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    GEHC
    Earnings call· Dec 2024(Q4 FY24)

    GE HealthCare Technologies Inc. GEHC

    Feb 13, 2025 Source

    Executive summary

    GE HealthCare Q4 FY24 — Strong Execution, Record Backlog, and Robust Margin Expansion

    GE HealthCare delivered strong Q4 FY24 results, marked by robust orders growth, record backlog, and significant margin expansion, driven by productivity and new product introductions. The company is executing on its precision care strategy, securing large enterprise deals and advancing its AI-powered portfolio. While facing headwinds in China and from tariffs, management is taking a measured approach to FY25 guidance, anticipating sequential improvement in the second half of the year.

    Highlights

    5
    • Q4 FY24 organic orders growth of 6% year-over-year, with strength across all segments and a book-to-bill of 1.09x, the highest since spin-off.

    • Record backlog of $19.8 billion, up $700 million year-over-year and $200 million sequentially.

    • Q4 FY24 adjusted EBIT margin of 18.7%, up 260 basis points year-over-year, driven by productivity and volume.

    • Full-year 2024 adjusted EBIT margin of 16.3%, expanded 120 basis points year-over-year, ahead of guidance.

    • Full-year 2024 adjusted EPS of $4.49, exceeding guidance and growing 14% year-over-year.

    Concerns

    5
    • Q4 FY24 organic revenue growth of 2% was impacted by an approximate 200 basis point headwind from China.

    • Full-year 2024 free cash flow of $1.6 billion was down $161 million year-over-year, primarily due to inventory builds.

    • Q1 FY25 adjusted EBIT margin and adjusted EPS are expected to be approximately flat year-over-year due to increased investment in R&D and SG&A for new product launches.

    • FY25 guidance incorporates a low single-digit revenue decline for China and an approximate 1.5% foreign exchange headwind to revenue.

    • FY25 adjusted EBIT is impacted by approximately 10 basis points from new China tariffs, and adjusted EPS by approximately 1 point.

    Guidance & targets

    11
    CategoryTargetConfidence
    Full-year 2025 Organic Revenue Growth
    2% to 3%
    high materiality
    High
    Full-year 2025 China Sales Performance
    Low single-digit decline
    medium materiality
    Medium
    Full-year 2025 Foreign Exchange Headwind to Revenue
    Approximately 1.5%
    low materiality
    High
    Full-year 2025 Adjusted EBIT Margin
    16.7% to 16.8%
    high materiality
    High
    Full-year 2025 Adjusted Effective Tax Rate
    22% to 23%
    low materiality
    High
    Full-year 2025 Adjusted EPS
    $4.61 to $4.75
    high materiality
    High
    Full-year 2025 Free Cash Flow
    At least $1.75 billion
    high materiality
    High
    Q1 2025 Organic Revenue Growth
    1% to 2%
    medium materiality
    High
    Q1 2025 Adjusted EBIT Margin
    Approximately flat year-over-year
    medium materiality
    High
    Q1 2025 Adjusted EPS
    Approximately flat year-over-year
    medium materiality
    High
    Flyrcado Revenue
    Roughly $30 million
    medium materiality
    High

    Segment performance

    4
    SegmentRevenueYoYQoQMargin
    Imaging
    Organic revenue was flat versus prior year, with strength in the U.S. and rest of world offset by headwinds in China. Segment EBIT margin improved due to favorable price and product mix, capping a strong year of margin expansion (170 bps improvement for full year).
    flatup 200 bps YoY
    Advanced Visualization Solutions (AVS)
    Organic revenue increased due to increased sales volume in the U.S., partially offset by a decrease in China. Segment EBIT margin increased due to continued productivity, volume, and new product introductions. Customer demand remained robust, particularly in interventional cardiology and surgery (e.g., OEC 3D platform).
    4%up 240 bps YoY
    Patient Care Solutions
    Organic revenue was flat versus prior year, with services growth and improved fulfillment offset by a difficult comparison in monitoring solutions. Segment EBIT margin declined due to inflation and portfolio mix, partially offset by productivity actions. Expect improved margin performance as portfolio mix normalizes.
    flatdown 50 bps YoY
    Pharmaceutical Diagnostics (PDx)
    Delivered another strong quarter of organic growth and EBIT margin. Year-over-year EBIT comparison was favorably impacted by one-time items in the prior year. The company announced a $138 million investment to expand its contrast media manufacturing facility in Cork, Ireland.
    9%approximately 33%

    Operational metrics

    16
    Organic Orders Growth
    6%year-over-year
    Q4 FY24

    Driven by continued strength in the United States and across all segments.

    Book-to-Bill
    1.09x
    Q4 FY24

    Highest since the spin-off.

    Backlog
    $19.8 billionup $700M YoY, up $200M sequentially
    Q4 FY24 end

    Record backlog.

    Sales and Orders Growth (ex-China)
    mid-single digits
    Q4 FY24

    Excluding China, sales and orders grew mid-single digits.

    Adjusted Gross Margin
    up 150 bpsversus prior year
    Q4 FY24

    Increase in adjusted gross margin.

    Adjusted Gross Margin
    up 140 bpsversus FY23
    FY24

    Increase in adjusted gross margin for the full year.

    R&D Investment as % of Sales
    6.5%up 9% YoY
    Q4 FY24

    R&D investment for the quarter.

    R&D Investment
    $1.3 billionup from $1.2 billion in 2023
    FY24

    Full-year R&D investment.

    Adjusted EPS Benefit from Tax Favorability
    $0.08
    FY24

    One-time tax favorability related to completing prior year global tax filings.

    Debt Paid Down
    $400 million
    FY24

    Debt paydown in 2024 to strengthen the balance sheet.

    Debt Paid Down
    $250 million
    Q1 FY25

    Additional debt paydown in the first quarter of 2025.

    New Product Introduction Vitality
    approximately 50%
    FY24

    Contribution of products launched within the last 3 years to overall vitality.

    AI-enabled FDA Authorizations
    85up from 58
    current

    Number of AI-enabled FDA authorizations, one of the most in healthcare.

    MR Base Upgraded with Air Recon DL
    approximately 30%
    current

    Percentage of MR installed base upgraded with Air Recon DL.

    Recurring Revenue Mix
    more than 45%
    FY24

    Recurring revenue represented more than 45% of total revenues for the year, noted for its predictability and attractive margins.

    Contrast Media Manufacturing Capacity Added
    over 1 million
    current

    Achieved through a multi-team Kaizen focused on improving critical manufacturing lines, shortening changeover times, and reducing waste.

    Industry KPIs

    7
    MetricValueDetails
    Tariff impactapproximately 10 bpsbps
    Pricing realized pricepositive
    New product launch rampapproximately 50%%
    Procedure volume growthstrong double digits%
    FCF conversion leverage guidanceat least $1.75 billionUSD
    Consumables recurring revenue mixmore than 45%%
    Sales force commercial capacity build

    Product announcements

    5
    ProductTypeDetails
    Flyrcadolaunch
    Allia IGS Pulseupdate
    Air Recon DLupdate
    Sonic DLexpansion
    CareIntellectroadmap

    Deals & partnerships

    5
    Sutter HealthCare Alliance partnership to transform care delivery$1 billion7 years

    Partnership to help Sutter Health transform care delivery for 3.5 million patients and create capacity. Builds on a 20-year relationship. Total value of large deals closed and spent to date is over $5 billion.

    Nuffield HealthLong-term agreement for advanced imaging, ultrasound, technology upgrades, and servicesnext 2 decades

    Agreement in the U.K. to provide latest advanced imaging and ultrasound equipment, technology upgrades, and services.

    MIM SoftwareAcquisition of AI-enabled image analysis and workflow tools company

    Acquisition closed in 2024, adding AI-enabled image analysis and workflow tools.

    Intelligent UltrasoundAcquisition of innovative real-time recognition technology company

    Acquisition closed in 2024, adding innovative real-time recognition technology.

    NMPPlanned acquisition to deepen radiopharmaceutical distribution capabilities

    Planned acquisition announced last year to deepen radiopharmaceutical distribution capabilities in Japan and other Asian markets.

    Risks & headwinds

    5
    China Market VolatilityFY25

    Negative sales performance in H1 2025, leading to low single-digit decline for FY25

    Mitigation: Measured approach to guidance, anticipation of sequential improvement in H2 2025, continued monitoring of market evolution.

    U.S. Tariffs on Products from ChinaFY25 (assuming 11 months of impact)

    Approximately 10 basis points impact on adjusted EBIT, approximately 1 point impact on adjusted EPS for FY25

    Mitigation: Incorporated into 2025 guidance; proactively working on potential mitigation plans, leveraging diversified supply chain and U.S. manufacturing base.

    Foreign Exchange HeadwindFY25

    Approximately 1.5% headwind to revenue for FY25

    Mitigation: Incorporated into 2025 guidance.

    Inventory BuildsH1 2025

    Free cash flow down $161 million year-over-year in FY24 due to inventory builds

    Mitigation: Expect to work down inventory in H1 2025, optimize inventory, improve turns, and enhance operational working capital through lean measures.

    Inflation

    Impacted Patient Care Solutions EBIT margin in Q4 FY24

    Mitigation: Partially offset by productivity actions; continued productivity initiatives expected to drive improved margin performance.

    What to watch in Q1 FY25

    5

    China Market Sales Performance

    H2 FY25
    CurrentNegative sales performance expected in H1 2025
    TargetSequential improvement in H2 2025 vs. H1

    Why it matters

    China is a significant market, and its recovery trajectory will materially impact full-year revenue and growth outlook.

    We're taking a measured approach that assumes China's sales performance will be negative in the first half of 2025 with a sequential improvement in the second half of the year versus the first half, leading to a low single-digit decline for the year.

    Q&A highlights

    5

    Given the strong Q4 margin performance (18.7% adjusted EBIT), which is already within the long-range plan (LRP) of high teens to low 20s, how should investors think about the margin trajectory through the LRP, especially with the '20-plus' target?

    Management is very pleased with margin progress, noting Q4's 260 bps expansion and 18.7% record. Drivers included volume, mix, price, and productivity fully offsetting inflation. While Q4 is seasonally highest, the strong performance increases confidence in achieving and potentially exceeding the '20-plus' midterm target, especially with future high-margin NPI launches.

    But I do think it's safe to say we're increasingly confident in our ability to deliver margin from the business. So no change to midterm guidance. We did -- on the Investor Day, we said we think there's an opportunity to deliver 20%-plus over time. And that plus was an important addition for us. I think this fourth quarter print gives us more confidence in that plus.

    asked by Anthony Petrone · answered by James Saccaro

    2 min read6 chapters

    Detailed Narrative

    01

    Strategic Execution and Precision Care

    GE HealthCare is two years into its journey as an independent company, demonstrating strong execution on its precision care strategy. This involves evolving from an imaging company to a healthcare solutions provider by offering a comprehensive and integrated portfolio of AI-powered equipment, proprietary radiopharmaceuticals, and digital services. The company's commercial strategy focuses on securing highly strategic, long-term enterprise deals, with 50 closed globally in 2024, totaling over $5 billion in value to date.

    02

    Innovation and New Product Introductions (NPIs)

    The company introduced approximately 40 innovations in 2024, with products launched within the last three years contributing to a strong new product introduction vitality of approximately 50% for the year. These high-margin NPIs, such as the Allia IGS Pulse cath lab, are outperforming expectations and are expected to drive recurring revenue. GE HealthCare has also expanded its AI leadership, increasing FDA-enabled AI authorizations from 58 to 85 in one year, and upgrading approximately 30% of its MR base with Air Recon DL.

    03

    China Market Dynamics and Tariffs

    The China market is beginning to show slight improvement in orders growth, aligning with previous commentary. However, the company anticipates negative sales performance in the first half of 2025, leading to a low single-digit decline for the full year, with sequential improvement in the second half. The 2025 guidance also incorporates the impact of new U.S. tariffs on products from China, which are expected to impact adjusted EBIT by approximately 10 basis points and adjusted EPS by about 1 point.

    04

    Margin Expansion and Productivity Initiatives

    GE HealthCare delivered robust margin expansion, with Q4 adjusted EBIT margin up 260 basis points year-over-year and full-year adjusted EBIT margin expanding 120 basis points. This was driven by productivity improvements, including partnering with suppliers on material costs, design changes, and factory/service productivity, as well as benefits from higher-margin new products. The company's lean culture and operational improvements are expected to continue driving margin expansion into the future.

    05

    Capital Allocation and M&A Strategy

    The company strengthened its balance sheet by paying down $400 million of debt in 2024 and an additional $250 million in Q1 2025. Strategic tuck-in M&A remains a key focus, complementing existing technologies and solutions. Acquisitions in 2024 included MIM Software (AI-enabled image analysis) and Intelligent Ultrasound (real-time recognition technology). The planned acquisition of NMP aims to deepen radiopharmaceutical distribution capabilities in Japan and other Asian markets, aligning with the strategy to expand beyond imaging.

    06

    Flyrcado Launch Preparations

    The company is on track to launch its proprietary radiopharmaceutical, Flyrcado, with first dosing expected in Q1 2025 and launch beginning of April. Preparations include sales force expansion, reimbursement efforts, and manufacturing scale-up through partnerships with contract manufacturing organizations (CMOs) located near target geographical areas. The launch will initially target centers with existing cardiovascular PET capabilities, with an estimated revenue contribution of approximately $30 million for FY25.

    AI-generated summary of the company’s earnings call. Not investment advice.