Siemens Healthineers
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Siemens Healthineers (SHL) investor relations material

Siemens Healthineers Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary5 Feb, 2026

Executive summary

  • Fiscal 2026 began with 3.8% comparable revenue growth, led by strong Imaging and Precision Therapy performance, despite significant headwinds from tariffs and foreign exchange.

  • Diagnostics faced a 3.1% revenue decline, mainly due to structural market changes in China, while Americas and other regions showed renewed growth.

  • The company is progressing with deconsolidation from Siemens AG and maintained a strong investment grade rating from Moody's.

  • The Elevating Health Globally strategy is gaining traction, with notable customer partnerships and innovation launches.

  • Free cash flow was €330 million, significantly lower than the prior year.

Financial highlights

  • Q1 FY2026 revenue reached €5.4 billion, up 3.8% year-over-year, with Americas up 9% and China down 5% due to Diagnostics.

  • Adjusted EPS was €0.49, down 3% year-over-year, but underlying EPS grew 17% excluding FX and tariff headwinds.

  • Adjusted EBIT margin was 15%, flat year-over-year, with operational margin expansion offsetting ~200 bps of tariff and FX headwinds.

  • Gross profit was €2,075 million, with a gross margin of 38.4%.

  • Free cash flow dropped 59.2% year-over-year.

Outlook and guidance

  • Fiscal 2026 outlook for 5–6% revenue growth and adjusted EPS of €2.20–2.40 is confirmed.

  • Q2 group revenue growth expected below the 5–6% outlook range, with Diagnostics in China facing continued challenges and a more pronounced revenue decline.

  • Imaging and Precision Therapy expected to grow mid- to high-single digits in Q2; margins in all segments anticipated to be below prior year due to tariffs and FX.

  • Outlook assumes stable macroeconomic and interest rate environments, with significant negative currency effects expected.

  • Outlook excludes potential portfolio measures and assumes no material impact from geopolitical conflicts.

Diagnostics' negative cash conversion
Mitigation for tariff and FX EPS headwinds
Emerging market growth drivers, e.g. Vietnam
What drove the Q1 FCF decline?
Elaborate on China's Diagnostics market shift
How will FY26 revenue growth target be met?
Long-term commitment to Diagnostics business?
Key drivers of Imaging/PT margin expansion?
Varian new product launch: any order impact?
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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.

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