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Pay vs Performance Disclosure - USD ($) |  | 12 Months Ended
--- | --- | ---
Sep. 15, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Pay vs Performance Disclosure, Table |  |  | Pay Versus Performance Pay Versus Performance Table As required by Section 953(a) of the Dodd-Frank Wall Street Reform and Consumer Protection Act and Item 402(v) of Regulation S-K, we are providing the following information about the relationship between executive “compensation actually paid” and certain financial performance of the Company. For further information concerning the Company’s pay for performance philosophy and how the Company aligns executive compensation with the Company’s performance, refer to “— Compensation Discussion and Analysis.”
Year |  | Summary Compensation Table Total for Stanley Vashovsky(1) ($) |  | Summary Compensation Table Total for Anthony Capone(1) ($) |  | Summary Compensation Table Total for Lee Bienstock(1) ($) |  | Compensation Actually Paid to Stanley Vashovsky(2) ($) |  | Compensation Actually Paid to Anthony Capone(2) ($) |  | Compensation Actually Paid to Lee Bienstock(2) ($) |  | Average Summary Compensation Table Total for Non-PEO NEOs(3) ($) |  | Average Compensation Actually Paid to Non-PEO NEOs(4) ($) |  | Value of Initial Fixed $100 Investment Based On: |  | Net Income(7) ($) |  | Revenue(8) ($)
Total Stockholder Return(5) ($) |  | Peer Group Total Stockholder Return(6) ($) |
2023 |  | N/A |  | 928,902 |  | 11,351,018 |  | N/A |  | (1,197,322 | ) |  | 10,910,300 |  | 3,127,390 |  | 2,670,004 |  | 55 |  | 103 |  | 10,048,328 |  | 624,288,642
2022 |  | 2,488,105 |  | N/A |  | N/A |  | 2,488,105 |  | N/A |  |  | N/A |  | 4,741,813 |  | 4,110,771 |  | 70 |  | 102 |  | 30,743,213 |  | 440,515,746
2021 |  | 7,281,861 |  | N/A |  | N/A |  | 7,567,162 |  | N/A |  |  | N/A |  | 4,519,730 |  | 4,712,985 |  | 93 |  | 106 |  | 19,179,488 |  | 318,718,580
(1) Effective as of December 31, 2022, Mr. Vashovsky retired as the Company’s Chief Executive Officer. The Board appointed Mr. Capone to succeed Mr. Vashovsky beginning January 1, 2023. Effective as of September 15, 2023, Mr. Capone resigned as the Company’s Chief Executive Officer, and the Board appointed Mr. Bienstock to succeed Mr. Capone as Chief Executive Officer. The dollar amounts reported in these columns are the amounts reported for Messrs. Bienstock, Capone and Vashovsky, respectively, for each of the corresponding years in the “Total” column of our Summary Compensation Table. Refer to “—2023 Summary Compensation Table.” (2) The dollar amounts reported in these columns represent the amounts of “compensation actually paid” to Messrs. Bienstock, Capone and Vashovsky as computed in accordance with Item 402(v) of Regulation S-K and do not reflect the total compensation actually realized or received by such individuals. In accordance with these rules, the adjustments made to the “Total Compensation” as set forth in the Summary Compensation Table for 2023 are shown below. Equity values are calculated in accordance with FASB ASC Topic 718, and the valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of grant. (3) The dollar amounts reported in this column represent the average of the amounts reported for the NEOs as a group (excluding the Chief Executive Officer(s)) in the “Total” column of the Summary Compensation Table in each applicable year. The names of each of the NEOs included for these purposes in each applicable year are as follows: (i) for 2023, Messrs. Rosenberg, Sugrue, Tendler and Oberholzer; (ii) for 2022, Messrs. Capone and Bienstock; and (iii) for 2021, Messrs. Capone and Oberholzer. (4) The dollar amounts reported in this column represent the average amount of “compensation actually paid” to the NEOs as a group (excluding the Chief Executive Officer(s)), as computed in accordance with Item 402(v) of Regulation S-K. In accordance with these rules, the adjustments made to the “Total Compensation” as set forth in the Summary Compensation Table for 2023 are shown below. Equity values are calculated in accordance with FASB ASC Topic 718, and the valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of the grant. (5) Total Stockholder Return (TSR) is calculated by dividing (a) the sum of (i) the cumulative amount of dividends for the measurement period, assuming dividend reinvestment, and (ii) the difference between the Company’s share price at the end of each fiscal year shown and the beginning of the measurement period, and the beginning of the measurement period by (b) the Company’s share price at the beginning of the measurement period. The beginning of the measurement period for each year in the table is December 31, 2020. (6) The peer group used for this purpose is the following published industry index: S&P 500 Health Care Sector Index. (7) The dollar amounts reported represent the amount of net income reflected in the Company’s audited financial statements for the applicable year. |  |  |  |  |
Named Executive Officers, Footnote |  |  | Effective as of December 31, 2022, Mr. Vashovsky retired as the Company’s Chief Executive Officer. The Board appointed Mr. Capone to succeed Mr. Vashovsky beginning January 1, 2023. Effective as of September 15, 2023, Mr. Capone resigned as the Company’s Chief Executive Officer, and the Board appointed Mr. Bienstock to succeed Mr. Capone as Chief Executive Officer. The dollar amounts reported in these columns are the amounts reported for Messrs. Bienstock, Capone and Vashovsky, respectively, for each of the corresponding years in the “Total” column of our Summary Compensation Table. Refer to “—2023 Summary Compensation Table. |  |  |  |  |
Peer Group Issuers, Footnote |  |  | The peer group used for this purpose is the following published industry index: S&P 500 Health Care Sector Index. |  |  |  |  |
Adjustment To PEO Compensation, Footnote |  |  |
Compensation Actually Paid to PEOs |  | Mr. Vashovsky 2021 |  | Mr. Vashovsky 2022 |  | Mr. Capone 2023 |  | Mr. Bienstock 2023
Summary Compensation Table Total |  | $ | 7,281,861 |  |  | $ | 2,488,105 |  | $ | 928,902 |  |  | $ | 11,351,018 |
Less, value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table |  |  | (4,198,000 | ) |  |  | — |  |  | (366,000 | ) |  |  | (9,137,725 | )
Plus, year-end fair value of outstanding and unvested equity awards granted in the year |  |  | 4,483,301 |  |  |  | — |  |  | 257,229 |  |  |  | 8,973,729 |
Plus, fair value as of vesting date of equity awards granted and vested in the year |  |  | — |  |  |  | — |  |  | — |  |  |  | 70,268 |
Plus (less), year over year change in fair value of outstanding and unvested equity awards granted in prior years |  |  | — |  |  |  | — |  |  | (1,499,305 | ) |  |  | (514,514 | )
Plus (less), change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year |  |  | — |  |  |  | — |  |  | (518,148 | ) |  |  | 167,524 |
Compensation Actually Paid to PEOs |  | $ | 7,567,162 |  |  | $ | 2,488,105 |  | $ | (1,197,322 | ) |  | $ | 10,910,300 |
Non-PEO NEO Average Total Compensation Amount | [1] |  | $ 3,127,390 |  | $ 4,741,813 |  | $ 4,519,730 |
Non-PEO NEO Average Compensation Actually Paid Amount | [2] |  | $ 2,670,004 |  | 4,110,771 |  | 4,712,985 |
Adjustment to Non-PEO NEO Compensation Footnote |  |  |
Compensation Actually Paid to Non-PEOs |  | 2021 |  | 2022 |  | 2023
Average Summary Compensation Table Total |  | $ | 4,519,730 |  |  | $ | 4,741,813 |  |  | $ | 3,127,390 |
Less, average value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table |  |  | (2,833,500 | ) |  |  | (2,958,000 | ) |  |  | (1,951,835 | )
Plus, average year-end fair value of outstanding and unvested equity awards granted in the year |  |  | 3,026,755 |  |  |  | 2,965,064 |  |  |  | 1,903,896 |
Plus (less), average year over year change in fair value of outstanding and unvested equity awards granted in prior years |  |  | — |  |  |  | (474,822 | ) |  |  | (376,861 | )
Plus (less), average change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year |  |  | — |  |  |  | (163,284 | ) |  |  | (32,586 | )
Average Compensation Actually Paid to Non-PEO NEOs |  | $ | 4,712,985 |  |  | $ | 4,110,771 |  |  | $ | 2,670,004 |
Compensation Actually Paid vs. Total Shareholder Return |  |  | Description of Certain Relationships Between Information Presented in the Pay Versus Performance Table As described in more detail in the section “— Compensation Discussion and Analysis,” the Company’s executive compensation program reflects a variable pay-for-performance philosophy. While the Company utilizes several performance measures to align executive compensation with Company performance, all of those Company measures are not presented in the Pay versus Performance table. Moreover, the Company generally seeks to incentivize long-term performance, and therefore does not specifically align the Company’s performance measures with compensation that is actually paid (as computed in accordance with SEC rules) for a particular year. In accordance with SEC rules, the Company is providing the following descriptions of the relationships between information presented in the Pay versus Performance table. Compensation Actually Paid, Cumulative TSR and Peer Group TSR |  |  |  |  |
Compensation Actually Paid vs. Net Income |  |  | Compensation Actually Paid and Net Income |  |  |  |  |
Compensation Actually Paid vs. Company Selected Measure |  |  | Compensation Actually Paid and Revenue |  |  |  |  |
Tabular List, Table |  |  | Financial Performance Measures As described in greater detail under “— Compensation Discussion and Analysis,” the Company’s executive compensation program reflects a variable pay-for-performance philosophy. The metrics that the Company uses for both our long-term and short-term incentive awards are selected based on an objective of incentivizing our NEOs to increase the value of our enterprise for our stockholders. The most important financial performance measures used by the Company to link executive compensation actually paid to the Company’s NEOs, for the most recently completed fiscal year, to the Company’s performance are below. The Company does not use any other metrics for long-term and short-term incentive awards. 1. Revenue 2. Adjusted EBITDA |  |  |  |  |
Total Shareholder Return Amount | [3] |  | $ 55 |  | 70 |  | 93 |
Peer Group Total Shareholder Return Amount | [4] |  | 103 |  | 102 |  | 106 |
Net Income (Loss) | [5] |  | $ 10,048,328 |  | $ 30,743,213 |  | 19,179,488 |
PEO Name |  | Mr. Capone | Mr. Bienstock |  | Mr. Vashovsky |  |  |
Revenues |  |  | $ 624,288,642 |  | $ 440,515,746 |  | 318,718,580 |
Measure:: 1 |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Name |  |  | Revenue |  |  |  |  |
Measure:: 2 |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Name |  |  | Adjusted EBITDA |  |  |  |  |
Stanley Vashovsky [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount | [6] |  |  |  | 2,488,105 |  | 7,281,861 |
PEO Actually Paid Compensation Amount | [7] |  |  |  | 2,488,105 |  | 7,567,162 |
Anthony Capone [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount | [6] |  | 928,902 |  |  |  |  |
PEO Actually Paid Compensation Amount | [7] |  | (1,197,322) |  |  |  |  |
Lee Bienstock [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
PEO Total Compensation Amount | [6] |  | 11,351,018 |  |  |  |  |
PEO Actually Paid Compensation Amount |  |  | 10,910,300 | [7] |  | [6] |  | [6]
PEO | Mr. Vashovsky [Member] | Summary Compensation Table Total [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  | 2,488,105 |  | 7,281,861 |
PEO | Mr. Vashovsky [Member] | Less, value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  | (4,198,000) |
PEO | Mr. Vashovsky [Member] | Plus, year-end fair value of outstanding and unvested equity awards granted in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  | 4,483,301 |
PEO | Mr. Vashovsky [Member] | Plus, fair value as of vesting date of equity awards granted and vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  |  |
PEO | Mr. Vashovsky [Member] | Plus (less), year over year change in fair value of outstanding and unvested equity awards granted in prior years [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  |  |
PEO | Mr. Vashovsky [Member] | Plus (less), change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  |  |
PEO | Mr. Vashovsky [Member] | Compensation Actually Paid to PEOs [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  | 2,488,105 |  | 7,567,162 |
PEO | Mr. Capone [Member] | Summary Compensation Table Total [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 928,902 |  |  |  |  |
PEO | Mr. Capone [Member] | Less, value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (366,000) |  |  |  |  |
PEO | Mr. Capone [Member] | Plus, year-end fair value of outstanding and unvested equity awards granted in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 257,229 |  |  |  |  |
PEO | Mr. Capone [Member] | Plus, fair value as of vesting date of equity awards granted and vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  |  |  |  |  |  |
PEO | Mr. Capone [Member] | Plus (less), year over year change in fair value of outstanding and unvested equity awards granted in prior years [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (1,499,305) |  |  |  |  |
PEO | Mr. Capone [Member] | Plus (less), change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (518,148) |  |  |  |  |
PEO | Mr. Capone [Member] | Compensation Actually Paid to PEOs [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (1,197,322) |  |  |  |  |
PEO | Mr. Bienstock [Member] | Summary Compensation Table Total [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 11,351,018 |  |  |  |  |
PEO | Mr. Bienstock [Member] | Less, value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (9,137,725) |  |  |  |  |
PEO | Mr. Bienstock [Member] | Plus, year-end fair value of outstanding and unvested equity awards granted in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 8,973,729 |  |  |  |  |
PEO | Mr. Bienstock [Member] | Plus, fair value as of vesting date of equity awards granted and vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 70,268 |  |  |  |  |
PEO | Mr. Bienstock [Member] | Plus (less), year over year change in fair value of outstanding and unvested equity awards granted in prior years [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (514,514) |  |  |  |  |
PEO | Mr. Bienstock [Member] | Plus (less), change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 167,524 |  |  |  |  |
PEO | Mr. Bienstock [Member] | Compensation Actually Paid to PEOs [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 10,910,300 |  |  |  |  |
Non-PEO NEO | Average Summary Compensation Table Total [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 3,127,390 |  | 4,741,813 |  | 4,519,730 |
Non-PEO NEO | Less, average value of “Stock Awards” and “Option Awards” reported in Summary Compensation Table [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (1,951,835) |  | (2,958,000) |  | (2,833,500) |
Non-PEO NEO | Plus, average year-end fair value of outstanding and unvested equity awards granted in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | 1,903,896 |  | 2,965,064 |  | 3,026,755 |
Non-PEO NEO | Plus (less), average year over year change in fair value of outstanding and unvested equity awards granted in prior years [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (376,861) |  | (474,822) |  |  |
Non-PEO NEO | Plus (less), average change in fair value from last day of prior fiscal year to vesting date for equity awards granted in prior years that vested in the year [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | (32,586) |  | (163,284) |  |  |
Non-PEO NEO | Average Compensation Actually Paid to Non-PEO NEOs [Member] |  |  |  |  |  |  |  |
Pay vs Performance Disclosure |  |  |  |  |  |  |  |
Adjustment to Compensation, Amount |  |  | $ 2,670,004 |  | $ 4,110,771 |  | $ 4,712,985 |
[1] | The dollar amounts reported in this column represent the average of the amounts reported for the NEOs as a group (excluding the Chief Executive Officer(s)) in the “Total” column of the Summary Compensation Table in each applicable year. The names of each of the NEOs included for these purposes in each applicable year are as follows: (i) for 2023, Messrs. Rosenberg, Sugrue, Tendler and Oberholzer; (ii) for 2022, Messrs. Capone and Bienstock; and (iii) for 2021, Messrs. Capone and Oberholzer.
[2] | The dollar amounts reported in this column represent the average amount of “compensation actually paid” to the NEOs as a group (excluding the Chief Executive Officer(s)), as computed in accordance with Item 402(v) of Regulation S-K. In accordance with these rules, the adjustments made to the “Total Compensation” as set forth in the Summary Compensation Table for 2023 are shown below. Equity values are calculated in accordance with FASB ASC Topic 718, and the valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of the grant.
[3] | Total Stockholder Return (TSR) is calculated by dividing (a) the sum of (i) the cumulative amount of dividends for the measurement period, assuming dividend reinvestment, and (ii) the difference between the Company’s share price at the end of each fiscal year shown and the beginning of the measurement period, and the beginning of the measurement period by (b) the Company’s share price at the beginning of the measurement period. The beginning of the measurement period for each year in the table is December 31, 2020.
[4] | The peer group used for this purpose is the following published industry index: S&P 500 Health Care Sector Index.
[5] | The dollar amounts reported represent the amount of net income reflected in the Company’s audited financial statements for the applicable year.
[6] | Effective as of December 31, 2022, Mr. Vashovsky retired as the Company’s Chief Executive Officer. The Board appointed Mr. Capone to succeed Mr. Vashovsky beginning January 1, 2023. Effective as of September 15, 2023, Mr. Capone resigned as the Company’s Chief Executive Officer, and the Board appointed Mr. Bienstock to succeed Mr. Capone as Chief Executive Officer. The dollar amounts reported in these columns are the amounts reported for Messrs. Bienstock, Capone and Vashovsky, respectively, for each of the corresponding years in the “Total” column of our Summary Compensation Table. Refer to “—2023 Summary Compensation Table.
[7] | The dollar amounts reported in these columns represent the amounts of “compensation actually paid” to Messrs. Bienstock, Capone and Vashovsky as computed in accordance with Item 402(v) of Regulation S-K and do not reflect the total compensation actually realized or received by such individuals. In accordance with these rules, the adjustments made to the “Total Compensation” as set forth in the Summary Compensation Table for 2023 are shown below. Equity values are calculated in accordance with FASB ASC Topic 718, and the valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of grant.

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