you, of sales quarter lower million, primarily XX.X% was and by from for Total driven direct-to-consumer and sales. good by XXXX offset rental revenues, of partially XXXX. increase The quarter everyone. the year-over-year U.S. revenue growth Thank was Nabil, fourth the business higher $XX.X afternoon, fourth
increased currency total had over points basis revenue XXX on impact For revenue impact XXXX. the XX.X% fourth constant QX and points a quarter On fourth negative the negative quarter, XXX revenue. international foreign total exchange a on basis, basis
the fourth and Domestic fourth in XXXX quarter the $XX.X orders million quarter in fill at compared fulfillment basis. $XX.X open to ones. of as revenue XXXX BXB new with a of of more prioritize XXX.X% on revenue Looking increased period million we comparable the detailed
of note that the to shipment considerably quarter fourth to channel. billable the business 'XX Rental to quarter due as is in $XX.X fourth fruits, limited continue It increased business to XXXX constraints bear $XX from domestic revenue increased QX in million the to XXXX that initiative important in resulting revenue in million prescriber was XX.X% down the of to investment the supply in our patients.
Medicare in was the quarter also BXB billable in $XX.X a total revenue rates percent positively XXXX impacted $XX.X sales by period to increased million higher reimbursement patients the patients X.X% of and as Rental on International from comparable million XXXX. service. of fourth of higher
to to million mentioned EU received lower higher to product, compared our in sales earlier, fourth primarily MDR Europe. in the the driven new by commercialize mix our X inside in Nabil of fourth in $XX.X of Rove quarter of $XX we a reps period. As million decreased XXXX XX.X% fewer us XXXX, the quarter countries in un-tenures and due as Direct-to-consumer sales sales representatives to prior volumes from certificate December, select enabling
business-to-business revenue X.X% basis. rental increase was year-over-year revenue, business revenue XXXX. Total to in business direct-to-consumer and partially compared to by to and of primarily increased international million sales declines full due higher sales. The year on Moving U.S. to a offset $XXX.X
point For over impact negative a a points of exchange revenue. basis, On year, basis year a the basis foreign international impact on and had XXXX. total constant increased currency revenue full XXX negative XXX X.X% full
in as International Europe EU XXXX QX. $XX.X shipments XXXX expiration million MDD BXB from for to sales increased XX.X% we $XXX.X the of million year prioritized in ahead full to certificate
full was satisfying received were in from X increased year the for demand million when XX.X% XXXX EU in Europe. million $XX.X MDR the December, to Rove revenue $XX.X Additionally, begin units Rental the able to in for certificate we XXXX. new
continued on in to Due team rental the patients higher the prescriber of service. generating success
patients realized total have patients benefited a on higher higher rate. we Additionally, and from reimbursement of service billable Medicare percent as
Domestic the BXB number offset for reps, XXXX, during sales million decreased from decreased prices. higher non-tenured to first partially selling $XXX.X limited direct-to-consumer XXXX, lower $XX.X chain XXXX, with constraints driven Domestic X.X% full year, ability sales customer demand million by X.X% $XXX.X revenue to increased average half year to and $XX volume meet of to prices. million represented supply increased full due for a year sales of percentage in selling due all XXXX the average our to in that the partially by compared primarily of million offset lower the
Sales from on our the driven gross fourth the volumes. increased quarter declining for basis offset margin. material gross points higher This increased costs. warranty revenue by discuss in Now higher costs, XXX mix, channel margin partially XXXX, to XX.X% and production period comparable semiconductors of made was by from [ph] manufacturing productivity, including XXXX, in premiums was primarily
increased quarter service basis gross rate. the fourth device by margin the points. was revenue Rental decline primarily margin versus and Medicare was in offset XXXX, quarter higher in XXXX The compression XX.X% recoveries, fourth partially costs XXX XX.X% of reimbursement by of of driven a
revenue margin components. in in $XX.X driven higher premiums costs motherboards sales was XX.X% portable higher our million by to points of year, semiconductor declining market used of compared expensed full XXXX, the with required XXXX, XXXX, manufacture concentrators. paid for open oxygen the and purchases gross batteries to material basis primarily For company XXX In associated
prices. rates. warranty increased to we XX.X% addition, by mix, of XXXX. service was XXXX, compression partially points benefit an by selling offset margin XXX offset partially reimbursement margin and declining In higher The Medicare channel the basis compared costs recovery, by revenue was and in gross unfavorable device driven higher higher experienced Rental
to Total in $XX.X quarter, in operating $XX quarter million increased the Moving to fourth the compared on XXXX. to million of expense. operating expense
disposal sales costs, to partially one-time the and expenses research costs. $XX.X a an decreased expense by intangible due of and asset. and million primarily offset associated on Excluding to lower loss million, Operating development and with higher $XX.X marketing administrative general
on detail expenses fourth more our the in into Going quarter.
XXXX. $X.X and research the increased majority an was clinical of of continued research We a and pro-development versus in of total fourth of $X.X The to invest with increase of the the this spend million, have development quarter million quarter activities. spend
of by For expense had prescriber quarter total a expense, increased commissions $X.X primarily sales and of $XX.X marketing, related the spending median reduced partially million. the to in consulting. the professional spend advertising initiatives, decrease The and offset bonus we for lower was fees and spend million on
And prior the capabilities million $X.X the company. increase new This out for expenses in was finally, aimed as fair representing and expenses a to $X.X general we in offset compared to administrative the era million from rebuilding incurred change million in of of liability, earn period. core QX by $XX the personnel-related value benefit partially increases in at
year full million $XXX.X million XXXX. to increased total the compared For in operating expenses XXXX, to $XXX.X
to Excluding of expenses aforementioned loss million $XXX.X operating $XX.X million. intangible disposal an the on increased asset,
spend. Going into more detail on annual our
related for continued million, $X.X invest the a $XX.X and technology. to amortization We in have of with year research total inclusive expense development of intangibles the million TAV to
evidence current in and future versus spend clinical of build and million dossier XXXX development of was support income $X.X products. bolster to The capability our a product used our
million, lower expenses of $X remaining fees total million and primarily and well we sales and spend advertising consulting and a For costs. professional an as commissions rate $XXX.X of had increase, the media offset partially as by and marketing,
increase And general in value of $X.X the incurred to primarily million earnout and liability and The expenses. $XX.X from finally, a increases we in change a the for These transition offset employee-related fees. million officer increase partially costs. in million by expenses, were newer legal and higher was administrative fair decrease benefit consulting $X.X the due
adjusted per negative million per EBITDA On Adjusted million the a $X.XX. we loss adjusted quarter loss XXXX, share of and share a diluted an and reported loss of of net million. loss basis, $X.XX. diluted of an was reported $XX.X a $XX net a In $XX.X fourth we of
an EBITDA XXXX, the share million. $XX.X $X.XX. reported net of lost we and adjusted For basis, full million per loss year loss $XX.X of million negative diluted reported and On $XX.X diluted share a loss of we a a $X.XX. Adjusted of net was an adjusted
balance Moving our sheet. on to
no driven of XXXX, as and million quarter. had of XX, Accounts December large $XXX balances this in to XXXX, equivalents $XX.X BXB December of receivable cash increase increased As debt million shipments cash a we by outstanding. with
for fourth open but We incurring semiconductor on current the not the investments the additional to on inventory. make in balance or These sold quarter market, premiums continue reside prepaid in the other inventory, our purchased items semiconductor as sheet and finished in yet assets and goods. expense
prepaid respectively. and As balances of were $X December inventory of XX, and our million value XXXX, premium million, component in $XX.X the
Additionally, were as intangible the inventories disposal on of $XX.X of $X.X million, and assets. a reduced million intangible loss by assets result and respectively,
outlook. our I will turn financial to now
annual providing As Nabil earlier, we are guidance XXXX. revenue mentioned for
total company mid-single to low digits. expecting are grow We the in to revenue
we to As of anticipate by for positive quarter we continue the reaching profitability, fourth EBITDA drive adjusted XXXX.
help the further below productivity the ramp that first to evolution are DXC year sales quarter patterns To time in channel. the well and of the lowest BXB last revenue year we renewability order to BXC be due the the to as we returning given the models, as context provide normalized and channel, of for to expecting saw model in the levels quarter continued
expect as dosed productivity revenue but efforts We the BXC are efficiency year, cash to the first the realized. of recovering second and half half the in be
in BXB gain the brands We of year we channel to normalize. back the in are reimbursement revenue expecting as growth the half continues and in ramp to sales
expenses. cost come the we efforts, of long-term in remain which addition, see the the to our for expansion In while and premium to operating to medium- Improvements expansion half our volumes increased. production are drive allows gets as bottom growth also the would year investment management needed line and of from expect margin price limiting supply in XXXX increases price as better components, back in
expect EBITDA XXXX, quarter. As positive we the by to reach we to fourth adjusted look
invest initiatives, up our key our while continuing improve set to profitability. line to and expenses managing revenue growth which judiciously bottom in long-term for are We us
And with to that, take questions. your we will happy be