and XXXX cover financial outlook our morning, drivers a detail. trends quarter key good review everyone. greater in of fourth and Ed, our will last start for of and then some the year and from I results with into dive Thanks,
measures. during found this release reconciliations to in can Please today's my All earlier non-GAAP GAAP on morning. filed be will non-GAAP call, note that press the financial remarks financial only I discuss
With let's to turn results. that, fourth quarter
year's There revenue XXXX. for compared compared accounted The was fourth the year. of & the year the fourth quarter one segment was grew to billion, overall segment's quarter selling which X.X% Healthcare this Our for $X.X the growth. quarter, to prior more day last up to Services Products compared X.X%
our While the in knock-on fluid lower offset grow to shortages of effects continued our distribution prices the The sales volume some customers. procedure and to and volume fluid sales year-over-year, the have it shortage of division the same-store was growth during quarter. Medical Distribution impacted IV by nicely IV subsequently
Patient Direct X% in once demonstrated revenue strong fourth of compared grew growth. supplies again to diabetes 'XX. quarter the by
in respiratory previous such discussed therapies and on decline a home year-over-year as quarters, basis. NIV As oxygen
encouraging XXXX, towards and we saw this these expect the late signs to to fourth turnaround therapy growth return in quarter. We categories during
or fourth and with were essentially Gross profit points as quarter XX was by inventory basis third XX XX.X% in at net fourth Margin LIFO a $XX $XXX levels year's the meaningfully benefited expanded flat million from XXXX December of and was of to XX. the last credit September quarter compared lower quarter to revenue. million compared
in Our compensation distribution, were from in revenue The selling quarter teammate benefit DS&A expenses costs. the when fourth and in increases to XX.X% workers' of primarily quarter year's at and last million, revenue. administrative of DS&A higher due XX.X% $XXX million was $XXX increase was expenses up for
the attributed third the modest growth, of and year-over-year adjusted offset higher $XX quarter, was income change DS&A an million million $XX increase to The fourth to less in fourth Adjusted was the operating income compared which by operating $XX expenses. million quarter can be XXXX. in revenue than quarter
debt for by This earned expense driven quarter. quarter. $XX change year's our was was the million the under the was versus quarter fourth Interest and down about offset prior prior fourth income million just partially reduction fourth compared to by less $X.X continuing interest
million XX.X%, for or was per tax the the $XXX versus year. compared or EBITDA the Our of Adjusted million $XX quarter during million income XXXX. was unchanged fourth per last million XX.X% was quarter $X.XX of effective largely adjusted fourth $XXX $XX the from Adjusted 'XX. share rate to in the reported $X.XX share quarter net
division. projections expect used contract charge we future million to including during net and in the were capitation extent, at impairment the pricing noncash impact This goodwill a earlier to not market in impairment far XXXX anticipated results. previously the analysis, was to fourth the the have We on financial a a changes do recorded month, a this assumed change, adverse significant quarter. primarily related As lesser financial charge $XXX contract Apria tax disclosed in of the that changes quarter
has driven more the outlook by changes because $XX changed importantly, million nothing this. in our flow primarily in about quarter, cash positive operating generated for working We of prospects fourth of Apria's And capital.
quarter working debt to million. better last often throughout As our on of day yielded flow the quarter, allowed capital represented happens, reduce the us was the management $XX that which cash by
business million, and down $XXX million capabilities last of of full reduced was our have reducing commitment flow $XXX paid leverage. we cash the the over by debt the demonstrating years, to X For and debt the year,
Now with start full XXXX. and for we up new year, of the year will provide wrapping guidance the XXXX the of
Also, Products the does of As not & expect any guidance a Healthcare any include sale not potential XXXX. include does activity. Rotech the in guidance does we repurchase still half of share of shared include any our and acquisition, from future our not potential segment which first our close impact today reminder, Services here to impact
in expect we yielding $XX.X growth million to be XXXX, EBITDA So of segment. from with in a to XX% with range percentage of XXXX. be will range revenue our midpoint a to approximately representing year the that, the Adjusted expected is in $XXX mid-single-digit for to growth billion Patient over $XXX $XX.XX $XXX of Most billion, growth the $XX.XX the full million of come even Direct billion. million midpoint
has growth. approximately XX% and EPS Adjusted of a to of per a $X.XX share $X.XX representing range midpoint guidance $X.XX,
As XXXX, about last in expect we flow see we improvement year. to marked think cash from
have We further for in million expect at available XXXX. debt least to $XXX reduction
expectation million this minus can of in and of expense on the out $XXX spent flow, cash our cash as items, as taken guidance demonstrated of Those charges. and we be gross $XXX well of to the that working EBITDA past be we a approximately less believe midpoint detailed, result are and achieve. our million items acquisition-related of million CapEx $XXX expected adjusted exit be task another believe and guidance, of the provide we $XXX is the million as can realignment reasonable $XXX midpoint of it interest a million have We in included capital, would just
come guidance. flow So to is the in from XXXX the year-over-year cash included adjusted expected our improvement largely growth EBITDA
exit cash realignment and the items charges in lower expect acquisition-related in and spend working improvement capital included anticipated and management. We on
And levels bring our There no so. close in work to use incremental after quickly debt and of flow the debt-to-EBITDA the diligent reduce we levels. remain efforts Xx between do free cash leverage maintaining to of will to our We intend down Xx. debt to Rotech will and goal to change acquisition, is
has of program repurchase Ed Board to a our of $XXX Directors As up share million. mentioned, authorized
debt for share manage objective, prudently our cash will remains repurchase We between flow activity. leading using reduction, which and
cash the use with my of currently repurchase undervalued However, and flow. shares we so sound very weeks, believe all so is especially a last in share few
will trend business, increasingly flow X guidance of least When with year, our the earnings occur and we the full the cash and our given at thinking being the quarter expect the over year is course the how quarters the in as about XX% last year of nature to of of strongest. the typical fourth
also pattern a usual quarter net We first as the quarter. lowest first we the often see, of earning we And to being the expect be borrower our during quarter. expect
and were this on X-K Relations our As a filed information reside morning key reminder, of and our modeling guidance the under Form section website. assumptions other Investor
I will now the to the call operator Operator? questions. back turn for