v3.25.4
Pay vs Performance Disclosure - USD ($)
6 Months Ended 12 Months Ended
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:

Graphic

       
Compensation Actually Paid vs. Net Income    

Graphic

       
Compensation Actually Paid vs. Company Selected Measure    

Compensation Actually Paid versus Total Revenue:

Graphic

       
Total Shareholder Return Vs Peer Group    

Graphic

       
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)