v3.26.1
Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table

Pay versus Performance

The following table sets forth certain information with respect to the Company’s financial performance and the compensation paid to our NEOs for the fiscal years (“FY”) ended on December 31, 2025, December 31, 2024, December 31, 2023, December 31, 2022, and December 31, 2021, as required by SEC rules.

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

Value of Initial Fixed $100

  ​ ​ ​

  ​ ​ ​

Investment Based on:

Average

Summary

Average

Summary

Compensation

Compensation

Compensation

Compensation

Table Total for

Actually Paid

  ​ ​ ​

Total

  ​ ​ ​

Peer Total

  ​ ​ ​

Net

Total

Table Total for

Actually Paid to

Non-PEO

to Non-PEO

Shareholder

Shareholder

(Loss)

Adjusted

PEO(1)

PEO(1)(2)(7)

NEOs(3)

NEOs(2)(3)(7)

Return(4)

Return(4)

Income

EBITDA(6)

Year

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($mm)(5)

  ​

  ​

($mm)

2025

$11,157,809

($1,110,801)

$3,049,141

($29,338)

$10

$111

($1,101)

$424

2024

 

10,737,905

 

6,634,025

3,013,978

1,741,211

48

105

(363)

523

2023

 

8,389,910

 

2,434,260

 

3,274,168

 

2,596,315

 

71

 

99

 

(41)

 

526

2022

 

6,245,259

 

(20,486,138)

 

2,782,307

 

(1,231,650)

 

72

 

94

 

22

 

544

2021

 

7,680,578

 

42,840,278

 

3,378,068

 

7,915,780

 

161

 

121

 

222

 

571

(1)The name of the Principal Executive Officer of the Company (“PEO”) reflected in these columns for each of the applicable fiscal years is Edward A. Pesicka.
(2)In calculating the ‘compensation actually paid’ (“CAP”) amounts reflected in these columns, the fair value or change in fair value, as applicable, of the equity award adjustments included in such calculations was computed in accordance with FASB ASC Topic 718. The valuation assumptions used to calculate such fair values did not materially differ from those disclosed at the time of grant (except for changes due to the relevant measurement date).
(3)The names of each of the non-PEO NEOs reflected in these columns for each applicable fiscal year are as follows: (i) for fiscal year 2025, Jonathan A. Leon, Andrew G. Long, Perry A. Bernocchi, and Heath H. Galloway; (ii) for fiscal year 2024, Mr. Leon, Mr. Long, Mr. Bernocchi, Mr. Galloway, and Alexander J. Bruni; (iii) for fiscal year 2023, Mr. Long, Mr. Bruni, Mr. Bernocchi, and Daniel J. Starck; (iv) for fiscal year 2022, Mr. Long, Mr. Bruni, Nicholas J. Pace, Mr. Starck, Tammy L. Gomez, and Jeffrey T. Jochims; and (v) for fiscal year 2021, Mr. Long, Mr. Jochims, Christopher M. Lowery, Mr. Pace, and Mark P. Zacur.
(4)The Company TSR and the Company’s Peer Group TSR reflected in these columns for each applicable fiscal year is calculated based on a fixed investment of $100 at the applicable measurement point on the same cumulative basis as is used in Item 201(e) of Regulation S-K. The peer group used to determine the Company’s Peer Group TSR for each applicable fiscal year is the following published industry index, as disclosed in our 2025 Annual Report on Form 10-K pursuant to Item 201(e) of Regulation S-K: Russell 3000 Medical Equipment and Services Sector Index.
(5)Represents the amount of net (loss) income reflected in the Company’s audited financial statements for each applicable fiscal year.
(6)We have selected Total Adjusted EBITDA as our most important financial measure (that is not otherwise required to be disclosed in the table) used to link CAP to our NEOs to company performance for fiscal year 2025. Total Adjusted EBITDA is a non-GAAP financial measure, which excludes items and charges that (i) management does not believe reflect the Company’s core business and relate more to strategic, multi-year corporate activities; or (ii) relate to activities or actions that may have occurred without predictable trends from net (loss) income reported in accordance with U.S. GAAP. Charges excluded from Total Adjusted EBITDA and other non-GAAP financial measures include acquisition-related charges and intangible amortization and exit and realignment charges, net, and other adjustments. Total Adjusted EBITDA and other non-GAAP financial measures included in this proxy statement and a reconciliation to the most comparable GAAP equivalent financial measure for the year ended December 31, 2025 is included in Appendix B within this proxy statement, and for the years ended December 31, 2024, 2023, and 2022 are described in the Company’s Current Reports on Form 8-K filed with the SEC on February 28, 2025, February 20, 2024, and February 28, 2023. For the year ended December 31, 2021, a reconciliation to the most comparable GAAP equivalent financial measure is included within exhibit 99.2 in the Company’s Current Report on Form 8-K filed with the SEC on December 6, 2023.

(7)For fiscal years 2025, 2024, 2023, 2022, and 2021 the CAP to the PEO and the average CAP to the non-PEO NEOs reflect the following adjustments made to the total compensation amounts reported in the Summary Compensation Table for fiscal years 2025, 2024, 2023, 2022, and 2021, as applicable, computed in accordance with Item 402(v) of Regulation S-K. Adjustments for (a) increase in fair value of awards granted and vesting during the applicable FY, and (b) reduction of fair value of awards granted during prior FY that were forfeited during the applicable FY, were not included as columns because there were no values to report during the covered year:

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

Change in fair

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

value of awards

granted during

Change in fair

Increase in fair

prior FY that

value of awards

Reduction of

Deduction for

value of awards

were outstanding

granted during

fair value of

amounts

granted during

and unvested as

prior FY that

awards

reported in the

applicable FY

of applicable FY

vested during

granted

Increase based

“Stock Awards”

that remain

end, determined

applicable FY,

during prior FY

on dividends or

and “Option

unvested as of

based on change

determined

that were

other earnings

 

Awards”

 

applicable FY

 

in fair value from

 

based on change

 

forfeited during

paid during

columns in the

 

end, determined

 

prior FY end

 

in fair value from

 

applicable FY,

applicable FY

SCT for

as of applicable

 

to applicable FY

 

prior FY end to

determined as

prior to vesting

Total

applicable FY

FY end

 

end

vesting date

of prior FY end

date

Adjustments

Year

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

PEO

 

2025

 

(9,560,140)

 

1,500,590

 

(3,704,854)

 

(504,207)

 

 

 

(12,268,611)

2024

 

(7,833,326)

 

3,808,999

 

(1,292,197)

 

1,212,644

 

 

 

(4,103,880)

2023

 

(5,834,851)

 

4,084,966

 

(49,069)

 

(4,156,695)

 

 

 

(5,955,649)

2022

 

(4,915,897)

 

1,141,587

 

(21,056,470)

 

(1,903,417)

 

 

2,800

 

(26,731,397)

2021

 

(4,400,000)

 

8,409,551

 

29,692,842

 

1,440,780

 

 

16,527

 

35,159,700

Avg. Other NEOs

 

2025

 

(2,274,865)

 

357,070

 

(973,905)

 

(186,780)

 

 

 

(3,078,480)

2024

 

(1,829,018)

 

775,299

 

(314,893)

 

194,987

 

(99,142)

 

 

(1,272,767)

2023

 

(2,086,665)

 

1,597,860

 

(11,257)

 

(177,791)

 

 

 

(677,853)

2022

 

(1,950,021)

 

378,830

 

(2,249,301)

 

(193,567)

 

 

103

 

(4,013,956)

2021

 

(1,700,000)

 

2,841,429

 

2,961,055

 

433,444

 

 

1,784

 

4,537,712

       
Company Selected Measure Name Total Adjusted EBITDA        
Named Executive Officers, Footnote
(1)The name of the Principal Executive Officer of the Company (“PEO”) reflected in these columns for each of the applicable fiscal years is Edward A. Pesicka.
(3)The names of each of the non-PEO NEOs reflected in these columns for each applicable fiscal year are as follows: (i) for fiscal year 2025, Jonathan A. Leon, Andrew G. Long, Perry A. Bernocchi, and Heath H. Galloway; (ii) for fiscal year 2024, Mr. Leon, Mr. Long, Mr. Bernocchi, Mr. Galloway, and Alexander J. Bruni; (iii) for fiscal year 2023, Mr. Long, Mr. Bruni, Mr. Bernocchi, and Daniel J. Starck; (iv) for fiscal year 2022, Mr. Long, Mr. Bruni, Nicholas J. Pace, Mr. Starck, Tammy L. Gomez, and Jeffrey T. Jochims; and (v) for fiscal year 2021, Mr. Long, Mr. Jochims, Christopher M. Lowery, Mr. Pace, and Mark P. Zacur.
       
Peer Group Issuers, Footnote
(4)The Company TSR and the Company’s Peer Group TSR reflected in these columns for each applicable fiscal year is calculated based on a fixed investment of $100 at the applicable measurement point on the same cumulative basis as is used in Item 201(e) of Regulation S-K. The peer group used to determine the Company’s Peer Group TSR for each applicable fiscal year is the following published industry index, as disclosed in our 2025 Annual Report on Form 10-K pursuant to Item 201(e) of Regulation S-K: Russell 3000 Medical Equipment and Services Sector Index.
       
PEO Total Compensation Amount $ 11,157,809 $ 10,737,905 $ 8,389,910 $ 6,245,259 $ 7,680,578
PEO Actually Paid Compensation Amount $ (1,110,801) 6,634,025 2,434,260 (20,486,138) 42,840,278
Adjustment To PEO Compensation, Footnote
(7)For fiscal years 2025, 2024, 2023, 2022, and 2021 the CAP to the PEO and the average CAP to the non-PEO NEOs reflect the following adjustments made to the total compensation amounts reported in the Summary Compensation Table for fiscal years 2025, 2024, 2023, 2022, and 2021, as applicable, computed in accordance with Item 402(v) of Regulation S-K. Adjustments for (a) increase in fair value of awards granted and vesting during the applicable FY, and (b) reduction of fair value of awards granted during prior FY that were forfeited during the applicable FY, were not included as columns because there were no values to report during the covered year:

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

Change in fair

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

value of awards

granted during

Change in fair

Increase in fair

prior FY that

value of awards

Reduction of

Deduction for

value of awards

were outstanding

granted during

fair value of

amounts

granted during

and unvested as

prior FY that

awards

reported in the

applicable FY

of applicable FY

vested during

granted

Increase based

“Stock Awards”

that remain

end, determined

applicable FY,

during prior FY

on dividends or

and “Option

unvested as of

based on change

determined

that were

other earnings

 

Awards”

 

applicable FY

 

in fair value from

 

based on change

 

forfeited during

paid during

columns in the

 

end, determined

 

prior FY end

 

in fair value from

 

applicable FY,

applicable FY

SCT for

as of applicable

 

to applicable FY

 

prior FY end to

determined as

prior to vesting

Total

applicable FY

FY end

 

end

vesting date

of prior FY end

date

Adjustments

Year

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

PEO

 

2025

 

(9,560,140)

 

1,500,590

 

(3,704,854)

 

(504,207)

 

 

 

(12,268,611)

2024

 

(7,833,326)

 

3,808,999

 

(1,292,197)

 

1,212,644

 

 

 

(4,103,880)

2023

 

(5,834,851)

 

4,084,966

 

(49,069)

 

(4,156,695)

 

 

 

(5,955,649)

2022

 

(4,915,897)

 

1,141,587

 

(21,056,470)

 

(1,903,417)

 

 

2,800

 

(26,731,397)

2021

 

(4,400,000)

 

8,409,551

 

29,692,842

 

1,440,780

 

 

16,527

 

35,159,700

Avg. Other NEOs

 

2025

 

(2,274,865)

 

357,070

 

(973,905)

 

(186,780)

 

 

 

(3,078,480)

2024

 

(1,829,018)

 

775,299

 

(314,893)

 

194,987

 

(99,142)

 

 

(1,272,767)

2023

 

(2,086,665)

 

1,597,860

 

(11,257)

 

(177,791)

 

 

 

(677,853)

2022

 

(1,950,021)

 

378,830

 

(2,249,301)

 

(193,567)

 

 

103

 

(4,013,956)

2021

 

(1,700,000)

 

2,841,429

 

2,961,055

 

433,444

 

 

1,784

 

4,537,712

       
Non-PEO NEO Average Total Compensation Amount $ 3,049,141 3,013,978 3,274,168 2,782,307 3,378,068
Non-PEO NEO Average Compensation Actually Paid Amount $ (29,338) 1,741,211 2,596,315 (1,231,650) 7,915,780
Adjustment to Non-PEO NEO Compensation Footnote
(7)For fiscal years 2025, 2024, 2023, 2022, and 2021 the CAP to the PEO and the average CAP to the non-PEO NEOs reflect the following adjustments made to the total compensation amounts reported in the Summary Compensation Table for fiscal years 2025, 2024, 2023, 2022, and 2021, as applicable, computed in accordance with Item 402(v) of Regulation S-K. Adjustments for (a) increase in fair value of awards granted and vesting during the applicable FY, and (b) reduction of fair value of awards granted during prior FY that were forfeited during the applicable FY, were not included as columns because there were no values to report during the covered year:

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

Change in fair

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

  ​ ​ ​

value of awards

granted during

Change in fair

Increase in fair

prior FY that

value of awards

Reduction of

Deduction for

value of awards

were outstanding

granted during

fair value of

amounts

granted during

and unvested as

prior FY that

awards

reported in the

applicable FY

of applicable FY

vested during

granted

Increase based

“Stock Awards”

that remain

end, determined

applicable FY,

during prior FY

on dividends or

and “Option

unvested as of

based on change

determined

that were

other earnings

 

Awards”

 

applicable FY

 

in fair value from

 

based on change

 

forfeited during

paid during

columns in the

 

end, determined

 

prior FY end

 

in fair value from

 

applicable FY,

applicable FY

SCT for

as of applicable

 

to applicable FY

 

prior FY end to

determined as

prior to vesting

Total

applicable FY

FY end

 

end

vesting date

of prior FY end

date

Adjustments

Year

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

  ​

  ​

($)

PEO

 

2025

 

(9,560,140)

 

1,500,590

 

(3,704,854)

 

(504,207)

 

 

 

(12,268,611)

2024

 

(7,833,326)

 

3,808,999

 

(1,292,197)

 

1,212,644

 

 

 

(4,103,880)

2023

 

(5,834,851)

 

4,084,966

 

(49,069)

 

(4,156,695)

 

 

 

(5,955,649)

2022

 

(4,915,897)

 

1,141,587

 

(21,056,470)

 

(1,903,417)

 

 

2,800

 

(26,731,397)

2021

 

(4,400,000)

 

8,409,551

 

29,692,842

 

1,440,780

 

 

16,527

 

35,159,700

Avg. Other NEOs

 

2025

 

(2,274,865)

 

357,070

 

(973,905)

 

(186,780)

 

 

 

(3,078,480)

2024

 

(1,829,018)

 

775,299

 

(314,893)

 

194,987

 

(99,142)

 

 

(1,272,767)

2023

 

(2,086,665)

 

1,597,860

 

(11,257)

 

(177,791)

 

 

 

(677,853)

2022

 

(1,950,021)

 

378,830

 

(2,249,301)

 

(193,567)

 

 

103

 

(4,013,956)

2021

 

(1,700,000)

 

2,841,429

 

2,961,055

 

433,444

 

 

1,784

 

4,537,712

       
Compensation Actually Paid vs. Total Shareholder Return

Graphic

       
Compensation Actually Paid vs. Net Income

Graphic

       
Compensation Actually Paid vs. Company Selected Measure

Graphic

       
Total Shareholder Return Vs Peer Group

Graphic

       
Tabular List, Table

Pay versus Performance Tabular List

The following table lists our most important performance measures used by us to link CAP to our NEOs to company performance for fiscal year 2025. The performance measures included in this table are not ranked by relative importance.

Most Important
Performance
Measures

Total Adjusted EBITDA

Revenue

       
Total Shareholder Return Amount $ 10 48 71 72 161
Peer Group Total Shareholder Return Amount 111 105 99 94 121
Net Income (Loss) $ (1,101,000,000) $ (363,000,000) $ (41,000,000) $ 22,000,000 $ 222,000,000
Company Selected Measure Amount 424,000,000 523,000,000 526,000,000 544,000,000 571,000,000
PEO Name Edward A. Pesicka        
Measure:: 1          
Pay vs Performance Disclosure          
Name Total Adjusted EBITDA        
Non-GAAP Measure Description
(6)We have selected Total Adjusted EBITDA as our most important financial measure (that is not otherwise required to be disclosed in the table) used to link CAP to our NEOs to company performance for fiscal year 2025. Total Adjusted EBITDA is a non-GAAP financial measure, which excludes items and charges that (i) management does not believe reflect the Company’s core business and relate more to strategic, multi-year corporate activities; or (ii) relate to activities or actions that may have occurred without predictable trends from net (loss) income reported in accordance with U.S. GAAP. Charges excluded from Total Adjusted EBITDA and other non-GAAP financial measures include acquisition-related charges and intangible amortization and exit and realignment charges, net, and other adjustments. Total Adjusted EBITDA and other non-GAAP financial measures included in this proxy statement and a reconciliation to the most comparable GAAP equivalent financial measure for the year ended December 31, 2025 is included in Appendix B within this proxy statement, and for the years ended December 31, 2024, 2023, and 2022 are described in the Company’s Current Reports on Form 8-K filed with the SEC on February 28, 2025, February 20, 2024, and February 28, 2023. For the year ended December 31, 2021, a reconciliation to the most comparable GAAP equivalent financial measure is included within exhibit 99.2 in the Company’s Current Report on Form 8-K filed with the SEC on December 6, 2023.
       
Measure:: 2          
Pay vs Performance Disclosure          
Name Revenue        
PEO | Equity Awards Adjustments          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (12,268,611) $ (4,103,880) $ (5,955,649) $ (26,731,397) $ 35,159,700
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (9,560,140) (7,833,326) (5,834,851) (4,915,897) (4,400,000)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,500,590 3,808,999 4,084,966 1,141,587 8,409,551
PEO | 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 (3,704,854) (1,292,197) (49,069) (21,056,470) 29,692,842
PEO | 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 (504,207) 1,212,644 (4,156,695) (1,903,417) 1,440,780
PEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       2,800 16,527
Non-PEO NEO | Equity Awards Adjustments          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (3,078,480) (1,272,767) (677,853) (4,013,956) 4,537,712
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 (2,274,865) (1,829,018) (2,086,665) (1,950,021) (1,700,000)
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 357,070 775,299 1,597,860 378,830 2,841,429
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 (973,905) (314,893) (11,257) (2,249,301) 2,961,055
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 $ (186,780) 194,987 $ (177,791) (193,567) 433,444
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   $ (99,142)      
Non-PEO NEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount       $ 103 $ 1,784