Advanced Imaging And AI Diagnostics Will Expand Global Markets

Key Takeaways

• Innovation in imaging and AI diagnostics, plus digital adoption, is driving order growth, margin improvement, and recurring, higher-quality revenues worldwide.
  
• Rising chronic diseases, aging populations, and emerging market investments will sustain long-term market expansion, supporting continued revenue and margin gains.
  
• Tariff pressures, China market challenges, unfavorable currency shifts, operational restructuring, and industry competition all threaten margins, pricing power, and long-term growth.

Catalysts

Through its subsidiaries, develops, manufactures, and sells a range of diagnostic and therapeutic products and services to healthcare providers worldwide.

• Strong, ongoing innovation in advanced imaging (e.g., Photon Counting CT, molecular imaging) and AI-driven diagnostic solutions is fueling robust order growth across all global markets, supporting both revenue expansion and higher net margins as adoption increases.
  
• A rapidly aging population and rising chronic disease incidence are consistently boosting demand for high-precision diagnostics and individualized therapies-core competencies for Siemens Healthineers-indicating a durable multi-year uplift in addressable market size and likely top-line growth.
  
• Expansion of long-term Value Partnerships with hospitals and healthcare systems is shifting the business mix toward higher recurring revenue streams, which help stabilize earnings, improve revenue visibility, and support sustained operating margin expansion.
  
• Accelerating digital and AI adoption in healthcare-alongside a growing installed base of automated, integrated diagnostic platforms-positions Siemens Healthineers to capture higher-margin software and solutions revenues, enhancing overall earnings quality.
  
• Emerging market healthcare infrastructure investments, alongside potential recovery in China, offer significant room for market share gains and volume growth in advanced medical equipment, providing upside potential to both revenue and net margin as global demand resumes.

Siemens Healthineers Future Earnings and Revenue Growth

Assumptions

• Analysts are assuming Siemens Healthineers's revenue will grow by 5.4% annually over the next 3 years.
• Analysts assume that profit margins will increase from 9.3% today to 11.7% in 3 years time.
• Analysts expect earnings to reach €3.2 billion (and earnings per share of €2.86) by about September 2028, up from €2.2 billion today. However, there is some disagreement amongst the analysts with the more bearish ones expecting earnings as low as €2.6 billion.
• In order for the above numbers to justify the analysts price target, the company would need to trade at a PE ratio of 25.2x on those 2028 earnings, up from 23.9x today. This future PE is greater than the current PE for the DE Medical Equipment industry at 17.0x.
• Analysts expect the number of shares outstanding to grow by 0.65% per year for the next 3 years.
• To value all of this in today's terms, we will use a discount rate of 5.93%, as per the Simply Wall St company report.

Siemens Healthineers Future Earnings Per Share Growth

Risks

• Exposure to significant and increasing tariff headwinds, particularly in the Imaging and Advanced Therapies segments, poses a risk to profitability as mid-term mitigation strategies like value-add relocation and pricing adjustments may take time to fully materialize, likely pressuring net margins and EPS.
  
• Prolonged weakness and structural challenges in the China market-especially the ongoing impact of China's volume-based procurement (VBP) in Diagnostics-are resulting in a reset of pricing and distribution models, suppressing revenue growth and compressing margins for a key region that has yet to show sustained recovery.
  
• Unfavorable foreign exchange movements, especially from the depreciation of the U.S. dollar against the euro, create translational headwinds that impact group revenues and margins, with current hedges only delaying the negative effects that are set to increase in coming quarters.
  
• Ongoing restructuring and portfolio simplification in Diagnostics, including site closures and product line discontinuations, signal underlying operational weaknesses; without a clear timeline for margin recovery, near
• and mid-term earnings could remain under pressure.
  
• Intense industry competition, particularly in digital diagnostics and imaging, as well as growing price sensitivity from healthcare providers under value-based care models, increase the risk of commoditization and market share loss-threatening Siemens Healthineers' pricing power and sustainable revenue growth over the long term.

Valuation

• The analysts have a consensus price target of €60.183 for Siemens Healthineers based on their expectations of its future earnings growth, profit margins and other risk factors. However, there is a degree of disagreement amongst analysts, with the most bullish reporting a price target of €65.0, and the most bearish reporting a price target of just €50.0.
• In order for you to agree with the analyst's consensus, you'd need to believe that by 2028, revenues will be €27.4 billion, earnings will come to €3.2 billion, and it would be trading on a PE ratio of 25.2x, assuming you use a discount rate of 5.9%.
• Given the current share price of €46.66, the analyst price target of €60.18 is 22.5% higher.
• We always encourage you to reach your own conclusions though. So sense check these analyst numbers against your own assumptions and expectations based on your understanding of the business and what you believe is probable.