Thanks, our Josh. Good for morning, and call. joining thank you
billion, ended XX, XX% XXXX. of net reported increase $X.XXX an year December $X.XXX full AdaptHealth from billion in revenue XXXX, the For of
of an from For million the of fourth quarter $XXX.X in ended XX% net XXXX. December $XXX.X XX, reported million, XXXX, increase revenue AdaptHealth
expect recall. record XXXX, demand net indicator a XXXX. X.X% good ever highest immediately revenue our was it prior sleep the QX patient census Respironics in largest QX we now the is will continue of our growth surpassing Patient Non-acquired for has QX for product in products previous set is continuing led been, sleep, category. to the growth that sleep by
XX, fell million, December what For when adjusted in quarter $XXX.X downward we below XXXX, guidance we fourth ended EBITDA which January. the was expected revised
First, for the January let reasons reduction. everyone me remind the
CPAP Our it healthier has is much supply chain today than been.
did quarter, sequentially we Although third quarter not to grow the revenue we grew fourth the as expected. we from sleep as fast rental
versus rental product quarter. the portfolio, mix Rental almost revenue the XX% Across we sales a of for carries margins sales XXX% revenue. gross higher revenue expected versus of for
which also January line incremental XX noted as inflationary guidance we pressures, adjusted we guidance. we our part Further, So bottom detected accordingly. of
previously to We protect to increased our structure As recurring environment. supply store to interruptions. product chain distribution supply in implemented against challenging discussed, additional centers centralized cost the response
locked in agreements Others it. shipping products Many raw when those came agreements also product special ensure patients new expense needed surcharges related with they and our receive related of with We materials, increases in came pass-throughs. needed fuel we launches. the cost terms to purchasing to to
more in had cost the approximately in these fourth were than However, $XX anticipated million we the of January. factors quarter
increase recoupment revenue and caused million. EBITDA quarter reduction adjusted for of net the which experienced activity in We $XX an a and also refund payer in
and Although in for refunds and of recruitments this recent care size was health XX timing accounted activity so unexpected guidance. are and very the normal providers, course not for was our it January
XXXX appropriately We refund believe guidance. and activity that for our in we have recruitment accounted general
appropriate variable account we in contained are impacts XXXX, December. in experienced for unanticipated operating but have built XXXX. conservatism We surprises believe $X level in we expense million of labor and of Finally, these to to any an other
million $XX year, or over cash from flow For $XXX the was XXXX. operations up million, XX% full
days particularly the We days as are XXXX. end revenue XX outstanding sales from contribution X of end at down was with from our pleased very the of the improvement, this XXXX, cycle
last transformation at days, and of and earnings During from payable an XX is to those perform. I'll point our investments call, we claims in make achieved our e-prescribe that to are initiative highlighted target out accounts XXXX. quarter's engine, investments we've year-end we continuing edit down and continued outstanding XX our the days payable complete,
We million $XX higher payments also of delivered XXXX. XXXX in despite over improvement operations cash flow from interest
CapEx use operations very defined our cash million shape. from overall, flow in is XXXX was expenditures, for as cash $XX Free year. was $XXX of the million a flow, for good cash So generation as capital less
million. we Quite at we December was our of revolver. the cash the $XX.X our leverage have frankly, million a equipment was buying don't on patients. $XXX to enough satisfy X.XXx, needs maintained X XX, on cash balance covenants, XXXX, use of of than net On hand our Per better end 'XX,
As previously complete open the XX, We of quarter. did repurchases Board end on the stock we purchases million. allow year, for our And of market of for extension our our of repurchase XXXX. a repurchased not share Directors common December authorized XXXX, the announced through $XX program to during the any reminder,
we morning, this to discussed are account announced for our items the XXXX overall earlier. As adjusting for guidance
revenue billion growth net represents X.X% billion, for nonacquired XXXX. to $X.XX $X.XX is this guidance XXXX Our over
growth EBITDA in to EBITDA adjusted representing is for midpoint of margin million million, XX.X% is from guidance The Our XXXX. XX.X% XX.X% XXXX. adjusted $XXX over up $XXX
the the CapEx for decreasing and is first guidance of activity through net the of PAP as Our in of half second we equipment backlog. the XX% work year purchasing revenue half the reflecting purchase setup XX% over year to elevated
leverage of revamping and estate We installing national consolidating process to agreements on rationalizing our are contracts supplier our into cost management power. various initiatives infrastructure, new supply chain in buying real our footprint focused
contributions considerable To our XXXX, to leader Christi of to established focus finance control has harden we Archbold, newly added people President accounting as joining addition impactful our point, In October on in Corporate environment. in in particularly and Vice great Christi our new made AdaptHealth. since hired roles, Accounting. we've that we technology, work an Senior
March effective Chief promote Officer expect to So Officer the X, and Accounting Accounting Principal for Christi we to company.
that, turn to call Griggs. over CEO, the back our With I'll Steve