our good XXXX and morning highlight to pleased everyone. Tom I provide and information. guidance. for financial to Please Thanks, for financial detailed be able our performance release am strong press XXXX financial refer to our our
guidance. A U.S. for on XX year our XXXX were XXX XXXX that the increase total in longer million responsible this revenues year Beginning driven First, XXXX full X% a license our in LINZESS Astellas API financial year-over-year sales for no and in Ironwood collaboration touching of XXXX by and revenues fourth exceeding our and revenue agreements. sales revenue API for supply from the reflected in million million AbbVie of of primarily partners. in million quarter AstraZeneca milestone in included XXX shipments linaclotide our payments ex-U.S. remaining the reminder during the recorded linaclotide and to past are API XXXX, to XX we performance, XXXX. amended
primarily the the net quarters. XX% we it briefly lower year-over-year. XXXX seen previous comment expenses than to up adjustment fourth LINZESS, year selling XX% commercial as in margin quarter like were quarter decrease in the an the Regarding I'd due recorded is in fourth full sales period. on and to This U.S. was for to during have
adjust in-person first commercial details and three expenses due Difficulty] we the in determined many significant to LINZESS during pandemic. restrictions, COVID-XX selling as costs as XXXX, periods. part collaboration. saw improvement the quarters U.S. to with only details COVID-XX brand we of associated to Since those [Technical of During we in-person a Further weren't execute AbbVie able included contribution the were
similar across the year timing such, reflects investments to the in full are quarters. adjustment XXXX XXXX As expenses simply our and
seek with commercial we LINZESS to we XXXX in to to our and LINZESS net in to and brand. investment ahead investment growing Looking XXXX, be margins behind continue expect sales the line investment through the disciplined expand behind
Ironwood’s cash. profitability and to now Turning
sales income higher was operating EBITDA XXXX, XXX was expenses XXX For in million was GAAP our full and compared year and million profitability LINZESS by lower net driven XXXX. adjusted to significantly XXXX. net
XXX year in and cash investments. operations and million flow with the Additionally, ended we XXX generated in million cash from
of we X% demand, driven by offset net We changes prescription for by high growth provide year effect its to percent from to anticipate X%. U.S. certain mid-single-digit growth erosion going are net in momentum guidance price contract expect which LINZESS into full be sales this year. growth continuing to pleased percent We single-digit in sales LINZESS resulting XXXX XXXX our financial
greater of revenue XXXX. financial is of we shareholder for cash that strategic the critical taken And was anticipate We steps approximately million XXX and growth numerous to priorities. believe strengthen from thoughtfully with collaboration successfully and continuing revenues the we be continue our mainly it XX into positions co-promotion beyond. in is expect proxy adjusted This us of lastly, total heart million, current EBITDA balance, other investment well to our for decisions of expect U.S. our a profile XXX performance, continued to invest XXX financial to as royalties, Delivering driven cash than revenue. for in and as by our our million We and million XXXX at meeting EBITDA adjusted our inclusive threshold value a we generation business.
strategy focused allocation LINZESS. on is capital maximizing Our
we continue earlier, believe LINZESS. can is This value drive growth today. expect our the to to highest most As in opportunities Tom further we invest create priority where and in to we mentioned
including We pursuing for to are any inorganic ways opportunistic And repurchases. pipeline in to an opportunities GI deploy GI excess effort innovative share also an portfolio. to diversify build the by lastly, expect our to continue explore cash, leveraging to our potential free we expertise
strategy I pipeline. turn want GI to highlight Mike, new our our I over to it build Before briefly to
diseases are and on prioritizing within to managed pathology, where opportunity an we GI shorter We are GE, have focused largely by timelines. diseases accelerate well-defined development organic that with
clinical I'll seek are already been deliver addition, focused to innovative maintain And to doing. preliminary we demonstrated to that our that, as and turn In ability safety. it have cash have Mike. over on finally, we assets we profits and With efficacy