with some QX overview I’ll for an the of our on Thank start Tom. our outlook then comments and you, offer financials year.
the first Adjusted EBITDA total Medical. of impacted Sizewise Adjusted year. EBITDA million, totaled $XXX acquisition prior company the by a versus increase XXXX. increase acquisition million, were X% totaled For well Northfield year XX% QX revenue as as the of margins representing to for year. Adjusted the a prior of totaled QX quarter, EBITDA last $XX compared margins the XX% over
a You will Agiliti margin very generally enjoys strong recall that profile.
all companies pre-synergy lower the margins. acquired with have EBITDA adjusted So we start
in adjusted saw were we as contract margins the as the a medical return as quarter. renewal of impacted placements rental the device HHS to by EBITDA lower In pre-COVID utilization addition, well
guidance ago Equipment IPO strong an revenue strong in Taking we drove operating to service diluted and up at average $XXX Adjusted net the Equipment of expected to the performance the to first up earnings closer offset across previewed XX Solutions our QX. fully both March. and revenue across year XXX% outstanding totaled associated year. XXXX we in XX% provided earnings decline a income of per managed annual of with Clinical $XX over had $X.XX $X.XX when by Engineering Solutions growth, strong April services XXX lines, shares we Our last shares increase compared in of quarter share million growth year-over-year. onsite delivered revenue our in million, look our of weighted million, QX million as compares period, each with
X $XX Sizewise October in acquisition million Our QX. revenue in of contributed approximately
In addition, in COVID first QX. of continued demand the part
the versus approximately $X $X challenging favorable year million pre-COVID prior COVID to levels. million that experienced While impact million. estimate a impact $XX had net $XX and A to reminder of we from a in favorable of had period, quantify, between million we
the Moving the $XXX year-over-year, representing quarter. XX% previously of deployment our reflecting in-market year-over-year to and pricing Engineering, primary longer-term from In Revenue of from million, QX, to levels in favorability. maintenance reset year-over-year of the the which associated an last QX driver Medical, stockpile. Northfield growth lower acquisition, active derived from devices of contract the the with of support was stockpiled was the revenue Clinical was revenue ongoing closed HHS for year, described the contribution March
primarily our near-term totaled Finally, nearly the our revised driven onsite for quarter. agreement. been HHS $XX primarily services is scope benefited Solutions to our line. by COVID, of related of services a which on X for renewal our onsite the year-over-year customers years, focused managed service challenges pricing Reflecting revenue representing million, have This XX% Equipment decline and on
from customers on with again longer more COVID-dominated quality we cost emerge are we our term and As engaged period, their strategic this once initiatives.
see to of down P&L, our onsite funnel. gross million managed or an the year-over-year. $XX moving million, opportunities continue XX% totaled sales new through increase $XXX for We QX Continuing margin
XXX driven primarily prior in XX%, rate Northfield The down the by points acquisition the year. margin decline of gross rate from basis the margin Our was in was year. prior
a net SG&A prior In XXXX QX had was increase SG&A synergies. revenue costs also totaled of a the addition, impact. year was as placements for levels expenses achieved an to increase or our an of XX%. due which SG&A from device totaled return with percentage XX%, consistent million million, The lower primarily $XX $XX medical to results. costs acquisitions, pre-COVID of from
less cash QX on million which Moving balance we closed sheet, on debt, to $XX sheet. $X.XX includes the hand of debt balance with net billion of our billion, $X.XX in
of results resulting the was second operating facility million, costs lien Our from over our lower interest strong IPO. operations driven pay-down as quarter part from cash flow by $XX for the debt and the of
the cash our activities adjusted in represents QX. flow leverage growth which from In in $XX X.Xx a in less Strong flow net totaled cash quarter. operations flow our ratio EBITDA and cash reported million, of addition, a X.Xx from conversion generation of over resulted income investing
$XX utilized cash on the over debt to In quarter, our addition, in we hand pay in million obligations. down
cash is payments forward, million Looking remain for annually. principal diligent optimal reduce to our we determining more strong in by This expected uses the reduction $X will our cash generation. interest than
low- We with range maintains M&A as strong to revolving continue our expect hand. balance XXXX. generation a position use to includes well as our million target March sheet leverage we in liquidity significant credit cash flow the on fund million cash mid-Xx and available as to to $XXX opportunistic of $XXX Agiliti over as facility of This time.
fixed $XXX an terms for our increases. provides given on rate of on for has debt floating near-term increases. reminder hedge market a of partial anticipated any rate rate agreement of on our we million of Finally, the macro our swapped rate interest the view which terms. likely In total, a $X.XX terms billion debt, rate maintain swap This debt, interest
outlook, now we year Turning financial full reaffirming XXXX our our are to guidance.
to $X.XX XXXX We line we to representing the range anticipate deliver Specifically, XX% adjusted of $X.XX billion, to EBITDA to in range revenue XX%. top million. in the growth of of $XXX $XXX million expect billion
be revenue CapEx range X% cash is higher in our slightly million. each reflects normally X% CapEx of million the to should into $XX to in business net in but Our $XX XXXX. of reinvestment guidance planned range expected of the year,
due our we an equipment investment As increase to manufacturing in shifted manufacturer to investment tied three discussed acquisition, IT fleet device Sizewise targeted growth in year infrastructure, supply the last purchases increase this meet specific a investments, XXXX. are to our to quarter, ensure is our in of unable some goals to when XXXX longer prepared to fully targeted and was timing term incremental
calls, XXXX. our adjusted million will earnings Finally, the From qualitative share shared and to we tailwinds XXXX, per have as to prior range revenue expect $X.XX in results million in share. high-margin comp of $XX the we earnings from continue of to our COVID-driven per against a financial in much perspective, $XX throughout $X.XX
QX the COVID-driven the saw year. to demand While plan early equipment assumes very return this levels some utilization our year, we pre-COVID for a in of of XXXX balance
have of previously its agreements, narrowed and device scope and contract stockpile without Additionally, reflects management several shared, new we prior associated standup the the ongoing as our HHS activities incremental initial consolidate maintenance its the for deployment. with
Agiliti $XX within $XX While revenue approximate details confidential, million clinical services. is will guidance remain see that difference the our engineering is in accounted financial of for to and the in million reduction XXXX. both onsite That an managed contract implicit
role. within the of where onsite. impact continue HHS important and the continues and rate. we contract majority ordinary COVID high is pre-COVID and for with adjusting customers contracts as our for consistent of So their course the annualized impact initiatives throughout signing mid to our expected strategic organic to implementing financial long-term in and solutions growth our guidance business, an imply play back Consistent to revenue in new turn to expect historical made the the Net range, year impact attention XXXX, single-digit our acquisitions of growth our of the the with rescoped solutions
be for device XX%. year normalization from range XX% adjusted to margins, Our of the levels. are XXXX the will of pre-COVID calculated be implied Primary the back to in balance to which that the drivers guidance expected our of utilization impact rental margins year full can EBITDA include
of to lower Northfield contract margins of average. Medical and of the compared Our Sizewise EBITDA internal our and impact when assumptions both historical with which HHS Agiliti’s pre-synergy on the acquisitions new start
the based quarters on business generally does flu our the with and historical the seasonality some experience first our of strongest season. timing Finally, annual representing quarters fourth
HHS going now in At QX. I’ll demand with to similar in confident late which occurred trend in year pre-COVID quarter the recently outlook year. this time, the call for a turn return first and We Q&A. to are operator, over provide our for remain instructions signed the expect our results, we pleased our with renewal, a and seasonality to