Acadia Healthcare (ACHC) 28 Feb 242023 Q4 Earnings call transcript

Good day, and welcome to the Acadia Healthcare Fourth Quarter and Full Year 2023 Earnings Conference Call. [Operator Instructions] Please note, today's event is being recorded. I'd now like to turn the conference over to Gretchen Hommrich. Please go ahead.

Good morning, and welcome to Acadia's Fourth Quarter 2023 Conference Call. I'm Gretchen Hommrich, Vice President of Investor Relations for Acadia.

turning are our Acadia's provide Chief our harbor today and Executive you me to safe Dixon, over Heather Financial before with Chris Chief Hunter, Officer; with Chris. Here call the Officer. I'll first forward-looking among statements link. This website To measure Private in call, and Investors the GAAP calculated conference reconciliation Acadia's XXXX that according you contain for discussed most of the our a today's measure find to Act call extent the to and expected performance the under the within may financial by Securities of release also meaning directly XXXX, others, quarterly Reform is news Litigation financial non-GAAP of any beyond. viewing including measure yesterday's will annual statements, comparable on financial regarding

cautioned differ and may call actual with conference the fourth Acadia's opening would the operations turn the in by You Hunter, and results be Officer, set among Chief Commission like these to filings quarter factors, Chris time, materially from statements. At Executive release. are consequently, this forward-looking statements Exchange affected for in others, results and hereby important to I our in the over And forth news company's the remarks. discussed the Securities may that

Thank Thank for everyone. Gretchen, XXXX you, and with good you us Conference being for morning, Acadia's Call. Fourth Quarter

outstanding solid and financial for another of capped year strong off quarter Our fourth operational performance Acadia.

strategy on positive X execute team across our of with has to continued Our business. lines results our

of compared XXXX, the fund of growth both XX.X%, XXXX, recognized full from adjusted year revenue as provider EBITDA the growth to growth and EPS in we XX.X% of income relief periods. reported annual robust excluding adjusted For XX.X%

fourth results. quarter our to Moving

improvements last improvement throughout increased to patient the Our consistent and see pleased by XX.X% year, day in rate both compared of trends XXXX. our with same the We growth. also increase facility were driven with quarter fourth revenue labor

of XXX points. XXXX fourth to of of from is over the Our fourth quarter X% which below a XXXX, basis decreased in in peak of wage X% quarter the inflation improvement an

In drive employees and addition enhanced operational facilities external a to in retain and market, competitive labor engagement our consistency employee have market. initiatives in to improvements attract more in the our to our ability higher

our employees on emphasis levels are benefits Acadia our on training investing for new hiring across practices employees and for over focused career while support clinicians extensive high-quality sharing provide facilities. more retention the technology time, more of annual X% patient growth have facilities. day and opportunities and evident intentional development We tools ability We've and clinical at in support that staff of at our care. had same in all an ensure to also patient XXX to improve progressive Efforts we to of best

higher meeting job and operations. managing Our the patient effectively an in team done outstanding has demand

that additions we quarter, pathway fourth our beds X fourth as and one XXX extend pathways to first each expansions, XX the continued our total to follows: quarter of beds our during facilities of market defined XXXX. a support of During reach in added for through the add we in facility existing capacity growth

in line goal pleased beds. that with was XXX We stated are approximately add this to our

care de we behavioral owned on for second wholly focused services. in underserved our novo facilities markets remained For developing health pathway,

During Hospital in XXX-bed the opened Illinois. Behavioral fourth Chicago, quarter, newly Health renovated Montrose hospital, we adult the

in to inpatient expect which XX-bed We have Indio, Health, we open Valley also completed hospital, construction located later this year. California, Coachella Behavioral on our

million our in We disorder opened Americans CTC in or continues continuing new for remain we focused epidemic goal in to OUD. CTCs Our by in to approximately in drugs past opioids opening to who expansion CTC up and opened to misusing by in offers XXXX. The quarter, for XX X the fourth emerge. opioid patients CTC our affected care potent on year, with opioid line comprehensive the total service the new, CTC our use locations intensify XXXX, line year X bringing are accelerating more X with

have highly opioid now entered since with positive a to evolved mixed XX% XXXX. urine and year, fourth that fentanyl now to include epidemic the samples methamphetamine. According now last wave Methamphetamine, the fentanyl was cocaine contained users In in waves drugs of first positive substances. of third tests have XX% found which heroin that the then drug fact, to some report, as an of XXX% substances from a nearly increase the polysubstances such and addictive believe recent in drug and additional second fentanyl to as is fentanyl experts in we wave prescription and

As proud of of score area quality and measures telehealth on how solutions. But or driving regardless recently our quality of access and strong experience mobile across delivering remain Accreditation to patients business, spanning Facilities we were traditional come focused programs to to always a to OUD Acadia over Commission priority received opioid an a we improving for continue is by outcomes, treatment CARF. or XX exceptional vans we the expand have our clinical top Rehabilitation on patient treatment, OTPs this and important of XX%

an our growth we for establishing country. the premier ventures. attractive with health partner Acadia joint expand For our across Notably, third through is pathway, reach to relationships of working are our systems considered choice

Thomas, in venture XXX-bed the January years. In leading Creek XX nation's in health acute next provider, As hospitals partnership Saint Ascension on across to XX care XXXX by the partnerships the operation already will focus the ability current second integrated behavioral for Acadia's to hospitals joint and hospital. This joint with the constructing venture clinical and and operations of behavioral one follows announced a XX with expanding Acadia systems. in behavioral expected Today, we Seton, in in joint Texas, a venture expansion venture The bring health existing communities. Austin, proven partnership XX facility leading more over has our experience and hospitals Ascension early XXXX, Acadia Hospital of a joint of health expertise additional few health with the company's Ascension is behavioral expand pure-play care opening a Nashville. open

health of and training is operational Ascension testament surrounding with Seton partners, behavioral our in health continue partners. The the to fellows hospital joint will close future to and compassionate leading a financial University with role of School communities. track The have attractive will and a Ascension partnership the our new be to play solid Texas our Austin. Together Dell will and our remain of providing care commitment the supporting Medical communities. with from new growth, care reflects to high-quality and JV will behavioral its ventures local Austin the hospitals opportunities we shared to in venture an and joint at need Joint the we residents at the critical geographies. important venture partnership access be students, in strength to our one work Our outcomes and expand to about in of providers sites clinical, with for in other record excited Acadia's proximity relationship access

market closed For provider previously Turning allocation objectives week, look Utah, the criteria that strategy. for substance Point use our has acquisition where continuum continue our services and acquisition supports of to the we capital that all the present. growth pathway, City, X disorder fourth XX-bed Lake Centers, health we Acadia in of market Last acquisitions and and market. represents Salt of completes specialty our lines metropolitan the support service a This mental that first on of announced meet treatment primary care our

Our our strategy. to fifth and the clinical final care continuum pathway, of extending growth is important

provide after needs expanding benefit our fourth programs level pathway the again improves also enhances acuity from the is experience. We during majority high care outcomes day. key outpatient up quarter, total added this outpatient programs but overall change. areas only and outpatient they to also not X calendar intensive a of in The step bringing PHP as partial clinically to that Acadia's stay, hours acute as to of during these in clinical can focus offer XXXX. care of of XX IOP, our patients from discharge can This X patients added One XX their the patient programs or acuity programs step-down of a enable but hospitalization specialty per programs,

services our down IOP PHP, portion We discharge eligible stepped to today. opportunity utilize clinically to are a patients also of for post our working care to PHP, increase IOP patients only as the

acceleration As existing at bed our stated average we our bed are XXX goal step of an existing this in approximately facilities. XXXX, bed to is additions a of of Investor approximately additions historical pleased XXXX, from XXX our and additions we expected year adding we will facilities, X,XXX Day on include in December that up beds. This to which by deliver to

Florida, in new Colorado, We in continued Texas, facilities XXXX. to Wisconsin open progress that make Arizona our on Michigan, and California, will

locations CTC new XX to up open XXXX. to plan we Additionally, in

care As priorities we is best market of operational every we quality reach, delivering do for foundational continue the Quality drives remain aspect safety top effectiveness. patients. extend and to and outcome work our possible patient the Acadia to our at for our patient

quality are building risks data utilizing leadership training, analytics Acadia identifying serve thorough proactive a and monitor teammates our including through and technology, to Our supporting providing platform and for daily, focused the patients care initiatives predictive quality industry-leading on to and progress. competency-based we development our tools opportunities

our significant stronger investments us in clinical made XXXX to enable have technology outcomes. capabilities deliver strengthen We further to core

and retention, clinical investments helped medical satisfaction support recent in our electronic workflow Our improved records efficiencies. have staff with employee

the insight leaders of every Our behavioral from into EMR, clinical has and at we practice optimized side. using our science several the ensures been implemented nursing translate best of which medical bed

touch measure and a These outcomes In core to investments technology, with addition, ability implemented with the patient have these in enhance and better combined technology for fewer care. access provide in facilities patient provide for monitoring patient framework collaborating to important we EMR payers. outcomes and and promoting incidents for higher The measure value-based our to safety. XX infrastructure, now is care data demonstrate care

to look growth of opportunities over the proud forward significant extend year are serve even in to We patients ahead past to our Acadia the market and XXXX. more and for reach impressive our progress

leveraging accelerating care expanding patient improve delivering clinical and care all services across highest the priorities the will strengthening strategic and focus to with focus quality facility enhance Our patient growth, continuum, outcomes, capabilities our on the on care. strategically technology

for quarter scale well mental results discuss issues. At work We safe, call to substance to quality are our clinicians financial every and committed over for this financial the XXXX employees to need treatment critical use who our turn will with the strength, time, address and our to nation's now guidance. for health the and and positioned hard meet day Heather I objectives

and Chris, Thanks, good morning, everyone.

quarter business XXXX. last of quarter financial quarter, year. reflects We line with in in achieved up and for strong revenue the $XXX.X million consistent performance solid fourth growth the fourth in top over our growth Our XX%

day and of XX.X% which Our and growth included million XXXX, XXXX. the Relief the quarter increase related compared income the revenue CARES patient revenue Act patient days of X.X% recorded fourth quarter $X.X company of same-facility to of fourth by grew XXXX with quarter the per X.X%. The of fourth during $X an established million in of Provider during Fund the

property periods of of $X.X gain periods, XX.X% PLGL Excluding $X.XX, Acadia. up include that impairment, income income in from priorities a the disciplined of unfavorable XX.X% Acadia for million or other and the for transaction, financial million, diluted per adjusted on the items. adjusted quarter recorded with year ] and sale the strong PRF legal capital previous for the adjustment year. Consistent are Maintaining as quarter was tax per quarter was stockholders XXXX to 'XX, to loss both share the income costs, to as $XXX.X fourth of allocation fourth attributable and over for the position prior 'XX all of of $X.XX top share related income increased on effects adjustment prior diluted fourth EBITDA well and to the from [

$XXX.X As million approximately our revolving had a in under facility credit X.Xx. and and with XXXX, cash December cash net XX, leverage $XXX we million of available equivalents of $XXX.X ratio million

to in XXXX, on to by agreement 'XX, New settle announced increase we in previously X our XX, disclosed. our previously As entered A into million. Term Loan we million credit Also lawsuits $XXX with lenders paid January $XXX an amended Mexico January

our to XXXX. on for outlook Moving

our the in and in total established the range excluding our acquisitions of approximately of X,XXX in diluted share additions, press $XXX adjusted range million, noted includes As EBITDA release, XXXX of earnings guidance, million per $X.XX $X.XX, in we of to bed billion which to range $X.XX to the revenue billion, adjusted $XXX beds. $X.XX

payments a state received $X.XX from reflects earnings of year, in for guidance XXXX million range which, and million range per follows: financial the as adjusted also in guidance onetime adjusted ready the We share expense. With company's was EBITDA quarter guidance approximately $XXX other include of $XXX approximately of legal a our a to any of $XXX days guidance or Please share our established $X.XX diluted to million share year. diluted of in and that as the includes first million, legal that, range future operator, to $X to open impact does of growth expectation the diluted transaction, XXXX. Also, or revenue for patient a revenue $XX million, reminder, for same-facility by we a $XXX day will nonrecurring note both the for and for the questions. of growth quarter first divestitures, settlements million $X.XX that acquisitions, the driven per per in be not full are costs or call $X.XX. This per revenue of mid-single-digit

Instructions] [Operator

Leerink Partners. Today's with first Whit comes Mayo question from

And as that's more you something? state the DPP for share you're just And to on investing be start-up year, I details assuming a as also much corporate this supplemental last if what then can just overhead maybe could the year? frame us payment that inside I think payment. don't or presume million any Heather, state then for you're guidance, like on $XX you losses? going on

you're I'll DPP payments, split The correct. that in go X payments. $XX is onetime payment, a reverse maybe order. state million over That

for to quality, investments in investments continued we are to starting specifically -- that we've we in selective our the the in meet terms marketing, benefits of quality business also managed as demand we've of costs, off, to example, those seen growing that pay to a we our increase just trends labor in those many prior IT, we made corporate from year, did We're about And areas. care. see and ability and have stabilize whole, care, positive that the deliver see talked In QX costs seen but starting XXXX. see XXXX,

is to Turning as costs throughout the specifically consistent the moderate year. XXXX, And to will leverage sort to year. corporate expect expectation we of move continued revenue percentage see of throughout relatively operating a the leverage stay our see continue to continue as we the that as and we

to to In range million bed. really of the run not They're for in per a of terms costs, significantly similar start-up XXXX, will start-up million ending quarter. of year around around million $X to expect costs of higher the because the $XX probably the million and we opening full $XX $X back the

little you'll see per bit expecting a So probably costs. what But that we're quarter. start-up that's increase for

launching early, my as of of desire program. just these to behavioral Great. approved on appears And second question, seeing I Chris, this waiver value-based just new is participate care a any the integration to it. on behavioral XXXX your it's more thoughts primary CMMI pilot some care be what states We're with focused know from in preliminary to well. a lot plans but with

on thoughts of have So if you just any curious both those?

see we're in tracking really mode the largely closely. just glad waiting to of detail But I a areas I still Thanks, additional key to Yes. for the I of we're announcement. it Whit. start, CMS. I'd mean, we're from I think mean here say number overall, mean

the those would eagerly So have think that a funding capabilities and participate cetera. But some details are released. track the just that of yet something be ongoing number is of participation, model, care to we'll those the It just and continue eagerly, to would to details really model, those we're program that we and like come. we in, And geographic et details that to are the specifics. we awaiting compelling await key overall, include

next from question comes today UBS. Rice, our And A.J.

growth, happening ways industry the the if take staffing one wonder guess underlying growth -- faced I give have underlying is X can could some And be flavor demand there's now. constraints getting seeing what how just and easy volumes from growth us be for to of true the also to a in able much is to you're you been patients? more staffing, you be know continued important demand access just because an seems demand, on trending? to I that just I of little story. Obviously, but volume part some has that

So strong. to a I be also right, capacity benefiting of last for our We're there's down. both. the seeing That's We're over very A.J., you're continue of would the certainly that additions not couple from mix demand we've say slowing services years. made

accept see way. facilities the So the we in have capacity that we patients we the our optimize have ability how meet to accessing it's additions or owned demand, starting we're and through to or in to make really the fully whether novos right then coming JVs. And what's de ability sure

trends. seeing ability also We're those and contribute ability the our patients. that investments improvement to the ability to We're the stabilization labor right. our made seeing certainly serve labor all to and serve that to to in of really see That's to our You're begin contributing we've beds.

is just quick of to we're this that expect the also that And that. A.J., Chris. And we see. remain meet us a recruiting in that practices volume have helped couple think put we some place of I to just the overall, throughout to things case add on 'XX. continuing now this I

Just engagement point talent. in, well. employee as helping us these of think in helpful I to we've also all, improve done been out make a that employee safety have patient investments attract continue that initiatives I talent mean, few care extremely that and we surveys technology retain I as first to but might are

enabled some improvements real on referencing. on demand then facility, to clinical also it to holding think that front, I to onboarding significantly staff focus operators and front our that we've measuring and every it the you're tracking just intentional think have that for meet some led us also in that relentless has the has accountable seen engagement historically. And real helped employee I and our us training variation

So...

to you're just follow-on And helpful. that's so strength and and the a is I maybe that commenting No, forth. rate on the know updates

mix think And tend even across comment the Medicaid, been seeing? commercial, more be shift? The on the trend you're is board? you XX-K, to I in you it has provide some growth Can payer mix seeing that typically any you're in in Medicare? it does data, resulting any payer

will see sure. Yes, you What mix. can the see give right, update payer you you're the afternoon. quick whenever you'll you this on a I it XX-K, A.J., see,

more part slight that from Medicaid at see XX.X% as a continue growth, new I certainly just percentage, the where the Medicaid, volume of would resources and a driving we went the about things to related mix. And and There's sure bed additions of XX.X% in say, we've a build to demand talk driving or in there to is payer that's is the beds uptick relationships that There mix part of it mix. new to have strong facilities some can really couple You'll have there as of we make we we opened expanded as facilities. it the then demand. referral increase meet

a increase the in sort QX. business the behavioral that's Medicare, We kind in facilities good certainly, in bit Medicaid some continue bit we've decline historical trends, have through have or funding historically. of sort bolster of Medicaid of part see a we rates little seen specialty Medicaid. our it really need And that a seasonality. and a Medicaid what say I of comes the to what's they more programs as the leading have our QX, Typically, they little commercial the and book would And to that the performed in part of we really then on part than normalized of from seasonal saw is from better bit payers perspective support that to our a the average, from then have. declined growth. And that's certainly incremental little

from question And Brian Tanquilut Jefferies. today our next with comes

the comments what about take or from say, order think I Phase should in the investment you I opioid advantage how IV sort opioid of or emerging of continuation you should further expect as maybe to do about to opportunities the we're of, to crisis? make of Chris, in your make this we epidemic, need

invest, to but team also Brian. together for Yes. for think our only facilities Thanks continued business, have. really strong that mean, the I in the CTC just we've not pulling question, we I a optimizing

of an make past think the job, in excellent that and I sure of an done be beneficial we each that. at put significantly done times variations ready. We CTC the in with an these advance to of very excellent our our want check them had these facilities job of we've and redetermination in has out we continue when they as place do wait in that investments example. We've for seen reducing were enable of we've They clinics place And that kiosks year to made this kiosks inside in. X to in that minutes. patients team get technology to

are overall, will navigate to redetermining that, $XX-plus beneficial that team, we've coordinate we our So year. magnitude many very I reasons I one RFPs given ensuring the particularly make anticipate been of And are that to ability the settlement we of advance company investments the think modest that's I through that been particularly dollars. of able well. But of to with as these to across handle opioid is the right in we think to that past able there the million that this have well think be in respect just

call out. There that units considered which and would we've from for I things that obviously area DEA is one regulated critical. dispensing dispensing is precise are dosing some also technology that's very So methadone, standpoint, a

that of optimization looked I really strong we've it just and would so deliver. at operational But technology would continued there of continued some call job And this has investments to are I as these significant none that out, team well. call the

could year, this or Austin the sort lot patient X,XXX uptick that going got growth announcement, I a sense. an And adding -- the in X,XXX of another And That think then makes XX,XXX so day we next as forward? maybe fact expect you've about year. think and you're I beds of then

has for growth take last I'll quarter. been that strong day seen one. patient we've The the

-- it's sorry, how next the quarters fourth for year. for the We going trend to X for are thinking also about

plus the the year to X.X%. at for days XXXX years digits. full that's the full the saw to for the X% X range, we're over that see to patient And minus. We in what we or a we had 'XX, X%, that year higher just previous level hovering from for of an -- seen growth up uptick mid-single do For in around for X% expect the sort continuation

So maybe that came a direct we to we answer but higher with in. see is that of pretty your to question yes, do continue with sort expect consistent where range,

other Yes. Day, Brian, XXX I thing XXXX that of we out year And both just and year. and one lay is in guided X,XXX would growth add, the in we this significant next to one from when anticipated stepping our in ramp we had up Investor as really bed then did the XXX to was XXXX that beds what to goals

very Ascension. we we'll come so Ford expect Seton in we'll as with Austin, X my that to deliver that large later de And a just well. And another there's to open on Ascension from then facility XXX Detroit, we number ability year with in particular, projects a I outside there. facility, feel this Wisconsin, JV our later which getting beds XXX-bed very Henry which have novos to the and of then facility Tampa, particularly online -- as to with continue And that. Obviously, one opening visibility there number have our we well. that XXX this in a we're we Mesa, in over Ridge ready a be year, facility facility confident Madison, in opening open in said this is in Intermountain, Agave into second then of beds that Denver is the remarks, a in year of facility strong there's

our visibility to And well additions. I We our from this as as that ramp CTC then bed well. also strong novos really have XX incremental de year into will mentioned X

laid in guided that just we X,XXX, previously what of to year. and online this we've beds all visibility that roughly into we'll strong give out X,XXX us continues to totality bring had So

with America. comes Bank of question from Fischbeck next our And Kevin

It like I making on XXXX? expense us expecting the of just sounds lot for labor. you're you a guess, you're labor guidance progress can what growth in tell

problem. No sure. Yes,

So yes, we are pleased.

seen some progress. We have

really the XXXX. We're base wage engagement think have part we continue we've for the X% made has We wage you specific pleased year, the focused of of we did QX 'XX. inflation over with the geographies, see that of If that talked to we've and managed level an inflation sort pockets down investments investments we for decline, below about We in past as first improvement inflation, the would base continued mentioned about. some call, saw and as challenges, wage still employee of made. we've Chris know, during initiatives but in the you on expect

and we we base wage reflect that that that, rate, inflation continue we So expect see trends to will that saw exited more as the normalized we'll XXXX.

over just we had Just and sort as a to points reminder, below we've year, a high down basis last come watermark, XXX QX, we had of -- QX or X%.

Okay.

you is kind the in term? think is near like here from a of there's to this rate the So X% or not down X% run step where

be the QX. in just we tax the the have But cadence in come near of have bit increases, little we for say a that, from would wouldn't I normal as and rate would new some payroll that of We'll would I expecting we normal of term sort see a think quarterly that XXXX. merit apart resets be this that.

relatively but any from sure volume want sounds And redeterminations? was then make all at I QX, like Medicaid in disruption the strong to just it

no. take Kevin, say I would mean, is I'll Chris. this overall, I that.

in to we be year. of were the same pleased the that we the the throughout trends fourth continuation the just seeing During third in continued quarter, quarter really and

on volume a patient forward. either see patient So impact mix we or significant just don't going

and consistent continues very be the to impact I think manageable.

that its our complete we, run year XX% continue quarter. And patient I largely think we're by our the midway said completed through that population will patients to and the And course, really patients of just anticipate remains of we'll had process XX second alternate I coverage ability the -- I think the that we redeterminations. the are about vast of we by think, end that majority experience estimated saw I a in is and we year those ended strong. which coverage consistent of the seeing of favorably coverage third really we're is to our have lost secure quarter. days patients our what resolving forms within with that the that mean, for notification, the

continue be the think to we of we're trends going overall, just continue just to continuation from and to cautiously a optimistic see QX. So

question Fidel next comes Stephens. with And our from Scott

or terms drill Medicaid generally you've talked a more the wanted rate Just in interested say that around the FY curious Medicaid for are in, in to then on digits. And increases back as budgeting on that and Would kick both you year? the what any in assuming or mid-single to side, starts trending of the I'm mid-single-digit of half the just rates in books. And about Medicaid range bit you're that commercial is variance? between 'XX there in the cycle the the

of the half take me first that. Let

lines. and terms of need in market would of variation. and what in I of course, markets what bed payers is the the the rate, just those the sort what across on pretty have the lines, mid-single-digit different markets, say have factors. So is business depends consistent is of I the growth. you and expecting we And It year across and say, consistent always below, that, it's a What for payer above, the some pretty we're variety but it's some is would that across

of It's as from deviation that call nothing I So consistent. significant out we need relatively would think out and a point to that that. sort

and year into lot is the growth full don't to the a the year. and that the the as projecting, mid-single-digit visibility the question about of which level. half of usual, back think have we rate the second specifically have visibility into We do we for first we're half your half, strong As

of of portion and payers we those having, to of information come have the sort have Medicaid go feel that half conversations you year, for significant half those able see in say, are our the specific year. But through any those we'll contracts about for the give the about, with second the We I'm we're payers as how have really first continue renewed to of continue any or year. and have and seen the of that for good half really we and visibility the year half watch other conversations the the of second the a to second before we

And Got on just question. my follow-up Okay. it. then

cadence to vantage sort of Just flows current both normal of flows, there's items interested to point that Or year? do largely and out? you'd cash to if this you XXXX seasonality quarterly of operating about that sort it's want this thinking a unique the EBITDA at call and EBITDA relative cash to be any when going think from

volume a couple will with ago, I first see has the that know, Yes. as cadence comes you as perspective. QX think relating seasonality little we QX, will cost then some through we the in we we of as have cadence. And inpatient the to do see, normally from as the as payroll period of from of of relatively and And impact that seasonality days. from and QX of growth XXXX, slower similar. calling taxes a bit from the years year I the normal from a out year-to-year. We pretty think sort mentioned, you'll probably a part of normal QX holidays mean normal ramp Obviously, little quarterly abnormalities. sort reset the of then bit look beginning at had what be I begin the the sort the holiday quarter consistent that usually QX

would I what that's So expect.

impact QX, similar. QX and QX QX think normal then normal of seasonality probably seasonality, I look we and have pretty that

our Fitzgerald. And from James at question Cantor next comes Sarah

I you're bit was hoping deeper the could making. technology little into we dive advancements a

you think do monitoring. and How how of more think So changing you you patients? about tablet when the about talking or Or are workers? remote they nurses? remote see that say devices like of Or Can you and clinical the monitoring, efficiency do talk it? video workflow remote about? then about talking camera-based clinical you when And about talking are RPM your Are type like daily efficiency what you more you devices?

is this Chris. I'll take Sarah, that.

we monitoring, but time. generally the have that we're track of bracelet staff and them where tablet talking able For are the appropriate effectively of not one about monitoring able video our to a is at remote on check wearing to the being a patients

are us a for duration, execute that and this themselves XX-minute on enables As to duration follow we to to acute really that and X-minute through or checks you to to bed know, others, have do patients, requirements. a those those our monitor danger may and particularly from

we to XX So that's or been also out facilities out as incredibly that helpful continue roll and as we've EMR. rolled to

board. quality. really strong quality to be national seen really to that occur. the which see with these screening, metabolic just continue as perform of outcomes quality start on patient We will most and are payers where and continue across seclusion, think really metrics discharge measures forward. We've important to we I ahead just the a to number overall strong I national would And improvements frequently well really is metrics, in benchmark very planning, events going important the staff continue restraint injuries of well, both important as

seeing from clearly are upticks, standpoint They're a So I seen earlier, as on compliance because patient an trained well. this in We've on benefits and clearly, and EMR. clinicians said in paper. age safety we're day satisfaction employee not just trained as

is not when that broadly, level the that and to been in health see facilities relative dissatisfying board, we behavioral of Med-Surg know, very there investment, across so has Acadia. just our historically And into the not they as industry the come you

improve efficiency our safe. think also think manner just very I effective. And standardized us together patients storage to our safe and paper more these that efficient review all then our I quality-oriented patients our utilization all your everything overall, charts, of a make ability cost, to quality from been the and has in to question, reducing documentation and serve from happen to staff to things tie in enabling So keep

Peter with Chickering question our next Bank. Deutsche And from comes

quarter, also the if What were of about that in that percent break would here. in revenues And pricing growth CTC is out patients the around from ballpark? I versus ones growth of you can the and quick XX%, Some amazing? think be

Yes.

what it's So -- Heather. you'll see Peter,

the You'll business sort and just CTC growth under at later line, XX% right see was -- revenue by this XX%. right afternoon just of

quarters. what the with consistent previous in pretty we've So seen

volume asking For you're you XXXX? were rates? for, breakout for versus asking that is for QX Or QX, the asking or for --

Either would lovely. be

Okay. Great.

And days a mid-single year basis. full both. XXXX then X.X% for growth for then expecting per the for the patient on we day in QX. the digits patient of QX, we're XXXX, XXXX, And same-facility So revenue for was saw X.X%

rest And CTC with fourth X%. then growing it. so XX% quarter Got out of the the looking the around implies business at is at

sort CTC? in I EBITDA over growth from any of guess So coming Xx from CTC. growth of quarter color the your the on XX% what percent came

No. to consistent. would relatively business that those just I we see lines, say across margins different EBITDA continue

the specialty quarter-to-quarter lines would only out the I As of few across and the then from is there a X our closures thing closures at business you those, look business. we point were -- were XXXX, those in during had that and

pretty little apart a So by that, as contribution you'll look there bit differentiation the at But business you see from revenue line. of consistent.

question-and-answer This for conference concludes turn the over remarks. closing Chris to like session. I back would today's Hunter to

Thank you.

the and to I employees our facility tirelessly manner. patients over needs end want across who meet we call, to a have dedicated XX,XXX Before thank effective safe just committed our of the country our just clinicians leaders, and the again to work continued in

being you strategy serve in us our value foundation for strong to shareholders. Thank morning, this driving really the we interest all and with and proven patients and for thank for Acadia. you a in your a delivering greater have We growth both

to directly. any hesitate If please additional us today, don't contact you a have day. questions great Have

This Thank attending today's presentation. conference thank We call. all you for concludes today's you.

You may day. your lines, now wonderful disconnect and have a