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  "notes": "Includes a specific callout for a 4% one-time cost impact in Q4 2021.",
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      "text": "When accounting for the items noted above, Gross Margin for Q1 2022 was up 273 bps vs. Q4 2021",
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      "text": "On COGS, we have continued to make great progress on manufacturing automation with our 2nd Gen machines producing approximately 90% of our aligners in the quarter.",
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      "text": "In Q4 2021, one-time costs related to the implementation of our internal treatment planning software, SmileOS and lower retail margin, primarily due to higher expansion costs and excess inventory costs had an approximate 400 bps impact on margin.",
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