742) | — | — | (1,369,260)
2021 | (1,499,930) | 598,713 | (382,129) | — | (334,060) | — | — | (1,617,407)
​ Average Non-PEO NEOs
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | 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 ($)
2025 | (812,479) | 1,531,983 | 542,768 | — | (83,661) | — | — | 1,178,610
2024 | (566,651) | 657,780 | 63,848 | — | 807 | — | — | 155,785
2023 | (397,276) | 300,766 | 16,319 | — | 24,594 | (106,664) | — | (162,260)
2022 | (599,979) | 333,793 | (104,006) | — | (28,107) | — | — | (398,298)
2021 | (622,120) | 239,005 | (114,494) | - | (5,881) | (79,229) | — | (582,719)
​ |  |  |  |
Company Selected Measure Name |  |  | Revenue |  |  |  |
Named Executive Officers, Footnote |  |  |
(1) | Sheri L. Dodd was our PEO in 2025 and in 2024 starting on July 1, 2024, and Daniel L. Reuvers served as our PEO in 2024 through June 30, 2024 and in each of 2023, 2022 and 2021. In 2025, Elaine M. Birkemeyer and Kristie T. Burns were our Non-PEO NEOs. In 2024, Elaine M. Birkemeyer, Kristie T. Burns and Sherri L. Ferstler were our Non-PEO NEOs. In 2023, Elaine M. Birkemeyer, Kristie T. Burns, Sherri L. Ferstler and Brent A. Moen were our Non-PEO NEOs. In 2022 and 2021, Brent A. Moen, Kristie T. Burns and Eric Pauls were our Non-PEO NEOs.
Peer Group Issuers, Footnote |  |  |
(3) | Our peer group for the calculation of total stockholder 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, 2025. TSR, in the case of both the Company and our peer group, reflects the cumulative return on $100 as if invested on December 31, 2020, including reinvestment of any dividends.
Adjustment To PEO Compensation, Footnote |  |  | Reconciliation of PEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2025 | 3,466,916 | 2,860,954 | 6,327,870
2024 (Current) | 2,476,841 | 338,990 | 2,815,831
2024 (Former) | 2,630,335 | (1,832,900) | 797,435
2023 | 2,874,593 | 330,939 | 3,205,532
2022 | 3,220,584 | (1,369,260) | 1,851,324
2021 | 2,076,884 | (1,617,407) | 459,477
​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year 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 ($) | Total Equity Award Adjustments ($)
2025 | (2,019,978) | 3,808,802 | 1,252,095 | — | (179,965) | — | — | 2,860,954
2024 | (1,869,991) | 2,212,463 | — | — | (3,482) | — | — | 338,990
2023 | — | — | — | — | — | — | — | —
2022 | — | — | — | — | — | — | — | —
2021 | — | — | — | — | — | — | — | —
​ Former PEO
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year 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 ($) | Total Equity Award Adjustments ($)
2025 | — | — | — | — | — | — | — | —
2024 | (1,999,997) | 411,377 | 212,604 | — | 44,732 | (501,615) | — | (1,832,900)
2023 | (1,506,836) | 1,406,539 | 249,724 | — | 181,513 | — | — | 330,939
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)
​ |  |  |  |
Non-PEO NEO Average Total Compensation Amount |  |  | $ 1,525,229 | $ 1,140,558 | $ 755,916 | $ 1,166,401 | $ 941,781
Non-PEO NEO Average Compensation Actually Paid Amount |  |  | $ 2,703,839 | 1,296,343 | 593,656 | 768,103 | 359,062
Adjustment to Non-PEO NEO Compensation Footnote |  |  | ​ Reconciliation of Average Non-PEO NEO Summary Compensation Table Total to Compensation Actually Paid
​ | ​ | ​ | ​
Year | Reported SCT Total ($) | Equity Award Adjustments ($) | Compensation Actually Paid ($)
2025 | 1,525,229 | 1,178,610 | 2,703,839
2024 | 1,140,558 | 155,785 | 1,296,343
2023 | 755,916 | (162,260) | 593,656
2022 | 1,166,401 | (398,298) | 768,103
2021 | 941,781 | (582,719) | 359,062
Average Non-PEO NEOs
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Year | Deduct: Grant Date Fair Value of Covered Year Equity Awards ($) | Year End Fair Value of Covered Year Equity Awards ($) | Change in Fair Value at End of Covered Year from End of Prior Year of Equity Awards Granted in a Prior Year that were Unvested at End of Covered Year ($) | Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Covered Year ($) | Change in Fair Value at Vesting Date from End of Prior Year of Equity Awards Granted in a Prior Year that Vested in the Covered Year ($) | 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 ($)
2025 | (812,479) | 1,531,983 | 542,768 | — | (83,661) | — | — | 1,178,610
2024 | (566,651) | 657,780 | 63,848 | — | 807 | — | — | 155,785
2023 | (397,276) | 300,766 | 16,319 | — | 24,594 | (106,664) | — | (162,260)
2022 | (599,979) | 333,793 | (104,006) | — | (28,107) | — | — | (398,298)
2021 | (622,120) | 239,005 | (114,494) | - | (5,881) | (79,229) | — | (582,719)
Compensation Actually Paid vs. Total Shareholder Return |  |  | Compensation Actually Paid versus Company and Peer Group TSR: |  |  |  |
Compensation Actually Paid vs. Net Income |  |  |  |  |  |  |
Compensation Actually Paid vs. Company Selected Measure |  |  | ​ Compensation Actually Paid versus Total Revenue: |  |  |  |
Total Shareholder Return Vs Peer Group |  |  |  |  |  |  |
Tabular List, Table |  |  | ​
​
Most Important Company Performance Measures
Total Revenue
Adjusted EBITDA
Adjusted EBITDA Margin
​ |  |  |  |
Total Shareholder Return Amount |  |  | $ 64.53 | 38.12 | 31.82 | 25.55 | 42.35
Peer Group Total Shareholder Return Amount |  |  | 77.53 | 78.05 | 74.29 | 79 | 103.32
Net Income (Loss) |  |  | $ 19,086,000 | $ 16,960,000 | $ 28,515,000 | $ (17,866,000) | $ (11,811,000)
Company Selected Measure Amount |  |  | 329,522,000 | 292,984,000 | 274,423,000 | 246,785,000 | 208,057,000
PEO Name | Sheri L. Dodd | Daniel L. Reuvers | Sheri L. Dodd |  |  |  |
Measure:: 1 |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Name |  |  | Total Revenue |  |  |  |
Non-GAAP Measure Description |  |  |
(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 2025 to company performance, is revenue. Revenue is one of the metrics under both the 2025 annual cash incentive program and the 2025 PSUs.
Measure:: 2 |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Name |  |  | Adjusted EBITDA |  |  |  |
Measure:: 3 |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Name |  |  | Adjusted EBITDA Margin |  |  |  |
Reuvers |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
PEO Total Compensation Amount |  | $ 2,630,335 |  |  | $ 2,874,593 | $ 3,220,584 | $ 2,076,884
PEO Actually Paid Compensation Amount |  | 797,435 |  |  | 3,205,532 | 1,851,324 | 459,477
Sheri L. Dodd |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
PEO Total Compensation Amount | $ 2,476,841 |  | $ 3,466,916 |  |  |  |
PEO Actually Paid Compensation Amount | 2,815,831 |  | 6,327,870 |  |  |  |
PEO | Reuvers | Equity Awards Adjustments |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  | (1,832,900) |  |  | 330,939 | (1,369,260) | (1,617,407)
PEO | Reuvers | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  | (1,999,997) |  |  | (1,506,836) | (1,999,984) | (1,499,930)
PEO | Reuvers | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  | 411,377 |  |  | 1,406,539 | 1,081,241 | 598,713
PEO | Reuvers | 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 |  | 212,604 |  |  | 249,724 | (323,775) | (382,129)
PEO | Reuvers | 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 |  | 44,732 |  |  | 181,513 | (126,742) | (334,060)
PEO | Reuvers | 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 |  | $ (501,615) |  |  |  |  |
PEO | Sheri L. Dodd | Equity Awards Adjustments |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount | 338,990 |  | 2,860,954 |  |  |  |
PEO | Sheri L. Dodd | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount | (1,869,991) |  | (2,019,978) |  |  |  |
PEO | Sheri L. Dodd | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount | 2,212,463 |  | 3,808,802 |  |  |  |
PEO | Sheri L. Dodd | 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 |  |  | 1,252,095 |  |  |  |
PEO | Sheri L. Dodd | 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 | $ (3,482) |  | (179,965) |  |  |  |
Non-PEO NEO | Equity Awards Adjustments |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 1,178,610 | $ 155,785 | (162,260) | (398,298) | (582,719)
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 |  |  | (812,479) | (566,651) | (397,276) | (599,979) | (622,120)
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 |  |  | 1,531,983 | 657,780 | 300,766 | 333,793 | 239,005
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 |  |  | 542,768 | 63,848 | 16,319 | (104,006) | (114,494)
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 |  |  | $ (83,661) | $ 807 | 24,594 | $ (28,107) | (5,881)
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 |  |  |  |  | $ (106,664) |  | $ (79,229)

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