into call as some as full key to year. the revenue you a Digging I year to quarterly results. a course to echo increase regarding our Thank year XXX we've performance review of sentiment Jason's on start Teladoc progress want in detail XX% quarter over compared join fourth today represents Total you, I'll highlight Jason. the the well and significant million made to $XXX.X Health's ago. revenue. the I'm results, more of happy with the
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that with paid As membership. a PMPM reminder, our U.S. definition or paid of are members U.S. associated include the members just
adjusting reflected addition, on to fourth impact fee the from On an the available it X.X million at quarter for compared Advance in was a Medical. month In quarter fourth member or of access to the average when per for individuals $X.XX visit PMPM per XXXX forma $X.XX or basis $X.XX pro year end.
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visits X.X% million them in were the XXX,XXX total from closer members. completed reflected the included visits increase we X.X and the visits my were utilization in our a visits the U.S. To for visits the XXX completed totaled quarter visits paid the over at up $XX.X paid the wrap fourth Taking For individuals International commentary visits of of XXXX. members membership only on during XXX,XXX paid XX% full-year XXX,XXX U.S. access. a we and is rate our up XX,XXX quarter, annual million XX% or visits X.X% revenue, in look approximately from generated our XXXX. other quarter with and quarter, from at
As to margins reflects and with of specialty primarily gross a for line visits services. Gross XX.X% in margins decline from reminder, in at as and visits this well medical a in fourth the health were medical our the comprised includes behavioral XX.X% compared revenue the quarter quarter general line commercial in mix Advance expert revenue the as The year-over-year Medical. expectations shift of year. of last acquisition other
margin XX.X% XXXX. gross for to was compared full-year the XX.X% our For
In terms to increase. compared $XX.X the we million XX% a representing dollars in of gross ago, fourth generated a million quarter year $XX.X margin
as totaled increase XXXX. from million $XXX XXXX of million of For of $XXX.X fourth Operating increase last in from the an expense the quarter margin an XX% the total acquisition of revenue stock non-cash year. quarter the of which dollars charges gross increased full-year XXXX or of million, $XX in XX% fourth Eliminating compensation, been operating to represents compared adjusted well XX% amortization, such quarter as revenue. depreciation as $XX.X related million to one-time would or total XX% $XX.X expenses have million costs, and
Adjusted to operating from full revenue XX% operating XXXX. year, million the EBITDA aforementioned as which year's adjusted ability increased $X.X at compares for leverage. the to reflecting quarter last of fourth XXXX in favorably improved the XX% to $X.X for Looking the our million quarter, from was down the expenses percentage a generate
for to loss On EBITDA to first $XX.X prior the the mentioned, statement, reduced million XXXX time net from Jason net the As compared a adjusted in basis $X.XX fourth my million was loss ending was per loss the year. in million. last full-year our $X.XX $XX.X the on Concluding of share quarter year. $XX.X our of at recorded we rundown reduced the to income year a for positive quarter
was a year from $XX.X a $XXX.X the our basis million XXXX. in to XXXX XXXX. from $X.XX reduced was in For full net net to reduced million per loss On loss share our $X.XX
and we year million ended in to cash $XXX.X with the equivalents balance the short-term Turning sheet, investments. cash,
to the convertible X/X% Our million initial XXXX X% convertible quarter the notes was the $XXX.X XXXX. our total now XXXX full-year end back December million mature outlook. issuances, our XXXX the and of and provide I'll Jason? over of debt concludes the of that my X the mature to Jason XXXX turn fourth That notes of at as consists call review results. two note end which $XXX.X of million at that XXX XX,