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Siemens Healthineers (SHL) investor relations material
Siemens Healthineers Q4 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
FY26 comparable revenue grew 4.0% to €23.63bn, at the upper end of guidance; adjusted EBIT was €3.82bn at a 16.2% margin, and adjusted basic EPS was €2.42.
Synergetic core growth was 8.1% in Q4 and 6.1% for FY26; equipment book-to-bill was 1.15 in Q4 and 1.14 for FY26.
The proposed dividend was €1.00 per share, unchanged from the prior year; Diagnostics carve-out preparation is underway, targeting standalone operations by mid-CY2028.
Financial highlights
Q4 comparable revenue grew 5.9% to €6.78bn; adjusted basic EPS was €0.69, up 1.7% YoY, and free cash flow was €703m.
FY26 adjusted EPS excluding tariff refunds and sizable Q4 one-offs was €2.30; reported adjusted EPS was €2.42.
FY26 net income rose 3.5% to €2.24bn; free cash flow was €2.45bn, down 9.9% YoY, mainly due to higher income taxes paid.
Q4 adjusted EBIT margin declined 150 bps YoY, with FX and inflation headwinds partly offset by pension-related and tariff-refund one-offs.
Outlook and guidance
FY27 comparable revenue growth guidance is 4.0%-5.0%, including ~70 bps dilution from focused Ultrasound; adjusted EPS guidance is €2.20-€2.40.
FY27 segment outlook: Imaging mid-single-digit growth with margin decline; Precision Therapy mid-to-high single-digit growth with similar margin decline; Diagnostics flat revenue with low-to-mid double-digit bps margin expansion.
FY27 financial income net is forecast at -€440m to -€400m and the tax rate at 24%-26%; medium-term targets include 5%-7% revenue growth and double-digit adjusted EPS growth.
Guidance assumes current tariff levels, supply-chain resilience and broadly unchanged macroeconomic conditions; current FX assumptions imply a slightly positive EPS effect versus FY26.
- Q4 growth accelerates in core segments, while inflation and FX costs pressure earnings.SHL
Pre-close call - Strong order intake and U.S. deals offset Diagnostics weakness; outlook and spin-off plans updated.SHL
Status update - Strong Imaging and Precision Therapy growth and tariff refunds offset Diagnostics weakness.SHL
Q3 2026 - Q3 outlook: moderate Imaging growth, margin pressure from FX/inflation, and easing tariff impact.SHL
Pre-close call - Diagnostics faces China-driven decline, but core business and innovation drive future growth.SHL
Status update - Imaging and Precision Therapy grew, Diagnostics fell, and FY2026 guidance was cut amid headwinds.SHL
Q2 2026 - Strong Q3 growth and upgraded outlook offset by 2026 tariff headwinds; innovation drives optimism.SHL
Status update - Imaging and Precision Therapy growth drove 3.8% revenue rise, confirming 2026 outlook.SHL
Q1 2026 - 5.9% revenue growth, strong margins, and positive 2026 outlook despite FX and tariff headwinds.SHL
Q4 2025
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