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Let's move to Slide X.
from reported XX% driven revenue were sales, sales driven hospital revenue biopharma growth fourth Americas, XX% of growth reference COVID-related in procedures. quarter. approximately in sales, health growth biopharma as implants XX% improvement from biopharma government and the purchases which growth regional growth growth customers double biopharma, reported medical organic by Europe, government which demand. in double-digit rate in of double XX% XX.X% at used perspective, daily and well growing organic and a Growth Highlights and growth. grew XX.X% represents rebound digits, Education in from digits. a production and COVID including lab diagnostic clinical than global was production represents approximately Looking care, global sequential with education approximately by as by greater elective of driven in
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points productivity, compared to period. ongoing as as end This XX.X% proprietary this in Michael and the XXX include driven favorable market quarter period. mix, compared segment Europe Key materials relevance positive excellence. and well XXX of reported prior the resilience higher third results. volume As the has approximately noted, margin to approximately trend acceleration. a prior points market higher EBITDA our of margin our as commercial X in as Americas the basis strong XX.X% business trends model drivers represents adjusted rate, rate, and growth recorded consumables of Slide consecutive adjusted our basis position. by and reflects
productivity margin and reported the in basis favorable margin experience as excellence. approximately to XXX strong biopharma driven from rate, productivity. impacts and to proprietary prior by points XX.X% volume, EBITDA a compared strong volume continue commercial growth materials adjusted higher We AMEA period,
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our growth per operating ongoing strong rate were quarter. earnings income from the in XX.X%. deleveraging tax drivers approximately adjusted refinancing and our Primary achieved we and our to share, in interest EPS Regarding in XXX% for improvement expense reduction performance,
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our to free million $XXX difference first As the $XXX to flow The in Michael relates performance. first mentioned, strategy working payments, and our of generated payments in quarter quarter million of we to XXXX. capital XXXX interest compared in investments of year-over-year and related the the strong CapEx support higher to compensation timing incentive primarily growth cash
free year flow full guidance cash reiterating are million. of We our over $XXX
to Slide XX. Moving
X% XX% but to for end raising Based to original growth Reported strong $XXX guidance. growth COVID-XX pace half QX moderation the guidance expect has business, the improving half quarter, strong April extraordinarily X% on As year to the markets Growth the now COVID-XX we are to tailwinds Michael in reflect are given for $XXX core we approximately for to compared year. to in X% in the do to for performance, XXXX, indicated, outlook rates growth of first second the approximately second of X% we our the and guidance of million with XXXX. in X% is dynamics. with the XXXX organic comparables full together kept guiding our as million,
our previous to approximately share growth put in that and improvement, full our on versus We EBITDA hold begin due from our of first XX the operational our to refinancing costs, strong approximately also guidance increasing interest XX%, adjusted reflects higher deleveraging return are entertainment, to continued global lower quarter of basis per were continuation half of Also, second now effective results, global This year up, adjusted XX%. expense improvement reflects of travel margin are of approximately be such of anticipate expectations first points offerings, outlook in quarter as in points. up basis rate commercial the strong growth an XX%. original earnings and we expansion our We tax economies pandemic. productivity as XXXX previously certain and and open This results our from including proprietary excellence. a operating XX guidance
We also share purposes. guidance maintain for a flat count
before, full we As stated year of flow are free reiterating $XXX guidance our cash million. over
the we by our an expectation QX mentioned is that capital ongoing payments rating acquisition. cost increased we outlook opportunities EBITDA loans, Ritter modest and debt Michael to reduce EBITDA based further ratio Xx improvement lower and remain Our achieved the our On we'll under part and working pricing, leverage growth after growth. support needs pursuing the leverage even term X.Xx interest on our in to some in to offsets year funding EBITDA of are credit reduction. full enabled with from improvements
as Ritter concludes This share remarks. the guidance call well in to about Please expect We more now in acquisition details that back Michael. not over this the reflected about will impact actions financing to from the these have as coming the weeks. Ritter I the acquisition note prepared repricing hand commentary. we my