morning, and Joe, good Thanks, everyone.
delivered As from ongoing all our performance Joe growth business our three further units solid fourth growth segments. through we across innovation results our goal initiatives. operational benefits geographic six demonstrate mentioned, of robust transformation year, drove with Throughout on and the global and quarter
and to strategies, on initiatives continue to XXXX will growth we our several invest into Moving in beyond, opportunities. accelerated commercial execute while also support
to of number internal environment. Joe our we've As a strengthen control and referenced, overall implemented enhance changes
of feed daily transaction changes, including Karen in on governance of Karen role experience Senior large and corporations. to brings third-party, having recognized exchanges controls. Some changes, rates these Treasury approvals exchange our professional select held intercompany accordance hiring automated hired created treasury rates responsible a leadership, experienced from newly significant new Baxter Under treasury updated for utilizing GAAP, Director roles another we've and in a treasury after Treasurer. her Leets U.S. at as foreign a with policies including personnel several
resources Comptroller related financial to to reporting to we've a as accounting improve appropriate created controls function Treasury within and treasury activities. our Additionally, role our add are continuing
we're performance to of and in moving transformation. on of to clearly leading ongoing demonstrate deliver was forward this While continuing strength our disappointing, our recent execute our support this results objectives goal strategic industry and the
a results, full-year with and to constant beginning $X our basis, operationally. reported of currency sales global XXXX X% X% fourth on quarter increased and Turning fourth on quarter X% the billion,
Our States. the particularly advanced well as by the United quarter medication performance was delivery pharmaceuticals in and in driven primarily surgery, as
and line, XX% a earnings the ongoing strong our diluted share business to from bottom operational adjusted transformation performance the increased lower share count. On per benefit result of and $X.XX as efforts
through our sales region business pharmaceuticals geographic you segments geographic for Note in for to businesses sales by addition currency all business growth operational except walk which currency and for constant I'll provide Now is this growth. will and our that growth performance Americas segments, the for equal quarter, we constant growth and to operational global units.
morning. comparisons published growth rates historical all Additionally, restated this represent to financials our
advanced our our Asia-Pacific geographic and Starting on basis. on EMEA with Sales sales X% sales advanced three in the advanced growth both in currency operational X% constant XX% constant a segment, and the basis. Americas in region sales basis a for on currency constant currency
by $XX which Performance in patient HD business approximately on million, select constant Performance advancing unit, to quarter global products, were volumes year-over-year. of global sales therapies XXXX, in quarter negatively Moving by was by the million. offset approximately advancing with basis. PD care, exited sales currency partially including by in in lower performance is growth in-center on the driven impacted for X% $XXX Bloodline’s globally, business X% the early renal a sales
Sales of constant $XXX by solid systems basis. Strong and in our commercial IV medication infusion across delivery growth currency a grew businesses. on solutions million, level was XX% execution supported
quarter, season. influenza ahead we the $XX U.S. approximately did of During the million distributor of see purchases
than in first Hemodynamic of Monitoring $X Cheetah sales as quarter less to the of SV fourth part Medical, our System also million contributed marked Starling The sales of quarter obtained quarter. which the the of acquisition
currency demand in Pharmaceutical sales increasing hospital pharmacy operationally. for quarter sales increased were and $XXX our benefited constant XX% from services. X% million, international the Strong compounding
sales quarter. generic cyclophosphamide Baxter's partially growth Performance Additionally, the in by competition. offset Transderm of injectables due products quarter. lower for were million to inhaled of Scop anesthesia global $XX to demand contributed sales U.S. portfolio enhance the and expected is in
$XXX constant as by in U.S. new further currency Sales increasing Advanced disruptions. strong on as to and Total million, expectations XX% competitive driven were Moving line $XXX Performance in sales constant in were in this a million, supply commercial our product with from XX% currency basis. supported and business by nutrition. execution was a benefit on Europe. well launches increasing basis the Surgery
to business million, the constant of basis. of Sales in this in be X% on continued demand for growth rollout were continuous by replacement our Therapies Acute global currency continues represent by therapies a our Baxter's supported Performance business increased a platform. renal driven PrisMax $XXX
manufacturing includes Category, decline contract sales in million, X% a basis, of which Finally, comparison our challenging the reflecting a year Other $XXX on our a period. currency were prior services, constant to primarily
as strong P&L, XXX the well manufacturing mix increased Moving margin points rest prior line gross the of as performance, adjusted variations. XX.X% the our basis positive from of through favorable year, benefiting top over
R&D $XXX reported year Strong cost optimizing quarter totaled SG&A the a quarter. structure, Adjusted basis on leverage increased a focus on a the prior X% of X% expense sales versus in million, the drove Adjusted million, with basis. performance, reported along period. in on $XXX spending our increased
XXX to in our investments while strategic Adjusted basis the the and points our optimize from previous and margin prioritizing XX%. above to continue guidance organization, prior our of quarter the innovation range enhance an processes in our efforts to year versus of We see was our XX%, pipeline. increase benefit R&D operating XX.X%
of excludes lower pension company liabilities to GAAP quarter. charge of was as expense outstanding prior million a result amount was million rate the $XXX transaction to quarter adjusted The compared non-cash other transfer recorded of annuitization the in quarter, driven income we debt the approximately and XX.X%. $X.X an from income in the the in an insurance interest results an operating our U.S. interest increased that $XX $XX increase of through billion interest in million $X October. tax a higher non Adjusted in Net expense balances. year, million totaled by fourth That our
Baxter repurchased stock. $XXX X.X Within of shares quarter, fourth we the million approximately and million
$X.X stock. billion For approximately the Baxter million full-year, repurchases our XX.X shares or totaled of
X% basis operational Turning both and a a of sales basis. X% constant to by billion on full-year on and increased $XX.X currency XXXX, reported
increased diluted we $X.XX line, generated cash On to per $X.X the flow XX% basis, share. On bottom full-year billion. earnings of a more free than adjusted
a efficiency. for capital below improve While have implemented our to this several generation as remains cash was actions critical such, flow Baxter. And initial targeted projections, we priority working
focused regarding shareholders. focus to supporting we internal current to flexibility be incredibly and adequate on external particular, market continues and for strategic returning withstand maintaining on scenarios are emerge. maintaining COVID-XX, value might growth uncertainty initiatives investments, that liquidity In Our to the given
pursue to continue to allocation able our are capital strategies. we So
as end our of access cash to which $X accessed includes revolving of the of on billion balance million in We've $XXX of precautionary our have borrowings facility, from which credit February, our measure. have the over also with revolver, billion terms in $X European recently As U.S. provides us credit. which we nearly renewed a sheet, we
currently are we facility necessary. drawn so this able not we While have do if date, on to to
Let our by me financial outlook. near-term conclude discussing my comments
how guidance earnings of April the full-year in provide situation Depending XXXX given high in details COVID-XX, stated press at additional As our impacts today's providing not during scheduled presented call hope potential release, currently guidance the we first to are uncertainty quarter time. degree position unfolds, this on XX. be by around to a we for
X% and Specific to X% quarter X% X% both we currency sales to of operational growth a XXXX, expect the to of a on growth of and first on constant reported basis basis.
For acquisition of impact per XXXX, the adjusted items foreign excluding earnings quarter. Seprafilm. expect first adjusted share And to and of the for we $X.XX be for sales will operational the $X.XX exchange of special diluted
we open With Q&A. that, can to call now the