Bob. call. today. to thanks significant and into you, you the carried the earnings strong the around continued full CFO, our welcome results. is our full XXXX performance our We And Rick has quarter Thank and of start financial Buchholz financial and for of XXXX. am momentum our joining I'll with fourth with follow with ended over provide I year quarter you year operational details will comprehensive XXXX driving us year that pleased everyone and to review fourth a us what
Following this the up open questions. call your we'll for
obstructive As such to to untreated, therapy as I in reinforce outset the the apnea Europe look with of to patient regions in like Inspire deliver outcomes new to and consistent States, of increase is for want United well I those these of the awareness which calls, to mission Japan. and the in at positive and as adoption do sleep Inspire
raised I Before on follow-on $XX.X we December million like offering in touch get operational which successful net the the Inspire. completed results, XXXX, to we for of proceeds would to
us in programs to and Europe in financing and to Japan. hire this enable sales the expand US Importantly, personnel, will and commercial marketing in primarily additional
in we further product technology accelerate addition, platform. our will investment In our development to enhance
offering long-term all the shareholder on and of participated are we of investors grateful value. support who creating remain the for the We focused in
implanting of with centers. XXXX the performance the our objective US growth we opening in first focused market regarding flow balanced which So, training our at existing commercial and patient and increasing primarily is centers with strategy, secondly, on continue new
the have adoption continue to our that those Germany established in the on commercial on Europe, US of we and addition the directing intend activities Inspire In market, focus to Netherlands. reimbursement countries our primarily growing therapy
Our also in to continue reimbursement European key will countries. European team other pursue
As we've the Neurostimulator regulatory include Inspire we Further, filing previously and updated X our Japan. discussed, regulatory to in lead. new have approval the have we new sensing
We and Asia-Pacific of the by encouraged into are the With progress We're said, first the date. that in second in the formal we countries to the target Inspire of anticipate 'XX authorities in also in region. also half are to all reimbursement the in other implants with therapy expanding Japan a working of occur and XXXX. beginning Japan launch process
million, of continues performance increase Worldwide the year. revenue the had strategy million, of XX period As we the a for of our total Throughout $XX.X million increase These strong from XXX. year of overall $XX.X performance end almost we our revenue to provided with of full exceeded the results aspects the year over compared same during top $XX.X XXXX significant XX% resulted $XX this of XX% in fourth XXXX US end XXXX We XXXX added strong revenue new all previously indicate, results our the was a an over guidance million. was at ending XXXX. the quarter line XXX fourth fourth XXXX to of quarter, prior This year business. XXXX. XX% growth generate increase of centers to quarter to which had the centers
quarter, Regarding XX. of during a XXXX added territory with ending managers, fourth we six the total
We employed increase new management to with sales of case added and managers we the and have additional managers the at For level field end with XXXX territory XX representative coverage. we managers representing over of territory nine help XX% hired XXXX. began newly clinical the a regional added XX year,
in with our We expect that impact will and our have overall new territory discuss managers growth, we these shortly. centers on will progress as reimbursement positive a
quarter, in a five our XX quarter, opening increasing from to our of at our goal XXXX territory three of of goal increase to of an adding per XX goal XXXX XX per four. rate versus new increase centers, managers goal centers to new an are to of XX four We our
process the priority Moving In team with onto and have significant two United continuing a is written policies to reimbursement. this market key reimbursement the coverage authorization. continue an positive access, have to States, This we progress. we for prior where obtain be individual also an strategies, and expanding continues known area recently achieved as concurrent to
previously the achievement we million the assessment Evidence lives. federation receiving of policies the of has corporate major States of January, favorable combined impact Inspire companies first coverage in Evidence seven group Cross United XX million Shield Inspire of positive is Shield announced Cross Association. health of is As -- technical reimbursement therapy. occurred assessment Blue seven when Street had is Blue national XX Blue a coverage plans, a associations in eight issued favorable have generating the a assessment, Street issued positive related that covering leading when therapy Shield by This Blue already and in Cross approximately a just covering one decisions. lives. It last in In since the been XX.X Blue weeks Blue meaningful assessment health the
in the not-for-profit we policies that policy continues New we review expect a the cycle and the reducing health trend, see with announce Jersey from policies New issued impact approximately Blues York, Connecticut. beyond be additional takes Blue which pleased our are today expect Blue Adding XXXX. effect a XXXX. continue which Cross a We positive regional Aetna therapy, that issued approval to recent plan of positive Shield, rates positive coverage have EmblemHealth, of largest several throughout April positive The times, key Policy to the Blues New EmblemHealth to will across issued covers members on million York's XXXX policies National coverage Inspire especially to from we Coverage X and plans. coverage growing list has a
authorization begin days I policies, it Although see prior to you XXXX these meaningful our remind regards days excited with these rate impact the to to XXXX that take policies below like obviously five time the time higher we're our about in six momentum With a which authorizations, XXXX. we XX%, on in new to coverage approval approval to expect it would at months, that XX% prior XXXX, process was implementation with XXX centers. and approximately through we implanting average to in XX the than the the least of work as in notably first takes overall approximately was the will to to reduced is experienced at and payers
we to expect approval that continue prior approval we coverage rates as develop the policies authorization well will average additional time to as As to continue improve.
long-term report that as in these on become to our coverage We these do we centers also positive believe burden overall submitting But the by authorizations more is metrics prior metrics. in prior will policies, authorizations cases, of that to to their on the evaluating process term, streamlined forward. meaningful less many individual will enabled full with the exposure submissions. Therefore, these reduce goal are short going these progress In not we own. continue have
submissions authorization average supported XX team in on of XXXX internal Our XXX fourth per week. prior the submissions an quarter of
submitted For the centers supported we X,XXX year, authorizations. and prior
by XX of of XX, coverage Please note, quarter the quarter XX, policy. reflects slight Aetna the bonus Our third in XX following the weekly was positive average patients in issuance resubmission and submissions XXXX of the increase respectively.
full to prior in XXXX, for and year patients compares the XXX% of approval which This the approvals, the approval In XXXX third the received in year-over-year. XXXX. a improvement terms authorization authorization X,XXX of approvals prior received patients XXX authorization XXX quarter a prior of represents total
for they As on to and metrics as long monitor I data these our relevant business. we assessing report performance point continue of will the as mentioned, them a remain
code was The there a have confusion Category did agenda. will update there's was discussion. application III of application code ago have associated brief a likely And of policies determined match the This the in discussion the committee light application implant that continue if this and believe a of we for code. prior meeting, the particularly this add-on that over positive will implants. for the is was to Therefore, few our presentation the growth this the III with Inspire best this members the status on coding, and coverage payment actual and to We of consistently no numbers Inspire impact the sensing AMA was this III to development implant time. centers on growth the it this of weeks with lead. Remember it progress Category Category convert forward. report call prior code time discussions have code Category being. formal further therapy, application of at was at table be do amongst the keep the still CPT was add-on the it only After I code, moving adoption on Regarding not get on held the any utilization just do achieved the the determined on with because to the withdrawn to to not not Scottsdale our meeting CPT this is we
on to clinical Moving evidence.
a therapy.ca clinical data. the build to We efforts continue to publication will our aggressive of
As effective that The an of first therapy quarter, satisfaction example, data from events. adhere patients Inspire in likelihood announced data we fourth included Inspire treatment the low X,XXX is demonstrated XXX an in the the adverse publication registry. the with and of option high patient therapy patients
will where we evaluation already the the We strong continuous the Inspire and patient issued expect consistency of make and XXXX several publications committed intention on of we with additional throughout therapy, on-going improvement of outcomes.
strategy to number to compared increase and which our the strategy. efforts successful in educating our Another commercial centers. These we social reaching have done the prospective growing year. with include in media correspond And a web to above continue initiatives key patients an strategy US implanting US of to Inspire prior This therapy, activity broaden XXXX, in initiatives, led these aspect as of has direct-to-patient is
potential resulted healthcare XXXX, had For XX,XXX we Moreover, the streamline roughly on contacts redesigned visitors XX,XXX of approximately remain improved have to with methods in about the providers. in providers. launched to X.X XXX,XXX initiatives to had week providers and At we each with navigation new engaged million a finding to full efficient area. We connect tools physician year approximately educate a patient which patients connecting will web process number marketing plan the the We of searches, visitors. more focused identifying averaged direct healthcare and improve prospective by that website patients with qualified is significantly of these patients and patient of our forefront education initiatives easier make other recently and XXXX. throughout patients
to gears R&D our switching activities. Now, discuss
physicians lead while the outcomes. recently product several Europe this we'll expanding at to US of enhancing new month. continues our Our be in the and previously medical the centers and team US. sensing date. very received good launched next This in approval launch and in experience effort announced from improve in work the We development lead patient sensing the therapy to we was XXXX We FDA have launched new to maintaining feedback in this
improve activity our features, control Later the to X patient initiated gain will report regulatory physician programmer, will longer We XXXX, the effort This Inspire design key in also new we and remote the product. incorporated on the this will multi-year to approval. have neurostimulator. develop term, and device have we be ongoing be projects into X design Inspire but a the for
outlook. As you can excited see very about we our are long-term
to year the initial with to range full XXXX. of I XXXX, provide year representing guidance $XX million, you our Specifically, looking increase forward million in pleased am of full XX% revenue $XX to an XX% over to
the at Although, companies seek patient guidance, each results that the first of Inspire's of the global We quarterly prior the year. This we providing and typically resetting quarter of year. high-deductible business some not first plans in fourth to calendar to may start during the the health med-tech there quarter. seasonality quarter be are the period in is third procedures in seasonally expect weaker do deductibles business year to as the and often
Although in Inspire years, by seasonality as in primary our have generate the enter our strong of we summary, patients. for I highest well adoption In has continued is our of before, past therapy. goal and the triggered XXXX To by possible addition been the to are what momentum as reiterate progress excited growth new masked and centers managers significant with territory this outcomes underlying therapy said business. by
aimed territories our a centers, of advancements our the quarterly upon at in reimbursement Along We focus on number implanting basis. and continue to managers further strategy territory builds that with execute over recent growth decision, With review his positioned success. Rick remain well we positive to are financials. detailed I'd like coverage we call for our that of turn confident to long-term that the increasing to