Financial Data and Key Metrics Changes - For the full year 2022, revenue increased over 13% on an as-reported basis [4] - Fourth quarter revenue was 1.64billion,representinga12248 million, up from 203millionlastyear,withanon−GAAPoperatingmarginof15.1285 million, compared to 238millionlastyear,withanadjustedEBITDAmarginof17.4193 million, including approximately 19millionofintegrationcosts[14]BusinessLineDataandKeyMetricsChanges−Revenuefromhealthcareclientsgrewapproximately2310 billion in revenues by fiscal 2025, with a focus on M&A to achieve this goal [49] Management Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to navigate the challenging macroeconomic environment, citing strong demand from enterprise and new economy clients [66] - The company anticipates choppiness in the first two quarters of 2023 but expects year-over-year growth to accelerate in the second half due to large deals and consolidation of volumes [66] - Management noted that the labor market has stabilized, contributing to a more predictable operational environment [85] Other Important Information - The company maintained strong liquidity at nearly 1.3billion,includinga1 billion line of credit [15] - Full year interest expense is expected to be approximately 140million,withaneffectivetaxrateofaround260.275 per share and repurchased 106,000 shares for approximately $13 million in the fourth quarter [116] Q&A Session Summary Question: How is the demand for labor-intensive work changing? - The company noted a shift towards outsourcing offshore due to cost considerations, with stable pricing for higher value work [20] Question: What is the confidence level regarding signing new business? - Management indicated a high level of confidence in signing business with existing clients, particularly those who have consolidated volumes in the past [39] Question: What is the expected contribution from large deals versus consolidated volumes? - Management highlighted that growth drivers include existing clients recalibrating volume expectations and new opportunities arising from consolidation [27] Question: What are the capital allocation priorities? - The company prioritizes dividends and debt reduction, with modest share buybacks planned [108] Question: How is the sales cycle evolving? - Discussions with clients are taking longer as they evaluate outsourcing and consolidation strategies, but once decisions are made, the process accelerates [109]