visit our clinician revenue outperformance of Thanks, Ken. team's line total was quarter, revenue $XXX pleased I'm year-over-year. XXXX, performance strong In and XX% driven of the exceeded expectations. million, which fourth the we financial per productivity. better-than-expected representing top with Ken, growth The higher results and Like delivered in by operational with
growth quarter in clinician regard quarter. to year, came driven year-over-year, primarily of to clinicians XX% our visit primarily X driven $XXX, the We XXX XX% and of slightly our the to revenue year-over-year. clinician productivity, modest full X% fourth by rate for XXX base representing With ahead clinician volumes Total million fourth net increased in year-over-year in expectations of total our per by grew payer Visit increased by it increases. growth. the X,XXX, bringing
year, XX%. visit per we X%. delivered full increased increased Visit XX% of $X.XXX up billion, revenue revenue and For total the volumes
quarter XX% and Center better-than-expected of was in in margin top year-over-year. by lower-than-expected spending. Full center the $XXX $XXX profitability, margin. revenue increased of beat to center quarter results outperformance margin through flowed million Regarding the grew the line driven the XX%. The million year
of the strong and year-over-year. Adjusted percentage a expectations, Adjusted increasing million revenue EBITDA was quarter in EBITDA as was XX.X%. $XX XX% very our of exceeded
public the achieved margin. to margins in first improvement time Ken was quarter. the the primarily attributable as in the company mentioned, a in has outperformance The is As that this center LifeStance quarter double-digit
resolved we had impact Additionally, an the fourth immaterial which in our noted litigation the results. filings, our financial labor-related SEC to quarter, in
margins the For million, to points adjusted increasing $XXX year, was with X XXX% full increasing X.X%. EBITDA
cash of to we quarter, generated $XX Turning fourth the million. In strong free flow liquidity.
in year, our free the million positive expectations. full exceeding For generated flow, $XX cash we far
this challenges XX the cyberattack. months, we light We have Healthcare are the last resulting the industry-wide from progress of proud especially in of Change front over made on that the
tremendous We million and of to net and exited $XXX the of days is team's result sequentially with the XX dedication a long-term $XXX in cash debt improved and outcome in DSO XX the quarter, resilience. the million. which days quarter
leverage in basis leverage ratios We and over X.X last and improvement gross continue net leverage the gross improving and sequentially XX and our XX with year. from represents in X.Xx points to a improvement This of X.Xx, our respectively. to net QX X.X significant see both ratios
estimate Additionally, our debt spread credit The pleased fund in have We has the with current net a this improvement that X.XX%. we been existing favorable expense new future in which agreement flexibility announced enhanced potential based in greater pricing interest million reduced of our down December to terms, acquisitions. our significant on is is to are from and year. X.XX% refinancing than to including annualized and benefit $X refinanced that leverage, per we investments from lower
by capacity terms our predictability visibility, expanded to $XXX increasing the our and the also and a years. track over $XX revolver better improving We are lender past interest positive These record X million from company's testament million. to
of of organic center margin based potential of terms growth to These In not XXXX, assumptions. acquisitions our expect we and on to million any year $X.XXX contemplate we revenue planning solely in did full million. billion, are million EBITDA to $XXX for $XXX of billion $XXX $XXX our million adjusted as outlook financials $X.XXX
roughly total revenue revenue primarily higher guidance with volumes, assumes flat. annual year-over-year Our being driven growth, per visit by visit
reimbursement rates, per more of a outlier visit overall from in due of with total would a as in our of single we book payer we Regarding line stated pressure XXXX rate first reminder, to revenue to last part the X decreases their in downward experience business. be negotiating the previously
along overall payer Factoring rate contemplates decrease, which pressure expect year-over-year. on considering we center clinician leverage. roughly guidance the anticipate to including payer in, compensation flat unique increases, we operating year-over-year, with When the offset our with margin rate rate environment, this G&A
slightly XX-XX our higher. with and in a half roughly split year the second of phasing, revenue the half first the As second contemplates of guidance for
year earnings specialty year, And the expense. the with payroll higher is by as we to throughout build tax disproportionately impacted expect first We the half of expect quarter back improvement revenue. rate modest in the along
million For to $XXX to we revenue million. quarter, $XX $XXX of of $XXX million million EBITDA the $XXX adjusted million, margin of expect first million $XX center and to
we approximately $XX million XXXX. Additionally, to $XX million of stock-based compensation expect in
once to full expect positive Regarding free meaningful year the flow, cash cash free we for again XXXX. generate flow
de related part in well novos capital for However, cash in to expenditures flow XXXX, we the payroll expect free to flow we XXXX quarter switch payments lower higher and first items to to to the cash these in versus for due last clinicians performance. part in XX driven negative XXXX. opening XX as bonus year, biweekly by free expect Similar as
expect low to we annual improvement. As to we look XXXX, to to mid-single-digit return rate
improvements, we will believe grow achieve rate be milestone our revenue as share year. Ken well public earnings his the key it that, that income Furthermore, expanding positioned journey these in full in margins. will This XXXX, to mid-teens a With turn we remarks. net we positive to while a the for I'll and closing for company. With is in back per