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Siemens Healthineers (DE:SHL)
:SHL
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Siemens Healthineers AG (SHL) AI Stock Analysis

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DE:SHL

Siemens Healthineers AG

(OTC:SHL)

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Outperform 79 (OpenAI - 4o)
Rating:79Outperform
Price Target:
€55.00
▲(12.89% Upside)
Siemens Healthineers AG's strong financial performance and positive earnings call are the most significant factors driving the stock score. The company's stable technical indicators and moderate valuation also contribute positively, although the valuation suggests limited upside potential. Challenges such as tariff impacts and regional underperformance are noted but do not significantly detract from the overall positive outlook.

Siemens Healthineers AG (SHL) vs. iShares MSCI Germany ETF (EWG)

Siemens Healthineers AG Business Overview & Revenue Model

Company DescriptionSiemens Healthineers AG, through its subsidiaries, develops, manufactures, and sells a range of diagnostic and therapeutic products and services to healthcare providers worldwide. The company operates through four segments: Imaging, Diagnostics, Varian, and Advanced Therapies. The Imaging segment provides magnetic resonance imaging, computed tomography, X-ray systems, molecular imaging, and ultrasound systems. The Diagnostics segment offers in-vitro diagnostic products and services to healthcare providers in laboratory, molecular and point-of-care diagnostics; and workflow solutions for laboratories and informatics products. The Varian segment provides cancer care technologies, and solutions and services to oncology departments in hospitals and clinics; and technology-enabled optimized workflows, clinical services and consulting capabilities, and digital solutions and applications for managing treatment and therapy. The Advanced Therapies segment offers products that are designed to support image-guided minimally invasive treatments in various areas, such as cardiology, interventional radiology, and surgery; and angiography systems and mobile C-arms, including a robotic-assisted platform for endovascular coronary and peripheral vascular interventions. It also provides equipment performance management, clinical education and e-learning, asset management, and managed departmental services for laboratories and healthcare facilities, as well as consulting and digital health services. The company is headquartered in Erlangen, Germany. Siemens Healthineers AG operates as a subsidiary of Siemens Aktiengesellschaft.
How the Company Makes MoneySiemens Healthineers generates revenue through multiple streams, primarily from the sale of medical devices and equipment, which includes imaging systems, laboratory diagnostics, and point-of-care testing solutions. The company also earns significant income from service agreements, which encompass installation, maintenance, and upgrades of their medical devices. Additionally, SHL benefits from software and digital health services that improve operational efficiency and patient outcomes for healthcare providers. Key partnerships with hospitals, research institutions, and other healthcare organizations further contribute to their earnings, enhancing their market presence and enabling access to large-scale contracts. The growing demand for innovative healthcare solutions, particularly in emerging markets, also plays a vital role in driving revenue growth for Siemens Healthineers.

Siemens Healthineers AG Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Feb 05, 2026
Earnings Call Sentiment Neutral
Siemens Healthineers reported a strong fiscal year 2025 with impressive growth and segment performance. However, challenges in China and macroeconomic headwinds, particularly tariffs and foreign exchange, present significant hurdles for fiscal year 2026. Despite these challenges, the company has laid a solid foundation for future growth and profitability.
Q4-2025 Updates
Positive Updates
Solid Fiscal Year 2025 Performance
Siemens Healthineers closed fiscal year 2025 successfully with growth at the upper end of the outlook range and a book-to-bill ratio of 1.14. Adjusted EPS was within the upper half of the outlook, and free cash flow improved leverage to 2.8x EBITDA.
Strong Segment Growth
Imaging, Varian, and Advanced Therapies collectively increased revenue by almost 8%. Varian has grown every year by at least high single-digit percentages, and Advanced Therapies contributed solid growth by maintaining stable margins.
Diagnostics Profitability Improvement
Despite market challenges in China, the Diagnostics segment achieved a step change in profitability due to a successful transformation program.
Healthy Global Demand
Excluding China, Siemens Healthineers experienced revenue growth across all regions, with excellent performance in the Americas and EMEA.
Negative Updates
China Market Challenges
Revenue in China remained at around EUR 620 million in Q4 with no signs of sustained market recovery. This impacted the fiscal year 2026 outlook, with expectations of flattish revenue in China.
Tariff and Foreign Exchange Headwinds
Tariffs and a strong euro are expected to negatively impact earnings growth in fiscal year 2026. Tariffs contributed to a EUR 0.15 year-over-year headwind, with a total impact of around EUR 400 million expected.
Diagnostics Segment Pressure
Diagnostics posted flattish year-over-year revenue due to volume-based procurement in China, with this impact expected to carry over into the next fiscal year.
Company Guidance
During the Siemens Healthineers' Q4 2025 earnings call, CEO Bernd Montag and CFO Jochen Schmitz provided guidance for fiscal year 2026, emphasizing continued growth despite challenges in China. The company's book-to-bill ratio was 1.14 for fiscal year 2025, with revenue growth at the upper end of the expected range. The adjusted EPS was within the upper half of the outlook, and free cash flow improvements led to a leverage of 2.8x EBITDA. The Imaging, Varian, and Advanced Therapies segments collectively saw nearly 8% revenue growth. The company proposed a dividend increase to EUR 1, reflecting strong performance. For fiscal 2026, Siemens Healthineers anticipates comparable revenue growth of 5% to 6% and adjusted EPS between EUR 2.20 and EUR 2.40, considering macroeconomic challenges such as tariffs and a strong euro. Additionally, the company expects continued margin expansion, excluding tariff and foreign exchange headwinds, and plans to mitigate tariff impacts through pricing strategies, cost control, and potential shifts in value-add locations.

Siemens Healthineers AG Financial Statement Overview

Summary
Siemens Healthineers AG shows strong financial performance with consistent revenue and profit growth, efficient operational management, and a stable financial position. The company has a solid balance sheet and robust cash flow generation, although the increase in debt levels requires attention.
Income Statement
85
Very Positive
Siemens Healthineers AG demonstrates strong revenue growth with a TTM increase of 3.3% and consistent profitability, evidenced by a solid gross profit margin of 38.76% and a net profit margin of 9.29%. The EBIT and EBITDA margins are healthy at 14.48% and 20.02%, respectively, indicating efficient operational management. The company shows a positive trajectory in revenue and profit growth, enhancing its competitive position in the medical devices industry.
Balance Sheet
78
Positive
The balance sheet reflects a stable financial position with a manageable debt-to-equity ratio of 0.89, indicating prudent leverage. The return on equity is robust at 11.69%, showcasing effective use of shareholder funds. The equity ratio stands at 39.64%, suggesting a solid capital structure. However, the increase in total debt over the years warrants monitoring to ensure continued financial stability.
Cash Flow
80
Positive
Cash flow analysis reveals a strong free cash flow growth rate of 11.10% TTM, supporting the company's ability to fund operations and investments. The operating cash flow to net income ratio of 1.56 and free cash flow to net income ratio of 0.77 indicate efficient cash generation relative to earnings. The company maintains a healthy cash flow position, crucial for sustaining growth and operational flexibility.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue23.38B22.36B21.68B21.71B18.00B14.46B
Gross Profit9.06B8.47B7.71B8.14B6.95B5.58B
EBITDA4.68B4.22B3.78B4.26B3.52B2.84B
Net Income2.17B1.94B1.51B2.04B1.73B1.41B
Balance Sheet
Total Assets44.60B46.05B46.68B49.06B41.93B25.09B
Cash, Cash Equivalents and Short-Term Investments2.37B2.68B1.64B1.44B1.32B656.00M
Total Debt15.70B16.21B16.65B16.65B14.31B5.50B
Total Liabilities26.88B27.81B28.55B29.20B25.87B12.58B
Stockholders Equity17.68B18.20B18.08B19.84B16.04B12.50B
Cash Flow
Free Cash Flow2.62B1.77B971.00M1.40B2.11B1.25B
Operating Cash Flow3.39B2.47B1.81B2.26B2.78B1.80B
Investing Cash Flow-965.00M-666.00M-1.07B-868.00M-14.14B-1.91B
Financing Cash Flow-1.99B-1.30B-380.00M-1.40B11.99B-126.00M

Siemens Healthineers AG Technical Analysis

Technical Analysis Sentiment
Negative
Last Price48.72
Price Trends
50DMA
46.30
Negative
100DMA
46.68
Negative
200DMA
47.69
Negative
Market Momentum
MACD
-1.53
Positive
RSI
37.69
Neutral
STOCH
29.60
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DE:SHL, the sentiment is Negative. The current price of 48.72 is above the 20-day moving average (MA) of 44.48, above the 50-day MA of 46.30, and above the 200-day MA of 47.69, indicating a bearish trend. The MACD of -1.53 indicates Positive momentum. The RSI at 37.69 is Neutral, neither overbought nor oversold. The STOCH value of 29.60 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for DE:SHL.

Siemens Healthineers AG Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
€47.45B22.2711.46%2.23%4.53%10.32%
69
Neutral
€14.33B94.605.01%0.39%5.82%59.90%
69
Neutral
€26.57B23.487.50%2.12%0.63%
66
Neutral
€3.83B24.177.48%1.31%5.21%-39.36%
66
Neutral
€49.00B17.1110.32%1.95%1.47%9.64%
60
Neutral
€11.96B18.405.41%3.49%2.10%9.19%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DE:SHL
Siemens Healthineers AG
42.36
-7.77
-15.50%
DE:AFX
Carl Zeiss Meditec
45.66
-12.40
-21.36%
DE:FME
Fresenius Medical Care AG & Co. KGaA
41.22
-0.13
-0.32%
DE:FRE
Fresenius SE & Co. KGaA
47.39
14.96
46.13%
DE:MRK
Merck KGaA
115.75
-23.62
-16.95%
DE:SRT
Sartorius
187.20
9.55
5.38%

Siemens Healthineers AG Corporate Events

Siemens Healthineers Reports Strong Q3 2025 Earnings Amid Challenges
Jul 31, 2025

Siemens Healthineers’ recent earnings call painted a picture of robust performance, with the company achieving notable growth across key segments. The sentiment was largely positive, driven by successful initiatives such as Value Partnerships and a transformative approach in Diagnostics. However, challenges such as tariff and foreign exchange headwinds, coupled with difficulties in the Chinese market, were highlighted as potential concerns for upcoming quarters.

Siemens Healthineers Reports Strong Q3 2025 Growth
Jul 30, 2025

Siemens Healthineers is a leading global medical technology company specializing in imaging, diagnostics, and advanced therapies, with a focus on healthcare innovations that improve patient outcomes worldwide.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Oct 17, 2025