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GE HealthCare Technologies Inc. (GEHC) Q2 2025 Earnings Summary

Executive Summary

  • GE HealthCare delivered Q2 revenue of $5.01B (+3% YoY) and adjusted EPS of $1.06, both above Wall Street consensus; EBITDA beat as well. Management raised FY25 guidance for organic growth, margins, EPS, and FCF, citing tariff easing and execution .
  • Book-to-bill was 1.07x with record backlog of $21.3B, underscoring durable demand; PDx grew 14% reported (+5% organic) on radiopharmaceutical strength, while Imaging and AVS grew modestly; PCS was flat organically .
  • Margins compressed YoY: adjusted EBIT margin fell 80 bps to 14.6% on tariffs; gross margin declined ~180 bps YoY as R&D shifted to COGS with programs reaching technical feasibility and service mix headwinds .
  • FY25 guidance raised: Organic growth ≈3% (prior 2–3%); adj. EBIT margin 15.2–15.4% (prior 14.2–14.4%); adj. EPS $4.43–$4.63 (prior $3.90–$4.10); FCF ≥$1.4B (prior ≥$1.2B). Management now assumes net tariff EPS impact of ~$0.45 vs ~$0.85 prior .
  • Near-term catalyst and caution: Q3 organic growth guided 2–3% with adjusted EPS down high-single digits YoY due to tariffs; medium-term upside tied to nuclear medicine momentum, photon counting CT, and full-body PET launches .

What Went Well and What Went Wrong

  • What Went Well

    • “We secured our largest-ever order of Omni Legend PET systems in the U.S.” highlighting nuclear medicine momentum and enterprise wins (Ascension, Europe, Mexico) .
    • Strong orders and record backlog; book-to-bill 1.07x; adjusted EPS up 6% YoY, with lower tax and interest expense aiding earnings .
    • PDx outperformed (+14% reported; +5% organic) on radiopharmaceutical demand (Vizamyl, Cerianna, Flyrcado) and price resilience .
  • What Went Wrong

    • Adjusted EBIT margin down 80 bps YoY (14.6%) on tariffs; gross margin down ~180 bps YoY; tariffs were “less than $50M” in Q2 but still meaningful .
    • PCS EBIT margin fell 240 bps YoY (7.7%), with inflation and unfavorable mix; organic revenue flat .
    • Imaging faced China headwinds; margin pressure from tariffs; without tariffs, Imaging margin would have increased YoY and sequentially .

Financial Results

MetricQ4 2024Q1 2025Q2 2025
Revenue ($USD Billions)$5.319 $4.777 $5.007
Diluted EPS ($)$1.57 $1.23 $1.06
Adjusted EPS ($)$1.45 $1.01 $1.06
Net Income Margin (%)13.5% 11.8% 9.7%
Adjusted EBIT Margin (%)18.7% 15.0% 14.6%
Cash from Ops ($USD Millions)$913 $250 $94
Free Cash Flow ($USD Millions)$811 $98 $7
YoY Comparison (Q2)Q2 2024Q2 2025
Revenue ($USD Billions)$4.839 $5.007
Diluted EPS ($)$0.93 $1.06
Adjusted EBIT Margin (%)15.3% 14.6%
Net Income Margin (%)8.9% 9.7%
SegmentRevenue Q1 2025 ($MM)EBIT Margin Q1 2025Revenue Q2 2025 ($MM)EBIT Margin Q2 2025
Imaging$2,140 9.3% $2,204 8.5%
AVS$1,239 21.1% $1,289 20.7%
PCS$753 6.4% $778 7.7%
PDx$632 32.4% $729 29.3%
KPIsQ1 2025Q2 2025
Book-to-Bill (x)1.09 1.07
Organic Orders Growth (%)+10% +3%
Backlog ($USD Billions)$20.6 $21.3
Share Repurchases ($USD Millions)$0 (authorization announced) ~$100

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Organic Revenue Growth*FY 20252%–3% ≈3% Raised
Adjusted EBIT Margin*FY 202514.2%–14.4% 15.2%–15.4% Raised
Adjusted ETR*FY 202521%–22% 20%–21% Lowered (favorable)
Adjusted EPS* ($)FY 2025$3.90–$4.10 $4.43–$4.63 Raised
Free Cash Flow* ($)FY 2025≥$1.2B ≥$1.4B Raised
Net Tariff EPS Impact*FY 2025~$0.85 ~$0.45 Lowered
Dividend ($/share)Q2 2025$0.035 payable Aug 15, 2025 Declared

Tariff assumptions embedded in guidance: detailed bilateral U.S.–China rates (54%/34% post Aug 12), reciprocal U.S. rates for EU/Japan (15% Aug 1), Mexico (30%) and Canada (35%) increases Aug 1; USMCA exemptions continue; other geographies return to pre-pause levels; excludes Section 232 .

Q3 2025 outlook: Organic revenue growth 2–3%; adjusted EPS to decline high-single digits YoY due to tariffs .

Earnings Call Themes & Trends

TopicPrevious Mentions (Q4 2024 and Q1 2025)Current Period (Q2 2025)Trend
AI/Technology leadership85 FDA AI authorizations; R&D up; CareIntellect; MIM acquisition Tops FDA list with 100 AI authorizations; continued AI-enabled device push Strengthening
Supply chain & tariffsInitial guide incorporated China tariffs; mitigation actions underway Net tariff EPS impact now $0.45; mitigations include USMCA, bonded logistics, local-for-local manufacturing Improving clarity; mitigations accelerating
Nuclear medicine & PDxFlyrcado launch plan; PDx strong; NMP acquisition Largest Omni Legend order; PDx +5% organic; FRCATO on track with broad MAC coverage Strong momentum
Regional dynamicsU.S. strong; Europe improving; China cautious with delayed tenders U.S./EMEA drive growth; China recovery slower; backlog conversion helped H1 Stable; cautious on China
R&D executionPhoton counting CT submission/launch 2025–2026; higher-margin pipeline Programs reached technical feasibility (shifted ~$25M from R&D to COGS); photon counting CT on track H2 filing On plan
PCS turnaroundInvestments, automation, margin recovery over time New PCS leader (Jeannette Bankes); anesthesia platform launch; AI enhancements Early execution

Management Commentary

  • “We were pleased with solid orders and revenue performance…strong earnings…progress on tariff mitigation.” — Peter Arduini, CEO .
  • “Adjusted EBIT margin…down 80 bps YoY due to tariff impacts…partially offset by lean actions and volume…free cash flow of $7M up $189M YoY.” — Jay Saccaro, CFO .
  • “Total net tariff impact in our adjusted EPS guidance for 2025 is now $0.45…we expect less than $0.45 of adjusted EPS impacts from tariffs in 2026.” — Jay Saccaro .
  • “We secured our largest-ever order of Omni Legend PET systems in the U.S.” — Peter Arduini .
  • “We repurchased approximately $100 million of our shares…issued $1.5 billion in bonds to refinance November 2025 debt maturity.” — Jay Saccaro .

Q&A Highlights

  • Capital environment remains robust; equipment book-to-bill well above 1.1x; backlog at $21.3B supports H2 acceleration .
  • Tariff mitigation actions split into “no regrets” (USMCA, bonded logistics, dual sourcing) and longer-lead local-for-local manufacturing shifts; 2026 impact targeted below 2025 .
  • FRCATO rollout: ~18 CMOs active vs ~25 target for 2025; coverage now by all seven MACs and >65% of commercial lives; cycle time to billing targeted from ~90 days down toward 30–40 .
  • Gross margin drivers: ~$50M tariff impact (~half of 180 bps YoY); ~50 bps shift from R&D to COGS as programs hit technical feasibility; ~50 bps service mix headwind from enterprise contract startups .
  • Photon counting CT: H2 filing on track; differentiated spectral resolution focus; significant potential clinical impact .

Estimates Context

MetricQ4 2024Q1 2025Q2 2025
Revenue ($USD Billions) Actual vs Consensus*$5.319 vs $5.330 (in-line)* $4.777 vs $4.655 (beat)* $5.007 vs $4.965 (beat)*
Adjusted/Primary EPS ($) Actual vs Consensus*$1.45 vs $1.263 (beat)* $1.01 vs $0.913 (beat)* $1.06 vs $0.919 (beat)*
EBITDA ($USD Millions) Actual vs Consensus*$1,026 vs $1,064 (miss slight)* [GetEstimates]$842 vs $794 (beat)* [GetEstimates]$880 vs $798 (beat)* [GetEstimates]

*Values retrieved from S&P Global.

Implications: A broad-based beat on revenue/EPS/EBITDA in Q2 against consensus supports the guidance raise; Q3 tariff headwinds tempers near-term EPS trajectory despite strong demand .

Key Takeaways for Investors

  • Demand is resilient with record backlog and strong book-to-bill; raised FY25 guide suggests tariff clarity plus execution underpin H2 trajectory .
  • Margin pressure from tariffs is well-quantified and being mitigated; 2026 tariff impact expected below 2025, supporting medium-term margin expansion narrative .
  • Nuclear medicine ecosystem (PDx + PET/CT + digital) is a structural growth driver; largest Omni Legend order and FRCATO rollout are tangible catalysts .
  • Upcoming high-margin launches (photon counting CT, full-body PET, vascular) can lift mix and support mid-to-high-teens EBIT margins over time .
  • Near-term trading: Q3 EPS guide down high-single digits YoY may pressure the stock near the print; watch tariff policy developments and enterprise deal conversions .
  • Capital allocation is balanced: $100M repurchases in Q2 under a $1B program, dividend continuity, debt refinance completed, tuck-in M&A pipeline building (e.g., NMP) .
  • Monitor China: backlog conversion helped H1, but tenders remain elongated; guidance embeds muted second half assumptions—any upside could be incremental .

Appendix: Additional Relevant Press Releases (Q2 2025)

  • Dividend declared: $0.035 per share, payable Aug 15, 2025 .
  • New digital X-ray system (Definium Pace Select ET) for high-throughput settings, automation and AI positioning .
  • AI leadership: 100 FDA AI-enabled device authorizations; continued investment across care pathways .

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