Thank you, you, this joining us for Chris. afternoon. everyone, Thank
QX, from spending through travel in first QX was We our in very of pullback a customers, particularly some saw of from the of lost that larger May billable and headcount to earnings in last our XXX recover stated of receiving half the June, good of we for we In focus QX As in progress headcount. XXXX we call, April X in approximately XXXX. our and half nurse. made
this stage unclear behavior trend pattern to ramp the fully but at our We've by is pull a subsequently larger have expected, long how but that are offset decline expected continued some accounts We on we been discuss year. this rebound ramp where accounts continue. of has this ins will the seen back reverse, existing to make and and of pend in IT's from newer in detail quickly hopeful before us to need this accounts. Our of as are this closely actins believe the we enough to but more account Bill are grow some strong very will to and of in it that revenue pullback, we're second is call. spite I during we taking market adjustments monitoring this for the Burns for changes. half costs these
add our First, result some spend let me shortfall revenue pullback color existing exclusively revenue trends. The almost customers. in of the to was from
customers a you our give tend trends largest MSP me customers Solet the be which on for anyway. based our to feel
to going spend MSP I'm management. numbers overall the the under are talk So about
that been with talking up have while quarter ramping a million. $XX we've So a basis trending. about up, want The spend I new we've just you under how this management. is if first that under positive revenue want, by to are translate later said there aren't year, but In spend are for these for get that news feel numbers, you numbers I been revenue the ramped can won on year-over-year them are ramping to things the we of up. a management they accounts
Now that in offsetting that our QX back the $XX That of expected. existing under by MSP was pulled first accounts hangover in was legacy million. That's what from XXXX. the management in quarter spend happened
out we expected it about where to. came QX So
year-over-year to management We in of under expected They of ramp accounts that QX. $XX in in than under QX increase from they million did growth spend did. QX would million went management in the and spend faster even new they $XX
in $X in million. happened. existing great, in year-over-year under quarter, that's we based on to were decline the decreased that's what that in million accounts QX second flat But, the our X in growth headcount improved Unfortunately, say legacy the by maybe management or under we additional expected spend year-over-year the an in seeing $XX million in that the management saw $XX the first quarter. first slightly spend So The months. not we
accounts $XX So that's that, mature first less issue lightly of it have the quarter in in to went And decline kind the and that, we the got $XX more get the spend second we on that hit color new quarter. surprised are from with revenue. management hard a capture little bit rate. under where To add doubly a XX% existing under because to where million is million
at our $XX So closer we're XX% year million a and year, capture $XX under XX%, so rate. accounts slightly though rate, year growing million even higher first second The the are have declining over the quarter QX. at capture more it's in a are to a me, those they capture mature have a those ramping slightly higher accelerated news we get also rate, of But from is from higher QX that. double rate, customers kind but hit to so that to new good a
ramp going to and in $XX we're quarters. see have continue to still business coming in million that that expect We we to subsequent of new and
position, going we existing So back to to company to off, level the a overall hope if to position. customers get that's do get is back our growth to we or them to a growth get what
to to customers were ins shortfall some a these I'm come not by So large But rate. actual I lower surprised that back I and in the customers it under is as lost is and or that's looking wanted revenue into will the at what in to to that Q&A can we accounts of any opposed pullback you spend due lost for basically in QX. not sure due or a capture management. we're feel give translate spend to their But
of actions various are on I based, the pressures, market time. on spend sustainable. believe end, we as trends happen to see trends in patient expect much aggressive the later these but that cost prevail. take their quarters. these we will Now dynamics from that do Customers back based in pullback the mentioned, and time Based overall internal not And to own come
we July from travel which last In market Despite fact, we're in a announcements already up for also where of business, second orders public in year. challenging in the backdrop we seeing the with company trending trends. business were some an there positive uptick some are our nurse lines saw quarter
discuss then the the review to me making positive we back ways adjustments those business first get Let are and growth. will to I
Our shortfall. up new Also, margins rate mentioned, as holding capture ramping steady held I at overall are outlined. our expected profitability XX%. well as I despite approximately and is Gross the revenue accounts as just
growth XX% business year-over-year. Allied had strong Travel Our at
on practitioners Our business within strong physician The and Advanced improved MSPs. search Advantage a our margin. growth executive physician school positive assistant supporting supports trends business, RN business, rate. mid-double-digit at particular continued which strong much Staffing, our its Physician Practices DirectEd a And our and growth. our and business nurse continued business had in is charter strong contribution which track schools continued
to trends. pressures market and shift basis. XX% XXX years acute increase hospitals, get Let relate by lesser those as growth fast revenue some care has care us, acute that ambulatory again. back possible local new the that driven facilities. in a extent Even though a the the for versus in may starts outpatient the the patient have costs. facilities an ambulatory particularly oftentimes shift be softness network being patient experiencing grown ambulatory and care market of not a the over to us is hospital, give feel the acuity on to represent believe care me allows for settings to service this believe transferred and care ambulatory acceleration from we in to in a they XX% depending some share To to an in another cost the continue trend point continuing X phenomenon to will on ambulatory large systems We are facilities. a trends, believe has if order accounts that industry outpatient as patient an you a The of lower past large larger experienced care care in their which to for basis opportunity facility market and primarily We since is branch we
X a these to today, years, transitioning mentioned over opportunity we trends we've service settings. mix an on have are infrastructure to we XX% them. good for increasing we A us of our business of XX% I our the believe almost Although focus the job done because from nonacute branch acute care are care market past
our are more years. more over setting acute (inaudible) focus our the has Bill are Burns Over are far nonacute for emphasis opportunities to in areas we growth improve this outpaced touch weeks the it the color you I'll on the revenue to let of in branches X initiatives. Along seen hospitals putting last in we've turn and then uptick give X than and for care performance, some me on additional lines, an those what have area. or X to
I we're some take see on As trends are more operations these advantage branch starting of putting emphasis and to results. to said, the
Our weeks. branch an last the operations ramping X for each of orders in increase seen have revenue and
our win outpatient customers, non-MSP our and market approach schools, types, making companies, are with efforts facilities, not customer revamping we customers, but share ambulatory sales sure etc. more insurance target all MSPs, across We a only focused of correctional
therefore, MSPs, these place are our We at our accounts. capture putting initiatives increase we rate in approximately are at still subcontracting $XXX million to
it move a are Although improved mark XX%, the increasing over over from working the XX% has quite closer this next bit we of to the couple X XX% allow of quarters. to to years, last
growing invest are We to build looking areas in on and also doing well. the that and are
include and Physician Allied, earlier, Travel Executive Practices. mentioned these I and Advantage Advanced schools, As RN Search,
have we're with those looking good currently teams the to leverage and experiencing. and in businesses momentum good management are We good they success
healthcare We bottom it's are and more a of In line. professionals not produce with initiatives as that's size our appropriate cost population. driving to the revenue in efficiency growing to an continuing strong. underlying our continue going will the aging of costs dynamics economy end, expected, but savings concert to continue right the and remains And we the growth shortage revenue with economy a strong
detail. areas we we turn initiatives seeing the Bill that improvement take advantage to review more to are who exist. with quarter, enough remains financial our market although is to the us grow to operational fourth We to show in adjust positive the we focus the will changes in growth over XXXX. our strong us for that, adjust the this expect of have the we of up let for call performance And market market increase changes. some in the and as our business we changes, are So more in quarter, the me a strong for Burns setting experiencing believe With demand and
