Chief our Officer. are Brian Officer; Chief quarter welcome our second today call. Good Operating and President earnings With Financial and Dru. me our morning and to you, Brad Bickham, Thank Poff, XXXX
detail. a comments on I'll more begin do then will second in quarter few earnings call, Brian we each our the discuss As overall results and of with
three questions. us would Following to the our happy to respond comments, be of any
proposed our a results, services. rule to related to discussions the take CMS on you I the bench moment and Before update I want for turn to a Medicaid
proposed Assuring this Human in to titled Services. rule Medicaid the As you introduced Health of early and May Access know, year, the Service Department
While goal for workforce, a specific are we with the wages we the threshold in inherent concept broadening as expanding have the previously stated challenges approach, there one-size-fits-all minimum coverage our proposed the target and caregiver agreement and caregiver questioned of percentage. setting
is the which waiver services states. variance to provide administration impacts and required to This due community-based wide among programs, state burden directly in home the individual
provide quality rule regulatory by compliance, home and These administrative to have due services, and populations, to unable We inadvertently opposite larger also that burden intended those the reducing proposed especially considered challenges, significant with if rural addressed, may properly believe be small providers to related by in may the and costs access effect many care providing continue community-based rural particularly in providers, states required services. not local areas. and operating the to
We Rule. our this letter recently submitted comment to Proposed Medicaid Access
proposal consistent in Overall, CMS CMS, We Association Medicaid as development the the well participated data related trade to Many California, shared threshold review our concerns expressed or XX% were potential serious the the to evidence from comments of the the the or proposal one-size-fits-all difficulty a comments Directors, including comment of threshold. support negatively to and Washington, including with and including letters various lack in opposition from Medicaid states. significantly the Oregon, implementing to of comments minimum comments, approach, submitted to impact over From the opposed. ours, access. other database, also XX% XX X,XXX XX% observations were our of as through National States associations.
session on or associations. that any specific national Congress Services and trade participated either CMS to states and provide state several home-based invalid. a setting data filed XXst, staff and legal no the Department care threshold to providers, listening strongly asserting trade other and a threshold the Addus from that the were Human of On authority law in the limited rule the several July mandate representing arbitrary based Among letters therefore with not on comments is did associations administrator, firms the proposed CMS Health XX%
These associations collective verbally presented and the regarding providers' focused primarily the proposed expressed rule alleviate rates workforce on to crisis. alternative increasing Medicaid concerns approaches help
will to Congress advocacy now, of As and continue. education and others
XX% the conclusive will expect challenges threshold, we rule. final rule CMS it initiated. Once However, includes until action published, final be issues legal a to an no or if is occur similar
comment vast by know While with encouraged many percentage of of not do minimum the volume any diverse expressed action, of from parties, are concern wage which we threshold. the majority we the outcome our all of significant
the may In is important to its substance will if and proposed note proposed letters we operation, issued have rule implemented if impact of challenge. implemented the the or an be begin the on is a and to summary, would withstand long-term extended – implementation when these, longer even legal volume not period be and final Among final the the final subject and year were our a therefore when unknowns might emphasize challenge. know subject rule It many around rule be it comment on legal there be impact as likely to for rule timeframe. implementation do period four that to are the that and bottom and
would to we PCS proposed the cover as rule not rule. operational business our covered to proposed currently also the impact manage services. minimize personal – not our final would changes addition, In the parts of XX% be our We proposed over The does rule. estimate of that explore care by existing rule revenue potential any of
quarter want we quality turn financial clients quarterly Now in strong the allowing Yesterday XXXX. while financial These care us indicated our results I consistent providing the and team our continued thank home results second deliver announced of financial patients by to to results. for performance Addus. me to our the for let to these results.
per the was revenue of compared our adjusted second resulted in $XXX of of share total growth as share XXXX, earnings of adjusted an increase quarter $X.XX of second million, revenue for of XXXX. This for quarter an XX.X%. of the $XXX.X $X.XX, XXXX quarter second X.X% earnings compared per an as million increase the For to to
Our million the an adjusted EBITDA over XXXX. increase of XX.X% quarter second was of $XX.X of
be continued strong of see continued the XXXX, flow operations position the and quarters. seeing than leverage net in strong second additional cash a two sheet along transactions financial next a have as flow we quarter as our EBITDA to maintain adjusted which to over to pay give to has the we flexibility, less one payers This times us to from continuing of should opportunistic During conservative our anticipate with timely states enable manner. to other market come balance allowed us management cash us
to acquire operations our is our strategy, with will While that align of diligent financial our our to goal we capital. overall use strategic the capacity to continue growth use with be
case overall to the quarters, the few environment As over has last improve. been labor the continues
second business continue care During of personal hires day. to segment in XX we the quarter hiring per XXXX, with experience solid our
challenging and to in we on candidate we personal will to time seen the management meet although with of been application continue our shortening is by implemented has application approximately Finding XX our timeframe compared be ways the and segment new more engage us now in days. as employees has potential system, us modest which first tracking service time care reducing the allowed help than continues focus in continue target. visit between clinical between our Our better segment, improvement to and to fully client XXXX. hire our lines, narrow Hiring this have to growth to across all
that hiring been to have have in clinical markets rate impacted more in improve continues certain those and difficult While our there are our markets. growth segment overall,
During we date, the few $XX Rescue we the use the million have Act, received continue still which to $XX.X utilize received to ARPA. Plan million from To second or quarters. over funding next of quarter, we American remaining have we the approximately
have been as recruitment As is mentioned, retention deploy support to remaining to we the and continue with efforts the help and in efforts these previously future patient our care those should funds. helpful funds
increase of $X.XX we our of on of Illinois, for hour. X per state As April year, received largest this an operation,
our and all continue to result, our of caregivers. us for state increase per Illinois July This minimum X, reimbursement XXXX $XX.XX rate now allows covers the raise wages Illinois wage to Chicago in a As is hour. increase
most our reimbursement in to from support state pleased strong are hour cost the X, effective budget the approved for per January see recent as rate XXXX. We of $X.XX increase an
for I'd decrease additional One proposed issue CMS like to is home health discuss released. recently the rate that
home take of industry disappointed continues this level We the not into wages increase does propose expenses our that in care important are very has that rates to experienced. and for CMS consideration
when published we increased has hospice health a rate more home a that reflects final appropriately the slight rate home While in the improvement coming only cost. saw health rate, final so proposed are hopeful recently year, our will seen
lot will continue few that the that likely we are moderate growth. to to for overall acquisition our years, these However, opportunities strategic we to look believe reimbursement over such, and are pressures as next
our Now let XXXX. me the quarter second for growth revenue same-store of discuss
when segment, XX.X% For the XXXX. our was second personal revenue compared to same-store growth quarter care our
saw care sequential X.X% basis. hours period X.X% on and in same-store day During the a XXXX personal second quarter XXXX, business grow quarter over we same per the
see growth and hold our to various scheduling the quarters. contribute We excited to past and hour are take several beginning hiring to sequential over initiative
not as to same operation, quarter reduce from over home continued clinical our that the health adequate do segment, admissions revenue cover to reimburse currently us rates our our to same-store payers Turning decreased XXXX, XX.X% in we costs.
episodic we limiting to mix as from of gross MA admissions margin these volume did primarily lower non-strategic intentionally see While overall and profitability. improved did our due admissions our plans,
allow certain our volume continues selectively work commercial forward. our have Medicare rates, admissions adjust with a rates to contract will due level, our payors to more appropriate to contract team Advantage non-episodic which managed more we limited While going accept and care to us to
rate, health our we ensure In staffing value participate continues it both team the and value-based addition in of services and our mix the work we We personal services, improving remain where home home about maximize renegotiating health excited particularly our complements contracting we case provide. to on to as operations care operation models. to
XXXX. revenue to Our quarter X.X% decreased compared second in hospice same-store when the
revenue However, excluding our hospice same-store flat sequestration, was year-over-year. growth basically the of impact
While quarter during compared in encouraging pandemic, from it our continuing longer ADC growth first to to sequential as to the our hospice segment recover see is the period take after XXXX. of to and is difficult the
an of from coming increasing to we quarter, nursing length second see stay the skilled patients from facility started referrals. During
from end our length our exclusive has patients. historically We XX As trend on XXth. May is of towards referral public of typical primarily stay certain quarter, length to the health of short-stay of proportion higher of of which the provisions which a part operation, a expiration implemented hospice sources, a ended of the those medium this days was as stay declaration, of JourneyCare more the due emergency believe
on as Addus our This will duty the certificate Care add a to for provider of three annualized through services approximately closed we in home home-based hospice our we locations, an acquisition additional and locations being nursing us average Tennessee to as as it health, announced to health services. home Tennessee into Quality and XX and of in in revenue. This transaction, of attractive we look private need novo able in nine market as state. very hospice a X,XXX strategic of patients an de Care daily counties a we allows all also future. care be is census a well morning, expand $XX offer million generating covering over levels this service acquisition, area With of Quality XX Tennessee approximately counties serves
about this our new new We to look team the with of forward working member. are and operation excited potential
few personal in both services acquisition focus past potential and care healthcare. we have around strategic our the quarters, Over opportunities discussed home
we personal to the Access CMS, of from in in Medicaid selected care relation Proposed service announcement acquisitions far the the have line. Rule more With become potential
services, rule. continue with strongly While PCS to healthcare strategy believe prudent is towards this modifying home proposed our efforts hospice care of we believe and we primarily providing focus it our to in personal
However, remain highly the we PCS acquisition open will strategic any opportunities to emerge. space if in development efforts
to the to hope value-based our of are year. continuing to efforts, outcome from care data by positive our results the end share various for contracts As see have and we initial
are segment still status in the of early with While significant have into long-term pleased we we this the our more value-based part stages current of of efforts, our grow are to business. our goals
of of to type payers a However, with to on great work see from these deal interest continue us wanting arrangements. we
will We help value-based strategies resources XXXX, part an are opportunity revenue related growth operation. believe which technology and in of in continuing us invest this our accelerate our we to in give to
care. we contracts now states With to believe these can We add markets. offer where levels us the Quality most well continue recent of in three all addition three value-based of to acquisition of Tennessee Care, positions this our we have coverage
of care each majority care who favorable our a patients, and disabled for cost support work We in care. team We care our say, quarter, is one is awareness receive outstanding that on of providing There be no clients for value for so effective they are the safest believe and home, families. company. and will providing the of heightened incredibly hard our of proud growth our operations that so and the of growth caregivers dedicated to our to question to receive want appreciate As patients industry clients, our and this and understand home-based the opportunity dependent and and their the remains are place I patients. to am consumers elderly our I the most care and which
turn With me that, let Brian. over, call the
