Financial Data and Key Metrics Changes - Total revenue for Q4 2022 was 88.1million,representinga15.3377.2 million, an increase of 5.4% compared to 2021, primarily due to higher international business-to-business sales and rental revenue [52] - The company reported a net loss of 56.6millionforQ42022,withanadjustedlossof13 million, and a full-year net loss of 83.8million,withanadjustedlossof26.2 million [85] Business Line Data and Key Metrics Changes - Domestic B2B revenue increased 164.6% to 27.2millioninQ42022comparedto10.3 million in Q4 2021, while domestic direct-to-consumer sales decreased 23.4% to 25.3million[27][79]−Rentalrevenueincreased14.414.9 million in Q4 2022 from 13millioninQ42021,benefitingfromhigherMedicarereimbursementratesandincreasedbillablepatients[51]−Forthefullyear,rentalrevenueincreased22.556.7 million from 46.3millionin2021[80]MarketDataandKeyMetricsChanges−InternationalB2Bsalesincreased3.120.7 million in Q4 2022 from 20.1millioninQ42021,withafull−yearincreaseof27.3101.2 million from 79.5millionin2021[28][80]−Foreignexchangehadanegativeimpactof150basispointsonfull−yearrevenueand240basispointsonQ4revenue[29][50]CompanyStrategyandDevelopmentDirection−Thecompanyisfocusingonapatient−centricmodelthatenhancesaccesstoappropriateoxygentherapymodalitiesacrosschannels,aimingforgrowthandprofitability[19][20]−Thegrowthstrategyincludestwovectors:drivingPOC−basedoxygentherapyandexpandingproductofferingstoservemoreadvancedCOPDpatients[16][17]−Thecompanyplanstolaunchnewproducts,Rove4andRove6,in2023,whichareexpectedtoenhanceitsmarketposition[22][39]Management′sCommentsonOperatingEnvironmentandFutureOutlook−Managementexpressedconfidenceinunderlyingcustomerdemandandapromisinghorizonofmarketopportunities,withexpectationstoreachpositiveadjustedEBITDAbyQ42023[49][88]−Thecompanyanticipatesthatsupplychainvisibilitywillimprovethroughout2023,whichshouldcontributetorevenuegrowthinthesecondhalfoftheyear[60][87]−Managementacknowledgedchallengesinthedirect−to−consumerchannelbutisoptimisticaboutscalingeffortsandimprovingproductivity[92]OtherImportantInformation−Thecompanyincurred23.8 million in higher material costs associated with semiconductor purchases in 2022, impacting gross margins [31][86] - Total operating expenses for Q4 2022 were 88million,significantlyhigherthan45.3 million in Q4 2021, primarily due to a one-time expense related to an intangible asset [55] Q&A Session Summary Question: Can you discuss guidance and potential disruptions? - Management indicated that guidance includes considerations for supply chain disruptions and macro challenges, with expectations for a cautious ramp-up in the first half of 2023 [89][92] Question: How is underlying demand and volume? - Management projected increased volumes and steady demand, with expectations for growth in the back half of the year [66][67] Question: Are there ongoing headwinds in B2B customer access to capital? - Management confirmed that challenges remain regarding B2B customer access to capital, but efforts are being made to normalize ordering patterns [68] Question: What is the status of competitive pricing and customer preferences? - Management noted that some B2B customers had opted for lower-quality competitive products during supply shortages, but there is a return to Inogen due to dissatisfaction with competitors [70] Question: Can you elaborate on the DTC headwinds? - Management explained that the DTC model is evolving, and while there are headwinds, efforts are being made to scale and improve productivity [92]