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Pay vs Performance Disclosure
12 Months Ended
Dec. 31, 2022
USD ($)
item
Dec. 31, 2021
USD ($)
item
Dec. 31, 2020
USD ($)
item
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]

Value of Initial Fixed $100 Investment Based on:

Year

Summary
Compensation
Total for the
Principal
Executive
Officer (“PEO”)

Compensation
Actually Paid
to the PEO

Average
Summary
Compensation
Table Total for
Non-PEO
Named
Executive
Officers
(“NEO”s)

Average
Compensation
Actually Paid to
Non-PEO NEOs

Total
Shareholder
Return

Peer Group
Total
Shareholder
Return

Net
Income
(loss)
(in $M)

Non-GAAP
Operating
Margin
(%)

(a)

(b)(1)

(c)(1)(2)

(d)(3)

(e)(2)(3)

(f)

(g)(4)

(h)

(i)(5)

2022

8,128,833

12,087,645

2,091,141

2,009,224

126.12%

20.22%

74,516

17.0%

2021

7,537,100

10,691,399

1,678,125

2,266,274

99.50%

65.73%

48,454

16.0%

2020

7,703,508

12,603,991

1,722,505

2,903,044

77.78%

45.61%

(9,843)

13.7%

(1)

Fred P. Lampropoulos was the PEO for all three years in the table.

(2)

SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine “compensation actually paid” as reported in the Pay versus Performance Table. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under the applicable SEC rules. The following table details these adjustments:

Summary Compensation Table Total

Subtract Stock Awards

Add Year-End Equity Value

Change in Value of Prior Equity Awards

Add Change in Value of Vested Equity Awards

Subtract Value of Equity Awards that Failed to Meet Vesting Conditions

Compensation Actually Paid

Year

Executives

($)

($)

($)

($)

($)

($)

($)

2022

PEO

8,128,833

(5,330,097)

5,376,613

1,434,847

2,477,449

12,087,645

Non-PEO NEOs

2,091,141

(980,076)

819,171

211,296

253,211

(385,519)

2,009,224

2021

PEO

7,537,100

(4,146,759)

5,567,123

756,685

977,250

10,691,399

Non-PEO NEOs

1,678,125

(691,110)

927,825

170,049

181,385

2,266,274

2020

PEO

7,703,508

(4,976,970)

5,425,560

2,390,685

2,061,208

12,603,991

Non-PEO NEOs

1,722,505

(893,427)

834,434

557,540

681,992

2,903,044

(3)

For 2022, Raul Parra, Neil W. Peterson, Brian G. Lloyd, Joseph C. Wright and Ronald A. Frost were the Non-PEO NEOs. For 2021 and 2020, Raul Parra, Ronald A. Frost, Brian G. Lloyd and Joseph C. Wright were the Non-PEO NEOs.

(4)

Peer Group Total Shareholder return is based on NASDAQ Stocks (SIC 3840-3849 US Companies Surgical, Medical, and Dental Instruments and Supplies).

(5)

The Company Selected Measure is Non-GAAP Operating Margin. Non-GAAP operating income is calculated by adjusting GAAP operating income for certain items which are deemed by the Company’s management to be outside of core operations and vary in amount and frequency among periods, such as expenses related to acquisitions or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, certain severance expenses, performance-based stock compensation expenses, corporate transformation expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, governmental proceedings, and changes in governmental or industry regulations, as well as other items. Non-GAAP operating margin is calculated by dividing non-GAAP operating income by reported net sales. A reconciliation of non-GAAP financial measures used in this Proxy Statement to their most directly comparable GAAP financial measures is included under the heading “Non-GAAP Financial Measures” below. The Company selected this measure because it is a principal metric upon which our Foundations for Growth Program is based, and a key metric considered by the Compensation Committee in making its determinations regarding compensation of our PEO and Non-PEO NEOs.

   
Company Selected Measure Name Non-GAAP Operating Margin    
Named Executive Officers, Footnote [Text Block]

(1)

Fred P. Lampropoulos was the PEO for all three years in the table.

(3)

For 2022, Raul Parra, Neil W. Peterson, Brian G. Lloyd, Joseph C. Wright and Ronald A. Frost were the Non-PEO NEOs. For 2021 and 2020, Raul Parra, Ronald A. Frost, Brian G. Lloyd and Joseph C. Wright were the Non-PEO NEOs.

   
Peer Group Issuers, Footnote [Text Block]

(4)

Peer Group Total Shareholder return is based on NASDAQ Stocks (SIC 3840-3849 US Companies Surgical, Medical, and Dental Instruments and Supplies).

   
PEO Total Compensation Amount $ 8,128,833 $ 7,537,100 $ 7,703,508
PEO Actually Paid Compensation Amount $ 12,087,645 10,691,399 12,603,991
Adjustment To PEO Compensation, Footnote [Text Block]

(2)

SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine “compensation actually paid” as reported in the Pay versus Performance Table. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under the applicable SEC rules. The following table details these adjustments:

Summary Compensation Table Total

Subtract Stock Awards

Add Year-End Equity Value

Change in Value of Prior Equity Awards

Add Change in Value of Vested Equity Awards

Subtract Value of Equity Awards that Failed to Meet Vesting Conditions

Compensation Actually Paid

Year

Executives

($)

($)

($)

($)

($)

($)

($)

2022

PEO

8,128,833

(5,330,097)

5,376,613

1,434,847

2,477,449

12,087,645

Non-PEO NEOs

2,091,141

(980,076)

819,171

211,296

253,211

(385,519)

2,009,224

2021

PEO

7,537,100

(4,146,759)

5,567,123

756,685

977,250

10,691,399

Non-PEO NEOs

1,678,125

(691,110)

927,825

170,049

181,385

2,266,274

2020

PEO

7,703,508

(4,976,970)

5,425,560

2,390,685

2,061,208

12,603,991

Non-PEO NEOs

1,722,505

(893,427)

834,434

557,540

681,992

2,903,044

   
Non-PEO NEO Average Total Compensation Amount $ 2,091,141 1,678,125 1,722,505
Non-PEO NEO Average Compensation Actually Paid Amount $ 2,009,224 2,266,274 2,903,044
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]

(2)

SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine “compensation actually paid” as reported in the Pay versus Performance Table. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under the applicable SEC rules. The following table details these adjustments:

Summary Compensation Table Total

Subtract Stock Awards

Add Year-End Equity Value

Change in Value of Prior Equity Awards

Add Change in Value of Vested Equity Awards

Subtract Value of Equity Awards that Failed to Meet Vesting Conditions

Compensation Actually Paid

Year

Executives

($)

($)

($)

($)

($)

($)

($)

2022

PEO

8,128,833

(5,330,097)

5,376,613

1,434,847

2,477,449

12,087,645

Non-PEO NEOs

2,091,141

(980,076)

819,171

211,296

253,211

(385,519)

2,009,224

2021

PEO

7,537,100

(4,146,759)

5,567,123

756,685

977,250

10,691,399

Non-PEO NEOs

1,678,125

(691,110)

927,825

170,049

181,385

2,266,274

2020

PEO

7,703,508

(4,976,970)

5,425,560

2,390,685

2,061,208

12,603,991

Non-PEO NEOs

1,722,505

(893,427)

834,434

557,540

681,992

2,903,044

   
Total Shareholder Return Amount $ 126.12 99.50 77.78
Peer Group Total Shareholder Return Amount 20.22 65.73 45.61
Net Income (Loss) $ 74,516,000,000 $ 48,454,000,000 $ (9,843,000,000)
Company Selected Measure Amount | item 17,000,000.0 16,000,000.0 13,700,000
PEO Name Fred P. Lampropoulos    
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Non-GAAP Measure Description [Text Block]

(5)

The Company Selected Measure is Non-GAAP Operating Margin. Non-GAAP operating income is calculated by adjusting GAAP operating income for certain items which are deemed by the Company’s management to be outside of core operations and vary in amount and frequency among periods, such as expenses related to acquisitions or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, certain severance expenses, performance-based stock compensation expenses, corporate transformation expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, governmental proceedings, and changes in governmental or industry regulations, as well as other items. Non-GAAP operating margin is calculated by dividing non-GAAP operating income by reported net sales. A reconciliation of non-GAAP financial measures used in this Proxy Statement to their most directly comparable GAAP financial measures is included under the heading “Non-GAAP Financial Measures” below. The Company selected this measure because it is a principal metric upon which our Foundations for Growth Program is based, and a key metric considered by the Compensation Committee in making its determinations regarding compensation of our PEO and Non-PEO NEOs.

   
PEO [Member] | Subtract Stock Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ (5,330,097) $ (4,146,759) $ (4,976,970)
PEO [Member] | Add Year-End Equity Value      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 5,376,613 5,567,123 5,425,560
PEO [Member] | Change in Value of Prior Equity Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 1,434,847 756,685 2,390,685
PEO [Member] | Add Change in Value of Vested Equity Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 2,477,449 977,250 2,061,208
Non-PEO NEO [Member] | Subtract Stock Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (980,076) (691,110) (893,427)
Non-PEO NEO [Member] | Add Year-End Equity Value      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 819,171 927,825 834,434
Non-PEO NEO [Member] | Change in Value of Prior Equity Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 211,296 170,049 557,540
Non-PEO NEO [Member] | Add Change in Value of Vested Equity Awards      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 253,211 $ 181,385 $ 681,992
Non-PEO NEO [Member] | Subtract Value of Equity Awards that Failed to Meet Vesting Conditions      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ (385,519)