recovery and effectively high-end the today's XX, morning, fourth Good thank environment. we the continue adjusted more details quarter We and Though of fourth manage on you Joe. joining guidance, full-year results third from again I'll XXXX Thanks, our our XXXX results at the provide reflecting for our this and faced it October delivered provide supplier XXXX in remains discussion. financial quarter we challenging, a quarter. through delays to outlook.
In This fact, guidance. prior the $XXX last million in the fourth we our of of $XX delivered sales over quarter, sales, million or million fourth resulted up above XX% $XX in quarter midpoint year. of
year. organic currency XX% of than sales last Excluding impact the acquisitions growth higher our fluctuations, and was
XX% $XX We versus from net up to XX%. million, adjusted or compared and the delivered at million, EBITDA, $X.XX of $X.XX $XX an quarter to XXXX. Adjusted XX% of up increase million of earnings with per delivered last $XX adjusted income fourth of $XX year we and income operating diluted prior million, year of was share adjusted
I The have our the results, into financial go discussion sales a morning, on this detailed on this product slides the detail transition can be commentary wanted summarize traditionally and line focus product our to that we Before wanted lines. appendix performance. we highlights line each around full-year in the of across found presented to the quarter to product presentation. of fourth we But
product quarter lines. double-digit see As all can growth delivered in the we year-over-year fourth you XXXX, across
delivered Our sales heart by acquisitions. fourth of the sales Oscor products especially compared structural the XXXX, XX% as incremental strong line, & Cardio to Aran fourth and quarter guidewires, product growth first well Vascular, This such was as organic in XXXX. all from key and across demand as quarter driven markets,
quarter, supplier Management particularly & complex Additionally, negatively C&V of products. The for the of in quarter prior the impacted versus over XXXX third the performance catheter from from growth delivery XXXX. Oscor, fourth XXXX, supplier improved Rhythm fourth performance benefited quarter driven increased XX% the recent and improved quarter delivery by that our Cardiac sales acquisition the Neuromodulation's sales neuromodulation
from fourth Advanced demand increased medical Medical price at Surgical year-over-year fourth also low and quarter. portable achievement & Surgical, higher grew XXXX. that in exit the Orthopedics Advanced on announced Portable multi-year the start in & digit we of XXXX Orthopedics sales the quarter XX% double
non-medical XXXX quarter market And I Electrochem, segments sales third supplier million to recovery And quarter fourth of of with results. segment, strong increase from driven financial by finally, transition XX% XXXX, that, fourth across issues. our full-year incremental $X our delivered all will sales and delivery quarter the approximately now versus demand
was up X% year. the $XXX high-end prior guidance. billion, or last of strong Sales versus to improvement Adjusted million, of organically. delivered X% and in is year, the XX% fourth grew million, financials or quarter, With which X% full the adjusted year $X.XXX million $X our EBITDA earnings compared our year-over-year XXXX income $XXX up a at was operating increase
$XXX share, and earnings the down operational and we delivered as improvement offset provide $X.XX performance, from XXXX, tax net supported adjusted labor compared primarily million by year, to on due To adjusted million rate. net rates adjusted of by a full-year increasing sales to prior supply per income higher million the strong We more $X and the and to We challenging slightly income $X.XX volume year. compared decreased environment. delivered color chain of last XXXX diluted $X of interest
million higher XXXX. expense FX incurred last was or than $X favorable, we in contributing rate tax In interest effected year. approximately improvement environment, $XX million million versus higher the $X of adjusted interest
more into to environment this taking slides. go the high-rate interest we're Now, manage actions coming I during detailed expense will in
of approximately effective adjusted XXXX saw XX%. adjusted to from tax while million, of we and rate for $X benefits, settlement full-year favorable rate the being was XXXX Our prior a tax XX.X% discrete XXXX of due favorable impact non-recurring benefited tax effective a year-over-year remains the rate, the audits. this headwind year a including certain in
XX%. tax to have of we This between expiration mostly be XXXX, rate by to XX% For is holiday tax we expect the which Malaysian XX-year adjusted our driven effective increase the under We drove in to third cash activities, million operating the sequentially operating. generating of up cash in $XX fourth step-up XX% flow been the quarter, in a income from from the quarter. conversion
equates cash increase approximately of million in manufacturing activities capital flow, $XXX to quarter. $XX from to basis, million cash execution. inclusive operating of generated $XX inventory We free On fourth our in of of expenditures the million a flow full-year million in inclusive support this $XX
full-year million of of Our cash reflects free guidance. with million in-line $XX flow our impact the $XX of CapEx spent
making our As acquisition our last back Joe of continue growth, fourth strategic for the Aran slightly fourth mentioned focused earlier, the quarter, end total the adjusted our of after in need April range target to within quarter at X.Xx EBITDA for was stepping above with and the leverage trailing and quarters total investments to we million decreased $XX quarter XXXX. following two net consistent $XXX will debt the fuel debt million Net fulfill fourth to strategy.
sales sales, summarized growth. expect X% transition of and full-year XXXX the of to forecasting of year, $X.XXX growth increase X% are be to underlying billion the X% an $X.XXX in we to to more our outlook, the that we be detail earlier The that, remarks provide XXXX rate cash. We'll above of With guidance beginning on versus for billion, well as profit, last X%. above-market market sustained now sales to range to
to adjusted to $XXX year-over-year. XX% We million, between which to expect XXXX $XXX growth XX% EBITDA be million is
is We $XXX adjusted X.Xx our XX% XX%, between expected reflecting million growth X.Xx sales million, to income to XXXX be operating expect $XXX growth. a to of which to
objective supply Xx environment adjusted chain to rate efficiencies. from income operating we able fully manufacturing and our benefits our be more generate strategic the growth to growing expect once stabilizes, of sales financial achieve We
continues effective is EPS see as is to and our XX% to expected XX% earlier, million. pipeline year-over-year. be a represents adjusted to this development This adjusted tax mentioned We assumes that $X sales. And Joe be Adjusted demand between rate noted, robust converting between will interest $XX assumes growth million $XX which to having remain strong. expense X% to between XX%, as to $X.XX, a and an
on environment, second we sales our with quarterly The supply remainder quarter continue and although XXXX efficiencies the have impact expect first execute to a sales first our strategy. continues similar Adjusted to improved. to and throughout through as growth grow of sequential of of sales to is our the beyond we as half $XXX expected operating as XXXX quarter income challenging labor to on and the manufacturing of sales expand average XXXX sales, improving, an be chain percent XXXX million,
interest we management years, several continued priority. and to expense make have last the a Over debt
maintaining to with committed quarter balancing X.Xx be trailing consistent adjusted disciplined X.Xx EBITDA M&A to total our net to fourth leverage a debt repayment. continue We debt to by strategy
We structure low have variable our by spreads, credit Integer managed expense XXXX. mostly maintained our that environment a of rate September the to debt allowed and interest XXXX reduce through we have to in rate the from benefit interest beginning refinancing interest has
these we annual XXXX, With years. effective to achieve of the average able similar rate two interest X.X% were an in actions, last to
our we Now, close a leading and several XXXX the interest $XXX strategically our financial environment Facing partnered using rate that for headwind estimates to performance, rate several it with term. strong offering a that would operating X% a forward rate five-year effective firms the and higher. million creates scenarios higher interest of fixed or rate on we coupon modeled challenge reach think projected well-received convertible X.XXX% projected note for
of based million current down on a fees. revolver interest approximately highest of approximately our to adjusted all pay these market impact proceeds rates. rate and generate variable debt save expense actions paid today's or portion We EPS and $X.XX of interest will accretion debt outstanding outstanding $XX used of The covering B our balance after the to Term Loan
principal net with structure, B, settlement term now a maintaining secured convertible aligned while XXXX. rate note of flexibility fixed with we previous Additionally, Term our a we the through X.XXX%, Loan With have at share the can which our choice. principal repayment. Any repaid with $XXX cash, equity owed above premium or no on cash in million repay with principal be the the will avoids dilution dilution
the equity per a stock price approximately from a common not At XXXX. premium $XXX Integer price stock or any dilution X% XX% with the Integer sale on of increase approximately would reaches With call, would approximately closing until if with [ph] stock paid associated the is equity. capped XX, [$XXX.XX] of premium share, the January doubling paid or the be
we an the of dilution shows slide included that have potential the note, in Also price of the additional correlation growth. appendix stock presentation with
addition to allocation. interest In in management, our discipline in capital remain we our disciplined overall
share Before summarizing on to we full wanted I cash maintain strategy the flow employing cash to our generation. more flow outlook, details strong are
million. operational cash $XX any adjusted net investment to our addition EBITDA expect manufacturing receivables pressure improvement, million approximately benefit operational cash we $XX the generating will enter and that to incremental fall a needed factoring essentially trailing of leverage. from year-over-year And on eliminate program a In This flow cash of debt one-time one-time in Irish total offset provides through into improvements the with capacity to to expand our to facilities. cash free this, our incremental
projections would the factoring net between taking we interest that together from to the operational to favorable to rate, earnings debt addition further are be total of and slightly to million. we XXXX, our financial this operations reduced pull To and discussion, generation the increase, note generate of benefit. $XXX $XXX of cost the current for like inclusive program, actions expect impact interest one-time million CapEx also flow our and cash program payments, effective to our in summarize flow growth cash our to factoring I close several the cash providing I'll offset will the
expenditures we temporarily earlier, capacity capital facility XXXX in $XX we invest expect critical expansions in as in discussed increase our of approximately Irish As to million.
investment a spend between million $XX cash increase estimated expansions, to $XX free will we million Excluding CapEx total this remaining flow in on temporary $XXX result and to estimate between million expenditures $XX $XXX to between million. million to be million. our building in This capital $XX
total will be $XX debt we with the The note from to million year-end by additional million reduce associated capped early in flow debt February after call. used free the and the expect $X generate convertible to XXXX cash the to created net fees reducing
X.Xx expect year ratio X.Xx to to our We range leverage end adjusted our target of within the EBITDA. at
the With that, back to you. call I'll turn Thank Joe.