Today the of and quarter, third assumptions review revised pleasure and discuss morning, you full I Thank and today ahead. drivers I'll results to It's and for the many our related forward our then and you with outlook. months my year meeting to expectations in look to everyone. financial performance you, the in and key weeks good be Ed our
First, with quarter our results. let me third start
Direct the Our offset within strong products $X.X services by growth virtually in driven contribution from organic billion healthcare of sector. segment was revenue and by Patient the quarter the flat revenues prior the the lower within year, Apria and
million $XXX or mix up $X Direct within and was currency million. of foreign margin the prior impacted QX that XX.X% revenue adjusted and by operating was year. margin by of reflected Apria contribution by XXX by segment. Patient Year-over-year sales Growth gross revenue million, income negatively basis points million $XX from of Gross sales driven for and $X
selling Distribution, and offset system. Apria by inflationary Minor efficiencies, higher was million driven and & addition Owens derived ongoing from pressures, expenses expense operating gains from productivity administrative partially primarily of business and the the $XXX
in in million prior $XX which quarter, higher financing by than the acquisition was driven March. the Interest was Apria million late expense debt of the $XX year
X/Xrd and year's The quarter. third As in quarter jurisdictions well swaps. of XX.X% overall in from represents tax this was last The our effective income foreign GAAP a which the rate losses approximately interest our in in as inclusive we XX.X% change of to operate, as of reminder, floating tax mixture rates rate compared rate of year's resulted primarily utilization borrowings benefits. debt prior the
for income the for Our was a a Adjusted the $XX or $X.XX was quarter net share. $X.XX or income GAAP million million $XX quarter share. net
versus up the $XXX million, with was margin EBITDA basis adjusted quarter XXX year. points prior of Third X.X% a
customers billion, as $X.X inflationary hospital segment Products $XX basis operating change glove million quarter by services was reliance attributable was of billion And and versus year. the factors $X.X $XXX to on for healthcare compared and reduced and was last products This existing last healthcare services discussed, change pressures. to just driven with stockpiles. the million pass-through, cost On approximately this income revenue as was well approximately third million $XX quarter year. along adjusted lower demand accelerating a
an $XX year-over-year, Direct, on equipment. aided Patient quarter excellent to income by Adjusted pro key strong million, quarter sleep the increase ability forma for was last $XX XXX% basis growth revenue product an a million, compared and to was categories, million. segment in was $XXX to had across our third year's quarter. XX.X% better-than-expected this of Turning Net quarter growing the operating procure of double-digit
are expect an to $XX add patient in to $XX to adjusted few $XXX $XXX Apria tracking and over continue the we years, The annual range And million to deal add nine million of to million months $XX its revenue generating of incremental expect million. of for business continue of XXXX. of synergies million are $XXX our contribution we revenue the In expectations. million, of in EBITDA direct to we within synergies ahead over incremental adjusted annual next EBITDA
Moving now to cashflow, and sheet the structure. capital balance
operations. of This capital $XXX $XX less we through in And adjusted quarter, with generated million from under first a the just $XX quarter, it's basis, expenditures, $XXX million XXXX. flow million have net on million. defined cash as months year-to-day we generated of EBITDA, cash nine Free the
is reduction further we all top change and priority, target and we comfortably by debt net debt During times. there $XX net million to two the three reduced no leverage our Leverage a were quarter, covenant of ratio in requirements. remains within
look at current our let's Now guidance.
full range a $XX expect $X.XX. $X.X of $XXX of to million to adjusted in $XXX a revenue net be and to year EPS billion to in For in we $X.XX million billion. EBITDA of Adjusted the XXXX, a range range
revised drivers look the outlook items to few a the are versus we there key As of guidance, at note. this previous
software QX our midpoint. have volumes, in This the million reflects reordering. revenue customer new and we on factors at procedural and $XX trends First, reduced assumption assumptions recent decrease our the by
As delay we more the quarter, their care product customers acute deplete reorders, mentioned, choosing over to saw we of our stockpiles. instead
interest than the are had different the for This the levels midpoint the expecting partially interest offset range adjusted mix expense year. Given reduced majority management due continuing for we the to sales a year this, we in guidance $XXX is is $X.XX average million and much of previously by driving Expected $XXX reduction ongoing the higher in debt assumptions. a QX of debt to million EPS lower projected. of rate slightly to to daily
of list filed we've SEC section X-K supplemental modeling the slides also Form of refer assumptions, posted For summarized which investor a on to our please to today, the relations the earlier website. with complete
are we put normal discuss midst cycle, in the to XXXX us which Looking first ahead, of outlook in farther a would for position our in quarter. the budgeting our
the very we've are question, for to without changes a our renewed came There result as And urgency year focused address As many some outlook of positive quarter. these from challenges. the and issues. were a also have we takeaways unanticipated this discussed, to
wins segment. our within performance of We new and successful Thank And onboarding and proud are the outlook products very about the segment. and and excited patient you. healthcare very service services we direct the remain for quality
call begin Operator? the the to operator this turn back I'll to At point, over Q&A.