good Thanks, Kate. day, everyone. And
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further venture engagement site and shares clinical participation and we the with global Oncacare, joint uniquely technology, of patient-led our a in trial is of positioned the clinical increase more delivery patient to approach. purchase network. through Outside a remaining in oncologists' cancer efficient capabilities are differentiated in our with investing research Oncacare research
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financial our performance one. a quarter over revenue ICON basis results growth with delivered to one organic a solid constant XXXX. X.X% Moving currency on quarter in
Excluding Gross on modifications COVID-related quarter the X% over four growth X% but year-over-year. of bookings work increased in contract XXXX of increased X.XX. currency in a bookings revenue net basis, quarter net and and sequentially, constant book-to-bill a of X% higher level cancellations a resulted
direct Solid basis. revenue margin on XXX of points gross year-over-year expansion drove basis growth fee a
increase resulting the driven services. across saw another also of impressive hub an We of in by location execution strategy business year-over-year, growth in our adjusted management EBITDA and global XX.X% quarter continued of cost
Our strategy with floating-rate in a as our capital continued debt exposure deployment planned, in further quarter. the reduction
opportunities align that our with Additionally, active our offering. further enhance remain potential and in portfolio we acquisition strategically evaluating
per share over in growth the We assumes XX.X% billion to of basis. The double-digit basis; year-over-year are our year-over-year to growth the representing X.X% year full financial X.X% adjusted of reaffirming year and billion, a range earnings reported $XX.XX guidance XXXX, full $X.XX representing to X.X% $XX.XX, on of in the adjusted on XXXX EBITDA guidance $X.XX range revenue XXXX. of a to growth for
in our sites the and value thank employees encouraged for across and significant clinical advancing and performance are Finally, customers, our steadfast development; accelerating our ICON We we delivering commitment to I by remain patients. to in contributions to their we quarter one. want for are
to on additional Brendan financial the now call for I'll turn comments results. over our Brendan?