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    GEHC
    Earnings call· Dec 2025(Q4 FY25)

    GE HealthCare Technologies Q4 FY25 earnings call GEHC

    Feb 4, 2026 Source

    Executive summary

    GE HealthCare Q4 FY25 — Strong Q4 Performance Driven by Innovation and Backlog Growth

    GE HealthCare delivered strong Q4 FY25 financial performance, exceeding expectations with robust organic revenue growth in Pharmaceutical Diagnostics, Imaging, and Advanced Visualization Solutions. The company achieved a record backlog and solid free cash flow, driven by a strong innovation pipeline and strategic initiatives like the Heartbeat business system. While navigating tariff headwinds and a cautious outlook on China, management remains confident in its midterm targets, supported by new product launches and strategic M&A.

    Highlights

    5
    • Pharmaceutical Diagnostics delivered 12.7% organic revenue growth in Q4 FY25.

    • Imaging and Advanced Visualization Solutions achieved mid-single-digit growth in Q4 FY25 (5.3% and 4.2% organic, respectively).

    • Record backlog of $21.8 billion, which grew $2 billion year-over-year.

    • Free cash flow was $916 million in Q4 FY25, up $105 million.

    • The 3-year vitality rate for new products is strong at 55%, up approximately 5% from the prior year.

    Concerns

    4
    • Adjusted EBIT margin was 16.7% in Q4 FY25, down 200 basis points, negatively impacted by approximately $100 million in tariff expense.

    • Adjusted EPS was $1.44 per share in Q4 FY25, down 0.7%, including approximately $0.17 of tariff impact.

    • Patient Care Solutions organic revenue declined 1.1% in Q4 FY25 due to a decline in Life Support Solutions.

    • Patient Care Solutions EBIT margin declined 380 basis points year-over-year in Q4 FY25, largely due to unfavorable mix and tariffs.

    Guidance & targets

    14
    CategoryTargetConfidence
    Full-year 2026 Organic Revenue Growth
    3% to 4%
    high materiality
    Medium
    Full-year 2026 Revenue FX Benefit
    approximately 150 basis points
    medium materiality
    Medium
    Full-year 2026 Adjusted EBIT Margin
    15.8% to 16.1%
    high materiality
    Medium
    Full-year 2026 Adjusted Effective Tax Rate
    20% to 21%
    medium materiality
    Medium
    Full-year 2026 Adjusted EPS
    $4.95 to $5.15
    high materiality
    Medium
    Full-year 2026 Free Cash Flow
    approximately $1.7 billion
    high materiality
    Medium
    Q1 2026 Organic Revenue Growth
    2% to 3%
    medium materiality
    Medium
    Q1 2026 Adjusted EPS Growth
    mid-single-digit
    medium materiality
    Medium
    Flyrcado Revenue
    $500 million or more
    high materiality
    High
    Flyrcado Long-term Opportunity
    $1 billion
    high materiality
    Medium
    Intelerad Revenues (first full year of ownership)
    approximately $270 million
    medium materiality
    Medium
    Intelerad Revenue Growth
    low double digits
    medium materiality
    Medium
    Intelerad Adjusted EBITDA
    in excess of 30%
    medium materiality
    Medium
    Tariff Impact
    less than 2025
    high materiality
    High

    Segment performance

    4
    SegmentRevenueYoYQoQMargin
    Imaging
    Organic revenue growth driven by strong execution in EMEA and the U.S., particularly in nuclear medicine. EBIT margin was accretive excluding tariffs and improved sequentially due to operational rigor. Expect continued growth through large enterprise deals and new product launches.
    5.3%declined year-over-year due to tariff pressure
    Advanced Visualization Solutions (AVS)
    Organic revenue growth with continued strong performance in the U.S. and EMEA. New product adoption across the portfolio also contributed. EBIT margin increased excluding the impact of tariffs, driven by MPIs in surgery, cardiovascular, and women's health. Roadmap focused on differentiated data-driven technologies for recurring revenue.
    4.2%offset by tariffs and inflation
    Patient Care Solutions (PCS)
    Organic revenue declined due to a decline in Life Support Solutions. EBIT margin improved 530 basis points sequentially due to volume recovery from a prior product hold, but declined year-over-year largely due to unfavorable mix and tariffs. Monitoring transformation remains on track with digitally integrated NPIs and large commercial agreements.
    -1.1%declined 380 basis points year-over-year
    Pharmaceutical Diagnostics (PDx)
    Strong organic sales growth driven by global growth in contrast media, pricing execution, and adoption of U.S. radiopharmaceutical MPI portfolio. Sequential margin expanded 20 basis points. Margin declined year-over-year due to ongoing planned investments in NPIs and the Nihon Medi-Physics acquisition. Expect continued robust growth from global demand for contrast media and PET imaging radiopharmaceuticals.
    12.7%EBIT grew 10%

    Operational metrics

    26
    Q4 FY25 Orders Growth
    2%following 5.6% growth in the year ago period
    Q4 FY25

    Organic orders growth.

    Trailing 12-month Orders Growth
    mid-single digits
    TTM

    Solidly in the mid-single digits.

    2-year Compounded Order Growth
    4%
    Q4 FY25

    Stacked growth to eliminate anomalies.

    Q4 FY25 Book-to-bill ratio
    1.06x
    Q4 FY25

    Robust book-to-bill.

    TTM Book-to-bill ratio
    1.07x
    TTM

    Solid book-to-bill.

    Q4 FY25 Adjusted EBIT Margin
    16.7%down 200 basis points
    Q4 FY25

    Negatively impacted by tariff expense and unfavorable mix.

    Q4 FY25 Tariff Impact on EBIT
    $100 million
    Q4 FY25

    Impacted Adjusted EBIT margin.

    Q4 FY25 Adjusted EPS Tariff Impact
    $0.17
    Q4 FY25

    Impacted Adjusted EPS.

    Q4 FY25 Adjusted EPS Growth (ex-tariff)
    11%
    Q4 FY25

    Adjusted EPS growth excluding tariff impact.

    FY25 Organic Revenue Growth
    3.5%
    FY25

    Ahead of guidance.

    FY25 Adjusted EBIT Margin
    15.3%declined 100 basis points versus the prior year
    FY25

    Full year adjusted EBIT margin.

    FY25 Tariff Impact on EBIT
    $245 million
    FY25

    Full year tariff impact on EBIT.

    FY25 Adjusted EPS Tariff Impact
    $0.43
    FY25

    Full year tariff impact on Adjusted EPS.

    FY25 Adjusted EBIT Margin (ex-tariff)
    up 20 basis points
    FY25

    Excluding tariff impacts.

    FY25 Adjusted EPS Growth (ex-tariff)
    12%
    FY25

    Excluding tariff impacts.

    FY25 Innovation Investment
    $1.7 billion
    FY25

    Deployed in 2025.

    Share Repurchases
    $200 million
    since April

    Repurchased since authorization by the board in April.

    New Product Vitality Rate
    55%up approximately 5% from our prior year
    3-year

    Percentage of revenue coming from new products.

    Flyrcado Weekly Doses
    220
    week ended January 23

    Doses delivered in a specific week, expected to increase.

    Flyrcado CMO On-time Delivery
    approximately 95%
    current

    CMO partners consistently operating at this rate to meet customer demand.

    Past Due Backlog Improvement
    25%versus the prior year
    average monthly

    Improvement driven by Heartbeat system in the back half of 2025.

    Service Business Growth
    mid-single digits
    2025

    Growth in the service business for the full year.

    Product Revenue Growth (reported)
    7.9%
    Q4 FY25

    Reported product revenue growth in Q4.

    Service Revenue Growth (reported)
    5.5%
    Q4 FY25

    Reported service revenue growth in Q4.

    Product Revenue Growth (reported)
    4.5%
    FY25

    Reported product revenue growth for the full year.

    Service Revenue Growth (reported)
    5.6%
    FY25

    Reported service revenue growth for the full year.

    Industry KPIs

    9
    MetricValueDetails
    System utilization
    Pricing realized price
    Market growth outgrowth
    New product launch ramp
    Procedure volume growth
    FCF conversion leverage guidance72%%
    Installed base system placements$21.8 billionUSD
    Consumables recurring revenue mixmid-single digits%
    Indicated addressable patient population$1 billionUSD

    Product announcements

    8
    ProductTypeDetails
    Omni total body PETlaunch
    Next-gen SPECTlaunch
    Photonovo Spectra Photon Counting CTmilestone
    Cigna MR with Freeliummilestone
    Vivid Pioneerlaunch
    Flyrcadolaunch
    Allia Moveolaunch
    StarGuide GXlaunch

    Deals & partnerships

    7
    University of Rochester Medical Centercustomer contract7-year agreement

    Agreement to advance theranostics and precision medicine, crossing AI-enabled imaging equipment, radiopharmaceutical production, systemwide patient monitoring solutions, and services.

    Inteleradacquisition

    Planned acquisition to accelerate the fully connected cloud-first imaging ecosystem by adding digital tools and SaaS offerings, enhancing clinical operations, driving recurring revenue, and enabling personalized patient care.

    Sutter Healthcustomer contract

    One of the largest collaborations, entered in 2025.

    Ministry of Health in Indonesiacustomer contractmultiyear agreement

    Installed more than 300 advanced CT scanners in urban and remote hospitals.

    Nuffield Healthcustomer contract20-year collaboration

    Collaboration with the U.K.'s largest health care charity, part of clinical and solution selling strategy in EMEA.

    Nihon Medi-Physicsacquisition

    Tuck-in acquisition that elevates the portfolio.

    icometrixacquisition

    Tuck-in acquisition that elevates the portfolio.

    Risks & headwinds

    6
    Tariff ImpactQ4 FY25, FY25

    $100 million in Q4 FY25; $245 million in FY25

    Mitigation: Mitigation actions in 2026 include supply chain shifts, product transfers to more tariff efficient geographies, and expansion of duty-free USMCA efforts. Expected impact in 2026 to be less than 2025.

    Unfavorable MixQ4 FY25

    Impacted Adjusted EBIT margin in Q4 FY25; impacted Patient Care Solutions EBIT margin year-over-year

    Cautious Outlook on China2026

    Budgeting China down in 2026 guidance

    Mitigation: Improved commercial execution and VBP win rates are being observed, but a prudent approach is taken for guidance.

    Product Hold in Patient Care SolutionsQ3 FY25

    Impacted Q3 FY25 shipments

    Mitigation: Shipment restoration in Q4 FY25 improved sequential revenue.

    Decline in Life Support SolutionsQ4 FY25

    Contributed to Patient Care Solutions organic revenue decline of 1.1% in Q4 FY25

    Ongoing Planned Investments in NPIs (Pharmaceutical Diagnostics)Q4 FY25

    Contributed to Pharmaceutical Diagnostics margin decline of 330 basis points year-over-year in Q4 FY25

    Q&A highlights

    7

    Can you provide more color on the 2% order growth in Q4 and the outlook for orders and book-to-bill in 2026, considering the trailing 12-month orders are in the mid-single digits?

    Management was pleased with Q4 order performance, noting a robust book-to-bill of 1.06x (1.07x TTM) and a record backlog of $21.8 billion. While Q1 2026 will have a difficult comparison, new product approvals (NPIs) from RSNA are expected to accelerate order growth in the second half of 2026, setting up strong sales for 2027.

    We're really going to see a bit of an acceleration as we approach the second half of the year versus early in the year. And we think this is a really good setup for '26, but as we think about sales impact, we start to see a great sales impact in 2027.

    asked by Matthew Taylor · answered by James Saccaro

    2 min read5 chapters

    Detailed Narrative

    01

    Innovation Renaissance and Strategic Pillars

    GE HealthCare is driving an innovation renaissance, focusing on its D3 strategy: smart devices, drugs, and digital AI/cloud solutions. This approach aims to support earlier, more accurate diagnoses and therapy delivery across disease states. The company's 3-year vitality rate for new products stands at 55%, indicating successful delivery of relevant offerings. Recent launches like Omni total body PET, next-gen SPECT (commercially available in Europe), Vivid Pioneer (cardiovascular ultrasound), and Flyrcado (myocardial perfusion) are strengthening its market position and contributing to growth.

    02

    Heartbeat Business System Driving Productivity

    The company has implemented Heartbeat, a proprietary business system anchored in safety, quality, delivery, cost, and innovation (SQDCI). Heartbeat focuses on leadership behaviors, culture, KPIs, and disciplined processes for continuous improvement. An example of its impact is the 25% average monthly improvement in past due backlog in the second half of 2025, achieved by streamlining processes from plants to customers and improving site readiness. This system is expected to continue driving operational efficiency, productivity, and margin expansion.

    03

    Strategic Capital Allocation and M&A

    GE HealthCare is executing a disciplined capital allocation strategy, including tuck-in acquisitions like Nihon Medi-Physics and icometrix, and the planned acquisition of Intelerad. Intelerad is expected to accelerate the company's cloud-first imaging ecosystem, adding digital tools and SaaS offerings, and driving recurring revenue. The deal is anticipated to close in the first half of 2026, with Intelerad projected to contribute approximately $270 million in revenues, growing low double digits, and adjusted EBITDA in excess of 30% in its first full year of ownership. The company has also deleveraged its balance sheet and repurchased $200 million in shares.

    04

    Global Market Dynamics and China Outlook

    The capital equipment environment remains healthy, with strong demand in the U.S. and EMEA. A recent U.S. customer survey indicated an increase in large customers planning capital equipment investments in 2026. While emerging markets show solid trends, the company maintains a cautious outlook on China for 2026, budgeting for a decline despite improved commercial execution and VBP win rates. Management notes that if China performs stronger than anticipated, it could provide upside to guidance.

    05

    Service Business and Recurring Revenue Growth

    The service business grew mid-single digits in 2025, driven by both price and volume. Enterprise agreements often include multiyear service elements, contributing to recurring revenue. The growing installed base, coupled with the complexity and advanced technology of new products, is leading to improved capture rates for service agreements. This focus on recurring revenue, further bolstered by acquisitions like Intelerad, is a key component of the company's sustainable growth and profit strategy.

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