good and everyone. Joe, morning, Thanks,
associated Care, mentioned, $XX quarter basis, portfolio. quarter and with the and our in approximately range, Joe Sales fourth during million particularly we that high early quarter strength a disruptions Sales quarter. of light chain we're in line January operationally. is a and in at from $XXX X% reflects the OUS supply underscores benefits of manufacturing advanced sales the Delivery, Doxil, currency the revenues global guidance of pleased shared of reported Renal and we of XXXX basis billion results, COVID constant the with durability totaled experienced of Fourth our came of which contribution quarter, in on and this million Caelyx, $X.X Medication growth of our Hillrom. As XX% on a which end vaccines, commentary the sales in essential ongoing the nature with in pandemic global XX%
reflected bottom the of higher expected share per well On to totaling the $X.XX. costs than transaction expenses interest exchange $X.XX a $X.XX losses from of inclusive as to per $X.XX as adjusted line, share. foreign Hillrom, related unplanned contribution incremental earnings Results the of in increased quarter XX% and freight
as quarter of expedited we incurred surged. cases mentioned, late the COVID-XX in freight Joe As significant costs
constant I'll Europe, APAC Sales on currency Americas operational segments in constant Middle Now an basis. sales on increased walk X% X% a Sales operationally region basis. advanced performance operating our grew Africa currency in and and constant sales a on X% regional with by segment. in key both operational on East the the currency basis Starting basis categories. by through product in and X% and and X% our
reported geographic addition Hillrom's three Clare existing new as segments. operating mentioned, are to segment financial As results Baxter's a in
in patient growth sales sales HD improved representing dialyzers. global with of growth increased staffing QX PD by growth patient year-over-year pressures also Patient patient global despite in growth category. quarter by performance shortages. for from Caelyx, global this the diagnoses rates adjusting volumes year, new Renal persistent rights growth for Care by constant market-wide growth businesses. delays increasing from mid-single-digit all were highest the Performance U.S. $X businesses, Renal is select sales business, acquisition for in billion, was to Moving for the driven we growth Care currency of Global currency provide operational sales on to equal Pharmaceuticals outside on basis. operational in X% quarter, for patients, both for business international our in increased a the XXXX. from in and benefited throughout key benefited territories and mortality the in which constant and currency Note our both product will improvement ESRD except the that for driven sequentially constant in primarily in PD HD our Doxil. quarter
we higher patient levels. rate We expect growth on in and Delivery global infusion continue recovery will pumps mortality dampen to increased hospital the of anticipate as from of rates demand pandemic to reflects in the patient Strong delays growth rates for improve constant XXXX, $XXX and small as new compared in although that levels do from new XXXX basis. diagnoses million increased the volume this Medication resulting these to admissions business parenterals. in Sales volume well a of X% currency pace continued pre-COVID in large somewhat
Performance U.S. was estimate our partially as compared advanced was our molecules. the X% operationally. mid-single sales of to competitive currency anesthesia constant portfolio contribution we pharmacy COVID-XX $XXX offset on business, by procedures admissions a digits sales pre-COVID injectables were from activity recover business certain and million the and growth quarter levels. for and growth demand our related international generic OUS that continue of declines in Doxil. for to basis compounding Caelyx, surgical international lower year, in by in down markets U.S. This from X% increased driven For Pharmaceutical the hospital to
or broad Moving to new in $XXX basis. within were in total X% the constant offering. currency on of Clinical flat a product million, on our Advanced product multi-chamber Surgery basis. the million by Nutrition, Performance currency $XXX a launches benefit sales were Sales quarter constant increasing driven was
Solutions staffing Acute the strong our Within of business but below of growth X% in a due on cases as in sales performance in in variants. did COVID Sales our $XXX expectations for Despite second comparison. performance this, some quarter, half associated see the quarter. the offset rise the a was in a declining businesses, elevated to quarter with were to in from CRRT in exceed the vaccines, given we basis, the incremental in this currency new manufacturing constant as came saw by reflecting challenging our U.S. surgical currency along constant of expectations with BioPharma of demand totaled in pandemic December, our the particularly we quarter XX% impact the were international $XXX $XX Therapies million, year-over-year to shortages. million, procedures, the representing related million on which approximately reflecting COVID growth a sales basis, continue
results to for the difficult of within as surgical $XXX products full constraints, ability following our supply quarter include ship quarter. period for December the the quarter, the the well for million. completeness year some financial their Hillrom's sales comparison represented for which only sales as quarter quarter year While exit significant Hillrom the first we're have the a from would final ended results days in Unaudited full Hillrom's XXXX. transparency fiscal XX commentary providing quarter and which were of prior OEM of Sales Hillrom's international reflect XX, impacted business
the P&L. rest Moving to the of
represented margin by and Our mix, the quarter Adjusted incremental adjusted the the improvements represented XX% year X% reflecting the results. the prior of SG&A $XXX in operational product XX.X% year, X.X of contribution percentage to basis increased $XXX contribution our from both a XX.X the spend include of of prior Adjusted Hillrom. versus financial manufacturing Adjusted percent as in compared prior and XXX to from as and favorable of sales. gross million year R&D R&D and over increased spending as increased SG&A Hillrom points sales. a the million
accruals financing absorbed The million reflects year earnings the tax the subsidiary Baxter. mix earnings was inclusion by quarter compared as Adjusted The freight SG&A our of I of expectations year the totaled from million as an related versus driven rate foreign primarily losses XXXX increase of XXX prior in result mentioned, in in Adjusted reflects employee Hillrom incentive expense margin on In the driven XX.X%, bonus $X operating million reflecting balances period. our carries as in in by under basis quarter expenses rate debt well in the year, $X.XX annual non-operating rate to XX% quarter the prior as increase [indiscernible] higher the higher acquisition. income, reflects compared well a Turkey above prior the related of in quarter net year, an in addition, higher quarter expense which the versus $X lira outstanding And adjusted quarter the to quarter. to in an in Turkish Hillrom's period. prior our compensation plan. quarter the factors as points exchange also the the the share per the the adjusted was adjusted mentioned. we expenses the versus year tax of advanced an expense tax of unrealized of prior higher of the a the legacy million just Fourth loss the interest as investment. than $XX to Other $XX totaled XX.X%, quarter, devaluation equity previously
XX% increased a on $XX.X reported X% year and to Sales billion of Turning operationally. on basis currency by a full basis, constant X% XXXX.
share. a returned focused repurchases flow $XX We fuel performance to our year on bottom $X.X the flow success. and approximately our acquisition and Hillrom. to line, basis, future investments earnings increased On for of remain billion including and strategically continuing to $X.XX Baxter diluted capital adjusted growth, redeploying we generated operations from of advance shareholders XXXX, position to through inorganic dividends billion XX% share cash over On billion $X.X approximately $X.X operating to full deployed and we Throughout billion. of cash free per
reach post years capital through the now will X.XX to allocation of to target acquisition priority be year delever leverage net closed, aggressively by times our close. two next two our the With
the discussing and chain results, across around and manufacturing staffing Let inflationary including conclude network quarter that our assumptions the XXXX, full our my me year We weigh the including for comments globally. disruptions, pronounced and of and sales on quarter. increased ramp many in year. expeditiously the the order impact into impact strong continue the to anticipate ongoing pandemic, currently launches supply address to We're fourth quarter anticipate new most product by of XXXX challenges quarter remainder by in will expected for to a of second our anticipated and first driven be easing outlook the backlog COVID-XX factors that key with performance fractures, first of impacted the phasing working some dynamics
the and well improving the In the half chain actions, within compared second expansion supply pass with as earnings opportunities of effectiveness We network evaluating margin the to as to anticipate to as addition, will to implement particularly operational through in result year select of we're costs for integrated increase growth certain first sales meaningful these company, in continuing half the coupled performance, in actions geographies. XXXX. our
quarter And global XX% on dynamics a single-digit per currency diluted a adjusted to on of special of these for we basis on expect Given basis. operational constant XXXX, reported the growth revenue to share. an $X.XX expect we and low excluding earnings, first sales growth $X.XX of basis, to XX% XX% items, XX%
For currency XXXX, X% XX% we on a expect operational on full and basis, global constant on of to reported to basis. sales year an growth approximately XX% basis XX% a XX%
we for and margin year. throughout performance with XX% the we half to second approximately above adjusted Moving as operating estimate expect year the of improve margins first the half down below significantly P&L, expect margins this
With open to XXX XXXX. expect up we call XX% these and that, we excluding earnings, to year, adjusted diluted of special we now tax expect consistent Q&A. on the count stay share. approximately $X.XX items, factors, share $X.XX of the million adjusted exiting per with Based XXXX an expect For average rate diluted can to shares