Siemens Healthineers
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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.
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Q4 2026 earnings summary5 Nov, 2026

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.

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Frequently asked questions

Siemens Healthineers offers an extensive portfolio of products and solutions for the improvement of patient care. Products include Magnetic Resonance Imaging systems, computed tomography systems, integrated PET-CT scanners, magnetic resonance angiography systems, MR probes, MR signal analyzers and other hardware products for imaging. Siemens Healthineers also provides its products with integrated workflow solutions ranging from advanced imaging software to comprehensive workflow management solutions in a seamless integrated platform. The company is headquartered in Erlangen, Germany.