for morning our call. you joining good Thanks Roger and and thank
in year, I'm so focus within our the our into to XXXX. and quarter transformational a restructuring mentioned, activities was line how updated as will of with the we move Roger results, our on As thoughts expectation, about remainder and our for our this progress views going items few those
our give sheet balance and cash. and details more of Finally on I'll sources uses
discussion an for of release the August, structure we two, in our almost and number And earnings are points First we within this changes in this charge was performance reflects non-cash To our of services purely groups I'll detailed cash. been of our clear, as medical three morning. operational tested of the own some our Number in adjustments third Goodwill challenged recorded be segment. this ordinary course and and our rules our group This goodwill organizational time not here highlight that we adjustment to now in amount of results, is was as part our a separately. individual are topic anesthesia also adjustment billion the a couple overall one, earnings physician XX-Q. on this financial the be the And where that where under a charge completely charge their required accounting has quarter related discussed you'll units treatment to calls. core entire find a $X.X to accounting just and
quarter, in EBITDA compared terms on reported for adjusted of year-over-year EPS line adjusted results in our Now about and of with basis, ranges QX the guidance to million top On right and expectations. XXXX. $XXX was of million a EBITDA operating up our of adjusted $X $X.XX of we
For in related roughly burdened on practice anesthesiology you mind company, employed for keep quarter XXXX expense the our our remain third the to of million Carolina physicians at those by that in of after expired. our EBITDA was through year North maintaining $XX salary models that last contract
our quarter of this is somewhat As EBITDA X% year declined but expense ago basis, the adjusted second gap continue $X million during first, or job on to narrow we then quarters compared to year. this about a year-over-year that the
in guided top-line X%% total, and the same our As revenue in neonatology end above with radiology. demand. by performance growth X.X% was upside X% our of exceeded In range market driven stronger by pediatric patient volumes our anesthesia, of and Roger driven other of expectations unit to services most our mentioned,
an from that additional of is our the ahead revenue even the quarter which by third growth and But hospitals the year-over-year but same the reported by First over favorably stay. X.X% were days to weekday basis of about a length the that increase modest in XX during growth managed average overall relating We in benefit impacted just where unit our that our did points, remainder increase we results of quarter. expectations.
on better we with anticipated within cost On we strengths revenue on the of quarter. the largely cost saw pull quarter, the G&A. expenses our EBITDA our solely both labor for Based expectations trends, in line and based practice side, were through have level the of in a those would
to As related these I other not on we the to going Mal we in noted comments than see a into quarter. do legal expected but higher want our to cost here. insurance during morning, Med this give specific couple did and I'm costs, details release go
will a hardening offset activity throughout roughly higher generally that saw than to levels in of the that unique med more us. expect That guide. litigation quarters a environment of QX in this into settlement And isn't year million we some tune million next we this the year. QX $X mal or of of included favorable said persist we amounts And $X items these markets. cost these and lot the at in top-line the seen our we've and in they carry Overall, had in legal to add terms likely insurance I'll trends tougher
we both and and benefits in items in salaries for in areas, perspective, two our G&A. practice P&L From record expenses these
of items both cost. affected are So the by line in changes those
$XX roughly we're restructuring and Moving totaled million our related and spends in these expenses, and on consulting related predominantly costs. quarter third transformational to severance the our to
that in you pace we quarter, of the With how fourth scoping investments. a like to continue. investment sense we're expect to these our As our for also fuller see in you mind, I'd guidance give
classify we transformational the pursue and identify efficiencies with operational partnership As I broadly our across discussed for and past organization. some quickly technical Practice in involve we've categories. streams resources best-in-class improvements, these time management, to IT few information resources. of ramped have human technology enablement. change a to party quarters, up I in work four each activity stood revenue in the and up the streams, third degree we multiple degree would high process major work Within which cycle of of operation, buckets some most
activity work within infrastructure that all will the from have early in of scope in enabling off through effectiveness a number greater over continue and lot our XXXX we're efforts the much is of our the expect we the of supporting we've to innings focused our ultimately incremental on of core to that of which discussed taper initiatives ensure the past. activity with up focused this large investments it process standpoint; past set of for On we're that the I'll we minimize a transformational cost integration XXXX. quarter top This implementation such interdependencies And will our add takeouts. and activities. timeline risk. We a run improvements, over this still standing now course on IT is also of timing activities those investments our existing stage today on work, the of
systems $XX and walled these the as consistency, implementation for utilize consolidate integration systems Oracle activity IT moving enhancing data management. great our core multiple into for and XXXX. today This activity, includes is the roughly this to of quarter investments and move on and we our related consolidating and and cloud, of standardize the our for party next and quarters multiple way of the million few wall define IT fourth support Based for think our platforms talent with is run I'll appropriate as efficiency third this RCM to transformational greater for we replacing investments management. systems an systems the HR outlook year
on As there comment tapering get time should we a on be core transformational value. to implemented spent. intensely investments new focused of I'll off systems are Last is make that our that
meaningfully on a significantly. Mednax coming that transformational contemplate result, you timeline to And timeline intensely focused activity, would companies plan a to as many For for be of months. longer XX over activity but for normally the we expect this compress level -XX our we
the flow, from continuing third said that strong cash to quarter, quarter QX in and for look quarter it's the component account true in I very discuss third the better quarter restructuring the to million, reported basis, million. useful $XXX is and think XXXX. a in in cash of flow On into our both which $XXX expenses year-to-date. With roughly way more of Taking for operations at operating our $XXX cash compared cash flow was the transformational a the in range the our operating million of is
for our million revolver acquisitions. that the of that during spent the uses payments repaid Roger on million quarter additional Plus under mentioned. in acquisitions an $XXX we cash primary $XX borrowings contingent and prior our of terms In
$XXX acquisitions, nearly have EBITDA. funded we continuing capital Finally, which forward. our entire transformational should run $XX about quarterly is XXXX This only now $X.X we that generated in you With QX capital year, cash is the and repurchases at million, $X churn far this expenditures. million borrowings was of of sale, capital think reiterate also I'll CapEx our thus an CapEx our some for year a now And MedData an line rate almost of Including sources credit. same for on the on of $XX something all billion of of operations like sitting a of of million additionally completed appropriate night, last in adjusted share investment, prospective our of our the down the But in we as nearly of on the sale comments free year. about time sheet. million that our cash at MedData. needs per we've balance Roger's cash had repaying proceeds going from
our the leverage forma On MedData note X.Xx. two a and pro basis of our issuances debt total our sale, roughly for consists solely is
we the Turning in quarter our XXXX $XXX to second terms to the discussed EBITDA with in for fourth outlook, million third of morning, the first $XXX and the fairly and margins, of in quarters of QX ratable I expect EBITDA fourth range full-year million. press our this outlook year range on is that between we the EBITDA adjusted of of expect roughly our guidance three adjusted in million. our we quarters. last This expect should results XX% Based the we consistent our half this expectation for be adjusted provided to of to which margin And be the this whole be EBITDA $XXX in quarter year, the adjusted of for year to release the XX.X%. in
our about conclude I'd thoughts the like and EBITDA to a margin overall of our complexion with trends. couple
give a groups. want year sense adjusted to medical across First our based a I three, billion how on roughly $X.X outlook of it spreads EBITDA, four for
our little EBITDA. generate groups obstetrics higher somewhat a our and revenue more at pediatrics Our percent but of than half
a group only catching of while XX% about EBITDA third roughly quickly EBITDA. And generates with is XX% radiology of our revenue roughly represents Our anesthesia. of up of revenue, our anesthesia our its
of a Second questions point beyond to perspective, the trends of think get to adjusted XXXX. reflects to We our margins. margin -- about related X.X a our for lot X this EBITDA compared to percentage something margin From modeling since in how expected headwind, of year XXXX. range
XXXX make about XXXX over So period. for high-level the transformational comments and should couple how a expectations these impact activities I'll our some activities broader results and
today, whole over of our scope transformation. common forward of gap efforts course our And to addressing the fully the move this are we all across resourced initiatives. our focus is First, of margin
noted a that transformation focus as will anticipate for we us significant of XXXX earlier, Second, I I year before. be as detailed
build remains investments progress of over our timing and face multitude transformational result, narrowing XXXX, that forecast. through expect want the the from difficult a emphasize I and As we to likely also of anticipate yield coming of we a we depend on while through XX-months, we quantum do pressure magnitude XXXX margin and to to but that generate progress will as the time the factors
As about transparent we how continue as quarters, refine same views time it's through move at our core possible impacting trends. business what we're activity our while coming we as will and undertaking to the the being
With to me that let back Roger. turn it
