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SIEGY · Forward model · Siemens Healthineers · Bear case

What has to happen in Siemens Healthineers

Model as of

This page changes Siemens Healthineers inside the complete SIEGY model. Every other vertical, corporate programme and valuation assumption stays in the selected portfolio case.

SIEGY forward model
Horizon
Consolidated fair value $100.14 all other verticals held in this portfolio case
Final-quarter revenue $6.53B 25% of company revenue
Explicit segment contribution $16.82B EBITDA less segment capex, before corporate items

The two things that went wrong in a record quarter get worse instead of better. Siemens Healthineers is 28% of consolidated revenue and has already had its own fiscal 2026 growth guide cut to 3.5-4.0% from 4.5-5.0% on what Siemens calls a structural, not cyclical, change in Chinese diagnostics; Mobility's profit fell 2% and its margin fell from 9.3% to 8.6% on 6% revenue growth; and currency took a full percentage point off both order and revenue growth. Take a point a quarter off growth, two points off margin, and let a conglomerate exit at 10.0x rather than the 15.85x the tape pays now, and fair value is $100.14 - 39.4% below the traded price. That is not a demand collapse: revenue still grows, at about 5% a year rather than 8%, and 73.8% of the remaining value is still the terminal.

Siemens Healthineers

Basis quarter$6.70B
Final quarter$6.53B
Implied CAGR−1%
Final revenue mix25%

The listed medical-technology subsidiary Siemens owns roughly 67% of and still fully consolidates: imaging, precision therapy (Varian) and diagnostics. It is 28% of group revenue and the only vertical here whose growth guide has been cut this year - Healthineers took its own fiscal 2026 comparable growth outlook down to 3.5-4.0% from 4.5-5.0% on diagnostics weakness in China. It is also the vertical with a dated structural exit: Siemens intends to deconsolidate it by spinning off 30% of the shares to its own shareholders, with the vote at the February 2027 annual meeting.

Last four quarters
2025 Q4 $7.39B Reported
2026 Q1 $6.29B Reported
2026 Q2 $6.65B Reported
2026 Q3 $6.70B Reported
ImagingPrecision therapy (Varian)Diagnostics
Sequential growth +0.9%/qtr decaying toward +0.8% Compounds to 3.75%, the midpoint of Healthineers' own cut 3.5-4.0% fiscal 2026 guide.
Siemens Healthineers

Latest: $6.53B (2031Q3E)

Period Value
2024Q1 $5.57B
2024Q2 $5.90B
2024Q3 $5.84B
2024Q4 $6.95B
2025Q1 $5.85B
2025Q2 $6.22B
2025Q3 $6.42B
2025Q4 $7.39B
2026Q1 $6.29B
2026Q2 $6.65B
2026Q3 $6.70B
2026Q4E $7.61B
2027Q1E $6.50B
2027Q2E $6.99B
2027Q3E $6.68B
2027Q4E $7.57B
2028Q1E $6.47B
2028Q2E $6.96B
2028Q3E $6.65B
2028Q4E $7.54B
2029Q1E $6.43B
2029Q2E $6.92B
2029Q3E $6.61B
2029Q4E $7.50B
2030Q1E $6.40B
2030Q2E $6.88B
2030Q3E $6.57B
2030Q4E $7.45B
2031Q1E $6.36B
2031Q2E $6.84B
2031Q3E $6.53B

Assumptions & reasoning

  • The 22.0% EBITDA margin the basis quarter printed is not used. Siemens attributes the profitability rise primarily to positive effects from U.S. tariff refunds, and Healthineers cut its own fiscal 2026 revenue guide in the same week, so the model uses the trailing four-quarter 19.1% rounded to 19.5%.
  • The only vertical whose guidance was cut this year: Healthineers now expects fiscal 2026 comparable revenue growth of 3.5% to 4.0%, down from 4.5% to 5.0%, on a diagnostics decline Siemens attributes in part to a structural change in the market environment in China - structural, not cyclical, in the company's own words.
  • This line is 28% of consolidated revenue and Siemens has said it intends to stop consolidating it. That is not modelled, and the reason is in the model notes: the spin-off is unapproved, every series on the stock page behind this model is consolidated, and deleting the revenue without crediting shareholders with the Healthineers shares they would receive would misstate value rather than correct it.
  • Seasonal on the same evidence as Smart Infrastructure: signal 0.159 against a worst window spread of 0.014, with fiscal Q4 the year-end delivery quarter for imaging equipment.
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