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← CockpitCompetitor Analysis › SHL.DE Siemens Healthineers AGOpen in the cockpit ↗

Siemens Healthineers AGSHL.DECompetitor analysis, valuation and peers

Germany · EUR·Health Care›Medical Specialties

Spun off from Siemens: makes medical imaging equipment (MRI, CT, X-ray), lab diagnostics and cancer therapy systems for hospitals.

≈ Germany's GE HealthcareMomentum leader 93
Mkt cap
$55.9B
US dollars, full cap
Free float
32%
of shares outstanding
$/day
$48.5M
20-day average traded
Fwd P/E
18.9×
forward earnings
ROIC−WACC
+0.6 pp
WACC 7.0%
Hurdle
-1 pp
Req g minus delivered
Next earnings
90 days
4 Feb 2027
Close · EUR€44.66
1D-0.8%
1W+4.1%
1M+16.7%
3M+12.8%
6M+30.9%
YTD-0.6%
1Y+3.2%
ATR %2.2%
52w lowhigh5.5% off high

What Siemens Healthineers does

Spun off from Siemens: makes medical imaging equipment (MRI, CT, X-ray), lab diagnostics and cancer therapy systems for hospitals.

Sells imaging and lab systems to hospitals in large one-off purchases, then earns again from service contracts and reagents, the chemicals used in lab tests, across the installed base. Siemens kept the majority at the 2018 listing. The 2021 purchase of Varian added radiotherapy, a market where cancer-treatment machines pair with its imaging.

In one line: Germany's GE Healthcare.

Products and services

  • Imaging (MRI, CT, X-ray, ultrasound)
  • Diagnostics (lab testing)
  • Varian (radiation oncology systems)
  • Advanced therapies (image-guided surgery)

Customers

  • Hospitals & imaging centers
  • Diagnostic labs
  • Oncology treatment centers

Where it sits in the supply chain

  • Medical devices
  • Diagnostic imaging & lab equipment…
  • Imaging (MRI/CT), diagnostics, Varian…

What could go right

  • Aging population/imaging volume growth
  • Oncology equipment demand
  • Service/consumables recurring revenue

What could go wrong

  • Hospital capex cycles
  • Reimbursement pressure on imaging
  • Competition from lower-cost imaging makers

Moat: wide (installed base, switching costs, customer qualification). Large installed base of imaging equipment generates long-term service/consumables revenue and high switching costs.

Headquarters: Erlangen, Germany · Founded: 2018 · Employees: 74,000

Named competitors

Siemens Healthineers at a glance

Size Siemens Healthineers (SHL.DE) is a Germany Health Care company (Medical Specialties) with a market value of $55.9B, the 14th largest of 205 Germany companies the cockpit tracks. Shares closed at €44.66 on 6 Nov 2026.

Performance Over six months the shares gained 30.9%, against +22.4% for the median peer and +2.6% for the Germany market (cap-weighted) — 7th highest of 21 in its peer set.

Growth Revenue fell 0.9% over the last twelve months (peer median +8.5%); the operating margin is 14.8% (peer median 22.2%).

Valuation It trades at 18.9× forward earnings against a peer median of 26.7× (4th cheapest of 21).

Price implies For today's price to make sense, revenue must grow about 9% a year for seven years (Req g). Recent delivered growth is +10%, so the hurdle is -1 pp: the price already allows for a slowdown.

Capital Return on invested capital runs 0.6 points above its cost of capital (7.0% WACC).

Next results Next results expected around 4 Feb 2027 (exchange calendar; dates can move).

Relative performance

10012011 May 202611 Aug 20266 Nov 2026SHL.DE 134Peer median 126
Six months, rebased to 100: Siemens Healthineers against the median of its 20 peers (local-currency closes).

Siemens Healthineers financials

Reported figures in EUR; fiscal year ends 2025-09-30. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue€23.2B€23.4B€22.4B€21.7B€21.7B
Revenue growth—+5%+3%0%—
Gross profit€9.04B€9.03B€8.47B€7.71B€8.14B
EBITDA€4.61B€4.73B€4.52B€4.00B€4.41B
Net income€2.21B€2.14B€1.94B€1.51B€2.04B
Free cash flow€2.21B€2.27B€1.77B€971M€1.40B
Capital expenditure€815M€818M€696M€838M€852M
Total debt€15.0B€15.1B€16.2B€16.7B€16.7B

Quarterly statements and history in the cockpit →

Siemens Healthineers competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

-20%0%+20%+40%0%+20%BDXIDXXEWMDLNBSXA7741WATALCGEHCMTD300760RMDILMNELDXCMWSTSYKDIMSHL.DE6-month return →1-month return →
Up and to the right = strong over both horizons. Siemens Healthineers is the large dot.

Fundamentals: revenue growth against valuation

0%+5%+10%+15%20×30×40×BDXIDXXEWMDLNBSXA7741WATALCGEHCMTD300760RMDILMNELWSTSYKDIMSHL.DERevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. Siemens Healthineers is the large dot.

Capital: growth delivered against growth the price implies

+10%+20%+30%10%20%30%BDXIDXXEWMDLNBSXA7741WATALCGEHCMTD300760RMDILMNELDXCMWSTSYKDIMSHL.DEGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. Siemens Healthineers is the large dot.

Siemens Healthineers competitors and peer comparison

Head to head with its named competitors (SHL.DE vs GEHC vs PHIA.AS vs 7751.T)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
Siemens Healthineers SHL.DE$55.9B+31%-1%15%18.9×9.0%
GE HealthCare GEHC$37.2B+30%+7%14%15.4×4.3%
Koninklijke Philips PHIA.AS$29.8B+24%-1%10%16.5×5.7%
Canon 7751.T$28.4B+18%+4%10%12.2×-0.6%
Elekta EKTA-B.ST$2.37B+8%-7%6%15.1×10.0%

How Siemens Healthineers compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Siemens Healthineers against its 20 peers (data as of 6 Nov 2026)
MeasureSHL.DEPeer medianRank in peer set
1-month return+16.7%+11.8%9th highest of 21
6-month return+30.9%+22.4%7th highest of 21
Distance from 52-week high-5.5%-11.2%7th highest of 21
Revenue growth (TTM)-0.9%+8.5%2nd lowest of 21
Operating margin14.8%22.2%7th lowest of 21
Forward P/E18.9×26.7×4th cheapest of 21
Growth the price implies (Req g, 7 yrs)9.0%17.2%5th least demanding of 21
Growth delivered (Del g)+10.1%+9.4%8th highest of 21
Hurdle (Req g minus delivered)-1.1 pp+5.8 pp5th least demanding of 21
ROIC minus cost of capital+0.6 pp+5.0 pp7th lowest of 21
EV / EBITDA13.6×19.5×3rd cheapest of 20
Net debt / EBITDA2.7×1.6×4th most indebted of 20

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
Siemens Healthineers SHL.DEGermany$55.9B+31%-1%15%18.9×9.0%+10.1%
Becton Dickinson BDXUnited States$57.7B+43%-3%15%16.0×9.6%+6.3%
Idexx Laboratories IDXXUnited States$53.3B+21%+12%32%41.5×28.0%+9.7%
Edwards Lifesciences EWUnited States$58.9B+28%+15%29%31.4×17.2%+6.7%
Medline MDLNUnited States$52.1B0%+12%6%26.1×17.1%+9.9%
Boston Scientific BSXUnited States$62.0B-21%+9%21%13.8×5.0%+15.2%
Agilent Technologies AUnited States$49.3B+51%+9%24%26.6×22.6%+5.4%
Hoya 7741.TJapan$47.4B-23%+13%31%26.7×13.3%+11.6%
Waters WATUnited States$45.0B+29%+81%10%28.6×46.2%+6.0%
Alcon ALC.SWSwitzerland$37.5B+22%-1%11%21.4×12.9%+6.1%
GE HealthCare GEHCUnited States$37.2B+30%+7%14%15.4×4.3%+3.7%
Mettler Toledo MTDUnited States$34.5B+53%+7%28%33.9×20.3%+5.5%
Shenzhen Mindray Bio-Medical Electronics 300760.SZChina$33.4B+9%+5%28%27.1×0.9%+9.7%
ResMed RMDUnited States$33.1B+14%+9%34%19.1×4.9%+12.1%
Illumina ILMNUnited States$32.2B+50%+6%21%35.7×27.1%+6.0%
EssilorLuxottica EL.PAFrance$101B+12%+8%12%26.6×19.4%+14.6%
Dexcom DXCMUnited States$29.6B+31%+13%24%27.0×18.5%+19.3%
West Pharmaceutical Services WSTUnited States$27.9B+23%+13%23%39.8×25.2%+7.5%
Stryker SYKUnited States$124B+14%+8%25%20.4×10.6%+11.8%
Sartorius Stedim Biotech DIM.PAFrance$24.7B+38%+4%19%45.5×33.1%+9.2%
Steris STEUnited States$24.6B+22%+8%20%21.4×13.7%+13.8%

Questions

Who are Siemens Healthineers's main competitors?
Named competitors: GE HealthCare Technologies (GEHC), Royal Philips (PHIA.AS), Canon Medical (Canon) (7751.T), Elekta AB (EKTA-B.ST). The cockpit's measured peer set (industry) also includes Becton Dickinson (BDX), Idexx Laboratories (IDXX), Edwards Lifesciences (EW), Medline (MDLN), Boston Scientific (BSX), Agilent Technologies (A).
Is Siemens Healthineers expensive compared with its peers?
On forward p/e it trades at 18.9× against a peer median of 26.7×, 4th cheapest of 21 in its peer set. For today's price to make sense, revenue must grow about 9% a year for seven years (Req g). Recent delivered growth is +10%, so the hurdle is -1 pp: the price already allows for a slowdown.
How has Siemens Healthineers stock performed?
Over six months to 6 Nov 2026 the shares returned +30.9% against +22.4% for the median peer; over one year +3.2%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.