afternoon. remarks. or in will I pro non-GAAP results our will reconciliation summarize performance I later A prepared GAAP forma on also performance my of forma basis. posted highlights the on between describe GAAP our Good and website. our is pro a our
as into areas and procedure the I two our will dive gross highlighted, the I growth margin. Gary expand the Before details note QX results, of of quarter, in on
came U.S. grew also where in XX% Global in procedure the in notable by growth strength well our procedures QX with of expectations, above XX%.
We COVID impacted reflected that the of impact U.S. Korea have of QX early from latter staffing quarter's of in part healthcare the an believe this part positively adverse including procedures. the in year to of the levels patients As a reminder, and in diagnostics routines, improved procedures quarter the return in normalized the last and quarter China. and
However, it is to the or degree this difficult of estimate precisely or duration characterize impact.
Looking January and at strong seasonality. U.S., historical monthly were to trends the February in the relative particularly
major call. year. the procedures outperforming and of non-urology However, commentary normalized our also growth Outside roughly additional all procedures procedure last we Brian and of outlook in saw total grew XX% will our represented quarter, markets. quarter updated from in growth ahead In provide was of expectations of March, the first OUS half rates. with more the one later growth our international across U.S., almost of our expectations procedure XX%
an below in gross and points year's QX manufacturing our one-time last issues forma XX.X%. of to related impacts margin inventory as XX.X%, detailed. at XX.X% QX basis approximately quarter's reflected Pro expectations a reserves and relating increase Gary than was lower results last adverse XXX in
the operations we we with and in While one-time capital see improve costs. our and quarter, aligns a manufacturing on we for largely and unit investment strengthen priority these business our plans opportunity our teams as This call. last to items quarter's resolved described is product operations
U.S. XX% strength utilization Turning above February, driven Vinci to an grew the notable in base capacity In and trends mix Average procedures by procedure almost systems, in January system duration metrics. da procedure primarily additional significantly of key volumes driven grew by demand shorter and installed the for year-over-year, to increasing X,XXX in benign of given growth. XX% QX, other by long-term systems
of utilization as our their actively While lowers in utilization procedure Vinci which systems, we growth support turn not per to increase da costs. customers expect this their level do they of continue, we
we in OUS transactions XXX strength respect with systems capital we last placements markets. quarter the placed quarter placed the in to There XXX in performance, XX With first our trade-in roughly Current were noble expectations to even in first as quarter of were XXX quarter, year. of year. systems ahead last compared the the with
new transactions, XX% net placements of system quarter year. Excluding first last over the increased trade-in
which the approximately QX, As are there of remaining base U.S. the in approximately of installed are the XXX of in XXX end SIs
base XX% Recurring increase by year. an over over I&A lease XX%. On of grew $X.X in revenue systems grew combined arrangements. basis, revenue total billion, quarter Within of and operating and XX% and grew XX% revenue XX%. last our procedure QX energy, constant QX increase represented revenue driven stapler technology advance year, growth revenue approximately first categories, for installed the an was a currency under revenue a of last
in Additional revenue quarter, XX the statistics included associated QX and decline XXX U.S. year, systems XXX XX compared China, in reflecting lower XX Outside the the the year. U.S. into QX, and XXX systems with into we follows: into XX system in Japan last we with than placed with XXX transactions. systems last a trade-in Europe, first Europe, we last In quarter of compared into placed of into China systems into trends and systems are as X XXX Japan Current placements XX year. placed
We small in quarterly procedures a albeit in of period, placement each our procedure from budget of in by placements NHS India systems performance XX included In growth system India, in March. stems UK, us, at quarter from timing end recent a there. base. QX, closes placed in year for relatively which the grew First the high driven part Europe XX%, XX which the
the we do Customers, Europe, performance other their XX% in And inflation, and XX% the and expect cautious in the We compared be and not India capital QX as a overall capital UK by represented Reviewing result, staffing, the costs of strength XX% placements, to last to the and repeat quarter customers with year. expect to last servicing spending. in be year. financial quarter. debt of challenged continue pressures. Leasing to the U.S. in particularly continue remainder in
and usage-based to this We access continue U.S. are address our increase, system placements of increasingly leasing customers capital by the particularly proportion budget models. in barriers The seeing structure under choosing
this leasing OUS expect the of increase will result to proportion our trend time. the play over leases a of continue of earlier operating customers, As months under we that stage and program with
channel lease the driver of manage primary million the with dynamic per in decline year. million primarily levels buyout $XX in their patterns a instrument per basis, system I&A ordering last mix and $XX, and last selling QX On per partners quarter a increase year-over-year and of quarter. sequential in to revenue million $XX in $XXXX procedure per trade-ins. inventory average China U.S. of $XX in as negative continue environment. customer the negatively last of system approximately On We recognized was basis, compared compared ordering procedure prices impact $X,XXX our approximately in by $XX as with of da approximately lower $XX $X.XX ASPs first The to FX by QX were procedure, quarter a last patterns was the $X,XXX in million procedure $X.XX accessory impacted a driven a I&A revenue XXXX. had was quarter, sequential Vinci million compared and approximately of
In to systems in Ion Ion our we XXXX. QX, placed XX compared as platform. of to XX Turning QX
to Ion compared as procedures approximately increased year. quarter XX,XXX last XXX% of First
our platform During the received Ion for Europe. quarter, we Mark in clearance CE
Korea XX will QX increased placed initially Ion reimbursement on were the our our and XX% progress quarter. average procedures the While SP of to in quarter in support to collection year. clinical grew placement last system systems, following first first last compared of of in regulatory by China. systems UK by focus continue processes utilization SP in clearance and the Japan including we the XX%, of on strategy, data market European for and
Moving P&L. on of to the rest the
of forma period, was platform stronger is QX and in impact for relative the forma impacts As Ion margin component our year the to dollar. margin and gross U.S. higher Gross pro gross And to pro lower the ago the currently costs; for supply our our addition to resulting next margin one-time described a labor and referenced, earlier, product improve higher previously XX.X%. key mix capabilities, below business, manufacturing rates our of The Vinci Ion manufacturing in the an months to adverse of teams strengthen stresses, margin, da area given impact XX for considerably business. gross costs. is our focus Ion over growth reflects
the same I&A Xi. prices for life the of remained have
increase of months. are increased over Vinci durability reflected component of couple in executing list the increase given from we component gross reflects and to This I&A the our throughout portion next a pandemic, only However, price costs X% an da the increases of cost approximately the of the margin. labor
decision We this XXXX. revenue approximately expect the in to of and million operating of in increase $XXX a be impact an profit
our a X%, basis, variable related costs compensation the higher reset expectations to First performance taxes. increased expenses the due last primarily customer up were year, including to quarter quarter. by associated by year-over-year, driven and added certain costs, travel -- pro were On forma training above operating in procedure expenses and throughout moderately compensation, annual payroll our XX% expenses higher headcount expenses of sequential operating with variable higher increased training. Operating increased
in QX, in our $XXX are QX which of certain roughly approximately half capacity growth. to comprised support Headcount manufacturing Capital increased million, expenditures increased were and infrastructure in expand lines. including facilities of revenue footprint by of production XXX automation investments primarily of
Our rate the first tax our XX.X%, consistent pro with effective quarter expectations. for was forma
year. net forma share million was per last $X.XX $XXX or compared the pro with $XXX first quarter income share for per or million quarter $X.XX First of
quarter will net GAAP $X GAAP the excess forma benefits our I quantified now $X on the per employee and outlined or for compared strategic net our was $XXX associated also intangibles, income stock-based of of income net compensation, employee share million quarter million first summarize pro of and between GAAP tax and on with include income adjustments The gains and awards, GAAP per with share website of results. for first amortization stock and XXXX. and XXXX, losses $XXX are investments.
last quarter share compared capital ended operating end in reflected $X.X of from at We reduction sequential cash activities. the offset investments year. with cash repurchases $X.X of The with and billion cash expenditures, billion partially and the by and investments
we quarter, of share. an XXXX remaining beginning of shares spent to at repurchase During the X.X per current of price this $XXX average shares the $XXX repurchase share XX.X repurchased QX at year, shares. and $XXX have billion of the million our under an we to average Board price have of authorization million per through our million From end $X.X
highlights XXXX. to provide Brian, And it our who I with outlook that, would will turn discuss clinical updated like to over for and
