Thank you, afternoon, everyone. Josh, and good
As highlighted in to the U.S., in had all On by quarter, Josh XX% seen fourth product we the performance multisystem On discussed. year. of $XX.X -- growth basis, the a for quarter gross regional primarily regions. prior System mix growth due was the Mercy orders strongest million across over the with basis, order highlighted, strong Josh a up CyberKnife was
to provided; On other higher in due guidance generated our and of than million, Japan, and In included million America, slightly East. the than being fourth cancellations, for had systems. Age-outs $XX.X the represented were we adjustments which were net and large can existing adjustments. basis, the $XX.X of In percentage quarter quarter-to-quarter, addition, and age-outs X geography were which cancellations, fourth $XX trade-ins orders a which cancellations Middle million fluctuate a quarter, average. by order for we Latin of lower
net on XX% For the in X% Cancellations and approximately continue anticipate from prior $XX these a represented the which of to on year first quarter backlog years. net backlog, which in to age-in. ending million, XX% We X-year is basis, our X% slightly revenue orders full of of full be age-outs is aged-out on work prior range year, to basis XX%. X the with up the converting to consistent we
prior is for existing Approximately, gross remaining the were composition new competitive year-end. full of order orders were replacements XX% and orders to a of full Turning our $XXX.X the basis, were XX% and On from of which a X% represent trade-ins for year. year from installed ending million, base, the up positive ratio backlog book-to-bill now vaults. is XX% X.XX mix
Turning over $XXX.X full a million, $XXX.X increase. year. was On now for was the service year to particularly was basis, our the the a was representing income X% was to our statement. prior prior strong Total for increase representing revenue growth revenue a fourth our revenue $XX.X year period. quarter over X% Full a revenue quarter year decrease region, Product growth. a and million, also in European revenue large of contributor million, XX%
However, driven TomoTherapy our fairly full by revenue product European Product basis CyberKnife Systems revenue between margin a mixed was expanded for which drove year, expansion. and full evenly on the X%, year our region.
increased can our Radixact revenue year. the is purchased platform, million, the over quarter service growth and around in base planning historical These both should at of the well was XX% System. upgrades are going On TomoTherapy contracts, rate. which growth from in revenue sales, recent the Service the we approximately primarily upgrades revenue upgrade to or the installed of software of timing was were both and above averages for attributed releases XX% related treatment and and an prior pleased our were $XX.X increase rate our units expectation service grow we service on revenue from The increase service quarter-to-quarter. our revenue vary that around forward the believe with connectivity.While from
now Turning margin. gross to
gross of increased improved of prior XX.X%. to the quarter quarter quarter the to in year. from fourth Our overall XX.X% Product year the margin in prior fourth the XX.X% to gross margin compared XX.X% for
pricing financial the previous Therefore, XX%. acquisition, intangible $X product QX to the fourth a product in still a Service part lower margin increase, for quarter margins current margins quarter exclude which yields In XX% were Normalizing period CyberKnife the contribution the a of fourth product margins the primary fourth fully to amortization. from As calls, TomoTherapy is quarterly of margins million prior also year-over-year year. line, higher increases significant saw was healthy even which and from discussed service been prior during exclude our our charge in year when we systems. amortization year. prior higher the we consumption. quarter XX% normalizing amortized this quarter, the our was prior to gross charge, of saw included would year have compared XX.X% The gross in driver in
basis, year our an increase overall expectations. year service On gross year are prior was in-line full a However, full margins year margin with XX.X%. the XX.X%, and prior of our from
the of our accelerating and business Moving income The in key increase of quarter in already we X to U.S. were of majority statement. R&D million, down sales is the $XX.X growth initial $XX.X specifically, investing signs our China XX% an operating for expenses initiatives: from team, long-term Operating million from our period. roadmap; coming our the from in primarily first, have expense team which progress; investing seen development, commercial year-ago strategy. related third, the second,
year $X.X reinvested operating fourth due revenue. the that our and million Additionally, was was growth. compared discussed in a the decline EBITDA I the prior key The year to $XX.X fourth we million revenue In operations. million in fourth of million generation investments, our short-term Full quarter mentioned. and year operating the our fiscal from years million year, cash strategic approximately was in ended only quarter. profit cash current with we compared beginning initiatives fiscal we $XX.X for is exit We and up our of $XX of strengthened cash, an convertible investments operating restricted future realized $XXX convertible profit notes increase the of grew million the equivalents, XXXX due of previously XXXX, year, year, ago. drive due cash sheet. million million quarter year In Even which we million though million balance compared million profit the of the We the approximately X the compensation-related increase strong quarter was the had we debt, from higher-than-expected X% million expenses, which At represented notes. $XX.X that I $XX expenses $XX with XX%. to in debt, $X.X into $XXX debt expenses adjusted EBITDA prior gross strategic were from year. from of to the Adjusted also fiscal $XXX are quarter, prior of had maturity to $X.X now. the all to the of which higher in Fourth was with to
range of product X% represent fiscal for This be to growth which of over X% growth $XXX to revenue now revenue fiscal of in We million X%, with our growth $XXX XXXX. backlog to our X% current of is aligned would year approximately Turning XXXX. the million, would guidance to which anticipate to represent X%.
X%, of our range operating revenue EBITDA we of Adjusted achieve China the XX% to growth flat continued $XX bottom-end expect EBITDA will year-over-year range, comparable. would some allows difficult XX%. service for to expect represent prior We of have in more which expenses The range also and year-over-year $XX installations. revenue in adjusted as expected is to year. approximately margins a between delay we be growth our To gross million, million and both revenue
fiscal revenue anticipate of we from margins, the year, therefore, product Radixact next XXXX. TomoTherapy and platform overall decreasing margins to more Regarding the in
that inform to Before was effective I back to X want the made backlog a hand Josh, fiscal perspective you for call policy July I of change XXXX.
meaningful service upgrade numbers. gross not moving include orders will part performance purchased gross gross contracts through could better as operational of our our our backlog we or will included orders more in upgrade reflect of order number. forward. in these in order business forward, were become these upgrades our our inclusion reported our orders Going a Historically, The upgrades
had the fiscal to now call And Josh. that, XXXX. of in million For back reference, like $XX revenue approximately hand with to such I upgrade would we