Financial Data and Key Metrics Changes - Fourth quarter revenue was effectively flat year-over-year but exceeded the high end of guidance by 3% [6][30] - Adjusted EBITDA for the fourth quarter contracted 2% year-over-year but was above guidance [7][36] - Free cash flow for the fourth quarter was $73 million, up 10% from the prior year [7][39] Business Line Data and Key Metrics Changes - Sleep Health revenue increased 3.4% year-over-year in Q4 [6][31] - Respiratory Health revenue increased 1% year-over-year in Q4 [6][33] - Diabetes Health revenue decreased 7.3% year-over-year in Q4, but showed sequential growth of $30.2 million over Q3 [6][34] - Wellness at Home revenue declined 0.8% year-over-year in Q4 [6][35] Market Data and Key Metrics Changes - For full year 2024, net revenue grew 1.9% to $3.26 billion, with notable growth in Sleep Health (4.5%) and Respiratory Health (6.0%) [30] - The company reported a net leverage ratio of 2.79 times at year-end 2024, down from 3.16 times at the end of 2023 [42] Company Strategy and Development Direction - The company is focusing on five areas: One Adapt initiative, AI and automation, clinical relevance, organic growth, and strengthening the balance sheet [8][24] - A new segment structure was implemented to enhance visibility and accountability [12][28] - The company aims to lead in innovation within the home health industry and improve patient experience through automation and AI [13][16] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the company's ability to manage patient care and expand its role in healthcare [17][22] - The company anticipates 2025 to be a transition year for growth, with expectations for accelerated growth in 2026 and beyond [51] Other Important Information - The company reduced debt by $170 million in the past year, including $50 million in Q4 [24][42] - A multi-year extension of the capitated contract with Humana was announced [23] Q&A Session Summary Question: Can you talk more about the conversations with carriers over additional capitated arrangements? - Management confirmed ongoing discussions and a strong relationship with Humana, with positive performance reviews [55][56] Question: Can you discuss your working capital outlook and cash flow improvement? - Management indicated progress in working capital and expects stable or improved days sales outstanding (DSO) in 2025 [57][58] Question: What are your thoughts on the Diabetes business contribution to 2025 guidance? - Management noted stable revenue for pump supplies and cautious optimism for growth in the Diabetes segment [66][68] Question: Can you elaborate on the changes made in the Diabetes resupply outreach program? - Management highlighted the implementation of a new leadership team and improved patient outreach strategies [87][92] Question: How was the sales quota initiative received by the sales force? - Management reported a positive response from the sales team, which has improved forecasting and accountability [95][96] Question: Can you provide insights on the purchase versus rental revenue dynamics? - Management explained the impact of changes in reimbursement structures, particularly in the sleep business [102][103] Question: What is the expected impact of the 75/25 reimbursement model for 2025? - Management indicated a stable reimbursement environment with no significant changes expected [106][118]