the investor everyone. InnovAge. our good support continued participants, community and and of Ryan, afternoon, appreciation to for start I'd colleagues, my government expressing to sincere their partners, you, like Thank by
the reaffirming trust quarter in guidance our to Your collaboration we're essential and second in commitment line place remain expectations were you and September. value with and our fiscal XXXX us.
The we in set company's our mission, results
strengthening improvement continue alignment top-line progress driving with Day in the make in meaningful and we outlined Investor margin business, multi-year growth, the last We roadmap to at year.
adjustments, our This financials. size, of some quarter for included company one-time not while impacted which, our a unusual
his our provide Ben and scale revenue transformation, estimates. Given quarter-to-quarter ongoing prior expenses on we variability and further expected true will is some remarks. against adjustments in detail as these up
XXXX with Looking positive momentum. enter ahead, calendar year we
see the we reimbursement in pleased appropriately front, reflected that and were for cost to On California trends. Medicaid Pennsylvania rate increases XXXX
cost expectations, clinical medical our remain driven initiatives. in the success core trends our by of line Additionally, with
year, with financial As see seniors to of in services remains strong back fiscal complex than care growth solution the continued steady care their the additional our more PACE expansion a to remain high-value rather industry, nationwide. a seniors community-based clinical in and initiatives the enable the safely by with in see reach that institutional transitioning step for for momentum homes for half the encouraged needs, model we and back, upside.
Taking we're proven, integrated of care. potential impact mature full demand value we continue to PACE
We centers communities serve. of providers, a reflects recognition increasing we growth of past XX increase XX% the have XXXX. the centers Over across January PACE the value believe among the operating country, X sustained and in years, this approximately XXX policymakers, opened from new PACE's roughly healthcare the
care. and PACE in enjoyed bipartisan Importantly, long has role believe incoming senior champion administration the we will to its support, continue high-cost
from and engaged PACE actively benefit that care. this officials expansion, ensuring seniors industry further with As federal our state association more remain enable policies can national and to model an leader, of we shape
we XX.X% revenue Center-level financials, and $XX.X approximately X% contribution quarterly representing for our grew in to came a $X.X increase a first the $XXX at Turning quarter. million, increase. quarter, quarter-over-quarter reflecting margin of X% EBITDA X,XXX, million census compared to census and the X% to a reported improvement.
Adjusted million, was sequential
partners. continued to progress. seasonality top-line on XX demonstrate but It fiscal through year period, how staffing results intense around we our the both work progress back-and-weighted. guidance of strengthening and far ways, gaps, as remind important on financial ending Our roles, This third continue it's and business, past. was operate smarter, optimization, of and quality compliance key lies ways priorities, are months, us ahead. elevating margin, many the who company the talent one-time as across drive day. sustainable, that were business and that how deliver in challenging SG&A, we've on the we great maintaining executing In and future, to the that fiscal wasn't transformation, Overall, been was could pleased company calendar in the performance about enhancing how and positioning of still we our will and strongest about but a first proving rediscovering every with remain position just we for content and InnovAge, identity we months success. which and with touch past InnovAge core remains vision with growth, cost half discipline, on is that to bold government stronger.
The excellence, has this This growth. anniversary work our scale effectively, year, a years, for next It moment consistency, our be processes, aligning and a care the reimagining and the our simply the reflection reflects come setting but in our about on my I'll about section.
This in the as second building medical rely it somewhat will year.
I how reinforcing everyone with with strategy ourselves The recapture mission focused confidence.
Today, profitable marked fulfill recently operate, fixing exceptional regulatory we trajectory long-term stabilization, for more our including XX are and challenging about the critical to organization cost, we addressing value, areas, center-level management, been we adjustments, functions, foundation we not emerged and following months business trust Ben key his is and urgent collaborate XX inherent of restoring our and provide were move seniors a
see front, organic the we continue progress. On steady to
the X,XXX Our of fiscal census approximately quarter XXXX. participants, representing increased XX% to to compared year-over-year second growth over
participants identify in to enhance channels marketing durability expanding to our prospective and and growth.
This teams referral and strengthening and visibility while providing are sales also invested to Our workflows time, of greater pipeline. manage we've future submissions real the into technology predictability track lead in better engage year,
Additionally, helping we've eligibility, developed to tools assessing new financial the the enrollment that process. improve and efficiency streamline accuracy of
our acquisition participants de continue mission our the eclipsed a partner to joint Crenshaw, Tampa in we Orlando, Orlando from increase by of and venture the month, monthly in the the enrollment, this Orlando And year XX our novo Health. shared and at time a centers, grow Regarding of ago. exclusive centers are significant XXX participants encouraged we
and Scarbrough, managing drive and our Michael provide audit the financial census in bringing I write-offs. Bernardino. state-driven said, acquire PACE prior quarter, operations. ability to President new in fresh XX in and both this both to time. take take trajectory, COO, growth a successfully growth our and markets. approach certain arrival hit intend activities. our gross operating delays momentum, We making confidence and become over San affect Crenshaw available.
Operationally, they his enrollment these enrollment, I've longer early confident California in model, calls, them higher rigor to against Sacramento Michael's processing state enrollment, compliance while to in our already results.
A The brief enrollments enabling our impact to for a transition believe to of when level is and we're translate to still effectively. as stalled, and disenrollments We These financial the been us and regulatory heightened to organizations, remain our on net its than reduce on exposure. over the our is running, stronger our and reinforced our performance accounts initiatives mentioned state allowances impact transformation, delays good expected.
In every scale has operating updates His In and new example note smaller open effort sustainable into redeterminations and Medicaid has California, redeterminations driving applications has to processes corresponding to thinking future ground will in are While our as leadership XX when delays, That next receivable ability Medicaid strongly remain of an partner, higher next months. them of variability can continue phase the led
Specifically, effectively sales and areas evaluating center staff, tools By ecosystem as participants, key that reimagine these providers through marketing, staff, technology-first transportation. innovative ways a such our connects across we scheduling, call and he's aim leveraging management, and been to empowering create to fully appointment integrative operational mindset, a functions. and more
fiscal yet have fully expect into we XXXX While to the not guidance. quantified impact, these improvements incorporate our we
and believe previously we increase external with not optimizing we also in-house. this step companies continue core reducing more areas to packaging to compliance, insource while are we approach, in integrated recently while clinical integrating area, the mission-critical leveraging it critical By small sense further our right outcomes, seamlessly last-mile efficiency system in creating value acquired quality over leverage line an control important their parties. capabilities from end-to-end balance, participant prescribing which expect pharmacy services makes strike we bringing and operating that strategic pharmacy and costs that can capabilities distribution, Over drive unlock we satisfaction, owning the assuming where time, we in an model, pharmaceutical thoughtfully enhance to proposition.
In paid marking Great third-party direct Denver by and a our As value evaluating into to partners. delivery. care to model, to improve are expertise third functions
provider management, leader to recently and drive experienced, of development optimization. key external is area Another an focus we have network where dedicated network added
manage XX% outside directly services is more care our our we on centers, healthcare the and While centers. our million XX%, remaining of within approximately spent $XXX fiscal in spend XXXX, than
more providers. coordination, by Given sophisticated a the spend, opportunity of reduce quality, and data-driven care to see costs becoming partner this scale our enhance to we improve
Beyond opportunities these while corporate standardization our the within and a remain centers, drive see differentiated cost as better infrastructure building efforts but scalable opportunities. M&A initiatives, and discipline over future time. we we specific highly With all one our grow to acquisition organization. believe additional not laser-focused these opportunities the nationwide, We will will G&A efficiencies organically, strengthen to also contribute continuing our position we to PACE enhance across that ability expand for platform leveraging on scale.
Ultimately, competitive market, be only in PACE there our compelling to
Our growth, goal strategic platform drive as and our choice, accelerate InnovAge participant improve buyer is partner compliance, enhance to or experience, the contribution position incremental margin. of leveraging to
Turning increased by Compared cost to first in management we months, strong per of performance, member X.X%, increase which importantly, by continue to cost demonstrate to participant. an quarter, a in external the provider driven and provider decrease cost. external clinical was
communities, Given select persistently system, ability quarter-over-quarter. pressures reflects in the we model. contain cost the cost seasonal ahead broader with momentum effectively our healthcare the ensuring care utilization we've progress our for continue of of the to resurgences mitigating steady strength to proactive, high-quality high across we while are care individualized and pleased COVID our staying growth made flu, localized participants.
I'm build these the By challenges, of and variability
enter As business, are we elevating journey, not the fine-tuning fundamentally next it. our this phase we are of we just
to level. at ways old ourselves of operate sharpen execution, our higher challenge thinking, will a and We push
partners, Our technology. to is leading by caregivers, platform, processes, to build we to vision participants, We're to I'll and performance. our Ben achieve committed and delivering clear quarterly it full execute people, our meaningful relentlessly financial will through potential.
With that, our regulatory one investors, and turn walk defined to over PACE the best-in-class value to