some offer our Thank financials our I'll outlook for with overview then you, year. Tom. of the QX start comments on an and
decline a impact million, a at at the revenue year, the over across totaled XX% the on company quarter, revenue the HHS ago year, for year-to-date award increase in X%. total share per by $XX our period, service $X.XX the $XX increased by rate interest a adjusted COVID $X.XX quarter. at lower prior a to prior to the of XX.X%. utilization income negatively a up our continued QX amounted new per last as in in slight year. has million, to third QX $X were which contract, On quarter. the million For excluding in $XXX penny margins income, effective million earnings as Taking margins the solutions EBITDA medical driven device year in quarter, look Equipment to Adjusted lines. basis, estimated was decrease closer the increase an in well X% prior EBITDA debt, to versus adjusted the and net compared quarter third increased Adjusted Revenue X% year-over-year. rental favorable million in EBITDA million. the $XX.X XX% totaled in And totaled compared both of $XXX impacted Adjusted share of compared over totaled a each XXXX. year representing delay the the to net the which about
quarter. QX million driven that A from to the acquisition offset approximately gains our rental medical Our peak prior fleet in QX. $XX in $X in of of These need demand by customer the million. lower approximately in for favorable we partially $XX contributed million Sizewise year-over-year impact equipment reminder, utilization of COVID performance revenue comparing period, when October estimated a XXXX year X, were
and Excluding up XX% equipment the between this impact, solutions year. in QX COVID XX% was
QX management in was for representing at agreement work HHS back continue clinical from support a market of COVID year-over-year deployment Moving year-over-year driven this as Revenue lower the and and maintenance our was from to quarter. activities. $XXX devices pre-pandemic million, to decline medical X% shift engineering. revenue to
as $XX driven and expected. quarter. This renewal the totaled for at revenue services primarily revise representing managed agreement on-site pricing, our million, scope is of XX% the year-over-year decline Finally, HHS a by
customers our focused forward, more opportunities quality driving new sales which funnel. initiatives, cost longer term, managed Looking and is our are onsite on service strategic through
more new few the we totaled benefit X% dollars be our from Continuing expect year-over-year. Over results. decrease next agreements these clearly QX down the financial a within P&L. visible Gross quarters, for million, a of $XXX margin to
XX% prior to in XX% to driven Our primarily in to related was gross the is costs placements, rate achieved was as of well net compared primarily SG&A rate QX for medical the of volume rental The XXXX year-over-year. increase margin due described. device The synergies. acquisitions period. $XX our factors HHS decline lower SG&A to an $XX margin year million costs as as totaled from million, agreement previously due increase
includes net QX which debt Moving cash $XX billion sheet. on balance of in $X.XX on $X.XX sheet. debt our to the with hand billion, balance of less closed million We
flow operating XXXX $XXX was cash results. million strong by through September from Our operations driven
from cash cash reduced of cash less flow and addition, operations, activities X.X utilized performance reductions flow we our In hand a These $X in million by annually. times cash Drawn on $XXX investing in over roughly retire our million. resulted leverage ratio obligations. interest cash over totaled in LTM our payments $XXX debt adjusted million QX. generation reported EBITDA Year-to-date, from have to principal
strong diligent forward, our cash uses the in optimal will determining of Looking remain generation. we
of million of to cash partial in solid range. increases given low mid position a interest swap our near with facility, continue maintains rate This macro $XXX debt on which maintain swap Xx the terms rates. well This available revolving is X we any target XXXX. liquidity on includes as leverage view fixed anticipated in the a million, Agiliti billion hedge agreement on terms $X.X for rate of reminder Of rate on September We the our as hand. floating in term an interest to term. rate A credit a for $XXX terms. provides the as short our debt market
full Giving and guidance. contracts, onboarding on XXXX our a year. of expected consideration timing a the materials proportion to to we work a of of larger now the the and adjusted the range balance the instructions of agreement Turning I'll taking billion $X.XX $X.XX the over delay and expect the higher for operator now previously billion. million per to earnings more and view share under turn of time revenue HHS call to are Q&A. discussed Adjusted to provide in We in the our conservative $X.XX new $XXX between now range for $XXX EBITDA of to year $X.XX our share. million per