Siemens Healthineers
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Siemens Healthineers (SHL) investor relations material

Siemens Healthineers Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary31 Jul, 2026

Executive summary

  • Equipment book-to-bill ratio reached 1.27, reflecting robust demand and new value partnerships with Cleveland Clinic and Vanderbilt Health in the U.S.

  • Imaging and Precision Therapy segments grew 5% and 9% respectively in Q3, with Precision Therapy led by Advanced Therapies and new angiography portfolio; Imaging growth was softer due to tough comps and revenue shifts.

  • Diagnostics continued to face challenges from market rebasing in China and legacy platform revenue dilution, with sharper-than-expected declines.

  • Profitability and EPS were boosted by significant U.S. IEEPA tariff refunds; margins remained decent despite FX and inflation headwinds.

  • Preparations for Siemens AG deconsolidation and refinancing are progressing.

Financial highlights

  • Group revenue grew 2.8% year-over-year to €5.76bn in Q3 FY2026, led by EMEA region; China declined 10%.

  • Adjusted EBIT margin improved to 19.1%, with 230–370 bps boost from tariff refunds; adjusted EPS rose 10% to €0.70.

  • Imaging revenue up 2.3% to €3.01bn, margin at 26.5%; Precision Therapy revenue up 9.2% to €1.75bn, margin at 17.5%; Diagnostics revenue down 6% to €992m, margin at 4.1%.

  • Cash conversion rate was strong at 1.12; free cash flow reached €1.0bn; net debt reduced to €11.9–12bn, leverage at 2.8x.

Outlook and guidance

  • FY2026 revenue growth outlook lowered to 3.5–4.0% (from 4.5–5.0%), mainly due to Diagnostics weakness.

  • Adjusted EPS guidance raised to €2.35–2.45, reflecting €0.15 benefit from tariff refunds.

  • Imaging and Precision Therapy expected to accelerate to high single-digit growth in Q4; Diagnostics to continue mid-single-digit decline.

  • Double-digit EPS growth targeted for FY2027, with mitigation plans for inflation and macro uncertainty.

Drivers of China Diagnostics structural decline
Impact of IEEPA tariff refunds on EPS forecast
Explain 1.27 book-to-bill vs lower revenue growth
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