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GE HealthCare Technologies Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 4 February 2026: press release. Guidance figures: 5 new. The quarter’s numbers.

Key takeaways

  • Revenue up 7.1%, organic 4.8%: Quarter revenue was $5.7 billion, up 7.1%, with organic growth of 4.8%. Full-year revenue was $20.6 billion, up 4.8%, with organic growth of 3.5%. Source
  • Quarter earnings per share declined: Net income attributable to GE HealthCare was $589 million versus $720 million, and adjusted EBIT was $950 million versus $994 million in the prior-year quarter. Source
  • Gross tariff impact largely mitigated: The CFO said the company significantly mitigated gross tariff impacts in 2025, which he cited as operational resilience. Source
  • Quarter margins fell on tariffs and mix: Net income margin was 10.3%, down 320 bps from 13.5%. Adjusted EBIT margin was 16.7%, down 200 bps, with volume and price partly offsetting. Source
  • Quarter orders growth slowed from Q3: Quarter total orders rose 2.0% organically, below the 6% organic growth reported for the third quarter. Book-to-bill was 1.06 times. Source
  • Full-year free cash flow declined: Full-year operating cash flow was $2.0 billion, up $32 million. Free cash flow was $1.5 billion, down $49 million, with cash flow conversion of 95% and free cash flow conversion of 72%. Source
  • Intelerad to add cloud imaging: Management said the Intelerad addition will advance cloud-enabled enterprise imaging across care settings. Source
  • 2026 tariff impact expected lower: Management expects 2026 tariff impact to be below 2025 levels, based on current tariff rates. Source

“We entered 2026 with momentum driven by a differentiated innovation pipeline.”

GE HealthCare President and CEO Peter Arduini

Guidance

AreaPeriodFigureAgainst last quarter
Organic revenue growth Sourcefull year 20263.0% to 4.0% year-over-yearNew
Adjusted EBIT margin Sourcefull year 202615.8% to 16.1%New
Adjusted effective tax rate Sourcefull year 202620.0% to 21.0%New
Adjusted EPS Sourcefull year 2026$4.95 to $5.15New
Free cash flow Sourcefull year 2026approximately $1.7 billionNew

What changed from last quarter

  • New guidance: Full-year 2026 guidance introduced for organic revenue growth, Adjusted EBIT margin, Adjusted ETR, Adjusted EPS and free cash flow; the company describes it as reflecting growth across all metrics. Source
  • New: Planned $2.3 billion acquisition of Intelerad announced during the fourth quarter. Source

Results and growth drivers

  • Revenue up 7.1%, organic 4.8%: Quarter revenue was $5.7 billion, up 7.1%, with organic growth of 4.8%. Full-year revenue was $20.6 billion, up 4.8%, with organic growth of 3.5%. Source
  • Quarter earnings per share declined: Net income attributable to GE HealthCare was $589 million versus $720 million, and adjusted EBIT was $950 million versus $994 million in the prior-year quarter. Source
  • Full-year earnings per share rose: Full-year net income attributable to GE HealthCare was $2.1 billion versus $2.0 billion, and adjusted EBIT was $3.2 billion in both years. Source

Segments and regions

  • Pharmaceutical Diagnostics grew fastest: PDx revenue rose 22.3% to $790 million, with organic growth of 12.7%; full-year PDx revenue reached $2.9 billion, up 15.6%. Segment EBIT margin was 29.6%, down 330 bps. Source
  • Imaging revenue up, EBIT down: Imaging revenue rose 6.6% to $2,552 million, with organic growth of 5.3%. Imaging segment EBIT fell 12.5% to $264 million, and its margin was 10.4%, down 230 bps. Source
  • AVS flat EBIT, PCS revenue slipped: AVS revenue rose 5.9% to $1,525 million with segment EBIT up 0.7%. Patient Care Solutions revenue fell 0.3% to $825 million, and its EBIT fell 29.6% to $74 million. Source

“We ended 2025 in a position of strength with record backlog.”

GE HealthCare Vice President and CFO Jay Saccaro

Products and customer highlights

  • Indonesia CT scanner agreement: The company said it and Indonesia's Ministry of Health will expand access to care through provision of more than 300 advanced CT scanners. Source
  • Next-generation SIGNA MRI unveiled: The company unveiled next-generation SIGNA MRI technology, aimed at efficiency, patient experience and sustainability. Source
  • Photon-counting CT product introduced: Photonova Spectra with Deep Silicon was presented as a photon-counting CT product intended to see more, know more and achieve more. Source

Costs, margins and tariffs

  • Gross tariff impact largely mitigated: The CFO said the company significantly mitigated gross tariff impacts in 2025, which he cited as operational resilience. Source
  • Quarter margins fell on tariffs and mix: Net income margin was 10.3%, down 320 bps from 13.5%. Adjusted EBIT margin was 16.7%, down 200 bps, with volume and price partly offsetting. Source
  • Full-year margin down, excluding tariffs higher: Full-year net income margin was 10.1%, flat. Adjusted EBIT margin was 15.3%, down 100 bps. Management said margin excluding tariff impacts exceeded the prior year. Source

“In our third year as a public company, we’ve made great strides executing our strategy focused on precision care, growth acceleration, and business optimization.”

GE HealthCare President and CEO Peter Arduini

Demand and order book

  • Quarter orders growth slowed from Q3: Quarter total orders rose 2.0% organically, below the 6% organic growth reported for the third quarter. Book-to-bill was 1.06 times. Source
  • Full-year orders rose organically: Full-year total orders rose 5.2% organically, with book-to-bill of 1.07 times. Source

Cash, capital and shareholder returns

  • Quarter free cash flow rose: Quarter operating cash flow was $1.0 billion, up $137 million. Quarter free cash flow was $916 million, up $105 million, with 72% free cash flow conversion. Source
  • Full-year free cash flow declined: Full-year operating cash flow was $2.0 billion, up $32 million. Free cash flow was $1.5 billion, down $49 million, with cash flow conversion of 95% and free cash flow conversion of 72%. Source
  • Capital spending increased: Quarter capital expenditures were $134 million versus $102 million. Full-year capital expenditures were $482 million versus $401 million, with innovation and capacity expansion prioritized. Source
  • Share repurchase program authorized: The Board authorized a $1.0 billion program in April 2025. In 2025 the company repurchased 2.8 million shares for $200 million. Source
  • Year-end cash and debt: Total debt outstanding was $10.0 billion at year end. The company declared a quarterly dividend of $0.035 per share for all quarters in 2025. Source

Strategy and acquisitions

  • Intelerad to add cloud imaging: Management said the Intelerad addition will advance cloud-enabled enterprise imaging across care settings. Source
  • Two acquisitions closed in 2025: Nihon Medi-Physics and icometrix closed in 2025. The icometrix acquisition had been announced as an intent in the third quarter. Source
  • Heartbeat business system advanced: Management said Heartbeat is intended to improve the customer experience and drive productivity, delivering margin expansion and greater value. Source

Guidance basis and tariff assumptions

  • 2026 tariff impact expected lower: Management expects 2026 tariff impact to be below 2025 levels, based on current tariff rates. Source
  • Items not reconciled to GAAP: The company does not reconcile forward figures to GAAP, citing difficulty predicting currency, acquisition, restructuring and investment revaluation effects. Source

Coming up, as management said on 4 February 2026

  • Intelerad closing expected: Management expects the Intelerad acquisition to close in the first half of 2026, subject to regulatory approvals. Source
  • Flyrcado rollout tied to CVAUSA 2026: The release headline links Flyrcado pilot results to a broader rollout at CVAUSA 2026. Source

Figures management reported

FigureReported
Total orders growth, organic (fourth quarter 2025) Source2.0%
Book-to-bill (fourth quarter 2025) Source1.06 times
Total orders growth, organic (full year 2025) Source5.2%
Book-to-bill (full year 2025) Source1.07 times

Risks management discussed

  • External: Management said the macro environment remains dynamic, and it is focused on profitable growth, strong cash flow and shareholder value. Source
  • Financial: The company attributes the annual free cash flow decrease to tariff impact, partly offset by lower interest and income taxes paid. Source

Earlier plans management reported on

  • Ahead: The release headline says the company exceeded topline and earnings per share expectations. Source
  • Not stated: The CFO said the company is committed to executing its strategy to drive top- and bottom-line growth in 2026 and over the medium term. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.