Thanks, Dave. interest your thank Bioventus. everyone, morning, Good and you continued for in
actions financial Let me our the financial recent begin well for streams enhance our the an CartiHeal, work obligations to with efforts position. across on update as multiple as address to
of the deferred of all payments. end the the the we eliminate us purchase exchange, agreement million In million $XXX fund shareholders. to an to to evaluate the $XX and February, to At a sales $XXX obligations and XX-day agreement to obligations to of also obligations claims with CartiHeal’s or purchase the release entire pay announced milestone retain future shareholders CartiHeal million. from with with business. sufficiently CartiHeal The we agreed options provided window Along deferred
our to As in favorable obligations we agreement, pursue were opportunistic announcing we basis deferred only release funding the terms believed stakeholders. to this in on would which stated our an be
In past met that with secure our criteria the multiple evaluated together and retaining Over our Leadership investment we for of to terms were pathways. the month, the partner unable banking Directors our Board business. end,
capital. on existing shareholders move we to disciplined raise our disappointed and to financially are we declined dilute While necessary to from CartiHeal, remained the
to with the action fund Over took obligation, past our balance several we and enhance earnings months, the in sheet. effort CartiHeal the conjunction to improve
reduce restructuring our First, costs. to business
managing remaining spending. aggressively Second, investment diligently and prioritizing
And divestiture with the of covenant Third, to partners banking non-core fourth, agreement our to provide evaluating working amend debt assets. our relief.
our streamlined actions while impacting simplify our ensuring to designed processes, and restructuring company-wide revenue a announced we materially December, avoided In organization growth.
in the quarter, completed annual to generating million $X $XX we first anticipate million forward. restructuring and the we savings During going
Meanwhile, year. a stimulation our few building this submission generation investment business. incremental dollars in year-over-year for We LXXX anticipate million in drivers of With growth annual device peripheral Access clearance. Scalpel and Elite, next we TalisMann, the the for we of and as plan for our our key realized prioritized SonaStar products like Bone a near-term XXX(k) XXXX, majority launch nerve
of offset these help spending and in other investments, have curtailed To we marketing, development G&A. organization research by reducing parts our and
agreement to engaged proceeds divestiture us an used in assets will Next, any repay and not explore related we to what transaction remain attractive we debt. we to our remove divestitures and The believe The vary size to counterparties and net around CartiHeal continue be and to allows divesting obligations with we potential would value. non-core be negotiations are transactions. fail receive where the into enter potential to multiple, disciplined to actively the in
with Lastly, we relief an this additional will to on quarter covenant lenders reached agreement flexibility the our our compliance recently through provide with amendment. additional first debt covenant details you of for fourth and XXXX of Mark quarter XXXX. provide for the
along our inability secure financing our CartiHeal, drivers our multiple enhanced actions business obligations CartiHeal in the disappointed are to recent the related financial position. have we we While significantly suitable with has eliminating to current growth possesses for and taken
Now to turn quarter me our let fourth results.
year million the down same revenue quarter, ago. $XXX fourth X%, compared For to of was a the
with businesses one our we below gross on and Optum, franchise. margin private HA continued rebate claims as top performance and fell our United volume HA and price and for experienced impacted Our pressure from revenue earnings our placed pressure across our profitability. our decreased line across lower overall selling along payer, growth the expectations quarter Unanticipated
found billed system through their rebate claims $X million, us me claims Optum's represent of that previously they of address the in revealed their that quarter, in had United Let these underbilled their internal recently fourth first claims United unexpected unbilled had notified audit rebate not they process us. which Optum to us. approximately which
future Optum to continue the the to to claims United effort these of and volatility. on rebate We reporting validity assess an claims with work of in avoid
given rates that third any expect rebates to the lower on in see to would the we our substantially rebate similar a quarter on and have forward, the which renegotiated dynamic are began lower pricing Going results, based. impact
volume be of increase $X Durolane payers, the our private we the quarters be and claims magnitude and changing $X to was a information their and change. our in the have contracts, million the with has understand two this to In to to to of valid. review lag can their determined significant arrears, four worked trends. and reviewing consequently our continue receiving payer to of in due percentage increase data discussions private we be payers of The in which team to our invoices, million to with expectations, private this related Gelsyn in is the business by numerous impacted visibility through largely contracted above impacting invoices As
or both Durolane price, previously lower is ASP, expected. As a our result, than and now average for Gelsyn selling
these the back with Due to quarter paid, that lower successful of year to and of progresses, removed our ASP the claims lessen year. XXXX. reduction rebate calculated, replaced will includes reduce we extent rebate the mechanics due with throughout the continue how are expect renegotiations look rebate team’s and payers The that higher a last ASP significantly our to claims is rebates payments is four from larger should as which quarterly the forecasted calculation
to significant was quarter, third in three the therapy. our Gelsyn, volume injection impact most the to Similar
higher or expectations and a $X of more the million by to further Gelsyn accounts. increasing $X Given non-contracted competitive ASP. million above shifted price-sensitive our on results in our being dynamics, our in portion contracted This volumes business, pressure revenue
to volume. As to enable will we non-contracted regain market share we expect us in the related into decline progress XXXX, our ASP
reporting While will anticipate revenue stabilizing we XXXX, continued that on by to of lead Gelsyn pricing believe pressure of the year. we end mechanics Gelsyn ASP the through the
Meanwhile, Gelsyn. differentiated revenue for single-injection impacted HA therapy less Durolane, our than clinically was
price continue to volume digits see revenue While we the declined growth. Overall, single for double-digit Durolane experienced high we double-digit quarter. loss,
continued erosion for shift As positioning, growth, Gelsyn, as subside But we clinical and XXXX. anticipate given pressure to competitive with to injection through growth pricing continued anticipate and offset should lead differentiation overall strong the we price we progress XXXX single volume to Durolane. market which therapy, our
share lower believe with price Across portfolio, drive growth, increase growth. combined selling will volume in from our we HA an market
However, and to by in do improvement an price. growth. of impact revenue lower an driven overall ‘XX due We a HA to begin we the to and see ‘XX expect in low-double-digits, reduction by and price revenue HA high-single growth turnaround expect volume QX QX of to selling stabilization
year. where Surgical continue substitute solution following introduction deliver to rapidly organic Flowable, turning our rapidly we its Solutions, grow double-digit OsteoAMP bone last to allograft Now -- drive to growth. continues strong graft injectable to
combined we invasive quarter, Access fusion, launched we spine. now fully the the in and in a fastest-growing minimally complete OsteoAMP with portfolio offer BoneScalpel area During spinal Flowable,
forma grow Additionally, in double-digits our a ultrasonics the to basis. pro U.S. continues on
market smaller growth a mid-single-digits, by for organic forecast Within in penetration we as rates Finally, and will double-digit our growth into therapies, XXXX, market contracted and we continue, strong decline growth because overall revenue that Exogen. a organic move restorative provide market backdrop continued growth. driven our share
revenue of start re-engage Exogen building XXXX. sequentially and our at continue the physicians we mid-single-digits However, to as with momentum we force see sales grew realignment after
we move for supply Rehabilitation, our the earnings received grew approval impact challenges. disruptions should MDR domestic Advanced our we revenue prior from Within approval quarter, on resolved growth we these chain Removing strong EU and challenges XXXX. enable Exiting despite headwinds Rehabilitation and the as call. chain double-digit portfolio Advanced anticipated the regulatory discussed supply our into
our entire stability for overall Restorative drive portfolio. Exogen this for expect We with Therapies combined growth will mid-single-digit growth,
our organic regulatory a bone headwinds for the basis, EU growth International XX%. acquisition reported XX% our growth Constant portfolio. portfolio. impacted in Advanced on negatively was Rehabilitation Durolane our strong currency Finally, by driven Misonix segment substitutes Growth grew MDR-related due and and our to graft was
as As our broader XXXX, above-market realize for segment our of growth the we anticipate we we into benefits move portfolio. International
sales of three, and and completing we in we savings operational improve reducing confidence. the execution, with across our attention EBITDA come accelerate on rebuild financial improved delivering the These the inwards internal accounts plan, and inventory sheet annual working decreased investor growth capital through and Misonix to processes, exploring margin outcomes profile, integration and two, cash on half through: balance our on business; operating margins; efficiencies challenges prioritization plan our our focus operating XXXX, and flow. reflecting and upon additional drive shifting Finally, to our as where drive resolve and of our regain are performance improving will one, we achieve receivable second our our
strong still tailwinds. with retains Bioventus market a challenges, recent diversified Despite business
fruition growth by devices, as Advanced stimulation few multiple have be growth infrastructure. coming Rehabilitation. to and leveraging our these us recent peripheral accelerate portfolio, leading medical to years through commercial of our our should drivers next Each We enable solutions such ultrasonic acquisitions, surgical scale the nerve and over and obtained
deliver in to across profile. profile our remain expense our we overall our improve from cost confident margin the and ability to bolster acquisitions synergies And business our further
your regain we to Finally, in to our over look results confidence the course quarters, the commitments. improve, next several our deliver and as our of on ability we execute
Now I'll turn the call over Mark. to