Scott. Thanks
my segment remarks few to a like into I'd sections.
COVID-XX on our business. of effect the First,
patients response for our Second, our and employees.
acquisition developments; plans; legislative the Third, regulatory growth recovery fifth, AseraCare fourth, inorganic and hospice strategy. our and and
COVID-XX on to home pleased hospice. and turning and into our March, Now Heading growth are we QX trends. impact health our in performance April both with
projected we total of health XXXX XX, first X.X%. forecast quarter As was March home our admissions
we as week March, impact began visits volumes. experienced first Our and in MIS of an the in signs declines second increase the in of referral COVID-XX
lines slide similar trends. of slide deck, witnessed As outlined on business supplemental all our XX three of
low However, X. the included health, in point, which disruption referral of April home week the greater a was
volumes of Since that missed the a all steady in in lines time, we week have low and businesses their corresponding In recovery seen referral hospice, drop point, hit referrals visits. a in admit volumes slowdown of admit the up. in our early will March have but continue improved, legacy ramp in impact volumes significantly to recover XX, while should ADC CCH March and hospice QX, as
the increased pay $XXX,XXX, increased cost approximately we $XXX,XXX. mass during approximately COVID-XX, PPE times side COVID-XX quarter, million had and including increased $X training cost nearly of pre of approximately more $XXX,XXX the five and that guarantee On paying in to prices. related costs are to of related noting we PPE, primarily than And for approximately expense
These well have been quantity arrive as spent unit. both have that the cost a adjusted in significant purchased effort the to at we PPE we to back in And see added our PPE impact an items in clinicians. QX necessary ensure of EBITDA. per patients our and increase will will to protect as have significant dollars
we seeing of As recovery. trends current illustrate, our promising are signs volume
to early predict pace the too recovery. of it's However,
and a in facilities, the a including access factors, unknown to elective number and cases or pace doctor's orders. or PPE finally, to COVID-XX return in patient of at in confidence ALS. numerous future around particularly which normal hospital and begin homes are to prolonged the increase our The shelter of and return office, any Cost enter procedures the SNFs continued or normalization nationwide, decrease There place patients levels.
the order decision-making commitment Let's our and this important changes. forefront of patients. our In always made the we and talk been field, of Employees, families, employees patients our our ensure to employees following protocol pandemic. in about during most patients the have and our their asset, and safety have most important the at
utilizing COVID-XX protocol new a at clinicians positive all and a shields a and clinicians minimum clinical mass symptomatic be gloves, to that masks, also subsequent PPE surgical requiring protocol wear implemented all ear treatment a on and includes visits policy patient the patient. patients by and loop We've surgical for developed worn treating gowns performed. mask COVID-XX to requires We've face positive NXX
utilizing We continued both have in for success needs. to our traditional nontraditional and find PPE suppliers
created two on masks, aggressively. mass, result, need care of hand have NXX And inventory months month one months with of distribution we for months an flex on have We've As to have of depending be all PPE source and center a on other of allowing and average gowns sourced enough continuing gowns to all another critical PPE, to our centralized of center three also four for six months surgical us we critical and will PPE, inventory of a basis, center-by-care demand. a coming.
I'd Lastly, allowing like employee and us been an position. a to sterilize take tirelessly rapid a worked cleaning hours response to XX an COVID-XX employee we've thank center procurement exposure showing who's any within and on to extraordinary supply network, care have get established accomplishment. our of into management, teams of minute care fully us that This all this chain an to sanitization symptoms. center has
need to our stay we the quality highest are that they And clinicians and delivering healthy because while safe it's everything efforts your care. to of able with continued arm
On Act, program rule guidance, the weeks. CMS over healthcare the CMS and the and front, Protection CMS changed the Paycheck legislative has enhancement and XXXX Cares past interim eight between almost Act, regulatory daily the waivers, much relief final
Here the business. highlights that directly of are impact some our
fund. the provider First, relief
services payment a Congress by provider we Human million of the to Department fund. Act. in disclosed, received of Health previously from cash Appropriated $XXX the Cares As the relief approximately and
to this healthcare the the to funds healthcare in of will of lost replace from the related receipt cash utilize first costs payment HHS, billion to Our was the revenue and we $XX COVID-XX. distributed providers. part with terms funds for Consistent conditions the and receipt of payment
to to will funds and properly seeking attest the and in fully entire health in quarterly we expenses to use the COVID-XX. funds industry toward regarding these healthcare the HHS properly of and our utilized used payment, be throughout we loss of reports are and available total from amount funds colleagues a of document HHS receipt related the required to order to receipt the And the formula our of our revenue clarity to determine like
fully on no, have them segregated on time, the and formula conversations, expect will these shortly. from funds be of account, expect leadership, our trade not distribution days At of behalf, utilizing into is we and written had we coming funds. coming own Again, Based the final on have written this we received HHS. their the organization, in clarification our HHS others, be to until we with guidance and any this guidance the
Finally, billion relief in we HHS $XX healthcare providers XX, the to additional on distributed XXXX, April from funds an fund. provider
relief not funds did the the We receive nor additional apply provider second from for any from fund. distribution
the from through Amedisys' will of Secondly, we have sequestration a approximately favorably holiday, the $XX X% impact by suspension December XX, sequestration million. revenue XXXX, May one
for XXX% Medicare program period. provide Next payments advanced the of CMS authorized payment of Medicare providers which accelerated suppliers and to in is up to was a loans X-month
However, funds, payments, need we impaired. we decided for seriously not our cash balance accelerated the to do not the nor apply primarily because is
individuals XXXX. the responsible employer of defer enactment. employers deferral. to paying The fact payments are Effective the Act payment Next, after and they due social for security share tax of the self-employed otherwise in allows tax payroll for Cares of
eligibility. $XX All and this establish in physician nurse amounts plans Amedisys. assistance may home all, home and order certify recertify practitioners, now cash for approximately certify certified nurse physician review and services, care eligibility to health Non health, million for of specialists and an impact practitioners,
public creates to has state the industry sources of relaxations immediate similar something a tied and is health where emergency. referral the provision for those This years an regulatory or has number legislatively states been it sought waivers in new there
telehealth. Next,
it visits long health, we plan. patients telehealth able as patient's our to of care to part is now a as are For home provide
reimbursement telehealth. for no However, there is still
not Also, do Lupa performed patient visits hospice. home thresholds. can these Telehealth required be visits toward physician therefore, telehealth via in face-to-face count health by a reaching now and purposes for of home used be in health recertification or also can practitioner hospice. And nurse for
it to home telehealth both is and are utilize patients. We have started we these hospice pleased provisions, when appropriate for clinically and health with our
there one anxiety inventory. and hands-on patient and the take us of the requires clinicians maximize our can benefits that physically excel future clinicians, utilizing both their allows including no place lessening home, our as also televisits patient nothing to the enter telehealth, of a are at of PPE to protecting While to care use no our has which numerous and providing, current
a not list from is CMS that comprehensive This of has all come Medicare the and waivers. Act Cares
recognize would in However, the to and meaningful applaud way it parts businesses. health take our does I to the impactful solution integral a this a country and for home like to CMS part care as moment for the navigate through provisions is capture their potentially that of of White are the House, recognition HHS most and and the our of pandemic. delivery hospice successfully to our
continues challenging We nation's nation's support, show thoughtfulness, implementation moved health administration history. Congress grateful to for of the are with moments are of very last and during bipartisan term we our and providers hopeful the many the new healthcare the speed emergency. our and have also Congress incredibly to beyond this these that Both public of the in policies
As you there's can of see, lots pieces. moving
all data to have suspend made performance. year Given decision allows XXXX factors, guidance we we these better to model more a us definitive full that have until
is update new quarter second guidance our range our you to during call. with Our hope
The social let's our daily office, circles receive become our everyone's discuss why we and home a life. more has where deliver role Now our and never our care. our has bright? remains It future school so prominent in played playground,
starts country As of to things change. may these our open up, some
home are company. selecting currently demographic to and further is will compelling trends the home people's place more for tailwind More solidify that our as cared helps be a a the is only receive that remain to will be seniors what preference But and always for. care
of is consumer volume implemented the opportunity, role by changes and how the many the care inside choice White play could driving delivered Aside the an interesting home. are CMS, House demographic and changing from
as even for centers care technology clinicians care. help continue further the to efficiently protect evaluate our and optimize delivering and all of cost delivery effectively. us such Initiatives virtual while collaboration structure of us to Innovations, our patients the will managed quality our of rapid opportunity care such use as offer other care and even to telehealth, and more adaptation and
complement ability an home The and need doctors. for to engage to nonphysician allows to certify our the ever-expanding alternative BD for staff practitioners health with
year are we what and that Census two-pronged drive doing market So finish the share gap a growth approach expansion. have will lower we strong, to our specifically now future and
rapid strategy. our recovery First,
We have surgery BD onboarding rolled CTCs. by and place the hiring AVPs centers continued role account We've care settings. put other tailored long-term transition and care, out physician, our on created referral ambulatory focused area in action FTEs call routing based plans segmentation, hospital, coordinators, We've slowdown. source BD and executives VPs, and during
and They're patients working facing hit And trained exposure. finally, to also family through to streets. that fact taking of patient points ready and have home day the been we objections open developed health we've and since good hospice And leveraged talking COVID We've to been the out of citizens. for we've fear one.
has In locations hospice treated personal new and sources previously were patients COVID-XX XXX our centers sending the fact, not This already care centers during referral have center our and of all our care home patients. us healthcare of resulted that in pandemic. XX of
two and our health efforts of in includes sales SVPs lead of market long-term expansion home hospice. Our to growth strategy hiring
health, our we opportunities. continue rescue sales source leveraging home Further to analytics capabilities,
with home home asset this Central counties inked year, significant a Eastern Western also a center in rescued Lee's a the we've during Summit, at care in to in March a for us Texas. Kentucky, Missouri giving a of of have XXXX, access Lubbock, deal Massachusetts and end asset university medical personal three and we health need of in the health fact, JV In and
seeing businesses recovery. the are signs Our of
home. leaders the to more the to share And side market and distinguish when public deliver our Amedisys of care emergency, in more health we other ourselves are additional poised in all quest and and prepared this as on further stands take
XX. like to the on announced and AseraCare signing emphasize was of Finally, I'd Monday, recent April our which highlight acquisition,
portfolio. and an And hospice operates X,XXX a to high-quality AseraCare asset care addition and XX that in is $XXX of is census This great asset states revenue. our XX with centers extremely million in is approximately a
deal. funds the credit close release, the purchase time the million, our As from acquire fund cash will of a received used noted the agreement signed money part the for our of as revolving Cares press and price of at AseraCare be in transaction. $XXX use purchase fund to we to the we facility we and of hand Act will to None this at
the two along complementary a their of and with always and impressed We quality as our geographic with the have of have a This, culture their years makes great operations number AseraCare well their footprint, followed as for management. been fit. organizations
that but in states, impacts the time in XXX will of Once deal deal close, while XX,XXX to Amedisys does approximately care expect the extend We XX ADC patients. days, to understand close the operate centers XX hospice close. COVID-XX an could for caring
excited into this And all We are caregivers to deal. to assign looking forward AeraCare family. we very Amedisys very the are the welcoming much
Since in so developed XXXX. inorganic novos, Hospice eight. on larger tuck-ins three including in and XXXX. which of prongs. hospice which, in tuck-ins, now novos, strategy, including our deals, Asana XXXX in CCH, hospice and far, compassionate have hospice early de each de deals, these AseraCare care included hospice have we Rose Larger pronged launched hospice, of XXXX and Hospice Rock executed we we
I inorganic proud very ADC growth business. for In am the way our the accounts over plan. total, to we hospice hospice against have X,XXX hospice our strategy our of executed of addition
some our We to refine the acquired newly time and of businesses take integrations will and one. make everything operations complete the to now
This Operator, up questions. our will remarks. conclude line please for open the prepared
