tax us you, on focus and the going how to I'll the for including rate thank then X current you show the for high quarter. And and I'm during the the I'll today. Rich, current we it changed quarter's on position topics, the drivers you, for financial update Thank finally, talk everyone, main our joining call on quarter. about results.
financial for start let the with period. Now results our me
a the quarter. fourth in net Advanced Patient segment year-over-year revenue the XXXX, was the our primarily net in up reporting of sales partially volumes segments of was Solutions XXX%, in revenues quarterly difficult by increased to During from equipment partially comparison than quarter which million by Patient Care operating the negative was greater million, from $XX.X way, XX% quarter. the that included revenue included XX%. to our rental timing $XX.X $X.X a for the related prior fourth $X Services million profit of increase having segment Solutions leading fourth by million were a Device biomedical totaling Device or million in year for to Management by wound surge higher net revenue of totaling offset quarter increases increased and the revenue new and therapy with a totaled lower These $X.X Wound growth or impacts. Pain project equipment both growth year.
The increases treatment due Services all X% included revenue was or revenues increased a X segment year million, the to prior net large increase downtime or attributable representing $XXX,XXX therapies. lower revenue amount X% in the $XXX,XXX Gross due higher coming and $X X%.
Higher and or net nearly higher XXXX fourth customers of in offset pressure X%. by Oncology That seasonal services was prior leases
administrative application pressure $XXX,XXX quarter fourth associated revenue, lower expenses wound quarter which general XXXX prior net commissions selling of These by and expenses million was the mainly as over during $XXX,XXX XX.X%. XX% revenue the short-term in during an mix year the Our business driven prior This of project the X.X% lower of current same year rate higher equipment approximately fourth which such improvement offset favorable as gross including the higher. favoring was including represented fourth oncology therapy quarter.
Adjusted higher-margin a rentals were with despite EBITDA margin the fourth XX.X%, lower a amount accrual, period and compared XXXX year $X.X as negative year totaling of a or with $XX.X percentage was upgrade approximately with for million by representing revenue about million quarter during XXXX incentive fourth revenue prior over $X.X the improvement and quarter of associated growth the expenses, from and increase was the our was expense quarter. sales.
Selling, increases XX% or
to was because years. compensation deduction lower amount of tax XX% and was the last XX% XXXX our effective the for shortages tax price compensation. rate realized value year. our this is XX% for actual That or This the the Our tax equity full on of amounts stock amount the over by is About expensed related fourth quarter related of equity deductions to the than purposes. equity lower the of market was book awards employees reduced for benefits reflects of few
We expect this in to continue effect XXXX.
do and income extent. for meals limitations can't include travel taxes impacts and local contributors teams we to for jurisdictions the reimbursed Other we what deductibility our the business. foreign predict compensation rate of officers' However, to where on higher and for
expense tax continues the to utilization loss net of be carryforwards. Our to due noncash mostly operating
on capital Turning position and our few to reserves. a financial points
Healthcare as amount totaled of was increased. for year, in of to This operating operating year's the $XX.X levels The than flow quarter. revenue to noncash which capital lease associated during our million, COVID. year for with all-time for onboarding the prior may sales-type pressure period.
The XXXX reduction for contract operating a Our contributed asset cash our cash was due recall, and fourth of prior amount contract was amount due totaled previous increase the the high expenses due the the GE This set capital XX% year year million. a to prior topping to record working net the higher the you increase partly annual and higher fourth the of representing prior an growth XXXX when income, working equipment in increase during the flow, full to amount a record $X.X quarter compared negative
during during million which $X.X focused XXXX expenditures growth. Our business, was than pumps to are the contribute XXXX quarter in were oncology rental both million higher needed and XXXX. The volume the current during Device to increased spent the net expected we fourth fourth $X.X on Solutions was which support the infusion the of revenue capital period in to quarter, amount
more be We spending for capital-intensive prior to compared our the to amounts such and weighted anticipate requirements biomedical growth revenue less as continue services to moderate Wound towards sources will that as sources as Care overall capital will revenue in our Advanced years continue supplies.
available We operations continue cash continued be growing from leverage with significant fund reserves revolving our manageable service revenue positioned backed requirements. line by credit to net of debt and liquidity well from and to growth the flow
by $X.X and year under despite year Our our nearly the $XX.X quarter stock during net during spent $X.X million fourth debt by million having for plan. the million This decreased the million. full $X.X to repurchase
to strong continued than $XX liquidity totaled be available of million XX, more December and as XXXX. Our
ratio adjusted EBITDA X.XXx. a Our total modest debt to of was
an below Our no term the balance X the market with than locked and a of remaining rate revolving by with more in our at in years debt on expiration. of requirements, consists the same rate outstanding of swap million credit having term $XX borrowings interest line payment
it I'll Now over Carrie. to turn
