morning, and you, good Thank Brent, everyone.
in operating quarter to segments. progress both our reflected pleased are We report the that fourth meaningful
health home our to hospice and first performance. segment Turning
quarter EBITDA million the million prior $XX.X million for the revenue expanded each quarter. over or increased million Top-line and adjusted of adjusted or EBITDA of XX.X% X.X% margin $X.X $XX.X year $XX.X XX.X%, while increased
favorably home quarter each of national as continue steady XXXX. Our robust hospitalization apart admissions clinical real-time the marketplace, home continued year. health an These rating in XX.X%, set Medicare agencies business average compares admissions rose average its over accountability home X.X% admissions the excellent XX.X%. of growth to and the clinical XX.X%, star a rate CMS outcomes and us reached outcomes rose X.X health strong XX-day health and fourth our to which as contributed Quality of to
continued clinical cost in outcomes environment. planning an teams driving while on strong focus local elevated their delivering care management, improving meaningful and in efficiency episode Our progress
rewarded Finally, clusters and home to to program of program. opportunity providers, expansion for represents clinical our health for an service in home successfully drive who purchasing resources health collaborated will measured and value-based be center our prepare clinical This the teams, benefit and can CMS’s outperformance value programs.
represented quarter a a environment. in the year teams our a to strong On difficult side, operating navigate step required fourth our that hospice forward uniquely
admissions and over sequentially X.X% quarter third saw and fourth the of XXXX. over respectively, the third the census year of For a first stay prior quarter prior over this growing year over sequentially XX% The nearly the of fourth the hospice of Strong of increased each full and significant length to stay grew year our period. the fourth improvement admissions time and the X.X% year, quarter in XXXX. discharge improvement average length daily for stay X.X%, length contributed X.X% quarter quarter the quarter,
the know the hospice business, can we more of care much with and robust on pleased fundamentals progress have we and health in of we executing efficiency and home improve are performance By better. of cost the create be our we manage We our can segment, a to our performance. While our better can improve ramp continue operations. hospice delivery growth, transitioning made our
ADC are in and reflected strength of quarter despite fourth census as of our in hospice our markets. Arizona continued The we strongest growth our historically challenges Texas, grew hospice two diversity programs and
are we expect optimize we As rebound working continues growth management to to cost ramp levels stay improve normalize, markets XXXX. of care and through Similarly, these length hospice ADC to delivery. and historical to
on commitments. while efforts administrative are their to regularly direct driving teams local Our and reduce reporting meet revenue out to costs
working this also of utilization our EMR enhancing effort, employee to episode experience for productivity, technology the part to management, clinical while as the and and utilize more we As data effectively teams, experience. are we optimize improve hard
operations the organic in Finally, represents significant recently in potential each drove an these XXXX. and new continue operations completed open as on acquisitions XXXX through improvement growth for we acquired in the engine remain opportunity and we to realize growth. these our of XXXX, In markets we focused new XXXX
senior living turnaround segment. report continued to are of excited We the progress our in
and million segment million over time for $X XXX% and fourth in year XXX% These million fourth a XX.X% million, of last of revenue same-store prior quarter, have increase million Over and year the senior effort in million, over up leaders EBITDA and senior increase living opportunity. quarter. who Pennant an developing months, $X have an performance, line the million year or quarter. invested divested bottom embraced recruiting in increase increase adjusted our over extensive top driven improvement or quarter, and resources, the $X.X over Full the $XX.X or our XX.X% or prior have to living million buildings, year the XX and the segment living senior for $XX.X adjusting understand improved culture $X.X prior the and improved $XXX.X the we $X.X leaders year, prior to
continued occupied over We sequentially quarter a improvement monthly per XXX year prior of store in quarter this third our quarter, X.X% fourth or quarter Occupancy even X.X% and prior revenue sequentially communities consecutive the $XXX fourth an the $X,XXX, achieved rose as a quarter ramp, XXXX. XXXX. and $XXX a growing quarter, its for of the sequential over same improvement XX.X%, year the for basis-point to third the and over basis-point XXX occupancy over increase steady or room reached average improvement of
management cost in on portfolio. We bottom enormous and cluster improvement, living growing care in we senior improved a support, financial XXXX, for appropriate took performance through focused capturing step While rigorous organic the we remained our revenue and receiving practices significant and provide. forward exists sales reimbursement opportunity growth translating accountability, through and the accurately occupancy line
succeed segment results As it for engine in we and teams these as the Pennant’s joining senior our objectives, to living in look growth stronger create forward operating space success. will health home and our a local hospice
In important both on segments, we continue to people. asset, our most focus our
years, to the impacted turnover staffing ability levels have two grow. Over last elevated our and shortages
turnover for While and many creating life-changing difficulties set turnover the results experience. And has we pandemic responsible a for ultimately the we measured high have created not employee a have up industries, are to in our staffing role ourselves. standards across
and slowed quarter sequentially, signs declined. of the our in month of health January, clinical we have In inflation turnover increased, trends. seen and labor improvement the and hospice headcount has into Wage home fourth
will As improve, residents. us and to allow these trends we and more admit patients continue serve to
Our best becoming finding love another. employer we of local community and on each in our and leaders customer the of and the second core to one talent and teams serve are are as live committed we resolutely retaining focused choice values
growth. to Turning
to We As and acquisition home senior growth. across depth our a of pipeline markets. see health, expect our of pipeline, we robust increase we living new and hospice the opportunities platform leadership and in quality our accelerate in
in diligent strategy, stronger we the we we our relationships in healthy to in the our teams disciplined looking continue clusters our our efforts local opportunities of where broker and candidates areas As through community, executing be with acquisitions will for and leadership development opportunistic talented have growth and find program.
de continuums expand opportunity novo the care expansions in community. continue where markets also our serve have meet invest to the same and branch in we and of and to criteria locations better We
fourth the home in Nurse health one we acquisition, In Kenosha Association Visiting Wisconsin. the quarter, Kenosha, announced
has our care establishing which living need communities. area, service KVNA their XXXX KVNA, of board the living represents our opportunity the operations the to nearly with to grateful in are legacy in senior since they place We care providing continuum for us area. to independently skilled in providing Kenosha With support XXX-year of continue high-quality care by within our Pennant operated the we of the ability three entrusting an senior’s senior acquisition as age in-home
of leadership drive talented operations strength financial we health team home to quickly at executing a are With in and the hospice positioning XXXX and Milwaukee our improvement accretive KVNA, plan the on to clinical be and results. support area, strong to a
Jen it Jen? With to the over for that, I’ll financials. hand review a of