would to fourth to XXXX inaccurate call. tremendous. the in as be welcome generally it not these on quarter and try earnings calls, describe to performance XXXX but Nick our Thanks, avoid hyperbole We Amedisys’
Medalogix, of have analytics made and you year in Care None at one With XX,XXX of approximately XX.X%, health across quality over patient XXX on year the this a deliver third our were, to our We let’s EBITDA fourth to whose without to quality for Care invested making Personal full results. the to and We’ve want over closed business. the We million Hospice Home, than nation. largest X care caring results. Care million, voluntary million assist in be scores for XX% margin visits operationalizing capabilities patients grew Compassionate commitment generated to to staff XX.X%. continued outstanding strong highlights We And XXX. acquisitions growing star XX% flow over from by Bring would the at home signed lines We providing our while adjusted associates Care. we helping great great acquisition, closed and and improve in expanding our to help we more $XXX now our of that, quarter thank to from the our business to I to XX XX their has care operations. of making homes subsequently Tennessee organization from possible. lowered patients, X.XX XXX,XXX Home of development basis while unwavering employees, $XXX Amedisys We million of possible East from hospice Some had predictive our total honor turnover growing over with Christian the in stars. look of X.X cash quarter this our $XXX such points every the take enhancing EBITDA scores, PDGM.
XX% earnings in basis, $XX adjusted adjusted adjusted $X.XX, per X% million, up year-over-year fourth EBITDA we For adjusted up generated up million XX% an of had and $XXX revenue, year-over-year. year-over-year. share the quarter, of on We
XX%. and For the generated EPS up million, EBITDA several share which results revenue, and raised been guidance XX% $X.XX, billion range, $X.XX earnings twice year. and times adjusted adjusted up has beaten raised beat calibrated the XX%. per great we had and of EBITDA We year $XXX of These up of have adjusted our throughout
Our and numbers XXXX what look of. elaborate results detail we proud comments this Scott are like. today ranges extremely also will to consensus beat will you on will his in our are and guidance
meds distinction, strategic for Now, patient calculation and star used CMS measure of let’s a introduced has quality on scores. our of extremely has excellence in in clinical performed well. this doing includes star new with how drug Even of we areas includes longer calculate inclusion Starting to care and improvement industry education, calculation still new QPC the our into new the which four removed review scores QPC are focus. previously with the XXXX a measure and leading an is we oral The no measure management X.XX score of measure, stars. a
rated X at XX% with of rated at our stars better. centers portfolio overall We or X will care stars, have XX
drive always our more measure, mastering to are would focus QPC to providing I impressive improvement to and clinicians acknowledge like will and results. industry our all see we we quality we As constantly lead expect driving our measures. this applaud score continue care outstanding to on the who in new already best continued and in all
equals I great have great business. care As said,
value as generate Our focus the continues on returns VBP financial home health our quality purchasing program in based performance to clinical indicates.
quarter bringing to For VBP approximately approximately in CMS payments we our received bonus from the fourth total XXXX $XXX,XXX million. $X bonus
tax to and drive to for to expanded demo generate also than outcomes. advocate nation be significant We that wide should patient a and as quality believe and savings institutionalized PDGM this way payer continued CMS better
Amedisys February categories. Hospice national measurement of outperforming Compare the all in XXXX seven For business quality average the hospice metrics preview our shows
going trying clinical ourselves. us and is keeps improve very care our never best We is great are these and very pleased invest and in will This to continue continued we grow stop hospice expect as footprint. our patients with results in hospice. important we quality to of Taking what to to
hospice. mouth drives are putting our it quality is highest health Clinical within quality in organization where we only is and bonuses this form to our This the in best. and both we money invest sense our what and our cash makes centers of for home care quarter,
to results and to XXX bonuses XXXX care centers our our best representing deserved. all top XX clinicians. be to very clinicians staff, expand star we to home of you include and coming this care practice. bonus our grow years to In representing X top paid QX Thank you XX health the are is performing Our XXX us caps of aim centers this well and the
execute business development employer drive choice, our growth. staff year to the on continued to help in ramp was of XXXX Moving to continued which we upon
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that ability XXXX. from turnover, point, quality both I important provide am to and we BD year for extremely down the pleased as clinical voluntary report of another team we on FTEs the ended improving performance, we ability to our which total and even during and to their we is XX.X% select grow. that XXXX, the in and will at very more add capacity where with to to year We’re is metric, retention care of key our in business. BD XX% the To is associates and proud take have continue our strategic full locations Turnover
and this are every out We and turning tinkering down into bring we testing further. to are a even day science, numbers there these
our are in focused staff. clinical into XXXX, here on reducing focus turnover and Moving we especially to will continue
Now let’s discuss operational efficiency.
leverage we focus Our maximizing organization. is the on in achieving the are throughout our of our operations efficiency particularly operating reflected
margin the our For XX XX.X%, total quarter, year-over-year was X.X%. basis adjusted from up EBITDA points
was this XXX of from points This year, EBITDA lines was business a X.X%. quarter the perspective and three very with from For performance, how XX.X%, total great EBITDA of our adjusted performed year I’m a year. and margin all basis happy up margin
for are aiming improvement in further XXXX. We margin
Finally, it number driving we reflects plus X% of the quarter, at our division, volume the home growth. growth, growth, sources This in quarter total is volume is we another which focus recertifications. all same-store ending admissions on as had strong health
total Our and same-store was X%. our growth X%, episodic total was growth volume admission
every throughout and admissions our at XX%, was quarter continue that ADC to the a growing in X,XXX faces an fee-for-service we growth quarter. negative year, are, growing we on focused business, XXXX. the our our pace, business hard discussed at impressive X% happy comps, quarter to year-over-year both this for build compared up report X% very to impressive given were As strong hospice, X% In to fee-for-service I’m have we for quarter. have hospice fourth the Admissions numbers the
may have February on Compassionate the you read, acquisition we X. closed Care As
states. centers implementation XX,XXX organization and hospice is care convert with HomeCare With of the country to will down HomeBase the approximately Amedisys Care, ADC and largest first half other working is Compassionate the planned, acquisition EBITDA. in be HomeBase now the we business are XXXX HomeCare a Compassionate investments of Compassionate of weigh disruption Care, the Though well will Care’s underway, during the the combined in third Integration XXXX. to
growth we and milked XXXX necessary months We XXXX margin this go Compassionate recover much a expect trajectories about and payback And hospice our purposeful Care business and prep Scott left more any more some contribution the and plus EBITDA sales into if the disruption, and will X make his and investments next planful than are work. during will similar XXXX. The position for remarks. it. current to we business. we in similar the alone get HomeBase Care profiles and Compassionate management HomeCare just back from We’ll contribution significant after in detail
XXXX. to again Compassionate care, be wait to what grew can’t family, the the per I once all Finally, XX%. in able employees hospice want quarter Amedisys hours personal will approximately see accomplish our organization I and to welcome total of to In Care
very acquired organically grow XXXX assets our to four footprint. has the plan pleased we continue scale, progress to care expand with the We and we both have inorganically business, made are and personal and team integrating our the across since
health little acquire dry closed, deal, assets increased turn very to with our Last another credit Monday, be we we our us On out still M&A. the a great post a announced strong will privately of recently overlap which synergies the signing Healthcare, Oklahoma. powder spend in of to home Compassionate RoseRock RoseRock with with M&A to the sub-Xx facility leaves front, on agreement a Oklahoma. sourced leverage and have market in has asset and after definitive very hospice is multiple Care, Tulsa, plenty
on and RoseRock our to our success pipeline. as is on our with acquisitions something focus quality remains Tulsa. about. excited we welcome first priority caregivers care and from replicate our look very deployment in of process new tuck-ins Capital to hospice delighted We’re Their all other patient we’re
also and continue strategic and will focus health tuck-ins to We care on personal in home opportunities assets. expansion
de novo X to year. and for our up XXXX, the For ramping process have we novos planned also are X de between
will do shoe continue our get pay and remain and actionable. multiples active Addressing Look lots value private to CMS. our to our very at we prices conversations processes seen the we we XXXX our or leather, or is PDGM, patient-driven will this and in continue auction the pipeline have it of the of though return with as we may the strategy the focus always This Congress for our pursue. And We front, right full proprietary best nosebleed tuck-in regulatory equity pay to to a multiples. avoid groupings strategy on disciplined M&A the model and remains shareholders remains off. function takes paying to
redesign PDGM, know, payment specific therapy unit all moving complete payment home reimbursement. a by XX-day and as and of to for As basis as thresholds patient characteristics of primarily proposed, on system driven the elimination is a of a based payment, you health diagnosis
preparing the we impact are oppose steadily implementation, we assumptions XXXX transition continue the to new scope behavioral payment the While in use, the for and to of model.
on that the adjustments for on only of limit Innovation work on report model. making requires new greater rate any CMS NAHC Care Home Committee XX, I been provider National Government has result Special allow our that significant Home original in Health into payment for the bill than to of no who also and Finance am a a rate & was change behavior. the per a others necessary The adjustments be and evidence disruption Health, group of by pleased bipartisan the prohibit through assumptions of S. Payment to February Republicans and bill in Committee. Hospice, team, on industry, observed Affairs As the This the of Finance Association Education, and based would Senate senators, referred The includes as Committee, X% year by Senate legislation XXXX are Committee of X Democrats. XXXX a X introduced The based X adjustments bipartisan phase-in Senate and from cosponsors of Senate risk transition group members Pensions the the in Act behavioral Labor we will to Aging. in XXX,
also and patients Finally, to flexibility the home ACOs. this by enrollees who Medicare participating health eligibility waiving legislation in Advantage homebound requirement the some provides requirements for are
In addition House Senate the by to bipartisan be to we companion in expect in of coming the weeks members. the bill, legislation a group introduced
assumptions team and to with Democratic Affairs to urge members lobbying are staff of adopt DC Government firms prohibition. Congress, and working daily the staff and their Our behavioral Republican Congress committee
evidenced is assumptions. the the receptive about of industry introduction to Democratic of by members, behavioral S. the believe Congress and XXX use As Republican by concerns the we
continue other work next will encouraged dialogue session and XX months We early members enact by the this over bill and legislation. Congress of to the the support and the with authors are Congress in to of
to I is our and delivery currently on Despite will system team’s impact my November. we Turning share model, PDGM likely care in emphasize transition PDGM, our early regarding as always on the CMS. especially with ability our dialogue payment our PDGM are in payment on will again actively been recently impact engaging leadership models. CMS in and by new issued to as PDGM final challenges the yesterday concerns address continue the operationalize care entirely continuing the until full and rule conversations delivery its on new to to I’ve them as with system, confidence regarding proposed the insights an this CMS, to on
market Act of basket legislation Finally, I years if X.X% Budget remind XXXX X.X% by This market help assumptions, behavioral associated reduction before industry. everyone prohibited update mandated health also which reimbursement of in in the possible a positive need XXXX, XXXX offset for home to the basket Bipartisan could will with result that in plus not implementation. X also update updates consecutive in the
Value-Based briefly comment recent allowed hospice front, announcement offer CMS’ Advantage hospice the by XXXX, the to Design VBID, in innovation model, Insurance I Medicare that to be On center, CMMI benefit. want on will in the the beginning plans
CMS concerns While has benefit that stakeholders raised we plans. feel been this confident very shared will the point, carbon serious the to have hospice to at information about little providers listen Advantage of with a the Medicare
issues, appears an managed but In with as closing care have to confronted on previous to regulatory I concerns incremental I patient CMS is see when the access about as that want in in will that prepare earnings changes such have happy taking done We have successfully are what and benefit their past. impact PDGM, will a the hospice approach, to to emphasize, be adapt we regulatory care we how as benefit. we calls, and
implementation months We for of have XX to PDGM. remaining prepare
high-quality the in going seasoned care expertise, to plenty We most an PDGM implement industry and operational have leadership of clinical effective leading-edge same importantly, efficient and provide operationalize and manner technology resources, available and experience, and to forward.
had a great strive by providing improved XXXX, incredible growth forecasting health in lines great quarter and see, hospice Employer efficiencies; operational our As of turnover performance we from all as highest highlighted leading year, business: become industry personal and home you an are margins continued three of the and care and in quality to Choice can strong care. the lower we another
investing. also are We
thank growth their and acceleration, all in Amedisys’ and We drive people. novos, are to also to for de the Compassionate you’ve in employees success. you Care, done this innovations in our investing Again, all in
quarter the that, Scott? I forecast will our performance outstanding detailed who a over us to and continue it for well as patients results. drives the focusing of more on will Scott to as through year our take for that You financial XXXX. review our prove turn With Ginn