everyone. Thank And you, Riadh. good morning,
our of first for and metrics at As the financial the review will key business Riadh quarter. some mentioned outside, I operating
diverse we very are services, we offers areas Slide focused Akumin's illustrate of of suite with value-added modalities. on high growth X, and Starting that high a platform while
volumes As coming a you derived segment. diagnosis can key see, making in our of from significant of our oncology XX% radiology treatment player procedures from also radiology of a MRI XX% driver total our MRI PET/CT our is revenues that XX% and revenues cancer of revenues Akumin and with from division.
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continue XXXX site and As footprint to an to footprint our now our to we underperforming fixed-site have identify XXX and initiative opportunities evaluate previously, operations. all operate fixed sites. we in highlighted sites sites improve eliminate optimize consolidate radiology to to fixed radiology We undertook
care lower Akumin benefit to the cost partner to with of know, well-positioned delivery. hospital clearly to ongoing to we delivery you As as is systems and shift from out-patient transition sites service hospitals
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balanced mix and with services for payers representing a hospitals forma revenue our no customer third-party of have more out-patient between than X% revenues. pro We one consolidated
solution provided our out-patient or our procedures half of from preferred come hospitals, government Balance third-party revenues hospital of revenues reimbursement and payers. customers. to As patient paid by for
radiology new search continue hospitals for share both out-patient in and revenue both to oncology. and existing of as the customers partners hospital grow to and expect solutions We
Our financial driven volumes. primarily procedure performance is by
radiology. procedure radiology both business biggest across and and mix platform. current PET/CT independent radiology noted scan are in radiology track the of contributors scans volumes MRI by volumes, we and a sites, hospitals Previously illustrated operating our actual Slide revenues in key we as to our includes our X, procedures Given together percent track the performance These as the performance our financial the segment. that with to metrics on of are modality the use
Slide can In see the percentage those X, the last over and in MRI, PET/CT the quarters procedure XXXX in periods. four changes same-store you volumes
our staff. volumes second in in were XXXX impacted shortage MRI we growth of As in last the labor half by clinical in call, of constraints, particularly negatively noted
these develop some augmenting seen continues leader recent have We which pressures XXXX modality procedures. our have growth earlier perform It's market tracers, ability note allow of years in the for to that and as took to late PET/CT, that to started measures as in diseases. strong detection MRI industry improved in pharmaceutical see benefits we mitigate can in more to important to
constraints sets better highly to this labor strong the are mentioned, able demand are of less given factor skill we PET/CT, previously for clinical and the modality, on for in we capitalize personnel specialized of As these a services.
In Oncology segment, volume. level we patient by starts track activity
starts see, patient and QX can we completed and repositioning in you QX review the in business grew year. As as of QX that last
more Halcyon, value platform including replacing our cost-effective faster this of proposition in experience equipment bring with mobile oncology expect patients compelling We and hospital radiation over treating and programs improving time, given fleet, division we therapy to growth Varian's which provide treatment which partners modality, treatments. our keeps while significant this new the our to our trajectory continue
On and revenue for EBITDA Slide trends adjusted quarterly segments. we X, Radiology present and Oncology
from five contribution segments our the Oncology XX% and have past been Radiology of balance between XX% quarters, see, XX%. with and of the can making ranging Radiology the consistent and total Oncology revenues to up XX% you over As the
For EBITDA before allocation of adjusted XX.X% margin corporate first was Radiology segment, our quarter services.
an that Our benefit of Note, our plans adjusted as weather of results the rollover higher is weakest already is first had as seasonally EBITDA typically some winter lower in Oncology margin in quarter segment margin regions allocation for those mentioned, volumes. with annual services. XX.X% we corporate and quarter
of in which the was the in Ian segment, Hurricane negatively left, pronounced QX discussed because the labor you impact of second the impact on As us can half XXXX clinical see chart shortage impacted on Radiology the our part in the we in of XXXX. seasonality and less
repositioning business. essentially Oncology the our revenues flat we as addition, were that segment of in In undertook XXXX
now development previously stronger focus. as high we this have activity to we stated, typically growth are segment business is in see in renewed years segment efforts future and expect As our Oncology growth our a
The the can of seen quarters. business more margin our quarterly EBITDA past EBITDA chart and the illustrates this chart. seasonality adjusted on right The clearly five over be in in the impact
period. our XXXX, segment put to QX business, modest we foundation QX have year-over-year believe on the in operating margins we which see and did volumes with costs high EBITDA we some in growth noted, a labor leverage the of the Given and in adjusted in bit a pressure established for solid downward revenue higher That both in build.
the results XX, with in Arizona. oncology and businesses assuming segments Alliance adjusted the the quarter to you and legacy XXXX as of pro the for our that Oncology September forma the of were fourth performance the combined annual as financial period trailing XXXX the consolidated radiology Note in for Alliance divestiture completed was XXXX EBITDA. Turning results, entire XX-months Slide of the see and which well last adjusted Akumin combination
total. revenue the revenues; total of of XX-month and trailing you see the of revenue As the million left, approximately in contributed segment segment approximately period, oncology chart the $XXX $XXX XX% representing radiology XX% the for on million or while of contributed
mentioned adjusted calls, consolidated have and in recent focused XXXX. and have periods, prior we growth internal on as As we constraints initiatives address in labor on reviewed integration EBITDA transformation in
confident growth made Going for forward, improvements and market demand volume EBITDA, are we and labor improving the that revenue driving given the see we have our conditions. operational we'll services in
free a our quarter. the Slide to our from cash EBITDA bridge flow XX in is adjusted first
As note general payments fell that quarters our you the meaningful position of by have $XX can in in of free look service, to end lease cash our single as quarter at X. anticipation change payments continue flow. When quarter. platform approximately balance in million on the the Business ledger you is And decreased in migration accounts finance cash slide, of payable the impact $XX see the you'll at April past that in on by our capital. a we from to working driver accelerated the million largest sheet, our
distributions minority hospital cash these partners relates interest a profitable more you become primarily more well. these partners as is know, increase ventures function a of and minority centers with our and for to obligation cash cash oncology as as not generate of And as fixed performance partnerships joint to
by should It which related over which hard incurred as that of Port as QX, facility, noted costs was $X.X cash hit our Ian, Hurricane ongoing to our be were efforts. particularly Charlotte we restructuring well site in million in repairs
will on the reimbursement be repairs partial Port We Charlotte have receive recovering and more.
notes, This reduce we the will later to had the offset burden XXXX, will payments cash of of the charges restructuring to subordinated be earlier, related discussed expect additional the In will to synergy interest Stonepeak flow. in capture benefit by part which with additional cash cash pay year. somewhat our continue we which together free
announced guidance to overview we call. an in XX, XXXX Turning Slide QX our present of the
$XXX to As a million. XXXX, million to for revenues consolidated to reminder, and EBITDA in the range range in to the be $XXX we $XXX million adjusted of be expect $XXX million
constraints year. labor and that guidance the inflation XXXX some some cost improvement this Our these persists have thus markets, on far fact some we fronts reflects although ongoing in seen
Turning to deployment to our to expenditure with priorities. based markets refine near-term our aligned prioritize and we criteria ensure most for that continue equipment continuously as potential capital strategic greatest in XXXX, our our we the evaluate better those CapEx, efficient plans of did the We on growth. have
to We new CapEx growth for $XX with the continue to of be and sites total million and allocated to million, to range new balance customers XX% for approximately in expect the $XX maintenance CapEx. CapEx
Recall new define hospital spend for capacity sites that we as as customers partner existing towards CapEx we acquisition, is CapEx existing for maintenance growth customer primarily at oriented well expansion.
to approximately OEMs, in balance continue banks. financed be return, growth customers of sites on Higher cost a capital. of finance a high to the and be to anticipate funded XX% with CapEx by Our financing the companies, new We bit equipment, total and combination investments cash in in payback and may the headwind coming four-year typically by a quarters. be local
to capital structure the depict XX, we Turning Slide at end QX our of XXXX.
see, you secured As is can leverage times. for unsecured X.X now leverage times of X.X Akumin
As over Near as in technology-driven leverage reduction time. streamlining of capture, this an a result focused of outlined increasing will EBITDA our on as delivery, synergy QX service deliver from reducing drivers rationalizations, the come call. are organization, network and standardization, we we term
shareholders, Note do optimized and significant conditions that continue to are capital as options incentivized very as evaluate to to the prudently market we'll permit. so structure, we highly
over before take back it up turn we Riadh I'll questions. wrap to And to