everyone for afternoon the Good call. Julie, you, Thank on
psoriasis, we Clinical hundreds and I appointed turnaround eczema. extract proven results continue CEO of for quarter, late [indiscernible] the execute to the multifaceted when year. on was thousands treated across strategy using are patients last coming of introduced our During quarters per and our to device the the first primarily domestic installed base recurring device DTC across utilization XXX and revenue adjusting devices. is increasing focused our device And placements over of strategy approximately extract marketing on extract our drive
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spend from of and is increased So we significant. underperforming DTC both our of extract looking the are repositioning on extra base utilization always a installed devices our to devices optimize placements,
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the evidence and been already may our are that initiatives, We encouraged have are have seen by strategic we impacted our on by business right positively path. that domestic
first our past end making the X% quarter gross XXXX, the year-over-year, X down of XXXX. quarter just domestic since the of recurring second billings quarters year-over-year the In in of the that decline were smallest
quarter billings turn first some business XXXX recurring in recent in quarter of most providing metric that domestic quarter metric can the positive and a was X% of much this upcoming this improvement, was of the optimism quarters, During further the marked turnaround. cementing down in fourth Thus, respectively. the XX% of X XX%, this decline second through quarters, XX%, XXXX smaller gross from XXXX, the
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optimization this the upcoming to in quarters. continue expect We
installed grew of our device we continue recurring XX% first the XX, March to from XXX [indiscernible] XXXX base of implementation growing installed Beyond our revenue the at XTRAC, TheraClearX the we XXXX. the of the model. end In base through domestic at quarter, successfully
beginning encouraged CPT the of acne are the to by We surgery code. use clinics uptake
of in week recurring with as quarters. dermatology acne of partners ended with approach are limitations charts XX There reimbursement can million over quarter revenue underlying RDF existing acne per rate insurance at with previous a first to XXX the the unique XTRAC same clinics address The reimbursable the XX U.S. our patients to TheraClearX photo of period in and for drive similar model. and the none the reimbursable compared XX charts submitting at and treatments
international distributors markets with continued is our and same us. exclusive December we our for penetration for XX% revenues. revenue the total the with XXXX, in in Japan. early those revenue, -- agreement in territories late we've Lastly, these of International did an XX% objective our Korea. extended April, our China to In for over distributor of typically And exclusive also distribution XX% alone key account accounts and in approximately
these long-lasting relationship extend for trials. both to So mutually is beneficial
our last billings, quarter, or in gross on growth by reaching to efforts, components reduced Notably, marketing to XX% the expenses this discussing expect of compared we key in continued our and driving domestic DTC cash about $X strategy are will key operating -- We focus future us first the before, these burn each improved which our by operating A [indiscernible] future we we've our profitability. to initiatives recurring in in controls. collective -- million them million leverage talked turnaround forward, see and demonstrate $X.X for Going XX%, in cost year. utilization continue or strategic calls. expert and initiative is and
of to commitment cash tangible profitable. these becoming of runway the financial and our company our changes As extending losses, and narrowing proof are results the
results to more turn over I'd in detail. much call who our to Now like financial the Chris? review Chris will