4 lawmakers share their mental health struggles: It’s ‘a form of public service’

4 lawmakers share their mental health struggles: It’s ‘a form of public service’

In the wake of Pennsylvania Sen. John Fetterman entering treatment for severe depression, four Democratic colleagues in Congress solely sat down with ABC News to share their aid for him and his restoration whilst applauding his bravery on the stigma-clouded matter, which has traditionally been connected with wonderful political hazard.

The 4 lawmakers — Sen. Tina Smith of Minnesota, Rep. Seth Moulton of Massachusetts, Rep. Ruben Gallego of Arizona and Rep. Ritchie Torres of New York — also spoke candidly about their personal mental health battles, ranging from medical melancholy to article-traumatic pressure problem, in the at times psychological interview.

Speaking out, as Torres advised ABC’s Brittany Shepherd, is the ideal way forward.

“Telling our tales is a variety of community services. We stand for people who are deeply influenced by mental wellbeing circumstances like melancholy, anxiousness, who want to see on their own and their elected officers,” he stated. “And I felt like I experienced a profound obligation to confront the culture of silence and stigma and disgrace that usually surrounds the subject matter of mental wellness.”

“No matter whether you are Republican or Democrat, progressive or conservative, Black or white, wealthy or very poor, psychological well being is a common knowledge that binds us collectively,” Torres stated, “simply because it really is a human affliction.”

Underneath are highlights from the discussion. See more from the job interview on ABC Information Reside Key.

4 particular journeys

In element prompted by Fetterman sharing information of his struggles — a lifelong background of despair that worsened considerably early this year, his personnel has mentioned — the four lawmakers instructed ABC News about their mental wellbeing journeys.

Smith explained she initially experienced signs and symptoms of depression in the course of school, when she was in her late teens. She experienced a further bout of despair as a young mother, when she was in her thirties.

But she claimed she bought care and procedure all through her college many years and in her thirties labored with a therapist who identified her with medical melancholy and aided her mend “more than time.”

PHOTO: Rep. Seth Moulton talks about mental health during a discussion with ABC News and other lawmakers, March 23, 2023.

Rep. Seth Moulton talks about psychological well being all through a discussion with ABC News and other lawmakers, March 23, 2023.

ABC Information

Moulton, a Maritime veteran, to start with disclosed that he experienced sought treatment for PTSD in the aftermath of his four overcome deployments in Iraq, while he also ran for the 2020 Democratic presidential nomination.

It took him a “even though” to appear to conditions with the reality that he was struggling with the disorder, mainly because he “did not have the worst indicators,” he reported.

“I would wake up in cold sweats and have terrible dreams, but I was equipped to go to graduate school, I was equipped to hold down a career. A good deal of vets are not able to even do people easy items,” he mentioned, noting that when he did eventually accessibility procedure by way of typical remedy appointments, his problem improved.

“I even now see a therapist on a common foundation for the reason that I consider it’s a balanced issue to do. But I have seriously been equipped to very a lot get rid of the normal signs or symptoms of publish-traumatic anxiety that I have,” Moulton claimed.

Gallego, as well, suffers from PTSD, he stated — from his time though deployed in Iraq as a Maritime. The Arizona congressman, who is hard unbiased Sen. Kyrsten Sinema in 2024, claimed that he ordeals guilt above surviving combat when some some others did not.

“I from time to time sense a whole lot of regret. I feel at times that, you know, that I need to have gone instead of some of my guys that went. And from time to time I feel probably a small hypersensitive about my environment,” he mentioned.

PHOTO: Rep. Richie Torres talks about mental health during a discussion with ABC News and other lawmakers, March 23, 2023.

Rep. Richie Torres talks about psychological wellness for the duration of a dialogue with ABC Information and other lawmakers, March 23, 2023.

ABC Information

Torres claimed he initially began dealing with indications of depression as a substantial university scholar. He later dropped out of New York University in 2007 as he all over again struggled with his mental health.

Admitted into New York-Presbyterian/Columbia College Healthcare facility, Torres was then formally diagnosed with major depressive dysfunction, he stated.

“There have been moments when I even tried suicide,” Torres reported. “At any time considering the fact that then, I have been managing the ailment, and I by no means imagined I would make it to the United States Congress.”

Mental health’s heritage of political hurt: Has it transformed?

In July 1972, Democratic presidential nominee Sen. George McGovern’s managing mate, Missouri Sen. Thomas Eagleton, informed journalists he had beforehand been through electrical shock solutions and psychiatric care for exhaustion and despair.

Nevertheless McGovern pledged to aid Eagleton, he was forced off the ticket just about two months later on.

It was a person of the initially moments in modern-day history that a key political determine seasoned fallout from revealing their mental wellbeing battles. Smith instructed ABC News that when she shared her historical past of depression while on the Senate flooring in 2019, Eagleton was “in her brain.”

In the 51 years because Eagleton’s practical experience, every single of the four associates acknowledged, strides have been manufactured around psychological health and fitness and politics — even as recent as previously in their individual occupations as elected officers.

“I felt when I to start with ran for office that this was my significant skeleton in the closet,” claimed Moulton. He assumed an announcement of his PTSD may well “conclude his profession.”

“Ironically, receiving assist for it, looking at a therapist, can make the political assaults even worse,” he stated.

PHOTO: Sen. Tina Smith talks about mental health during a discussion with ABC News and other lawmakers, March 23, 2023.

Sen. Tina Smith talks about psychological health and fitness in the course of a discussion with ABC Information and other lawmakers, March 23, 2023.

ABC News

PHOTO: Rep. Ruben Gallego talks about mental health during a discussion with ABC News and other lawmakers, March 23, 2023.

Rep. Ruben Gallego talks about mental health in the course of a discussion with ABC Information and other lawmakers, March 23, 2023.

ABC Information

Torres, who is homosexual, said that through his first operate for place of work, in 2013, when he was vying for a metropolis council spot, he was extra open with his sexuality than the actuality that he dealt with mental wellness problems.

He mentioned that an opponent in that race “tried to weaponize my psychological well being towards me. And so after that race, I stated, ‘I’m likely to notify my tale on my have conditions.'”

With time, however, and with additional and much more folks speaking out, the stigma has lessened.

“When I commenced going to therapists I [would] consider to discover as several approaches as probable to disguise that I was heading to a therapist. Like I would make absolutely sure that I was driving in a way that persons couldn’t figure out that I was pulling up to the therapist’s business,” Gallego reported.

“And it really is been … a sea adjust that I really don’t have to do that any more,” he stated.

The members said they’ve primarily been achieved with help from their peers as perfectly, just as Fetterman was.

“In its place of getting castigated, I recall how several individuals in the future couple days and weeks came up to me and just opened up about their possess stories,” Moulton explained, remembering what happened right after he publicly shared his tale of PTSD in 2019. “I signify, people today from all over The usa I might in no way satisfied in advance of, but even near colleagues, mates, individuals in my workplace.”

Other lawmakers could be privately having difficulties nevertheless, Torres stated: “There are 535 members in Congress. I suspect we’re not the only 4.”

“I imagine the point that the four of us are below is a signal of progress. But the simple fact that only 4 of us are below is a sign that we have a length to vacation,” he stated.

4 lawmakers share their mental health struggles: It’s ‘a form of public service’

From left, Rep. Ruben Gallego, Sen. Tina Smith, Rep. Seth Moulton and Rep. Richie Torres, converse about psychological well being, for the duration of a discussion with ABC Information, March 23, 2023.

ABC Information

What is actually been completed — and even now to do

President Joe Biden included a number of psychological well being provisions in his most current finances proposal, which is not likely to gain traction in the at the moment divided Congress.

Legislators did, however, maximize funding for psychological health assets as part of the 2023 omnibus expending package deal passed in January.

That law bolstered funds for virtual peer aid and expanded psychological well being solutions in colleges, compound use well being support and maternal psychological health and fitness care, amongst other issues.

Smith singled out last year’s anti-gun violence package that was brokered with Republicans, which had some notable psychological wellness steps as properly, “supporting neighborhood behavioral health facilities all over the place, supporting entry to faculty-based treatment for mental wellness.”

“That I’m actually, really happy of. And we did that,” Smith stated.

Last year’s law also integrated funds to changeover to the new 988 disaster line, which was applied in July and aims to supply suicide prevention and mental overall health help nationwide.

Moulton co-authored the invoice to build 988, which he known as “probably the one most impactful issue [he’s] completed in Congress.”

“I hear from individuals across the region who say, ‘That saved my existence.’ And you know what? The hazard was value it, too, proper?” he said. “Due to the fact telling my story, telling our tales, I mean, if that had expense any of our political occupations and still we saved just one lifetime by undertaking that — it is really worth it.”

ABC News’ Kelly Livingston contributed to this report.

Investors Look To Form REIT To Buy Real Estate For Psychedelic Therapy

Investors Look To Form REIT To Buy Real Estate For Psychedelic Therapy

The medical treatment method Cody Shandraw and Ty Zakovich want to establish a property empire around isn’t even lawful in the United States still, but they are not ready all over to stake a assert on what they imagine is the potential of health care authentic estate.

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Science is exhibiting the positive aspects of MDMA in the therapy of psychological overall health issues.

Zakovich and Shandraw are the co-founders of Therapeutic REIT, a serious estate financial commitment firm with a target on purchasing and renovating scientific room for practitioners searching to dive into the entire world of MDMA psychological treatment options. Their plan is to request acceptance from the New York Inventory Exchange to be traded as a genuine estate financial investment have faith in by later this calendar year.

Their guess is a bold a single, particularly for the reason that treatment with MDMA — the pure edition of the drug typically referred to as ecstasy or Molly — is continue to illegal in the United States. But approval for its use managing psychological well being ailments, which could transpire as quickly as upcoming 12 months, is doing work its way via the Foods and Drug Administration. Zakovich, Therapeutic REIT’s CEO, and Shandraw, its president, say as shortly as the procedure gets accredited, they have a checklist of purchasers completely ready to indicator up to lease medical place from Healing REIT.

“Everybody is speaking about the drug, but no a single is talking about the place the drug is going to be sent,” Shandraw advised Bisnow for the duration of a new interview. 

Zakovich is also a principal of California-based mostly CRE asset administration and financial debt company TGP Ventures, and Shandraw, who describes himself as a “serial entrepreneur,” invests in the healthcare psychedelic place through Ambria Money and the enterprise fund Phyto Companions. The duo has a third associate, Chief Running Officer Daniel Carcillo, a former National Hockey League expert and two-time Stanley Cup winner who played with the Chicago Blackhawks and the New York Rangers.

Due to the fact his retirement at age 30, Carcillo had grow to be an advocate for those with traumatic mind injuries and the use of psilocybin in their procedure for the signs of brain accidents. Carcillo also is CEO of Wesana Overall health, a organization concentrated on building treatment plans for TBI and other mental overall health issues.

Shandraw explained his Phyto fund gave Healing REIT an preliminary $250K in money this 12 months, and Zakovich mentioned the business raised an further $1M in seed revenue from exterior investors this month. They advised Bisnow they are in negotiations to get their first developing, a clinic in Brooklyn, New York. 

Shandraw explained they have determined a pipeline of $47M in true estate acquisitions throughout the state that would make up Therapeutic REIT’s original portfolio. The structures are largely current solitary-tale office structures or condominiums involving 2K and 5K SF.

Zakovich reported Healing is targeting qualities within 5 miles of the nation’s leading U.S. Division of Veterans Affairs hospitals, such as in Palo Alto, Los Angeles and San Diego, California, Ann Arbor, Michigan, Boston, Northern Florida and Southern Georgia, wherever medical practices by now exist to assist veterans struggling from post-traumatic pressure dysfunction.

“These are solitary buildings or one office condos that usually by now experienced a healthcare use prior to,” Shandraw stated. 

MDMA is a psychedelic that is increasingly being researched and used to address psychological disorders as a far more successful substitute to currently-authorized therapies. The drug functions by increasing the output of seratonin and dopamine, which can elevate temper, habits, views and electrical power, in accordance to Healthline. The drug was truly legal in the U.S. until 1984, when the Drug Enforcement Company declared it a Schedule 1 compound, which produced it illegal to acquire, inspite of some psychologists locating benefits for its use for psychological well being disorders in the years prior.

Alongside with MDMA, psilocybin — the lively component in what are frequently regarded as “magic mushrooms” — is less than last safety evaluations with the Fda, and could get a eco-friendly light for clinical use by up coming yr, The Intercept reported.

“One significant rationale that we’re hunting at psychedelics is mainly because our standard remedies do not operate,” said Amy Morin, a licensed psychotherapist, writer and editor-in-chief of Verywell Brain. “People are producing new connections with the synapses in the brain. And when they appear out of their vacation, these items are permanent.”

The use of psychedelics for medical therapies is already impacting the health care serious estate market place. 

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The Office of Veterans Clinical Centre in Ann Arbor, Michigan

The psychedelic drug sector is in a important advancement spurt as additional research backlinks far better outcomes when treating despair, PTSD and other psychological problems. In 2021, the world wide psychedelic market place his $2.3B, in accordance to Data Bridge Market Investigate, with significant players like Janssen Prescription drugs, Pfizer, Verrrian, Celon Pharma and ATAI Daily life Sciences associated in the advancement of MDMA and other psychedelics. By 2029, that sector is envisioned to balloon to $6.4B.

After the Fda permitted a nasal spray edition of ketamine for the treatment method of depression and serious pain in 2019, hundreds of clinics sprouted up for its their distribution and administration. Professionals estimate that there are at the moment involving 500 and 750 ketamine clinics all over the U.S., Medscape described.

These clinics are largely operate by mom-and-pop functions, making it possible for patients to come in for procedure sessions that generally very last 30 minutes to an hour, authorities say. But given that the Fda approval, a lot of clinics are staying rolled into greater chains. Irwin Naturals ordered 10 clinics in the U.S. this year and Revivalist is expanding past its Tennessee borders to North Carolina, Michigan and Washington, D.C., Thoughts Internet site Information claimed.

“The amount of cash that has been injected is absolutely nothing quick of amazing,” Shandraw mentioned.

The style of therapy rooms wanted for MDMA therapies differ from the clinics at the moment employed for ketamine. MDMA treatment plans can last several hours, and require to be in rooms large more than enough not only for the client but an administering therapist or doctor to speak the patient by the knowledge, Morin claimed, incorporating that areas need to have to be akin to a fashionable-working day well being spa.

“Basically, you want a really calming house. You want anything that appears to be like a residing room relatively than a doctor’s business office,” she reported.

Though there are quite a few medical spaces offered, which includes for ketamine, handful of are developed to administer MDMA, Shandraw claimed. Specially provided the duration of time for an MDMA therapy session, Shandraw reported Therapeutic would supply personal bathrooms in each remedy place.

“It became actually obvious that the current infrastructure in area nowadays for ketamine therapy is not going to do the job for MDMA treatment,” he claimed. “Because this is experiential medicine, this medicine demands to be carried out inside of a brick-and-mortar clinic. So that established a variety of large vacuum for what is needed.”

Doing work with the regulation agency Greenberg Traurig, Shandraw said Therapeutic REIT is scheduled to file a prospectus with the Securities and Exchange Fee to go general public by September. The business now has a record of medical practices that are all set to signal triple-web leases in the amenities that Therapeutic REIT would personal, Zakovich advised Bisnow.

“We’re functioning with chiropractors [and] ketamine medical corporations,” Zakovich claimed. “All the methods that we’re paying for the authentic estate for are current lucrative practices that want to include MDMA treatment to.”

The duo declined to determine their opportunity tenants. But even if Food and drug administration approval remains elusive, Shandraw explained the spaces can conveniently be utilised for other therapies, which includes ketamine and other, a lot more common clinics, these kinds of as detox facilities or chiropractic facilities.

“I’m hoping that by the time this business goes public, you are heading to see $100M to $150M market cap, and hopefully 50 percent a billion more than the next 36 months,” Shandraw reported. 

IDEXX LABORATORIES INC /DE MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (form 10-K)

IDEXX LABORATORIES INC /DE MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS (form 10-K)
The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with the consolidated financial
statements and related notes appearing elsewhere in this Annual Report on
Form 10­K. The discussion of our financial condition and results of operations
and liquidity and capital resources for the year ended December 31, 2020, and
year-over-year comparisons between 2021 and 2020, is included in our Annual
Report on Form 10-K for the year ended December 31, 2021, within Item 7.
Management's Discussion and Analysis of Financial Condition and Results of
Operations, and is incorporated by reference herein.

We have included certain terms and abbreviations used throughout this Annual
Report on Form 10-K in the “Glossary of Terms and Selected Abbreviations.”


Description of Business Segments. We operate primarily through three business
segments: diagnostic and information management-based products and services for
the companion animal veterinary industry, which we refer to as the Companion
Animal Group ("CAG"); water quality products ("Water"); and diagnostic products
and services for livestock and poultry health and to ensure the quality and
safety of milk and improve producer efficiency, which we refer to as Livestock,
Poultry and Dairy ("LPD"). Our Other operating segment combines and presents our
human medical diagnostic products and services business ("OPTI Medical") with
our out-licensing arrangements because they do not meet the quantitative or
qualitative thresholds for reportable segments. Refer to "Part II, Item 8.
Financial Statements and Supplementary Data, Note 3. Revenue Recognition and
Note 17. Segment Reporting" to the consolidated financial statements for the
year ended December 31, 2022, included in this Annual Report on Form 10-K for
financial information about our segments, including our product and service
categories, and our geographic areas.

The following is a discussion of the strategic and operating factors that we
believe have the most significant effect on the performance of our business.

Companion Animal Group


Our strategy is to provide veterinarians with the highest quality diagnostic
information, software products and services, and medical evidence to support
more advanced medical care and information management solutions that help
demonstrate the value of diagnostics to pet owners and enable efficient and
effective practice management. By doing so, we are able to build a mutually
successful relationship with our veterinarian customers based on healthy pets,
loyal customers, staff efficiency, and expanding practice revenues.

CAG Diagnostics. We provide diagnostic capabilities that meet veterinarians'
diverse needs through a variety of modalities including in-clinic diagnostic
solutions and outside reference laboratory services. Veterinarians that utilize
our full line of diagnostic modalities obtain a single view of a patient's
diagnostic results, which allows them to track and evaluate trends and achieve
greater medical insight.

Our diagnostic capabilities generate both recurring and non-recurring revenues.
Revenues related to capital placements of our in-clinic IDEXX VetLab suite of
instruments and our SNAP Pro Analyzer are non-recurring in nature in that they
are sold to a particular customer only once. Revenues from the associated IDEXX
VetLab consumables, SNAP rapid assay test kits, reference laboratory and
consulting services, and extended maintenance agreements and accessories related
to our IDEXX VetLab instruments and our SNAP Pro Analyzer are recurring in
nature, in that they are regularly purchased by our customers, typically as they
perform diagnostic testing as part of ongoing veterinary care services. Our
recurring revenues, most prominently IDEXX VetLab consumables and rapid assay
test kits, have significantly higher gross margins than those provided by our
instrument sales. Therefore, the mix of recurring and non-recurring revenues in
a particular period will impact our gross margins.

Diagnostic Capital Revenue. Revenues related to the placement of the IDEXX
VetLab suite of instruments are non-recurring in nature, in that the customer
will buy an instrument once over its respective product life cycle, but will
purchase consumables for that instrument on a recurring basis as they use that
instrument for testing purposes. During the early stage of an instrument's life
cycle, we derive relatively greater revenues from instrument placements, while
consumable sales become relatively more significant in later stages as the
installed base of instruments increases and instrument placement revenues begin
to decline. In the early stage of an instrument's life cycle, placements are
made primarily through sales transactions. As the demand for the product
matures, an increasing percentage of placements are made in transactions,
sometimes referred to as
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volume commitments, such as our IDEXX 360 program, or reagent rentals, in which
instruments are placed at customer sites at little or no cost in exchange for a
multi-year customer commitment to purchase recurring products and services.

Below is a table showing active installed base units of our premium diagnostic
instruments as of the years ended December 31, 2022, 2021, and 2020:


(units in thousands)                                                                        Installed Base
                      Instrument                                December 31, 2022             December 31, 2021          December 31, 2020
Catalyst                                                                        63.1                          56.6               49.7
Premium Hematology                                                              43.1                          38.2               34.6
SediVue                                                                         15.6                          13.2               10.7



Our long-term success in the continuing growth of our CAG recurring diagnostic
product and services is dependent upon: growing volumes at existing customers by
increasing their utilization of existing and new test offerings, acquiring new
customers, maintaining high customer loyalty and retention, and realizing modest
annual price increases based on our differentiated products and the growing
value of our diagnostic offering. We continuously seek opportunities to enhance
the care that veterinary professionals give to their patients and clients
through supporting the implementation of real-time care testing workflows, which
is performing tests and sharing test results with the client at the time of the
patient visit. Our latest generation of chemistry, hematology, and urinalysis
instruments demonstrates this commitment by offering enhanced ease of use,
faster time to results, broader test menu and connectivity to various
information technology platforms that enhance the value of the diagnostic
information generated by the instruments. In addition, we provide marketing
tools and customer support that help drive efficiencies in veterinary practice
processes and allow practices to increase the number of clients they see on a
daily basis.

With all of our instrument product lines, we seek to differentiate our products
from our competitors' products based on time-to-result, ease-of-use, throughput,
breadth of diagnostic menu, flexibility of menu selection, accuracy,
reliability, ability to handle compromised samples, analytical capability of
diagnostics software, integration with the IVLS and VetConnect PLUS, client
communications capabilities, education and training, and superior sales and
customer service. Our success depends, in part, on our ability to differentiate
our products in a way that justifies a premium price.

Recurring Diagnostic Revenue. Revenues from our IDEXX VetLab consumable
products, our SNAP rapid assay test kits, outside reference laboratory and
consulting services, and extended maintenance agreements and accessories related
to our CAG Diagnostics instruments are considered recurring in nature. For the
year ended December 31, 2022, recurring diagnostic revenue, which is both highly
durable and profitable, accounted for approximately 79{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of our
consolidated revenue.

Our in-clinic diagnostic solutions, consisting of our IDEXX VetLab consumable
products and SNAP rapid assay test kits, provide real-time reference lab quality
diagnostic results for a variety of companion animal diseases and health
conditions. Our outside reference laboratories provide veterinarians with the
benefits of a more comprehensive list of diagnostic tests and access to
consultations with board-certified veterinary specialists and pathologists,
combined with the benefit of same-day or next-day turnaround times.

We derive substantial revenues and margins from the sale of consumables that are
used in IDEXX VetLab instruments, and the multi-year consumable revenue stream
is significantly more valuable than the placement of the instrument. Our
strategy is to increase diagnostic testing within veterinary practices by
placing IDEXX VetLab instruments and increasing instrument utilization of
consumables. Utilization can increase due to a greater number of patient samples
being run or to an increase in the number of tests being run per patient sample.
Our strategy is to increase both drivers. To increase utilization, we seek to
educate veterinarians about best medical practices that emphasize the importance
of chemistry, hematology, and urinalysis testing for a variety of diagnostic
purposes, as well as by introducing new testing capabilities that were
previously not available to veterinarians.

Our in-clinic diagnostic solutions also include SNAP rapid assay tests that
address important medical needs for particular diseases prevalent in the
companion animal population. We seek to differentiate these tests from those of
other in-clinic test providers and reference laboratory diagnostic service
providers based on critically important sensitivity and specificity, as
demonstrated by peer-reviewed third-party research, as well as overall superior
performance and ease of use by providing our customers with combination tests
that test a single sample for up to six diseases at once, including the ability
to utilize our SNAP Pro Analyzer. We further augment our product development and
customer service efforts with sales and
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marketing programs that enhance medical awareness and understanding regarding
certain diseases and the importance of diagnostic testing.


The prevalence of in-clinic testing, as opposed to outside reference
laboratories such as IDEXX Reference Laboratories, may vary by region. We
attempt to differentiate our reference laboratory testing services from those of
competitive reference laboratories and competitive in-clinic offerings primarily
on the basis of a differentiated test menu, technology employed, quality,
turnaround time, customer service and tools such as VetConnect PLUS that
demonstrate the complementary manner in which our laboratory services work with
our in-clinic offerings.

Profitability in our lab business is supported, in part, by our expanding
business scale globally. Profit improvements also reflect benefits from price
increases and our ability to achieve operational efficiencies. When possible, we
utilize core reference laboratories to service samples from other states or
countries, expanding our customer reach without an associated expansion in our
reference laboratory footprint. New laboratories may operate at a loss until
testing volumes achieve sufficient scale. Acquired laboratories frequently
operate less profitably than our existing laboratories and acquired laboratories
may not achieve the profitability of our existing laboratory network for several
years until we complete the implementation of operating improvements and
efficiencies. Therefore, in the short term, new and acquired reference
laboratories generally may have a negative effect on our operating margin.

Recurring reference lab revenue growth is achieved both through increased
testing volumes with existing customers and through the acquisition of new
customers, net of customer losses. We believe the increased number of customer
visits by our sales professionals as a result of the growth in our field sales
organization has led to increased reference laboratory opportunities with
customers who already use one of our in-clinic diagnostic modalities. In recent
years, recurring reference laboratory diagnostic and consulting revenues have
also been increased through reference laboratory acquisitions, customer list
acquisitions, the opening of new reference laboratories, including laboratories
that are co-located with large practice customers, and as a result of our
up-front customer loyalty programs and our volume commitment programs. Our
up-front customer loyalty programs are associated with customer acquisitions and
retention and provide incentives to customers in the form of cash payments or
IDEXX Points upon entering multi-year contractual agreements to purchase annual
minimum amounts of products or services, including reference laboratory
services. Our volume commitment programs, such as IDEXX 360, provide customers
with a free or discounted instrument or system upon entering into multi-year
agreements to purchase annual minimum amounts of products and services.

Veterinary Software, Services and Diagnostic Imaging Systems. Our portfolio of
practice management offerings is designed to serve the full range of customers
primarily within the North American, Australian, New Zealand, and European
regions. Cornerstone, ezyVet, Animana, IDEXX Neo, and DVMAX practice management
systems provide superior integrated information solutions, backed by exceptional
customer support and education. These practice management systems allow the
veterinarian to practice better medicine and achieve the practice's business
objectives, including a quality client experience, staff efficiency and practice
effectiveness and profitability. We market Cornerstone, ezyVet, IDEXX Neo, and
DVMAX practice management systems to customers primarily in North America,
Australia, and New Zealand. We market our Animana offering to customers
primarily throughout Europe.

Animana, ezyVet, and IDEXX Neo practice management systems are
subscription-based SaaS offerings designed to provide flexible pricing and a
durable, recurring revenue stream, while utilizing cloud technology instead of a
client server platform. While we continue to support our licensed-based
Cornerstone and DVMAX software, we are growing our installed base of
subscription-based practice management offerings for new customers of IDEXX
practice management systems. We believe that once established, this
subscription-based model will provide higher profitability as compared to the
historical license-based placements. Our Cornerstone and DVMAX customer base
continues to be an important driver of growth through enhanced diagnostic
integrations and high value add-on subscription services, such as Pet Health
Network Pro, Petly Plans, and credit card processing, and we continue to make
investments to enhance the customer experience of all of our license-based
software offerings. We also offer rVetLink, a comprehensive referral management
solution for specialty care hospitals that streamlines the referral process
between primary care and specialty care veterinarians. rVetLink's cloud
technology integrates with major specialty hospital management systems,
including Cornerstone Software and DVMAX Software.

We differentiate our practice management systems through enhanced functionality,
ease of use, and embedded integration with in-clinic IDEXX VetLab instruments
and outside reference laboratory test results. Our client communication services
create more meaningful pet owner experiences through personalized communication.
With our SmartFlow and Vet Radar cloud technology, we are able to improve
overall patient management through coordination and tracking of every step in a
patient workflow. Pet Health Network Pro online client communication and
education service complements the entire IDEXX
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product offering by educating pet owners and building loyalty through engaging
the pet owner before, during and after the visit, thereby building client
loyalty and driving more patient visits.


Our diagnostic imaging systems offer a convenient radiographic solution that
provides superior image quality and the ability to share images with clients
virtually anywhere. IDEXX imaging software enables enhanced diagnostic features
and streamlined integration with our other products and services. Our digital
radiography systems, enables low-dose radiation image capture without
sacrificing clear, high-quality diagnostic images, reducing the risk posed by
excess radiation exposure for veterinary professionals. Placements of imaging
systems are important to the growth of revenue streams that are recurring in
nature, including extended maintenance agreements and IDEXX Web PACS, which is
our cloud-based SaaS offering for viewing, accessing, storing, and sharing
multi-modality diagnostic images. We derive relatively higher margins from our
subscription-based products. IDEXX Web PACS is integrated with Cornerstone,
ezyVet, IDEXX Neo, DVMAX, and IDEXX VetConnect PLUS to provide centralized
access to diagnostic imaging results alongside patient diagnostic results from
any internet connected device.

Water


Our strategy in the water testing business is to develop, manufacture, market
and sell products that test primarily for the presence of microbial
contamination in water matrices, including drinking water supplies, with
superior performance, supported by exceptional customer service. Our customers
primarily consist of water utilities, government laboratories and private
certified laboratories that highly value strong relationships and customer
support. We expect that future growth in this business will be partially
dependent on our ability to increase international sales. Growth also will be
dependent on our ability to enhance and broaden our product line. Most water
microbiological testing is driven by regulation, and, in many countries, a test
may not be used for compliance testing unless it has been approved by the
applicable regulatory body and integrated into customers' testing protocols. As
a result, we maintain an active regulatory program that involves applying for a
growing number of regulatory approvals in a number of countries, primarily in
Europe. Further, we seek to receive regulatory approvals from governing agencies
as a means to differentiate our products from the competition.

Livestock, Poultry and Dairy


We develop, manufacture, market, and sell a broad range of tests and perform
services for various livestock diseases and conditions, and have active research
and development and in-licensing programs in this area. Our strategy is to offer
differentiated tests with superior performance characteristics for use in
government programs to control or eradicate disease and disease outbreaks and in
livestock and poultry producers' disease, reproductive, and herd health and
production management programs. Our Alertys Ruminant Pregnancy Test, Rapid
Visual Pregnancy Test and Alertys On-Farm Pregnancy Test for cattle can detect
pregnancy 28 days after breeding. These tests provide a quick and accurate
identifier using whole blood samples.

Disease outbreaks are episodic and unpredictable, and certain diseases that are
prevalent at one time may be substantially contained or eradicated at a later
time. In response to outbreaks, testing initiatives may lead to exceptional
demand for certain products in certain periods. Conversely, successful
eradication programs may result in significantly decreased demand for certain
products. In addition, increases in government funding may lead to increased
demand for certain products and budgetary constraints may lead to decreased
demand for certain products. As result, the performance in certain sectors of
this business can fluctuate.

Our strategy in the dairy testing business is to develop, manufacture and sell
antibiotic residue and contaminant testing products that satisfy applicable
regulatory requirements or dairy processor standards for testing of milk and
provide reliable field performance. The manufacture of these testing products
leverages the SNAP platform and production assets that also support our rapid
assay business, which also leverages the SNAP platform. The dairy SNAP products
incorporate customized reagents for antibiotic and contaminant detection.

Other


OPTI Medical. Our strategy in the OPTI Medical business for the human market is
to develop, manufacture, and sell electrolyte and blood gas analyzers, and
related consumable products for the medical point-of-care diagnostics sector
worldwide, with a focus on small to mid-sized hospitals. We seek to
differentiate our products based on ease of use, convenience, international
distribution and service and instrument reliability. Similar to our veterinary
instruments and consumables strategy, a substantial portion of the revenues from
this product line is derived from the sale of consumables for use on the
installed base of electrolyte and blood gas analyzers. During the early stage of
an instrument's life cycle, relatively greater revenues are derived from
instrument placements, while consumable sales become relatively more significant
in later
                                       37
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stages as the installed base of instruments increases and instrument placement
revenues begin to decline. Our long-term success in this area of our business is
dependent upon new customer acquisition, customer retention and increased
customer utilization of existing and new assays introduced on these instruments.

During 2020, we introduced the OPTI SARS-CoV-2 RT-PCR test kit for human
COVID-19 testing. A significant portion of the 2021 growth in our OPTI Medical
business was from revenue generated from the test kits and related laboratory
services. The amount of revenue from this product decreased in 2022, with less
demand for testing. We expect revenues from COVID-19 related testing products
and services to be inconsequential in 2023.

Our facility in Roswell, Georgia develops and manufactures the OPTI product
lines using the same or similar technology to support the electrolyte
requirements of certain CAG products. We leverage this facility's know-how,
intellectual property, and manufacturing capability to continue to expand the
menu and instrument capability of the VetStat and Catalyst platforms for
veterinary applications, while reducing our cost of consumables by leveraging
experience and economies of scale.

CRITICAL ACCOUNTING ESTIMATES AND ASSUMPTIONS


The discussion and analysis of our financial condition and results of operations
is based upon the consolidated financial statements, which have been prepared in
accordance with U.S. GAAP. The preparation of these financial statements
requires us to make estimates and judgments that affect the reported amounts of
assets, liabilities, revenues and expenses, and related disclosure of contingent
assets and liabilities. We evaluate our estimates on an ongoing basis. We base
our estimates on historical experience and on various assumptions that we
believe to be reasonable under the circumstances, the results of which form the
basis for making judgments about the carrying values of assets and liabilities
that are not readily apparent from other sources. Actual results may differ from
these estimates. Refer to "Part II, Item 8. Financial Statements and
Supplementary Data, Note 2. Summary of Significant Accounting Policies" to the
consolidated financial statements included in this Annual Report on Form 10-K
for a description of the significant accounting policies used in preparation of
these consolidated financial statements.

We believe the following critical accounting estimates and assumptions may have
a material impact on reported financial condition and operating performance and
involve significant levels of judgment to account for highly uncertain matters
or are susceptible to significant change.

Revenue Recognition


Refer to "Part II, Item 8. Financial Statements and Supplementary Data, Note 3.
Revenue Recognition" to the consolidated financial statements for the year ended
December 31, 2022, included in this Annual Report on Form 10-K for additional
information about our revenue recognition policy and criteria for recognizing
revenue.

We enter into contracts where customers purchase combinations of IDEXX products
and services. Determining whether products and services are considered distinct
performance obligations that should be accounted for separately requires
judgment. We determine the transaction price for a contract based on the total
consideration we expect to receive in exchange for the transferred goods or
services. To the extent the transaction price includes variable consideration,
such as volume rebates or expected price adjustments, we apply judgment in
constraining the estimated variable consideration due to factors that may cause
reversal of revenue recognized. We evaluate constraints based on our historical
and projected experience with similar customer contracts.

We allocate revenue to each performance obligation in proportion to the relative
standalone selling prices and recognize revenue when control of the related
goods or services is transferred for each obligation. We utilize the observable
standalone selling price when available, which represents the price charged for
the promised product or service when sold separately. When standalone selling
prices for our products or services are not directly observable, we determine
the standalone selling prices using relevant information available and apply
suitable estimation methods including, but not limited to, the cost plus a
margin approach.

Our up-front loyalty programs provide customers with incentives in the form of
cash payments or IDEXX Points upon entering into multi-year agreements to
purchase annual minimum amounts of future products or services. If a customer
breaches their agreement, they are required to refund all or a portion of the
up-front cash or IDEXX Points, or make other repayments, remedial actions, or
both. Up-front incentives to customers in the form of cash or IDEXX Points are
not made in exchange for distinct goods or services and are capitalized as
customer acquisition costs within other current and long-term assets, which are
subsequently recognized as a reduction to revenue over the term of the customer
agreement. If these up-front incentives are
                                       38
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subsequently utilized to purchase instruments, we allocate total consideration,
including future committed purchases less up-front incentives and estimates of
expected price adjustments, based on relative standalone selling prices to
identified performance obligations and recognize instrument revenue and cost at
the time of installation and customer acceptance. We estimate, based on
historical experience, and apply judgment to predict the amounts of future
customer purchases and expected price adjustments related to these multi-year
agreements. Differences between estimated and actual customer purchases may
impact the timing and amount of revenue recognition during the term of the
customer contract, and a 10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} change in these estimates would have increased or
reduced deferred revenue and cumulative revenue related to these programs by
approximately $1.1 million at December 31, 2022.

Our volume commitment programs, such as our IDEXX 360 program, provide customers
with free or discounted instruments or systems upon entering into multi-year
agreements to purchase annual minimum amounts of products and services. We
allocate total consideration, including future committed purchases and expected
price adjustments, based on relative standalone selling prices to identified
performance obligations and recognize instrument revenue and cost at the time of
installation and customer acceptance in advance of billing the customer, which
is also when the customer obtains control of the instrument based on legal title
transfer. Our right to future consideration related to instrument revenue is
recorded as a contract asset within other current and long-term assets. The
contract asset is transferred to accounts receivable when customers are billed
for products and services over the term of the contract. We estimate, based on
historical experience, and apply judgment to predict the amounts of future
customer purchases and expected price adjustments related to these multi-year
agreements. Differences between estimated and actual customer purchases may
impact the timing and amount of revenue recognition during the term of the
customer contract, and a 10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} change in these estimates would have increased or
reduced contract assets and cumulative revenue related to these programs by
approximately $4.3 million at December 31, 2022.

Our instrument rebate programs require an instrument purchase and provide
customers the opportunity to earn future rebates based on the volume of products
and services they purchase over the term of the program. We account for the
customer's right to earn rebates on future purchases as a separate performance
obligation and determine the standalone selling price based on an estimate of
rebates the customer will earn over the term of the program. Total consideration
allocated to identified performance obligations is limited to goods and services
that the customer is presently obligated to purchase and does not include
estimates of future purchases that are optional. We allocate total consideration
to identified performance obligations, including the customer's right to earn
rebates on future purchases, which is deferred and subsequently recognized upon
the purchase of products and services, partly offsetting rebates as they are
earned. We estimate, based on historical experience, and apply judgment to
predict the amounts of future customer rebates related to these multi-year
agreements. Differences between estimated and actual customer rebates may impact
the timing and amount of revenue recognition during the term of the customer
contract, and a 10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} change in these estimates would have increased or reduced
deferred revenue and cumulative revenue related to these programs by
approximately $2.8 million at December 31, 2022.

Future market conditions and changes in product offerings may cause us to change
marketing strategies to increase or decrease customer incentive offerings,
possibly resulting in incremental reductions of revenue in future periods as
compared to reductions in the current or prior periods. Additionally, certain
customer programs require us to estimate, based on historical experience, and
apply judgment to predict the amounts of future customer purchases, customer
rebates and other incentive payments, and price adjustments related to
multi-year agreements. Differences between estimated and actual customer
purchases may impact the timing and amount of revenue recognition as described
above.

Valuation of Goodwill and Other Intangible Assets


A significant portion of the purchase price for acquired businesses is generally
assigned to intangible assets. Intangible assets other than goodwill are
initially valued at fair value. If a quoted price in an active market for the
identical asset is not readily available at the measurement date, the fair value
of the intangible asset is estimated based on discounted cash flows using market
participant assumptions, which are assumptions that are not specific to IDEXX.
The selection of appropriate valuation methodologies and the estimation of
discounted cash flows require significant assumptions about the timing and
amounts of future cash flows, risks, appropriate discount rates, and the useful
lives of intangible assets. When significant, we typically utilize independent
valuation experts to advise and assist us in determining the fair values of the
identified intangible assets acquired in connection with a business acquisition
and in determining appropriate amortization methods and periods for those
intangible assets. Goodwill is initially valued based on the excess of the
purchase price of a business combination over the fair value of acquired net
assets recognized and represents the future economic benefits arising from other
assets acquired that could not be separately identified and recognized.

We assess goodwill for impairment annually, at the reporting unit level, in the
fourth quarter and whenever events or circumstances indicate impairment may
exist. An impairment charge is recorded for the amount, if any, by which the
carrying
                                       39
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amount of goodwill exceeds its implied fair value. Our reporting units are the
individual product and service categories that comprise our CAG operating
segment, our Water and LPD operating segments and goodwill remaining from the
restructuring of our pharmaceutical business in the fourth quarter of 2008. A
substantial portion of the goodwill remaining from the pharmaceutical business,
included in our "Other Segment," is associated with intellectual property that
has been, or may be, licensed to third parties. Realization of this goodwill is
dependent upon the success of those third parties in developing and
commercializing products, which will result in our receipt of royalties and
other payments.

As part of our goodwill testing process, we evaluate factors specific to a
reporting unit as well as industry and macroeconomic factors that are reasonably
likely to have a material impact on the fair value of a reporting unit. Examples
of the factors considered in assessing the fair value of a reporting unit
include: the results of the most recent impairment test; the competitive
environment; the regulatory environment; the effects natural disasters;
anticipated changes in product, supply chain, or labor costs; revenue and
profitability trends and expectations; the consistency of cash flows; and
current and long-range financial forecasts. The long-range financial forecasts
of the reporting units, which are based upon management's long-term view of our
markets, are used by senior management and the Board of Directors to evaluate
operating performance.

In the fourth quarter of 2022, we performed a qualitative assessment of goodwill
impairment for all of our reporting units, except for Pharmaceutical Activities,
and concluded that it is not more likely than not that the fair value of any of
those reporting units is less than its carrying amount, including goodwill. We
maintain approximately $6.5 million of goodwill associated with Pharmaceutical
Activities, which comprises pharmaceutical intellectual property, out-licensing
arrangements, and certain retained drug delivery technologies from which we earn
royalty revenue. For our Pharmaceutical Activities, we performed a quantitative
assessment and concluded that the estimated fair value approximates the carrying
amount of the reporting unit. We estimated the fair value of the Pharmaceutical
Activities using an income approach based on discounted forecasted cash flows,
making assumptions about future cash flows and discount rates. These is no
guarantee that we will be able to maintain revenues from our remaining
Pharmaceutical Activities. No goodwill impairments were identified during the
years ended December 31, 2022, 2021, and 2020.

A prolonged economic downturn in the U.S. or internationally resulting in lower
long-term growth rates and reduced long-term profitability may reduce the fair
value of our reporting units. Industry specific events or circumstances could
have a negative impact on our reporting units and may also reduce the fair value
of our reporting units. Should such events occur, and it becomes more likely
than not that a reporting unit's fair value has fallen below its carrying value,
we will perform an interim goodwill impairment test, in addition to the annual
impairment test. Future impairment tests may result in an impairment of
goodwill. An impairment of goodwill would be reported as a non-cash charge to
earnings.

We also assess the realizability of intangible assets whenever events or changes
in circumstances indicate that the carrying value may not be recoverable. If an
impairment review is triggered, we evaluate the carrying value of intangible
assets, other than goodwill, based on estimated undiscounted future cash flows
over the remaining useful life of the primary asset of the asset group and
compare that value to the carrying value of the asset group. The asset group is
the lowest level for which identifiable cash flows associated with the
intangible asset are largely independent. The cash flows that are used contain
our best estimates, using appropriate and customary assumptions and projections
at the time. If the net carrying value of the asset group exceeds the related
estimated undiscounted future cash flows, an impairment loss to adjust the
intangible asset to its fair value would be reported as a non-cash charge to
earnings. If necessary, we would calculate the fair value of an intangible asset
using the present value of the estimated future cash flows to be generated by
the intangible asset and apply a risk-adjusted discount rate. We had no
impairments of our intangible assets during the years ended December 31, 2022
and 2021. The amount of impairment for the year ended December 31, 2020 was
immaterial.

Income Taxes


The provision for income taxes is determined using the asset and liability
approach of accounting for income taxes. Under this approach, deferred taxes
represent the estimated future tax effects of temporary differences between book
and tax treatment of assets and liabilities and carryforwards to the extent they
are realizable.

We assess our current and projected earnings by jurisdiction to determine
whether or not our earnings during the periods when the temporary differences
become deductible will be sufficient to realize the related future tax benefits.
Should we determine that we would not be able to realize all or part of our net
deferred tax asset in a particular jurisdiction in the future, an adjustment to
the deferred tax asset would be charged to income in the period such
determination was made.

For those jurisdictions where tax carryforwards are likely to expire unused or
the projected operating results indicate that realization is not more likely
than not, a valuation allowance is recorded to offset the deferred tax asset
within that
                                       40
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jurisdiction. In assessing the need for a valuation allowance, we consider
future taxable income and ongoing prudent and feasible tax planning strategies.
In the event that we determine that we would be able to realize our deferred tax
assets in the future in excess of the net recorded amount, a reduction of the
valuation allowance would increase income in the period such determination was
made. Likewise, should we determine that we would not be able to realize all or
part of our net deferred tax asset in the future, a reduction to the deferred
tax asset would be charged against income in the period such determination was
made.

Our net taxable temporary differences and tax carryforwards are recorded using
the enacted tax rates expected to apply to taxable income in the periods in
which the deferred tax liability or asset is expected to be settled or realized.
Should the expected applicable tax rates change in the future, an adjustment to
our deferred taxes would be credited or charged, as appropriate, to income in
the period such determination was made.

We periodically assess our exposures related to our worldwide provision for
income taxes and believe that we have appropriately accrued taxes for
contingencies. Any reduction of these contingent liabilities or additional
assessment would increase or decrease income, respectively, in the period such
determination was made.


We record a liability for uncertain tax positions that do not meet the more
likely than not standard as prescribed by the authoritative guidance for income
tax accounting. We record tax benefits for only those positions that we believe
will more likely than not be sustained. For positions that we believe that it is
more likely than not that we will prevail, we record a benefit considering the
amounts and probabilities that could be realized upon ultimate settlement. If
our judgment as to the likely resolution of the uncertainty changes, if the
uncertainty is ultimately settled or if the statute of limitation related to the
uncertainty expires, the effects of the change would be recognized in the period
in which the change, resolution or expiration occurs. Our net liability for
uncertain tax positions was $25.8 million as of December 31, 2022, and $25.5
million as of December 31, 2021, which includes estimated interest expense and
penalties. Refer to "Part II, Item 8. Financial Statements and Supplementary
Data, Note 14. Income Taxes" in the accompanying Notes to consolidated financial
statements for more information.

RECENT ACCOUNTING PRONOUNCEMENTS

Refer to “Part II, Item 8. Financial Statements and Supplementary Data, Note 2.
Summary of Significant Accounting Policies (v) and (w)” to the consolidated
financial statements for the year ended December 31, 2022, included in this
Annual Report on Form 10-K for a complete discussion of recent accounting
pronouncements adopted and not adopted.

RESULTS OF OPERATIONS AND TRENDS

Effects of Certain Factors on Results of Operations


CAG Trends. Global trends in companion animal healthcare, including growth in
demand for clinical services, continue to support solid growth for companion
animal diagnostic products and services across regions. In the U.S., average
diagnostics revenue per practice grew 6.9{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} on a same-store basis during 2022,
faster than 5.1{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} growth in overall clinic revenues. U.S. same-store clinical
visits at veterinary practices declined 2.3{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} in 2022, reflecting impacts this
year from reductions in veterinary clinic capacity levels and comparison to high
prior-year visit levels. Growth for pet healthcare including diagnostics remains
elevated compared to pre-pandemic levels reflecting compound annual growth of
2.9{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} in clinical visits and 11.2{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} in same-store diagnostics revenues for the
U.S. compared to 2019.

Supply Chain and Logistics Challenges. We believe that building and maintaining
a well-managed and disciplined infrastructure have helped minimize impacts of
the current supply chain constraints, including product and component
availability issues, logistics challenges, including extended shipping periods
and delays, and inflationary pressures that are currently occurring worldwide.
Our proactive approach to managing our operational processes, including forward
planning with a focus on working closely with our suppliers and logistics
partners, has enabled us to maintain continued high levels of product and
service availability and customer service. We continue to monitor these supply
chain and logistics challenges, including potential fuel rationing and
shortages, and have implemented mitigation strategies to adjust for, among other
things, delayed shipments of products and components. Although we expect these
challenges to continue during 2023, we believe we are well-positioned to enable
sustained high growth in our businesses going forward and to effectively manage
the impacts of potentially relatively higher costs in certain areas to support
these growth plans. However, there can be no assurance as to the duration or
severity of the supply chain and logistics challenges or the effectiveness of
our mitigating activities.

                                       41
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War in Ukraine / Russia Operations. Our operations in the Russia, Belarus, and
Ukraine region are limited, with no manufacturing or significant supply
arrangements. After significantly scaling back our operations in Russia in the
first quarter of 2022, including suspending sales of veterinary diagnostic
equipment; promotional, marketing, and hiring activities; and new business
development and related investments, we decided in June 2022 to wind down and
liquidate our sole Russian subsidiary, as well as our direct Russian operations,
which consisted of marketing and selling diagnostic products for veterinary
clinics in Russia. We anticipate that only a limited number of our products,
which are important for human or animal healthcare, will continue to be sold in
Russia pursuant to ongoing third-party distribution agreements. Some of our
products are also sold in Belarus pursuant to ongoing third-party distribution
agreements. Historical revenues from the Russia, Belarus, and Ukraine region
have been less than 1{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of our total consolidated revenue.

Distributor Purchasing and Inventories. When selling our products through
distributors, changes in distributors' inventory levels can impact our reported
sales, and these changes may be affected by many factors, which may not be
directly related to underlying demand for our products by veterinary practices,
which are the end users. If during the current year, distributors' inventories
grew by less than those inventories grew in the comparable period of the prior
year, then changes in distributors' inventories would have an unfavorable impact
on our reported sales growth in the current period. Conversely, if during the
current year, distributors' inventories grew by more than those inventories grew
in the comparable period of the prior year, then changes in distributors'
inventories would have a favorable impact on our reported sales growth in the
current period.

In certain countries, we sell our products through third-party distributors and
may be unable to obtain data for sales to end users. We do not believe the
impact of changes in these distributors’ inventories had or would have a
material impact on our growth rates. Refer to “Part I, Item 1. Business,
Marketing and Distribution” included in this Annual Report on Form 10-K for
additional information regarding distribution channels.


Currency Impact. For the year ended December 31, 2022, approximately 21{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of our
consolidated revenue was derived from products manufactured or sourced in U.S.
dollars and sold internationally in local currencies, as compared to 23{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the
year ended December 31, 2021 and 21{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the year ended December 31, 2020.
Strengthening of the rate of exchange for the U.S. dollar relative to other
currencies has a negative impact on our revenues derived in currencies other
than the U.S. dollar and on profits of products manufactured or purchased in
U.S. dollars and sold internationally, and a weakening of the U.S. dollar has
the opposite effect. Similarly, to the extent that the U.S. dollar is stronger
in current or future periods relative to the exchange rates in effect in the
corresponding prior periods, our growth rate will be negatively affected. The
impact of foreign currency denominated operating expenses and foreign currency
denominated supply contracts partly offsets this exposure. Additionally, our
designated hedges of intercompany inventory purchases and sales help delay the
impact of certain exchange rate fluctuations on non-U.S. denominated revenues.
Refer to "Part II, Item 7A. Quantitative and Qualitative Disclosures About
Market Risk" included in this Annual Report on Form 10-K for additional
information regarding currency impact. Our future income tax expense could also
be affected by changes in the mix of earnings, including as a result of changes
in the rate of exchange for the U.S. dollar relative to currencies in countries
with differing statutory tax rates. Refer to "Part I, Item 1A. Risk Factors"
included in this Annual Report on Form 10-K for additional information regarding
tax impacts.

Effects of Economic Conditions. Demand for our products and services is
vulnerable to changes in the economic environment, including slow economic
growth, high unemployment, and credit availability. Negative or cautious
consumer sentiment can lead to reduced or delayed consumer spending, resulting
in a decreased number of patient visits to veterinary clinics. Unfavorable
economic conditions can impact sales of instruments, diagnostic imaging, and
practice management systems, which are larger capital purchases for
veterinarians. Additionally, economic turmoil, fears of a global economic
downturn or recession, and inflationary pressure can cause our customers to
remain sensitive to the pricing of our products and services. In the U.S., we
monitor patient visits and clinic revenue data provided by a subset of our CAG
customers. Although this data is a limited sample and susceptible to short-term
impacts such as weather, which may affect the number of patient visits in a
given period, we believe that this data provides a fair and meaningful long-term
representation of the trend in patient visit activity in the U.S., providing us
insight regarding demand for our products and services.

Economic conditions can also affect the purchasing decisions of our Water and
LPD business customers. Water testing volumes may be susceptible to declines in
discretionary testing for existing home and commercial sales and in mandated
testing as a result of decreases in home and commercial construction. Testing
volumes may also be impacted by severe weather conditions such as drought. In
addition, fiscal difficulties can also reduce government funding for water and
herd health screening services.

We believe that the diversity of our products and services and the geographic
diversity of our customers partially mitigate the potential effects of the
economic environment and negative consumer sentiment on our revenue growth
rates.

                                       42
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Effects of Patent Expiration. Although we have several patents and licenses of
patents and technologies from third parties that expired during 2022, and
several that are expected to expire in 2023 and beyond, the expiration of these
patents or licenses, individually or in the aggregate, is not expected to have a
material effect on our financial position or future operations due to a range of
factors as described in "Part I, Item 1. Business, Patents and Licenses."

Non-GAAP Financial Measures. The following revenue analysis and discussion
focuses on organic revenue growth, and references in this analysis and
discussion to "revenue," "revenues" or "revenue growth" are references to
"organic revenue growth." Organic revenue growth is a non-GAAP financial measure
and represents the percentage change in revenue during the current year, as
compared to the same period for the prior year, net of the effect of changes in
foreign currency exchange rates, certain business acquisitions, and
divestitures. Organic revenue growth should be considered in addition to, and
not as a replacement for, or as a superior measure to, revenues reported in
accordance with U.S. GAAP, and may not be comparable to similarly titled
measures reported by other companies. Management believes that reporting organic
revenue growth provides useful information to investors by facilitating easier
comparisons of our revenue performance with prior and future periods and to the
performance of our peers.

We exclude from organic revenue growth the effect of changes in foreign currency
exchange rates because changes in foreign currency exchange rates are not
under management's control, are subject to volatility and can obscure underlying
business trends. We calculate the impact on revenue resulting from changes in
foreign currency exchange rates by applying the difference between the weighted
average exchange rates during the current year period and the comparable prior
year period to foreign currency denominated revenues for the prior year period.

We also exclude from organic revenue growth the effect of certain business
acquisitions and divestitures because the nature, size and number of these
transactions can vary dramatically from period to period, and because they
either require or generate cash as an inherent consequence of the transaction,
and therefore can also obscure underlying business and operating trends. We
consider acquisitions to be a business when all three elements of inputs,
processes and outputs are present, consistent with ASU 2017-01, "Business
Combinations: (Topic 805) Clarifying the Definition of a Business." In a
business combination, if substantially all the fair value of the assets acquired
is concentrated in a single identifiable asset or group of similar identifiable
assets, we do not consider these assets to be a business. A typical acquisition
that we do not consider a business is a customer list asset acquisition, which
does not have all elements necessary to operate a business, such as employees or
infrastructure. We believe the efforts required to convert and retain these
acquired customers are similar in nature to our existing customer base and
therefore are included in organic revenue growth.

We also use Adjusted EBITDA, gross debt, net debt, gross debt to Adjusted EBITDA
ratio and net debt to Adjusted EBITDA ratio, all of which are non-GAAP financial
measures that should be considered in addition to, and not as a replacement for,
financial measures presented according to U.S. GAAP. Management believes that
reporting these non-GAAP financial measures provides supplemental analysis to
help investors further evaluate our business performance and available borrowing
capacity under our Credit Facility.

Comparisons to Prior Periods. Our fiscal years end on December 31. Unless
otherwise stated, the analysis and discussion of our financial condition,
results of operations and liquidity, including references to growth and organic
growth and increases and decreases, are being compared to the equivalent prior
year period.



                                       43
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Twelve Months Ended December 31, 2022, Compared to Twelve Months Ended December
31, 2021


Total Company

The following table presents revenue by operating segment by U.S. and non-U.S.,
or international geographies:

                                          For the Years Ended December 31,
Net Revenue                                                                                                   Reported Revenue       Percentage Change         Percentage Change         Organic Revenue
(dollars in thousands)                        2022                    2021              Dollar Change            Growth (1)            from Currency           from Acquisitions            Growth (1)

CAG                                   $       3,058,793          $ 2,889,960          $      168,833                   5.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (3.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                8.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
United States                                 2,073,222            1,881,887                 191,335                  10.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                     -                         0.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                9.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
International                                   985,571            1,008,073                 (22,502)                 (2.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                 (9.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                6.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

Water                                 $         155,720          $   146,505          $        9,215                   6.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (4.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                9.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
United States                                    76,875               70,654                   6,221                   8.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                     -                           -                   8.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
International                                    78,845               75,851                   2,994                   3.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (7.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     1.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}               10.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

LPD                                   $         122,607          $   135,887          $      (13,280)                 (9.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                 (5.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                  (4.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
United States                                    16,633               15,626                   1,007                   6.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                     -                           -                   6.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
International                                   105,974              120,261                 (14,287)                (11.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                 (6.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                  (5.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})

Other                                 $          30,204          $    43,008          $      (12,804)                (29.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                  0.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                        -                 (30.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})

Total Company                         $       3,367,324          $ 3,215,360          $      151,964                   4.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (3.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                7.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
United States                                 2,182,959            1,995,683                 187,276                   9.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                     -                         0.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                8.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
International                                 1,184,365            1,219,677                 (35,312)                 (2.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                 (8.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                5.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

(1)Reported revenue growth and organic revenue growth may not recalculate due to
rounding.


Total Company Revenue. The increase in organic revenue reflects higher realized
prices and continued demand for companion animal diagnostics globally, supported
by higher CAG Diagnostics recurring revenue, primarily in the U.S. Increases in
our subscription-based veterinary software and diagnostic imaging services also
contributed to higher revenue for the year. The higher revenue in our Water
business was primarily due to the benefit of price increases and higher testing
volumes. The decline in our LPD business was primarily due to lower demand in
the first half of the year for swine testing in China, compared to high prior
year levels. The decrease in Other revenue reflects lower sales of OPTI COVID-19
PCR testing products. The impact of currency movements decreased total revenue
growth by 3.4{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}, while the impact of acquisitions increased total revenue growth
by 0.7{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.
                                       44
--------------------------------------------------------------------------------

The following table presents our total Company results of operations:

                                                                   For the Years Ended December 31,                                               Change
Total Company - Results of
Operations                                                            Percent of                                Percent of
(dollars in thousands)                           2022                  Revenue                2021               Revenue              Amount             Percentage

Revenues                                  $      3,367,324                               $ 3,215,360                               $ 151,964                     4.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Cost of revenue                                  1,362,986                                 1,325,928                                  37,058                     2.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Gross profit                                     2,004,338                 59.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         1,889,432                 58.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         114,906                     6.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

Operating Expenses:
Sales and marketing                                524,505                 15.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           486,735                 15.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          37,770                     7.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
General and administrative                         326,248                  9.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           309,660                  9.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          16,588                     5.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Research and development                           254,820                  7.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           161,009                  5.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          93,811                    58.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Total operating expenses                         1,105,573                 32.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           957,404                 29.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         148,169                    15.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Income from operations                    $        898,765                 26.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $   932,028                 29.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $ (33,263)                   (3.6) {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}



Gross Profit. Gross profit increased due to higher sales volumes and
a 70 basis point increase in the gross profit margin. The impact from foreign
currency movements increased the gross profit margin by approximately 50 basis
points, primarily from the impact of hedge gains in the current year as compared
to hedge losses in the prior year. Excluding the impact of foreign currency
movements, the increase in the gross margin was primarily due to net price
gains, improved software services gross margins, and the benefit of our
reference laboratory productivity initiatives. These increases were partially
offset by higher freight and distribution costs; higher service costs, including
increases in labor and facility costs; and higher product costs.

Operating Expenses. Sales and marketing expense increased primarily due to
higher personnel-related and travel costs, including investments in our global
commercial capability. General and administrative expense increased primarily
due to higher personnel-related costs, increase in allowances for doubtful
accounts receivable, and increases in amortization and depreciation expense
related to business acquisitions and capital investments. General and
administrative expense increases were partially offset by a comparative decrease
due to acquisition-related costs incurred in the prior year. Research and
development expense increased primarily due to discrete investments for the
acquisition of rights to use certain licensed technology under intellectual
property licensing arrangements, project costs, and higher personnel-related
costs. The overall change in foreign currency exchange rates resulted in a
decrease in operating expenses growth by approximately 2{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.
                                       45
--------------------------------------------------------------------------------

Companion Animal Group


The following table presents revenue by product and service category for CAG:

                                 For the Years Ended December 31,
Net Revenue                                                                                          Reported Revenue       Percentage Change         Percentage Change         Organic Revenue
(dollars in thousands)               2022                    2021              Dollar Change            Growth (1)            from Currency           from Acquisitions           Growth (1)

CAG Diagnostics
recurring revenue:           $       2,660,280          $ 2,534,562          $      125,718                   5.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (3.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                8.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
IDEXX VetLab
consumables                          1,057,236            1,006,781                  50,455                   5.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (4.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                   9.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Rapid assay products                   313,667              296,852                  16,815                   5.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (1.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                   7.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Reference laboratory
diagnostic and
consulting services                  1,178,113            1,123,656                  54,457                   4.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (2.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                7.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
CAG Diagnostics
services and
accessories                            111,264              107,273                   3,991                   3.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (4.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                   8.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
CAG Diagnostics
capital - instruments                  147,326              149,140                  (1,814)                 (1.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                 (4.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                       -                   3.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Veterinary software,
services and
diagnostic imaging
systems                                251,187              206,258                  44,929                  21.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (1.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     7.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}               14.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Net CAG revenue              $       3,058,793          $ 2,889,960          $      168,833                   5.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                  (3.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})                     0.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}                8.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

(1)Reported revenue growth and organic revenue growth may not recalculate due to
rounding.


CAG Diagnostics Recurring Revenue. The increase in CAG Diagnostics recurring
revenue was primarily due to higher realized prices and increased volumes in
IDEXX VetLab consumables, reference laboratory diagnostic services, and, to a
lesser extent, rapid assay products. The impact of foreign currency movements
decreased CAG Diagnostics recurring revenue growth by 3.4{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

The increase in IDEXX VetLab consumables revenue was primarily due to higher
price realization and higher sales volumes, primarily of our Catalyst
consumables and, to a lesser extent, ProCyte consumables. These volume increases
were supported by the expansion of our installed base of instruments, our
expanded menu of available tests in certain regions, and high customer retention
levels. The impact of currency movements decreased revenue growth by 4.3{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

The increase in rapid assay revenue resulted primarily from higher price
realization and higher clinic testing levels, primarily from SNAP 4Dx Plus. The
impact of currency movements decreased revenue growth by 1.7{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.


The increase in reference laboratory diagnostic and consulting services revenue
was primarily due to higher testing volumes and price realization in our U.S.
labs. Growth in other regions was primarily due to higher price realization,
partially offset by moderately lower international volumes compared to strong
prior period demand levels. Acquisitions increased revenue growth by 0.3{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. The
impact of currency movements decreased revenue growth by 2.9{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

CAG Diagnostics services and accessories revenue growth was primarily a result
of the increase in our active installed base of instruments.


CAG Diagnostics Capital - Instrument Revenue. The impact of currency movements
decreased revenue growth by 4.7{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. Excluding the impact of currency, the growth
in instrument revenue was primarily due to higher premium instrument placements,
primarily of the ProCyte One analyzer, to support increased diagnostic testing.

Veterinary Software, Services, and Diagnostic Imaging Systems Revenue. The
acquired business increased revenue growth by 7.9{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. Excluding the impact of the
acquisition, the increase in veterinary software and services revenue was
primarily due to higher realized prices on service offerings and higher
subscription-based service revenue supported by the expansion in our active
installed base. The increase in our diagnostic imaging systems revenue was
primarily due to increases in our active installed base resulting in higher
service revenue, as well as higher instrument and equipment placements and
higher realized prices.

                                       46
--------------------------------------------------------------------------------

The following table presents the CAG segment results of operations:


                                                                           For the Years Ended December 31,                                               Change
Results of Operations                                                         Percent of                                Percent of
(dollars in thousands)                                   2022                  Revenue                2021               Revenue              Amount             Percentage

Revenues                                          $      3,058,793                               $ 2,889,960                               $ 168,833                     5.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Cost of revenue                                          1,252,216                                 1,206,156                                  46,060                     3.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Gross profit                                             1,806,577                 59.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         1,683,804                 58.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         122,773                     7.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

Operating Expenses:
Sales and marketing                                        480,655                 15.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           444,694                 15.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          35,961                     8.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
General and administrative                                 288,746                  9.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           274,470                  9.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          14,276                     5.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Research and development                                   236,227                  7.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           140,618                  4.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          95,609                    68.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Total operating expenses                                 1,005,628                 32.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           859,782                 29.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         145,846                    17.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Income from operations                            $        800,949                 26.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $   824,022                 28.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $ (23,073)                   (2.8) {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}



Gross Profit. Gross profit increased primarily due to higher sales volumes, as
well as an 80 basis point increase in the gross profit margin. The increase in
the gross profit margin was primarily due to recurring revenue net price gains,
improved software services gross margins, and the benefit of our reference
laboratory productivity initiatives. These increases were partially offset by
higher freight and distribution costs, higher product costs, and higher service
costs, including increases in labor and facility costs. The impact from foreign
currency movements increased the gross profit margin by approximately 30 basis
points, primarily from the impact of hedge gains in the current year as compared
to hedge losses in the prior year.

Operating Expenses. Sales and marketing expense increased primarily due to
higher personnel-related and travel costs, including investments in our global
commercial capability. General and administrative expense increased primarily
due to higher personnel-related costs, increases in amortization and
depreciation expense related to business acquisitions and capital investments,
and an increase in allowances for doubtful accounts receivable. General and
administrative expense increases were partially offset by a comparative decrease
due to acquisition-related costs incurred in the prior year. Research and
development expense increased primarily due to discrete investments for the
acquisition of rights to use certain licensed technology under intellectual
property licensing arrangements, project costs, and higher personnel-related
costs. The overall change in foreign currency exchange rates resulted in a
decrease in operating expenses growth by approximately 2{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.
                                       47
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Water

The following table presents the Water segment results of operations:


                                                                         For the Years Ended December 31,                                             Change
Results of Operations                                                        Percent of                              Percent of
(dollars in thousands)                                   2022                 Revenue               2021              Revenue             Amount            Percentage

Revenues                                          $       155,720                               $ 146,505                               $ 9,215                     6.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Cost of revenue                                            45,861                                  45,561                                   300                     0.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Gross profit                                              109,859                 70.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         100,944                 68.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         8,915                     8.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}

Operating Expenses:
Sales and marketing                                        18,564                 11.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          17,814                 12.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           750                     4.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
General and administrative                                 14,353                  9.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          13,442                  9.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           911                     6.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Research and development                                    4,423                  2.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           4,244                  2.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           179                     4.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Total operating expenses                                   37,340                 24.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          35,500                 24.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         1,840                     5.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Income from operations                            $        72,519                 46.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $  65,444                 44.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $ 7,075                    10.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}


Revenue. The increase in our Water business was due to higher realized prices
and testing volumes, primarily in our Colilert test products and related
accessories used in coliform and E. coli testing. The impact of currency
movements decreased revenue growth by 4.0{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. The impact of an acquisition
completed during the third quarter of 2022 increased revenue growth by 0.5{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.


Gross Profit. Gross profit for Water increased due to higher sales volumes and a
160 basis point increase in the gross profit margin, which reflected a 210 basis
point increase due to foreign currency movements, primarily from the impact of
hedge gains in the current year compared to hedge losses in the prior year.
Decreases in the gross profit margin were primarily due to higher product costs
and higher distribution and freight costs, partially offset by higher realized
prices.

Operating Expenses. Sales and marketing expense increased primarily due to
higher personnel-related and travel costs. General and administrative expense
increased primarily due to higher third-party service costs, including
acquisition-related costs, personnel-related costs, and allowances for doubtful
accounts receivable. Research and development expense increased primarily due to
higher personnel-related costs. The overall change in foreign currency exchange
rates resulted in a decrease in operating expenses growth by approximately 2{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

                                       48
--------------------------------------------------------------------------------

Livestock, Poultry and Dairy

The following table presents the LPD segment results of operations:


                                                                         For the Years Ended December 31,                                              Change
Results of Operations                                                        Percent of                              Percent of
(dollars in thousands)                                   2022                 Revenue               2021              Revenue              Amount             Percentage

Revenues                                          $       122,607                               $ 135,887                               $ (13,280)                  (9.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Cost of revenue                                            49,606                                  54,323                                  (4,717)                  (8.7  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Gross profit                                               73,001                 59.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          81,564                 60.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          (8,563)                 (10.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})

Operating Expenses:
Sales and marketing                                        23,491                 19.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          21,681                 16.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           1,810                    8.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
General and administrative                                 17,119                 14.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          17,606                 13.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}            (487)                  (2.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Research and development                                   12,582                 10.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          13,641                 10.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          (1,059)                  (7.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Total operating expenses                                   53,192                 43.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          52,928                 39.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}             264                    0.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Income from operations                            $        19,809                 16.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $  28,636                 21.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $  (8,827)                 (30.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})




Revenue. The unfavorable impact of foreign currency movements decreased revenue
growth by 5.8{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. Excluding the impact of foreign currency, the decline in revenue
was primarily due to lower demand for diagnostic testing in China. Beginning
during the second quarter of 2021 and continuing through the first half of 2022,
we experienced lower livestock testing volumes in China, as changes in disease
management approaches, low pork prices, and changes in government requirements
related to the live animal imports and livestock infectious disease programs
impacted testing volumes, in comparison to high prior-year demand for African
Swine Fever testing. These declines were moderated during the second half of
2022, with modest volume increases in our swine testing market in China compared
to low prior year levels. The decrease in revenue was partially offset by higher
herd health screening in other Asia Pacific markets and higher price gains.

Gross Profit. The decrease in LPD gross profit was primarily due to lower sales
volumes and a 50 basis point decrease in the gross profit margin. The decrease
in the gross profit margin is primarily due to higher freight and distribution
costs, investments in our bovine laboratory services, the unfavorable overall
mix impacts largely from lower African Swine Fever testing, and higher product
costs. The decrease in the gross profit margin was partially offset by the
impact from foreign currency movements, which increased the gross profit margin
by approximately 360 basis points, primarily from the impact of hedge gains in
the current year compared to hedge losses in the prior year.

Operating Expenses. Sales and marketing expense increased primarily due to
increases in personnel-related and travel costs. General and administrative
decreased primarily due to lower personnel-related costs. Research and
development expenses decreased primarily due to lower personnel-related costs.
The overall change in foreign currency exchange rates resulted in a decrease in
operating expenses growth by approximately 4{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.
                                       49
--------------------------------------------------------------------------------

Other

The following table presents the Other results of operations:


                                                                      For the Years Ended December 31,                                          Change
Results of Operations                                                  Percent of                             Percent of
(dollars in thousands)                                2022              Revenue              2021              Revenue              Amount             Percentage

Revenues                                          $  30,204                               $ 43,008                               $ (12,804)                 (29.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Cost of revenue                                      15,303                                 19,888                                  (4,585)                 (23.1  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Gross profit                                         14,901                 49.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}         23,120                 53.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          (8,219)                 (35.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})

Operating Expenses:
Sales and marketing                                   1,795                  5.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          2,546                  5.9  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}            (751)                 (29.5  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
General and administrative                            6,030                 20.0  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          4,142                  9.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}           1,888                   45.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Research and development                              1,588                  5.3  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          2,506                  5.8  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}            (918)                 (36.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})
Total operating expenses                              9,413                 31.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}          9,194                 21.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}             219                    2.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}
Income from operations                            $   5,488                 18.2  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $ 13,926                 32.4  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}       $  (8,438)                 (60.6  {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc})



Revenue. The decrease in Other revenue was primarily due to lower sales of OPTI
COVID-19 PCR testing products and services in the U.S. and, to a lesser extent,
lower OPTI Medical consumables revenue internationally. The impact of currency
movements increased revenues by 0.2{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

Gross Profit. Gross profit decreased due to lower sales volume and a 450 basis
point decrease in the gross profit margin. The decrease in the gross profit
margin was primarily due to unfavorable product mix with lower OPTI Medical
consumables and higher freight, distribution, and product costs, partially
offset by lower service costs associated with lower disease testing services.
The overall change in foreign currency exchange rates had an immaterial impact
on gross profit.

Operating Expenses. Sales and marketing expense decreased primarily due to lower
personnel-related costs. General and administrative expense increased primarily
due to higher foreign exchange losses on settlements of foreign currency
denominated transactions, as compared to the prior year, as well as higher
allowances for doubtful accounts receivable. Foreign exchange losses on
settlements for all operating segments are reported within our Other segment.
Research and development expense decreased primarily due to lower project costs
compared to investments in the development of infectious disease tests during
the prior year.

Non-Operating Items

Interest Expense. Interest expense was $39.9 million for the year ended December
31, 2022
, as compared to $29.8 million for the prior year. The increase in
interest expense was primarily the result of higher average debt levels.


Our effective income tax rate was 21.0{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the year ended December 31, 2022,
and 17.5{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the year ended December 31, 2021. The increase in our effective
tax rate was primarily driven by decreases in tax benefits related to
share-based compensation and higher taxes on international income. Our projected
effective tax rate for 2023 is approximately 22{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. This projected 1{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} increase in
the effective tax rate, over the full year 2022 effective tax rate, is primarily
due to lower estimated tax benefits from share-based compensation.


                                       50
--------------------------------------------------------------------------------

LIQUIDITY AND CAPITAL RESOURCES


We fund the capital needs of our business through cash on hand, funds generated
from operations, proceeds from long-term senior note financings, and amounts
available under our Credit Facility. We generate cash primarily through the
payments made by customers for our companion animal veterinary, livestock,
poultry, dairy, and water products and services, consulting services, and other
various systems and services. Our cash disbursements are primarily related to
compensation and benefits for our employees, inventory and supplies, taxes,
research and development, capital expenditures, rents, occupancy-related
charges, interest expense, and business acquisitions. At December 31, 2022, we
had $112.5 million of cash and cash equivalents, as compared to $144.5 million
on December 31, 2021. Working capital, including our Credit Facility, totaled
negative $134.3 million at December 31, 2022, as compared to $192.1 million at
December 31, 2021. Additionally, at December 31, 2022, we had a remaining
borrowing availability of $669.5 million under our $1.25 billion Credit Facility
with $579.0 million outstanding borrowing under the Credit Facility. The general
availability of funds under our Credit Facility is reduced by $1.5 million for
outstanding letters of credit. We believe that, if necessary, we could obtain
additional borrowings to fund our growth objectives. We further believe that
current cash and cash equivalents, funds generated from operations, and
committed borrowing availability will be sufficient to fund our operations,
capital purchase requirements, and anticipated growth needs for the next twelve
months. We believe that these resources, coupled with our ability, as needed, to
obtain additional financing, will also be sufficient to fund our business as
currently conducted for the foreseeable future. We may enter into new financing
arrangements or refinance or retire existing debt in the future depending on
market conditions. Should we require more capital in the U.S. than is generated
by our operations, for example to fund significant discretionary activities, we
could elect to raise capital in the U.S. through the incurrence of debt or
equity issuances, which we may not be able to complete on favorable terms or at
all. In addition, these alternatives could result in increased interest expense
or other dilution of our earnings.

We manage our worldwide cash requirements considering available funds among all
of our subsidiaries. Our foreign cash and cash equivalents are generally
available without restrictions to fund ordinary business operations outside the
U.S.

The following table presents cash, cash equivalents and marketable securities
held domestically, and by our foreign subsidiaries:


                                                                    For the Years Ended December 31,
Cash and cash equivalents
(in thousands)                                                          2022                2021

U.S.                                                               $    16,112          $    2,632
Foreign                                                                 96,434             141,822
Total                                                              $   112,546          $  144,454

Total cash, cash equivalents and marketable securities held
in U.S. dollars by our foreign subsidiaries

                        $     

6,647 $ 6,245




As of December 31, 2022 and 2021, more than 99{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of the cash and cash equivalents
held was as bank deposits. Cash and cash equivalents at December 31, 2022,
included approximately USD $2.9 million of cash held in countries with currency
control restrictions, which limit our ability to transfer funds outside of the
country in which they are held. The currency control restricted cash is
generally available for use within the country where it is held.

The following table presents additional key information concerning working
capital:

                                                                                              For the Three Months Ended
                                                     December 31,             September 30,             June 30,              March 31,             December 31,
                                                         2022                     2022                    2022                  2022                    2021

Days sales outstanding (1)                                43.4                     43.4                    43.2                  42.0                     42.4
Inventory turns (2)                                        1.3                      1.3                     1.5                   1.6                      2.0


(1)   Days sales outstanding represents the average of the accounts receivable
balances at the beginning and end of each quarter divided by revenue for that
quarter, the result of which is then multiplied by 91.25 days.
(2)   Inventory turns represent inventory-related cost of product revenue for
the 12 months preceding each quarter-end divided by the average inventory
balances at the beginning and end of each quarter.

                                       51
--------------------------------------------------------------------------------

The decrease in inventory turns over the current year was a result of larger
inventory on-hand, as we have increased inventory to support demand and product
availability, as well as new product launches.

Sources and Uses of Cash

The following table presents cash provided (used):


(in thousands)                                                            

For the Years Ended December 31,

                                                                  2022                 2021              Dollar Change

Net cash provided by operating activities                   $   542,984            $  755,546          $     (212,562)
Net cash used by investing activities                          (195,350)             (292,967)                 97,617
Net cash used by financing activities                          (370,936)             (697,414)                326,478
Net effect of changes in exchange rates on cash                  (8,606)               (4,639)                 (3,967)
Net change in cash and cash equivalents                     $   (31,908)    

$ (239,474) $ 207,566




Operating Activities. The decrease in cash provided by operating activities of
$212.6 million during 2022 as compared to 2021, was primarily due to the lower
net income and changes in other assets and liabilities. During 2022, we entered
into two discrete arrangements to license intellectual property for which we
paid $65 million which was charged to research and development expense. We also
had an increase in taxes paid during 2022, primarily due to changes imposed by
the 2017 Tax Cuts and Jobs Act, including the relevant provision that requires
U.S. research and development expenditures incurred after January 1, 2022, to be
capitalized and amortized over a five-year period.

The following table presents cash flows (used) provided from changes in
operating assets and liabilities:


(in thousands)                                                           

For the Years Ended December 31,

                                                                 2022                 2021              Dollar Change

Accounts receivable                                         $    (41,398)         $  (33,141)         $       (8,257)
Inventories                                                     (121,731)            (52,919)                (68,812)
Accounts payable                                                   3,467              11,233                  (7,766)
Deferred revenue                                                 (11,019)             (7,551)                 (3,468)
Other assets and liabilities                                    (102,849)            (55,145)                (47,704)
Total change in cash due to changes in operating
assets and liabilities                                      $   (273,530)         $ (137,523)         $     (136,007)



Cash used due to changes in operating assets and liabilities during the year
ended December 31, 2022, as compared to the same period in the prior year,
increased approximately $136.0 million. Cash used for inventory in the current
period, as compared to the prior period, was higher primarily due to planned
inventory growth to support demand and product availability. The increase of
cash used for other assets and liabilities was primarily due to lower non-cash
operating expenses recorded as accrued liabilities, primarily for
personnel-related costs, as compared to the same period in the prior year,
partially offset by accrued research and development investments in the current
year.

We have historically experienced proportionally lower net cash flows from
operating activities during the first quarter and proportionally higher cash
flows from operating activities for the remainder of the year and for the annual
period driven primarily by payments related to annual employee incentive
programs in the first quarter following the year for which the bonuses were
earned.

Investing Activities. Cash used by investing activities was $195.4 million
during 2022 as compared to $293.0 million used during 2021. The decrease in cash
used by investing activities during 2022 as compared to 2021 was primarily due
to the acquisition of ezyVet during the second quarter of 2021, partially offset
by an acquisition of an intangible asset during the first quarter of 2022, an
equity investment during the second quarter of 2022, and the acquisition of a
water testing business in the third quarter of 2022, as well as the increase in
purchases of property and equipment related to our new warehouse and
manufacturing site expansion.

Our total capital expenditure plan for 2023 is estimated to be approximately
$180.0 million, which includes capital investments in manufacturing and
operations facilities to support growth, as well as investments in
customer-facing software.

                                       52
--------------------------------------------------------------------------------

Financing Activities. Cash used by financing activities was $370.9 million
during 2022, as compared to $697.4 million used during 2021. The decrease in
cash used by financing activities was due to a $432.0 million increase in
borrowings under our Credit Facility, partially offset by $72.9 million in
additional repurchases of our common stock in the current period as compared to
the same period in the prior year. Cash was also used to pay off our $75 million
2022 Series A Notes when due and payable on February 14, 2022.

Cash used to repurchase shares of our common stock increased by $72.9 million
during 2022, as compared to 2021. We believe that the repurchase of our common
stock is a favorable means of returning value to our stockholders and we also
repurchase our stock to offset the dilutive effect of our share-based
compensation programs. Repurchases of our common stock may vary depending upon
the level of other investing activities and the share price. We primarily fund
our share repurchases with cash generated from operations, as well as from
various capital market activities, including the committed available financing
through our Credit Facility. Refer to "Part II, Item 8. Financial Statements and
Supplementary Data, Note 20. Repurchases of Common Stock" to the consolidated
financial statements included in this Annual Report on Form 10-K for additional
information about our share repurchases.

Under the $1.25 billion Credit Facility, the $1.0 billion unsecured credit line
matures on December 9, 2026 and requires no scheduled prepayments before that
date. On October 20, 2022, pursuant to the terms of the Credit Facility, the
term lenders thereunder provided us, as borrower, an incremental term loan in an
aggregate principal amount of $250 million (the "Term Loan"). The Term Loan
matures on October 20, 2025. The net proceeds of the Term Loan were used to
repay previously incurred revolver borrowings under the Credit Facility. The
Term Loan is subject to the same affirmative and negative covenants and events
of default as the borrowings previously incurred pursuant to the Credit
Facility. The applicable interest rate for the Term Loan is consistent with our
line of credit, and is calculated at a per annum rate equal to either (at our
option) (1) a prime rate plus a margin ranging from 0.0{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} to 0.375{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} based on our
consolidated leverage ratio, (2) an adjusted term SOFR rate, plus 0.10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}, plus a
margin ranging from 0.875{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} to 1.375{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} based on our consolidated leverage ratio,
or (3) an adjusted daily simple SOFR rate, plus 0.10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}, plus a margin ranging
from 0.875{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} to 1.375{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} based on our consolidated leverage ratio. Refer to "Part
II, Item 8. Financial Statements and Supplementary Data, Note 13, Debt" for
additional information about our applicable interest rates on our Credit
Facility. Under the Credit Facility, we also pay quarterly commitment fees
ranging from 0.075{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} to 0.25{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}, based on our leverage ratio, on any unused
commitment.

Under the Credit Facility, the net repayment and borrowing activity resulted in
increased cash used of $432.0 million during 2022, as compared to 2021. At
December 31, 2022, we had $329.0 million outstanding on our line of credit and a
$250.0 million Term Loan, for a total of $579 million outstanding under the
Credit Facility. At December 31, 2021, we had $73.5 million in outstanding under
the Credit Facility. The general availability of funds under the Credit Facility
was further reduced by $1.5 million for letters of credit that were issued
primarily in connection with our workers' compensation policy at December 31,
2022 and $1.4 million at December 31, 2021. The Credit Facility contains
affirmative, negative, and financial covenants customary for financings of this
type. The negative covenants include restrictions on liens, indebtedness of
subsidiaries of the Company, fundamental changes, investments, transactions with
affiliates, and certain restrictive agreements and violations of laws and
regulations. The financial covenant is a consolidated leverage ratio test that
requires our ratio of debt to earnings before interest, taxes, depreciation,
amortization, and share-based compensation not to exceed 3.5-to-1. At December
31, 2022, we were in compliance with the covenants of the Credit Facility. The
obligations under the Credit Facility may be accelerated upon the occurrence of
an event of default under the Credit Facility, which includes customary events
of default including payment defaults, defaults in the performance of the
affirmative, negative and financial covenants, the inaccuracy of representations
or warranties, bankruptcy and insolvency related defaults, defaults relating to
judgments, certain events related to employee pension benefit plans under the
Employee Retirement Income Security Act of 1974, ("ERISA"), the failure to pay
specified indebtedness, cross-acceleration to specified indebtedness and a
change of control default.

In February 2022, we paid off our $75 million 2022 Series A Notes with cash
provided by operations and financing activity. On July 21, 2021, we repaid our
$50 million 2021 Series A Notes in full with cash provided by operations. The
aggregate principal amounts of our 2023 Series A Notes for $75 million will
become due and payable on December 11, 2023. We anticipate paying off our 2023
Series A Notes when due with cash provided by borrowings under our Credit
Facility and cash provided by operations. Should we elect to prepay any of our
senior notes, such aggregate prepayment will include the applicable make-whole
amount(s), as defined within the applicable Senior Note Agreements.
Additionally, in the event of a change in control of the Company or upon the
disposition of certain assets of the Company, the proceeds of which are not
reinvested (as defined in the Senior Note Agreements), we may be required to
prepay all or a portion of the senior notes.

The obligations under the senior notes may be accelerated upon the occurrence of
an event of default under the applicable Senior Note Agreements, each of which
includes customary events of default including payment defaults, defaults in the
performance of the affirmative, negative and financial covenants, the inaccuracy
of representations or warranties,
                                       53
--------------------------------------------------------------------------------

bankruptcy and insolvency-related defaults, defaults relating to judgments,
certain events related to employee pension benefit plans under ERISA, the
failure to pay specified indebtedness, and cross-acceleration to specified
indebtedness.


Refer to "Part II, Item 8. Financial Statements and Supplementary Data, Note 13,
Debt" for additional information about our Credit Facility, Senior Notes, and
Senior Note Agreements.

Effect of currency translation on cash. The net effect of changes in foreign
currency exchange rates are related to changes in exchange rates between the
U.S. dollar and the functional currencies of our foreign subsidiaries. These
changes will fluctuate each year as the value of the U.S. dollar relative to the
value of the foreign currencies change. The value of a currency depends on many
factors, including interest rates, and the issuing governments' debt levels and
strength of economy.

Off-Balance Sheet Arrangements. We have no off-balance sheet arrangements or
variable interest entities except for letters of credit and third-party
guarantees, as reflected in "Part II, Item 8. Financial Statements and
Supplementary Data, Note 13 Debt" and "Part II, Item 8. Financial Statements and
Supplementary Data. Note 16. Commitments, Contingencies and Guarantees" to the
consolidated financial statements for the year ended December 31, 2022, included
in this Annual Report on Form 10-K, respectively.

Financial Covenant. The financial covenant is a consolidated leverage ratio test
that requires our ratio of debt to earnings before interest, taxes,
depreciation, amortization, and share-based compensation, as defined in the
Senior Note Agreements and Credit Facility, not to exceed 3.5-to-1. At December
31, 2022, we were in compliance with the covenants of the Senior Note
Agreements. The following details our consolidated leverage ratio calculation:

(in thousands)                                              Twelve months 

ended

Trailing 12 Months Adjusted EBITDA:                           December 31, 

2022


Net income attributable to stockholders                  $            679,089
Interest expense                                                       39,858
Provision for income taxes                                            180,883
Depreciation and amortization                                         111,900
Acquisition-related expense                                               873
Share-based compensation expense                                       

49,770

Extraordinary and other non-recurring non-cash charges                      -
Adjusted EBITDA                                          $          1,062,373


(dollars in thousands)                                      Twelve months ended
Debt to Adjusted EBITDA Ratio:                                December 31, 

2022


Line of credit                                           $            

579,000

Current and long-term portion of long-term debt                       

769,369

Total debt                                                          

1,348,369

Acquisition-related consideration payable                               3,453
Financing leases                                                            5
Deferred financing costs                                                  407
Gross debt                                               $          1,352,234
Gross debt to Adjusted EBITDA ratio                                      1.27

Cash and cash equivalents                                $           (112,546)
Net debt                                                 $          1,239,688
Net debt to Adjusted EBITDA ratio                                        1.17





                                       54
--------------------------------------------------------------------------------

Commitments, Contingencies and Guarantees


For more information regarding our commitments, contingencies and guarantees,
refer to "Part II, Item 8. Financial Statements and Supplementary Data, Note 16.
Commitments, Contingencies and Guarantees."

For more information on our future lease payments, refer to "Part II, Item 8.
Financial Statements and Supplementary Data, Note 8. Leases" for our minimum
lease payment schedule. The expected timing of payments of our leases may be
different in future years, depending on decisions to extend lease terms and/or
enter into additional leases in the preceding years.

As of December 31, 2022, current liabilities include $579.0 million outstanding
borrowing on our Credit Facility and the current portion of long-term debt of
$75.0 million recorded as current liabilities. Refer to "Part II, Item 8.
Financial Statements and Supplementary Data, Note 13. Debt for more information
about our Credit Facility and for more information on our repayment of our
Senior Notes.

We also have purchase obligations that include agreements and purchase orders to
purchase goods or services that are contractually enforceable and that specify
all significant terms, including fixed or minimum quantities, pricing, and
approximate timing of purchases. As of December 31, 2022, we had approximately
$232.4 million in purchase obligations due in 2023. Our purchase obligations
beyond 2023 are approximately $50.4 million. These purchase obligation amounts
do not include amounts recorded in accounts payable as of December 31, 2022. The
expected timing of payments of our purchase obligations is estimated based on
current information. Timing of payments and actual amounts paid may be
different, depending on the time of receipt of goods or services, or changes to
agreed-upon amounts for some obligations.

Additionally, we have agreements with third parties that we have entered into in
the ordinary course of business under which we are obligated to indemnify such
third parties for and against various risks and losses. The precise terms of
such indemnities vary with the nature of the agreement. In many cases, we limit
the maximum amount of our indemnification obligations, but in some cases those
obligations may be theoretically unlimited. We have not incurred material
expenses in discharging any of these indemnification obligations and, based on
our analysis of the nature of the risks involved, we believe that the fair value
of these agreements is minimal. Accordingly, we did not record any liabilities
for these obligations at December 31, 2022 and 2021, and do not anticipate any
future payments for these guarantees.

As of December 31, 2022, our remaining obligation associated with the
deemed repatriation tax resulting from the Tax Cut and Jobs Act of 2017 is $27.0
million. Our prior overpayments continued to satisfy our installment obligations
through 2022. In 2023, our installment obligation will exceed our remaining
overpayment and we will be required to remit the balance due on the installment.
Our final installment will be paid in 2025. For information on our unrecognized
tax benefits, refer to "Part II, Item 8. Financial Statements and Supplementary
Data, Note 14. Income Taxes."

During the first quarter of 2023, we paid the $15.0 million milestone payment
associated with an arrangement to license intellectual property, which was
expensed in 2022.

                                       55

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© Edgar Online, source Glimpses

PETMED EXPRESS : QUARTER ENDED JUNE 30, 2022 CONFERENCE CALL TRANSCRIPT – Form 8-K

PETMED EXPRESS : QUARTER ENDED JUNE 30, 2022 CONFERENCE CALL TRANSCRIPT – Form 8-K

PETMED EXPRESS, INC.

QUARTER ENDED JUNE 30, 2022

CONFERENCE CALL TRANSCRIPT

JULY 25, 2022 AT 4:30 P.M. ET

Operator

Welcome to the PetMeds conference call to review the financial results for the first fiscal quarter ended June 30, 2022. At the request of the Company, this conference call is being recorded. Founded in 1996, PetMeds is Your Trusted Pet Health ExpertTM, delivering prescription and non-prescription pet medications, and other health products for dogs, cats and horses direct to the customer. PetMeds markets its products through advertising and promotional campaigns, which direct customers to order online or by phone, and which are intended to increase the recognition of the “PetMeds” brand name. PetMeds provides an attractive alternative for obtaining pet medications in terms of convenience, price, ease of ordering and rapid home delivery. At this time, I would like to turn the call over to the Company’s Chief Financial Officer, Mr. Bruce Rosenbloom.

Bruce Rosenbloom

Thank you and I would like to welcome everybody here today. I would also like to remind everyone that the first portion of this conference call will be listen-only, until the question-and-answer session, which will be later in the call. Also, certain information that will be included during this call may include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 or the Securities and Exchange Commission that may involve a number of risks and uncertainties. These statements are based on our beliefs, as well as assumptions we have used based upon information currently available to us. Because these statements reflect our current views concerning future events, these statements involve risks, uncertainties and assumptions. Actual results could differ materially from those projected. The company undertakes no obligation to update these statements based on subsequent events. We have identified various risk factors associated with our operations in our most recent annual report and other filings with the Securities and Exchange Commission.

Let me now introduce our CEO & President, Matt Hulett – Matt.

Matt Hulett

Thanks, Bruce. Good afternoon and thank you for joining us for our fiscal 2023 first quarter call. As a reminder, PetMeds pioneered the online pet prescription business over 26 years ago and this is a legacy of which everyone at PetMeds is very proud. As I approach the one-year mark since taking over as CEO and President, I continue to believe that PetMeds is a terrific company with a talented and dedicated workforce serving a large and loyal customer base that supports our vision that “every pet deserves to live a long, happy, healthy life.” My commitment to all of our stakeholders is to be open and transparent, particularly as it pertains to our progress with engineering the transformation of this iconic company.

Today I will break the call into four themes: 1) an update on our core business 2) an update on our partner strategy 3) a major change to our management team and 4) the progress on our business transformation. So let’s start with an update on our core business. As we mentioned in our last call, we saw a slow start to flea and tick season due to seasonally colder temperatures, which continued into the early part of the most recent quarter. Due to the high concentration of our business in flea and tick and heartworm medications, the slower sales of these products in the month of April in particular had a material impact on the quarter. Once warmer temperatures returned to much of the country, stimulating more normal flea-and-tick and heartworm medication demand from pet parents, we saw the expected rebound of our repeat base later in the back half of the quarter.

First quarter sales were $70.2 million compared to sales of $79.3 million for the same period the prior year, and while we are disappointed with the overall sales results for the quarter, we are encouraged by the sales generated from our returning base of customers in mid-May and June. Adjusted EBITDA for the first quarter was down 10{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} year-over-year. We haven’t produced the results in net new customer growth, but I remain optimistic that the combination of the new team, new media allocation, and refreshed creative will start to stimulate profitable new customers. Expanding from a business that was primarily optimized to market to existing customers, to a business that also includes a focus on generating new customers, will take some time. The slow start to our flea-and-tick season this spring also had an impact on our ability to attract new customers; there were simply fewer buyers for our seasonally sensitive product catalog. However, we did start to see improvements in new customer acquisition towards the end of the quarter.

Exhibit 99.1 Page 1 of 10

We continue to invest in our infrastructure, including processes, systems and people, and you will note that general and administrative expenses increased on a year-over-year basis. These are very targeted investments which we strongly believe will grow long-term shareholder value. In fact, we have partnered with a number of well-seasoned third-party resources, known and trusted by me and my team, particularly with regard to turnarounds, to cost efficiently and quickly improve our e-commerce site delivery, usability testing, data analytics capability, and more. For instance, we have just enabled a new data warehouse (that we call PetHouse) that gives us deep insights into our first party data that spans our 26 years.

On the marketing front, we have intentionally kept our variable marketing spend relatively flat year-over-year. Again, since April was slower due to unseasonably low temperatures, we determined that it wasn’t prudent to spend against slower demand. Our LTV:CAC number will be dynamic but profitable as we test-and-learn. Our new customer count for the quarter was approximately 69,000 and our LTV:CAC for the quarter was 1.5X. To reiterate, we believe LTV:CAC is a more meaningful measure of the marketing value creation versus using PetMeds’ traditional ROAS metric. We expect to see this LTV:CAC number grow as we migrate more of our returning customers to our AutoShip subscription program, and as we expand Average Order Value over the life of our customers. Our AutoShip program continues to grow. Approximately, 34{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of our revenue was recurring revenue derived from our AutoShip subscription program during the June quarter. We will be announcing some exciting new enhancements to our subscription program that we will address later on.

During our last earnings call, we discussed our recent investment and partnership with Vetster, a pet telehealth company that connects pet parents with licensed veterinarian professionals all over North America. Today, we are even more excited about this partnership and are making a ton of progress on our go-to-market and partner integration. I will spend some more time detailing the progress later on in this call. We are rapidly moving on the execution of our pet health expert strategy, with the first building block of this strategic pillar being telemedicine. We have many other initiatives and partnerships underway that we plan to disclose at a future date.

Lastly, I would like to announce a significant new addition to the team and executive to the company. Over the last several quarters, we have spent a great deal of time discussing our new strategy, processes, product, and people. In terms of people, we have invested in an expanded leadership team that has experience with both digital transformation and scaling a company. We have added several new executives in the last 6 months. I am pleased and excited to announce the latest member of my team, Christine Chambers, who officially joins us as PetMeds’ new Chief Financial Officer on August 3rd. You will get the chance to hear from Christine on our next call, as of course she will be participating in our earnings calls going forward. Christine is a seasoned finance professional with extensive experience transforming public and private companies. She was most recently the Chief Financial Officer at RealNetworks. Prior to this, Christine and I worked together closely when she was the Senior Vice President of Finance at Rosetta Stone Inc. She has extensive and relevant experience that I am confident will help PetMeds start to regain growing market share, and I am personally delighted that Christine is joining our executive team.

The Board of Directors and I would like to thank Bruce Rosenbloom for his myriad of contributions to PetMeds for over 20 years. With an intense dedication to the company, Bruce has made a substantial impact as the Chief Financial Officer for over 20 years. The Board of Directors and all of the team members at PetMeds thank him for his service. Bruce will be officially staying on for several months in a consultative capacity to ensure a smooth operational handoff. Thank you, Bruce, for all you have done.

Now let us dive deeper into the details with the presentation material. As always, we like to feature pictures of our customers’ and employees’ pets in our slide decks. You will see many original pictures throughout this presentation, starting with this slide which features my dog Harry, a PetMeds customer since he was 8 weeks old.

Let us start with a look at the current market and our perspective on the overall opportunity. As we covered in our previous earnings calls, PetMeds operates in a very large and growing addressable market. The total U.S. pet market is over $100 billion in annual sales, and it is expected to reach $120 billion by 2024. The addressable pet medication market where we participate today is approximately $10 billion and also growing rapidly. We are actively working on improving and growing our core business in that addressable market, while also setting our sights on expanding our addressable market into the broader wellness market which is estimated to be over $30 billion.

Today, we are one of the leading and most trusted pet pharmacies. PetMeds is also an important part of the strategy of many of the pet platforms and players in the industry. As I have learned, there are not many truly reliable online prescription providers for these pet platforms and players to partner with, which puts us in an enviable position. Our core asset and demonstrated competency around prescriptions enables us to move much more quickly to execute on our broader pet health expert strategy.

Exhibit 99.1 Page 2 of 10

We also operate in a market that is growing with underlying behavioral trends that are favorable to digital retailers, and it is a great time to be in the pet business. We also know that the pet vertical is more resilient than other verticals when there is a financial downturn. In particular, it is a great time to be a retailer that is focused on essential consumables. U.S. household pet ownership has increased over time, and today 7 out of 10 U.S. households have a pet. In a post-Covid world, those pet parents are going to need, and will seek out, health and wellness care provided by a trusted brand. PetMeds is uniquely positioned to take advantage of this trend.

Pet parents see their pets as an extension of their own families, and they are increasingly demanding more healthy pet care options. We see this as a positive trend for PetMeds and an opportunity for growth. Similarly aligned with the trends in human health, pet parents are thinking through the entire spectrum of their pet’s care, from diet to veterinary services, and from infancy through old age. While some well-known retailers entered the market by means of pet food first and then expanded, PetMeds started first in the most difficult Rx end of the market, and we are now expanding out. To that end, we intend to move much more aggressively this year in expanding our product assortment and catalog. We see significant compounding upside in the form of increasing recurring sales, increasing customer loyalty, and increasing share of wallet by providing a broader non-medication product assortment to pet owners.

Lastly, the pandemic accelerated the increasing trend for the digitization of healthcare. Specifically in the pet market, regulations related to in-person veterinary visits and prescription fulfillment were temporarily waived for the first time during COVID and these services moved online in unprecedented ways. PetMeds is ahead of the curve on this trend with our strategic partnership and investment in pet telemedicine with Vetster. With this groundbreaking partnership, we believe we are enabling the first real mainstream pet telemedicine platform, and the one that will prove to be an accelerator of widespread adoption of pet telemedicine.

During the last earnings call, we discussed some key PetMeds differentiators. I want to reiterate those because they are important, and I believe they provide a real edge for our company’s transformation. First, our brand is both widely known and trusted. Our own market research indicates that 55{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of U.S. pet parents are aware of the PetMeds brand. Having a strong brand takes years to develop and our customers look to PetMeds as their trusted pharmacy and pet medication expert. We will be leaning more into the brand in our external communication with more dynamic and relevant messaging and new channels to take advantage of our large brand goodwill.

Second, we have strong operational and quality efficiency as a pharmacy. The customer care integration with our pharmacy is world-class, which ensures that customers get their products delivered as promised, quickly and accurately. Additionally, our vet partners reliably receive quality service delivered through our vet platform. We will be looking to expand our vet network and provide enhanced service to them with new technology delivered through our partnership with Vetster.

Our deep experience with the vet community is a significant competitive advantage. We have one of the largest direct-to-consumer vet networks in the online retail space with over 70K veterinarians that we have worked with over the company’s history. Currently, our online vet portal has 17K active veterinarians and vet clinics. As I have said in earlier earnings calls, this is a core capability and a unique asset because it enables us to expand our fulfillment capability as we scale our business. Our intent is to drive incremental revenue through a powerful platform offered to our vet partners in the near future. We view vets as our partners in jointly providing a greater array of pet health services to pet parents. To that end, we will continue working together holistically to improve vets’ ability to care for pets. Ultimately, we believe if we help vets, the profits-for both the vets and for PetMeds- will follow.

Our pet pharmaceutical category expertise is something that I view as a towering strength. Many retailers can sell dog food, but few can provide medication and sound health advice at scale. As I have said before, being a differentiated pet medication provider allows PetMeds to excel in our health and wellness offering and continue to be viewed as trusted pet health experts, especially as the market continues to become even more competitive. PetMeds currently enjoys a close and strategic bond with our many supply partners and those relationships have developed over time to become even more strategic. We have direct relationships with all of our major suppliers, and we work together closely to effectively market their products to our customer base.

Our customer service and overall customer centricity ethos permeates our culture and is demonstrated throughout our team. We provide a 100{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} satisfaction guarantee, and we go the extra mile for our customers with truly empathic and expert service. We don’t just have a transactional interaction with our customers, we have built trusting, genuine relationships. Our customers view PetMeds as their trusted pet health expert, and we take that responsibility seriously. I recently had the pleasure of receiving an email directly from a customer concerning a phenomenal interaction with one of our Customer Care reps….here’s what they had to say:

Exhibit 99.1 Page 3 of 10

Dear Mr. Hulett, The purpose of my letter is to bring your attention to my experience with a member of your team, Jennifer, during my call with your company yesterday. Having the need to re-order Riley’s, my dog, monthly meds, I called your company yesterday and was connected to Jennifer. Her knowledgeable, professionalism, and patience with me were outstanding. Being disabled, without income and living on my savings, I had a lot of questions about different meds and the different ways I might be able to save some money.

I am sure my time with Jennifer probably extended past company policy regarding time as most places you call, they rush you on and off the phone, only wanting to take an order and get to the next customer. This was not the case; I had a lot of questions and Jennifer was so patient and kind and assured me she was there to help me and that she was going to do it!

Her time with me on the phone yesterday was a great example of her dedication to Pet Meds and her love for helping others. I am very impressed and thankful for her time and patience with me.

Again, thank you for your company’s outstanding service. With the many different choices that are available to us to choose our meds for our animals, I can tell you, it’s the folks like Jennifer that will keep them coming back. Should I have an opportunity to refer others, be assured its PetMeds, where I will be sending them too.

Jennifer is a perfect example of our employees’ dedication to our customers and their pets’ wellbeing, and I’m delighted to share this story and recognize Jennifer and all her colleagues for their exemplary customer service.

PetMeds has historically been a somewhat low growth, yet high dividend-based company, and we are proud to have created and returned so much value to our shareholders. We are intent, however, upon becoming a higher growth company to create even more value, and believe we are in a great position to do that:

●

PetMeds is profitable with a pristine balance sheet. We do not have any debt, we have approximately $105.4 million in cash and cash equivalents as of June 30, 2022, and we are cash flow positive.

●

PetMeds is moving much of our business from a transactional direct-to-consumer model to a subscription business. Subscription businesses are clearly compelling business models due to their predictable and stable recurring cash flows. As I mentioned at the beginning of the call, we ended the June quarter with approximately 34{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of our customers enrolled and ordering via our AutoShip and Save subscription program.

●

We continue to have a large base of returning customers which is an indication of the quality service and the value that we deliver. We are fortunate to have a large base of 2 million pet parents that have purchased from us over the last two years.

●

We have over 26 years of experience as a pure-play pet pharmacy, fully licensed in 50 States, delivering outstanding service and value. This domain experience is what I would call the more complicated part of the pet ecosystem which makes our progression into other segments much easier.

●

Our customers just love our brand and our service. Our NPS score is over 80 which puts us in the upper quartile along with some of the most beloved brands in the world.

Now, I would like to have Bruce review our financials for the quarter.

Bruce Rosenbloom

Thanks, Matt. During the review of our financial results, we will compare our first fiscal quarter which ended on June 30, 2022 to last year’s quarter that ended on June 30, 2021. I would also like to highlight that we introduced new “Non-GAAP” financial metrics during our last fiscal year, adjusted EBITDA and adjusted EBITDA per share. We decided to include these new metrics because they are key measures used by management and by our Board to evaluate our operating performance, generate future operating plans, and make strategic decisions regarding the allocation of capital. Additionally, adjusted EBITDA and adjusted EBITDA per share provide a more accurate picture of our underlying profitability and also take into account the more recent increases in non-cash stock-based compensation and other expenses.

Throughout our most recent fiscal year, we faced a unique situation comparing two totally different environments, between 2020 (pandemic) and 2021 (mostly post pandemic). As we move forward into our current fiscal year, the year ending March 31st, 2023, with our new marketing partnerships, agencies, and processes, we expect to be much more efficient with our variable marketing spend with improved results, and with many of our highlighted initiatives firmly in place.

For the current year, first quarter sales were $70.2 million compared to sales of $79.3 million for the same period in the prior year, a decrease of 11.5{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}. As Matt mentioned, earlier, while we were disappointed with the sales decline year over year, we were encouraged by the sales trends we saw later in the June quarter. Reorder sales decreased by 7.8{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} to $63.3 million for the quarter ended June 30, 2022, compared to reorder sales of $68.7 million for the same quarter the prior year, using a consistent 36-month definition of a new customer.

Exhibit 99.1 Page 4 of 10

With the increasing AutoShip subscription adoption, we see more opportunities to continue to build our relationships with our loyal customer base. We will also look to continue to improve our reorder sales by marketing to our customer base with increased product offerings and services. During the June quarter we made a change to the methodology on how we calculate the percentage of our revenue that was generated by our AutoShip & Save program. Going forward, we will report AutoShip, net of discounts and credits, and we will also report the average of our AutoShip attainment over the quarter (versus the last month of the quarter). Please note that this change to the calculation resulted in a decrease to the AutoShip percentage that was previously reported by only a few percentage points. We believe that this change reflects a more accurate representation of our subscription business for stakeholders to gauge its performance. We are encouraged by the adoption of this program and have seen an increasingly positive trend over the last several quarters since we launched this program. For example, our quarterly AutoShip percentage increased from 20{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} in the December quarter to 31{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} in the March quarter and averaged 34{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the most recent quarter ended June 30, 2022.

For the first quarter of Fiscal 2023, our Gross Profit as a percentage of sales increased by approximately 95 basis points to 28.4{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} compared to 27.5{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} for the same period a year ago, as some of the major manufacturers shifted their funding from cooperative marketing rebates and discounting product costs to funding discount promotions which support our AutoShip and save subscription program. There may be an opportunity to improve gross margins in fiscal 2023, if the shift to prescription medications continues, and we can grow future sales with appropriate price promotions.

Net Income was $2.8 million, or $0.14 diluted earnings per share, for the first quarter of fiscal 2023, compared to $4.4 million, or $0.22 diluted earnings per share for the same quarter last year. Adjusted EBITDA for the first fiscal quarter was $6.3 million, or $0.31 on a diluted basis, compared to $7.1 million, or $0.35 on a diluted basis for the same quarter last year. Adjusted EBITDA and adjusted EBITDA per diluted share add back certain non-cash expenditures, including stock compensation, interest income and expense, income taxes, depreciation and amortization, and other expenses like the investment banking fee relating to the Vetster partnership. Again, adjusted EBITDA and adjusted EBITDA per share are “Non-GAAP” key measures used by management and our Board to evaluate our operating performance, generate future operating plans, and make strategic decisions regarding the allocation of capital. We will continue to disclose these financial measures in our future filings.

As a result of the intentional and strategic investments in headcount and infrastructure made over the past year, we have seen double digit percentage increases in general and administrative expenses. We strongly believe that these investments are necessary for our transformation, and we intend to continue to make prudent investments in the business to fuel and support future growth. In the June quarter we spent approximately $982,000 in capital expenditures with the majority of the spend related to the customization of our ecommerce platform and our new data warehouse. We expect to see a continued investment in capital expenditures to the tune of approximately $4.0 million for the remainder of fiscal 2023, which will be utilized to further customize our ecommerce platform and IT infrastructure.

We had $105.4 million in cash and cash equivalents, and $22.6 million in inventory with no debt as of June 30, 2022. The Company continues to be committed to returning capital to our stockholders. As such, the Board of Directors declared a quarterly dividend of $0.30 per share on the Company’s common stock that will be payable on August 19, 2022, to shareholders of record at the close of business on August 12, 2022. Also, please note that the declaration and payment of future dividends is discretionary and will be subject to a determination by the Board of Directors, each quarter.

Now, I would like to hand the presentation back over to Matt.

Matt Hulett

During our last earnings call, we revealed our long-term strategy with some degree of specifics. PetMeds is moving from being just a leading pet medication retailer to being a market leader in expert pet healthcare. We envision a world where the majority of vet services and pet care move digitally. We are in the early days of this digital transformation. But it is coming — rapidly. We believe that a digitally enabled and data-driven future will be the preferred mode of delivery for pet parents.

We have taken important steps towards executing on our long-term strategy, starting with our recent announcement that we made in the telemedicine space. The strategic pillars that we will be executing on are: nutrition, medications, wellness, and care, with data both driving and being at the heart of our services.

Our recent announcement with Vetster is the first building block of our ‘care’ offering. During the last call we discussed how this partnership is a real unlock in both technology and e-commerce integration which provides a powerful combination that has never been introduced in the pet category. We see a panoply of upsides and opportunities, including:

Exhibit 99.1 Page 5 of 10

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First mainstream launch: We believe we are the first company to introduce pet telemedicine to the mainstream, connecting 2 million pet parent customers with over 70K veterinarians in the PetMeds network.

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“Close the loop”: Direct connect access to a telemedicine experience that ‘closes the loop’ between a pet parent and a vet so that prescription medication can be prescribed directly to a pet parent in many cases without the need of an in-office visit.

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New revenue streams: this partnership creates new revenue streams within PetMeds and the potential for new revenue streams from traffic driven from Vetster’s platform

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Go-to-market acceleration: unique investment and partnership terms allow PETS to accelerate our go-to-market on our new strategy. For example, PetMeds will leverage the Vetster platform to provide virtual vet clinic services embedded with our pet medication and retail platform directly into their platform.

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Climbing up the sales funnel: we believe that offering telehealth will enable us to acquire new customers and to create more incentives for PetMeds subscribers. PetMeds customers will be able to get instant care,whether that is via text or live video chat with your vet, or with any vet provider through an exclusive vet marketplace accessed on your smartphone or desktop 24/7.

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Veterinary alliance: We think that this partnership is a huge win for vets, too. We believe this partnership will allow us to provide attractive capabilities and additional revenue streams and work flexibility to our core vet network and beyond.

Since signing our agreement just several months ago, we have already moved very quickly towards integrating PetMeds’ and Vetster’s core technologies. We have already integrated two services into each other’s platform, which include:

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PetMeds integration: PetMeds catalog, Rx, and e-commerce capability is now directly integrated into Vetster. That means that now, for any customer that has a direct veterinary relationship or resides in a state that allows for digital prescription fulfillment, any vet on Vetster will be able to triage, diagnose, and then prescribe medication directly from a computer or mobile device. This level of integration happens directly as a virtual appointment. The data from the prescription and the overall appointment is integrated into the pet parents’ personal pet health dashboard. This innovation means that as virtual care increases for pets, PetMeds can become the engine that powers the e-commerce transaction behind this trend.

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VetLive™: VetLive™ is a new experience that will be rolling out over the next several months, and the first of many services that will be launching over the quarter. VetLive™ is an exclusive veterinarian marketplace integrated directly inside of PetMeds. VetLive connects pet parents to thousands of licensed veterinarians ready to provide the best online vet services through video chat appointments 24/7.

I think about virtual care the way some entrepreneurs thought about the app store as a potential to reach out to a global audience – instantly. The companies that didn’t have the foresight to take advantage of a platform change like this missed out on a huge value unlock. Direct access to an exclusive network of extraordinary vet care providers is a very high engagement and high value proposition for pet parents and we believe will be a very sticky offering. And this is just one of many examples of how we believe we are building a very compelling platform for the next big trend in pet health.

We have made substantial and measurable progress on our transformation of the business over the last several quarters, and we remain laser focused on execution. Now that we have the majority of the new people, process, and strategic elements of the business underway, here is what you can expect from us over the next couple of quarters in terms of our organic and inorganic growth focus:

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Improvement in new customer growth. We will be expanding and accelerating our new customer acquisition efforts which are critical to our long-term success.

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Continued migration of our business to a recurring subscription model.

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More active deployment of our capital. There are exciting opportunities for us to leverage capital to accelerate our transformation through investments, partnerships, and acquisitions.

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Full rollout of our pet telemedicine capability into the market. We will start to execute on the deployment and expansion of our integrations and partnership with Vetster.

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Expansion of product catalog and services – this includes a much wider product assortment as well as adding more health and wellness services to our business.

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Commitment to ESG – This year we initiated our environmental, social and governance (ESG) commitment. A great example of this is our Ukraine pet relief effort that we launched with IFAW, as well as our longtime continued support of many US-based pet rescue and humane organizations. PetMeds firmly believes that we cannot consider ourselves successful as a business if our team members, our communities, and our planet do not thrive as well. Our strategy is still in the early stages of development but at the heart of our commitment is giving back to pets, people, and our planet.

Exhibit 99.1 Page 6 of 10

I can’t stress enough that it takes time to transform a company, especially in a highly competitive market and in an uncertain economic environment, but our market opportunity is clear, and it is compelling. I am confident that the foundation that we have been laying will meet that market opportunity in unique and innovative ways and will lead to increased operating results and shareholder value. PetMeds’ brand, expertise, and reputation are unparalleled, our balance sheet is strong, our team is fantastic, and I am more excited about the future than ever. This ends our prepared remarks, operator, we are now ready to take questions.

Operator

Thank you.

Our first question is from Erin Wright with Morgan Stanley. Please proceed with your question.

Erin Wright

Hey, thank you for taking the question. Can you give us an update on where we stand now with the flea and tick season? Were those sales just lost? Or does it shift to the next quarter? What are you seeing now on that front? I think you used to give that quarterly seasonal weighting of what was considered seasonal products. I guess what does that cadence look like? Or what do you expect it to look like this year compared to historical trends from a seasonal mix perspective? Thanks.

Matthew Hulett

Hi Erin, this is Matt. Thanks for the question. Great to hear from you. A couple of things about the quarter. It started out pretty slow, especially compared to March. We indicated that March was slow due to seasonality around, the temperatures being cold, and it continued into April. Then it really progressively rebounded on our returning business through May, through June and continues through July. So, we’re pretty confident the parasiticide business of PetMeds is recovering very nicely. That kind of maps to what we’ve seen in other supply chains and other partners that we’ve talked to. It’s very similar to what we’ve seen in the subsequent historical practices in the business since we’ve been around for 26 years. We have some-a lot of data around this. To answer your question in a point of way, we view this as an extension to the season. Typically, a six month season. We’re heavily weighted towards flea, tick, and heartworm and so we view the season being extended out versus contracting. Bruce, do you have any other follow-up comments?

Bruce Rosenbloom

No, Matt. I think you covered everything there.

Erin Wright

Okay. Got it. Thanks. Then more broadly, how are you thinking about pet spending and a tougher macro backdrop? And are you seeing any changes in customer behavior, for instance, in terms of trade down on products? Or are pet owners moving from six months flea and tick packs to three months? Or has anything else changed or would be indicative of a change in consumer?

Matthew Hulett

Yes. Erin, it’s a great question. We hope to changes in the future. As you know, we’re highly medication and heavily RX-focused. The good news about that is customers are very brand-specific and brand loyal, intend to not trade down. We’ve maybe seen a little bit of impact on people trading down in terms of dosage, but not much. At least this category, we’re seeing not a lot of movement there. I think as we start thinking about broader consumable products, maybe food and other items, we’ll see some of that trade down. But in terms of brand loyalty to RX, in particular, we have not seen a trade down behavior. Bruce, anything to add there?

Bruce Rosenbloom

Historically, when times have been tough, and again, I’ve been with the company through a few different downturns, you may see pet owners instead of buying a six-month supply, buying a three month supply. So, a trading down from that perspective or stretching out that medication. We haven’t seen that yet, but that’s some behaviors we have seen in the past. So, just something that we’ll keep tabs on. But as of right now, the data has not shown any significant changes.

Exhibit 99.1 Page 7 of 10

Erin Wright

Okay. One just housekeeping question. Did you give new customer growth or total new customers acquired in the quarter?

Matthew Hulett

We did; 69,000.

Erin Wright

Okay, got it. Thank you.

Matthew Hulett

You bet. Add on to that, Erin, since we are so highly concentrated to RX, particularly flea, tick and heartworm, April, just to be blunt, was not a great month to be acquiring those customers since the earth was pretty cold. So, we were pretty, getting very optimistic actually, about our new customer acquisition initiatives underway, especially later in the quarter. So, we expect to see good improvements throughout our calendar year on new customer acquisition. We’re getting more optimistic there.

Erin Wright

Okay, thank you.

Matthew Hulett

Thanks, Erin.

Operator

Thank you. Our next question comes from Corey Grady with Jefferies. Please proceed with your question.

Corey Grady

Hi, thanks for taking my question. I wanted to follow up on your customer acquisition initiatives. You test a new creative across the new channels during the quarter. Can you give us maybe more detail on the results you’re seeing so far? Where you are in terms of the marketing transformation?

Matthew Hulett

Hey, Corey, this is Matt. Thanks for your question. Thanks for hosting us recently your conference. It was fantastic. I won’t go into the specific channels, but I think in the meta macro level, we’re definitely seeing rates get to more normal and/or, in some cases, lower rates year-over-year, which is great news. Which you typically see in some environments that get more macro challenge, but definitely on the performance marketing channels, we’re definitely seeing more stabilization in some cases, reduction of rates. Some channels are still high. I think we all know the issues around social, but we’re definitely seeing a rationalization in rates as I think growth-oriented companies have readjusted how they think about their media mix. I think that is only going to be a net beneficiary for PetMeds. Then that’s kind of the macro. The micro on us is, as you know, and we spent some time talking about this at PetMeds for a long time is focused on lower the funnel aka performance marketing to its returning base. Since we had a new CMO, and new partners starting about six months ago on a new strategy, we’ve definitely moved that shift to lean more into our brand, and we’ve seen really strong results there. We expect those to continue and over this calendar year, we expect to see net new customer growth due to those efforts, and we’re feeling more optimistic about them. Did that answer your question, Corey?

Corey Grady

Yes. It did. It’s really helpful. Then for my second question, I’m just following up on the flea and tick. So, given the known kind of flea and tick weakness coming into the quarter, how did the reorder sales come in relative to your expectations? Then have you guys seen any change in seasonality to the vet industry that would typically proceed a change in your reorder business?

Exhibit 99.1 Page 8 of 10

Matthew Hulett

Yes. Corey, thanks a lot for that. The first-I’ll answer the first question first with-you asked me in April, how was I feeling about the quarter. I wouldn’t have been very optimistic. Then subsequently, May and June, got a lot more optimistic. So, the quarter recovered to where we were expecting it to be and that continues into July, on the returning side. Again, the new customer acquisition side was a little slow to warm up because the buyers weren’t there. In terms of the vet’s cycle, we do tend to look a lot like the vet cycle in terms of concentration of revenue, but also the patterns for consumers with PetMeds is that the vet typically gets the first prescription, and we get the secondary. We actually haven’t seen that as much as the things start to recover, that we are starting to see the similar cycles even with the seasonality with colder temperatures. So, I don’t think that’s going to be much of a headwind for us as we come into this next quarter. Corey, I don’t know if that answered your question or not?

Corey Grady

It did. That’s helpful. Thank you.

Operator

Our next question is from Anthony Lebiedzinski with Sidoti & Company. Please proceed with your question.

Anthony Lebiedzinski

Yes, good afternoon and thank you for taking the questions. As far as-if I look at the traditional way of how PetMeds talked about advertising and new customer acquisition costs. So, that looks like about $92 for the quarter. How should we think about that number kind of going forward? I know, Matt, you talked more about LTV to CAC. But I guess just for old-timers, covered the stock for a long time, how should we think about that on a go-forward basis?

Matthew Hulett

Anthony, you’re referring to $92 the absolute number for CAC.

Anthony Lebiedzinski

Right. Yes, so if I take the advertising dollar amount divided by the new-number of new customers, which was just disclosed as far as-69,000 you said. So that comes out to $92.

Matthew Hulett

Yes. I just want to make sure we’re looking at the same song sheet. In terms of the absolute number for CAC, we actually are feeling better about that. If-you’re asking a directional question. So, it’s been higher for us, as you know, my first in a CMO for the business wasn’t the best quarter for CAC for the Company, and we handed that to a more prescient CMO. But the CAC number for us is stabilized and it’s actually decreased a little bit due to this medium mix. So, on a go-forward basis, we’re not thinking about and targeting CAC is a metric that we talk about. But since it’s easy to calculate, it’s actually been relatively stable and going down. The LTV number has been pretty stable as well. But we hope over time with recurring revenue and a broader catalog, that just goes up because we get more opportunity to sell more products and get more engagement and a broad array of products. So, I think LTV goes up over time. Then I think right now, Anthony, to answer your point on question, I think $92 it may be a little bit lower over time. It’s been going down as we’ve gotten smarter about our media mix. Also, I think the current macro environment hasn’t been increasing as much, which has worried us in the past. So, I hope that’s helpful. I don’t peg it. I can’t predict what absolute number is going to be other than we’ve seen market improvement month-over-month, week over week, and it’s starting to stabilize in terms of price increases. So, we’re feeling better about the CAC environment.

Anthony Lebiedzinski

Okay. That sounds good. Okay. So-and I know it’s still early as far as the relationship with Vester, but can you give us any sort of color as far as-I don’t know if you want to talk about the specifics, but as far as customers actually-your own customers using Vester or vice versa, Vester customers using PetMeds to fill their orders. Can you give us any sort of additional color or details on that?

Exhibit 99.1 Page 9 of 10

Matthew Hulett

Yes. The first integration we did was to embed PetMeds as a private label inside of Vester. Vester is a start-up. So really, they have a small amount of traffic right now. But it was a good Watson are you there moment to determine whether it works or not. And a, it works, and b, customers are really delighted by the overall service, and I encourage everyone who’s listening to try it, it’s really fantastic. Secondarily, the big launch for us where volume will start increasing and also getting more exposure on the site, and our mobile products will be VETLIVE. VETLIVE will be the Vester marketplace, private label inside of our PetMeds properties, and that will come in the next several months. That will be the opportunity for us to really do some interesting things. The first part is just to engage with pet telemedicine appointment live on the site. The secondary component is there’s a whole host of other subservices that we’re going to be launching. Some will be in AutoShip, and the others will be extended from their current platform. But the first goal is to get, let’s say, in the next several months, VETLIVE up to our current customers. Then we’ll start seeing a lot of usage there, Anthony. So, first things first, we launched, and it worked. The second point is PetMeds should be getting that up live on our properties in the next three months.

Anthony Lebiedzinski

Got it. Okay. Then lastly for me. So, unlike a lot of other consumer companies where they’re dealing with bloated inventories, your actual inventory is lower than last year and lower on a sequential basis. So, that being said, I mean, do you feel like you have adequate inventory? Of course, there’s still ongoing supply chain issues that we’re hearing from other companies. So, can you just talk about that as well?

Bruce Rosenbloom

Yes. Anthony, I’ll take that question. This is Bruce. As you know, our inventory fluctuates from time to time, mostly due to opportunistic opportunities as far as buying. As we mentioned in the last call, at the end of the March quarter, we had an opportunity to take on additional inventory at a reduced price. So, we went ahead and pursued that. So, we definitely were stocked up as of March 31 and ales, although recovering through the quarter, were still fairly slow in April. So, I would say the inventory levels where they are right now, around $22 million to $23 million, probably a normalized level, maybe a little bit lower than maybe in past seasons, but not so off from where we’d like to be. Since we do have direct relationships with the manufacturers, lead times are cut, really short, based on how we used to procure. So, no concern there. We’re always going to be opportunistic if there’s going to be-if we have an opportunity to buy at a reduced cost, we’ll take advantage of that. Those usually come up traditionally at the end of the year, so around 12/31. We’ll see how it shapes up. But if there’s an opportunity, we’ll take advantage of it.

Anthony Lebiedzinski

All right. Terrific. Thank you, Bruce and thank you, Matt.

Matthew Hulett

Thanks Anthony.

Operator

Our question-and-answer portion of the call has ended. I would now like to turn the call back to Matt Hulett, the Company’s CEO, for his concluding remarks.

Matthew Hulett

Thank you, Operator. As you just heard, the future of PetMeds is much more expansive than just a prescription e-commerce company. We are building our strategy out and working hard to transform into a broader e-commerce and subscription brand that reflects and leverages our status as the trusted pet health experts. I will continue to detail our progress and look forward to providing you with updates in the not-too-distant future. As always, thank you to all of our employees, customers, partners, suppliers and investors for your continued confidence and support. Thank you for listening in. Operator, this ends the conference call.

Operator

This concludes today’s conference. You may disconnect your lines at this time. Thank you for your participation.

Exhibit 99.1 Page 10 of 10