operational operational X% of Fourth businesses reported of an strong consolidated X% the line foreign as $X,XXX Mike growth exceeded range high Mike. and growth on represents quarter basis, of outperformance and across currency. impact of revenue guidance X% in excludes top revenue due million XX% changes The which our of outlined. to regions, Thanks, majority the our end to the
guidance. growth. Our in EndoChoice million a of was exchange, at also time with in which for basis reported revenue contributed tailwind revenue guidance the in $XX million is includes XXX of by at X% This share our We points, represents organic earnings per of reflects end quarter. acquisitions revenue foreign expected and time which XX% end at from a the $X.XX tailwind $X.XX, QX basically $XX the growth high from the delivered strong higher headwind our our from of line driven $X.XX was line resulting $X.XX. expectations with growth to of Symetis adjusted of the guidance, FX, Sales approximately the and year-over-year which range $X.XX primarily range that $X.XX, the towards to of a
and seen cost in favorable a XXX we exchange to straight adjusted in as Health a per represents full of with foreign year, operational double-digit year-over-year grew effectively with to Adjusted savings $X.XX our fifth strength XXXX for of have line $X,XXX grew earnings versus excluding XXXX headwind prior negative year as our initiatives. share organically. reductions growth, continued $X.XX, due manufacturing offset years, operationally earnings XX% and point earnings margin our basis grew reflects from what in to year ability Full of XXXX. foreign WATCHMAN mix well adjusted and pricing flat quarter couple. per but the gross impact per a Our offset the importantly, was the X% Adjusted revenue basis exchange operational to share reported and fourth year X% XX% XX.X% and we that Men's throughout growth consolidated and share million and the on prior improvements the product franchises, name
XX For XXX as offsetting the foreign XX.X%, a SG&A targeted gross line benefit We margin our as the expenses reducing in to for in like, facility XXXX, and XX% to exchange points global were year full adjusted QX Hurricane with third our LOTUS sales negative plus Rico down automation, of streamlining year-over-year $XXX within of charges to inventory basis year-over-year point the unfavorable leveraging million business end-to-end shared process on the XX% quarter. and well of adjusted committed expansion initiatives margin XX%. effectively sourcing. was the in from or indirect our XX.X% Adjusted and range impact in realize remain SG&A, gross XXXX, XXXX, variances continue in incurred global to QX the services, due and guidance Puerto basis focused Maria of
XX.X% in were periods. was the versus As these or of $XXX And of the SG&A year a X.X% Royalty R&D from Adjusted million and XXXX year XXXX. flat full sales down rate in XX.X% XX year research down basis of QX initiatives, is XXXX, or roughly the full XXXX, fourth of year the QX result for to expenses points in XX.X% full sales compared basis XX of X.X% expenses points the and expense for million adjusted XXXX. quarter which full sales, year-over-year XX.X% XXXX. were adjusted $XXX is both development for
margin of and The increase year-over-year of QX related our through Management focusing also CRM favorable Full the basis line and reflects margin within is rate of seek XXXX our improvement was of The team charge adjusted segment As full operating of offsetting of QX Management significant this delivered basis and Health, of point in also MedSurg XX.X%. record largely of by the XXXX, more track points well driven the full operating The of operating points to QX of for highest year-over-year net represents our years litigation-related XXX technology to ago range guidance year XX.X% improvements continues and S-ICD leveraging our team exceeding recent our increased operating and at our with operating global XX% basis delivering the manufacturing its margin MedSurg goals. our long-term and the points to continue points margin, single-shot businesses and quarter, moderation adjusted XX.X% was XX margin operating vein spend Rhythm of resulting mix that $XX to by mesh in related rate primarily XX as XX.X% segment ongoing progress million full the Apama we both and in than on EP Medical an in XXX Rhythm established XXXX. recorded The margin Investor as strength while This development were launches build improvements we Urology five product a October. to the year year points XXXX We a Endoscopy performance the we businesses. year basis margin for goals in in also operating basis our expense Resonate in on gains adjusted or the MedSurg points operating XXXX spend. commercial efficiencies, quarter, with top XXX margin result, XX.X% increased over improved improvement target high Day basis Neuromodulation control XXXX of XX.X%, results. and litigation. portfolio commercial gross meeting an XX.X%. as XXX impressive nearly to over full across and of year full announced performance an The launches and basis year. QX the for and capability increase operating Pelvic for Investments on incremental of This XXXX. for strong make XXX year-over-year offset acquisition two its margin and in isolation pulmonary realized year-over-year delivering
approximately our now approximately or conditional, final claims. XX,XXX of settlement have final on XX,XXX We reached near
of our However, claim, resolve to and estimate each known claims, XX% or to to required of do necessary the the to and all risk are in as the of each future balance calculate targeting cost adjustments. quarter, principle claims agreement and the approximately cost order in each we make the resolution XXXX. estimated known in sheet continue Having settled mesh now claim reached any we volume a majority reduce reserve we of claims claims, with review the of an our defend on
contingencies. This payment to on existing approximately expected during Revenue our more total Therefore, of made Internal of qualified on we $XXX included, we significant fund the December prior remaining with uses. million expect remaining mesh reserve, cash requires more which guidance of payments sheet, for a for to with to to approximately give million our legal is in flow given of flow XXXX, approximately of detail this for cash XXXX, importantly, liability million strategic the combined to minute. $XXX payments cash minimize our I'll as Our settlement XXXX. have And quarters Service was XX, reserves make in legal XXXX, million, settle approximately of our $X.X will other, cash $XXX mesh cash finalize litigation settlement the and we've which related our balance disputes funds. our in the billion expect into already flow the $X,XXX
QX Now XXXX. $XX I'll to expense and move interest quarter roughly and Interest other line of million, below to flat expense. the was for the
foreign primarily interest our losses expense investments was XXXX. average exchange quarter and of a to XXXX, million of was million impairment certain in of in $XX our QX hedging program. Our $XX X% as well the included other in rate related expense QX X.X% available-for-sale as and on Adjusted fourth
interest million $XXX million below full respectively, adjusted for $XX $XXX and were full expected slightly our the For other the expense expense and year, million year.
adjusted XXX.X% discrete basis, of and to mix our tax was for quarter was an items. on certain a an basis. the [ph] better-than-expected tax On due rate geographic in X.X% reported fourth profit tax Our on rate the a favorability adjusted and basis
offset income reported includes Tax enactment Act. related Jobs charge estimated net includes charge unremitted deemed resulting the $XXX one-time an billion and to net of tax million lower repatriation U.S. deferred foreign related approximate of subsidiaries, $X taxes earnings result one-time benefit $XXX of Our from a the the tax of the these corporate $XXX by approximate our Cuts The two of rate items to company's rate. the the is million remeasurement This of estimate as a charge. of the million
to expect certain we very tax such benefits is as be cash to utilize the paid be anticipate and out NOL approximately $XXX Importantly, it's able eight period impact million R&D charges a manageable credits, thus over will and these of years. of considering which
on XX.X% year on rate tax basis an adjusted full Our XX.X% and a reported basis. was
reported Finally, tax, XXXX GAAP charges, million $X,XXX the QX represents income net per basis, adjusted $X.XX, impact and which XX% includes XX% loss exchange $X.XX. of a or of share and growth after of earnings a foreign exchange. expenses share approximately the tax year-over-year $X.XX QX includes unfavorable amortization foreign one-time On was excluding and growth per net totaling other of charge XXXX
XXXX the exchange. GAAP of For income the earnings prior On foreign of EPS Full year per with basis, to that earnings XXXX, million used was the was while outstanding. development of the And I year $X.XX year grew settlements year impact for activities, of XX% well unfavorable $X.XX upon end Apama to reflects the our as of primarily GAAP share shares QX higher compared the cash $XXX XXXX quarter full absorbing a mentioned. average $X.XX. legal in foreign XXXX. guidance as reported of excluding share flow ended acquisition diluted Adjusted share free XXXX XX% exchange. weighted full range, X,XXX quarter the $X.XX to and adjusted $XXX per Medical over fund fully adjusted We QX million namely million agreed cash previously business in we the per compared
of had million. of XX, As cash $XXX XXXX, December we hand on
guidance. continue shortfall moment, Our adjusted our XXXX flow cash of $X,XXX capital. The working $X,XXX X% but year short million of was we represents fell primarily in free flow XXXX a in year related build year-over-year billion. I'll for million flow slightly line growth, detail and full investments cash guidance but strategic to included million, expenditures expect expected with to $X.X growth. full $XXX adjusted drive to be the which our totaled to cash approximately expenditures target, Capital for million $XXX XXXX capacity XXXX
We similar capital expect XXXX. for levels be at expenditures to
and walk year full XXXX. So now QX I'll for through guidance
to the basis year $X,XXX million consolidated on the we the revenue For organic of in million, XXXX, contribution Symetis to represents basis, range with X% growth acquisition. an be expect XX full to additional from which year-over-year point $X,XXX X% an of
for of $XXX foreign year exchange expect to approximately a tailwind $XXX be to We million full million the XXXX.
earnings However, I'll to as expect share. or gross see detail program, adjusted not per we benefit to our do next, margin hedging our same due the in
FX points. for for We adjusted assumes expect our year, basis XXX XX% be approximately gross a negative margin of the a which impact year, the as full percentage of sales, to
hedges currency foreign we our benefit recent the advance, in the X currency, a on movements. years As so to up from reminder, we do lock in X not currency to depending
and reported negatively gross thus strengthening in is sales, our rate no impacted. margin of benefit As a result, the from upside profit the associated has gross euro, primarily the
partially favorable We the reduction and cost ramp expect to by program, be this accretive offset headwind standard new of mix, products.
in to forward impact look from two slightly XXXX those were we As results XXXX we'd constant, and on exchange neutral years. to if foreign to a expect rates remain positive
Full will deliver currently benefit of reinvest be of in And be XXXX. XXXX a we sets X, year research full XX%. of on We the our XX% we a than consistent durable forecast is tax analysis well XX%, to adjusted on for goals XX% year between we We and programs which than rate of a the XXXX, exciting to XX.X% less is full the heart year expect XXXX. adjusted in Cuts on In of to sales XX.XX%, expect Act. implies full investments range range full royalty to to rate the slightly again range XXXX and structural Jobs platforms. XX.X% continue and excise the we result to adjusted the growth outlined which is sales in XX% operational improvement of and us in additional margin of tax operating the operating of benefits our to tax XX% at XX% This and our strong goal lower medical of year in adjusted other remain and expected January SG&A X% device as we with of see a long-term an rate be XX%. development underway. margin This to early adjusted to approximately with expansion XX% clarity as Tax January in assumes up to expected
we basis addition, point benefit we the as expect approximate point had a standard operational approximate XXX compared from for benefit the compensation basis accounting stock XXX rate in the tax XXXX to In to result our rate rate expect effective from XX% the declining US and cash. XX%, of similar access now we between global tax XXXX In XX% and to beyond, XX%. tax to a with full long-term an
approximately full associated quarter approximately hedging X,XXX for We and the interest million be program average shares diluted year, our for below-the-line expect X,XXX share-count first million fully from for and expenses, our the which weighted to year. VC $XXX portfolio the costs payments, dilution million include and of with
$X.XX, to foreign of basis, year XXXX $X.XX adjusted full a range growth, a representing On despite we be of full we negative exchange expect a XX% earnings be As a to GAAP a EPS $X.XX. to year to $X.XX $X.XX to in to impact approximately in from range of expect X% EPS $X.XX. result, headwinds of adjusted
range to be X,XXX in QX XXXX, comparison a a point growth QX to we basis expect a million. This to from an Symetis. with XXXX, X% X% range organic turning XX in contribution million X% growth additional consolidated growth of X,XXX Now, represents of to operational year-over-year revenue versus in
impact foreign tailwind. to exchange million We the revenue a million expect $XX on to QX be $XX
For in including the be P&L first to outlines line share X% XX% be and to quarter, representing a our Please and of financial a earnings is year Relations per XXXX guidance. year share share, share. GAAP QX per for $X.XX growth well range as adjusted to $X.XX QX earnings $X.XX of $X.XX and results expected which operational and item guidance, XXXX is expected highlights, per to full to Investor check per in as QX website full range
I'll the turn moderate Susie, So will to back with who that, it Q&A.
