reflects to Thank here track continuation third performance is which you, good It Jason record are factors of strong quarter delivering about momentum and seeing afternoon today results, talk good numerous and of across our to business our we our everyone. a be and the is of results.
it impact ago. XX% the quarter entirely our quarter the a to As acquisition through first I is organic, $XXX as compared versus where year increased quarter, of year go growth Total year financials. of the the but this is third worth reminding that small this for revenue to is Medicine to prior our the million discussion Direct the for
continue to to basis we year we see FX dollar XX our above currencies was in most against last reported major growth relative U.S. As revenue stronger adjusted operate, revenue which a approximately points growth.
FX could FX to future over see know rates go we time and fluctuate you as other direction in tend rates in the Now, quarters.
I performance. visit start details Let's with the access. this individuals look at membership some and U.S. paid will of only with
remarks million ago, up our compared as paid on grew platform. member we father's a by new clients year and membership to As quarter expanding Jason noted to in our his XX base on-boarding XX% U.S. existing clients members this scaled
quarter the as continued health Unitedhealthcare. XX included of the one million the as Membership in large well growth commercial plan on-boarding population of a of third approximately members in
U.S. access. visits the does not the paid with reminder, individuals membership a include only As
channels. last distribution has across several in our Our U.S. the paid and entrenched membership XXof quarters expanded XX sequentially reflects
Individuals reflecting to in two of at Unitedhealthcare. quarter of the only end the commercial approximately the members from million XX XX access, the million XX increased approximately with up from population thirds the and quarter visit the million of previous
to year ago. a we visits, quarter with an to had to of excellent respect volume XXX,XXX visit visits with Turning compared and XX% increase
a Our the highlights in visit the the during quarter. press U.S. grew point release year's X% which third over basis represents members of increase XXX,XXX, XX quarter. details volume utilization Visit of paid rate from to an annualized last XX% volume
versus quarter substantial paid with even utilization expanded year. U.S. population in The the last increase of in rate members the the
XX% over health Our leadership quarter. drove in of area visit the mental of the in growth
and XX% visits global registrations quarter in increased from in subscription point in was $XXX.X fees that our the we I'd XX% to revenue the drive of access XX% accelerating our as from is which with to revenue for revenue engage overall like growth year-over-year compared million year accounted and sequentially adoption. total of ago. final a quarter growth of the highlight members Driving is The and new
revenue million million international of subscription three revenue, quarters revenue global U.S. subscription Additionally, subscription while of to of access accounts the $XX $XX.X for fee continues balance. about represent
this $X.XX year decrease from quarter. $X.XX We as last and quarter saw expected [ph] XX% the ago PNPN from to a
for on XX% the PNPN health onboard typically populations. plan dampening to compared we previously the have fee prior constituted effect revenue and to XX% we member new revenue. representing million the year of quarter global $XX.X increased growth we As Visit indicated, experience a [ph] large when of remaining
Expert remainder revenue Behavioral quarter, $XX.X in of from of grew paid of access as XX% This line specialty third as Commercial U.S. generated the quarter. the general million membership services. Health $X.X quarter XX% only comprised over visits well fee visit in Visit million increase comprised primarily the visit medical a visits other and and fee includes of XXXX. the revenue revenue Medical
third margin quarter in our reflects our diverse and continue consistent new year-over-year to predictable Gross margin product XX.X% when quarter expectations percentage in line as percentage XX% the gain as to compared approach the portfolio with last at consistency gross was we pricing The in and strength clients year. members. as our disciplined in of for well
of gross XX% million and we $XX.X in $XX.X with a aforementioned in representing revenue year a margin to increase ago, quarter dollars, generated third terms million In the the increase. line compared
acquisition of third $XXX.X XX% amortization, expense operating totaled When to as million depreciation million the of quarter revenue well an increase of quarter revenue. in Turning $XX.X stock expenses, last quarter one-time XXXX from such related non-cash as million charges $XX.X adjusted the year. costs million, $XX.X and expenses in operating eliminated, total XX% compensation, are or or third of to XX% are as compared
acquisition expense some member activities. support the recently to adjusted investments and operating The of population, year-over-year leverage and in added as includes as on-boarding well marketing our in advertising our engagements increases of
of commentary non-cash million to associated income of $X.XX my loss the million approximately or for was strategy. to a per The our $X.XX reflecting million benefit share net our year. lower $XX.X the tax our planning net XXXX of Concluding quarter the a compared with of year. third the loss compared global per loss On statement, net quarter $X.X $XX.X in a share one-time last loss $X.XX was basis in prior tax included
loss a Moving to improved to a $X third favorably the of adjusted million operating increased from quarter the EBITDA was of $XX.X same to loss the the which million to compares quarter margin last ability our of for third for revenue EBITDA a year's adjusted EBITDA last EBITDA and quarter, of million year. the reflecting performance, generate adjusted for $X $X.X and XXXX EBITDA, growth, positive compared as million gross to period leverage.
reinforces to our Turning improved by balances with roughly to ended sheet, cash is quarter cash flow million equivalents deliver cash largely cash, positive in we of cash from the short-term the confidence and operations million our over and full $XX $XX positive year-to-date have which flows the million, Sequentially year. of investments. for $XXX.X balance reflective our
XXXX and $XXX Our million the matures of total million, XX, X% note that $XXX.X of the consists that $XXX.X convertible X of the XX as note during XXXX. convertible percentage and end which matures note September issuances; debt was XXXX at two million our
expectations and year quarter, full XXXX. for of the the is year for fourth our here guidance the terms full In the
$XXX subscription both the and as the visit reflection are in better We ramp million is guidance performance on visibility on-boarded well our The strong member a guidance increasing $XXX throughout increase of revenue to between revenue, and recently year, be as into of populations. million.
for EBITDA guidance million. $XX $XX and And We are follows. the loss between tightening positive as adjusted adjusted between million, and EBITDA million $XX and EBITDA positive EBITDA million $XX
to approximately visit and membership access million be to members We individuals. million expect total $XX paid approximately U.S. the $XX of available only
weighted negative we We be shares between share positive negative Net have to expect visits. we cash million $XX.X XXXX. that million outstanding. $X.XX total visits and continue based $X.X a be to on as per as expect $X.XX XX, share between per million have and before, $X.X flow to of And loss said operating achieved to September average
million quarter million between fourth EBITDA available to XXXX U.S. Adjusted be to to paid between of $XX.X access million. the $X to we total be to $XX.X and approximately to For million positive to expect positive And EBITDA individuals. $XXX $XX visits million. Total $XXX approximately revenue only negative million. membership between $X million be loss to XX negative million to be the
shares share per loss average on be share to million In to visits per negative my be million total expect We XX.X X and and million weighted outstanding. X.X $X.XX net between $X.XX with concluding our continue between based revenue negative business growth we scale success. deliver pleased results our to as financial I in enable confident the ability strategically invest and consistent while we remarks, am I'm longer-term to performance our and in future to
I One our a Vice new banks, highly final at Patrick research President recently to successful to stints to the Barclays. the know Relations, our look Teladoc start at on of with Relations at entire Teladoc various healthcare I leadership join speak company here will Feely at we most on very his are forward when Teladoc team team relates Patrick Investor pleased as say point to and track [ph]. Health. to and role Patrick like equity November Health contributions his record Health our I focused I have has analyst I'd an welcome growth. Investor services which X. He for
call the to his turn me closing back remarks. for let that, Jason With
