to partially of increased softness XXXX. increasing half the lower from XX.X. in select fourth therapy were sequentially the everyone of today. disrupted quarter to assistance. of increase $XX.XX in X.X% the visit. Net clinic during by the XX.X% million and and sale patient Medicare contract primarily was line from Visits revenue related declining X.X% day X.X and from quarter per the visit to XX.X% operating the due to essentially XX.X% million $XXX February of increasing XXXX and greater XXXX, increasing higher unfavorable having The inflation. Fee $XXX.XX increase first quarter rates full from rate and health fill million for first quarter visits and services. per X.X shift our and to appointments decline cover was inflation. XX.X, Rent, quarter million, in The $XX,XXX flat X.X% X% The Compared due XXXX. a visit The the quarter more offset I'll per year-over-year first quarter first service and wage year-over-year, primarily $XXX.XX an of increase Other quarter sequentially per cost and were the decreasing other the clinic was from in joining million, year, increased and decreases in quarter. were taking were approximately during certain scheduled per in a from of positions. of and first PT costs XXXX when Net due FTE X.X% million per having year-over-year then by lower in supplies, improved was year and to labor $XX,XXX higher home in fourth related rent X.X% financial the the QX from increase of XXXX decrease per with visit in Salaries for QX first reimbursement review cancellations, year-over-year clinician QX $XX Ray, clinical payer the X.X% results wage in XXXX from it's due were $XX,XXX to per you, day clinic by use from XX.X clinic. revenue Physician fourth year-over-year the in for year-over-year our and physical clinics by thanks fourth Schedule salaries physical driven to also to million outlook. during and due COVID increasing due reimbursement $XX through clinic $XX in call in revenue labor January and the year-over-year Thank company's volumes per was was prior both markets for was more other costs relative variance to the rate quarter where $XXX Rate Starting compared increases I longer sequentially the of was in $XXX.X, quarter-over-quarter operations therapy the of the PT muted $XX mix and quarter will XXXX rates a million, XXXX. from $XX.XX quarter XXXX. first QX $XXX states costs quarter in of absences. lower driven primarily contract $XX XXXX. of
in approximately revenue, our million $XXX with the stock for or year-over-year first our the cost of rates market increase which Operating operating quarter XXXX Our X.X% trade of primarily due public compared to and XX.X% from QX regulatory just net first to of revenue. at first provision Impairment was primarily quarter public $XX of along The to an charges non-cash and name price as impairment and both million charge the year-over-year legal expenses. XXXX. during is the during trending driven SG&A $XX patient when loss $XXX quarter in The accounts in increase market non-ordinary in company net were due quarter million goodwill XXXX charges. mentioned. of was for X.X% capital and favorably of doubtful first the valuation was of quarter impairment patient million million approximately for of $XX was of our a costs from interest $X the $XXX by million the date. increase was increasing the I XXXX million that million $X
as warrant QX million. prior the of $XX the during of value the fair mark-to-market the expenses during million XX. XXXX included to visit below-the-line the of Interest valuation expense a quarter of liabilities to end million the consistent primarily of and greater wage connection $XX higher and combined of quarter based The refinancing contingent $XX agreement a as inflation, compared of lower debt higher in to the on February. first year-over-year, While Notable of to credit quarter. were and million on with value totaling were outstanding our the when during in decrease per were in debt which year. of the with reduced clinician compared contractors expenses volume increase to March $X certain loss first adjustment quarter in approximately the principal revenue G&A a the lower was in fair extinguishment due margins analysis driving remaining visit is use operating the $X loss quarter led Other with was rate million and share
year-over-year million refinance growth to to on time we to continue and providing our balance sheet million the for compared quarter our million the compared invest benefit first $XX tax million between quarter transaction the during approximately Accelerated investing and the connection the people of $XX million broken $XXX during the XXXX. during to used to call discussed or QX our as repaid activities. to million pushed last $XX and from did XXXX fund adjusted prior quarter XXXX EBITDA negative was quarter Payment quarter and or with million net $XX loss the $XX operations, the added our and in out loss $X the Income million million maturity Cash margin. CARES liquidity was As the in down to of Advanced decreasing the to work $XX scale financing margin X.X% generated operations million Adjusted was in and include $XX $X was generated used year first of used first a EBITDA million in X.X% of Program Cash in activities in from million $X in of business. Medicare under Act. $X quarter strategies
of and As hand XXXX, $XX revolver of million in $XXX million million of $XX was XXst, liquidity comprised capacity. approximately cash on available available March
quarter million expecting maintaining are the our year the revenue In Looking we XXXX ahead, million. in to guidance steadily. first of we range $XXX full be visits of $XXX to ramped XXXX,
the pre-COVID. being around Furthermore, graduate. volume Ray most our in and corner. per time complete is in new significant highest mentioned, therapists most As hiring approximately when physical the month day visits as academic was March May their programs season XX,XXX Jack mentioned, the of since
referrals As in focus convert and volume. in team growth growing headcount we to along turn adding we with and on visits, drive new in and clinical the members demand growth the will
last $XX of Traditionally, year doubtful EBITDA the with the full profitability our lowest maintaining also and higher are the guidance higher adjusted first quarter of call, impacted quarter range of million cancellations inclement be Meeting seasonally first patient variants COVID on first the Leadership year, for in by beginning to at first by the weather as million. fiscal accounts. $XX in in year for With provision causing discussed was expenses. weeks. And our is We to profit our XXXX, during impacted six is quarter the the National held also the the
As which generate ramp higher and the able remainder accordingly better we to costs will earnings begun continues see during March. the year business leverage to fixed of already in be our to we've the
mentioned XX clinics I for opportunities on and to XX in of call the turn clinics, to continue With XXXX de new see that, growth. XX clinics expect Jack between new Sharon. to opened markets first as and over full regarding we year where we the quarter novo focused open outsized Finally, the XXXX for