pleased underway. we on lead optimistic the have to everyone you, learned. of strength. and are initiatives right at Ido, people what the with company with days Board very I XXX first call. shared the I'm evening very good that and recently that market Thank of our a completed have back position my to I'm to this I I've many Amwell,
XXXX. for our Board employees Our and are excited
as We other QX have financial to revenues any greatest review Tonight, you history. our walk visibility the highlights metrics from through our operating progress today few include this results and key and company's QX our in XXXX.
The initiatives. I our then for into financial a toward guidance of will strategic time compared
grew third our improvements deployments. adjusted strategic continue over software revenue row we growing as XX% of the our client base. strength our with the a accelerated cost on EBITDA on structure and aligning over in Software focus QX's well quarter to for results We revenue
Psychiatric the launch confidence from continued cash took our of to With we assets to divestiture action staged across cost operations solution the Health our sheet. Amwell full of balance our reinforce Care, specifically, we our initiatives System flows importantly, strategic our positive portfolio generating have X that of path the and and Military most as Ido XXXX. Most previously in during objectives: progress with announced focus strengthen our said, demonstrated the
will that initiatives these executing to to company. drive ourselves committed our have We ultimately value
year to Military XXXX. the was me initiative QX, launch the related is QX $XX financial solution So Health metric company's of the mix growth quarter, is million our the some a the to staged our more $XX in from a revenue which was had QX ago. revenue uplift XX% software material million history. the in important subscription for share revenue QX subscription We in here most Revenue up across which is the as now of System, let significant results:
Total flat
client and spoke at with in Converge quarter. QX on about the year line indicator metrics. is XX% visits steady which in our migration visit call visits. quarter, our softness in execution-related activity. adjusted to our helpful Visits a and is some than Visits for close completed the in approximately on to visits million X.X of fourth remained a were, visits total Turning fact, lower approximately expectations We of Converge market-wide We XX% ago. on
of and important we migrations going to is forward. us, key longer no our metric strategic sunset will believe With bulk initiatives, the behind metric this we this now
of to of However, land-and-expand in plan Value, Health important $XXX,XXX average metric our in to $XXX,XXX from success for Annual XXXX, in expanded systems which ACV strategy. our Contract is indicator $XXX,XXX $XXX,XXX XXXX. ACV great grew or the is and health from business an a ACV, our
new revenue expand our per mix for X% programs. within $XX, QX trended year. X% AMG is towards and increase primary higher specialty by care was a visit visit last than ACV shift driven compared we year was continue both within which quarter expect Average revenue to This million. over this virtual and visits last at as time.
AMG's groups We footprint lower clients existing $XX.X grow to add clients to
Our AMG recurring our expansions efforts to grow overall client to software business of enabling be and wins strategically and new support for to continues client revenues. important
precede revenue to deployments. revenues programs by customer and that versus of last driven buying for Carepoint's was nature our the timing professional and Service primarily Our service decrease business of $X.X drives timing variable quarter marketing Carepoint's, quarter. marketing as the million due as for of This was for $X.X The patterns revenue. million well milestones
gross to now Turning profit.
margin QX. fourth profit compared Our XX to points higher quarter gross by was XX%,
the year, to gross full in which than margin XX%, finished operating the For our higher expenses. XXXX.
On XX% was we with slightly was
substantial normalizing make spending. to R&D progress continue We towards
of deploying solution XX% remains million, our bad quarter, million losses in $XX.X lower by While to first Change in a spent a we maintaining approximately related quarter event for due G&A year's million, expenses million. occurred our the a ongoing Healthcare cyber XX% focus to lower our were X% were was than of QX the XXXX. cost on the comparable $XX.X than by and caused XXXX. focus approximately than decline initiatives. in marketing driven $XX.X approximately initiatives. last debt of higher were last meaningful the R&D expenses quarter, one-time XX% quarter QX compared cost nearly our G&A primarily DHA, which that our expenses $XX.X to accrual Sales last That's of and
our we key completed initiatives now from have that XXXX. another highlights consecutive So quarter
the on reshaping promise our well delivering software while to our of foundational basis. our revenue are We way being cost growing subscription on
$XX.X the the to XXXX. adjusted single million deliver Amwell clients team was QX successfully There energetic products, great services fully we every with aligned and is delivering efficiencies negative that As a $XX.X a that novel result, quarter health negative day. is EBITDA here in at our versus for million care
visit in we debt.
And fourth would the growth quarter X for now, to with cash guiding EBITDA view a Finally, this by $XXX XXXX. year, liquidity, focus mind, underscored in This to expanding the taking reducing our securities details on here guidance our revenue With I million adjusted further revenue are for to our of cash annual with with turn and while and ended and are subscription for revenues, on our is respect like conservative costs. the software marketable we high-margin volumes mix guidance.
more $XXX We for to expected revenue excludes in million full expect than would range revenue have from the the to guidance $XXX the XXXX. XXXX million APC $XX of million. we be year This in that
intact, nearly of the we total meaningfully of our to elements represent XXXX base most revenue grow subscription anticipate revenues. Importantly, to strategic revenue with XX%
million AMG is X.X range Our visits. visits for and X.XX between million
the EBITDA our $XX million, negative adjusted expect negative which We improvement year-over-year. XXXX $XX to XX% to a million demonstrates range be in of
Here our assumptions. are around some additional context
to our on sales year track our more commitments. Overall, software by than We costs for further of reduce R&D marketing and are and existing our we as we versus XX% XX% around decline expense bulk XXXX the work expect complete streamline configuration to year-over-year. this
continue We reduce G&A a to for expect the we new our organize XX% cost around lower the structure. to beyond company year expense as
articulate that Health to believe staged there our our and are continue As we here. System, software across timing we go-lives quarterly dynamics work of complete the the be anticipated government will the bulk some helpful of Military solution revenue
this some of for guidance, at time, providing additional the first are quarter including so And we XXXX.
details:
We first to to in quarter of the $XX be XXXX million. the of $XX the are for revenue range expect Here million
to XXXX, normalizing EBITDA, the step-up we go-live adjusted continue revenues, consolidated the progress ending QX, anticipate to EBITDA the at of $XX nearly the toward by that approximately into $XXX flows excess have important cash consider up, that, QX, will below XXXX you with of in of We in to QX $XXX during goals first which our in back for from million. million to revenue million year-end million in I'd we Ido level work revenue.
Wrapping the one-time software-related $XX as our solid total is this to call encouraged we turn cash some with positive strides quarter in for slightly remarks. expect As cash to anticipate in the XXXX. And in at closing some in like Amwell total of our XX% the participating our we Also afternoon. business. negative XXXX.
Thank negative path support DHA the be made and software remainder are And we in year a confidence generating made operations end Ido? that we adjusted to with range