Joe. Thanks,
our setting XXXX that have M&A up combine line for solid mid-single-digit against growth As top made initiatives a creation will with and progress well we are you noted, execution. meaningful value
flow Additionally, cash we consistent will show improved as generation. gross and free operating as margins well
Now compared let's X.X% review Total fourth a results. with last to up our begin sales of quarter million was of year. $XXX
quarter to the $XXX the quarter, Adjusting additional range As the full did higher any hospitalizations end carry catheters million have Despite our Health in prior by from continue market over any for of with year, closed a the meaningful a to to prior year, December, Omicron as tailwind, placing the line quarter. not constant do range the suction sales patients growth variant for achieved hospitals compared as discontinued care net on X.X% indicated the ventilators. Care impact X% X% Respiratory the net not from sales in notice the in before Maxter to increase the Chronic Health to year. of fourth currency XXXX for on flat compared a sales out We our sales the in of first to of QX tailwind Respiratory line their been facility. related firm, benefit growth. would did pandemic-related increasing in end with products throughout the until nor expect basis we XXXX, little We X% would increased year manufactured we excluding
experiencing to we relatively and Additionally, flu season. a Health. Digestive believe we normal cold Shifting are
see to almost resulting our technology in portfolio, additional to markets, NeoMed conversions growth. growth and Health continue from supply our continuation a XX% North XX%. of both America over We growth grew fourth ENFit strong of Digestive despite across our quarter international impeding Within constraints of
ON-Q, by Pain performance Interventional behind our to sales, Management. delivered offset $X We driven across of million million in Pain headwinds portfolio. prior partially by $XX Moving continued year strong
was variant in on growth elective impacts brought procedures, noted, Joe Omicron and shortages. staff hampered the with from return QX a in coupled slowdown by As
offset ON-Q as an PainBlock partner growth We Pro, expansion had these the disproportionately Pain While in channel the losses was into ASC. effect with across primarily impacts and therapy. inpatient impacted portfolio, partially these
benefit improvement of We to and elective recovery. the drive sequential tailwind first are anticipated move as quarter forward, into an procedure well from positioned XXXX these we initiatives of
Ready to million our strong business within exceeding we our half growth to constraints back we Game demand expect Additionally, material continue the first demand, with headwinds, in orders have ability Despite market work of XXXX. $X and these meet impacted XXXX. backlog in end able to at the the supply and be of to temporarily raw experience shortages down
minus points compared Adjusted Moving down or the XX gross income just to to margin under year. decreased statement. basis XX% last
given to to year year, internal not existing earlier, We the the with margin gross our although some macro last material savings did the higher progression, chain progress in of the was by challenges costs margin and environment. were projections meet persistent both margin we during manufacturing supply inflationary Compared gross on offset inclusive of fourth the able through these As costs. gross pleased are for our impacted transportation quarter. we indicated raw pressure, inflationary through
Looking a towards improve to expect operations margin steadily implementing are of take we throughout to XXXX, range gross we begin adjusted to efforts as continue hold.
global higher remains cognizant unable of inflationary chain However, a we these timing factors disruptive. when are And begin we will predict of remain to to soften. that also the environment supply
of work as back availability challenge we our raw remains existing material order. Additionally, certain a components rolling the through
sales $XX earned EBITDA year $XX in Adjusted totaled and totaled the ago, to totaled million a earlier. income gross as earnings compared turning net to to were million operating we unfavorable offset lower Adjusted prior per metrics. spend and year. $X.XX last a the year. profit compared across financial some SG&A million partially million R&D $XX XX% to line by of versus margin, increase $XX compared prior noted we diluted Now adjusted $XX Higher bottom $XX and million Adjusted year. million share,
Our adjusted of was approximately quarter the past contributed EPS strategies enhanced planning benefit. for $X.XX fourth that with
Turning to flows table. the balance sheet and cash
$XXX with strategic outstanding continues and over us with flexibility of of the we of Our on post million our balance strength remains for provide acquisition and currently us program. OrthogenRx to sheet have million cash as of debt the share closing repurchase completion $XXX hand, a
capacity to pro our maximum forma their of through EBITDA acquisition, Given we capital allocation over priorities. post have utilize $XXX million
with of portfolio. earlier, across full grew delivery As X.X% noted we year on most a our basis, solid
we perspective plant in the as and and a Additionally, remain to managed performance. have R&D To with have inconsistent both we that compared with of to on an was products. year costs, regard SG&A remarks, ago, just to year. costs, chain, partially prepared primarily offset cost throughout noted regards higher and due impact, freight supply over to a environment raw structure our uncertain inflation materials we XX% labor XX.X% gross margin our cost the availability throughout from and Adjusted
achieve tax Finally, to year with earlier. as we quarter adjusted were benefit $X.XX the noted of the pleased in EPS around for $X.XX fourth of favorable
Joe objectives in flow. strategy, its OrthogenRx centered our our As inflationary on the our of solid cash coronavirus and improvements deliver indicated, The unpredictable. primary XXXX like in delivering and gross to margin remain growth, our headwinds impact profile knock-on free making around organic demonstrating material effects meaningful ability
and raw our overall on year. desired should elective Organic has low OrthogenRx currency execution forward end million constant range of X% in with step The the toward in grow materials of positioned a return $XX However, X% accessing XXXX material of continued terms our to in financial deliver with this this meaningful well procedures. XXXX assumes delivering with and net unevenness difficulty us sales profile. to sales
profile we increase range margin to impact XX% XX% and sequentially gross and margins around to gross capturing expenses the uncertainty costs. that distribution compared anticipate are given expected OrthogenRx, XXXX. the with end to will inflation positive of range, of Operating in annual Our of improve the lower
invest of expectation with return on investment. domestically clear a and We will internationally
increase a remain slightly the XXXX cash million half percentage operating to not drive capital raw exceed with XX% as operating we of year growth material our order. XXXX, being our However, flow back above should will reduce and existing while anticipate margin Free year, as will support likely leveraging XX%. below inventory sales first SG&A we favorable and structure. of as help expense We for the sales of shortages $XX do working the full in for
by growth with and cost expect historical volume been softer quarter duration the of past with the performance. We being has results to driven savings consistent as sequential earnings year quarterly versus see sales meaningfully first
range EPS to diluted from As adjusted a $X.XX result, should $X.XX.
we progress much please XXXX questions. flow our ability and that successful great deliver XXXX. confident in made beyond, improvement remain to our operating are margin ourselves set necessary have We us. drive we cash behind of more our to now towards consistent results XXXX is and Operator, in steps a for up excited uncertainty open take look strategy execute to and gross the as for the and and to We line