product trends XXXX call. Good provide conclude I'll Thank sales adjusted reflect our been first you, summarize Aran updated quarter with our results, Joe. joining more Thank outlook, details for XXXX impact of line our financial morning. our our you which on and to has again the acquisition.
$XX negative third COVID-XX quarter excludes differences first and first quarter million the adjusted impacted consistent of than over the first sales same were by fourth constraints. Both XXXX and first million, quarter the and were consistent with operating of fourth February a income in caused Gross and and impact X% due first sales year. January year. earnings guidance, Oscor first quarter ongoing is chain X% with growth, XXXX, the growth margins versus included high currency and First XXXX, with quarter absenteeism the was our constraint. surge the supply supply in expectations. which quarter there quarters by period Organic first realized our of quarter for were to of from sales was consistent quarter not the In a higher those our delivering quarter, the decline sales $XXX though last last chain of which labor
higher-than-normal to XXXX. We by continued caused as direct delayed high training overtime labor through from rest we salaries inefficiencies as are the to the and for the incremental headwinds of support growth well material face costs, associates hiring
highest XX% Direct mentioned, in get increase were With continued hiring. to labor quarter have XXXX. we months the of Joe last up better Having versus the X on as half the in associates traction that of As us to the first second Furthermore, of coupled second order with needed company in resources ability with XXXX and history. strong gives entered backlog we quarter grow our our in confidence demand quarter. inventory the
deliver increases. Operating costs. annual to growth the positioned was The of the sales well RD&E from margin are year. expense, approximately primarily and drive SG&A Oscor, of leverage in including salary training addition benefits well remainder and line year-over-year our inefficiencies as improved December to as is higher reduction growth We operating to acquired expected top of the for grew double-digit and which the due XXXX
in XXXX year We and expense, remainder expect annual operational for incentive XQ the timing the to SG&A the expense from imperatives. increase of due marginally strategic of to investments increase 'XX compensation salary
continue we increase our will As of in discussed markets. drive earnings our call, development support that to growth programs focused our in last product revenue
customer year-over-year expense increase to support these in by to higher programs. quarter the In Oscor, the growth addition resources RD&E driven first was
this We expect about remainder level of expense remain the year. quarterly at for to RD&E the
constraints of $X.XX year, of adjusted XXXX. compared the was provide first earnings the the in EBITDA at of $X.XX from XX% $XX decline on $X delivered quarter to net adjusted decrease income, a XX% diluted million adjusted compared million, net share, quarter Our of versus with was decreased we income to color adjusted million last income $XX million, the of the operating $X or million and on $XX the quarter year, more debt delivered per down the prior a of the first down a interest the XX% in year, quarter XXXX adjusted expense, first headwind To third improvement $X from our net unfavorable of was by basis. repayment supply in savings impact driven our and continued labor captured by January the adjusted a versus the by focus chain million to surge, refinancing income XXXX. debt compared offset FX primarily the direct slightly XXXX, last addition COVID-XX by quarter adjusted year-over-year high with driven absenteeism lower by from on and partially created Oscor
tax the XX.X%. being adjusted quarter. This headwind of adjusted XX.X% was due year-over-year effective million in effective rate $X the XXXX a rate created Our in to first tax
quarter first XXXX of while the compensation, points Accounting discrete from a basis of quarter the total was stock-based headwind. favorable unfavorable. first XXXX same XXX the to The of benefited year-over-year item discrete for ETR related item in
million quarter, as and For the we generated This in the adjusted to includes quarter. $X to operating deliver expect customer associated from first typical and XX% flows be cash demand customer positioned in of cash We we our of million incentives cash meet and rebate and in $XX rate second increase full are expenditures short-term payments. effective half ensure inclusive million as capital $XX million in second sales year to well tax growth first inventory flow quarter for our approximately generated free the flow, in XXXX, activities quarter in the to $XX between XX.X%. the
constraints into chain first collection. impacting timing high supply the delayed EBITDA in total the of at to latter target and quarter were of Despite was first ratio million sales given February absenteeism Additionally, quarter, of $XXX mentioned, net the range. the the the these January end Xth our and part X.Xx leverage adjusted debt within decreased trailing quarter the million headwinds, $X debt and our
include to reporting Please line will line year. call note in earnings February changes discussed our sales product conference the We in line now discussion this our transition product of of a these product sales.
to in products product to procedures associated of AS&O Trailing the As first increase includes alignment access reported continued well product underlying quarter heart fourth sales rate across a this CRM cardiovascular. our of the all our CRM&N neuromodulation with to Cardio by line Vascular Vascular the of quarter constraints, our and lines. double-digit and Cardio the their markets. and product XXXX. within in year-over-year in of absenteeism strong strong with Beginning as Trailing was portable and neurovascular the move continued demand, and an across the quarter reminder, growth compared with sales from particularly fourth structural medical as year-over-year and first quarter in sales were supply CRM growth, implantable medical XXXX into market development the growth and XX% up XX% improve and active quarter reflected move chain product from X first as all labor the prior by the neuromodulation direct delivery growth driven device quarter the revenue. first components in up line, first growth Despite
Moving offset X% continued primarily quarter to absenteeism supply grew chain by sales in components, cardiac labor was rhythm the lead long management the and sales growth, constraints and growth up X-quarter as customer remains demand neuromodulation, the Oscor recently Trailing direct for acquired from XX%. higher while sales year-over-year strong. strong first
Advanced Moving line. product & Orthopedics our Surgical, Medical to Portable
in declined as that decline year-over-year portable decreased demand Surgical last ventilator and year, Our medical year by for component. noted, first prior quarter Advanced decline peaked Trailing patient quarter X% demand pandemic. sales the driven X% a driven by previously COVID-related versus to the Orthopedics sales due monitoring declined during lower a for components and and fourth in
product discussion we'll wrap with Electrochem, nonmedical Finally, up the line segment. our
by sales range sales expectations recovering million we of of X for compared negative market. and now to recent quarter billion, guidance to of sales X% also from XX% XXXX. Trailing supply to to chain to expect X-quarter the updated range. XXXX. Aran XX% driven energy to now expect increasing the year-over-year, On are the of XXXX, of grew been despite impact reflect First an sales XXXX. outlook includes sales, remaining This in $X.XXX be grow sales basis, $XX We'll lifted the Starting increase acquisition which market. added our continued for in projected XX% with sales months to an the compared to to improvement our energy BioMedical impacts transition have billion we organic XX% of our the $X.XXX we increased X% to still Aran by constraints
the first growth continue expect and to will EBITDA supply realize incorporates year quarter the expect improve, will ability growth half approximately we the and updates from just with sales, the million EBITDA $X customer positioned quarter discussed approximately the sales second our direct on the million deliver Aran, growth. XXXX introductions. the We rest to of our from expect impact sales believe of be and chain Aran. focus the manage we from of XX% new to which double Adding in Further, for which, labor grow the digits challenges Having well the P&L, continue adjusted increasing grow product to of between demand. we $XXX $XXX digit sequentially I'll like versus we as second now of year-over-year XXXX is adjusted million, to to double outlook, to inventory on contribution XX%
million growth We to expect XX% to be adjusted XXXX million between operating reflecting to $XXX million includes $XXX of and $X income Aran. X% from
continuing XXXX from reflects inefficiencies in volume leverage operating it income and quarter training in the run and rate starting of the As during second discussed margin previous the second XX% and rates results. Adjusted that tax an quarter of XX.X% be EPS our $X.XX to reflecting outlook. is to unchanged the in remainder growth of to $X.XX I expected effective between the from rate X% discussion described XX%. This adjusted earlier, the adjusted costs, reduction an and adjusted EBITDA growth also rates OpEx for to assume in assumes between the improvement the half first
be million, We which the have between the interest interest expense expense for $XX $XX adjusted incremental incorporates acquisition. updated Aran to our million financing and
Consistent our million expenditures in outlook to our impact million flow the we million free operations million to close, with I from business of are we between to $XXX to Aran. strong updated cash cash cash as between and maintaining in strategy, drive for $XXX on expect As invest the capital both continue generation we flow $XXX $XX in growth.
$XX million We which over prior $XX spending. in expect run spend is between the rate an to and our million, year's increase
expect to our adjusted leverage X.Xx million with adjusted to EBITDA between target expect X.X $XX to We $XX million by net X.X to X.Xx total and the year of range end debt EBITDA. ratio to reduce within our
second target end you. range targeted I'll turn the that, due call third range anticipate within the Although exceeding with of in quarter XXXX. And to back of our quarter to leverage Aran our we to the back XXXX Joe. the the we be expect acquisition, slightly by Thank