and morning earnings With Officer; Thank and our our Bickham, fourth Officer. joining today XXXX you our quarter for Chief Operating me are call. Financial Poff, Brad Chief thank you, for Brian us Good Dru.
discuss the Brian fourth overall begin more usual, detail. comments quarter with will and in some I results will then As
we to happy our to would Following respond comments be any questions.
past pandemic we experienced the a XX challenges, through we've beginning of saying As XXXX. months, the quarter midway to create many fourth COVID continues for a surge cases substantial of new been as
remain both While of are we have country future challenge our operationally with We team the since operations. look optimism the our and our execute and no meet vaccine dedicated citizens a our by ongoing my home year time rollout their the believe of and strategy. December. forward months, team over ability has this that environment especially Addus the next the challenges, Addus has remains of of of vital safe. been past our our I'm demonstrated to unique leaders for the industry In mission our several when to in upon and peak care strong. being the pandemic the a I of the I proud to team late elderly pandemic-related keeping a all been challenging encouraged significant This cases part members disruption and COVID reduction steady spite longer made expect progress COVID in the is about to
with saw the solid you fourth XXXX. of the we continued we announced performance operating As our in financial results quarter yesterday,
quarter. million XXXX of quarter share for for for was diluted fourth to quarter revenue for our million fourth fourth the per XXXX, of earnings of impact the COVID-XX despite on $X.XX compared $XXX XXXX. revenues from latest Our $X.XX, the as fourth up was $XXX.X Adjusted during the the of quarter quarter
increase fourth million fourth of the EBITDA was of to compared adjusted XXXX XX.X%. XXXX, Our as for of quarter $XX.X the million quarter an $XX.X for
up increased for the to from XX.X% quarter, margin XX.X% Our sequentially. adjusted EBITDA
XXXX of X% run quarter adversely rate. by with our pre-COVID impacted be fourth the a X% to COVID-XX continued pandemic, of XXXX, the decline During from our revenues to
the where case ability As we all operation business, which was patients. a personal three New Mexico of still year, particularly see third in of in to hinders segments new degrees hospice number access facilities in our market varying occurred York our of work limiting but in quarter our reduction the New this to with care this and our
place, during to X% a quarter As increase pre-pandemic be negatively our by the in run our COVID approximately recent COVID rate. the of result months precautions first last and continue ongoing will to revenues of X% as XXXX to cases compared couple of the XXXX estimate affected in we
For COVID-XX XXXX per million, on XXXX, increase earnings the XX-month of our the $X.XX, of compared revenues. of an an share million impact full from XXXX, was for revenue $XXX.X XXXX, up increase XX.X% for for was diluted year Adjusted XX.X%. as to $X.XX $XXX.X despite
million, Our an $XX.X compared adjusted XXXX, for to was XXXX million $XX.X EBITDA XX%. of increase as for
in margin our up continue Our we higher-margin see as X% to services. adjusted XX% EBITDA increased growth to the all clinical of with from for XXXX XXXX, for our increasing along from size leverage
exclusive operating government of solid at advance $XX flow quarter fourth cash a Our XXXX approximately stimulus million. was
many the home fourth timely have XXXX, care to to of During quarter prioritize continued the providers. operate we states where payment of
states relief HomeCare, Hospice, help December We The from a providing our the states our provider Washington Arizona. services with closed legislation to to monitor and on relief pandemic. expectations to significant challenges and and virus. I the providers Tucson, states financial have and to We expected Obviously, SunLife adding and the Queen our revenue XXXX relative from in budget projected these committed to lines. continue members presence. of again additional general prompt our to services making of team provider our be of losses personal partners X Queen each want the is service who our Addus be SunLife hospice Queen these D.C. large Both integration in on both hospice remained welcome care City reconciliation even two with expand On personal care schedule. of of Addus proceeding a been acquisitions: grateful has to various the MCO in Ohio; City to payments will with acquisitions in all suffering to legislative us consistent City family. existing to these activity operations hospice Ohio to COVID services in the into markets into continually we
in federal will We and are provision Increasing services. we are watching of is were see additional in included extremely the that specifically To provide knowledge an community-based the with the for Budget home the proposal on wage. Office not law. closely encouraged become we federal pleased federal our programs. wage by commensurate that reimbursement focused Regardless minimum raise are associations, various or to increases X.XX% necessary first that Medicaid to developing on the trade the may any another through and end proposals proposal matching Congressional we wage states sure funds to cost for making rates minimum resources have Medicaid may in that score the Medicare the impact rise our time minimum
On we X, were delayed until January XXXX year. the increase Xst state level, this disappointed of the rate that April Illinois scheduled
Chicago. in However, X, for increase The rate included XXXX effective February governor budget to the his budget additional $X fiscal introduced XXXX. this governor Illinois upcoming offset funding rate also in on increase July X, included XX the wage his April increase an minimum is and
want secondly intermediary revenue; scheduled not the to the care PCA, effective and individuals of number New they be that fiscal the is that on CDPAP of of process services are who state: delayed caregiver CDPAP, their Chicago. types which New considered where type a XXXX. caregivers. direction responsible pertaining as program scheduled minimum currently been training, were to I However, certain of selected as increase technically of winners special Even for a also York, represent for the large update months We the other not of a the we providers services the know Recently winning X, for and are reduce our York this process. hire paid recent who January related to of CDPAP this employer majority an for we open is becoming of employ state six employees the part is wage W-X which are the announced own number reduce This developments had and business. overall the operate personal and an as to providers months as bidder client is bidding program in increase personal a you even a are to we of last two underway care In selected. not CDPAP, scheduling act our provider on effort in of We as in we the state, hiring, relatively large though cost. caregivers. the though is
XX as ability time process a to of a take it the will to not continue – this months these is We approximately this million services. $XX which selected six including believe clients annually. will Our result continue provide of protest, meet have may during our parties recently next any during allow the from this transition current program's options explore which revenue we to at the to us filed to is whether that unclear place time, needs. At that fully time will the service
September, and positive increase September or cases and turn to minute. number reported between than suspected The In experience in to patients we caregivers. suspected tripled Let me both of a began December. COVID weekly for back number COVID an late average for the now and of our cases confirmed more
from accelerate November to Our middle weekly to numbers particularly December. the early case began of
mid-December our Our surge cases also week lower our that care pandemic have continued in trend segment particularly time. clinical personal our since service occurred in care of This peak a lines. degree but the employee and to visits, to each affected
was personal Our segment who the care personal XX-day subject increase a were quarantine by care period. to mandatory staff in primarily substantial impacted
facility certain to to hospitals Our hospitalizations increased communities. and tightening COVID-related surgeries a hard-hit due impacted access further were service lines in of clinical restrictions limiting elective due
COVID was new we For the the care company. for by negatively of rate growth of X.X%. to affected challenges number personal fourth our across our growth surge This led increase in of our a markets. This revenue quarter experienced cases same-store pandemic was the XXXX,
during had caregivers to and increase a December, of saw we enter As number November discussed the significant above, quarantine. our into in who
saw starting first until again of also week call-offs in increase We with this February. the lasting November client increase
were – October same the XXXX. time Our up in caregiver approximately period hires the X% over for August August through for frame through
were months and down to same However, versus we slowed counts, during XXXX. X.X% those we December, two hiring saw virus in where November increased the our when
were While we we from down in saw numbers our January hiring the slightly XXXX. of nice sequential a levels December did increase XXXX, from still hiring XXXX see
census Mexico new New access on such the to hospice same-store issues XX.X%, programs. year-over-year, our hospice in with services. access assisted non-facility and our daily sequential For we settings, skilled as quarter to approximately team primarily base. nursing facility hospice however XXXX, our growth average experience same-store an facilities, XX.X% increase living working continuing decrease did challenges who encountered limits in in need York, admission due continued primarily has fourth to facility-based of saw patients hospice and our our due With facilities revenue identifying of as referral decreased X%, We
of decreased Since month of We we October, this Our cases home were having continuing in X.X% increased the February. hospitals with saw health revenue our the holes best health our year surgeries. our into increase Mexico admissions COVID in trend same-store have New elective favorable steadily XXXX, and some home the year-over-year. beginning by of resume experienced on when
being and liquidity close position continue the during to additional that we acquisitions are appropriately while pipeline can several strong. we next believe we acquisition months. And Our cautious, remains
existing acquisitions on focused in to or Care primarily Personal add our are clinical strengthen which business. our coverage services We markets
multiples high, we both synergies remain will for continue operating to clinical bring Addus. to transactions pursue services and that purchase While revenue
as do the I they XX As over months, of our extraordinary times. I job have mission to living a past team proud our am continued these back look tremendous of during
patients serve have our the thank first. of been impact to continuing Addus of All deserve COVID-XX want caregivers, trajectory their in put and to especially consumers caregivers to patient homes. for our care. by to the continuing patients positively affect I in healthcare, commitment segments to Our and appreciation the team for all pandemic the our able needs of their
to the Brian, remind I our of value I the call turn want Before of our team over to services.
live over while virus we our While to turn as world, and country COVID the their care. to while of to With homes, this still need and we keep patients. a call well as that, can continue values to in serving challenge need individuals virus our is Each our them needed mission for the to let help from these where safe providing much me Brian. the consumers be
