million Net strong in each was million for adjusted driven of year our share per XXXX and Heath, $X.XX growth income We with $X.XX million year-over-year and continuing per or approximately or X.X% had XXXX revenue share. up $XX $X.X across EBITDA year net digit segments. was was of double loss everyone. Thanks by good of morning, a approximately diluted consolidated $XXX Adjusted operations the and from revenue. $XXX or billion XX% approximately
net For about of X.X% our $XXX year approximately or was year to adjusted share. of $X.XX Net $X onetime contracts. of accrual Adjusted was revenue $X other in included year EBITDA continuing quarter recapture loss or million adjustments, to the half Fourth end million fourth XXXX cents and diluted income related million. million approximately EBITDA quarter of approximately our the share. the Fourth which quarter from increased half to quarter onetime $XX per revenue for revenue. or million fourth adjusted related was benefit a $X.XX over $XX XX% NEMT per operations was
have full Excluding in for about been our when this would range the of XXXX. which a benefit the growth guidance near we good is baseline midpoint adjusted EBITDA thinking year think
in financial segments starting increased to of XXXX or XX% revenue quarter members. to increase the year-over-year with NEMT, XX% our monthly average Mobility million, Transitioning by results $XXX a driven fourth
and a revenue XX% full for expense quarter XX% to the NEMT year average over costs segment, direct X% billion revenue per increase increased monthly per year in includes $X.XX the approximately members year fourth by million. Service XX% to which month. driven year in over XXXX a NEMT For the $XXX all member in increase year increased of
was paid NEMT said, in year. by due monthly in volume That member of a per general adjusted per the EBITDA paid increase transportation NEMT member higher we EBITDA X.X% was related NEMT cost trip. for service was purchase On to XXXX to of expense income the with at sequential XXXX million expect approximately which XX% of trip costs X.X%. monthly the XXXX. quarter gradually a utilization $XX increased membership revenue. environment. increase associated trips fourth The in defined any quarter approximately and XX.X% basis, million higher driven million per Full services the -- and $XXX or increase trip year $XX throughout $XX full quarter-over-quarter approximately inflationary at of NEMT to flat utilization, $XX million as or NEMT fourth was revenue. was were adjusted is trip per net
leverage. fourth margins costs. full and due the transportation year to were partially cost higher NEMT lower primarily by offset for G&A quarter
three higher quarters in expect gradually experienced first XXXX transportation improve the per we cost XXXX. stabilize costs While and of to throughout trip we
caregiver to over segment, the year increase of throughout quarter. quarter fourth Care hiring year. which We $XXX XXXX Turning the a was Personal saw in million, in revenue increases XX% our was
an see fourth $X.X slowdown we the was However, resulted QX December QX typically typically which quarter a low improvement hours to see hours typical flat in range decline as This million, sequentially we seasonality in the still hours from in single-digit around remaining from in seasonal holidays. at QX.
well as $XXX increase full to in quarter retention from which Full year hour, annualized minimum hour CareFinders particularly reimbursement of per third representing rate was an year September the revenue approximately XX% to during year-over-year the Care increase wage improvements due driven per expense increase service the contribution revenue in increased and expenses, primarily our by caregiver increased during where recruiting, corresponding Personal million, increased Care a the X% as wage there and in Personal fourth year. XXXX X% a expense approximately New quarter. XXXX York, in caregiver wages sequentially from acquisition,
$XX.X $X.X Going million, or segment we quarter million continue wage forward, EBITDA in to was of by caregiver increases. offset to of while expect reimbursement adjusted inflation the be was XXXX income segment Personal net rate X.X% revenue. Care fourth
year, Care to XX% was Personal EBITDA of adjusted Personal full year-over-year Care XX.X% $XX approximately increased which the million, For revenue.
expense able the a XXX to margin. to were EBITDA in sequential we drive quarter, G&A during leverage service While fourth point led higher adjusted some decrease basis
to Moving in $XX approximately the quarter $X.X to Monitoring Remote Guardian year-over-year our from included Patient on Revenue approximately XX% fourth million of of contribution Monitoring. million, increased XXXX our acquisition. which Medical
revenue Patient from of approximately contribution For was $XX which the $XX full Remote million included Monitoring year, Guardian. million,
range. and a On the remain RPM members increased improved in in and business. quarter, was approximately adjusted our margins EBITDA by growth fourth confident in million RPM the income across to growth average and mid-teens legacy for the recently mid-XX% monthly in points net adjusted sequential approximately in was million driven $X.X basis, $X.X basis referrals targets XX.X%. X%, EBITDA XX long-term RPM acquired consistent margins segment the We sequentially while revenue
our the use Turning sheet. $XX due from cash Consolidated in XXXX cash of by payments solid core partially our fourth and operations flow to contract million flow flow cash payables, offset of operations. was quarter balance from to the on
by our we contract reduced payables net our of balance $XXX to receivables a the million. net balance, million contract $XX fourth During quarter, of
net For contracts. certain reduced of contract and overpayments by NEMT all relates our XXXX, to million, reserves liability $XXX which on primarily we payables
the from quarter, million impact Excluding items cash remains core from combined flow our of business negative during these fourth solid. the $XX
environment contracts for revolving activity we flow million and, $XXX payable had amounts free of facility. normalized ended reminder, the with a our XXXX XXXX. normalized in drawn expect in for more million We and credit therefore, cash a more level As fourth approximately quarter forward $XX.X on moving a these our of no cash
XX, Our was X.Xx sequentially leverage pro balance December principal net XXXX. as and $X of forma at consolidated was debt flat billion, our
high and XXXX, of We gradually to to our growth. unchanged. reduced remains delevering net and debt reduction time, Xx over Xx ratio target remain through expect leverage the committed be EBITDA net we range In will leverage
As structure rates. a reminder, of current debt our fixed XXX% at is
unchanged our in XXXX provide to are $XXX focus $XXX This with guidance $X.XXX remains we towards range strategy to and deployment on approach billion $X.X committed EBITDA of allocation balanced the balance capital and as revenue that a billion sheet. million. million primary Our we morning, disciplined a to adjusted capital delevering of included
our XXXX. about digits which as Remote of year a division, and the includes basis Monitoring, the expect takes Personal some to Here to adjusted and are revenue puts we on Patient Care consider you think in Within EBITDA ahead. Home and double increase combined
to double-digit For to Personal caregiver the hiring, leading expect single-digit along in by Care, with we rate high hours, revenue driven in improvement reimbursement increases. growth growth, low continued
revenue we high Monitoring, to by mid- teens, driven Patient Remote client expect For in growth growth. new the
of see increased our We of monitoring also our to by services suite engagement expect EX solution. utilization led
flat in expect we segment, approximately Mobility be could our adjusted In XXXX. revenue and EBITDA
pushed in that out we don't While has been a our NEMT impact of opportunities we XXXX. the XXXX, have to meaningful timing had expect several the wins new larger in extent
is ever, confident competitive we and share are as that as of to strong fair continue will win Our contract our going contracts we pipeline forward.
from that the in believe impact half the could could that headwind, second expansions repricings also offset normal in of potential a We year expected wins, are and attrition and contract the XXXX. which be redetermination
half back ongoing making XXXX be the are quarter, of last first year As seasonality on our the expect we investments more we weighted normal year EBITDA impact as to adjusted initiatives, operating as our to half full suggested profitability. well we due during
we second and Xx free to improved also the XXXX. net generate XXXX initiatives expect drive consensus in estimates solid of lower and committed we well our remain the in current delevering expect cadence capture for We cash Overall, the of to think Again, fairly achieve flow leverage half expect time. over quarterly to year. margins cost to these and target
we our wrap and fourth Lastly, full are of things year financial remain long-term To and confident we for in strong up, adjusted in XXXX targets with quarter of billion XXXX. $X EBITDA results. million pleased our revenue $XXX
forward that meaningful for health in to generate next entire like reporting progress and the would also on have work we care, over for upon I confident XXXX, strategic initiatives to year our ModivCare team prepared look several are progress take made that members. XXXX and our at quarters. We results this will the high-quality the build and opportunity the these the outcomes we throughout concludes our while providing thank to to dedication hard operational improving This remarks.
the open questions. please Operator, call for