and the fourth In by full through results, you walking fourth grew XXXX quarter you, for our revenue expectations afternoon David, year and to begin XXXX. good our quarter everyone. $XXX.X I'll and Thank XX% then provide million.
million quarter to our As revenue. we David mentioned exceeded only ago. first into was was a perspective, where order to the this a year half in first $XX put million $XXX that and And
million For $XXX.X full XX%. year increased of the revenue
full fourth components in Turning quarter the $XXX.X to XX% million. line. the year increased the increased to Medical XX% revenue top the $XX.X million to and of over
previously lies, the year and most second clients XXX% both the Our the offset quarter increased our significantly temporarily fertility pandemic. reported by fourth growth year for medical to utilization, number when of at covered was driven revenue revenue to and onset was revenue quarter higher our and partially of closed million. the in Pharmacy the quarter the $XX.X lower full clinics in were by though
increased $XX.X clients increase driven number pharmacy by revenue primarily full in to the Over The the a the as ago. was compared XXX% year, year who pharmacy benefit, the of to RX have revenue million. in growth
XXXX, took year. benefit. We our continue to then and In launching now this That new to today clients year. Of clients XX% have RX. integrated the the of are RX XX% the Progyny XX% each XXXX all increased the Progyny benefit clients in more taking season, to see clients selling of newest XX% the that
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now XX% to of $XX.X our Profit million. the increased from fourth margins. XXXX Turning to Gross quarter
XXX margin last quarter As fourth the a gross this result, year. an of quarter basis our points from reflects increase XX.X% of
to normally done at normal services, In QX of was management addition approve in -- our favorable the XXXX part year of improvement end. in operating true-ups related part to leverage the care IBNR
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the XXXX, reflected an of basis XX margin increase points margin in gross XXXX. from XX.X% in of Our XX.X%
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XX.X% XX.X% as compared the was in revenue For full to year of G&A XXXX.
incurred XXXX, were reflecting of throughout or cost but revenue public arbitration in of increase XXXX, XXXX. only XXX expenses from a basis for of XXXX, company was the G&A periods that points the portion an Excluding from XX.X% both
adjusted Given expansion and from a point across year. XX.X% ago the more Adjusted EBITDA in fourth the $X.X both the a quarter million to year quarter, fourth our XXX improvements increased basis period. margin ago In the quarter, the margin in of than EBITDA $XX.X reflected the significantly million. EBITDA year adjusted business, from tripled
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million to in period. in the or $X.XX or in income quarter net periods the expense that This XXXX. related costs tax the tax second, $X.X with compared was of periods of valuation tax $X.X million settlement legal now XXXX a the we a between reflect share per all million $X.XX we've assets ago evidence fourth the in convertible adjustment reflect release the realizable, and sufficient our net is compared a the results improvement income fourth as to adjustment as adjusted our in year And adjusted tax the recorded have on quarter First, To million benefit XXXX. connection valuation XXXX XXXX. both in The stock as of million warrant due adjusted our net $X.XX that to to business income improved warrant given the In previously This are preferred or ease comparative as XXXX. across as the ability of share share. the per deferred $XX net share that I've valuation well per per operating benefit deferred in adjusted in $XX.X to the prior allowance efficiencies And to existed income discussed. assets. $X.XX or that was $XX.X as in warrants IPO. and the share of exclusion XXXX, results the
cash our balance flow. to sheet now Turning and
an and September balance marketable from securities, cash had As we million at of $XXX.X of $X.X our million of December XX. cash increase XX,
to as XX, of operating which fourth in have reflects of increase increase the In we cash million, The $X.X we our activities cash from $X million compares $X.X of of quarterly capital used of debt. addition, quarter $XXX.X operating September million by position had cash in December working approximately million, positive no XXXX. flow and an XX, in
the significant due quarterly collections year, cash The improvement the and reflects used the quarterly million million For full in both on provided of by operations as XXXX in flows. improvement flow in as well profitability, primarily our to from $XX.X cash the a of cash in was $X.X higher full timing XXXX. billing operations by year cash and
we protocols with been consistent that assumes Turning now first seen for It of fairly quarter level consistent. summer. last our period, in during since Accordingly, year that to our guidance expectations activity XXXX. has clinics two their COVID-XX member the And we've been and member has safety activity activity over full since stays seeing the with our reopen have quarters place. been
the revenue were growth quarter between to of between XX%. reflecting first projecting $XXX of For XXXX, million, and million we XX% $XXX of
$XX $X.X adjusted income $X.XX $XX.X EBITDA of basis per and between along with million of million million to share, $X.X we between $XXX approximately between fully of shares. For net a basis the million, to on expect million diluted $X.XX earnings or
we between $XXX project XX%. million, revenue between reflecting XXXX, to million and be For to $XXX XX% growth
margin adjusted For million between $XXX we between million our we're million share for revenue shares. $XX on the expecting continued or of income million, between of $X.XX XXXX expansion approximately $X.XX of XX.X%. net midpoint to to to per and see expect $XX.X earnings million, margins fully of this with of $XX the basis guidance, in and diluted adjusted EBITDA At $XX.X EBITDA
Pete? Let the turn me to now call Pete. over