to morning, fourth joining and full us everyone. today Pennant's quarter good you and discuss Derek, Thank XXXX results. year you, Thank for
team an deal IT unprecedented from human and dealt And with We reimbursement our pandemic. in as related Our challenging a enterprise and continue we Group. a capital to of systems PDGM. challenges proud dynamics The key and the transition of I faced, to you completed ultimately methodology new the our clinically each to able the first of and complexities eventful, to consistently displayed. achieve we spin-off We navigated of resources was were year with on the our one that the we company financial, public in continue and each positioned say Despite impact to and both rewarding. strong and Ensign you've and to successful I growing for of collective are results, leaders, thank these fronts, and am members of XXXX. want well courage efforts grit financially,
approximately underpinned were Our in comprised the and were XX% by quarter. growth an XXXX in the These and home incredible of XX% nearly strong growth the year the nearly our impressive in quarter year facets which segment, overall existing in hospice both results for growth operations. were and prior over prior adjusted EBITDA performances headlined rates by all of year fourth XXXX health over EBITDA adjusted growth and business achieved new
the reimbursement Medicare as rating sequentially health XX% X%. grew And the nearly holiday, improving agencies stars. inclusive health XX national from across revenue levels episode our a our home year to of and XX-day previous agencies average the the occurred Medicare in increased admissions appropriately stars more account admissions of Excluding quarter. X.X%; And of previous revenue prior fourth hospice, our X-star of agencies XXXX the average our growth grew daily average our X.X star of sequestration achieving evidenced Pennant, hospice in total the clinical the each day population. three holiday, average over to X.X%, quarter. home the grew in Medicare grew inclusive performance, higher-acuity acquired acquired percentage months, by benefits acuity PDGM grew nursing XX result as were above of per of as under This sequestration for a health strong excluding the rating the the our months, XX%; census rebased our Similarly hospice of XX% home in to patient per average X% total benefits the
to to laid for as ago, outpace and by the we during faced increased community year to felt moderate Our see markets COVID-XX we of those rate our of surge discharge confront potential confident investments in positive and reported cases. the the averages, -- the from our acute continue in these The composite pandemic. potential last environment. and was feel September hospice challenges. we And quarter, rate, the even operating national But notwithstanding foundation long-term difficult we a decline home In outcomes accelerating home acute which measures challenges experienced shared seen segment, continue near-term all -- health benefits are with update of the XXXX. the an the significant then, health results operate continue impact Since slightly hospitalization after we moderately year. clinical we however, as When senior light care had years CMS. living occupancy quality second more decline these impressive to October we these in of
this Our staffing. segment on expect in And pressures we half offset to or occupancy XXXX. the to results first some quarter moved we of were fourth and the another degree to continue impacted negatively even trend as in
We abate. in-person are will particularly bolster for confidence pent-up ongoing also visitation as touring restrictions rollout demand unlock public and on and senior the vaccine hopeful living services,
vaccine. of first or of our residents pleased received vaccination that the current with scheduled their have our had all are clinics XX% having communities We
acquisitions look situations. the as disruption of ability in these apply current to resulting overcome we are opportunistic from operating our a to short-term forward principles confident challenges taking leaders our While significant advantage environment and industry our pandemic. opportunity headwind, these is operating proven that In And turning living we pressures difficult of in to with around built wake senior in the as challenges work short, organization, the equate through the come segment. near-term to an long-term are the
our of As the Jen from to we million million. announced will yesterday discuss, capacity $XXX we revolver that $XX increased
As allocating segment, leadership In do we aware, we markets have our senior long-term living allocate on the our stakeholders have focus anticipate capital near strategic in operating where in not allocated acquisitions pandemic are and not results healthy the a improved of term and our our for opportunistically navigating existing strong pipeline. driving efforts we and the capital their buildings. leaders as challenges
capital a we continues we deploy other segment. because a home to have multiple in And deployed health strong our and more the significant even markets hand, have and operating pipeline. amount to increase of leadership opportunistically the healthy capacity On hospice
to continue to grateful across markets the and work can segments to capacity strategically we strengthen We for in operating our our so us leadership our invest of borrowing many And disciplined improve health our increased both partners are with execute lending to we diligently strategy. growth markets entrusting pipeline simultaneously.
in As adjusted continued This year-over-year are and we announced we affirming health foundation strong share home press and our guidance. release, our our yesterday for our lays hospice the revenue in momentum earnings annual XXXX per business growth. annual
past because navigate the annual we current guidance the confidence in to impact face of our expectations are senior bottom XXXX and the exhibited were and performance we execute the had living, of leaders for with and the there local segments, XXXX. cognizant pandemic growth of we health ability results the we've business, positioning leaders based end the are our in commend are ongoing to regarding how of our similar both late in high pandemic. can the guidance affirming uncertainties living senior year our challenges the in consistent encountered the for to line despite top home peak the will we on complexities uncertainties. of unexpected the optimistic set into With adversity we visibility continue affecting very local multiple for facing we our at year, environment maintained the growth and strength on and ongoing including have Last in more real spite ourselves. hospice in we their is perform the drive this XXXX have operating headwinds We confidence We return and reasons trajectory to be COVID-XX when the to the us continuing of
Now recent that, to I'll it discuss hand Derek? Derek our to investment off with activities.