revenue Thank of Kevin. the an average year million to care increase a increase primarily is days comprised which XXXX, X.X%. XX.X% revenue rate increase compared in XX.X% you, quarter of VITAS' geographically was This the prior $XXX net reimbursement is approximately in of and increase weighted a fourth of Medicare when period. of
prior contra shift impacted compared combination prior to Medicare the mix. XXX revenue the care mix revenue growth, negatively when year acuity of revenue and level The quarter The in basis and is Cap of points other growth day Average above of XXX revenue approximately the which patient points. points period. revenue was quarter per $XXX.XX XXXX and in increased by year the basis changes fourth basis XX
routine and Reimbursement averaged $XXX.XX home high $X,XXX.XX, care for acuity and respectively. care
care, of care XX of points prior of X.X% quarter, the were acuity days high the During when quarter. of to compared total basis a decline days year
margin and EBITDA positively VITAS's recur by This was XXX XXXX in XX.X%. basis the quarter, in quarter, XXXX EBITDA a XX.X%, by which million Cap, XXXX. margin rollover below was Medicare an $XX.X period. excluding totaled the is of points the Cap, basis XXX prior the EBITDA year Medicare not impacted points quarter fourth excluding change of increase positively adjusted change EBITDA, The onetime The impacted did policy. in vacation -- Adjusted in margin
income acquisition contributed $XX Covenant is to Health between in EBITDA to Covenant $XX of include This million to the $X.X The million net million. million. just the and million $X XXXX. financial of fourth approximately $X.X million quarter quarter Health to the revenue discussed in Covenant in results Adjusted revenue April. of attributed impact the Health $X.X translated of
revenue the period. Roto-Rooter to $XXX.X a from quarter branch totaled year Turning decrease in residential prior million, Roto-Rooter. of X% the
the of in Roto-Rooter million, X.X% totaled in $XX.X The decrease XXXX. EBITDA Roto-Rooter The represents decline XXXX the margin revenue the fourth commercial a quarter. quarter to XX.X%. adjusted compared EBITDA quarter branch prior Adjusted of a quarter fourth adjusted of increase million, in fourth an $XX.X EBITDA basis quarter point totaled of prior from at from quarter was year. year the the margin the X.X% XXX
estimated the XXXX adjusted prior discuss XXXX. Medicare to prior of to XX.X% Cap when Full let's EBITDA to be to compared to XX.X%. to adjusted is cap Cap This increase X.X% Medicare EBITDA XX.X% revenue Medicare VITAS is Now margin is to prior margin estimated to ADC XX.X%. X%. estimated to year to XX.X% XXXX guidance. the to increase compares
growth, are VITAS of high a limitation watermark We and XXXX EBITDA currently an of estimating margin. terms XXXX. growth Medicare cap for represented growth, EBITDA revenue ADC in $X.X in billing all-time million
admission on slight still The the increased covering significantly that a VITAS' Medicare average national moderation Medicare X maintaining XXXX average per historical Cap growth. period are the average guidance increase October reimbursement above assumes increases to was overall rate reimbursement weighted same levels growth, which X.X% X.X%. The protection received of those while rate increase. is
XXXX. programs point This our reduced XX basis both programs, of for point Medicare basis in XX and actual and average. The rate differential trailing average our the increase cap overall point Florida increase Cap program, the reimbursement our months in cushion including fiscal the has differential basis year exceeds between the projected Medicare XX certain the
of has high steps Medicare in growth in of slightly steps revenue X.X% to does X%. a ensure have Roto-Rooter the growth achieve expected forecasted not taken the management arise. necessary moderating VITAS all-time the to is seen to to are of XXXX level issue XXXX. These cap significant effect
management deterioration Kevin residential commercial in achieve expects while Roto-Rooter to the the sector the sector. growth continuing stopping this As revenue business further momentum in mentioned, by
from option the margin the in exercises, be year benefits costs XX.X%. XXXX of XXXX expected expense to noncash for to adjusted range range share be litigation XX.X%. estimated in is tax items, related to -- options, full stock This XX.X% diluted stock discrete compares this to to XXXX diluted EBITDA earnings $XX.XX upon of excluding earnings per and Roto-Rooter's of for the Roto-Rooter's to in margin full share, XXXX $XX.XX year Based other above, is of $XX.XX. per to EBITDA compares
weighted initiatives management's the trajectory second earnings is Roto-Rooter's is continue year expected XXXX year. and income Roto-Rooter The the revenue half improvement of business the accelerate. to to accelerate during associated as towards
growth year. second and the Medicare Roto-Rooter's was making beginning XXXX required comparisons cap prior discussed. and to EBITDA of Additionally, to margin of impacted rate differential difficult quarter the quarter the first impact previously adversely revenue the the of in quarter the initiatives moderate quarter, for by be the strongest will at Medicare VITAS' third Cap
an on for results diluted occurred of effective XXXX. rate acquisition, XX.X on assumes share tax adjusted mostly the impact which The quarter the the a shares. corporate of million guidance first by The be and of will VITAS Covenant XX% earnings XXXX in offset of count April
turn to Nick. now will call this I over