Strong Q4 Top-Line and Backlog
Q4 revenue of $5.7B with 4.8% organic year-over-year growth; product revenue +7.9% and service revenue +5.5%. Orders grew 2% in the quarter and the company exited with a record backlog of $21.8B (up $2.0B year-over-year and $600M sequentially) and a book-to-bill of 1.06x (TTM 1.07x).
Full-Year Revenue and EPS Performance
FY2025 revenue of $20.6B with 3.5% organic growth, adjusted EPS $4.59 (GAAP reconciliation referenced). Excluding tariff impacts, adjusted EPS would have grown ~12% for the year (company reported adjusted EPS growth of 2.2% including tariffs).
Strong Cash Generation and Capital Allocation
Q4 free cash flow of $916M (up $105M year-over-year); FY2025 free cash flow $1.5B with 72% free-cash-flow conversion. Returned capital via $200M in share repurchases (avg price $71) and continued dividend program; invested >$1.7B in innovation in 2025.
Pharmaceutical / Radiopharmaceutical Momentum
Pharma diagnostics delivered Q4 organic sales growth of 12.7%, EBIT growth of 10% and sequential margin expansion of 20 bps. Radiopharmaceutical ramp progress: CMO partners operating at ~95% on-time delivery, 220 doses delivered in the week ended Jan 23; company maintains confidence in ~$500M in "Vorcado" revenue by year-end 2028 and a long-term ~$1B opportunity.
Broad New Product and Regulatory Progress
Multiple major NPIs commercial/cleared or on-track: Omni Total Body PET and NexGen spec commercially available in Europe; Photonovo Spectra photon-counting CT, new MR systems, VividPioneer ultrasound adoption, Starguide GX CE mark, Alia Moveo FDA & CE—all regulatory timelines reported on track for the RSNA-launched portfolio.
Large Enterprise Deals and Recurring Revenue Traction
More than $7B in enterprise deals since spin, including multiyear agreements (University of Rochester seven-year collaboration, Sutter Health, Nuffield Health 20-year). Service business grew mid-single digits in 2025 and full-year service revenue +5.6%, increasing recurring revenue contribution and service capture rates.
Operational Improvements via Heartbeat
Deployment of 'Heartbeat' business system yielded an average monthly 25% improvement in past-due backlog versus prior year, improved manufacturing flexibility and visibility, and concrete tariff-mitigation actions (line transfers and partner network repositioning).
Strategic M&A to Expand Digital and Recurring Revenue
Announced planned acquisition of IntelliRed (expected first full year revenue ~ $270M, low-double-digit revenue growth, adjusted EBITDA >30%) with expected close in H1; smaller tuck-in acquisitions (e.g., Neon Metaphysics, Eichometrics) to accelerate cloud/SaaS and recurring revenue.