Ed. you Thank
past beginning comments. across As with the take of quarters, few a you real the highlights our high-level with portfolio some critical estate, of I'll hospital through few
our sequential we of across During pleased year-over-year portfolio. the improvements XXXX, fourth delivered with and were solid the coverage quarter
In basis, increasing acute sequential reported a discrete in fourth LTACH coverage rehab general inpatient quarter. our and fact, all quarter-over-quarter the on segments
which in health first of volume portfolio, in cases, of and, excluding these as operators. value in of volumes see Prospect trends prove continue represent Steward our across large communities. to increasing the year-over-year respective their grew some our outpaced facilities XX% during the enduring growth and their quarter XXXX, portfolio, line Behavioral with hospitals, And public
hospitals, noting seen LTACHs declining are payments. just care acute last X.X% part that these CMS generally inpatient ensuring our rehab operators of the have facilities coverage result diversification ongoing of therefore, portfolio May, While as that and volumes of year-over-year additional rent worth expiration for a it is include and/or larger waiver represent and
longer property U.K. benefit the will disclosure coverages inpatient but acuity year-over-year. and individual for rates, increasing operating higher will from with Continental LTACH strong of Europe, profit forward, begin In no and provide Going report in to continue growth combine Leading emission. type. to operators to instead volumes a most reimbursement overall them rehab operators coverages we post-acute
Circle extend positioned in care U.K. remains volume acuity steady growth the XXXX. well private is patient health to increasing and market expected with that through
financial insurance strong With self-pay the maintained. expect of Circle health the in that and growth private steady performance and delivered to has sustained be U.K. performance coverage
within number mental on health capitalize continues priority U.K. As independent health the of care increased in the largest beds the for to behavioral a services U.K. by provider demand
improving coverage incremental They ensure MEDIAN, largely improving along cost-effective rates, focus stable trends, occupancy, quality in from strong with favorable levels occupancy care. remain are driving focused seeing reimbursement efficient and and steadily cost on areas improvements these inflation are with has reimbursement of and company, parent Together, and earnings. management impacts COVID-XX the recovered operations German the moderating pandemic control. its [indiscernible] to on
past margins them maintain MEDIAN's years operating the that expect we resilient stability. proven to and several have over
quarter While Initial Swiss network pressures, Medical's in inflationary temporary its headwinds abating. profitability integrated the was are from to these marginally impacted XXXX. pioneering indicate that already first related and results by care investments
Innovation on the open Janelle Hub, track addition, of XXXX. in half Swiss second Medical's to which construction XXXX, In in began remains
our to portfolio. Turning U.S.
rates Excluding portfolio are IRFs, or diversified of inpatient generally Reimbursement hospitals, we're of rehabilitation and general environment. inflationary universally Prospect, health facilities, acute accelerating in increasing commendable controlling a Steward our and facilities. and seeing payroll job costs doing almost are across admissions operators this
operated investment new leading we firm involving A of in announcement formed common with by hospitals for the a of Lake the highlight Utah major JV, quarter the spirits. Salt was area the our City
to in and We persist term. an these pleased are performance XX% approximate to retain interest trends expect long the over facilities strong
Xx. IRF Xx. in adversely consolidated excess Ernest's its impacted developments, are is performing stable EBITDARM Xx coverage Ernest facilities total recent Ernest volume performance coverage well their of headwinds coverage Ernest earlier. mentioned same-store reported it by Health at X approaching IRF, above reported LTACH with on the I was excluding with
LTACH by California as their XX-year is in lease reminder, the and remaining to part than New XX% Ernest IRFs. X than Prime comprised Shifting Prime, a Prime for investment important our our transaction, less and MPT sale to new an covered of the agreed of hospitals. and Jersey rent more master As
purchase new owned to these option estate a price for purchase volumes remaining minimum of labor includes to a has and hospitals. normalization Prime of of buy hospitals $XXX which master costs, for increasing report the MPT real led for EBITDARM lease The They million. improved
At our LifePoint quarter the hospitals, volumes we rebound saw have the momentum following in XXXX. of sustained fourth nice
improvements facilities they X more which in monthly LifePoint including MPT-owned years. meaningful several LifePoint the encouraging an result, have delivered over than the in EBITDARM months, highest EBITDARM a last deliver March As
optimistic remain market has success. LifePoint's and received that at recently position Konami, Privilion further by the will been Memorial dedicated Pennsylvania, for cardiovascular well community, we surgical and and it future very that care
have and volumes Our increased LifePoint inpatient in programs volumes programs. intensive steadily outpatient declines offsetting from behavioral seasonal partial facilities hospitalization
acute At increases turn facilities double-digit substantial driven nearly by and to contract volume full X.Xx, SionHealth, general labor. in in improvement coverage reductions a reported year-over-year
that However, like waivers XXXX. Ernest, the been adversely expired impacted in has by LTACH performance
XX, Prospect trailing $X of XX March for interest ended the end Finally, of paid for end after rent on Prospect approximately XXXX. X.Xx the rent million coverage basis and the increased EBITDARM on reported the during portfolio quarter. December February. approximately to a Xx has of and cash months California of its through quarter the XX-month Coverage further approximately paid California
yet received the not rent and months of for at May. time, However, MPT this has April
and summarize, highly care well, the before are settings. volume continued across operators briefly Kevin, our geographies it the encouraged to to majority I and diversified and To we're we of portfolio in turn seeing perform by trends cost over
As our and core such, the cash the of portfolio. we of flow remain business long-term confident Kevin? our in model pillars potential