our quarter in year $XXX.X everyone. Revenue Thanks, provide good Pete, I'll afternoon, and then fourth quarter grew for and and for the begin XX% full to our XXXX. expectations million. the results with
ninth the lives quarter due to of our and full the $X.XX the year number growth. an X% in as in increase revenue compared primarily in the of year, was representing The year both For to year clients period. ago to covered the growth billion, grew straight
previously the to for as periods compared rate was consumption in discussed year growth in earlier lower year the of we the you. The to variability due that with QX
As to in had quarter. an of X,XXX the X.X we clients of average lives December ago. representing fourth year of quarter a XXX and compares clients the million least covered covered in at with an X.X XXX average lives million lives, XX, This
the of in lives to a recent the average increased won small clients we quarter, early XX,XXX, third launches that most season. compared selling number nearly As by from reflecting
base As were expected, the existing lives XQ. our versus flat within
time we X.X and last at these of covered year, progression this had the contract. million clients XXX lives metrics, under Recapping
has selling that most lives. and season included million over be lives with under will lives and entered clients what incremental in of previously a substantial majority XX. member XXXX for of newest The base our accounts live have our grown of the March and client. gone large our new despite and clients loss we've million already X.X we've clients And as stated XXXX XXX affirms produced now Our an X.X new This recent XX contract.
to the components to Pharmacy to for the revenue top Turning line the increased XX% million. revenue $XXX quarter quarter. the The increased $XXX and impacted that in to year grew Medical million in and our X.X% million X.X% the fourth quarter growth this was year of revenue in the grew million. to factors fourth in $XXX components in both overall $XXX growth. the X% same due to full
Turning quarter now fourth the X.XX% ago Female engagement was slight with a the member utilization metrics. QX. our in we from reported and a the to in X.XX% year increase quarter consistent
more For higher last in quarter our fourth our both growth reported than highest a ago, year, reflecting ART several performed at the slightly we total than X.XX%, lower and the female the quarterly years. cycles yielding XX,XXX the multiyear over quarter, arc range although year. for More year X.XX% utilization than the ever, was X% the of cycles the were in the XX,XXX full end year during
usual fourth to the reflects unique per cycles ART in press Our quarter, average includes up X.XX table today in which an the female from report X.XX utilizer release of XQ.
in lower year, the when cycles member time know address. of the the the due to can in deeply than members utilizer full pursue unique that ART to right was nature period. which the the mostly consumption of periods per areas year. vary reflecting personal We activity lower for to care still earlier we were For it's period XXXX, from
overall our this with need have underlying doesn't to demonstrates bearing the we variability creating our are However, the conference pursue witnessing for as the utilization on in the services. consistency the we we last for at desire that short-term a lessening of or with to shift aren't that month, investors. presented our JPMorgan We rate long-term any medical value people's respect services macro believe
XQ to Gross our a and $XX.X ago. year year increased now profit from margins million. yielded gross margin, a the XX% a from Turning quarter operating to improvement This fourth XX.X% expenses. slight last
to at X% reflecting a Sales prior points increased X.X% the period. of full a year from the million. modest per utilizer in For gross decrease the of in impact year, of the from was cycles margin improvement expense $XXX and this ago reflected in XXXX QX The in profit year. unanticipated decline XX.X% year the gross marketing earlier slight revenue
For success. was as revenue as the the prior and equal to our our go-to-market plan full to acquisition we've we leverage the health first expand relationships, investments by to partnership continue national year, ever through made such period offset and be X.X% marketing of sales client partner at retention and with channel Cigna resources gained our
of slightly than higher quarter the XX.X% this a quarter, was year G&A revenue fourth ago.
operations. to revenue. in the year, to that XX.X% full The realize is our due to back-office G&A efficiencies improved slightly continue of year the For we improvement the in
EBITDA gross and XX% to adjusted a both margin growth the $XX.X yielding XX.X%. and of the increased adjusted million, year. With increased line the in fourth In of profit, quarter, the quarter dollars the EBITDA top higher
increased a million, full year, period. to the For adjusted of comparable margin the X% prior XX% to EBITDA $XXX.X yielding year
the million Net $X.XX income to million full The On $XX.X year was per This quarter, year compared the the decrease which both higher in or ago to than profitability. the due share net or was and $X.XX of net $X.XX in which the periods, or $X.XX million ago XXXX. $XX.X in in year taxes both compares operating for share, or million per to income Adjusted a the year basis, diluted $X.XX income share was more compared period. per the provision EPS diluted $X.XX quarter. in $XX.X quarter in $XX share per to which period. income in was primarily higher offset
$X.XX year, compared $X.XX as adjusted was For in the to EPS XXXX.
which $XXX our period generated On we basis, from amended benefited flow pharmacy million operating now year $XX.X in period. Operating previously a cash sheet. of quarter Turning million $XX.X the to the ago compared in year flow million a $XXX ago below the million, to XXXX cash disclosed and flow our fourth with cash year was full from the agreement as balance partners.
ongoing result, from reflecting cycle DSO a XXXX, days XX improved management. to with revenue our respect discipline As our
cash of full flow we conversion as taxes adjusted an see mid-XX% a XXXX. expect We in operating even increase expect year cash EBITDA to in to
the approximately solution. also to a these as through incremental projects acquisitions invest integrating full investing OpEx As with these in We our Pete anticipate services reflected above $XX the incremental have solutions spend discussed flowing CapEx dollars to X member to in for in experience planning which fully in is million what year XXXX multiple amount our of to digital added cumulatively XXXX, our further similar we're also and recent while reflect amount we to our guidance. the want
working marketable including December of $XXX capital million, of debt. cash, equivalents total we As XX, and of cash had and $XXX no approximately million securities
the for our first to quarter expectations year now full Turning XXXX. and
range end our today's the the at of release, the at press reflects low X.XX% the As and at you end. high of X.XX% the table see for year in utilization can fact full
consumption, unique at of we high end cycles utilizer assume X.XX terms at and low of our the the per end. In are X.XX the range ART
engagement those in to member we While million quarter at quarter in see possibility projecting in to to we've further a assumptions, basis revenue variability assumptions as engagement between the due reflecting $XXX are first X% XXXX. we'll XX%. historical we to improvement unexpected continued seasonally of in in million times first experienced reflect patterns member see in variability These the on compared certain that XXXX. growth the to With adjusted $XXX
members expected X% still $X.XXX contribution growth not certain disclosed did revenue for between These of client project X%. extended the through include $X.XXX is met from XXXX, large billion we period who previously ranges for reflecting transition renew criteria. XXXX, and but to billion of for the For an providing who Progyny
when only, For we're in first the million the in that that which the estimated $XX between the half to balance ends. of in is with estimating quarter year program, million Approximately $XX X/X of period transition revenue is of the XQ. first
profitability. to Turning
EBITDA income in and with basis share on earnings XX $XX to fully million along $X.XX of We $XX to between diluted shares. $XX.X EPS equates expect million net million. $X.XX adjusted $X.XX quarter, or the in million million and of the $X.XX This between $XX diluted of adjusted to approximately per
$X.XX year, for shares approximately EBITDA $X.XX we XX and million diluted share year. the adjusted full basis on earnings $X.XX expect the million. of million million of of and full For diluted equates to to $X.XX $XXX share between to income $XXX million for fully and adjusted net per the diluted earnings per between and $XX $XX.X This
that, the provide can questions. you With we'd instructions? Operator, for please now the open to like call