change how name play our our outlook into Thanks, Charlie. year; the I'll the strategy comment this Group. morning and on they for quarter for three areas; Pediatrix our and results our Medical the to
services difficult in No faced to both hospital results QX. in quarter grew in first thoughts more what in on mixed comps quarter. the office-based and the Patient And Act. Surprises second we had We some the based volumes despite
was mix as ongoing by impacted to partner. and revenue RX our payer our However, our RCM transition both
activity internal was and the with our the this team today our speak which rise Marc to differential transitioned and with related to not any we in QX which given only in a to We're QX impact And faced impasse, is below result, today was we gave which XXXX By a results that stages a relationships extent, behavior. should we for meaningfully to in want in significant our and RX are on versus or retrospect, challenges we our our affect further to revenue transition. day call is pleased improved transition. speed primarily but of RCM that our adjusted transition with RCM detail Its day area mean to and that during RCM well, slightly off year. I expectations change that from lesser moving function a to shared last is is stress the I this effect I therefore impact front-end or beyond substantially quarter the revenue. alone, this no that that that impacted setback our our the will function EBITDA see early As pay this pleased we results.
reported we to costs the actively million P&L. environment our in labor, not tough forecast. roughly around any In change still we seen mitigate working costs material our the labor on On QX us. was in also our XXXX above are X effect clinical clinical of aware but that salary QX, certainly We had clinical were
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our and turnaround efficiencies strategy. We our as continued in services to part reduce overheads of generate support
away operating to to compared will efficiency and significantly declined our versus and projections our expense without dedication find last G&A year, from taking to continue we we believe care. internal enhanced Our that
cash in adjusted flow significantly was enabled more enabling our strong down expense QX than our of of fund XX% And saved half shares. We year-over-year to to X.X refinancing interest us the growth repurchase also finally, our million debt EPS.
our and for a CapEx I've XXXX described achievable, the of but we does confluence range point year. expect remain $XXX The thus and factors EBITDA, growth to one far, now million all changing debt our that of and levels. for acquisition to million adjusted the $XXX XXX without I'll between turn and Our million leaders who strategy.
All the the required are On amazing July well in and and X, focus. clinicians research, their women's, leaders and complete on our vital this provide formally underscore efforts to education, to Group who improvements health, of Pediatrix Medical our and care, as name children's to focused affiliated be our as baby's quality field. we changed on safety
three pediatric a last Our discussed of and XX under and our quarter we team from will population of Swift, XX across across end the in between growth plan our Operating clinics in our markets to half our that Chief XX much to we're Jim this between serve Tuesdays us move will eight dozen Dr. of help broadly and now into and XX, effectively. now additions Officer, I care XX clinics a combination fully anticipate primary urgent current footprint and to underway markets more we expand states.
with adjusted growth come de and we a execute confident internally to generated in that will from this combination also will EBITDA. We're fashion novo that we our fund of dilute acquisitions. can and this intend cash not expected clinic We openings a growth flow
network arbitration the today, in our manage data thoughtful to I RX the idle, are a still capability process HHS said, No built care as That haven't for of robust related really finalize to arbitration in we're alongside way. a of and mentioned this certainly sitting the out notable waiting driven behavior the not earlier payer we seen have any cases, process. guidance, Surprises our details managed partners, team Act we to tools, change On
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this years what I our and really do In to Before I operators hard Pediatrix, Marc? want to organization. across team awestruck Marc, the our now their call clinicians, for by thank dedication our two support people and to I all am affiliated turn families to my nation. our for work at