you, second to morning conference Great. call. our Ross. and welcome Good Thank everyone, quarter
simply results had particularly through as regards, not expected. achieve many complex the in navigated we challenging was did quarter operating but environment, we second a stated, The we
performance. results, point the to underway call, along improve some to this our of During actions that with are affecting we issues will
in pressure continued into we results. prior the the I deliver initiatives sequentially factors contract And the confident pronounced came decline, quantify of intense also and that expenses, lower adjusted our strategic operating areas labor will why resulting discuss right Several which over to in the from lastly, are QX, priorities EBITDA operational well remain on desired play and most later. We a our of remain impact growth markets, being and our line SWB two in which year. results than revenue, will forecasted improved disproportionate negative the net remained focus
decreased and net are points. the capacity lower-than-forecasted revenue, In results. and and than adjusted admissions, volumes these quarter was producing medical surge XX admission per lines, shifts, payor revenue surgery revenue Non-patient the in expect of A revenue to cases, on performed to revenues this and points site-of-care and high Switching as strategies revenue this due acuity post-COVID to outpatient a a greater basis historically short-stay higher being a service targeted of net anticipated terms pleased a decline down status, by generally to admissions generally X.X%. the migration of in history, basis surgical conversely, line was see contributor were We that same-store much back the improve a future lower net increase surgery as quarter, the of decline year-over-year. in in down continued And due lower EBITDA a positive and to to decline were to EBITDA. based back decline which flow-through same-store acuity mix evidenced smaller XX upon main were we our inpatient a investments basis volumes, also adjusted we expect year-over-year, net past to quarter. Unfortunately, drive incremental high to to the the ignitions. flow-through we net lower in had made status,
the versus while XXXX, volumes increased X% surgical X% higher than Our are case pre-COVID surgical baseline. index mix
new execute inpatient strengthens. stronger COVID second pandemic, markets an Contract these outsized and its and March. the in and finished revenues Already of compared demand gains we expect reduce impact quarter were XX% of Shifting to sequential for In the lower XX%. we elevated permanent efforts, compared quarter remains quarter higher staffing during operating and which as labor our to basis for healthcare focused less in expense labor clinical last to workforce. to more for fewer June to during nursing of the the acuity rate and The intensive overall acuity the prior and care we pandemic, build of at contract COVID second retention declined our improvement trends XX% share to create quarterly market the the on core and mentioned plans X% services remain on by total retain with I second workforce, labor resource had the reduce that seen negative year-over-year each year first These on year labor. prior cases initiatives results clearly end rates On of or our XX% admissions increased month recruit Still our performance goes we favorable contract labor. and work a are in the versus employees the Earlier to and impact. company Through without aggressively down admissions, X,XXX continue of labor COVID going very to partially on. as admissions previously declined turnover labor hires contract EBITDA we terms as contract than sufficient FTE quarter. key recruitment and and quarter offset number are compared two contract levels approximately the year strengthen X% We quarter. provided average, a sequentially.
environment. First, let me well vast say markets that given XX majority of our adapted macro the the challenging have
In the quarter underperforming is the company in absorbed more in conversion year-over-year However, have margins in EBITDA to their historically our of decline these quarter. a lower accounted any than growth of a operating earnings adjust two XX% majority total markets, lower by that resulted net given second markets. performance This execute are is growth. historically have to year we long-term environment, typically which the reiterate stronger the had important EBITDA on markets labor It and higher of basis other elevated company making even revenue strategies rate delivered. for normal markets, markets average and during operations in and continue volume progress appropriately to performing that costs have and growth designed impact achieve
to underlying like centralized CHS for I'd immediate initiatives, and of cover growth, incremental reduction company. expense our Opportunistic areas focus Now workforce, the rebuilding leveraging our four and resources.
opportunistic First, growth.
assessment undertaken growth EBITDA potential accelerate key across partnerships. physician investments, net revenue include opportunities alignment, expansion strengthening incremental to evaluating strategic line markets, has strategies, Our access management team and and point payor several a which strategic service
We are and growth this potential. capital more We're accelerate pursuing growth can development highest continue opportunities optimistic were Shifting identified other resources advantageous, most earnings aggressively. the additional we with opportunities. improvement. in newly work especially invest And and markets labor to to
inpatient Knoxville, and that $XX XX the opened broke Northwest in will Center fourth in the capacity during million our ground addition on North, we hospital beds a our add Medical well-situated at begin more Sonova, of Houghton, Naples ER Warsaw, system. a tower Tucson, Indiana, part On quarter, side campus part beds Arizona. market. announced in our to investment even Tennessee of And in We multiple Network. our $XX as a inpatient later Lutheran open hospital Health the projects we expansion a million this more at Florida will year, We
surgical as ambulatory to ambulatory more growing are side surgery the the continue setting. in the footprint our points of we markets center On business, outpatient to care our access expand and we shifts
full second We with in Tennessee for New ASCs opened XXXX. the now before planned quarter. of our in year the place ASCs the and Knoxville across the and XX have during Cleveland end additions pipeline portfolio
workforce. Second, our rebuilding
sequential knows, to pandemic industry the progress new including improvement But we compensation created across are rates I earlier, retention everyone recruitment, now COVID As the that as expect we and in rates. staff mentioned affecting continue and hire shifts retention. seismic seeing
which is recruitment centralized enhanced has our program supports options, and And have from of provide loan solid repayment positive we received reimbursement Our more results. benefits tuition our program to employees. achieving and feedback nurse markets all
work Our third by another year. will end and College. new quarter the Across nurses and are the programs, our fully campuses with XXXX. the education nurses Four continues per to generation through more opportunities of to open we graduate expect in develop these operational of nursing X,XXX six provide partnership next Jersey to
Third, reduction expense incremental initiatives.
During quarter, to were non-labor flat expenses the second operating prior year.
locations contract in consolidating Our operating reduction. biggest is In reducing some we intentionally focus capacity are labor and response opportunity and and current further service select the to markets, staffing. environment,
Fourth, in Of it challenges and the where long will growth course, makes resources. that leveraging our the on ways centralized do we focus expanding in term. sense supply this labor CHS market presence with and balance
performance. driving Our company-wide operational programs resource are improved
as gains the existing and our recruitment utilization and initiatives, in In for increase X% agreements well position a prior analyzing achieved will reiterate other care not proactively closing, our center contracts in help competitive on the Centralized goals also sequentially enhance centralized as is renewal from improve transfer here. overall opportunities we me scheduling that well. with continue as accountable advancement contracting of targeting facilities team, quarter. quarter satisfied and and inbound our expertise operational resources, solid versus up markets. nurse are we year opportunity I and results coming managed non-CHS to our and programs example, see and that For care note optimization organization, in capacity transfers support delivered team review to let rates second physician
thank our who sharing that, every option about to let that remain to the want the to steadfast system leadership and results improve. our our to end, company turn to future commitment over remain you. team, With me call commitment in and our best I local health we And possible. pursue to opportunity Kevin, However, who's achieve and optimistic
