Good segment finally level everyone. full-year provide key Thank related full-year. you, and the financial for expectations Ed. and discuss the morning, Then on and fourth assumptions Today, review and in outlook. results I'll our XXXX commentary performance performance to our our quarter drivers
First, start quarter with full-year fourth and let results. our me
up the X.X% was nearly $X.X quarter up the year in QX. revenue prior from and sequentially X.X% Our from billion,
gross margin quarter up For year's points revenue, XX% fourth revenue was billion, $XXX the last $XX XXX X.X%. up or Fourth basis full-year million from was quarter. of
points XXX offset year. billion and driven margin was by the reduced gross Full-year basis quarter stockpiles. mix was gross for by included in from up pressures customer reliance or the partially which inflationary S&IP of $X.X sales of and prior for the demand The Apria in XX.X% and the margin full-year on increase inclusion revenue, products,
goods of valuation In a to of quarter. reflects cost PPE these in relative products XXXX This the segment decline at Services as $XX utilizing our adjustment the in fell Products began million year-end addition, reserve recorded stockpiles sold result pandemic. inventory sharply The outlook. during in a during through Healthcare created back demand was for the the decrease of and excess recorded gross inventory and due margin fourth the current to in century demand the half The year-end. to to customers is demand once
selling was was pressures, of the the gross a of This and and this offset Distribution, classified inventory highly operating was incentive fourth efficiencies item, charge. our expense reduced to and full-year. non-GAAP full-year extraordinary unusual with administrative million ongoing increased which and compensation. driven the in associated valuation circumstances the the expense due quarter $X.X the Along with by as billion adjustment, by for about $XXX Apria. inventory, was quarter X% for fourth partially inflationary in The addition
XXXX. revenue for currency million operating foreign $XX by income by was million. million income fourth operating $XXX the quarter and and $X Year-over-year, impacted Adjusted negatively quarter $XX in adjusted the million full-year
income impacted and adjusted For by the $XX full-year, by million. foreign $XX currency negatively revenue operating million
was $XXX in debt was Both year. and year. Interest the which fourth for million by and driven million, was $XX than which the the million the expense increases million the associated full-year quarter, Apria the prior higher rates. full-year the than financing was for interest prior quarterly $XX of were higher acquisition Interest $XX expense rising
million Adjusted net $X.XX fourth share. income was quarter a the or $XX for
$XXX quarter EBITDA up X.X%, million of with fourth was XX income For the was quarter. Fourth up points full-year year's XX was XXXX XXXX versus XXXX, of $X.XX points a margin adjusted the basis $XXX or $XXX last basis margin X.X%, a prior a with million adjusted net adjusted share. Full-year million EBITDA versus year.
Moving now and cash sheet structure. flow, balance capital the to
year-over-year. This from quarter, cash operations, million we $XX XX% generated up of
up For April year-over-year. the at by XXXX. debt end ratio we the strong a XXX% approximately of ended very the we since reduced was debt lower leverage $XX the generated a $XXX and funded million net full-year, year quarter million, than million, the times. Total Apria we've of in third with X.X $XXX We acquisition
X important reduction It's debt the stated. continues continuation end I of leverage the than the and times Leverage will that ongoing turn the our our compliance realignment along of note X to a priority leverage almost actions times. to be book year reduction ratio our our expect program with leverage lower we to top accelerate to model was target at operating a of just
$XXX now revenue quarter, double-digit results increase increase with Net quarter. segment. an for of Direct Patient XX.X% segment XXX% product was billion, million, in basis Full-year of excel the growth most by continued This Turning our Patient $X.X fourth Apria adjusted the in the our acquisition, net fourth grew with to was beginning quarter fourth to year-over-year. year-over-year. revenue key in Direct the on categories. In revenue an an XXX% year-over-year segment
Segment $XX last compared million. fourth quarter the to year's of quarter for million, was $XX income
an in million, the million segment income and of For above impressively, Direct XXX by with margin to XX% quarter, segment full-year, operational year. by cost XX.X%. on basis $XX income acquisition, continued adjusted synergies grew was Apria discipline. fourth points Patient basis leverage to growth This last year-over-year aided and for improvement driven market by a the $XXX the fixed compared adjusted increase was More
XXXX. believe Looking will organic and market maintain outperform strong in its Direct ahead, Patient we growth the
was on Net in Moving healthcare billion, revenue quarter to products services. $X.X down fourth and XX% year-over-year. the
for destocking. in for as primarily our of demand new decrease X% billion, the earlier, So revenue Ed Net full-year driven in seasonality and a the S&IP almost sequentially and in was QX, the medical year-over-year. noted full-year net by divisions. quarter up was customer and versus revenue decrease and distribution implementation wins, reduced by retention XX% The of $X.X driven
$X $XX the was year. Segment million income for quarter million, to last compared
For the with full-year down XX%, the full-year, reductions was inflationary $XXX last was currency for by translation. quarter income year. compared and and including post-pandemic decline pressures and S&IP pricing in demand along segment for The million, foreign destocking to the and products, driven
full-year XXXX moment to our the I to program operating guidance, discussing want model as take a expand realignment Before on discussed.
We are ending of year to $XXX XXXX, a $XX today flow. deliver in to again, benefit million fundamental annualized adjusted improve of key approximately the cash committed challenges approximately will approximately The the end and and but run in of improve expect Once to we many business. $XXX XXXX. by manner targets operating we and to set metrics focused P&L a with addressing our profit urgent rate income million thoughtful, out million the of the
streams $XXX the laid best we working to of the model four expect in position to of course We’ve $XXX in work out and the current Ed realignment Furthermore, capital future in million necessary this to are expected over operating win environment. million company recognize the put the program. benefit the
team committed here. change and to past scale executed initiatives the large Our leadership in successfully are so doing hit successfully
Now at let's guidance. full-year look our XXXX
EPS net a in million of to to a $XXX billion. to billion adjusted a $X.XX revenue to Adjusted $XX.X We be of $X.XX. in expect range be $XXX to range be and million to of EBITDA in range $XX.X
throughout commentary have Given I cadence the program this to our XXXX realignment morning our some discussed backdrop year. the related underway, operating model is now and of Ed and would I earnings and what to expectations added for the guidance color that of like some around the provide
on segment, we be the price to from our volume in QX along expect sequentially down X%. continued products, in consolidated we revenue the S&IP and seeing pressure seasonality With are normal with Patient Direct our approximately by QX
across could take as in that adjusted and the half year first quarter expect of negative our be our of We as volumes begin earnings operating will product up as EPS majority model our vast occur believe the business. normal our the the realignment to benefits in recover ramps hold $X.XX. back We low S&IP program seasonality
operating expected XX.X%, $XXX rate million million of capital of include benefit in million, income Our expense rates commodity of diluted subside range to XX/XX/XXXX. to to approximately Destocking back tax key of assumptions model begins $XXX of of XX.X to rate operating program. gross of realignment $XX shares XXXX. for half interest XX% the FX the million, expenditures and to million XXXX realization adjusted margin from million stable the A approximately average of and adjusted of improving $XXX prices, XX%, effective in as $XXX weighted
section with filed the Investor X-K posted Relations refer our also of the Form we've slides the SEC which to supplemental today, earlier to Please on website.
point modifying peer quarter XXXX, be a LIFO provide earnings and the first To provision, with include non-cash adjusted inventory to with a at of companies both few administrative like items the non-GAAP to company's of of as we In which the to reconciling compensation in cleaner EBITDA. to stock our arrive items be cash are will more reporting addition, matters. aligned beginning view I'd investors out and
the statement to break which and our will intangible selling reporting results, a XXXX quarterly be of an in from file acquisition-related reflect Ahead presentation changes. out will our separate these to quarter distribution, amortization with line-item charges. item the change results expense, we first in will we Additionally, recast operations line combined to X-K of administrative
statement. a coming self-registration Universal we the be will filing weeks, in Finally,
current a any is this will solely Our plans three-year matter not good have and statement. life a file of new as issue registration we do approaching we At governance time, self-registration securities. to this
this call At to begin the I'll the session. back operator Q&A turn to Operator? point, the over