The fiscal fourth-quarter revenue at Becton, Dickinson (NYSE: BDX) isn't going to win any growth competitions, but the medical and life sciences conglomerate continues to cut costs, allowing its earnings to grow at a solid clip. BD results: The raw numbers Metric Q4 2017 Q4 2016 Year-Over-Year Change Revenue $3.17 billion $3.23 billion (2%) Income from operations $443 million $96 million 360% Earnings per share (EPS) $1.24 $0.09 1,278% Adjusted EPS $2.40 $2.12 13.2% Data source: BD. What happened with BD this quarter? Income and earnings on a GAAP basis grew so much because the year-ago quarter had a large restructuring charge; the 13% growth in adjusted EPS is a better measure of performance. The lower year-over-year revenue was due to the sale of its respiratory solutions business last year. On a comparable, currency-neutral basis, fourth-quarter revenue grew 4.4%, which isn't so bad considering there were impacts of hurricanes as well as change in its U.S. dispensing business model. BD's life sciences segment saw revenue increase 5.5% year over year. The medical segment fell year over year, although the comparison includes the respiratory solutions divestiture. Backing that out, revenue in the medical segment increased 3.9% at constant currencies. The integration of CareFusion continues to benefit the bottom line with $250 million in annualized cost savings on a cumulative basis through the end of the fiscal year, allowing the company to increase margins by 500 basis points over the last three years. This time next year, management thinks the cost synergies will have increased to $350 million. Image source: Getty Images. What management had to say BD's chairman and CEO Vincent Forlenza seemed content with the performance this fiscal year: We delivered on our commitments this year with really strong performance, demonstrating the consistent and, I'd call it, reliable nature of our business despite various headwinds throughout the year. Turning to next year, Forlenza noted that the flu season will have a big impact on where in its guidance range the company ends up: So from a flu perspective, we budget kind of an average flu season. And so if it ends up in North America being stronger, which is where most of the market is, then it would drive us more toward our upper end of our range. Looking forward For its upcoming fiscal year, BD is looking for revenue to grow 5% to 6% on a GAAP basis, which includes a one-percentage-point benefit from currency changes. Adjusted earnings are expected to be between $10.55 and $10.65, about 12% higher than the recently completed fiscal year. Those numbers will almost certainly be adjusted as they don't include the effects of Hurricane Maria, which affected BD's manufacturing plant in Puerto Rico, nor the acquisition of C.R. Bard (NYSE: BCR) that's scheduled to close before the end of the calendar year. 10 stocks we like better than Becton DickinsonWhen investing geniuses David and Tom Gardner have a stock tip, it can pay to listen. After all, the newsletter they have run for over a decade, Motley Fool Stock Advisor, has tripled the market.* David and Tom just revealed what they believe are the 10 best stocks for investors to buy right now... and Becton Dickinson wasn't one of them! That's right -- they think these 10 stocks are even better buys. Click here to learn about these picks! *Stock Advisor returns as of November 6, 2017Brian Orelli has no position in any of the stocks mentioned. The Motley Fool recommends Becton Dickinson. The Motley Fool has a disclosure policy.