Dale. Good Today, and remainder our our on the Thanks, for of updating I'll results year. the morning, be quarter everyone. you outlook financial first
and quarter EBITDA in with As exceeded Dale continued noted adjusted except XXXX. the of we quarter. momentum positive another strong fundamental guidance earlier, Both our the earnings revenues QX for
up over deck, revenue the XXXX. the revenue Organic first XXXX of X growth QX was remained QX million XX.X% quarter. with flat $XXX.X Page on robust shown supplemental in As essentially and QX
As acquisition or over and contributions X% the decline about the XXXX for supplemental shown the in XXXX revenue quarter, million revenues of up $X were QX during or down from Discovery nearly and deck, impact X% in COVID-XX the million QX of pandemic the of $XX Page sequentially. excluding X on normalizing our the
QX on services. XX.X% growth by payment quarter services the year supplemental in X.X%. shown modest driven growth X Page revenue analytics-based declined network deck, As of the XX.X% growth integrity XXXX over was while services, a and prior in
reflects performance underlying quarter above few this Our components. guidance a
date to our weeks. an claims for of As revenues eight the by six we have of the average discussed lag service
revenues reflect claims January. activity QX from December, November, and Our largely
within reflected So quarter the strong XXXX financial negotiations. quite pre-Omicron and calendar first that expectations which was above our months of claims especially driven our few analytics-based activity, and by services
of began and of affected offset, January activity claims. some impact utilization to quarter's expected benefit in claims testing COVID Last and Omicron portion less was the revenues by As the NSA part we negative impact. from slowdown early February our in a a small week, than impact of only saw
in So capture. on first extra from million were estimated as QX -- impact $XX quarter the deck, X were million, to down quarter Page million million $XX of XXXX an we to some slightly $X had the what XXXX. COVID-related of down we $X anticipating the approximately in that estimate was the million XXXX for than from million $X prior-year revenue tailwinds happy QX to we Page At X of $X this quarter and to lower supplemental detailed
expected First variance in impact to quarter than COVID-related was less February revenue due and better expected January positive claims performance. network than from COVID and complementary testing
exhibit began more the we testing activity March Our quarter. slowdown of to COVID exited a level baseline as to a
to expenses. Turning
by the headcount rate of in million XX.X% million anticipated. with million EBITDA $XXX.X increase quarter on approximately just estimated the lower $XXX.X prior-year $X XXXX. First we from predominantly expenses The of slightly a quarter DHP February $XX.X in XXXX personnel up XXXX, in quarter driven million from reflecting was from full million in adjusted XXXX the million, an in was fourth in $X QX million X% the which was slightly prior-year costs, for $XX.X and expenses up EBITDA guidance to at $XXX.X $XX.X EBITDA than consistent by QX COVID-related million The million Adjusted in down and the the XXXX QX. and up related closed were our adjusted $X.X from end to impact of higher QX acquisition, and quarter increase quarter. over run
expectations, in points X.X% also basis in for first quarter implied exceeding prior-year margin in and adjusted of the acquisition quarter for EBITDA X.X% revenues X our by EBITDA and both margin range at the QX over was As QX the the XXXX up sequentially. and XX.X% pandemic, XX the basis sequential quarters. COVID-XX of came up XXXX and EBITDA above impact from both a adjusted up points high-end on prior-year guidance adjusted XX.X% quarter XX DHP from shown our With excluding and contribution the of EBITDA Page normalizing adjusted
are Our versus fixed relatively costs variable.
to our So the line. from bottom our EBITDA revenue margins high EBITDA conversion of outperformance the our and benefited
generate was by cash In to continue cash $XXX.X million. quarter, operating We the net provided activities operating first significant flow.
flow in in of -- our reminder, cash a our first given tax our interest As tends and the our third payments. be timing higher quarter to
from this of We the also benefited timing quarter. in receivables
ending bit receivables to QX a January. were the receipts properly XXXX Our week received million at high of customer due $XX.X timing of that the were in first
level balance to of million. end receivables So our a QX $XX.X our normalized by the of XXXX,
quarter First flow a cash free result was as million. $XXX.X
on XXXX the we detailed outlook. full-year of to our XX time, maintaining in our Turning this supplemental and Page provided At guidance February are deck.
first than tracking adjusted towards a $XXX billion for momentarily, smaller discuss than to anticipated, end higher as revenue stronger we I'll EBITDA. and initially to for full-year anticipated Given guidance of and COVID of $XXX billion ranges quarter $X.XX $X.XX impact the results, the are million million
We are full-year guidance progressing we the second encouraged our is and reassess the how how will we are the call. against And on plan. earnings quarter for about our performing year
we As in our momentum strong as we further beyond, strong look quarter as the underlying performance and operating expect customers. results to maintain continued our healthcare with normalizes, second we and utilization
underlying through bridge by in momentum guidance modest the of this last revenue us outlined expect combination in X% NSA with by the we growth to a the X% earnings February. modest provided We core from headwind offset revenue growth call, annual and outlined services our partially growth headwinds, initiatives in help driving net of in to grow as
customers NSA. known caution couple smaller around the implement As in headwind the X% the how Dale become we of are range, end the a experienced and customer of their an of six behavior up receipt Because who upper because QX. and of some our operationalizing to to to NSA were a claims, in at the includes later results earlier still the which mentioned the to from average of of but immaterial, NSA XXXX of effect customer week will the full-year was impact lag to losses. tangible eight QX on of for And project earlier, we stages between net our dates wins, decide more continue NSA the on service clients known approaches,
drag to expect to a We our COVID continue -- modest results. be be on
Page some illustrated lag Given X deck supplemental aforementioned through dynamics, which our our mix. surge flowing of related received claim and claims, on of the the claims Omicron are still are
and on results, impact estimate to towards our of slightly will And $XX X% to prior expect to more of $XX COVID-related year, than reflect track $XX to impact the look to revenues look we COVID-related million million. million XXXX, $XX we our results approximately March XXXX likely a due to COVID $XX the $XX $X COVID-related XXXX. to to February, million impact our broader from at is adjusted offset and in another our million And in as healthcare our utilization less in approximately quarter the the QX $XX the we moderate. million lowered our to be impact COVID of lowered continuing the we estimated EBITDA testing to prior Stepping we $XX surge we marginal COVID-related in remainder to April, smaller to is million on estimate million. full-year Accordingly, of our the surge Omicron however, of like revenue of range have we that estimate As barring million for from experienced last U.S. which as is fourth cases for quarter have of the increase part suppressed and $X expected million quarter early context the experienced and from of modestly other COVID back claims. the revenues
compares adjusted our the XX% which of to first XXX expect XXXX continue margin with margins of below We of full-year around for quarter our margin points full-year and XX.X%. XX.X% EBITDA XXXX, basis
targeted by growth quarter and our enhance solutions investments We cost combination Reflecting investments the over base remaining and build in of from $XXX are begin million we customers in $XXX million the be quarters increases we expense As our we and Page more as EBITDA. slightly our first flowing factors year. And pressures, begin $XXX and capabilities second in headwind strong start March to in these second claims in below more for through expect of this would structural period. support originally a trends the are outlined impact February, by predict margin and but this our to an tracking million the and adjusted and with consistent quarter, compression our our of and to increases of to overall our outlined unexpectedly to QX. guiding to expense $XXX growth expenses guidance revenues, After a in customize in products what our the the with by NSA-related for like to XXXX. solutions Investments for XX levels, February, million expect activity April for platform driven structural support will to provided initiatives. our our as for outlook platform salary expected and quarter bridges headcount our QX fully deck, in supplemental quarter and additions along NSA
about April, the momentum. we good underlying and here trends our of sit of very feeling As the strength we are the customer business in
the and capital. balance to turning sheet Finally,
from improvement generation X.Xx our of the net respectively ratios ratios XX-months leverage operating in the quarter. and and the total fourth EBITDA reflect the down quarter. cash in in and and leverage were adjusted stronger X.Xx cash trailing X.Xx Our X.Xx flow The strong
strong sheet to cash ended generate quarter. quarter on continue million up million flow we $XXX of cash from earlier, about the noted with first fourth and the balance $XXX in As the
making of the flexibility ratios generation on rapid the have cash we over against grow to to investing time. our our business leverage Our progress our priority balance underscores objective of
pertains capital remain the our same. it allocation, priorities to As
our organic business growth financially by to through augmenting and priority strategically the continues highest and This to by Our value. is reducing long-term leverage. then M&A, be in growth attractive followed investing drive and
our of it's retirement. M&A we of options cash, As emphasize, to whether deploy or many an have our abundant debt set investors
measure we forward. but continue deploying you on turn approach to to wraps ask That take Dale. to and comments. as annual back an basis balanced disciplined and our cash an that opportunistic, will over my like not to I'd move quarterly it us We up