guidance the are our and value direction. of quarter in Ido over fourth XXXX. year in is and our operating results our ago. of Active key sustained clients with year, for that then representing healthy the with of discuss outlook compared providers providers, I'll growth We all see XXX,XXX start you, hello, review report everyone. trending of quarter operating our ended pleased financial metrics a active XX% I'm and metrics fourth over I'll a the and the Thank to to our platform. a important an metric for
last rise as active new We number our platform. continue onto anticipate subset, grew providers and providers clients to XX% our implement versus that we our and a of clients year. employed Converge active As by will existing migrate
line XXXX. of in focused increase time clients or XXXX is the to good annual value are ACV in Converge. to and metric ACV a Another to during for value our migrating a over with of $XXX,XXX. Converge strategy. important we transition XX% of saw increased systems to and our the plan ACV success expectations is as contract This to clients XX% Health delivering our land this our expand compared average which on indicator the $XXX,XXX is health
the to was over the over continue season an approximately still within being in range pandemic. the to of drove flu care increase the clients the prior up most this in significantly first X.X but surge to last years urgent Total couple of total, We compared expect approximately new from and of down of last of ACV visits pre-COVID. visits time. the year. our to we footprint quarter, resulted existing million add scheduled visits of fourth clients onset a care since on-demand what to as XX% in XX% XX% Urgent XX% This look real from XX% visits increase in expand grow were
of XX% visits total the scheduled comprised For visits. year,
to visits continue to has quarter make to to the total according of on increase are progress QX, plan. and our successful migrations proceeding Converge clients We QX. In new platform and to the XX% number migrating we during that steady for drove continued
Total financial results. EBITDA guide adjusted In to for our have for to year. million elements, year $XXX.X on revenue year last the was represents quarter pleased of growth to many last able to X% to compared Total relatively QX, for exceed a grew year which revenue transition the million. to XXXX. in been now quarter. of our $XX.X are achieve And was year revenue moving Subscription flat we QX and the over our XX% with guide million $XX.X revenue ago compared
the $XXX.X For revenue XX% year, to million. subscription grew
inclusion revenue the had temporary expected, revenue this diversity of and successfully during build-out, stream the the year impact strong Conversa delivered our our During on by was as strategic the we while client challenged The and year, real AMG was of impacted supporting year, focused base, overall Converge XXXX services the a proved SilverCloud growth existing asset on of we for by full a in implementation to acquisitions time. our subscription be plus positively our XXXX of and migrating growth revenue completing growth client from rate client-related deployments. bookings
the was of Moving year strong quarter of revenue was quarter Amwell million shy revenue was of Medical just million. all-time visit and this XX% $XX.X at at than last value to the the pandemic, our of high this the to demonstrating second Visit In QX, fact, service clients. visits. AMG $XX of in peak XXXX in Group's higher enduring
visit For the revenue grew to year, $XXX.X million. X%
with $XX visits. revenue grew at and to on XX% respectively. some for per the detail visits $XX, Now for XX% average on year, AMG visit the quarter and
volumes care As early heavy I urgent quarter. per season unusually the revenue of an and the flu visit hence, higher for lower mentioned, onset drove
going while the said care platform programs an to is focus we with revenue AMG services primary automated like previously, our is modules, sales market of a number recurring plus forward growing have clients, and critical associated differentiator of high-margin and of to As important in Converge AMG. business drive many the our our
quarter as the was services to This revenue clients the XX% and by Carepoints driven in Our strategic professional and on for year. substantially million grew we revenue Converge. implemented services $XX.X to we XX% strength earned
our of this deploying of long-term As revenues calls, they highlight nature we have the in platform. strategic relationships and prior see client discussed ROI type on our the
profit last points increased XXX to Turning basis to versus margin gross XX.X%. year profitability. quarter Fourth
depending points a Gross higher margin mix. margins XX care the revenue fluctuate were services year, quarter bit and urgent gross to revenue. Contributing a and proportion the may of to basis higher profit continue for For increase margin a increased the visits of AMG mix on quarter-to-quarter Carepoints from XX.X%. at to
Over the pursuit our shift run, high-margin it's a in of our drive towards long steady to revenue long-term software mix revenue goal recurring model.
operating to Turning expenses.
During progress our across the overall threshold plan. quarter, developing fourth in the in Converge our meaningful project
quarter. to million GAAP, expense the in development million. required million Adjusting As by of the for we these software $X.X $XX.X costs, efforts capitalized capitalized increased quarter R&D development-related in $XX.X by
sequentially Converge, decline we 'XX on R&D absolute As that we represented And of we XXXX. basis our spend delivering the progress over given an R&D believe our XQ peak will in course expect spend. have discussed, that
marketing resources ago. activity our solution we This Fourth driven higher sales some a quarter velocity development, made at selling in kickoff marketing to across as and commercial sales compared by aimed of year which January our X% size. the and the align teams driving meeting prepared and board our efforts, for around expense deal overall deal and reflecting our pipeline was changes ramped sales Converge. We sales to are completion increased
by year million. acquisition. the million, for of deferred Adjusted our compensation was $XX.X $XXX.X G&A sequentially, the associated quarter negative for SilverCloud primarily the increased with bringing recognition negative the terms EBITDA the driven metric to X% noncash of
from call, our acquisitions. full of a year quarter QX synergies recent early and around management on completed we As headcount expense achieved careful our the third integration we discussed of
million as As updated our balance to ended we last EBITDA, as year $XXX.X a quarter securities. the result, both our for adjusted marketable we and achieved Transitioning versus better-than-anticipated cash to relative guidance with well the preliminary quarter. sheet, guide of the
pursue resources cash are as provides that our flexibility substantial goals. We and with aligned it are a fortunate strategic fund investing to the position temporary to of have this the to period opportunities
Turning now assessed which we and with our puts range. in to guidance ended business our XXXX our XXXX outlook. for takes arriving at carefully
which COVID experienced an from both we and First, flu impact severe this not year. early may recur and continued season
visit conservative took activity million result, a X.XX visits. approach million assuming a As are of we to and AMG normalized X.XX
We at spending also our taking account clients. environment, look into carefully the conversations with
with tailwinds. headwinds earlier, macro environment a challenging mentioned presents As Ido us and
clients directly and heart addresses proposition one the operational and On This facing prospects are the value driving hand, and of our the budgetary our partnering today. our demand. challenges approach is
impact are at the deployment that On other and cycles solution expansion hand, these our to predict challenges this may difficult also time. for
in Finally, at will which Carepoints XX% we approximately revenue anticipate total we remain steadiness revenue. believe our services of and
we $XXX for factors, the million range be to year. revenue the these of $XXX Considering to in expect million
the year sales bookings cycle the Given anticipate we the majority timing, this in of generate half we will second of the come year.
generate So this to aim a to momentum XXXX. the portion we year in growth revenue translate of bookings will
primary for a growth is on which us. goal color revenue some Next, software subscription
time client attention to via ready As continued use we Therefore, of on bookings and reaccelerating migration, we will building, clients With our Converge. anticipate in we reference new a to business transition Converge software overall software emerge momentum. of are from and our modules grow believe revenue than XXXX. strong faster turning expanded bookings we return this
toward our our progress to guidance on Now profitability. for
course range we of up our be improvement For negative encouraged from expected the year come planned. $XXX our EBITDA in our date. spending have in EBITDA Much the as adjusted reduction to the to we of million. the by full layering the adjusted the progress million we of are expect Wrapping anticipated R&D to in will XXXX, year guidance, $XXX over in
and are much our behind metrics risk favorably the of trending put All of our us. we of have transition key
the in they provider and referenceability executing technical satisfaction ascribed anchor our high are a prospects. with valuable client we have teams our market. we the Our migrations us product and Converge to on The our and implemented patient and to have of and earned to very clients clients success that report level give validation approach
Our and fueling are upsells robust new substantial with our ROI logos. of studies conversations case pipeline
comment would our long-term to I a ago. conclude as model we on like outlined I my year Before remarks,
transition, As components the of to the remains We next our describes our we our breakeven revenue care which differentiated approach path well confident us long-term profitability and cash the remain to digital model we believe to expanding our growth and sustained enter delivery chapter enabling goal. our long-term. in flow over of positions deliver
some to to back closing for Ido? listening. that, you Thank turn like for remarks. Ido I'd With call the
