{"transactions":[{"id":766517,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Restricted Stock Units","published_at":"2026-05-22T20:51:56.000Z","date":"2026-05-20","kind":"grant","planned":false,"acquired":true,"shares":2623,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F1","text":"Restricted stock units (\"RSUs\") convert into common stock on a one-for-one basis."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F2","text":"Grant of RSUs as of May 20, 2026. RSUs vest in approximately equal installments on August 20, 2026, November 20, 2026, February 20, 2027, and May 18, 2027. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F2","text":"Grant of RSUs as of May 20, 2026. RSUs vest in approximately equal installments on August 20, 2026, November 20, 2026, February 20, 2027, and May 18, 2027. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."}],"balance_after":2623,"derivative":{"underlying":"Common Stock","underlying_shares":2623},"source":{"system":"sec-edgar","filing":"0001333002-26-000002","document":"wk-form4_1779483113.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000133300226000002/wk-form4_1779483113.xml","form_type":"4"}},{"id":1120119,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Option","published_at":"2025-06-06T22:09:27.000Z","date":"2025-06-04","kind":"exercise","planned":false,"acquired":false,"shares":14739,"price":0,"value":0.0,"ownership":{"direct":true},"balance_after":0,"derivative":{"exercise_price":19.43,"exercise_date":"2017-12-29","expiration_date":"2026-10-17","underlying":"Common Stock","underlying_shares":14739},"source":{"system":"sec-edgar","filing":"0001114483-25-000118","document":"wk-form4_1749247758.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000111448325000118/wk-form4_1749247758.xml","form_type":"4"}},{"id":1120118,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-06-06T22:09:27.000Z","date":"2025-06-04","kind":"sale","planned":false,"acquired":false,"shares":14739,"price":120.384,"value":1774339.776,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $120.0725 to $120.705, inclusive. The reporting person undertakes to provide to Integer Holdings Corporation (the \"Company\"), any security holder of the Company, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1)  to this Form 4."}],"balance_after":18781,"source":{"system":"sec-edgar","filing":"0001114483-25-000118","document":"wk-form4_1749247758.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000111448325000118/wk-form4_1749247758.xml","form_type":"4"}},{"id":1120117,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-06-06T22:09:27.000Z","date":"2025-06-04","kind":"exercise","planned":false,"acquired":true,"shares":14739,"price":19.43,"value":286378.77,"ownership":{"direct":true},"balance_after":33520,"source":{"system":"sec-edgar","filing":"0001114483-25-000118","document":"wk-form4_1749247758.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000111448325000118/wk-form4_1749247758.xml","form_type":"4"}},{"id":1135797,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Restricted Stock Units","published_at":"2025-05-23T20:46:43.000Z","date":"2025-05-21","kind":"grant","planned":false,"acquired":true,"shares":1514,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F1","text":"Restricted stock units (\"RSUs\") convert into common stock on a one-for-one basis."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F2","text":"Grant of RSUs as of May 21, 2025. RSUs vest in approximately equal installments on August 21, 2025, November 21, 2025, February 21, 2026 and May 19, 2026. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F2","text":"Grant of RSUs as of May 21, 2025. RSUs vest in approximately equal installments on August 21, 2025, November 21, 2025, February 21, 2026 and May 19, 2026. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."}],"balance_after":1514,"derivative":{"underlying":"Common Stock","underlying_shares":1514},"source":{"system":"sec-edgar","filing":"0001114483-25-000106","document":"wk-form4_1748033190.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000111448325000106/wk-form4_1748033190.xml","form_type":"4"}},{"id":1399972,"issuer":{"id":87270,"kind":"organization","name":"VAPOTHERM INC","symbol":"VAPO"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Option (right to buy)","published_at":"2024-09-24T13:53:12.000Z","date":"2024-09-20","kind":"disposition_to_issuer","planned":false,"acquired":false,"shares":1089,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_date","element":"exerciseDate","label":"F3","text":"This option, which provided for vesting in full on the earlier of the first anniversary of the date of grant or the Company's 2023 annual meeting of stockholders, was canceled in the merger in exchange for a cash payment equal to: (a) the number of shares of Company common stock underlying the option, multiplied by (b) the excess, if any, of $2.18 over the per share exercise price of such option, which cash payment was $0.00 since this option had an exercise price that exceeded $2.18."}],"balance_after":0,"derivative":{"exercise_price":18.48,"expiration_date":"2032-07-27","underlying":"Common Stock","underlying_shares":1089},"source":{"system":"sec-edgar","filing":"0001235802-24-000074","document":"primary_doc.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1253176/000123580224000074/primary_doc.xml","form_type":"4"}},{"id":1399971,"issuer":{"id":87270,"kind":"organization","name":"VAPOTHERM INC","symbol":"VAPO"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2024-09-24T13:53:12.000Z","date":"2024-09-20","kind":"disposition_to_issuer","planned":false,"acquired":false,"shares":3000,"price":2.18,"value":6540.0,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F2","text":"The restricted stock unit awards, which these shares were subject to, were canceled in the merger in exchange for a cash payment of $2.18 per underlying share."}],"balance_after":0,"source":{"system":"sec-edgar","filing":"0001235802-24-000074","document":"primary_doc.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1253176/000123580224000074/primary_doc.xml","form_type":"4"}},{"id":1399970,"issuer":{"id":87270,"kind":"organization","name":"VAPOTHERM INC","symbol":"VAPO"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2024-09-24T13:53:12.000Z","date":"2024-09-20","kind":"disposition_to_issuer","planned":false,"acquired":false,"shares":9696,"price":2.18,"value":21137.28,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"Disposed of pursuant to an Agreement and Plan of Merger, dated as of June 17, 2024, among Veronica Holdings, LLC, Veronica Intermediate Holdings, LLC, Veronica Merger Sub, Inc. and Vapotherm, Inc. (Company), in exchange for a cash payment of $2.18 per share."}],"balance_after":0,"source":{"system":"sec-edgar","filing":"0001235802-24-000074","document":"primary_doc.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1253176/000123580224000074/primary_doc.xml","form_type":"4"}},{"id":1504106,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Restricted Stock Units","published_at":"2024-05-23T21:33:42.000Z","date":"2024-05-22","kind":"grant","planned":false,"acquired":true,"shares":1480,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F1","text":"Restricted stock units (\"RSUs\") convert into common stock on a one-for-one basis."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F2","text":"Grant of RSUs as of May 22, 2024. RSUs vest in equal installments on August 22, 2024, November 22, 2024, February 22, 2025 and May 20, 2025. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F2","text":"Grant of RSUs as of May 22, 2024. RSUs vest in equal installments on August 22, 2024, November 22, 2024, February 22, 2025 and May 20, 2025. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."}],"balance_after":1480,"derivative":{"underlying":"Common Stock","underlying_shares":1480},"source":{"system":"sec-edgar","filing":"0001114483-24-000089","document":"wk-form4_1716500010.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000111448324000089/wk-form4_1716500010.xml","form_type":"4"}},{"id":1632935,"issuer":{"id":94112,"kind":"organization","name":"Eargo, Inc.","symbol":"EAR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Options (Right to Buy)","published_at":"2024-02-20T22:52:23.000Z","date":"2024-02-16","kind":"disposition_to_issuer","planned":false,"acquired":false,"shares":5000,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."},{"field":"price","element":"transactionPricePerShare","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."}],"balance_after":0,"derivative":{"expiration_date":"2033-06-06","underlying":"Common Stock","underlying_shares":5000},"source":{"system":"sec-edgar","filing":"0000950103-24-002450","document":"dp206982_4-spence.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1333002/000095010324002450/dp206982_4-spence.xml","form_type":"4"}},{"id":1632934,"issuer":{"id":94112,"kind":"organization","name":"Eargo, Inc.","symbol":"EAR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Options (Right to Buy)","published_at":"2024-02-20T22:52:23.000Z","date":"2024-02-16","kind":"disposition_to_issuer","planned":false,"acquired":false,"shares":5859,"ownership":{"direct":true},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."},{"field":"price","element":"transactionPricePerShare","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F1","text":"Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the \"Merger Agreement\"), at the effective time of the merger (the \"Effective Time\"), each award of Eargo stock options (\"Options\") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the \"Merger Consideration\") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the \"Shares\")"},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F2","text":"covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time."}],"balance_after":0,"derivative":{"expiration_date":"2032-12-06","underlying":"Common Stock","underlying_shares":5859},"source":{"system":"sec-edgar","filing":"0000950103-24-002450","document":"dp206982_4-spence.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1333002/000095010324002450/dp206982_4-spence.xml","form_type":"4"}},{"id":1691428,"issuer":{"id":87270,"kind":"organization","name":"VAPOTHERM INC","symbol":"VAPO"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2024-01-03T16:41:41.000Z","date":"2024-01-01","kind":"grant","planned":false,"acquired":true,"shares":6000,"price":10,"value":60000.0,"ownership":{"direct":true},"footnotes":[{"field":"shares","element":"transactionShares","label":"F1","text":"Restricted stock unit award granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in lieu of director cash retainers for 2024.  The restricted stock unit award will vest in four nearly equal installments on each of March 31, 2024, June 30, 2024, September 30, 2024 and December 31, 2024."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"Includes 8,625 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards."},{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F2","text":"Includes 8,625 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards."},{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F3","text":"On August 18, 2023, a 1-for-8 reverse split of the common stock of Vapotherm, Inc. occurred resulting in a decrease in the number of shares held by the reporting person.  In addition, proportionate adjustments have been made to the reporting person's outstanding equity awards, including the number of restricted stock units as reflected on this Form 4 and described in footnote (2) to this Form 4, to reflect the 1-for-8 reverse stock split."}],"balance_after":12696,"source":{"system":"sec-edgar","filing":"0001235802-24-000011","document":"primary_doc.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1253176/000123580224000011/primary_doc.xml","form_type":"4"}},{"id":1782329,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Option","published_at":"2023-09-13T20:00:09.000Z","date":"2023-09-11","kind":"exercise","planned":false,"acquired":false,"shares":1206,"price":0,"value":0.0,"ownership":{"direct":true},"balance_after":0,"derivative":{"exercise_price":19.43,"exercise_date":"2016-10-17","expiration_date":"2026-10-17","underlying":"Common","underlying_shares":1206},"source":{"system":"sec-edgar","filing":"0001209191-23-049244","document":"doc4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":6,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000120919123049244/doc4.xml","form_type":"4"}},{"id":1782328,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Stock Option","published_at":"2023-09-13T20:00:09.000Z","date":"2023-09-11","kind":"exercise","planned":false,"acquired":false,"shares":5294,"price":0,"value":0.0,"ownership":{"direct":true},"balance_after":14739,"derivative":{"exercise_price":19.43,"exercise_date":"2017-12-29","expiration_date":"2026-10-17","underlying":"Common","underlying_shares":5294},"source":{"system":"sec-edgar","filing":"0001209191-23-049244","document":"doc4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":5,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000120919123049244/doc4.xml","form_type":"4"}},{"id":1782327,"issuer":{"id":4016,"kind":"organization","name":"Integer Holdings Corp","symbol":"ITGR"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2023-09-13T20:00:09.000Z","date":"2023-09-11","kind":"sale","planned":false,"acquired":false,"shares":5294,"price":82.264,"value":435505.616,"ownership":{"direct":true},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F1","text":"The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $82.18 to $82.41, inclusive. 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RSUs vest in equal installments on August 24, 2023, November 24, 2023, February 24, 2024 and May 21, 2024.  The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F2","text":"Grant of RSUs as of May 24, 2023. RSUs vest in equal installments on August 24, 2023, November 24, 2023, February 24, 2024 and May 21, 2024.  The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer."}],"balance_after":2246,"derivative":{"underlying":"Common","underlying_shares":2246},"source":{"system":"sec-edgar","filing":"0001209191-23-032360","document":"doc4.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1114483/000120919123032360/doc4.xml","form_type":"4"}},{"id":2066652,"issuer":{"id":87270,"kind":"organization","name":"VAPOTHERM INC","symbol":"VAPO"},"owners":[{"id":44853,"kind":"person","name":"Spence Donald J","position":1,"cik":"0001333002","reported_name":"Spence Donald J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2023-01-04T18:53:09.000Z","date":"2023-01-02","kind":"grant","acquired":true,"shares":12000,"price":2.7,"value":32400.0,"ownership":{"direct":true},"footnotes":[{"field":"shares","element":"transactionShares","label":"F1","text":"Restricted stock unit award granted under the Vapotherm, Inc. 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