our earnings me and welcome Chief Dru. Officer. Bickham, fourth XXXX are Poff, Financial Operating Brad Officer; call. Good morning, Brian to our Thank Chief our you, President With and today and quarter
more detail. earning fourth we then and with in will discuss quarter Brian few the will of on each begin I As overall results do call, our a comments
comments, to for our are happy we the to respond full-year financial Following would fourth our proud extremely results XXXX, performance. we us operating of and Yesterday, be questions. our your quarter three of of announced and
was as minutes. tight increasing results due variant the as pressures for employee produce environment detail to a I few labor from more the of able team both well the will Our quarantines quarter which to in COVID, discuss in record a Omicron despite
for XXXX was diluted revenue $XXX.X as quarter Our an for of the for quarter of quarter increase for of per quarter were fourth Adjusted increase compared fourth XXXX, of $XXX $X.XX as XX.X%. fourth to of to the compared fourth million earnings XXXX XX.X%. $X.XX the million XXXX, an share of the
for $XX.X for the million quarter million an the of compared increase to XXXX, of adjusted fourth Our XX.X%. fourth as $XX.X XXXX of quarter EBITDA was
EBITDA was revenue $XXX $XX.X cash during XX.X%. XXXX, full-year resulted our million an approximately with at the of the of strong XXXX. adjusted operating along XX, This or For in of flow million cash December $XXX.X balance a with million year our
includes issues consumers reality our challenging due our current few to in As has and patients, the increasing pressure. market. enough one hiring face This months also we over several the employees not by with but companies care is most the been to of dealing labor wages challenge in discussed past for today the the with industry, of only labor of
pressure continued During in of these both areas. our fourth quarter, we saw
Addus. information for some Let labor you relating the to give dynamics me
but of during last XXXX fourth year, the business Our personal were fourth quarter up sequentially of care were XXXX. hires from our X.X% quarter X.X% down per over third our of day quarter
and which began effects of at in the December of started began surge, During quarter, January. the we our the fourth decline to to see Omicron end
increase an we hires care, personal in yet per are day above not in level to expected hires we level we back XXXX. day of for our see running of are hiring per they the saw February, and our third currently today in the have business to of While started quarter
We care of personal are segment. wage in pressures our certain also markets seeing
and markets. manageable of majority level biggest force and more as recent primarily meaningful to received to have seen wage care labor X% home we market the increases. increasing have resulted of already is This past of our few approximately has in minimum pressures X% impact on experienced over wage personal increases clinical the in health have our Clinical personal specialists. our hospice care in we the wage current However, wage. smaller their segments, In increases where to depending care years, the keep states helped wage a issues
to experienced have open increases clinicians time challenges. meet for we added these meet turnover To settings. of a limited resources an these as increase in across to fill positions number challenges demand have segments market wage the us in to annual increases it We healthcare our additional these also help standard reduce accelerating takes various the while
caregivers to help in with labor One were which the Omicron from has resulting to to mentally is was infections investments saw this quarter what caused we news in good due our the few at see than up having positive the in in COVID point, these back began can higher rapid XXXX. will were the to peak. by entering segment either of impacted surge confident to Remember, the our to caregivers built to for we've with saw quarantine to was personal our of to served, we date quarantine we Delta our we approximately number variant are since in variant. We these our quarantine who previous recover in X% XXXX, affected increase with of seen the Delta personal caregivers a of number issues. return By than been two XXXX. able tested exposed almost in January revenue see reduction of This fourth we increase service. employees item the our as the X% this around us Xx hours of largest last quarantine in quickly variant. wave care, high the to the in quarantines January increase weeks This virus. which our our of saw the December. quarantine, care our with the level started We quarter have January a in or but higher revenues many February the for immediately hours and are quarantine Xx decline are fourth caregivers level in have our served body weeks, The after for down numbers With
reduction the country. and decline as of across cases see accelerate number We the expect will continue to are in quarantines encouraged this the improvement
store me of fourth let same growth the revenue our Now for quarter discuss XXXX.
Our when of XXXX. our personal quarter same CDPAP to care York was November This store received X% segment revenue XXXX. of starting exclusive growth fourth program we the X, the compared New Illinois includes increase growth for rate the
have over for Omicron COVID new as as help several served challenges. as and this Delta well store saw experienced of as hours help team the as as we our level same issues past growth has This turnover personal general caregivers. mentioned, the our with as both service impacted levels, previously an in quarantine onboard with increase labor hours coordinators. well was turnover However, variant by in be the position our increased to months, who members I the These to well the market market schedule we care to as are to
returns service that optimistic virus to are decrease of and our growth to levels current continues We our turnover returns normal wave of levels. to hours to as coordinator historical
operations. our Turning Clinical to Care
segment Home strong its continued Health performance. Our
this our XXXX, revenue quarter growth same-store in as of fourth see During to our was growth we segment. continue strong volume X.X%
Although we Omicron facilities did procedures. impact related an as December on elective January, acute care and volumes late see in into some limited
steadily with through our our most quarter. beginning overall have admissions the increased the Home and of continuing favorable However, Health since fourth of XXXX, trend
operation, focus efforts excited home and saying past we As will to we our services. are on year, have been the about we these our expanding continue over health
we anticipated, strong since first in Hospice the X.X% As growth fourth a in revenue XXXX, revenue our Hospice same-store our mid-XXXX. year-over-year quarter segment, have increased over
prior to improve of growing fourth over the XXXX. same-store over we X.X% the As year, our this quarter quarter saw admissions third in year, continue of the
to extent to season Although, we sequentially Omicron December. in expect did seasonality a the due less of and primarily onset holiday this see a the decline during
median to improving during stay, XXXX. our January, to continue XX the XXXX. quarter for inclusive fourth fourth quarter make ADC Overall, fourth compared completed of of the with X,XXX in length of an days 'XX, days in [Queen] of quarter increased ADC of to We X,XXX of progress to to XX our fourth quarter Hospice XXXX for compared acquisition as City of our as XXXX the
me of progress. you status on vaccine Let the our update
Medicare with employees vaccination our healthcare of you or mandate operate vaccinated. know, and under segments. be a Federal a must Health all many of passed mandate Government Hospice condition participation As has whose businesses Hospice Medicaid covers Home This the that
mandated companies, vaccinated. Philadelphia New In York, markets addition, have employees must Care that are of Delaware all the and including those healthcare that in ensure their Personal City
nonclinical it as we vaccinated getting Although employees make imperative focus many federal exempted to that their state from our state most These and mandates have mandates. city, various as on caregivers, continue of possible.
the to COVID vaccine, has progress hospice steps XX% vaccinated vaccinated incentivise vaccination exemptions and in our our the are to mandated are percentages we to personal in the Addus we for back with applicable XX% care have vaccinated including and pleased confirmed XX% continued encourage currently compliance and rate with seeing. mandate. are a between not our employees, take in employees markets with approved XXX% vaccine Overall, and employees While for get personal Health, with we care XX% Home
vaccinated implementations our session be We employees they to encourage to occur. may to our adhere so to will mandate future get any will continue that efforts we as well
over on CDPAP we a this approximately we to quarter discussed have XX this our new an RFD stopped New have result annualized uncertainty or end of $XX York run most Based York impact appeal and as we quarter of New from intentional XXXX fourth calls, of our we the million the referrals months, as of low program in margin fourth our on million awards associated rate the admissions, for program. rate any COVID last seen our a reducing in with decrease approximately our as to past of program. process, XXXX. additional the New York await $XX few decision of this to on the run Both approach responses CDPAP to revenue continue accepting the have As
in revenues new developments New continue we CDPAP to of We expect new referrals. our limit absence as to information City continue York from planning or the
last the we However, that year of for included Medicaid has her a in the proposal reduction fiscal the saw we budget coming rollback X.X% in governor year. pleased are York New
that transaction JourneyCare Illinois on closed all has on the during will into are our X, December, an hospice, law, XXXX. with these risk our increasing state largest of the and into agreement she In of Health, passed in If New fourth our a announced increases of allows This personal X%. Addus, for an market. integration health pleased] service of home excellent with we to we three the Medicare acquisition Chicago in service We we largest we care operation. provide our and hospice our With rate clinical provider lines profit in York business. additional the In proposed Currently, addition, rates hospice are service we in pleased quarter, acquisition, operations [are reputation, by of provide skilled home Medicare Illinois, a not health certified to this Home early the our Metro in the acquire JourneyCare stages which the will February Summit us area. progress. is with strengthen one closed
provide again, levels our JourneyCare are align our both to examples family, Addus. Both of goal part JourneyCare excited care. welcome both of home Home I which We acquisitions, and Health three with Summit where teams creating we of markets Summit Home to and to Addus want and the of Health as have are all
care. continue will them the be. of affirmed care capabilities states consumers strategy of all all three for developing elderly home three in clinical place patients to individuals and prefer COVID their care, disabled elderly is at acquiring have of We personal our has of Home to of where care focus the in and not coverage, with only in currently safest coverage levels places with homes. but look opportunities pandemic to furthering value receive most The services strong a markets the on and segments we most is cost taking also one of effective where
based invest an home that to this home. to value in is industry and continued care have we their and be our wish a years, safely us two past of opportunity the continue effectively preparation We Over our materials assist these heightened planning, growth important our allowing consumers company. believe at and awareness for fulfilling will role favorable stay in of our caregiver, patients and to as for to
dependent so and that and operations our thankful our support for also and We on proud hard consumers, to our Brian. achieving job of It they am the focus caregivers appreciate have to all understand each With our members of in their mission first. outstanding patients growth is and providing are patients, we dedicated past, by our continue important and care over families. I’m who work our team the turn me let on done day. do call putting each and that, to the I that
