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STERIS (STE) Q4 FY26 earnings call: guidance and Q&A

Earnings call· Mar 2026 (Q4 FY26)· Health Care· May 12, 2026

Source: earnings call transcript

Executive summary

STERIS Q4 FY26 — Record Year with Strong Revenue and EPS Growth

STERIS concluded a record fiscal year 2026, achieving strong revenue and double-digit adjusted EPS growth, despite tariff and inflation headwinds. The company provided a positive outlook for fiscal 2027, anticipating continued organic growth and margin expansion, supported by strategic capital allocation and tuck-in acquisitions. Management highlighted operational improvements and high-margin consumables as key drivers for future performance.

Highlights

5
  • Total as reported revenue grew 7% in Q4 FY26, with constant currency organic revenue up 5%.

  • FY26 total revenue grew 9% (7% constant currency organic) and adjusted EPS grew 10% to $10.17.

  • Healthcare segment achieved $4 billion in revenue and $1 billion in operating income in FY26.

  • AST segment exceeded $1 billion in revenue and $500 million in operating profit in FY26.

  • Free cash flow for FY26 was exceptional at $982.9 million, driven by increased earnings.

Concerns

5
  • Gross margin for Q4 FY26 was 44%, down 30 bps YoY, impacted by higher tariffs and inflation.

  • EBIT margin for Q4 FY26 was 24.2%, down 60 bps YoY, driven by inflation and tariffs.

  • Incremental tariffs impacted Q4 FY26 by $10 million and FY26 by $46 million (80 bps margin).

  • Adjusted effective tax rate in Q4 FY26 increased to 25.4% (from 23.5% YoY) and is guided to 25% for FY27 due to geographic mix and withholding taxes.

  • AST segment experienced softness in H2 FY26, with Q4 impacted by severe snowstorms and med tech customers managing inventory carefully.

Guidance & targets

CategoryTargetConfidence
As-reported revenue growth
7% to 8%
high materiality
High
Constant currency organic revenue growth
6% to 7%
high materiality
High
Price contribution to organic revenue growth
~200 basis points
medium materiality
High
Healthcare constant currency organic growth
6% to 7%
medium materiality
High
Life Sciences constant currency organic growth
6% to 7%
medium materiality
High
AST constant currency organic growth
7% to 8%
medium materiality
High
EBIT margins expansion
~50 basis points
high materiality
High
Adjusted EPS
$11.10 to $11.30
high materiality
High
Free cash flow
$850 million
high materiality
High
Capital expenditures
$375 million
medium materiality
High
Adjusted effective tax rate
25%
medium materiality
High
Annual share buybacks
$200 million to $300 million
high materiality
High
Sterility assurance manufacturing plant investment
$60 million
medium materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
Healthcare
Achieved new milestones in FY26, driven by strong service and consumables growth. Capital equipment stabilized after prior lumpiness.
Constant currency organic growth: 8%Service growth: 12%Consumables growth: 7%Capital equipment growth: 6%Capital equipment backlog: just under $400 millionQ4 orders: up 2%
$4 billion9% as reported—$1 billion operating income
AST
Crossed new milestones in FY26. Growth was lighter than anticipated in H2 FY26, with Q4 impacted by severe snowstorms. Med tech customers are managing inventory carefully.
Constant currency organic growth: 7%Services business growth: 11% as reportedServices business constant currency organic growth: ~8%
over $1 billion10% as reported—over $500 million operating profit
Life Sciences
Posted a record year in FY26, reflecting strong operating margins. Capital equipment recovered following a prior-year downturn, and consumables continued steady growth.
Constant currency organic growth: 7%Capital equipment growth: 15%Consumables growth: 8%Services improvement: 5%Capital equipment backlog: just under $100 million
—9% as reported—exceeding $250 million operating profit

STE operating KPIs by quarter

STE operating KPIs stated on its earnings calls, by fiscal quarter
KPIThis call Mar 2026 Q4 FY26 Jun 2026 Q1 FY27Change vs prior quarter
Capital equipment backlog Healthcare
<$400M Capital equipment backlog ended just under $400 million with orders up 2% in the fourth quarter. Source: earnings call transcript
$444M Orders remained solid, with 4% growth in the first quarter, and our ending backlog increased to $444 million. Source: earnings call transcript
—
Capital equipment backlog Life Sciences
<$100M Capital equipment backlog ended solid at just under $100 million. Source: earnings call transcript
$110M Backlog at quarter end was about flat with prior year at $110 million. Source: earnings call transcript
—

Operating figures the company stated on at least two of the calls shown, checked against each call's transcript. Click a figure to read the sentence. A dash means it was not stated that quarter.

Product announcements

ProductTypeDetails
MEDglas wallsupdate
GI productslaunch

Deals & partnerships

Supplier for MEDglas walls Vertical integration of a supplier for MEDglas walls, extending STERIS's reach from the U.S. to global markets.

Acquisition of a supplier for MEDglas walls, which are used in ORs and sterile processing departments.

Undisclosed Acquisition of a family of GI products to expand STERIS's offering and improve its channel.

Acquisition includes basic GI products, some small capital equipment, and 20-25 sales reps established in the U.S.

Risks & headwinds

Higher tariffs and inflation Q4 FY26, FY26

Q4 FY26 gross margin down 30 bps YoY; Q4 FY26 EBIT margin down 60 bps YoY; Q4 FY26 incremental tariffs $10 million; FY26 incremental tariffs $46 million (80 bps margin impact).

Mitigation:Positive pricing helped mitigate the impact. FY27 tariffs expected to be flat year-over-year, with recent changes being favorable.

Increased adjusted effective tax rate Q4 FY26, FY26, FY27

Q4 FY26 rate 25.4% (up from 23.5% YoY); FY26 rate 24.4% (up 130 bps from FY25); FY27 guidance 25%.

Mitigation:Primarily due to geographic profit mix, discrete items, and anticipated U.S. withholding taxes from cross-border cash movements for capital deployment (dividends, buybacks, M&A).

Softness in AST segment / Med tech customer inventory management H2 FY26, Q4 FY26, H1 FY27 (difficult comps)

AST H2 FY26 softer than anticipated; Q4 FY26 impacted by severe snowstorms (150-200 bps lost growth).

Mitigation:Taking a more conservative approach on AST outlook for FY27. Management believes procedure rates are still growing, suggesting an inventory pullback rather than a demand issue.

Energy/oil-driven costs (freight, raw materials) FY27

Raw materials impacted by oil represent less than 20% of COGS. Freight is the largest challenge.

Mitigation:Incorporated into FY27 guidance; opportunities to recover most freight costs through pricing; day-to-day fuel for service techs not significant.

What to watch in Q1 FY27

AST organic growth phasing

H1 FY27, Q3 FY27, Q4 FY27
Current Q4 FY26 softer due to snowstorms; H2 FY26 softer overall.
Target Improvement in Q3 FY27, easier comps in Q4 FY27.

Why it matters

AST is a high-margin business; its recovery and inventory normalization will impact overall profitability.

Yes, really more specific to the AST comps. We started the year last year, first couple of quarters in double-digit growth in that business. and then saw a bit of a slowdown in Q3 where we saw some inventory flow back from our customers. And then this past quarter got a little weird just with the snowstorms. We probably lost time 150 to 200 basis points of growth there. So if you sort of stack all that up, I think one would expect a slower start in the first half and then significantly improving in Q3 and then pretty easy comps in Q4.

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Q&A highlights

Can you walk through the moving pieces for the anticipated 50 bps EBIT margin expansion in FY27, including inflation, energy prices, tariffs, and underlying performance?

Management expects to maximize the 50 bps expansion through operational improvements and continued sell-through of higher-margin consumables. Tariffs are expected to be favorable in FY27, offsetting volume increases. A $20 million bonus tailwind is expected from modeling 100% achievement in FY27 versus overachievement in FY26. Freight is the largest challenge, but most costs are recoverable, and raw materials impacted by oil are less than 20% of COGS.

“The good news is in terms of tariffs, the recent changes are favorable to us. and served to offset the volume increase for next year. So in an odd twist, tariffs are an okay thing for us looking at '27.”

asked by Brett Fishbin · answered by Karen Burton

2 min read 6 chapters

Detailed narrative

Fiscal 2026 Performance Highlights

STERIS achieved a record fiscal year 2026 with 9% total revenue growth and 10% adjusted EPS growth, reaching approximately $6 billion in total revenue and over $1 billion in adjusted net income. All segments hit new milestones, with Healthcare generating $4 billion in revenue and AST exceeding $1 billion in revenue and $500 million in operating profit.

The company's EBIT margins expanded by 10 basis points to 23.3% for the year, despite significant tariff costs.

Capital Allocation and Shareholder Returns

The company increased its quarterly dividend for the 20th consecutive year to $0.63 per share. STERIS also completed two tuck-in acquisitions in Healthcare and executed $225 million in share buybacks during the year. A new $1 billion buyback authorization was approved by the Board, with plans to consistently buy back shares in the range of $200 million to $300 million annually, utilizing excess cash.

Strategic Investments and Operational Efficiency

STERIS is investing in a multi-year project to upgrade service workflows with AI technology to improve quality and productivity in Healthcare and Life Science segments. Additionally, a new $60 million sterility assurance manufacturing plant will be built in Mentor, Ohio, over two years, expected to be operational by the end of calendar 2027.

This plant will consolidate existing U.S. production into a state-of-the-art center of excellence, supporting the long-term growth of a high-margin business.

Tariff and Tax Rate Dynamics

Incremental tariffs impacted FY26 margins by 80 basis points, totaling $46 million. For FY27, tariffs are expected to be flat year-over-year, with recent changes being favorable. The adjusted effective tax rate increased to 24.4% in FY26 and is projected to be 25% in FY27, primarily due to geographic profit mix and anticipated U.S. withholding taxes from cross-border cash movements for capital deployment activities like dividends and buybacks.

AST Segment Inventory Management

The AST segment experienced softness in the second half of FY26, with Q4 impacted by severe snowstorms, leading to an estimated 150-200 basis points of lost growth. Med tech customers are carefully managing inventory levels, contributing to a more conservative outlook for AST in FY27, particularly in the first half due to difficult comparisons.

Management noted that U.S. procedure volumes continue to grow mid-single digits, suggesting an inventory pullback rather than a fundamental demand issue.

Life Sciences Recovery and Growth Drivers

Life Sciences saw a recovery in capital equipment, growing 15% in FY26, following a prior-year downturn. Consumables continued steady growth at 8%, contributing significantly to the segment's performance. The company is optimistic about the segment's future, driven by reshoring trends and new facility builds, particularly from large pharma customers, despite a current lack of investment in smaller biotech firms.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.