and I'll detail. some our Thanks for you joining observations quarter, with start Thank some into good level Mark high go call. I'll and of the morning. then
comprehensive surprised foremost, infrastructure, and for been against period to services the operating demonstrate of both timing In the March, and unpredictable and a obviously, to corporate strengthen clinicians affiliated chain organization ability for our supply mobilized an practices mobilize capabilities unprecedented we providers. groups mitigation in cost as our which mitigation beginning our challenging positively health effective, environment. clinical our and the by very results resiliency through response telehealth of and provide and First quarter, for our protective on tremendously support support been for work highly personal and underlying have an executed This demand for all it our was, critical has across specialties. many our streams time a additional we care all identified multiple actions within steps which efforts we short late and our equipment, with virtual
and our part We our also spend took steps restructuring of transformational to as financial activity. and ensure meaningfully that significant curtailed we third-party liquidity maintain
organization. part ongoing as far our pandemic in of divested to Lastly, served was anesthesiology in view larger being we by than announced our degree which well early May, a impacted and much a is dedicated business our line, anesthesiology greater we the service
patients to that we and were commitments the partners. these fulfill to As of their our receive a health clinicians to their ensure able they of all support system to result hospital steps, needed our that
for results our to Turning quarter. the
pediatrics through revenue revenue last programs consolidated over $XX and divided continuing between during million stimulus that radiology. million from to just $XXX received evenly Our ops just down million This comparison we X% was in includes of or quarter, compared was $XX the which year. under about
Our about point pleased dollar to that April adjusted also the results in half in our the quarter normalization of lion's impact pandemic the our with million efforts been May revenue the towards June. decline return the revenue. out cost share that of in EBITDA provided and patient rapid I'll and only in a meaningful down to our very we've operating during was $XX or volumes and occurred mitigation revenue offset decline such of
levels repeat the components segments. X% up Elsewhere, to Hospital-based pediatric won't to here those persisted of basis, XX% has by release representing and provide These these in our neonatology nature down I over that are so volumes the our during and in impact pre-COVID primary of June. some April. We We April, June. children's, course services. compared to levels our color critical trends by of of color quarter additional services, quarter. and about with was provide volumes and July pre-COVID overall as variations. acute the On component this about nature hospital-based towards clinicians to our were but geographic revenue give impacted roughly in to have these or of in and three of volumes least affected and as women demand oftentimes which components revenue services NICU press resiliency The the services more we some recovery continuing the of hospital-based, also volume but of our the children's XX% about As the general our volumes which end on from we fell operations, radiology. pediatric in NICU. overall ICU small preliminary to roughly believe our release, relatively women business, view of recovered relative our covers levels highly noted XX% of normalized operations result. strong patient of end continuing month significantly roughly trended reflect and and But showed within primarily to did press in reflect of with in during rapid weighting of and the only office-based a in are what lifesaving half patient of in the XX% were hospital-based this the XX% the a volumes XX% recovered the snapback
In make radiology June, and quarter were more range. from children impacted operations. both up revenue ending saw to a XX% the Our recovery and of volumes pre-COVID in women about we office-based of significantly these in continuing services XX% strong May each services areas, and XX% in of the which
and additional with of payer to second a of volumes points mix remained non-government about stable couple basis XX as in last compared volumes actually percentage was slightly total a increasing quarter the year. notes, As positive our by
Our very days stable. AR also were
the versus of over day day fact, coming In actually a we just up March. end by down one picked
expense as the and As operates as well on-the-ground we compensation experienced during salaries our radiology, activities of reductions practices disruption a These the in revenue benefits structure under clinical that had for very the individual These expense practices reductions models response company. all, those are I'll comp structures evident for our well are our observations we results. each compensated, reflected in quarter. one positive the vRad of to volume. share Those where Within quarter. model on expense, as in note you based G&A the radiologists the EBITDA three meaningful and I'll and MEDNAX vRad mentioned, also keeping of undertook within revenue I practiced on but functioned as affiliated G&A in reported effectively our provide
our revenue. G&A roughly was XX%. higher IT First, which relates as operations different infrastructure. XX% fairly percentage closer This expenses inflection and is quarter, or radiology incurred for and has G&A on a to the revenue P&L of being radiology structurally based G&A practices fairly out of versus for than vRad, point with that to its the of our predominantly second extensive I'll pediatrics rate a
of with our treatment as non-labor that reflects to most of NAPA we transitional we place NAPA Anesthesiology. in own AA, P&L Within line. certain works expense American for our through that ongoing but flowed providing the sale services Second, services, accounting following agreement integrate G&A are the which are which have
recorded on and is for reimbursement reimbursed further income, down expenses those and P&L. We within are that other investment our
EBITDA, expenses the calculation services. for and don't they million. are second our impact a they a items for temporarily will provide time quarter, totaled that reported adjusted we reimbursement wash them our those so For these inflate These in $X.X metric. G&A But our that of
completed and in in June, in indicated sale our following $XX I update annualized early weeks Anesthesiology, the in we American had as of roughly the identified million takeout. expense call Lastly,
our to to We percentage size infrastructure reshape further overall ongoing G&A scale G&A of that make press our enterprise the and progress. benefit hard we and our continue to as will anticipate those match efforts
from expense last to what Total third outlays reduced the year. million, down the meaningfully transformational in XX% and restructuring on $XX.X our expenses, other activity. third-party quarter As we our of and quarter the was reported related this first in comment we about
to Turning and flow cash liquidity.
year. collecting. prior or which significant parts quarter that how than continuing the We operations in sale to In very quarter total, is we are American inflows are in the of there flow both from $XXX cash and with pleased of Anesthesiology, we the anticipate taxes moving There progressed. either higher related significantly cash additional the handful generated million a are
time to some So I want spend there.
the May and totaled First, from consisted as American the retained current that a net meaningful accounts which as consideration all Anesthesiology, business, disclosed part in of of working we about of for primarily we liabilities. $XXX receivable million capital of
part is balance While as reported our on disc recorded rather of our of of continuing the flow from retained those our not but AR sheet, collection are continuing ops. our receivables part are part of cash operations, separately as ops
continuing our flow for cash quarter is those on not the by collections. So, inflated
in taxpayer year's during were second a not last quarter, Second, cash taxes we of cash $XX million. the paid quarter to compared
year our taxes the year, were million. $X last the This for were half taxes first fact, cash our In million. of first in the year, $XX half cash
Thanks able as debt a balance during of the part net ended Third, our the Stimulus the end profile for $XX and was we the is these sources $XXX smaller during of year. total QX amounts cash we million of meaningfully what taxes CARES reported the about on were during hand which cash. quarter million similar We payroll This with quarter. quarter we up from amount about May. of improved million in $XX to to over expect the of We of additional the Act. defer
of cash to the June. of another June debt $XX end I $X.X add and about have our will ended to our one about that our $X.X of of you have where day at We billion as $XX net which to million our $X.X well for July consists revolver, March. tell we as was we our projection borrowings debt on compared dollar no cash would XX for million more notes senior billion solely billion amount
more of one-time expect year million. are benefits there realize that that than the half addition, this ongoing cash totaled in we In to back $XXX
of terms sales. the in for our anesthesia retained AR First,
As of the receive mostly collect, remaining expect to third June, million to we still $XX had we which quarter. during
Second, in be when and taxes you'll the for by overpayment $XX a million the an refund payable sources see continuing remainder used nonrecurring of tax to million XXXX. XXXX receivable. from this offset ongoing benefit more on will We we us that operating combined cash is About anticipate of half net that that sheet is additional our our reduce the tax balance with details current any to future income reported of enable our $XXX for ops flow the taxes in have remainder will the year. over these our year-to-date of of loss balance cash further perhaps debt estimated or
time demand our a recovery of comment just at and to per that this our we or there that and and do which believe more not highly services any structural that has reiterate in affiliated permanent critical are provide, ongoing to we $X a wrap do radiology you well and full across impact necessary high-level value. pending been the Based business from lines If I'll simply, share of our the over the anticipate with up math impact incremental pandemic, clinicians' our pandemic. we demand I'll that this one reflects service more children's on that's our of COVID-XX nature of on Put nature. strongly the of women's operations. review believe
a indicated path regarding profile relates we the Pediatrics of outlook As specifically, changing in on Group, at for this outlook. our it business From operating will More we we a into Medical revenue early leverage EBITDA margins the of years. the fully initial believe viable from that not the to driven over by are continued preliminary turn call financial higher move which to from range, that discussion now margin point this June is to previously EBITDA and profile our beginning we margin area. we as this the with in would the dollar profile, is that range EBITDA $X.X and of This view a pediatrics which high there put the on million highly support million our billion revenue normalized pediatrics obstetrics next Mark. normalized annual annual I mid-teens revenue. back teens, basis standpoint, roughly move in a or based margin infrastructure could $XXX a as increases. With believe to From should couple $XXX generate over achievable mid-teens by reshaping