GE HealthCare Technologies Inc. (GEHC)
SIC breadcrumb: Manufacturing > SIC Major Group 38 > SIC 3844 X-Ray Apparatus & Tubes & Related Irradiation Apparatus
SEC company page: https://www.sec.gov/edgar/browse/?CIK=1932393. Latest filing source: 0001932393-26-000007.
Informational only - descriptive public-record data, not investment advice.
Selected Fundamentals
| Metric | Value | Unit | FY | Filed |
|---|---|---|---|---|
| Revenue | 20,625,000,000 | USD | 2025 | 2026-02-04 |
| Net income | 2,084,000,000 | USD | 2025 | 2026-02-04 |
| Assets | 36,906,000,000 | USD | 2025 | 2026-02-04 |
Financials
Annual standardized facts from SEC companyfacts as of latest extracted filing date 2026-02-04. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001932393.json. Derived margins, ratios, and free cash flow are computed from the extracted annual SEC facts.
| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Revenue | 17,585,000,000 | 18,341,000,000 | 19,552,000,000 | 19,672,000,000 | 20,625,000,000 |
| Net income | 2,247,000,000 | 1,916,000,000 | 1,568,000,000 | 1,993,000,000 | 2,084,000,000 |
| Operating income | 2,795,000,000 | 2,522,000,000 | 2,435,000,000 | 2,625,000,000 | 2,763,000,000 |
| Gross profit | 7,174,000,000 | 7,179,000,000 | 7,922,000,000 | 8,205,000,000 | 8,248,000,000 |
| Diluted EPS | 4.95 | 4.22 | 3.03 | 4.34 | 4.55 |
| Operating cash flow | 1,607,000,000 | 2,134,000,000 | 2,101,000,000 | 1,955,000,000 | 1,987,000,000 |
| Capital expenditures | 248,000,000 | 310,000,000 | 387,000,000 | 401,000,000 | 482,000,000 |
| Dividends paid | 0.00 | 0.00 | 41,000,000 | 55,000,000 | 64,000,000 |
| Share buybacks | 0.00 | 0.00 | 200,000,000 | ||
| Assets | 27,539,000,000 | 32,454,000,000 | 33,089,000,000 | 36,906,000,000 | |
| Liabilities | 17,947,000,000 | 25,144,000,000 | 24,437,000,000 | 26,307,000,000 | |
| Stockholders' equity | 9,357,000,000 | 7,133,000,000 | 8,446,000,000 | 10,379,000,000 | |
| Cash and cash equivalents | 1,440,000,000 | 2,494,000,000 | 2,874,000,000 | 4,492,000,000 | |
| Free cash flow | 1,359,000,000 | 1,824,000,000 | 1,714,000,000 | 1,554,000,000 | 1,505,000,000 |
Ratios
| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Net margin | 12.78% | 10.45% | 8.02% | 10.13% | 10.10% |
| Operating margin | 15.89% | 13.75% | 12.45% | 13.34% | 13.40% |
| Return on equity | 20.48% | 21.98% | 23.60% | 20.08% | |
| Return on assets | 6.96% | 4.83% | 6.02% | 5.65% | |
| Liabilities / equity | 1.92 | 3.53 | 2.89 | 2.53 | |
| Current ratio | 1.16 | 1.05 | 1.04 | 1.37 |
Financial Charts
Quarterly
Quarterly standardized facts from SEC companyfacts as of latest extracted filing date 2026-04-29. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001932393.json.
| Quarter | End Date | Revenue | Net Income | Diluted EPS | Method |
|---|---|---|---|---|---|
| 2023-Q1 | 2023-03-31 | 0.41 | reported discrete quarter | ||
| 2023-Q2 | 2023-06-30 | 4,817,000,000 | 418,000,000 | 0.91 | reported discrete quarter |
| 2023-Q3 | 2023-09-30 | 4,822,000,000 | 375,000,000 | 0.82 | reported discrete quarter |
| 2023-Q4 | 2023-12-31 | 5,206,000,000 | 403,000,000 | derived Q4 = FY annual - nine-month YTD | |
| 2024-Q1 | 2024-03-31 | 4,650,000,000 | 374,000,000 | 0.81 | reported discrete quarter |
| 2024-Q2 | 2024-06-30 | 4,839,000,000 | 428,000,000 | 0.93 | reported discrete quarter |
| 2024-Q3 | 2024-09-30 | 4,863,000,000 | 470,000,000 | 1.02 | reported discrete quarter |
| 2024-Q4 | 2024-12-31 | 5,319,000,000 | 721,000,000 | derived Q4 = FY annual - nine-month YTD | |
| 2025-Q1 | 2025-03-31 | 4,777,000,000 | 564,000,000 | 1.23 | reported discrete quarter |
| 2025-Q2 | 2025-06-30 | 5,007,000,000 | 486,000,000 | 1.06 | reported discrete quarter |
| 2025-Q3 | 2025-09-30 | 5,143,000,000 | 446,000,000 | 0.98 | reported discrete quarter |
| 2025-Q4 | 2025-12-31 | 5,698,000,000 | 589,000,000 | derived Q4 = FY annual - nine-month YTD | |
| 2026-Q1 | 2026-03-31 | 5,131,000,000 | 389,000,000 | 0.85 | reported discrete quarter |
Quarterly Charts
Macro Cross-References
- CPIAUCSL - Consumer Price Index for All Urban Consumers: All Items in U.S. City Average
- UNRATE - Unemployment Rate
- FEDFUNDS - Federal Funds Effective Rate
- CES0500000003 - Average Hourly Earnings of All Employees, Total Private
- DFEDTARU - Federal Funds Target Range - Upper Limit
- DFEDTARL - Federal Funds Target Range - Lower Limit
- DGS3MO - Market Yield on U.S. Treasury Securities at 3-Month Constant Maturity
- DGS2 - Market Yield on U.S. Treasury Securities at 2-Year Constant Maturity
- DGS10 - Market Yield on U.S. Treasury Securities at 10-Year Constant Maturity
- DGS30 - Market Yield on U.S. Treasury Securities at 30-Year Constant Maturity
- T10Y2Y - 10-Year Treasury Constant Maturity Minus 2-Year Treasury Constant Maturity
- CPILFESL - Consumer Price Index for All Urban Consumers: All Items Less Food and Energy
- CPIUFDSL - Consumer Price Index for All Urban Consumers: Food
- CPIENGSL - Consumer Price Index for All Urban Consumers: Energy
- CUSR0000SAH1 - Consumer Price Index for All Urban Consumers: Shelter
- PCEPI - Personal Consumption Expenditures: Chain-type Price Index
- PCEPILFE - Personal Consumption Expenditures Excluding Food and Energy: Chain-type Price Index
- PPIACO - Producer Price Index by Commodity: All Commodities
- T10YIE - 10-Year Breakeven Inflation Rate
- U6RATE - Total Unemployed, Plus All Marginally Attached Workers Plus Total Employed Part Time for Economic Reasons
- PAYEMS - All Employees, Total Nonfarm
- CIVPART - Labor Force Participation Rate
- EMRATIO - Employment-Population Ratio
- UNEMPLOY - Unemployed
- CE16OV - Employment Level
- ICSA - Initial Claims
- JTSJOL - Job Openings: Total Nonfarm
- JTSQUR - Quits: Total Nonfarm
- GDPC1 - Real Gross Domestic Product
- A191RL1Q225SBEA - Real Gross Domestic Product: Percent Change from Preceding Period
- INDPRO - Industrial Production: Total Index
- TCU - Capacity Utilization: Total Index
- HOUST - New Privately-Owned Housing Units Started: Total Units
- PERMIT - New Privately-Owned Housing Units Authorized in Permit-Issuing Places: Total Units
- RSAFS - Advance Retail Sales: Retail Trade
- PCE - Personal Consumption Expenditures
- DSPIC96 - Real Disposable Personal Income
- PSAVERT - Personal Saving Rate
- M2SL - M2
- BOPGSTB - U.S. International Trade in Goods and Services: Balance
- MSPUS - Median Sales Price of Houses Sold for the United States
- HSN1F - New One Family Houses Sold: United States
- RHORUSQ156N - Homeownership Rate in the United States
- TTLCONS - Total Construction Spending: Total Construction in the United States
- RRVRUSQ156N - Rental Vacancy Rate in the United States
- TOTALSL - Total Consumer Credit Owned and Securitized
- REVOLSL - Revolving Consumer Credit Owned and Securitized
- DRCCLACBS - Delinquency Rate on Credit Card Loans, All Commercial Banks
- GDP - Gross Domestic Product
- GPDI - Gross Private Domestic Investment
- GCE - Government Consumption Expenditures and Gross Investment
- PCEC - Personal Consumption Expenditures
- NETEXP - Net Exports of Goods and Services
- GFDEBTN - Federal Debt: Total Public Debt
- GFDEGDQ188S - Federal Debt: Total Public Debt as Percent of Gross Domestic Product
- FYFSD - Federal Surplus or Deficit
- FGRECPT - Federal Government Current Receipts
- FGEXPND - Federal Government: Current Expenditures
- MANEMP - All Employees, Manufacturing
- USCONS - All Employees, Construction
- USTRADE - All Employees, Retail Trade
- USFIRE - All Employees, Financial Activities
- USGOVT - All Employees, Government
- AWHAETP - Average Weekly Hours of All Employees, Total Private
- DGORDER - Manufacturers' New Orders: Durable Goods
- NEWORDER - Manufacturers' New Orders: Nondefense Capital Goods Excluding Aircraft
- BUSINV - Total Business Inventories
- EXPGS - Exports of Goods and Services
- IMPGS - Imports of Goods and Services
- IR - Import Price Index (End Use): All Commodities
- PPIFIS - Producer Price Index by Commodity: Final Demand
Latest quarter (10-Q)
Latest 10-Q source: 0001932393-26-000031.
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of our financial results should be read in conjunction with the condensed consolidated financial statements and corresponding notes (the “financial statements”) included elsewhere in this Quarterly Report on Form 10-Q. The following discussion and analysis provide information management believes to be relevant to understanding the financial results of GE HealthCare Technologies Inc. and its subsidiaries (“GE HealthCare,” the “Company,” “our,” “us,” or “we”) for the three months ended March 31, 2026 and 2025. For a full understanding of our financial condition and results of operations, the below discussion should be read alongside the Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025. This discussion contains forward-looking statements that are based upon current expectations and are subject to uncertainty and changes in circumstances; see “Forward-Looking Statements.” Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those discussed below and elsewhere in this Quarterly Report on Form 10-Q, and particularly in Item 1A, “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025.
As of March 31, 2026, GE HealthCare’s operations are organized and managed through four reportable segments: Imaging, Advanced Visualization Solutions (“AVS”), Patient Care Solutions (“PCS”), and Pharmaceutical Diagnostics (“PDx”), and we assessed their performance using Segment revenues and Segment EBIT. For additional information on our segments, refer to Note 3, “Segment Information.”
On January 3, 2023, General Electric Company, which now operates as GE Aerospace (“GE”), completed the spin-off of GE HealthCare Technologies Inc. (the “Spin-Off”).
The following tables are presented in millions of United States (“U.S.”) dollars unless otherwise stated, except for per-share amounts which are presented in U.S. dollars. Certain columns and rows may not sum due to the use of rounded numbers. Percentages presented are calculated from the underlying whole-dollar amounts and, unless otherwise stated, represent changes year-over-year.
TRENDS AND FACTORS IMPACTING OUR PERFORMANCE
We believe that our performance and future success depend on a number of factors that present significant opportunities for us but also pose risks and challenges, including those discussed below and particularly in Item 1A, “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025.
KEY TRENDS AFFECTING RESULTS OF OPERATIONS.
Global Trade and Macroeconomic Environment
Starting in February 2025, the U.S. imposed a variety of new tariffs on most imports from nearly all countries in the world. This in turn prompted several countries to announce tariffs on U.S. imports. In February 2026, the U.S. Supreme Court ruled that the International Emergency Economic Powers Act (“IEEPA”) does not authorize the President to impose tariffs thereunder. The U.S. subsequently imposed new tariffs under alternative statutory authority. In April 2026, U.S. Customs and Border Protection announced a new administrative process for requesting refunds of certain tariffs imposed under IEEPA. The timing and amount of any potential refunds remain uncertain and are subject to eligibility requirements, administrative processing, and other limitations. While the situation continues to be fluid, tariffs materially impacted our Operating income by approximately $90 million and cash flows by approximately $110 million for the three months ended March 31, 2026, primarily the bilateral U.S. and Chinese tariffs and U.S. tariffs on all other global import suppliers. Should the tariffs continue at current levels, we expect to continue to see a material impact to our financial results. Additional tariffs or other trade restrictions by the U.S. or other countries where we do significant business, or other restrictions on specific industries, such as pharmaceuticals, could further materially impact our results in the future. While we are taking actions to mitigate the impact of tariffs, we do not expect that our mitigation actions will fully offset the additional costs or other negative impacts resulting from the tariffs.
We continue to monitor the global markets in which we operate for changes in customer behavior, changes in government spending and reimbursement, and indirect impacts from the tariffs. Should these factors dampen economic growth, slow global trade, or impact inflation, we could see adverse impacts to our business as our customers adapt to the change in economic environment. We also continue to monitor potential impacts on purchasing decisions by both public and private customers in China and other markets as a result of the current trade environment, as well as other actions related to tariffs and trade frictions, investigations, or activities that could similarly increase our costs or otherwise impact our business. In addition, if negative sentiment towards U.S. companies influences the purchasing decisions of global customers, our business could be impacted materially.
China Market
We believe the focus of government policy in China is on expanding access to healthcare. In addition, our investments to address clinical needs, localization, and commercial infrastructure should benefit our business in China in the long term. However, we continue to monitor developments in the China market, including increased competition from local companies and the prevalence of volume based procurement policies, both of which have impacted our orders and revenues and may continue to do so.
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Russia and Ukraine Conflict
We had $194 million and $214 million of assets in, or directly related to, Russia and Ukraine as of March 31, 2026 and December 31, 2025, respectively, none of which are subject to sanctions that impact the carrying value of the assets. We generated revenues of $54 million and $64 million from customers in these two countries for the three months ended March 31, 2026 and 2025, respectively. The potential inability to repatriate earnings from these two countries will not have a material impact on our ability to operate.
We continue to monitor the effects of Russia’s invasion of Ukraine, including the consideration of financial impact, cybersecurity risks, the applicability and effect of sanctions, and the employee base in Ukraine and Russia. Under the current U.S. Department of Commerce regulations, we are permitted to export, re-export, or transfer medical equipment and spare parts that meet stated criteria under a License Exception, which has eliminated the need for us to obtain individual U.S. licenses in most cases; however, licenses still may be needed for some transactions. The European Union and other countries have also expanded licensing requirements for certain spare parts, services, software, and other items. We will continue to apply for licenses to supply to these customers and to support our business in Russia, as required. The implementation of these measures affected our ability to supply customers in Russia during the three months ended March 31, 2026 and 2025 and is expected to continue to do so as we confirm applicability of the U.S. License Exception to our transactions and continue to obtain licenses. There is no guarantee we will obtain all of the licenses for which we apply, that any approvals we obtain will be on a timely basis, will remain in effect, or that our business in Russia will not be further disrupted due to evolving legal or operational considerations. We will continue to assess whether developments related to the conflict have had, or are reasonably likely to have, a material impact on the Company.
Other Geopolitical and Macroeconomic Uncertainties
Global geopolitical instability, including the conflict in the Middle East, could adversely impact our operations, supply chains, and logistics. These events may result in increased costs, delays in product deliveries, and challenges in maintaining service levels in affected areas.
We continue to monitor impacts related to key raw materials directly and indirectly related to our products or delivery of our products, including memory components, logistics and other costs linked to the price of oil, rare earth minerals, and other critical commodities. Sustained cost inflation or constrained availability of critical components could negatively impact our ability to both produce and deliver products to our customers in a timely manner. We continue to take action to mitigate the exposures under the current environment by securing supply and identifying opportunities to partially offset cost increases; however, if the current environment continues or deteriorates further we will see adverse impacts to our results.
SUMMARY OF KEY PERFORMANCE MEASURES
Management reviews and analyzes several key performance measures including Total revenues, Operating income, Net income attributable to GE HealthCare, Earnings per share, and Cash from (used for) operating activities. Management also reviews and analyzes Organic revenue*, Adjusted earnings before interest and taxes* (“Adjusted EBIT*”), Adjusted net income*, Adjusted tax expense*, Adjusted effective tax rate* (“Adjusted ETR*”), Adjusted earnings per share*, and Free cash flow*, which are non-GAAP financial measures. These measures are reviewed and analyzed in order to evaluate our business performance, identify trends affecting our business, allocate capital, and make strategic decisions, including those discussed below. See “Results of Operations” and “Liquidity and Capital Resources” below for further discussion on our key performance measures.
The non-GAAP financial measures should be considered along with the most directly comparable U.S. GAAP financial measures. Definitions of these non-GAAP financial measures, a discussion of why we believe they are useful to management and investors as well as certain of their limitations, and reconciliations to their most directly comparable U.S. GAAP financial measures are provided below under “Non-GAAP Financial Measures.”
___________________
*Non-GAAP Financial Measure
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RESULTS OF OPERATIONS
The following tables set forth our results of operations for each of the periods presented.
| Condensed Consolidated Statements of Income (Unaudited) | For the three months ended March 31 | ||||||
|---|---|---|---|---|---|---|---|
| 2026 | 2025 | ||||||
| Sales of products | $ | 3,345 | $ | 3,117 | |||
| Sales of services | 1,786 | 1,660 | |||||
| Total revenues | 5,131 | 4,777 | |||||
| Cost of products | 2,283 | 1,963 | |||||
| Cost of services | 871 | 802 | |||||
| Gross profit | 1,977 | 2,012 | |||||
| Selling, general, and administrative | 1,117 | 1,040 | |||||
| Research and development | 345 | 344 | |||||
| Total operating expenses | 1,462 | 1,383 | |||||
| Operating income | 515 | 629 | |||||
| Interest and other financial charges – net | 96 | 110 | |||||
| Non-operating benefit (income) costs | (51) | (74) | |||||
| Other (income) expense – net | (36) | (99) | |||||
| Income before income taxes | 505 | 692 | |||||
| Benefit (provision) for income taxes | (94) | (104) | |||||
| Net income | 411 | 588 | |||||
| Net (income) loss attributable to noncontrolling interests | (22) | (24) | |||||
| Net income attributable to GE HealthCare | $ | 389 | $ | 564 |
TOTAL REVENUES.
[[GREPCENT_TABLE]]
[["Revenues by Segment","","","For the three months ended March 31"],["","","","","","","2026","2025","","% change","","% org
[Excerpt truncated for page length; source filing is linked above.]
Latest 10-K MD&A
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of our financial results should be read in conjunction with the consolidated financial statements and corresponding notes (the “financial statements”) included elsewhere in this Annual Report on Form 10-K. The following discussion and analysis provide information management believes to be relevant to understanding the financial results of GE HealthCare Technologies Inc. and its subsidiaries (“GE HealthCare,” the “Company,” “our,” “us,” or “we”) for the years ended December 31, 2025 and 2024. For additional information on the year ended December 31, 2023 and year-over-year comparisons to December 31, 2024, refer to Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024. This discussion contains forward-looking statements that are based upon current expectations and are subject to uncertainty and changes in circumstances; see “Forward-Looking Statements.” Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those discussed below and elsewhere in this Annual Report on Form 10-K, and particularly in Item 1A, “Risk Factors.”
GE HealthCare’s operations are organized and managed through four reportable segments: Imaging, Advanced Visualization Solutions (“AVS”), Patient Care Solutions (“PCS”), and Pharmaceutical Diagnostics (“PDx”), and we assessed their performance using Segment revenues and Segment EBIT. For additional information on the nature of our business and our segments, refer to Item 1, “Business” and Note 4, “Segment and Geographical Information.”
On January 3, 2023, General Electric Company, which now operates as GE Aerospace (“GE”), completed the spin-off of GE HealthCare Technologies Inc. (the “Spin-Off”). Refer to Note 19, “Related Parties and Transition Services Agreement” for further information.
The following tables are presented in millions of United States (“U.S.”) dollars unless otherwise stated, except for per-share amounts which are presented in U.S. dollars. Certain columns and rows may not sum due to the use of rounded numbers. Percentages presented are calculated from the underlying whole-dollar amounts and, unless otherwise stated, represent changes year-over-year.
TRENDS AND FACTORS IMPACTING OUR PERFORMANCE
We believe that our performance and future success depend on a number of factors that present significant opportunities for us but also pose risks and challenges, including those discussed below and particularly in Item 1A, “Risk Factors.”
KEY TRENDS AFFECTING RESULTS OF OPERATIONS.
Global Trade and Macroeconomic Environment
Throughout 2025, the U.S. imposed a variety of new tariffs on most imports from all countries in the world. This in turn prompted several countries to announce tariffs on U.S. imports. While the situation continues to be fluid, tariffs materially impacted our Operating income by approximately $245 million and cash flows by approximately $285 million for the year ended December 31, 2025, primarily the bilateral U.S. and Chinese tariffs and U.S. tariffs on all other global import suppliers. Should the tariffs continue at formally communicated levels, we expect to continue to see a material impact to our financial results. Additional tariffs or other trade restrictions by the U.S. or other countries where we do significant business, or other restrictions on specific industries, such as pharmaceuticals, could further materially impact our results in the future. While we are taking actions to mitigate the impact of tariffs, we do not expect that our mitigation actions will fully offset the additional costs or other negative impacts resulting from the tariffs.
We continue to monitor the global markets in which we operate for changes in customer behavior, changes in government spending and reimbursement, and indirect impacts from the tariffs. Should these factors dampen economic growth, slow global trade, or impact inflation, we could see adverse impacts to our business as our customers adapt to the change in economic environment. We also continue to monitor potential impacts on purchasing decisions by both public and private customers in China and other markets as a result of the current trade environment, as well as other actions related to tariffs and trade frictions, investigations, or activities that could similarly increase our costs or otherwise impact our business. In addition, if negative sentiment towards U.S. companies influences the purchasing decisions of global customers, our business could be impacted materially.
China Market
We believe the focus of government policy in China is on expanding access to healthcare. In addition, our investments to address clinical needs, localization, and commercial infrastructure should benefit our business in China in the long term. However, we continue to monitor developments in the China market, including increased competition from local companies and the prevalence of Volume Based Procurement policies, both of which have impacted our orders and revenues and may continue to do so.
Russia and Ukraine Conflict
We had $214 million and $162 million of assets in, or directly related to, Russia and Ukraine as of December 31, 2025 and December 31, 2024, respectively, none of which are subject to sanctions that impact the carrying value of the assets. We generated revenues of $353 million and $363 million from customers in these two countries for the years ended December 31, 2025 and 2024, respectively. The potential inability to repatriate earnings from these two countries will not have a material impact on our ability to operate.
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We continue to monitor the effects of Russia’s invasion of Ukraine, including the consideration of financial impact, cybersecurity risks, the applicability and effect of sanctions, and the employee base in Ukraine and Russia. Under the current U.S. Department of Commerce regulations, we are permitted to export, re-export, or transfer medical equipment and spare parts that meet stated criteria under a License Exception, which has eliminated the need for us to obtain individual U.S. licenses in most cases; however, licenses still may be needed for some transactions. The European Union and other countries have also expanded licensing requirements for certain spare parts, services, software, and other items. We will continue to apply for licenses to supply to these customers and to support our business in Russia, as required. The implementation of these measures affected our ability to supply customers in Russia during the years ended December 31, 2025 and 2024 and is expected to continue to do so as we confirm applicability of the U.S. License Exception to our transactions and continue to obtain licenses. There is no guarantee we will obtain all of the licenses for which we apply, that any approvals we obtain will be on a timely basis, or that our business in Russia will not be further disrupted due to evolving legal or operational considerations. We will continue to assess whether developments related to the conflict have had, or are reasonably likely to have, a material impact on the Company.
Geopolitical Conflicts
Geopolitical instability, across multiple regions, could adversely impact our operations, supply chains, and logistics. These events may result in increased costs, delays in product deliveries, and challenges in maintaining service levels in affected areas. While these events have not materially impacted our operations, we continue to monitor these developments closely.
Recent U.S. Legislation
On July 4, 2025, the One Big Beautiful Bill Act was signed into U.S. law, which includes significant changes to the federal income tax system. The changes did not have a material impact to the Company’s tax provision for the year ended December 31, 2025.
Seasonality
Our revenues, operating profits, and cash flows vary from quarter to quarter. Financial results in the fourth quarter have historically been higher than in other quarters due to the spending patterns of our customers.
SUMMARY OF KEY PERFORMANCE MEASURES
Management reviews and analyzes several key performance measures including Total revenues, Operating income, Net income attributable to GE HealthCare, Earnings per share, and Cash from (used for) operating activities. Management also reviews and analyzes Organic revenue*, Adjusted earnings before interest and taxes* (“Adjusted EBIT*”), Adjusted net income*, Adjusted tax expense*, Adjusted effective tax rate* (“Adjusted ETR*”), Adjusted earnings per share*, and Free cash flow*, which are non-GAAP financial measures. These measures are reviewed and analyzed in order to evaluate our business performance, identify trends affecting our business, allocate capital, and make strategic decisions, including those discussed below. See “Results of Operations” and “Liquidity and Capital Resources” below for further discussion on our key performance measures.
The non-GAAP financial measures should be considered along with the most directly comparable U.S. GAAP financial measures. Definitions of these non-GAAP financial measures, a discussion of why we believe they are useful to management and investors as well as certain of their limitations, and reconciliations to their most directly comparable U.S. GAAP financial measures are provided below under “Non-GAAP Financial Measures.”
___________________
*Non-GAAP Financial Measure
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RESULTS OF OPERATIONS
The following tables set forth our results of operations for each of the periods presented.
| Consolidated Statements of Income | For the years ended December 31 | ||||||
|---|---|---|---|---|---|---|---|
| 2025 | 2024 | ||||||
| Sales of products | $ | 13,661 | $ | 13,075 | |||
| Sales of services | 6,964 | 6,597 | |||||
| Total revenues | 20,625 | 19,672 | |||||
| Cost of products | 8,942 | 8,271 | |||||
| Cost of services | 3,436 | 3,196 | |||||
| Gross profit | 8,248 | 8,205 | |||||
| Selling, general, and administrative | 4,225 | 4,269 | |||||
| Research and development | 1,260 | 1,311 | |||||
| Total operating expenses | 5,485 | 5,580 | |||||
| Operating income | 2,763 | 2,625 | |||||
| Interest and other financial charges – net | 440 | 504 | |||||
| Non-operating benefit (income) costs | (288) | (406) | |||||
| Other (income) expense – net | (157) | (55) | |||||
| Income before income taxes | 2,768 | 2,581 | |||||
| Benefit (provision) for income taxes | (614) | (531) | |||||
| Net income | 2,154 | 2,050 | |||||
| Net (income) loss attributable to noncontrolling interests | (70) | (57) | |||||
| Net income attributable to GE HealthCare | $ | 2,084 | $ | 1,993 |
TOTAL REVENUES.
| Revenues by Segment | For the years ended December 31 | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | % organic* change | ||||||||||
| Segment revenues | |||||||||||||
| Imaging | $ | 9,245 | $ | 8,855 | 4.4% | 3.8% | |||||||
| AVS | 5,354 | 5,131 | 4.3% | 3.8% | |||||||||
| PCS | 3,086 | 3,125 | (1.2)% | (1.5)% | |||||||||
| PDx | 2,900 | 2,508 | 15.6% | 8.8% | |||||||||
| Other(1) | 40 | 52 | |||||||||||
| Total revenues | $ | 20,625 | $ | 19,672 | 4.8% | 3.5% |
(1) Financial information not presented within the reportable segments, shown within the Other category, represents HealthCare Financial Services which does not meet the definition of an operating segment.
| Revenues by Region | For the years ended December 31 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | ||||||||
| United States and Canada (“USCAN”) | $ | 9,531 | $ | 8,981 | 6.1% | |||||
| Europe, the Middle East, and Africa (“EMEA”) | 5,425 | 5,051 | 7.4% | |||||||
| China region | 2,251 | 2,360 | (4.6)% | |||||||
| Rest of World | 3,418 | 3,280 | 4.2% | |||||||
| Total revenues | $ | 20,625 | $ | 19,672 | 4.8% |
For the year ended December 31, 2025
Total revenues were $20,625 million, growing 4.8% as reported and 3.5% organically*. Sales of products increased 4.5% or $586 million primarily driven by strong growth in PDx, Imaging, and AVS revenues. Sales of services increased 5.6% or $368 million primarily driven by growth in new and existing customer contractual agreements.
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*Non-GAAP Financial Measure
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The segment revenues were as follows:
•Imaging segment revenues were $9,245 million, growing 4.4% or $390 million, with growth in the USCAN and EMEA regions, partially offset by continued pressure in the China market;
•AVS segment revenues were $5,354 million, growing 4.3% or $222 million with strength in the U.S. market, partially offset by continued pressure in the China market;
•PCS segment revenues were $3,086 million, decreasing 1.2% or $38 million, largely driven by a decline in Life Support Solutions revenues; and
•PDx segment revenues were $2,900 million, growing 15.6% or $392 million as reported, driven by an increase in Organic revenue* and the acquisition of Nihon Medi-Physics Co., Ltd. (“NMP”). Organic revenue* grew 8.8% driven by continued growth in volume and price.
The regional revenues were as follows:
•USCAN revenues were $9,531 million, growing 6.1% or $550 million, largely driven by growth across AVS, Imaging, and PDx segment revenues;
•EMEA revenues were $5,425 million, growing 7.4% or $374 million with growth in Imaging, AVS, and PDx revenues, as well as favorable foreign currency impacts;
•China region revenues were $2,251 million, decreasing 4.6% or $108 million with declines in Imaging, AVS, and PCS revenues partially offset by growth in PDx revenues; and
•Rest of World revenues were $3,418 million, growing 4.2% or $138 million with growth in PDx, inclusive of NMP revenues, and Imaging revenues, partially offset by unfavorable foreign currency impacts.
OPERATING INCOME, NET INCOME ATTRIBUTABLE TO GE HEALTHCARE, ADJUSTED EBIT*, AND ADJUSTED NET INCOME*.
| For the years ended December 31 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | % of Total revenues | 2024 | % of Total revenues | % change | |||||||||||
| Operating income | $ | 2,763 | 13.4% | $ | 2,625 | 13.3% | 5.3% | ||||||||
| Net income attributable to GE HealthCare | 2,084 | 10.1% | 1,993 | 10.1% | 4.6% | ||||||||||
| Adjusted EBIT* | 3,155 | 15.3% | 3,211 | 16.3% | (1.8)% | ||||||||||
| Adjusted net income* | 2,100 | 10.2% | 2,060 | 10.5% | 2.0% |
For the year ended December 31, 2025
Operating income was $2,763 million, an increase of $138 million and 10 basis points as a percent of Total revenues. The increase was due to the following factors:
•Gross profit increased $43 million, but decreased 170 basis points as a percent of Total revenues primarily due to an increase in both Cost of products and Cost of services as a percent of Total revenues. Cost of products sold increased $671 million or 220 basis points as a percent of Sales of products. The increase as a percent of sales was driven by cost inflation, including the impact of incremental tariffs, and investment in design follow-through, partially offset by cost productivity. Cost of services sold increased $240 million or 90 basis points as a percent of Sales of services. The increase as a percent of sales was driven by unfavorable mix within our service offerings, and cost inflation, including the impact of incremental tariffs, partially offset by an increase in pricing of our service offerings. Included in our total cost of revenues as part of our product investment was $490 million in engineering costs for design follow-through on new product introductions and product lifecycle maintenance subsequent to the initial product launch, compared to $405 million for the prior year comparable period; and
•Total operating expenses decreased $95 million, with a decrease in research and development (“R&D”) investments of $51 million, driven by certain programs achieving development milestones resulting in costs to be reported under cost of revenues, and a decrease in Selling, general, and administrative (“SG&A”) expense of $44 million primarily driven by a decrease in Spin-Off and separation costs, partially offset by increased investment in our commercial teams and the acquisition of NMP. R&D as a percentage of Total revenues decreased by 60 basis points and SG&A as a percentage of Total revenues decreased by 120 basis points.
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*Non-GAAP Financial Measure
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Net income attributable to GE HealthCare and Net income margin were $2,084 million and 10.1%, an increase of $91 million and flat to the prior year, respectively, primarily due to the following factors:
•Operating income increased $138 million, as discussed above;
•Interest and other financial charges – net decreased $64 million primarily driven by debt repayment and continued optimization;
•Non-operating benefit income decreased $118 million primarily related to lower expected returns on plan assets and increased interest cost;
•Other income – net increased $103 million primarily driven by the remeasurement of the Company’s 50% interest in NMP based on the cash consideration exchanged for acquiring the remaining 50% equity interest. For additional detail on the NMP acquisition, refer to Note 8, “Acquisitions, Goodwill, and Other Intangible Assets”; and
•Provision for income taxes increased $83 million primarily due to U.S. and foreign tax law changes partially offset by a reduction in non-recurring impacts from the Tax Matters Agreement with GE, foreign income tax reserve releases for tax years which are no longer subject to an assessment from the local taxing authorities, and the use of tax attributes from updating our global structure following the Spin-Off. In the prior year, there was a large non-recurring decrease related to the release of the France valuation allowance, partially offset by the establishment of a reserve for ongoing audits in France. For additional detail regarding our income taxes, see Note 11, “Income Taxes.”
Adjusted EBIT* and Adjusted EBIT margin* were $3,155 million and 15.3%, a decrease of $56 million and 100 basis points, respectively, primarily due to an increase in Total operating expenses, excluding the impact of Spin-Off and separation costs, partially offset by an increase in Gross profit, as discussed above.
Adjusted net income* was $2,100 million, an increase of $40 million primarily due to lower Interest and other financial charges – net and lower Adjusted tax expense*, partially offset by a decrease in operating income when excluding the impact of lower Spin-Off and separation costs.
RESULTS OF OPERATIONS – SEGMENTS
We exclude from Segment EBIT certain corporate-related expenses and certain transactions or adjustments that our Chief Operating Decision Maker (which is our Chief Executive Officer) considers to be non-operational, such as Interest and other financial charges – net, Benefit (provision) for income taxes, restructuring costs, acquisition and disposition-related benefits (charges), Spin-Off and separation costs, Non-operating benefit (income) costs, gain (loss) on business and asset dispositions, amortization of acquisition-related intangible assets, Net (income) loss attributable to noncontrolling interests, Income (loss) from discontinued operations, net of taxes, and investment revaluation gain (loss). See Note 4, “Segment and Geographical Information” for additional information on our reportable segments, and “Results of Operations” above for discussion on segment revenue performance.
| Segment EBIT | For the years ended December 31 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | % of segment revenues | 2024 | % of segment revenues | % change | ||||||||||||||
| Imaging | $ | 891 | 9.6 | % | $ | 962 | 10.9 | % | (7.4) | % | ||||||||
| AVS | 1,175 | 22.0 | % | 1,118 | 21.8 | % | 5.2 | % | ||||||||||
| PCS | 209 | 6.8 | % | 347 | 11.1 | % | (39.6) | % | ||||||||||
| PDx | 872 | 30.1 | % | 783 | 31.2 | % | 11.4 | % |
For the year ended December 31, 2025
•Imaging Segment EBIT was $891 million, a decrease of $71 million due to cost inflation, including the impact of incremental tariffs, partially offset by a growth in sales volume, an increase in price, and cost productivity;
•AVS Segment EBIT was $1,175 million, an increase of $58 million due to growth in sales volume and cost productivity, partially offset by cost inflation, including the impact of incremental tariffs;
•PCS Segment EBIT was $209 million, a decrease of $137 million due to unfavorable mix, cost inflation, including the impact of incremental tariffs, and a decline in sales volume; and
•PDx Segment EBIT was $872 million, an increase of $89 million due to an increase in price and growth in sales volume, partially offset by increased investment.
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*Non-GAAP Financial Measure
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NON-GAAP FINANCIAL MEASURES
The non-GAAP financial measures presented in this Annual Report on Form 10-K are supplemental measures of our performance and our liquidity that we believe will help investors understand our financial condition, cash flows, and operating results, and assess our future prospects. When read in conjunction with our U.S. GAAP results, these non-GAAP financial measures provide a baseline for analyzing trends in our underlying businesses and can be used by management as one basis for making financial, operational, and planning decisions. Descriptions of the reported non-GAAP measures are included below.
We report Organic revenue and Organic revenue growth rate to provide management and investors with additional understanding and visibility into the underlying revenue trends of our established, ongoing operations, as well as provide insights into overall demand for our products and services. To calculate these measures, we exclude the effect of acquisitions, dispositions, and foreign currency rate fluctuations.
We report EBIT, Adjusted EBIT, Adjusted EBIT margin, Adjusted net income, and Adjusted earnings per share to provide management and investors with an additional understanding of our business by highlighting the results from ongoing operations and the underlying profitability factors, on a normalized basis. To calculate these measures we exclude, and reflect in the detailed reconciliations below, the following adjustments as applicable: Interest and other financial charges – net, Net (income) loss attributable to noncontrolling interests, Non-operating benefit (income) costs, Benefit (provision) for income taxes and certain tax related adjustments, and certain non-recurring and/or non-cash items. We may from time to time consider excluding other non-recurring items to enhance comparability between periods. Adjusted EBIT margin is calculated by taking Adjusted EBIT divided by Total revenues for the same period.
We report Adjusted tax expense and Adjusted ETR to provide management and investors with a better understanding of the normalized tax rate applicable to our business and provide more consistent comparability across periods. Adjusted tax expense excludes the income tax related to the pre-tax income adjustments included as part of Adjusted net income and certain income tax adjustments, such as adjustments to deferred tax assets or liabilities. We may from time to time consider excluding other non-recurring tax items to enhance comparability between periods. Adjusted ETR is Adjusted tax expense divided by income before income taxes less the pre-tax income adjustments referenced above.
We report Free cash flow to provide management and investors with an important measure of our ability to generate cash on a normalized basis and provide insight into our flexibility to allocate capital. Free cash flow is Cash from (used for) operating activities – continuing operations including cash flows related to the additions and dispositions of property, plant, and equipment (“PP&E”) and additions of internal-use software. Free cash flow does not represent residual cash flows available for discretionary expenditures, due to the fact that the measure does not deduct the capital required for debt repayments.
Management recognizes that these non-GAAP financial measures have limitations, including that they may be calculated differently by other companies or may be used under different circumstances or for different purposes. In order to compensate for the discussed limitations, management does not consider these measures in isolation from or as alternatives to the comparable financial measures determined in accordance with U.S. GAAP. The detailed reconciliations of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure are provided below, and no single financial measure should be relied on to evaluate our business.
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| Organic Revenue* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | |||||||
| Imaging revenues | $ | 9,245 | $ | 8,855 | 4.4% | ||||
| Less: Acquisitions(1) | 15 | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 35 | — | |||||||
| Imaging Organic revenue* | $ | 9,195 | $ | 8,855 | 3.8% | ||||
| AVS revenues | $ | 5,354 | $ | 5,131 | 4.3% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 30 | — | |||||||
| AVS Organic revenue* | $ | 5,324 | $ | 5,131 | 3.8% | ||||
| PCS revenues | $ | 3,086 | $ | 3,125 | (1.2)% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 7 | — | |||||||
| PCS Organic revenue* | $ | 3,079 | $ | 3,125 | (1.5)% | ||||
| PDx revenues | $ | 2,900 | $ | 2,508 | 15.6% | ||||
| Less: Acquisitions(1) | 154 | 4 | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 21 | — | |||||||
| PDx Organic revenue* | $ | 2,724 | $ | 2,504 | 8.8% | ||||
| Other revenues | $ | 40 | $ | 52 | (23.0)% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | — | — | |||||||
| Other Organic revenue* | $ | 40 | $ | 52 | (23.3)% | ||||
| Total revenues | $ | 20,625 | $ | 19,672 | 4.8% | ||||
| Less: Acquisitions(1) | 169 | 4 | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 94 | — | |||||||
| Organic revenue* | $ | 20,363 | $ | 19,667 | 3.5% |
| (1) | Represents revenues attributable to acquisitions from the date the Company completed the transaction through the end of four quarters following the transaction, excluding the impact of Foreign currency exchange already captured in lines elsewhere. |
|---|---|
| (2) | Represents revenues attributable to dispositions for the four quarters preceding the disposition date. |
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*Non-GAAP Financial Measure
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| Adjusted EBIT* | For the years ended December 31 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | ||||||||
| Net income attributable to GE HealthCare | $ | 2,084 | $ | 1,993 | 4.6% | |||||
| Add: Interest and other financial charges – net | 440 | 504 | ||||||||
| Add: Non-operating benefit (income) costs | (288) | (406) | ||||||||
| Less: Benefit (provision) for income taxes | (614) | (531) | ||||||||
| Less: Net (income) loss attributable to noncontrolling interests | (70) | (57) | ||||||||
| EBIT* | 2,920 | 2,679 | 9.0% | |||||||
| Add: Restructuring costs(1) | 120 | 120 | ||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 39 | 3 | ||||||||
| Add: Spin-Off and separation costs(3) | 38 | 251 | ||||||||
| Add: (Gain) loss on business and asset dispositions(4) | (5) | — | ||||||||
| Add: Amortization of acquisition-related intangible assets | 156 | 137 | ||||||||
| Add: Investment revaluation (gain) loss(5) | (112) | 22 | ||||||||
| Adjusted EBIT* | $ | 3,155 | $ | 3,211 | (1.8)% | |||||
| Net income margin | 10.1% | 10.1% | — bps | |||||||
| Adjusted EBIT margin* | 15.3% | 16.3% | (100) bps |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments and for the year ended December 31, 2025, includes the impact from the revaluation of our existing 50% interest in NMP as part of the acquisition transaction. |
| Adjusted Net Income* | For the years ended December 31 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | ||||||||
| Net income attributable to GE HealthCare | $ | 2,084 | $ | 1,993 | 4.6% | |||||
| Add: Non-operating benefit (income) costs | (288) | (406) | ||||||||
| Add: Restructuring costs(1) | 120 | 120 | ||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 39 | 3 | ||||||||
| Add: Spin-Off and separation costs(3) | 43 | 251 | ||||||||
| Add: (Gain) loss on business and asset dispositions(4) | (5) | — | ||||||||
| Add: Amortization of acquisition-related intangible assets | 156 | 137 | ||||||||
| Add: Investment revaluation (gain) loss(5) | (112) | 22 | ||||||||
| Add: Tax effect of reconciling items(6) | (7) | (42) | ||||||||
| Add: Spin-Off and other tax adjustments(7) | 72 | (17) | ||||||||
| Adjusted net income* | $ | 2,100 | $ | 2,060 | 2.0% |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. An adjustment is included to eliminate the associated impact on Net (income) loss attributable to noncontrolling interests for applicable costs that impact earnings attributable to noncontrolling interests. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments and for the year ended December 31, 2025, includes the impact from the revaluation of our existing 50% interest in NMP as part of the acquisition transaction. |
| (6) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
| (7) | Consists of certain income tax adjustments, including one-time adjustments to deferred tax balances, impacts from tax law changes, the release of income tax reserves in a foreign jurisdiction for tax years which are no longer subject to an assessment from the local taxing authorities, and discrete tax impacts resulting from the Spin-Off and separation from GE. |
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*Non-GAAP Financial Measure
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| Adjusted Earnings Per Share* | For the years ended December 31 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| (In dollars, except shares outstanding presented in millions) | 2025 | 2024 | $ change | ||||||||
| Diluted earnings per share | $ | 4.55 | $ | 4.34 | $ | 0.21 | |||||
| Add: Non-operating benefit (income) costs | (0.63) | (0.88) | |||||||||
| Add: Restructuring costs(1) | 0.26 | 0.26 | |||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 0.08 | 0.01 | |||||||||
| Add: Spin-Off and separation costs(3) | 0.09 | 0.55 | |||||||||
| Add: (Gain) loss on business and asset dispositions(4) | (0.01) | — | |||||||||
| Add: Amortization of acquisition-related intangible assets | 0.34 | 0.30 | |||||||||
| Add: Investment revaluation (gain) loss(5) | (0.24) | 0.05 | |||||||||
| Add: Tax effect of reconciling items(6) | (0.02) | (0.09) | |||||||||
| Add: Spin-Off and other tax adjustments(7) | 0.16 | (0.04) | |||||||||
| Adjusted earnings per share* | $ | 4.59 | $ | 4.49 | $ | 0.10 | |||||
| Diluted weighted-average shares outstanding | 458 | 459 |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. An adjustment is included to eliminate the associated impact on Net (income) loss attributable to noncontrolling interests for applicable costs that impact earnings attributable to noncontrolling interests. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments and for the year ended December 31, 2025, includes the impact from the revaluation of our existing 50% interest in NMP as part of the acquisition transaction. |
| (6) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
| (7) | Consists of certain income tax adjustments, including one-time adjustments to deferred tax balances, impacts from tax law changes, the release of income tax reserves in a foreign jurisdiction for tax years which are no longer subject to an assessment from the local taxing authorities, and discrete tax impacts resulting from the Spin-Off and separation from GE. |
| Adjusted Tax Expense* and Adjusted ETR* | For the years ended December 31 | ||||||
|---|---|---|---|---|---|---|---|
| 2025 | 2024 | ||||||
| Benefit (provision) for income taxes | $ | (614) | $ | (531) | |||
| Add: Tax effect of reconciling items(1) | (7) | (42) | |||||
| Add: Spin-Off and other tax adjustments(2) | 72 | (17) | |||||
| Adjusted tax expense* | $ | (550) | $ | (590) | |||
| Effective tax rate | 22.2% | 20.6% | |||||
| Adjusted effective tax rate* | 20.2% | 21.8% |
| (1) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
|---|---|
| (2) | Consists of certain income tax adjustments, including one-time adjustments to deferred tax balances, impacts from tax law changes, the release of income tax reserves in a foreign jurisdiction for tax years which are no longer subject to an assessment from the local taxing authorities, and discrete tax impacts resulting from the Spin-Off and separation from GE. |
| Free Cash Flow* | For the years ended December 31 | |||||
|---|---|---|---|---|---|---|
| 2025 | 2024 | % change | ||||
| Cash from (used for) operating activities – continuing operations | $ | 1,987 | $ | 1,955 | 1.7% | |
| Add: Additions to PP&E and internal-use software | (482) | (401) | ||||
| Add: Dispositions of PP&E | — | — | ||||
| Free cash flow* | $ | 1,505 | $ | 1,554 | (3.2)% |
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*Non-GAAP Financial Measure
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LIQUIDITY AND CAPITAL RESOURCES
As of December 31, 2025, our Cash, cash equivalents, and restricted cash balance in the Consolidated Statements of Financial Position was $4,512 million. We have historically generated positive cash flows from operating activities. Additionally, we have access to revolving credit facilities and a delayed draw term loan facility of $3,500 million and $750 million, respectively, in aggregate, described in detail in Note 9, “Borrowings.”
We believe that our existing balance of Cash, cash equivalents, and restricted cash, future cash generated from operating activities, access to capital markets, and existing credit facilities will be sufficient to meet the needs of our current and ongoing operations, pay taxes due, service our existing debt, and fund investments in our business for at least the next 12 months.
The following table summarizes our cash flows for the periods presented:
| Cash Flow | For the years ended December 31 | ||||
|---|---|---|---|---|---|
| 2025 | 2024 | ||||
| Cash from (used for) operating activities – continuing operations | $ | 1,987 | $ | 1,955 | |
| Cash from (used for) investing activities – continuing operations | (1,047) | (914) | |||
| Cash from (used for) financing activities – continuing operations | 617 | (573) | |||
| Free cash flow* | 1,505 | 1,554 |
Operating Activities
Cash generated from operating activities in the year ended December 31, 2025 was $1,987 million and included Net income of $2,154 million, adjusted for non-cash items including depreciation and amortization expense of $578 million, the gain on remeasurement of the NMP equity method investment of $97 million, and $647 million in net outflows from changes in assets and liabilities. The changes in assets and liabilities are primarily driven by company-funded benefit payments for postretirement benefit plans, an increase in receivables due to higher volume, and an increase in inventories to meet business demand in the current trade environment. This includes an impact of approximately $285 million from incremental tariffs.
Cash generated from operating activities in the year ended December 31, 2024 was $1,955 million and included Net income from continuing operations of $2,050 million, non-cash charges primarily for depreciation and amortization of $580 million, and $675 million in outflows from incremental changes in assets and liabilities, primarily driven by company-funded benefit payments for postretirement benefit plans, an increase in receivables due to higher volume, and a build in inventories.
Investing Activities
Cash used for investing activities in the year ended December 31, 2025 was $1,047 million and primarily included Additions to PP&E and internal-use software of $482 million related mostly to investments in facilities, including manufacturing capacity expansion, and new product introductions, purchases of businesses, net of cash acquired, of $378 million largely related to the acquisitions of the remaining 50% interest in NMP and 100% of the stock of icometrix NV (“icometrix”), and a payment of $178 million for settlement of cross-currency swaps that were designated as net investment hedges. Refer to Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” for additional information on the NMP and icometrix acquisitions and Note 13, “Financial Instruments and Fair Value Measurements” for additional information on the settlement of cross-currency swaps.
Cash used for investing activities in the year ended December 31, 2024 was $914 million and primarily included Additions to PP&E and internal-use software of $401 million related mostly to manufacturing capacity expansion and new product introductions, purchases of businesses, net of cash acquired, of $313 million related to the MIM Software Inc. (“MIM Software”) and Intelligent Ultrasound Group PLC acquisitions, and payment of $94 million for settlement of cross-currency swaps that were designated as net investment hedges. Refer to Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” for additional information on the MIM Software acquisition and Note 13, “Financial Instruments and Fair Value Measurements” for additional information on the settlement of cross-currency swaps.
Financing Activities
Cash generated from financing activities in the year ended December 31, 2025 was $617 million and primarily included $2,730 million of net proceeds from the issuance of $2,750 million aggregate principal amount of senior unsecured notes, partially offset by repayment of $1,500 million of senior unsecured notes due in November 2025 and $250 million of our outstanding Term Loan Facility, and repurchase of common stock for total consideration of $200 million. Refer to Note 9, “Borrowings” and Note 12, “Shareholders' Equity” for further information.
Cash used for financing activities in the year ended December 31, 2024 was $573 million and primarily included repayment of $1,000 million aggregate principal amount of senior unsecured notes, and $400 million in repayments of the outstanding Term Loan Facility, partially offset by $995 million of net proceeds from the issuance of $1,000 million aggregate principal amount of senior unsecured notes due in 2029.
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*Non-GAAP Financial Measure
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Material Cash Requirements
In the normal course of business, we enter into contracts and commitments that obligate us to make payments in the future. Information regarding our obligations under lease, debt, and other commitments is provided in Note 7, “Leases,” Note 9, “Borrowings,” and Note 14, “Commitments, Guarantees, Product Warranties, and Other Loss Contingencies.” We have material cash requirements related to our pension obligations as described in Note 10, “Postretirement Benefit Plans.” Additionally, on November 20, 2025, we announced an agreement to acquire Intelerad for a purchase price of $2,300 million to be paid in cash as described in Note 8, “Acquisitions, Goodwill, and Other Intangible Assets.”
Debt and Credit Facilities
As part of our capital structure, we have incurred debt. The servicing of this debt is supported by cash flows from our operations. As of December 31, 2025, we had $10,003 million of total debt compared to $8,951 million as of December 31, 2024. The increase in debt was due primarily to our issuances in the second quarter of 2025 of $650 million aggregate principal amount of senior unsecured notes due in 2031 and $850 million aggregate principal amount of senior unsecured notes due in 2035, and in the fourth quarter of 2025 of $600 million aggregate principal amount of senior unsecured notes due in 2028 and $650 million aggregate principal amount of senior unsecured notes due in 2035. The issuances were partially offset by repayments of $1,500 million aggregate principal amount outstanding of the senior unsecured notes due in November 2025 in the fourth quarter of 2025 and of $250 million of the outstanding Term Loan Facility in the first quarter of 2025.
In the fourth quarter of 2025, we entered into a Delayed Draw Term Loan Facility in an aggregate committed amount of $750 million as part of the funding for the expected acquisition of Intelerad. In addition to the Term Loan Facility and Delayed Draw Term Loan Facility, our credit facilities include a five-year senior unsecured revolving facility that provides borrowings of up to $3,000 million expiring in March 2030, and a 364-day senior unsecured revolving facility that provides borrowings of up to $500 million expiring in March 2026. As of December 31, 2025, there were no outstanding borrowings on any of the revolving facilities or the Delayed Draw Term Loan Facility. Additional information on our debt and credit facilities, including definitions of the terms used above, is included in Note 9, “Borrowings.”
The Credit Facilities include various customary covenants that limit, among other things, the incurrence of liens securing debt, the entry into certain fundamental change transactions by GE HealthCare, and the maximum permitted consolidated net leverage ratio. As of December 31, 2025, we were in compliance with the covenant requirements, including the maximum consolidated net leverage ratio.
Access to Capital and Credit Ratings
We plan to continue to rely on capital markets, and we expect to have access to credit facilities to fund our operations. The cost and availability of debt financing will be influenced by our credit ratings and market conditions.
RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
For a discussion of recently issued accounting standards, see Note 2, “Summary of Significant Accounting Policies.”
CRITICAL ACCOUNTING ESTIMATES
Our financial results are affected by the selection and application of accounting policies and methods. We have adopted accounting policies to prepare our financial statements in conformity with U.S. GAAP.
To prepare our financial statements in accordance with U.S. GAAP, management makes estimates and assumptions that may affect the reported amounts of our assets and liabilities, including our contingent liabilities, as of the date of our financial statements, and the reported amounts of our revenues and expenses during the reporting periods. Our actual results may differ from these estimates. We consider estimates to be critical (1) if we are required to make assumptions about material matters that are uncertain at the time of estimation or (2) if materially different estimates could have been made or it is reasonably likely that the accounting estimate will change from period to period. The following are areas considered to be critical and require management’s judgment: Revenue Recognition, Valuation of Assets and Liabilities in Connection with Acquisitions, Pension and Other Postretirement Benefits, and Income Taxes.
See Note 2, “Summary of Significant Accounting Policies” for further information on our significant accounting policies.
REVENUE RECOGNITION.
Our revenues are recorded based on the consideration specified in customer contracts net of any sales incentives, discounts, returns, chargebacks, group purchasing organization fees, rebates, or credits, which are accounted for as estimated variable consideration. Our estimates for these deductions are based upon historical experience and consider current and forecasted market trends. We record the estimated amounts as a reduction to revenue when we recognize the related product or service sale.
Chargebacks are a form of variable consideration that occur when a contracted customer purchases through an intermediary wholesaler. The contracted customer generally purchases product from the wholesaler at its contracted price plus a mark-up. The wholesaler, in turn, charges us back for the difference between the price initially paid by the wholesaler and the contract price paid to the wholesaler by the contracted customer. A provision for outstanding chargebacks is recorded at the time we recognize revenue from the sale to the wholesaler and requires certain estimates such as the wholesaler chargeback rates, the expected sell-through levels by our wholesale customers to contracted customers, as well as estimated wholesaler inventory levels.
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The amounts of variable consideration included in the net transaction price for revenue recognition are limited to the amounts that are estimated to be probable of occurrence to avoid a material revenue reversal in a future period.
When a contract with a customer includes multiple performance obligations, the transaction price is allocated to each performance obligation based on relative standalone selling prices. In cases where observable prices for a performance obligation are not available, standalone selling prices are estimated by the Company using our pricing strategies and giving consideration to product configuration, geography, customer type, and other market-specific factors.
See Note 3, “Revenue Recognition” for further information on revenue recognition and Note 5, “Receivables” for further information on chargebacks.
VALUATION OF ASSETS AND LIABILITIES IN CONNECTION WITH ACQUISITIONS.
Our financial statements include the operations of an acquired business starting from the completion of the combination. The assets acquired and liabilities assumed, including any contingent consideration we may be liable to pay in the future, are recorded on the date of the business combination at their respective estimated fair values, with any excess of the purchase price over the estimated fair values of the net assets acquired recorded as goodwill. Our business combinations typically result in the recognition of goodwill, developed technology, and other intangible assets, which affect the amount of future period amortization expense. The fair values of acquired intangible assets and liabilities are determined using information available at the business combination date based on estimates and assumptions that are deemed reasonable. Significant assumptions vary by the class of asset or liability and the valuation technique used. These assumptions can include: the discount rates; timing; probability of achieving regulatory and commercialization milestones; inflation rate; and certain assumptions that form the basis of the forecasted results of the acquired business including revenue, costs to comply with asset retirement obligations, earnings before interest, taxes, depreciation and amortization, growth rates, royalty rates, and technology obsolescence rates. These assumptions are forward-looking and could be affected by future economic and market conditions. We engage third-party valuation specialists who review our critical assumptions and prepare the calculations of the fair value of acquired intangible assets in connection with significant business combinations.
See Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” for further information on our acquisitions.
PENSION AND OTHER POSTRETIREMENT BENEFITS.
Pension and other postretirement benefits are calculated using significant inputs to the actuarial models that measure pension benefit obligations and related effects on operations. Two assumptions, discount rate and expected return on assets, are important elements of plan expense and related asset and liability measurement. The Company evaluates these critical assumptions at least annually on a plan and country-specific basis. The Company periodically evaluates other assumptions involving demographic factors such as retirement age, mortality, and turnover, and updates them to reflect our experience and expectations for the future. Actual results in any given year often will differ from actuarial assumptions because of economic and other factors.
Projected benefit obligations (“PBO”) are measured as the present value of expected payments. We discount those cash payments using the weighted average of market-observed yields for high-quality fixed-income securities with maturities that correspond to the expected timing of benefit payments.
A 50 basis point change in the assumed discount rate would have the following effects on the calculation of net periodic benefit costs in 2026 and PBO and accumulated postretirement benefit obligation (“APBO”) as of December 31, 2025:
| Discount Rate Sensitivity | ||||||||
|---|---|---|---|---|---|---|---|---|
| U.S. Plans | International Plans | Other Postretirement Plans | ||||||
| 50 bps increase in discount rate | ||||||||
| Impact on PBO/APBO as of December 31, 2025 | $ | (827) | $ | (192) | $ | (29) | ||
| Impact on service cost and interest cost in 2026 | 40 | 3 | 3 | |||||
| 50 bps decrease in discount rate | ||||||||
| Impact on PBO/APBO as of December 31, 2025 | $ | 902 | $ | 214 | $ | 31 | ||
| Impact on service cost and interest cost in 2026 | (45) | (4) | (2) |
The sensitivity of the net deficit to the discount rate would be lower than the projected benefit obligation sensitivity as a result of the liability hedging program incorporated in the plan’s asset allocation.
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To determine the expected long-term rate of return on pension plan assets, we consider current and target asset allocations, as well as historical and expected returns on various categories of plan assets. In developing future long-term return expectations for our principal benefit plans’ assets, we formulate views on the future economic environment, both in the U.S. and abroad. We evaluate general market trends and historical relationships among a number of key variables that impact asset class returns such as expected earnings growth, inflation, valuations, yields, and spreads, using both internal and external sources. We also consider expected volatility by asset class and diversification across classes to determine expected overall portfolio results given current and target allocations. A 1% change in the assumed expected long-term rate of return on plan assets would increase or decrease the 2026 net periodic benefit costs of these plans by $188 million.
Our pension plan assets contain financial instruments that are measured at fair value. While the majority of these assets are valued based on quoted prices for identical or similar instruments in active markets, the fair value of certain assets is estimated using significant unobservable inputs (Level 3). These assets primarily relate to an annuity contract, real estate, and private equity investments.
We disclose in the following table postretirement plans with assets or obligations that exceed $50 million as of December 31, 2025. Refer to Note 10, “Postretirement Benefit Plans” for further details related to these plans. The value of the assets and liabilities as of December 31, 2025, are summarized in the table below.
| Projected benefit obligations | Fair value of plan assets | Funded status - surplus (deficit) | ||||||
|---|---|---|---|---|---|---|---|---|
| GE HealthCare Pension Plan | $ | 15,519 | $ | 13,988 | $ | (1,531) | ||
| GE HealthCare Supplementary Pension Plan | 1,672 | — | (1,672) | |||||
| Other U.S. Pension Plans | 1,378 | 743 | (635) | |||||
| Total U.S. Plans | 18,569 | 14,731 | (3,838) | |||||
| International Plans | 3,148 | 3,528 | 380 | |||||
| OPEB Plans(1) | 908 | — | (908) | |||||
| Total | $ | 22,625 | $ | 18,259 | $ | (4,365) | ||
| (1) As defined in Note 10, “Postretirement Benefit Plans.” |
INCOME TAXES.
Our annual tax expense is based on our income, applicable statutory tax rates, and tax incentives available to us in the various jurisdictions in which we operate. Changes in existing tax laws or rates could significantly impact the estimate of our tax liabilities. Deferred tax assets represent amounts available to reduce income taxes payable on taxable income in future years. Such assets arise because of temporary differences between the financial reporting and tax basis of assets and liabilities, as well as from net operating loss and tax credit carryforwards. We evaluate the recoverability of these future tax deductions and credits by assessing the adequacy of future expected taxable income from all sources, including reversal of taxable temporary differences, forecasted operating earnings, taxable income in prior carryback years to the extent applicable, and available tax planning strategies. These sources of income rely heavily on estimates; we use our historical experience as well as our short- and long-range business forecasts to provide insight.
Significant judgment is required in determining our tax expense and in evaluating our tax positions, including evaluating uncertainties. We recognize tax benefits from uncertain tax positions only if we believe that it is more likely than not that the tax position will be sustained on examination by the relevant taxing authorities based on the technical merits of the position. Our policy is to adjust these reserves when facts and circumstances change, such as the change in the technical merit of a position, or an uncertain tax position is effectively settled with the relevant taxing authority, or the statute of limitations has expired. We have provided for the amounts we believe will ultimately result from these changes; however, due to the complexity of some of these uncertainties, the ultimate resolution may result in a payment that is materially different from our current estimate of the tax liabilities.
See Note 11, “Income Taxes” for further information on income taxes.
MD&A history
Prior-year 10-K MD&A spans are extracted from SEC filings with the same bounded parser used for the latest filing. The latest 10-K appears above; prior years are below.
FY 2024 10-K MD&A
SEC filing source: 0001932393-25-000005.
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
| Part II. Financial Information | |
|---|---|
| Index | |
| Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) | Page |
| Trends and Factors Impacting Our Performance | 39 |
| Summary of Key Performance Measures | 40 |
| Results of Operations | 41 |
| Results of Operations – Segments | 44 |
| Non-GAAP Financial Measures | 45 |
| Liquidity and Capital Resources | 50 |
| Recently Issued Accounting Pronouncements | 52 |
| Critical Accounting Estimates | 52 |
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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of our financial results should be read in conjunction with the consolidated and combined financial statements and corresponding notes (the “financial statements”) included elsewhere in this Annual Report on Form 10-K. The following discussion and analysis provide information management believes to be relevant to understanding the financial results of GE HealthCare Technologies Inc. and its subsidiaries (“GE HealthCare,” the “Company,” “our,” “us,” or “we”) for the years ended December 31, 2024, 2023, and 2022. This discussion contains forward-looking statements that are based upon current expectations and are subject to uncertainty and changes in circumstances; see “Forward-Looking Statements.” Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those discussed below and elsewhere in this Annual Report on Form 10-K, and particularly in Item 1A, “Risk Factors.”
On January 3, 2023, the General Electric Company, which now operates as GE Aerospace (“GE”), completed the spin-off of GE HealthCare Technologies Inc. (the “Spin-Off”). For further information regarding the Spin-Off, refer to Note 1, “Organization and Basis of Presentation.”
The following tables are presented in millions of United States (“U.S.”) dollars unless otherwise stated, except for per-share amounts which are presented in U.S. dollars. Certain columns and rows may not sum due to the use of rounded numbers. Percentages presented are calculated from the underlying whole-dollar amounts, and unless otherwise stated, represent changes year-over-year.
Effective July 1, 2024, Image Guided Therapies, previously part of the Imaging segment, was realigned to the Ultrasound segment to better match its clinical usage and realize stronger business and customer impact by providing the right image guidance in the right care setting. The Ultrasound segment was subsequently renamed Advanced Visualization Solutions (“AVS”). Following this realignment, the Company continues to have four reportable segments: Imaging, Advanced Visualization Solutions, Patient Care Solutions (“PCS”), and Pharmaceutical Diagnostics (“PDx”). These segments have been identified based on the nature of the products sold and how the Company manages its operations. Historical segment financial information presented within this report has been recast to conform to the new reportable segments structure. For additional information on the nature of our business and our segments, refer to Item 1, “Business” and Note 4, “Segment and Geographical Information.”
TRENDS AND FACTORS IMPACTING OUR PERFORMANCE
We believe that our performance and future success depend on a number of factors that present significant opportunities for us but also pose risks and challenges, including those discussed below and particularly in Item 1A, “Risk Factors.”
KEY TRENDS AFFECTING RESULTS OF OPERATIONS.
Russia and Ukraine Conflict
We had $162 million and $153 million of assets in, or directly related to, Russia and Ukraine as of December 31, 2024 and December 31, 2023, respectively, none of which are subject to sanctions that impact the carrying value of the assets. We generated revenues of $363 million, $340 million, and $395 million from customers in these two countries for the years ended December 31, 2024, 2023, and 2022, respectively. The potential inability to repatriate earnings from these two countries will not have a material impact on our ability to operate.
We continue to monitor the effects of Russia’s invasion of Ukraine, including the consideration of financial impact, cybersecurity risks, the applicability and effect of sanctions, and the employee base in Ukraine and Russia. Under the current U.S. Department of Commerce regulations, we are permitted to export, re-export, or transfer medical equipment and spare parts that meet stated criteria under a License Exception, which has eliminated the need for us to obtain individual U.S. licenses in most cases; however, licenses still may be needed for some transactions. The European Union and other countries have also expanded licensing requirements for certain spare parts, services, software, and other items. We will continue to apply for licenses to supply to these customers and to support our business in Russia, as required. The implementation of these measures affected our ability to supply customers in Russia during the years ended December 31, 2024 and 2023 and will continue to do so as we confirm applicability of the U.S. License Exception to our transactions and continue to obtain licenses. There is no guarantee we will obtain all of the licenses for which we applied, that any approvals we obtain will be on a timely basis, or that our business in Russia will not be further disrupted due to evolving legal or operational considerations. The Board, together with management, will continue to assess whether developments related to the conflict have had, or are reasonably likely to have, a material impact on the Company.
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China Market
We continue to monitor developments in the market in China. In March 2024, the government in China announced a new stimulus program (“2024 stimulus”) that includes the healthcare sector and is being implemented through China’s provinces. In addition, an anti-corruption campaign directed at the healthcare sector remains ongoing. Both of these factors contributed to delayed orders and sales in our China business throughout 2024. We expect the 2024 stimulus program will result in opportunities for our business in China in the longer term, but it has had a short-term impact as provinces develop and announce their plans and customers begin to make purchasing decisions. We expect the effects of the delay in the 2024 stimulus and the anti-corruption campaign to continue to impact our orders and sales in the near term, although we are unable to predict the exact duration or magnitude of the impact. We expect both of these impacts to be temporary, and we believe the focus of government policy in China on expanding access to healthcare will benefit our business in China in the long term.
Tariffs
In February 2025, the United States imposed additional tariffs on products from China. These tariffs, and any future tariffs, including on products from Mexico or Canada, by the United States or other countries, will likely result in additional costs to us. The impact of tariffs will depend on various factors including the timing, amount, scope, and nature of the tariffs, and any mitigating actions we implement.
Tax Valuation Allowances
Deferred income tax assets represent amounts available to reduce income taxes payable on taxable income in future years. We evaluate the recoverability of these future tax deductions and credits by evaluating all available positive and negative evidence. We have a valuation allowance against certain U.S. and foreign deferred tax assets and will release the valuation allowance when there is sufficient positive evidence to support a conclusion that it is more likely than not the deferred tax assets will be realized. For additional information regarding our income taxes, see Note 11, “Income Taxes.”
Seasonality
Our revenues and operating profits vary from quarter to quarter. Financial results in the fourth quarter have historically been higher than in other quarters due to the spending patterns of our customers.
OPERATION AS A STAND-ALONE COMPANY.
Financial Presentation Under GE Ownership
GE HealthCare utilized allocations and carve-out methodologies through the date of the Spin-Off to prepare historical combined financial statements. The combined financial statements herein for periods prior to the Spin-Off may not be indicative of our future performance, do not necessarily include the actual expenses that would have been incurred by us, and may not reflect our results of operations, financial position, and cash flows had we been a separate, stand-alone company during the historical periods presented. For additional information, see Note 1, “Organization and Basis of Presentation.”
Stand-Alone Company Expenses
As a result of the Spin-Off, we are subject to federal and state securities laws and stock exchange requirements. We have established additional procedures and practices as a stand-alone public company. As a result, we have and will continue to incur additional costs related to external reporting, internal audit, treasury, investor relations, Board of Directors and officers, and stock administration.
Compensation
We have instituted competitive compensation policies and programs as an independent public company. The expense for these policies and programs increased from the compensation expense allocated by GE in years prior to the Spin-Off, driven primarily by higher cash and stock compensation to retain employees and align more closely with industry peers.
SUMMARY OF KEY PERFORMANCE MEASURES
Management reviews and analyzes several key performance measures including Total revenues, Operating income, Net income attributable to GE HealthCare, Earnings per share, and Cash from (used for) operating activities. Management also reviews and analyzes Organic revenue*, Adjusted earnings before interest and taxes* (“Adjusted EBIT*”), Adjusted net income*, Adjusted tax expense*, Adjusted effective tax rate* (“Adjusted ETR*”), Adjusted earnings per share*, and Free cash flow*, which are non-GAAP financial measures. These measures are reviewed and analyzed in order to evaluate our business performance, identify trends affecting our business, allocate capital, and make strategic decisions, including those discussed below. See “Results of Operations” and “Liquidity and Capital Resources” below for further discussion on our key performance measures.
The non-GAAP financial measures should be considered along with the most directly comparable U.S. GAAP financial measures. Definitions of these non-GAAP financial measures, a discussion of why we believe they are useful to management and investors as well as certain of their limitations, and reconciliations to their most directly comparable U.S. GAAP financial measures are provided below under “Non-GAAP Financial Measures.”
____________________
*Non-GAAP Financial Measure
40
RESULTS OF OPERATIONS
The following tables set forth our results of operations for each of the periods presented.
| Consolidated and Combined Statements of Income | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | |||||||
| Sales of products | $ | 13,075 | $ | 13,127 | $ | 12,044 | |||
| Sales of services | 6,597 | 6,425 | 6,297 | ||||||
| Total revenues | 19,672 | 19,552 | 18,341 | ||||||
| Cost of products | 8,271 | 8,465 | 7,975 | ||||||
| Cost of services | 3,196 | 3,165 | 3,187 | ||||||
| Gross profit | 8,205 | 7,922 | 7,179 | ||||||
| Selling, general, and administrative | 4,269 | 4,282 | 3,631 | ||||||
| Research and development | 1,311 | 1,205 | 1,026 | ||||||
| Total operating expenses | 5,580 | 5,487 | 4,657 | ||||||
| Operating income | 2,625 | 2,435 | 2,522 | ||||||
| Interest and other financial charges – net | 504 | 542 | 77 | ||||||
| Non-operating benefit (income) costs | (406) | (382) | (5) | ||||||
| Other (income) expense – net | (55) | (86) | (62) | ||||||
| Income from continuing operations before income taxes | 2,581 | 2,361 | 2,512 | ||||||
| Benefit (provision) for income taxes | (531) | (743) | (563) | ||||||
| Net income from continuing operations | 2,050 | 1,618 | 1,949 | ||||||
| Income (loss) from discontinued operations, net of taxes | — | (4) | 18 | ||||||
| Net income | 2,050 | 1,614 | 1,967 | ||||||
| Net (income) loss attributable to noncontrolling interests | (57) | (46) | (51) | ||||||
| Net income attributable to GE HealthCare | $ | 1,993 | $ | 1,568 | $ | 1,916 |
TOTAL REVENUES.
| Revenues by Segment | For the years ended December 31 | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | 2024 vs. 2023 % change | 2023 vs. 2022 % change | 2024 vs. 2023 % organic* change | 2023 vs. 2022 % organic* change | |||||||||
| Segment revenues | |||||||||||||||
| Imaging | $ | 8,855 | $ | 8,944 | $ | 8,395 | (1)% | 7% | (1)% | 8% | |||||
| AVS | 5,131 | 5,094 | 5,012 | 1% | 2% | 1% | 3% | ||||||||
| PCS | 3,125 | 3,142 | 2,916 | (1)% | 8% | —% | 8% | ||||||||
| PDx | 2,508 | 2,306 | 1,958 | 9% | 18% | 9% | 18% | ||||||||
| Other(1) | 52 | 66 | 60 | ||||||||||||
| Total revenues | $ | 19,672 | $ | 19,552 | $ | 18,341 | 1% | 7% | 1% | 8% |
(1) Financial information not presented within the reportable segments, shown within the Other category, represents HealthCare Financial Services which does not meet the definition of an operating segment.
| Revenues by Region | For the years ended December 31 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | 2024 vs. 2023 % change | 2023 vs. 2022 % change | ||||||||
| United States and Canada (“USCAN”) | $ | 8,981 | $ | 8,551 | $ | 8,130 | 5% | 5% | ||||
| Europe, the Middle East, and Africa (“EMEA”) | 5,051 | 5,058 | 4,684 | —% | 8% | |||||||
| China region | 2,360 | 2,785 | 2,531 | (15)% | 10% | |||||||
| Rest of World | 3,280 | 3,158 | 2,996 | 4% | 5% | |||||||
| Total revenues | $ | 19,672 | $ | 19,552 | $ | 18,341 | 1% | 7% |
____________________
*Non-GAAP Financial Measure
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For the year ended December 31, 2024
Total revenues were $19,672 million, growing 1% or $120 million. The reported growth was largely due to Sales of services increasing 3% or $172 million primarily driven by increased pricing.
The segment revenues were as follows:
•Imaging segment revenues were $8,855 million, decreasing 1% or $89 million, following high single-digit revenue growth in the prior year, with current year impacts from lower sales volume in China and unfavorable foreign currency impacts;
•AVS segment revenues were $5,131 million, growing 1% or $37 million with an increase in sales volume in USCAN partially offset by lower sales volume in China and unfavorable foreign currency impacts;
•PCS segment revenues were $3,125 million, decreasing 1% or $17 million primarily due to decreased volume in the Monitoring Solutions product line following growth in the prior year and unfavorable foreign currency impacts, partially offset by increased volume in the Maternal Infant Care product line; and
•PDx segment revenues were $2,508 million, growing 9% or $202 million with growth in the USCAN and EMEA regions driven by growth in volume, an increase in price, and new product introductions.
The regional revenues were as follows:
•USCAN revenues were $8,981 million, growing 5% or $430 million with growth across all segment revenues;
•EMEA revenues were $5,051 million, flat to the prior year, following high single-digit growth in the prior year, with growth in PDx revenues largely offset by decreases in Imaging and PCS revenues;
•China region revenues were $2,360 million, decreasing 15% or $425 million with declines in all segment revenues following double-digit growth in the prior year due to the impact from the 2022 COVID stimulus programs, and current year sales impacted by the delayed 2024 stimulus and the ongoing anti-corruption campaign; and
•Rest of World revenues were $3,280 million, growing 4% or $122 million with growth in all segment revenues, partially offset by unfavorable foreign currency impacts.
For the year ended December 31, 2023
Total revenues were $19,552 million, growing 7% or $1,211 million as reported and 8% organically*. The reported growth was primarily due to Sales of products growing 9% or $1,083 million as reported, with growth across all segments.
The segment revenues were as follows:
•Imaging segment revenues were $8,944 million, growing 7% or $549 million as reported due to an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 8% primarily due to growth in Magnetic Resonance and MI/CT product lines, due to supply chain fulfillment improvements, new product introductions, and an increase in price;
•AVS segment revenues were $5,094 million, growing 2% or $82 million as reported due to an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 3% primarily due to growth in the CardioVascular and Interventional Solutions product line due to new product introductions, an increase in price, and supply chain fulfillment improvements;
•PCS segment revenues were $3,142 million, growing 8% or $226 million due to growth in Monitoring Solutions and Consumables and Services product lines driven by an increase in price and operational improvements; and
•PDx segment revenues were $2,306 million, growing 18% or $348 million with growth across all regions due to an increase in price and improved demand.
The regional revenues were as follows:
•USCAN revenues were $8,551 million, growing 5% or $421 million due to growth in PCS, PDX, and Imaging revenues;
•EMEA revenues were $5,058 million, growing 8% or $374 million due to growth in Imaging and PDx revenues;
•China region revenues were $2,785 million, growing 10% or $254 million due to growth across all segment revenues, partially offset by unfavorable foreign currency impacts; and
•Rest of World revenues were $3,158 million, growing 5% or $162 million due to growth in PDx, Imaging, and AVS revenues, partially offset by unfavorable foreign currency impacts.
____________________
*Non-GAAP Financial Measure
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OPERATING INCOME, NET INCOME ATTRIBUTABLE TO GE HEALTHCARE, ADJUSTED EBIT*, AND ADJUSTED NET INCOME*.
| For the years ended December 31 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | % of Total revenues | 2023 | % of Total revenues | 2022 | % of Total revenues | 2024 vs. 2023 % change | 2023 vs. 2022 % change | ||||||||||
| Operating income | $ | 2,625 | 13.3% | $ | 2,435 | 12.5% | $ | 2,522 | 13.8% | 8% | (3)% | ||||||
| Net income attributable to GE HealthCare | 1,993 | 10.1% | 1,568 | 8.0% | 1,916 | 10.4% | 27% | (18)% | |||||||||
| Adjusted EBIT* | 3,211 | 16.3% | 2,956 | 15.1% | 2,861 | 15.6% | 9% | 3% | |||||||||
| Adjusted net income* | 2,060 | 10.5% | 1,797 | 9.2% | 2,103 | 11.5% | 15% | (15)% |
For the year ended December 31, 2024
Operating income was $2,625 million, an increase of $190 million and 90 basis points as a percent of Total revenues. The increase was due to the following factors:
•Gross profit increased $283 million or 120 basis points as a percent of Total revenues primarily due to a reduction in Cost of products sold. Cost of products sold decreased $194 million or 120 basis points as a percent of Sales of products. The decrease as a percent of sales was driven by cost productivity, favorable mix within our product offerings, and an increase in pricing of our products, partially offset by cost inflation. Cost of services sold increased $31 million but decreased 80 basis points as a percent of Sales of services. The decrease as a percent of sales was driven by cost productivity and an increase in pricing of our service offerings, partially offset by cost inflation. Included in our total cost of revenue as part of our product investment was $405 million in engineering costs for design follow-through on new product introductions and product lifecycle maintenance subsequent to the initial product launch, compared to $438 million for the prior year comparable period; and
•Total operating expenses increased $93 million, with an increase in R&D investments of $106 million and a decrease in Selling, general, and administrative (“SG&A”) expense of $13 million primarily driven by cost saving initiatives, including information technology, largely offset by increased restructuring spend. As a result, R&D as a percentage of Total revenues increased by 50 basis points and SG&A as a percentage of Total revenues decreased by 20 basis points.
Net income attributable to GE HealthCare and Net income margin were $1,993 million and 10.1%, an increase of $425 million and 210 basis points, respectively, primarily due to the following factors:
•Operating income increased $190 million, as discussed above;
•Interest and other financial charges – net decreased $38 million primarily driven by repayments made on the Term Loan Facility;
•Non-operating benefit income increased $24 million primarily related to the amortization of net gains on our pension plans;
•Other income – net decreased $31 million primarily driven by favorable impacts from Net financing and investment income in the prior year driven by impacts from the revaluation of investments; and
•Provision for income taxes decreased $212 million primarily due to the release of the France valuation allowance partially offset by the establishment of a reserve for ongoing audits in France. In the prior year, there were larger non-recurring impacts from the Tax Matters Agreement with GE as well as an incremental charge for the accrual of withholding and other foreign taxes due upon future distribution of earnings. For additional detail regarding our income taxes, see Note 11, “Income Taxes.”
Adjusted EBIT* and Adjusted EBIT margin* were $3,211 million and 16.3%, an increase of $255 million and 120 basis points, respectively, primarily due to an increase in Gross profit, partially offset by investment in R&D.
Adjusted net income* was $2,060 million, an increase of $263 million primarily due to an increase in Gross profit and lower Interest and other financial charges – net, partially offset by investment in R&D.
____________________
*Non-GAAP Financial Measure
43
For the year ended December 31, 2023
Operating income was $2,435 million, a decrease of $87 million and 130 basis points as a percent of Total revenues. The decrease as a percent of Total revenues was due to the following factors:
•Cost of products sold increased $490 million but decreased 170 basis points as a percent of Sales of products. The decrease as a percent of sales was driven by cost productivity and an increase in pricing of our products, partially offset by cost inflation. Cost of services sold decreased $22 million or 130 basis points as a percent of Sales of services. The decrease as a percent of sales was driven by cost productivity and an increase in pricing of our service offerings, partially offset by cost inflation. Included in our total cost of revenue as part of our product investment was $438 million in engineering costs for design follow-through on new product introductions and product lifecycle maintenance subsequent to the initial product launch, compared to $429 million for the prior year comparable period; and
•Total operating expenses increased $830 million due to an increase in SG&A expense of $651 million driven by increased costs associated with both the one-time stand-up and recurring operations of a stand-alone company and commercial and marketing investments and an increase in R&D investments of $179 million. As a result, SG&A as a percentage of Total revenues increased by 210 basis points and R&D as a percentage of Total revenues increased by 60 basis points.
Net income attributable to GE HealthCare and Net income margin were $1,568 million and 8.0%, a decrease of $348 million and 240 basis points, respectively, primarily due to the following factors:
•Operating income decreased $87 million, as discussed above;
•Interest and other financial charges – net increased $465 million primarily due to interest expense related to the debt securities issued by GE HealthCare in November of 2022 and the Term Loan Facility drawn upon in January of 2023;
•Non-operating benefit income increased $377 million primarily related to the pension plans transferred to GE HealthCare as part of the Spin-Off; and
•Provision for income taxes increased $180 million primarily due to the tax effect of foreign currency movement, the impact of the Tax Matters Agreement, including the effect of completing the 2022 U.S. federal tax return, taxes accrued for the future repatriation of current earnings with a one-time charge for prior period earnings of certain of our foreign subsidiaries, and the impact of adjusting deferred tax assets and liabilities to stand-alone GE HealthCare tax rates. For additional detail regarding our income taxes, see Note 11, “Income Taxes.”
Adjusted EBIT* and Adjusted EBIT margin* were $2,956 million and 15.1%, an increase of $95 million but a decrease of 50 basis points, respectively, primarily due to an increase in Total revenues, offset by an increase in Total operating expenses, excluding the impact of one-time Spin-Off and separation costs, as discussed above.
Adjusted net income* was $1,797 million, a decrease of $306 million primarily due to higher Interest and other financial charges – net, partially offset by an increase in Operating Income, excluding the impact of one-time Spin-Off and separation costs, as discussed above.
RESULTS OF OPERATIONS – SEGMENTS
We exclude from Segment EBIT certain corporate-related expenses and certain transactions or adjustments that our Chief Operating Decision Maker (which is our Chief Executive Officer) considers to be non-operational, such as Interest and other financial charges – net, Benefit (provision) for income taxes, restructuring costs, acquisition and disposition-related benefits (charges), Spin-Off and separation costs, Non-operating benefit (income) costs, gain (loss) on business and asset dispositions, amortization of acquisition-related intangible assets, Net (income) loss attributable to noncontrolling interests, Income (loss) from discontinued operations, net of taxes, and investment revaluation gain (loss). See Note 4, “Segment and Geographical Information” for additional information on our reportable segments, and “Results of Operations” above for discussion on segment revenue performance.
| Segment EBIT | For the years ended December 31 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | % of segment revenues | 2023 | % of segment revenues | 2022 | % of segment revenues | 2024 vs. 2023 % change | 2023 vs. 2022 % change | |||||||||||||||
| Imaging | $ | 962 | 10.9 | % | $ | 821 | 9.2 | % | $ | 780 | 9.3 | % | 17 | % | 5 | % | ||||||
| AVS | 1,118 | 21.8 | % | 1,124 | 22.1 | % | 1,228 | 24.5 | % | (1) | % | (8) | % | |||||||||
| PCS | 347 | 11.1 | % | 383 | 12.2 | % | 341 | 11.7 | % | (9) | % | 12 | % | |||||||||
| PDx | 783 | 31.2 | % | 617 | 26.8 | % | 520 | 26.6 | % | 27 | % | 19 | % |
____________________
*Non-GAAP Financial Measure
44
For the year ended December 31, 2024
•Imaging Segment EBIT was $962 million, an increase of $141 million due to cost productivity and an increase in price, partially offset by cost inflation;
•AVS Segment EBIT was $1,118 million, a decrease of $6 million due to cost inflation, unfavorable mix, and investments, partially offset by cost productivity;
•PCS Segment EBIT was $347 million, a decrease of $36 million due to cost inflation, partially offset by cost productivity; and
•PDx Segment EBIT was $783 million, an increase of $166 million due to an increase in price, growth in sales volume, and cost productivity, partially offset by cost inflation.
For the year ended December 31, 2023
•Imaging Segment EBIT was $821 million, an increase of $41 million due to cost productivity, an increase in price, and growth in sales volume, largely offset by investments, liquidation of higher-cost inventory, and mix between our product and service offerings;
•AVS Segment EBIT was $1,124 million, a decrease of $104 million due to investments and cost inflation, partially offset by cost productivity and an increase in price;
•PCS Segment EBIT was $383 million, an increase of $42 million due to cost productivity, an increase in price, and growth in sales volume, partially offset by investments and cost inflation; and
•PDx Segment EBIT was $617 million, an increase of $97 million due to an increase in price, growth in sales volume, and cost productivity, partially offset by cost inflation and investments.
NON-GAAP FINANCIAL MEASURES
The non-GAAP financial measures presented in this Annual Report on Form 10-K are supplemental measures of our performance and our liquidity that we believe will help investors understand our financial condition, cash flows, and operating results, and assess our future prospects. When read in conjunction with our U.S. GAAP results, these non-GAAP financial measures provide a baseline for analyzing trends in our underlying businesses and can be used by management as one basis for making financial, operational, and planning decisions. Descriptions of the reported non-GAAP measures are included below.
We report Organic revenue and Organic revenue growth rate to provide management and investors with additional understanding and visibility into the underlying revenue trends of our established, ongoing operations, as well as provide insights into overall demand for our products and services. To calculate these measures, we exclude the effect of acquisitions, dispositions, and foreign currency rate fluctuations.
We report EBIT, Adjusted EBIT, Adjusted EBIT margin, Adjusted net income, and Adjusted earnings per share to provide management and investors with additional understanding of our business by highlighting the results from ongoing operations and the underlying profitability factors, on a normalized basis. To calculate these measures we exclude, and reflect in the detailed reconciliations below, the following adjustments as applicable: Interest and other financial charges – net, Net (income) loss attributable to noncontrolling interests, Non-operating benefit (income) costs, Benefit (provision) for income taxes and certain tax related adjustments, and certain non-recurring and/or non-cash items. We may from time to time consider excluding other non-recurring items to enhance comparability between periods. Adjusted EBIT margin is calculated by taking Adjusted EBIT divided by Total revenues for the same period.
We report Adjusted tax expense and Adjusted ETR to provide management and investors with a better understanding of the normalized tax rate applicable to our business and provide more consistent comparability across periods. Adjusted tax expense excludes the income tax related to the pre-tax income adjustments included as part of Adjusted net income and certain income tax adjustments, such as adjustments to deferred tax assets or liabilities. We may from time to time consider excluding other non-recurring tax items to enhance comparability between periods. Adjusted ETR is Adjusted tax expense divided by income before income taxes less the pre-tax income adjustments referenced above.
We report Free cash flow to provide management and investors with an important measure of our ability to generate cash on a normalized basis and provide insight into our flexibility to allocate capital. Free cash flow is Cash from (used for) operating activities – continuing operations including cash flows related to the additions and dispositions of property, plant, and equipment (“PP&E”) and additions of internal-use software. Free cash flow does not represent residual cash flows available for discretionary expenditures, due to the fact that the measure does not deduct the capital required for debt repayments.
Management recognizes that these non-GAAP financial measures have limitations, including that they may be calculated differently by other companies or may be used under different circumstances or for different purposes. In order to compensate for the discussed limitations, management does not consider these measures in isolation from or as alternatives to the comparable financial measures determined in accordance with U.S. GAAP. The detailed reconciliations of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure are provided below, and no single financial measure should be relied on to evaluate our business.
45
| Organic Revenue* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | % change | |||||||
| Imaging revenues | $ | 8,855 | $ | 8,944 | (1)% | ||||
| Less: Acquisitions(1) | 47 | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (71) | — | |||||||
| Imaging Organic revenue* | $ | 8,880 | $ | 8,944 | (1)% | ||||
| AVS revenues | $ | 5,131 | $ | 5,094 | 1% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (25) | — | |||||||
| AVS Organic revenue* | $ | 5,157 | $ | 5,094 | 1% | ||||
| PCS revenues | $ | 3,125 | $ | 3,142 | (1)% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (6) | — | |||||||
| PCS Organic revenue* | $ | 3,131 | $ | 3,142 | —% | ||||
| PDx revenues | $ | 2,508 | $ | 2,306 | 9% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (10) | — | |||||||
| PDx Organic revenue* | $ | 2,518 | $ | 2,306 | 9% | ||||
| Other revenues | $ | 52 | $ | 66 | (21)% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | — | — | |||||||
| Other Organic revenue* | $ | 52 | $ | 66 | (21)% | ||||
| Total revenues | $ | 19,672 | $ | 19,552 | 1% | ||||
| Less: Acquisitions(1) | 47 | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (112) | — | |||||||
| Organic revenue* | $ | 19,737 | $ | 19,552 | 1% |
| (1) | Represents revenues attributable to acquisitions from the date the Company completed the transaction through the end of four quarters following the transaction. |
|---|---|
| (2) | Represents revenues attributable to dispositions for the four quarters preceding the disposition date. |
____________________
*Non-GAAP Financial Measure
46
| Organic Revenue* | For the years ended December 31 | ||||
|---|---|---|---|---|---|
| 2023 | 2022 | % change | |||
| Imaging revenues | $ | 8,944 | $ | 8,395 | 7% |
| Less: Acquisitions(1) | 1 | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | (131) | — | |||
| Imaging Organic revenue* | $ | 9,074 | $ | 8,395 | 8% |
| AVS revenues | $ | 5,094 | $ | 5,012 | 2% |
| Less: Acquisitions(1) | — | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | (56) | — | |||
| AVS Organic revenue* | $ | 5,150 | $ | 5,012 | 3% |
| PCS revenues | $ | 3,142 | $ | 2,916 | 8% |
| Less: Acquisitions(1) | — | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | (16) | — | |||
| PCS Organic revenue* | $ | 3,158 | $ | 2,916 | 8% |
| PDx revenues | $ | 2,306 | $ | 1,958 | 18% |
| Less: Acquisitions(1) | — | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | (14) | — | |||
| PDx Organic revenue* | $ | 2,320 | $ | 1,958 | 18% |
| Other revenues | $ | 66 | $ | 60 | 10% |
| Less: Acquisitions(1) | — | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | 1 | — | |||
| Other Organic revenue* | $ | 65 | $ | 60 | 8% |
| Total revenues | $ | 19,552 | $ | 18,341 | 7% |
| Less: Acquisitions(1) | 1 | — | |||
| Less: Dispositions(2) | — | — | |||
| Less: Foreign currency exchange | (216) | — | |||
| Organic revenue* | $ | 19,767 | $ | 18,341 | 8% |
| (1) | Represents revenues attributable to acquisitions from the date the Company completed the transaction through the end of four quarters following the transaction. |
|---|---|
| (2) | Represents revenues attributable to dispositions for the four quarters preceding the disposition date. |
____________________
*Non-GAAP Financial Measure
47
| Adjusted EBIT* | For the years ended December 31 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | 2024 vs. 2023 % change | 2023 vs. 2022 % change | ||||||||
| Net income attributable to GE HealthCare | $ | 1,993 | $ | 1,568 | $ | 1,916 | 27% | (18)% | ||||
| Add: Interest and other financial charges – net | 504 | 542 | 77 | |||||||||
| Add: Non-operating benefit (income) costs | (406) | (382) | (5) | |||||||||
| Less: Benefit (provision) for income taxes | (531) | (743) | (563) | |||||||||
| Less: Income (loss) from discontinued operations, net of taxes | — | (4) | 18 | |||||||||
| Less: Net (income) loss attributable to noncontrolling interests | (57) | (46) | (51) | |||||||||
| EBIT* | $ | 2,679 | $ | 2,521 | $ | 2,584 | 6% | (2)% | ||||
| Add: Restructuring costs(1) | 120 | 54 | 146 | |||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 3 | (15) | (34) | |||||||||
| Add: Spin-Off and separation costs(3) | 251 | 270 | 14 | |||||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | — | (1) | |||||||||
| Add: Amortization of acquisition-related intangible assets | 137 | 127 | 121 | |||||||||
| Add: Investment revaluation (gain) loss(5) | 22 | (1) | 31 | |||||||||
| Adjusted EBIT* | $ | 3,211 | $ | 2,956 | $ | 2,861 | 9% | 3% | ||||
| Net income margin | 10.1% | 8.0% | 10.4% | 210 bps | (240) bps | |||||||
| Adjusted EBIT margin* | 16.3% | 15.1% | 15.6% | 120 bps | (50) bps |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| Adjusted Net Income* | For the years ended December 31 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | 2024 vs. 2023 % change | 2023 vs. 2022 % change | ||||||||
| Net income attributable to GE HealthCare | $ | 1,993 | $ | 1,568 | $ | 1,916 | 27% | (18)% | ||||
| Add: Non-operating benefit (income) costs | (406) | (382) | (5) | |||||||||
| Add: Restructuring costs(1) | 120 | 54 | 146 | |||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 3 | (15) | (34) | |||||||||
| Add: Spin-Off and separation costs(3) | 251 | 270 | 14 | |||||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | — | (1) | |||||||||
| Add: Amortization of acquisition-related intangible assets | 137 | 127 | 121 | |||||||||
| Add: Investment revaluation (gain) loss(5) | 22 | (1) | 31 | |||||||||
| Add: Tax effect of reconciling items(6) | (42) | (24) | (67) | |||||||||
| Add: Spin-Off and other tax adjustments(7) | (17) | 196 | — | |||||||||
| Less: Income (loss) from discontinued operations, net of taxes | — | (4) | 18 | |||||||||
| Adjusted net income* | $ | 2,060 | $ | 1,797 | $ | 2,103 | 15% | (15)% |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| (6) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
| (7) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested, the impact of adjusting deferred tax assets and liabilities to stand-alone GE HealthCare tax rates, and the impact of tax legislation changes. As of the third quarter of 2024 this line additionally includes discrete tax impacts resulting from the Spin-Off and separation from GE previously reported under Tax effect of reconciling items. |
____________________
*Non-GAAP Financial Measure
48
| Adjusted Earnings Per Share* | For the years ended December 31 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (In dollars, except shares outstanding presented in millions) | 2024 | 2023 | 2022 | 2024 vs. 2023 $ change | 2023 vs. 2022 $ change | |||||||||
| Diluted earnings per share – continuing operations | $ | 4.34 | $ | 3.04 | $ | 4.18 | $ | 1.31 | $ | (1.14) | ||||
| Add: Deemed preferred stock dividend of redeemable noncontrolling interest | — | 0.40 | — | |||||||||||
| Add: Non-operating benefit (income) costs | (0.88) | (0.83) | (0.01) | |||||||||||
| Add: Restructuring costs(1) | 0.26 | 0.12 | 0.32 | |||||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | 0.01 | (0.03) | (0.07) | |||||||||||
| Add: Spin-Off and separation costs(3) | 0.55 | 0.59 | 0.03 | |||||||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | — | (0.00) | |||||||||||
| Add: Amortization of acquisition-related intangible assets | 0.30 | 0.28 | 0.27 | |||||||||||
| Add: Investment revaluation (gain) loss(5) | 0.05 | (0.00) | 0.07 | |||||||||||
| Add: Tax effect of reconciling items(6) | (0.09) | (0.05) | (0.15) | |||||||||||
| Add: Spin-Off and other tax adjustments(7) | (0.04) | 0.43 | — | |||||||||||
| Adjusted earnings per share* | $ | 4.49 | $ | 3.93 | $ | 4.63 | $ | 0.56 | $ | (0.70) | ||||
| Diluted weighted-average shares outstanding | 459 | 458 | 454 |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| (6) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
| (7) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested, the impact of adjusting deferred tax assets and liabilities to stand-alone GE HealthCare tax rates, and the impact of tax legislation changes. As of the third quarter of 2024 this line additionally includes discrete tax impacts resulting from the Spin-Off and separation from GE previously reported under Tax effect of reconciling items. |
| Adjusted Tax Expense* and Adjusted ETR* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | |||||||
| Benefit (provision) for income taxes | $ | (531) | $ | (743) | $ | (563) | |||
| Add: Tax effect of reconciling items(1) | (42) | (24) | (67) | ||||||
| Add: Spin-Off and other tax adjustments(2) | (17) | 196 | — | ||||||
| Adjusted tax expense* | $ | (590) | $ | (571) | $ | (630) | |||
| Effective tax rate | 20.6% | 31.5% | 22.4% | ||||||
| Adjusted effective tax rate* | 21.8% | 23.7% | 22.6% |
| (1) | The tax effect of reconciling items is calculated using the statutory tax rate, taking into consideration the nature of the items and the relevant taxing jurisdiction. |
|---|---|
| (2) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested, the impact of adjusting deferred tax assets and liabilities to stand-alone GE HealthCare tax rates, and the impact of tax legislation changes. As of the third quarter of 2024 this line additionally includes discrete tax impacts resulting from the Spin-Off and separation from GE previously reported under Tax effect of reconciling items. |
____________________
*Non-GAAP Financial Measure
49
| Free Cash Flow* | For the years ended December 31 | |||||||
|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | 2024 vs. 2023 % change | 2023 vs. 2022 % change | ||||
| Cash from (used for) operating activities – continuing operations | $ | 1,955 | $ | 2,101 | $ | 2,134 | (7)% | (2)% |
| Add: Additions to PP&E and internal-use software | (401) | (387) | (310) | |||||
| Add: Dispositions of PP&E | — | 1 | 4 | |||||
| Free cash flow* | $ | 1,554 | $ | 1,715 | $ | 1,828 | (9)% | (6)% |
LIQUIDITY AND CAPITAL RESOURCES
As of December 31, 2024, our Cash, cash equivalents, and restricted cash balance in the Consolidated Statements of Financial Position was $2,889 million. We have historically generated positive cash flows from operating activities. Additionally, we have access to revolving credit facilities of $3,500 million in aggregate, described in detail in Note 9, “Borrowings.”
We believe that our existing balance of Cash, cash equivalents, and restricted cash, future cash generated from operating activities, access to capital markets, and existing credit facilities will be sufficient to meet the needs of our current and ongoing operations, pay taxes due, service our existing debt, and fund investments in our business for at least the next 12 months.
The following table summarizes our cash flows for the periods presented:
| Cash Flow | For the years ended December 31 | |||||||
|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | 2022 | ||||||
| Cash from (used for) operating activities – continuing operations | $ | 1,955 | $ | 2,101 | $ | 2,134 | ||
| Cash from (used for) investing activities – continuing operations | (914) | (558) | (398) | |||||
| Cash from (used for) financing activities – continuing operations | (573) | (478) | (822) | |||||
| Free cash flow* | 1,554 | 1,715 | 1,828 |
Operating Activities
Cash generated from operating activities in the year ended December 31, 2024 was $1,955 million and included Net income from continuing operations of $2,050 million, non-cash charges primarily for depreciation and amortization of $580 million, and $675 million in outflows from incremental changes in assets and liabilities, primarily driven by company-funded benefit payments for postretirement benefit plans, an increase in receivables due to higher volume, and a build in inventories.
Cash generated from operating activities in the year ended December 31, 2023 was $2,101 million and included Net income from continuing operations of $1,618 million, non-cash charges primarily for depreciation and amortization of $610 million, and $127 million in outflows from incremental changes in assets and liabilities, primarily driven by company-funded benefit payments for postretirement benefit plans and an increase in receivables, partially offset by lower cash taxes paid and a decrease in inventories.
Cash generated from operating activities in the year ended December 31, 2022 was $2,134 million and included Net income from continuing operations of $1,949 million, non-cash charges for depreciation and amortization of $633 million, and a $448 million outflow from changes in assets and liabilities, primarily driven by an increase in both inventories and receivables, and higher cash taxes paid, partially offset by an increase in accounts payable.
Investing Activities
Cash used for investing activities in the year ended December 31, 2024 was $914 million and primarily included additions to PP&E of $401 million related mostly to manufacturing capacity expansion and new product introductions, purchases of businesses, net of cash acquired, of $313 million related to the MIM Software Inc. (“MIM Software”) and Intelligent Ultrasound Group PLC acquisitions, and payment of $94 million for settlement of cross-currency swaps that were designated in net investment hedges. Refer to Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” for additional information on the MIM Software acquisition, and Note 13, “Financial Instruments and Fair Value Measurements” for additional information on the settlement of cross-currency swaps.
Cash used for investing activities in the year ended December 31, 2023 was $558 million and primarily included additions to PP&E of $387 million related mostly to new product introductions, manufacturing capacity expansion, and purchases of businesses, net of cash acquired, of $147 million primarily related to Caption Health, Inc.
Cash used for investing activities in the year ended December 31, 2022 was $398 million and primarily included additions to PP&E of $310 million related primarily to manufacturing capacity expansion, and new product introductions.
____________________
*Non-GAAP Financial Measure
50
Financing Activities
Cash used for financing activities in the year ended December 31, 2024 was $573 million and primarily included repayment of $1,000 million aggregate principal amount of senior unsecured notes, and $400 million in repayments of the outstanding Term Loan Facility, partially offset by $995 million of net proceeds from the issuance of $1,000 million aggregate principal amount of senior unsecured notes due in 2029. Refer to Note 9, “Borrowings” for further information.
Cash used for financing activities in the year ended December 31, 2023 was $478 million and primarily included $1,317 million of transfers to GE, $850 million partial repayment of our outstanding Term Loan Facility, and $211 million of redemption of noncontrolling interests, partially offset by $2,000 million drawdown of the Term Loan Facility.
Cash used for financing activities in the year ended December 31, 2022 was $822 million and primarily included $8,934 million of transfers to GE, partially offset by $8,198 million of newly issued debt.
Free cash flow*
Free cash flow* was $1,554 million for the year ended December 31, 2024 and primarily included $1,955 million of cash generated from operating activities, partially offset by $401 million of cash used for additions to PP&E.
Free cash flow* was $1,715 million for the year ended December 31, 2023 and primarily included $2,101 million of cash generated from operating activities, partially offset by $387 million of cash used for additions to PP&E.
Free cash flow* was $1,828 million for the year ended December 31, 2022 and primarily included $2,134 million of cash generated from operating activities, partially offset by $310 million of cash used for additions to PP&E.
Capital Expenditures
Cash used for capital expenditures was $401 million, $387 million, and $310 million for the years ended December 31, 2024, 2023, and 2022, respectively. Capital expenditures were primarily for manufacturing capacity expansion, new product introductions, and equipment and tooling for new and existing products.
Material Cash Requirements
In the normal course of business, we enter into contracts and commitments that obligate us to make payments in the future. Information regarding our obligations under lease, debt, and other commitments are provided in Note 7, “Leases,” Note 9, “Borrowings,” and Note 14, “Commitments, Guarantees, Product Warranties, and Other Loss Contingencies.” We have material cash requirements related to our pension obligations as described in Note 10, “Postretirement Benefit Plans.”
Debt and Credit Facilities
Additional information on our debt and credit facilities, including definitions of the terms used below, is included in Note 9, “Borrowings.” As part of our capital structure, we have incurred debt. The servicing of this debt is supported by cash flows from our operations. As of December 31, 2024, we had $8,951 million of total debt compared to $9,442 million as of December 31, 2023. This includes a $1,000 million aggregate principal amount of senior unsecured notes issued by the Company in the third quarter of 2024, and a repayment in the fourth quarter of 2024 of $1,000 million of senior unsecured notes. The decrease in debt was due primarily to repayments of $150 million and $250 million of the outstanding Term Loan Facility in the first and fourth quarter of 2024, respectively.
The weighted average interest rate for the Notes and our Credit Facilities for the year ended December 31, 2024 was 5.99%.
In addition to the Term Loan Facility, our credit facilities include a five-year senior unsecured revolving facility that provides borrowings of up to $2,500 million expiring in January 2028, and a 364-day senior unsecured revolving facility that provides borrowings of up to $1,000 million expiring in December 2025. As of December 31, 2024, there were no outstanding borrowings on either of the two revolving facilities.
The Credit Facilities include various customary covenants that limit, among other things, the incurrence of liens securing debt, the entry into certain fundamental change transactions by GE HealthCare, and the maximum permitted leverage ratio. As of December 31, 2024, we were in compliance with the covenant requirements, including the maximum consolidated net leverage ratio.
Access to Capital and Credit Ratings
In connection with the Spin-Off, we accessed the capital markets and raised $10,250 million of debt by issuing $8,250 million of senior unsecured notes in November 2022, completed a drawdown of the Term Loan Facility of $2,000 million in January 2023, and arranged $3,500 million of revolving credit facilities to further support our liquidity needs. In the third quarter of 2024, we issued $1,000 million aggregate principal amount of senior unsecured notes due in 2029. We plan to continue to rely on capital markets, and we expect to have access to credit facilities to fund our operations. The cost and availability of debt financing will be influenced by our credit ratings and market conditions. Moody’s Investors Service (“Moody’s”), S&P Global Ratings (“S&P”), and Fitch Ratings (“Fitch”) currently issue ratings on our long-term debt.
____________________
*Non-GAAP Financial Measure
51
Our credit ratings as of February 6, 2025 are set forth in the table below and remain unchanged since the Spin-Off.
| Moody’s | S&P | Fitch | |
|---|---|---|---|
| Long-term rating | Baa2 | BBB | BBB |
| Outlook | Stable | Stable | Stable |
We are disclosing our credit ratings to enhance the understanding of our sources of liquidity and the effects of our ratings on our costs of funds and access to liquidity. Our ratings may be subject to a revision or withdrawal at any time by the assigning rating organization, and each rating should be evaluated independently of any other rating.
RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
For a discussion of recently issued accounting standards, see Note 2, “Summary of Significant Accounting Policies.”
CRITICAL ACCOUNTING ESTIMATES
Our financial results are affected by the selection and application of accounting policies and methods. We have adopted accounting policies to prepare our financial statements in conformity with U.S. GAAP.
To prepare our financial statements in accordance with U.S. GAAP, management makes estimates and assumptions that may affect the reported amounts of our assets and liabilities, including our contingent liabilities, as of the date of our financial statements, and the reported amounts of our revenues and expenses during the reporting periods. Our actual results may differ from these estimates. We consider estimates to be critical (1) if we are required to make assumptions about material matters that are uncertain at the time of estimation or (2) if materially different estimates could have been made or it is reasonably likely that the accounting estimate will change from period to period. The following are areas considered to be critical and require management’s judgment: Revenue Recognition, Business Combination Related Measurements, Pension and Other Postretirement Benefits, and Income Taxes.
See Note 2, “Summary of Significant Accounting Policies” for further information on our significant accounting policies.
REVENUE RECOGNITION.
Our revenues are recorded based on the consideration specified in customer contracts net of any sales incentives, discounts, returns, chargebacks, group purchasing organization fees, rebates, or credits, which are accounted for as estimated variable consideration. Our estimates for these deductions are based upon historical experience and consider current and forecasted market trends. We record the estimated amounts as a reduction to revenue when we recognize the related product or service sale.
Chargebacks are a form of variable consideration that occur when a contracted customer purchases through an intermediary wholesaler. The contracted customer generally purchases product from the wholesaler at its contracted price plus a mark-up. The wholesaler, in turn, charges us back for the difference between the price initially paid by the wholesaler and the contract price paid to the wholesaler by the contracted customer. A provision for outstanding chargebacks is recorded at the time we recognize revenue from the sale to the wholesaler and requires certain estimates such as the wholesaler chargeback rates, the expected sell-through levels by our wholesale customers to contracted customers, as well as estimated wholesaler inventory levels.
The amounts of variable consideration included in the net transaction price for revenue recognition are limited to the amounts that are estimated to be probable of occurrence to avoid a material revenue reversal in a future period.
See Note 3, “Revenue Recognition” for further information on revenue recognition and Note 5, “Receivables” for further information on chargebacks.
BUSINESS COMBINATION RELATED MEASUREMENTS.
Our financial statements include the operations of an acquired business starting from the completion of the combination. The assets acquired and liabilities assumed, including any contingent consideration we may be liable to pay in the future, are recorded on the date of the business combination at their respective estimated fair values, with any excess of the purchase price over the estimated fair values of the net assets acquired recorded as goodwill. Our business combinations typically result in the recognition of goodwill, developed technology, and other intangible assets, which affect the amount of future period amortization expense. The fair values of acquired intangible assets and liabilities are determined using information available at the business combination date based on estimates and assumptions that are deemed reasonable. Significant assumptions vary by the class of asset or liability and the valuation technique used. These assumptions can include: the discount rates; timing; probability of achieving regulatory and commercialization milestones; and certain assumptions that form the basis of the forecasted results of the acquired business including revenue, earnings before interest, taxes, depreciation and amortization, growth rates, royalty rates, and technology obsolescence rates. These assumptions are forward-looking and could be affected by future economic and market conditions. We engage third-party valuation specialists who review our critical assumptions and prepare the calculations of the fair value of acquired intangible assets in connection with significant business combinations.
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See Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” for further information on our business combinations.
PENSION AND OTHER POSTRETIREMENT BENEFITS.
Pension and other postretirement benefits are calculated using significant inputs to the actuarial models that measure pension benefit obligations and related effects on operations. Two assumptions, discount rate and expected return on assets, are important elements of plan expense and related asset and liability measurement. The Company evaluates these critical assumptions at least annually on a plan and country-specific basis. The Company periodically evaluates other assumptions involving demographic factors such as retirement age, mortality, and turnover, and updates them to reflect our experience and expectations for the future. Actual results in any given year often will differ from actuarial assumptions because of economic and other factors.
Projected benefit obligations (“PBO”) are measured as the present value of expected payments. We discount those cash payments using the weighted average of market-observed yields for high-quality fixed-income securities with maturities that correspond to the expected timing of benefit payments.
A 50 basis point change in the assumed discount rate would have the following effects on the calculation of net periodic benefit costs in 2025 and PBO and accumulated postretirement benefit obligation (“APBO”) as of December 31, 2024:
| Discount Rate Sensitivity | ||||||||
|---|---|---|---|---|---|---|---|---|
| U.S. Plans | International Plans | Other Postretirement Plans | ||||||
| 50 bps increase in discount rate | ||||||||
| Impact on PBO/APBO as of December 31, 2024 | $ | (812) | $ | (195) | $ | (32) | ||
| Impact on service cost and interest cost in 2025 | 37 | 2 | 3 | |||||
| 50 bps decrease in discount rate | ||||||||
| Impact on PBO/APBO as of December 31, 2024 | $ | 885 | $ | 215 | $ | 33 | ||
| Impact on service cost and interest cost in 2025 | (43) | (3) | (2) |
The sensitivity of the net deficit to the discount rate would be lower than the projected benefit obligation sensitivity as a result of the liability hedging program incorporated in the plan’s asset allocation.
To determine the expected long-term rate of return on pension plan assets, we consider current and target asset allocations, as well as historical and expected returns on various categories of plan assets. In developing future long-term return expectations for our principal benefit plans’ assets, we formulate views on the future economic environment, both in the U.S. and abroad. We evaluate general market trends and historical relationships among a number of key variables that impact asset class returns such as expected earnings growth, inflation, valuations, yields, and spreads, using both internal and external sources. We also consider expected volatility by asset class and diversification across classes to determine expected overall portfolio results given current and target allocations. A 1% change in the assumed expected long-term rate of return on plan assets would increase or decrease the 2025 net periodic benefit costs of these plans by $194 million.
Our pension plan assets contain financial instruments that are measured at fair value. While the majority of these assets are valued based on quoted prices for identical or similar instruments in active markets, the fair value of certain assets is estimated using significant unobservable inputs (Level 3). These assets primarily relate to real estate and private equity investments.
For pension benefits and retiree health and life benefits transferred from GE on January 1, 2023, third-party actuaries were engaged to assist in the valuation of transferred pension assets and liabilities using assumptions provided by GE which the Company reviewed prior to recording amounts in our combined financial statements.
We disclose in the following table postretirement plans with assets or obligations that exceed $50 million as of December 31, 2024. Refer to Note 10, “Postretirement Benefit Plans” for further details related to these plans. The value of the assets and liabilities as of December 31, 2024, are summarized in the table below.
| Projected benefit obligations | Fair value of plan assets | Funded status - surplus (deficit) | ||||||
|---|---|---|---|---|---|---|---|---|
| GE HealthCare Pension Plan | $ | 15,230 | $ | 13,650 | $ | (1,580) | ||
| GE HealthCare Supplementary Pension Plan | 1,886 | — | (1,886) | |||||
| Other U.S. Pension Plans | 1,125 | 727 | (398) | |||||
| Total U.S. Plans | 18,241 | 14,378 | (3,863) | |||||
| International Plans | 2,957 | 3,276 | 319 | |||||
| OPEB Plans(1) | 1,016 | — | (1,016) | |||||
| Total | $ | 22,214 | $ | 17,654 | $ | (4,561) | ||
| (1) As defined in Note 10, “Postretirement Benefit Plans.” |
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INCOME TAXES.
For periods prior to the Spin-Off, GE HealthCare is included in the combined U.S. federal, state, and foreign income tax returns of GE, where eligible. However, we have adopted the separate return method for purposes of our combined financial statements. The income tax provisions reflected in our combined financial statements for the period ended December 31, 2022 have been estimated as if we were a separate taxpayer.
Our annual tax expense is based on our income, applicable statutory tax rates, and tax incentives available to us in the various jurisdictions in which we operate. Changes in existing tax laws or rates could significantly impact the estimate of our tax liabilities. Deferred tax assets represent amounts available to reduce income taxes payable on taxable income in future years. Such assets arise because of temporary differences between the financial reporting and tax basis of assets and liabilities, as well as from net operating loss and tax credit carryforwards. We evaluate the recoverability of these future tax deductions and credits by assessing the adequacy of future expected taxable income from all sources, including reversal of taxable temporary differences, forecasted operating earnings, taxable income in prior carryback years to the extent applicable, and available tax planning strategies. These sources of income rely heavily on estimates; we use our historical experience as well as our short- and long-range business forecasts to provide insight.
Significant judgment is required in determining our tax expense and in evaluating our tax positions, including evaluating uncertainties. We recognize tax benefits from uncertain tax positions only if we believe that it is more likely than not that the tax position will be sustained on examination by the relevant taxing authorities based on the technical merits of the position. Our policy is to adjust these reserves when facts and circumstances change, such as the change in the technical merit of a position, or an uncertain tax position is effectively settled with the relevant taxing authority, or the statute of limitations has expired. We have provided for the amounts we believe will ultimately result from these changes; however, due to the complexity of some of these uncertainties, the ultimate resolution may result in a payment that is materially different from our current estimate of the tax liabilities.
See Note 11, “Income Taxes” for further information on income taxes.
FY 2023 10-K MD&A
SEC filing source: 0001932393-24-000013.
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
| Part II. Financial Information | |
|---|---|
| Index | |
| Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) | Page |
| Trends and Factors Impacting Our Performance | 48 |
| Summary of Key Performance Measures | 49 |
| Results of Operations | 50 |
| Results of Operations – Segments | 53 |
| Non-GAAP Financial Measures | 54 |
| Liquidity and Capital Resources | 58 |
| Recently Issued Accounting Pronouncements | 59 |
| Critical Accounting Estimates | 59 |
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MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the consolidated and combined financial statements and corresponding notes included elsewhere in this Annual Report on Form 10-K. The following discussion and analysis provide information management believes to be relevant to understanding the financial condition and results of operations of GE HealthCare Technologies Inc. (“GE HealthCare,” the “Company,” “our,” or “we”) for the years ended December 31, 2023 and 2022. For additional information on the year ended December 31, 2021 and year-over-year comparisons to December 31, 2022, refer to Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2022. This discussion contains forward-looking statements that are based upon current expectations and are subject to uncertainty and changes in circumstances. Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those discussed below and elsewhere in this Annual Report on Form 10-K, and particularly in Item 1A. “Risk Factors”. Actual results may differ materially from these expectations; see “Forward-Looking Statements.”
The following tables are presented in millions of United States (“U.S.”) dollars unless otherwise stated, except for per-share amounts which are presented in U.S. dollars.
Unless the context otherwise requires, references to “GE HealthCare,” “we,” “us,” “our,” and the “Company” refer to (1) General Electric Company’s (“GE’s”) healthcare business prior to the previously announced spin-off of the Company on January 3, 2023 (the “Spin-Off”) as a carve-out business of GE with related combined financial statements and (2) GE HealthCare Technologies Inc. and its subsidiaries following the Spin-Off with related consolidated financial statements.
GE HealthCare’s operations are organized and managed through four reportable segments: Imaging, Ultrasound, Patient Care Solutions (“PCS”), and Pharmaceutical Diagnostics (“PDx”) and we evaluate their operating performance using revenue and Segment EBIT. For additional information on the nature of our business see Item 1. “Business.”
TRENDS AND FACTORS IMPACTING OUR PERFORMANCE
We believe that our performance and future success depend on a number of factors that present significant opportunities for us but also pose risks and challenges, including those discussed below and particularly in Item 1A. “Risk Factors.”
KEY TRENDS AFFECTING RESULTS OF OPERATIONS.
Manufacturing, Sourcing, and Supply Chain Management
Our suppliers must provide us with quality products in substantial quantities, in compliance with regulatory requirements, at acceptable costs and on a timely basis. Trends affecting the supply chain for the previous two years include the impact of increasing prices of labor and raw materials, limitations on capacity, and increased cost of shipping. While we have seen some easing of these pressures in 2023, continued cost inflation or the return of material scarcity in our supply chain could have adverse impacts on our future results.
Russia and Ukraine Conflict
We had $153 million and $143 million of assets in, or directly related to, Russia and Ukraine as of December 31, 2023 and December 31, 2022, respectively, none of which are subject to sanctions that impact the carrying value of the assets. We generated revenues of $340 million and $395 million from customers in these two countries for the years ended December 31, 2023 and December 31, 2022, respectively. The potential inability to repatriate earnings from these two countries will not have a material impact on our ability to operate.
We continue to monitor the effects of Russia’s invasion of Ukraine, including the consideration of financial impact, cybersecurity risks, the applicability and effect of sanctions, and the employee base in Ukraine and Russia. In May 2023, the U.S. Department of Commerce implemented expanded measures that require us to obtain a license for the export, re-export, or transfer of specified medical equipment and spare parts to customers in Russia. The European Union and other countries have also expanded licensing requirements for certain spare parts and other items. We have successfully applied and continue to apply for the licenses required to supply to these customers. The implementation of these measures affected our ability to supply customers in Russia during the last three quarters of 2023 and will continue to do so as we continue to obtain licenses. There is no guarantee we will obtain all of the licenses for which we applied, that any approvals we obtain will be on a timely basis, or that our business in Russia will not be further disrupted due to evolving legal or operational considerations. The Board, together with management, will continue to assess whether developments related to the conflict have had, or are reasonably likely to have, a material impact on the Company.
Seasonality
Our revenues and operating profits vary from quarter to quarter. Revenues in the fourth quarter have historically been higher than in other quarters due to the spending patterns of our customers. In addition, cash from operating activities is typically higher in the fourth quarter sequentially as inventories are lower as a result of higher revenues.
48
OPERATION AS A STAND-ALONE COMPANY.
Financial Presentation Under GE Ownership
GE HealthCare utilized allocations and carve-out methodologies through the date of the Spin-Off to prepare historical combined financial statements. The combined financial statements herein for periods prior to the Spin-Off may not be indicative of our future performance, do not necessarily include the actual expenses that would have been incurred by us, and may not reflect our results of operations, financial position, and cash flows had we been a separate, stand-alone company during the historical periods presented. For additional information, see Note 1, “Organization and Basis of Presentation” to the consolidated and combined financial statements.
Stand-Alone Company Expenses
As a result of the Spin-Off, we are subject to the requirements of the federal and state securities laws and stock exchange requirements. We have established additional procedures and practices as a stand-alone public company. As a result, we have and will continue to incur additional costs related to external reporting, internal audit, treasury, investor relations, Board of Directors and officers, and stock administration.
Pension and Other Benefit-Related Liabilities
In connection with the Spin-Off, on January 1, 2023, GE HealthCare assumed a net postretirement benefit obligation of $4,045 million, in addition to the existing GE HealthCare net postretirement benefit obligation of $278 million, for a total net obligation of $4,323 million.
The value of the assets and liabilities as of December 31, 2023, including the plans sponsored by GE HealthCare prior to the Spin-Off, are shown in the table below. As a result of the liabilities and assets transferred to GE HealthCare on January 1, 2023, we disclose in the following table postretirement plans with assets or obligations that exceed $50 million as of December 31, 2023. Refer to Note 10, “Postretirement Benefit Plans” to the consolidated and combined financial statements for further details related to these plans.
| Projected benefit obligations | Fair value of plan assets | Funded status - surplus (deficit) | ||||||
|---|---|---|---|---|---|---|---|---|
| GE HealthCare Pension Plan | $ | 16,138 | $ | 14,700 | $ | (1,438) | ||
| GE HealthCare Supplementary Pension Plan | 2,022 | — | (2,022) | |||||
| Total Principal Pension Plans | 18,160 | 14,700 | (3,460) | |||||
| Other Pension Plans(1) | 4,588 | 4,518 | (70) | |||||
| OPEB Plans(1) | 1,133 | — | (1,133) | |||||
| Total | $ | 23,881 | $ | 19,218 | $ | (4,663) | ||
| (1) As defined in Note 10, “Postretirement Benefit Plans” to our consolidated and combined financial statements. |
Compensation
We have and expect to continue to institute competitive compensation policies and programs as an independent public company. The expense for these policies and programs will increase from the compensation expense allocated by GE in years prior to the Spin-Off, driven primarily by higher cash and stock compensation to retain employees and align more closely with industry peers.
SUMMARY OF KEY PERFORMANCE MEASURES
Management reviews and analyzes several key performance measures including Total revenues, Remaining Performance Obligations (“RPO”), Operating income, Net income attributable to GE HealthCare, Earnings per share – continuing operations, and Cash from (used for) operating activities – continuing operations. Management also reviews and analyzes Organic revenue*, Adjusted Earnings Before Interest and Taxes* (“Adjusted EBIT*”), Adjusted net income*, Adjusted tax expense*, Adjusted effective tax rate* (“Adjusted ETR*”), Adjusted earnings per share*, and Free cash flow*, which are non-GAAP financial measures. These measures are reviewed and analyzed in order to evaluate our business performance, identify trends affecting our business, allocate capital, and make strategic decisions, including those discussed below. See “Results of Operations” and “Liquidity and Capital Resources” below for further discussion on our key performance measures.
The non-GAAP financial measures should be considered along with the most directly comparable U.S. GAAP financial measures. Definitions of these non-GAAP financial measures, a discussion of why we believe they are useful to management and investors as well as certain of their limitations, and reconciliations to their most directly comparable U.S. GAAP financial measures are provided below under “Non-GAAP Financial Measures.”
____________________
*Non-GAAP Financial Measure
49
RESULTS OF OPERATIONS
The following tables set forth our results of operations for each of the periods presented.
| Consolidated and Combined Statements of Income | |||||||
|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||
| 2023 | 2022 | ||||||
| Sales of products | $ | 13,127 | $ | 12,044 | |||
| Sales of services | 6,425 | 6,297 | |||||
| Total revenues | 19,552 | 18,341 | |||||
| Cost of products | 8,465 | 7,975 | |||||
| Cost of services | 3,165 | 3,187 | |||||
| Gross profit | 7,922 | 7,179 | |||||
| Selling, general, and administrative | 4,282 | 3,631 | |||||
| Research and development | 1,205 | 1,026 | |||||
| Total operating expenses | 5,487 | 4,657 | |||||
| Operating income | 2,435 | 2,522 | |||||
| Interest and other financial charges – net | 542 | 77 | |||||
| Non-operating benefit (income) costs | (382) | (5) | |||||
| Other (income) expense – net | (86) | (62) | |||||
| Income from continuing operations before income taxes | 2,361 | 2,512 | |||||
| Benefit (provision) for income taxes | (743) | (563) | |||||
| Net income from continuing operations | 1,618 | 1,949 | |||||
| Income (loss) from discontinued operations, net of taxes | (4) | 18 | |||||
| Net income | 1,614 | 1,967 | |||||
| Net (income) loss attributable to noncontrolling interests | (46) | (51) | |||||
| Net income attributable to GE HealthCare | $ | 1,568 | $ | 1,916 |
TOTAL REVENUES AND RPO.
| Revenues by Segment | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||||||
| 2023 | 2022 | % change | % organic* change | ||||||||
| Segment revenues | |||||||||||
| Imaging | $ | 10,581 | $ | 9,985 | 6% | 7% | |||||
| Ultrasound | 3,457 | 3,422 | 1% | 2% | |||||||
| PCS | 3,142 | 2,916 | 8% | 8% | |||||||
| PDx | 2,306 | 1,958 | 18% | 18% | |||||||
| Other(1) | 66 | 60 | |||||||||
| Total revenues | $ | 19,552 | $ | 18,341 | 7% | 8% |
(1) Financial information not presented within the reportable segments, shown within the Other category, represents the HealthCare Financial Services (“HFS”) business which does not meet the definition of an operating segment.
| Revenues by Region | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||||
| 2023 | 2022 | % change | |||||||
| United States and Canada (“USCAN”) | $ | 8,551 | $ | 8,130 | 5% | ||||
| Europe, the Middle East, and Africa (“EMEA”) | 5,058 | 4,684 | 8% | ||||||
| China region | 2,785 | 2,531 | 10% | ||||||
| Rest of World | 3,158 | 2,996 | 5% | ||||||
| Total revenues | $ | 19,552 | $ | 18,341 | 7% |
____________________
*Non-GAAP Financial Measure
50
For the year ended December 31, 2023
Total revenues were $19,552 million, growing 7% or $1,211 million as reported and 8% organically*. The reported growth was primarily due to Sales of products growing 9% or $1,083 million as reported, with growth across all segments.
The segment revenues were as follows:
•Imaging segment revenues were $10,581 million, growing 6% or $596 million as reported due to an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 7% primarily due to growth in Magnetic Resonance and MI/CT product lines, due to supply chain fulfillment improvements, new product introductions, and an increase in price;
•Ultrasound segment revenues were $3,457 million, growing 1% or $35 million as reported due to an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 2% primarily due to growth in Cardiovascular and Point of Care and Handheld product lines due to new product introductions, an increase in price, and supply chain fulfillment improvements;
•PCS segment revenues were $3,142 million, growing 8% or $226 million due to growth in Monitoring Solutions and Consumables and Services product lines driven by an increase in price and operational improvements; and
•PDx segment revenues were $2,306 million, growing 18% or $348 million with growth across all regions due to an increase in price and improved demand.
The regional revenues were as follows:
•USCAN revenues were $8,551 million, growing 5% or $421 million due to growth across all segments;
•EMEA revenues were $5,058 million, growing 8% or $374 million due to growth in Imaging and PDx;
•China region revenues were $2,785 million, growing 10% or $254 million due to growth across all segments, partially offset by unfavorable foreign currency impacts; and
•Rest of World revenues were $3,158 million, growing 5% or $162 million due to growth in Imaging and PDx, partially offset by unfavorable foreign currency impacts.
| Remaining Performance Obligations | ||||||
|---|---|---|---|---|---|---|
| As of | ||||||
| December 31, 2023 | December 31, 2022 | % change | ||||
| Products | $ | 4,930 | $ | 4,992 | (1)% | |
| Services | 9,725 | 9,351 | 4% | |||
| Total RPO | $ | 14,655 | $ | 14,343 | 2% |
RPO represents the estimated revenue expected from customer contracts that are partially or fully unperformed inclusive of amounts deferred in contract liabilities, excluding contracts, or portions thereof, that provide the customer with the ability to cancel or terminate without incurring a substantive penalty. RPO as of December 31, 2023 increased 2% from December 31, 2022, primarily due to new and renewals of multi-year service contracts in USCAN and EMEA.
____________________
*Non-GAAP Financial Measure
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OPERATING INCOME, NET INCOME ATTRIBUTABLE TO GE HEALTHCARE, ADJUSTED EBIT*, AND ADJUSTED NET INCOME*.
| For the years ended December 31 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | % of Total revenues | 2022 | % of Total revenues | % change | |||||||||
| Operating income | $ | 2,435 | 12.5% | $ | 2,522 | 13.8% | (3)% | ||||||
| Net income attributable to GE HealthCare | 1,568 | 8.0% | 1,916 | 10.4% | (18)% | ||||||||
| Adjusted EBIT* | 2,956 | 15.1% | 2,861 | 15.6% | 3% | ||||||||
| Adjusted net income* | 1,797 | 9.2% | 2,103 | 11.5% | (15)% |
For the year ended December 31, 2023
Operating income was $2,435 million, a decrease of $87 million and 130 basis points as a percent of Total revenues. The decrease as a percent of Total revenues was due to the following factors:
•Cost of products sold increased $490 million but decreased 170 basis points as a percent of Sales of products. The decrease as a percent of sales was driven by cost productivity and an increase in pricing of our products, partially offset by cost inflation. Cost of services sold decreased $22 million or 130 basis points as a percent of Sales of services. The decrease as a percent of sales was driven by cost productivity and an increase in pricing of our service offerings, partially offset by cost inflation. Included in our total cost of revenue as part of our product investment was $438 million in engineering costs for design follow-through on new product introductions and product lifecycle maintenance subsequent to the initial product launch, compared to $429 million for the prior year comparable period; and
•Total operating expenses increased $830 million due to an increase in Selling, general, and administrative (“SG&A”) expense of $651 million driven by increased costs associated with both the one-time stand-up and recurring operations of a standalone company and commercial and marketing investments and an increase in R&D investments of $179 million. As a result, SG&A as a percentage of Total revenues increased by 210 basis points and R&D as a percentage of Total revenues increased by 60 basis points.
Net income attributable to GE HealthCare and Net income margin were $1,568 million and 8.0%, a decrease of $348 million and 240 basis points, respectively, primarily due to the following factors:
•Operating income decreased $87 million, as discussed above;
•Interest and other financial charges – net increased $465 million primarily due to interest expense related to the debt securities issued by GE HealthCare in November of 2022 and the Term Loan Facility drawn upon in January of 2023;
•Non-operating benefit income increased $377 million primarily related to the pension plans transferred to GE HealthCare as part of the Spin-Off; and
•Provision for income taxes increased $180 million primarily due to the tax effect of foreign currency movement, the impact of the Tax Matters Agreement, including the effect of completing the 2022 U.S. federal tax return, taxes accrued for the future repatriation of current earnings with a one-time charge for prior period earnings of certain of our foreign subsidiaries, and the impact of adjusting deferred tax assets and liabilities to standalone GE HealthCare tax rates. For additional detail regarding our income taxes, see Note 11, “Income Taxes” to the consolidated and combined financial statements.
Adjusted EBIT* and Adjusted EBIT margin* were $2,956 million and 15.1%, an increase of $95 million but a decrease of 50 basis points, respectively, primarily due to an increase in Total revenues, offset by an increase in Total operating expenses, excluding the impact of one-time Spin-Off and separation costs, as discussed above.
Adjusted net income* was $1,797 million, a decrease of $306 million primarily due to higher Interest and other financial charges – net, partially offset by an increase in Operating Income, excluding the impact of one-time Spin-Off and separation costs, as discussed above.
____________________
*Non-GAAP Financial Measure
52
RESULTS OF OPERATIONS – SEGMENTS
We exclude from Segment EBIT certain corporate-related expenses and certain transactions or adjustments that our Chief Operating Decision Maker (which is our Chief Executive Officer) considers to be non-operational, such as Interest and other financial charges – net, Benefit (provision) for income taxes, Restructuring costs, Acquisition and disposition-related benefits (charges), Spin-Off and separation costs, Non-operating benefit (income) costs, Gain (loss) on business and asset dispositions, Amortization of acquisition-related intangible assets, Net (income) loss attributable to noncontrolling interests, Income (loss) from discontinued operations, net of taxes, and Investment revaluation gain (loss). See “Results of Operations” section above for discussion on the performance of segments on revenue.
| Segment EBIT | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | ||||||||||||||||
| 2023 | % of segment revenues | 2022 | % of segment revenues | % change | ||||||||||||
| Segment EBIT | ||||||||||||||||
| Imaging | $ | 1,124 | 10.6 | % | $ | 1,100 | 11.0 | % | 2 | % | ||||||
| Ultrasound | 821 | 23.7 | % | 908 | 26.5 | % | (10) | % | ||||||||
| PCS | 383 | 12.2 | % | 341 | 11.7 | % | 12 | % | ||||||||
| PDx | 617 | 26.8 | % | 520 | 26.6 | % | 19 | % | ||||||||
| Other(1) | 11 | (8) | ||||||||||||||
| $ | 2,956 | $ | 2,861 | 3 | % |
(1)Financial information not presented within the reportable segments, shown within the Other category, represents the HFS business and certain other business activities which do not meet the definition of an operating segment.
For the year ended December 31, 2023
•Imaging Segment EBIT was $1,124 million, an increase of $24 million due to cost productivity, an increase in price, and growth in sales volume, largely offset by investments, liquidation of higher-cost inventory, and mix between our product and service offerings;
•Ultrasound Segment EBIT was $821 million, a decrease of $87 million due to cost inflation and investments, partially offset by cost productivity and an increase in price;
•PCS Segment EBIT was $383 million, an increase of $42 million due to cost productivity, an increase in price, and growth in sales volume, partially offset by investments and cost inflation; and
•PDx Segment EBIT was $617 million, an increase of $97 million due to an increase in price, growth in sales volume, and cost productivity, partially offset by cost inflation and investments.
____________________
*Non-GAAP Financial Measure
53
NON-GAAP FINANCIAL MEASURES
The non-GAAP financial measures presented in this Annual Report on Form 10-K are supplemental measures of our performance and our liquidity that we believe help investors understand our financial condition, cash flows, and operating results, and assess our future prospects. We believe that presenting these non-GAAP financial measures, in addition to the corresponding U.S. GAAP financial measures, are important supplemental measures that exclude non-cash or other items that may not be indicative of or related to our core operating results and the overall health of our company. We believe that these non-GAAP financial measures provide investors greater transparency to the information used by management for its operational decision-making and allow investors to see our results “through the eyes of management.” We further believe that providing this information assists our investors in understanding our operating performance and the methodology used by management to evaluate and measure such performance. When read in conjunction with our U.S. GAAP results, these non-GAAP financial measures provide a baseline for analyzing trends in our underlying businesses and can be used by management as one basis for making financial, operational, and planning decisions. Finally, these measures are often used by analysts and other interested parties to evaluate companies in our industry.
The non-GAAP financial measures we report include:
Organic revenue and Organic revenue growth rate
We believe that Organic revenue and Organic revenue growth rate, by excluding the effect of acquisitions, dispositions, and foreign currency rate fluctuations, provide management and investors with additional understanding and visibility into the underlying revenue trends of our established, ongoing operations. Organic revenue and Organic revenue growth rate also provide greater insight regarding the overall demand for our products and services.
Adjusted EBIT and Adjusted EBIT margin
We believe Adjusted EBIT and Adjusted EBIT margin provide management and investors with additional understanding of our business by highlighting the results from ongoing operations and the underlying profitability factors. These metrics exclude interest expense, interest income, non-operating benefit (income) costs, and tax expense, as well as non-recurring and/or non-cash items, which may have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. We believe this provides additional insight into how our businesses are performing, on a normalized basis. However, Adjusted EBIT and Adjusted EBIT margin should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Adjusted net income
We believe Adjusted net income provides investors with improved comparability of underlying operating results and a further understanding and additional transparency regarding how we evaluate our business. Adjusted net income also provides management and investors with additional perspective regarding the impact of certain significant items on our earnings. Adjusted net income excludes non-operating benefit (income) costs, certain tax expense adjustments, and non-recurring and/or non-cash items, which may have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. However, Adjusted net income should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Adjusted earnings per share
We believe Adjusted earnings per share provides investors with improved comparability of underlying operating results and a further understanding and additional transparency regarding how we evaluate our business. Adjusted earnings per share also provides management and investors with additional perspective regarding the impact of certain significant items on our per share earnings. Adjusted earnings per share excludes non-operating benefit (income) costs, certain tax expense adjustments, and non-recurring and/or non-cash items, which may have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. However, Adjusted earnings per share should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Adjusted tax expense and Adjusted effective tax rate
We believe that Adjusted tax expense and Adjusted effective tax rate provide investors with a better understanding of the normalized tax rate applicable to our business and provide more consistent comparability across periods. Adjusted tax expense excludes the income tax related to the pre-tax income adjustments included as part of Adjusted net income and certain income tax adjustments, such as adjustments to deferred tax assets or liabilities. In addition, we may from time to time consider excluding other nonrecurring tax items to enhance comparability between periods. Adjusted effective tax rate is Adjusted tax expense divided by Income before income taxes less pre-tax income adjustments detailed above in Adjusted net income. However, Adjusted tax expense and Adjusted effective tax rate should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
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Free cash flow
We believe that Free cash flow provides management and investors with an important measure of our ability to generate cash on a normalized basis. Free cash flow also provides insight into our flexibility to allocate capital, including reinvesting in the Company for future growth, paying down debt, paying dividends, and pursuing other opportunities that may enhance stockholder value. Free cash flow is Cash from (used for) operating activities – continuing operations including cash flows related to the additions and dispositions of PP&E and internal-use software as well as the impact of discontinued factoring programs. Interest expense associated with external debt that was historically held by GE is not recognized in the combined financial statements and related notes. Additionally, Free cash flow does not represent residual cash flows available for discretionary expenditures, due to the fact that the measures do not deduct the payments required for debt repayments.
Non-GAAP Reconciliations
Management recognizes that these non-GAAP financial measures have limitations, including that they may be calculated differently by other companies or may be used under different circumstances or for different purposes, thereby affecting their comparability from company to company. In order to compensate for these and the other limitations discussed below, management does not consider these measures in isolation from or as alternatives to the comparable financial measures determined in accordance with U.S. GAAP. Readers should review the reconciliations below and should not rely on any single financial measure to evaluate our business. The reconciliations of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure are provided below.
| Organic Revenue* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2023 | 2022 | % change | |||||||
| Imaging revenues | $ | 10,581 | $ | 9,985 | 6% | ||||
| Less: Acquisitions(1) | 1 | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (144) | — | |||||||
| Imaging Organic revenue* | $ | 10,724 | $ | 9,985 | 7% | ||||
| Ultrasound revenues | $ | 3,457 | $ | 3,422 | 1% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (43) | — | |||||||
| Ultrasound Organic revenue* | $ | 3,500 | $ | 3,422 | 2% | ||||
| PCS revenues | $ | 3,142 | $ | 2,916 | 8% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (16) | — | |||||||
| PCS Organic revenue* | $ | 3,158 | $ | 2,916 | 8% | ||||
| PDx revenues | $ | 2,306 | $ | 1,958 | 18% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (14) | — | |||||||
| PDx Organic revenue* | $ | 2,320 | $ | 1,958 | 18% | ||||
| Other revenues | $ | 66 | $ | 60 | 10% | ||||
| Less: Acquisitions(1) | — | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | 1 | — | |||||||
| Other Organic revenue* | $ | 65 | $ | 60 | 8% | ||||
| Total revenues | $ | 19,552 | $ | 18,341 | 7% | ||||
| Less: Acquisitions(1) | 1 | — | |||||||
| Less: Dispositions(2) | — | — | |||||||
| Less: Foreign currency exchange | (216) | — | |||||||
| Organic revenue* | $ | 19,767 | $ | 18,341 | 8% |
| (1) | Represents revenues attributable to acquisitions from the date the Company completed the transaction through the end of four quarters following the transaction. |
|---|---|
| (2) | Represents revenues attributable to dispositions for the four quarters preceding the disposition date. |
____________________
*Non-GAAP Financial Measure
55
| Adjusted EBIT* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2023 | 2022 | % change | |||||||
| Net income attributable to GE HealthCare | $ | 1,568 | $ | 1,916 | (18)% | ||||
| Add: Interest and other financial charges – net | 542 | 77 | |||||||
| Add: Non-operating benefit (income) costs | (382) | (5) | |||||||
| Less: Benefit (provision) for income taxes | (743) | (563) | |||||||
| Less: Income (loss) from discontinued operations, net of taxes | (4) | 18 | |||||||
| Less: Net (income) loss attributable to noncontrolling interests | (46) | (51) | |||||||
| EBIT* | $ | 2,521 | $ | 2,584 | (2)% | ||||
| Add: Restructuring costs(1) | 54 | 146 | |||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | (15) | (34) | |||||||
| Add: Spin-Off and separation costs(3) | 270 | 14 | |||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | (1) | |||||||
| Add: Amortization of acquisition-related intangible assets | 127 | 121 | |||||||
| Add: Investment revaluation (gain) loss(5) | (1) | 31 | |||||||
| Adjusted EBIT* | $ | 2,956 | $ | 2,861 | 3% | ||||
| Net income margin | 8.0% | 10.4% | (240) bps | ||||||
| Adjusted EBIT margin* | 15.1% | 15.6% | (50) bps |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| Adjusted Net Income* | For the years ended December 31 | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2023 | 2022 | % change | |||||||
| Net income attributable to GE HealthCare | $ | 1,568 | $ | 1,916 | (18)% | ||||
| Add: Non-operating benefit (income) costs | (382) | (5) | |||||||
| Add: Restructuring costs(1) | 54 | 146 | |||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | (15) | (34) | |||||||
| Add: Spin-Off and separation costs(3) | 270 | 14 | |||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | (1) | |||||||
| Add: Amortization of acquisition-related intangible assets | 127 | 121 | |||||||
| Add: Investment revaluation (gain) loss(5) | (1) | 31 | |||||||
| Add: Tax effect of reconciling items | 92 | (67) | |||||||
| Add: Certain tax adjustments(6) | 80 | — | |||||||
| Less: Income (loss) from discontinued operations, net of taxes | (4) | 18 | |||||||
| Adjusted net income* | $ | 1,797 | $ | 2,103 | (15)% |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| (6) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested and the impact of adjusting deferred tax assets and liabilities to standalone GE HealthCare tax rates. |
____________________
*Non-GAAP Financial Measure
56
| Adjusted Earnings Per Share* | For the years ended December 31 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| (In dollars, except shares outstanding presented in millions) | 2023 | 2022 | $ change | |||||||
| Diluted earnings per share – continuing operations | $ | 3.04 | $ | 4.18 | $ | (1.14) | ||||
| Add: Deemed preferred stock dividend of redeemable noncontrolling interest | 0.40 | — | ||||||||
| Add: Non-operating benefit (income) costs | (0.83) | (0.01) | ||||||||
| Add: Restructuring costs(1) | 0.12 | 0.32 | ||||||||
| Add: Acquisition and disposition-related charges (benefits)(2) | (0.03) | (0.07) | ||||||||
| Add: Spin-Off and separation costs(3) | 0.59 | 0.03 | ||||||||
| Add: (Gain) loss on business and asset dispositions(4) | — | (0.00) | ||||||||
| Add: Amortization of acquisition-related intangible assets | 0.28 | 0.27 | ||||||||
| Add: Investment revaluation (gain) loss(5) | (0.00) | 0.07 | ||||||||
| Add: Tax effect of reconciling items | 0.20 | (0.15) | ||||||||
| Add: Certain tax adjustments(6) | 0.17 | — | ||||||||
| Adjusted earnings per share*(7) | $ | 3.93 | $ | 4.63 | $ | (0.70) | ||||
| Diluted weighted-average shares outstanding | 458 | 454 |
| (1) | Consists of severance, facility closures, and other charges associated with restructuring programs. |
|---|---|
| (2) | Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions. |
| (3) | Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, Founders Grant equity awards, separation agreements with GE, and other one-time costs. |
| (4) | Consists of gains and losses resulting from the sale of assets and investments. |
| (5) | Primarily relates to valuation adjustments for equity investments. |
| (6) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested and the impact of adjusting deferred tax assets and liabilities to standalone GE HealthCare tax rates. |
| (7) | Adjusted earnings per share* amounts are computed independently, thus, the sum of per-share amounts may not equal the total. |
| Adjusted Tax Expense* and Adjusted ETR* | For the years ended December 31 | |||
|---|---|---|---|---|
| 2023 | 2022 | |||
| Benefit (provision) for income taxes | $ | (743) | $ | (563) |
| Add: Tax effect of reconciling items | 92 | (67) | ||
| Add: Certain tax adjustments(1) | 80 | — | ||
| Adjusted tax expense* | $ | (571) | $ | (630) |
| Effective tax rate | 31.5% | 22.4% | ||
| Adjusted effective tax rate* | 23.7% | 22.6% |
| Column 1 | Column 2 |
|---|---|
| (1) | Consists of certain income tax adjustments, including the accrual of a deferred tax liability on the prior period earnings of certain of the Company’s foreign subsidiaries for which the Company is no longer permanently reinvested and the impact of adjusting deferred tax assets and liabilities to standalone GE HealthCare tax rates. |
| Free Cash Flow* | For the years ended December 31 | |||||
|---|---|---|---|---|---|---|
| 2023 | 2022 | % change | ||||
| Cash from (used for) operating activities – continuing operations | $ | 2,101 | $ | 2,134 | (2)% | |
| Add: Additions to PP&E and internal-use software | (387) | (310) | ||||
| Add: Dispositions of PP&E | 1 | 4 | ||||
| Free cash flow* | $ | 1,715 | $ | 1,828 | (6)% |
____________________
*Non-GAAP Financial Measure
57
LIQUIDITY AND CAPITAL RESOURCES
As of December 31, 2023, our Cash, cash equivalents, and restricted cash balance was $2,504 million. We have historically generated positive cash flows from operating activities from continuing operations. Additionally, we have access to revolving credit facilities of $3,500 million in aggregate, described in detail in Note 9, “Borrowings” to the consolidated and combined financial statements. Historically, we relied on cash pooling arrangements with GE to manage liquidity and fund our operations. Upon completion of the Spin-Off, we ceased participation in GE cash pooling arrangements and our Cash, cash equivalents, and restricted cash are held and used solely for our own ongoing operations and commitments.
We believe that our existing balance of Cash, cash equivalents, and restricted cash, future cash generated from operating activities, access to capital markets, and existing credit facilities will be sufficient to meet the needs of our current and ongoing operations, pay taxes due, service our existing debt, and fund investments in our business for at least the next 12 months.
The following table summarizes our cash flows for the periods presented:
| Cash Flow | For the years ended December 31 | |||
|---|---|---|---|---|
| 2023 | 2022 | |||
| Cash from (used for) operating activities – continuing operations | $ | 2,101 | $ | 2,134 |
| Cash from (used for) investing activities – continuing operations | (558) | (398) | ||
| Cash from (used for) financing activities – continuing operations | (478) | (822) | ||
| Free cash flow* | 1,715 | 1,828 |
Operating Activities
Cash generated from operating activities in the year ended December 31, 2023 was $2,101 million and included Net income from continuing operations of $1,618 million, non-cash charges for depreciation and amortization of $610 million, and a $127 million outflow from changes in assets and liabilities, primarily driven by company-funded benefit payments for postretirement benefit plans and an increase in receivables, partially offset by lower cash taxes paid and a decrease in inventories.
Cash generated from operating activities in the year ended December 31, 2022 was $2,134 million and included Net income from continuing operations of $1,949 million, non-cash charges for depreciation and amortization of $633 million, and a $448 million outflow from changes in assets and liabilities, primarily driven by an increase in inventory, higher cash taxes paid, and an increase in receivables, partially offset by an increase in accounts payable.
Investing Activities
Cash used for investing activities in the year ended December 31, 2023 was $558 million and primarily included additions to PP&E of $387 million related primarily to manufacturing capacity expansion, new product introductions, and purchases of businesses, net of cash acquired, of $147 million primarily related to Caption Health, Inc. (“Caption Health”). On February 17, 2023, we acquired Caption Health, an AI company whose technology expands access to AI-guided ultrasound screening for novice users.
Cash used for investing activities in the year ended December 31, 2022 was $398 million and primarily included additions to PP&E of $310 million related primarily to manufacturing capacity expansion, and new product introductions.
Financing Activities
Cash used for financing activities in the year ended December 31, 2023 was $478 million and primarily included $1,317 million of transfers to GE, $850 million partial repayment of our outstanding Term Loan Facility, and $211 million of redemption of noncontrolling interests, partially offset by $2,000 million drawdown of the Term Loan Facility.
Cash used for financing activities in the year ended December 31, 2022 was $822 million and primarily included $8,934 million of transfers to GE, partially offset by $8,198 million of newly issued debt.
Free cash flow*
Free cash flow* was $1,715 million for the year ended December 31, 2023 and primarily included $2,101 million of cash generated from operating activities, partially offset by $387 million of cash used for additions to PP&E.
Free cash flow* was $1,828 million for the year ended December 31, 2022 and primarily included $2,134 million of cash generated from operating activities, partially offset by $310 million of cash used for additions to PP&E.
____________________
*Non-GAAP Financial Measure
58
Capital Expenditures
Cash used for capital expenditures was $387 million and $310 million for the years ended December 31, 2023 and 2022, respectively. Capital expenditures were primarily for manufacturing capacity expansion, and equipment and tooling for new and existing products including new product introductions.
Material Cash Requirements
In the normal course of business, we enter into contracts and commitments that obligate us to make payments in the future. Information regarding our obligations under lease, debt, and purchase arrangements are provided in Note 7, “Leases,” Note 9, “Borrowings,” and Note 14, “Commitments, Guarantees, Product Warranties, and Other Loss Contingencies,” to the consolidated and combined financial statements contained elsewhere in this Annual Report on Form 10-K. Additionally, we have material cash requirements related to our pension obligations as described in Note 10, “Postretirement Benefit Plans,” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K.
Debt and Credit Facilities
As part of our capital structure, we have incurred debt. The servicing of this debt will be supported by cash flows from our operations. As of December 31, 2023, we had $9,442 million of total debt compared to $8,249 million as of December 31, 2022. The increase in debt was mainly driven by drawdown of the Term Loan Facility by $2,000 million in connection with our Spin-Off in January 2023, partially offset by $850 million repayment of the outstanding Term Loan Facility in December 2023.
The weighted average interest rate for the Notes and our Credit Facilities for the year ended December 31, 2023 was 6.03%. We had no principal debt repayments on the Notes for the year ended December 31, 2023.
In addition to the Term Loan Facility, our credit facilities include a five-year senior unsecured revolving facility that provides borrowings of up to $2,500 million expiring in January 2028, and a 364-day senior unsecured revolving facility that provides borrowings of up to $1,000 million expiring in December 2024. As of December 31, 2023, there were no outstanding borrowings on either of the two revolving facilities.
The Credit Facilities include various customary covenants that limit, among other things, the incurrence of liens securing debt, the entry into certain fundamental change transactions by GE HealthCare, and the maximum permitted leverage ratio. As of December 31, 2023, we were in compliance with the covenant requirements, including the maximum consolidated net leverage ratio.
For additional details on debt and credit facilities, see Note 9, “Borrowings” to the consolidated and combined financial statements.
Access to Capital and Credit Ratings
We have historically relied, via GE, on the debt capital markets to fund a significant portion of our operations. Concurrent with our Spin-Off, we accessed the capital markets and raised $10,250 million of debt by issuing $8,250 million of senior unsecured notes in November 2022, and completed a drawdown of the Term Loan Facility of $2,000 million in January 2023. In addition, we were able to arrange revolving credit facilities of $3,500 million to further support our liquidity needs. We plan to continue to rely on capital markets, and we expect to have access to credit facilities to fund our operations. The cost and availability of debt financing will be influenced by our credit ratings and market conditions. Moody’s Investors Service (“Moody’s”), Standard and Poor’s Global Ratings (“S&P”), and Fitch Ratings (“Fitch”) currently issue ratings on our long-term debt. Our credit ratings as of January 30, 2024 are set forth in the table below. In the fourth quarter of 2023, Fitch affirmed our long term rating, and Moody’s issued their credit opinion consistent with our ratings listed below.
| Moody’s | S&P | Fitch | |
|---|---|---|---|
| Long-term rating | Baa2 | BBB | BBB |
| Outlook | Stable | Stable | Stable |
We are disclosing our credit ratings to enhance the understanding of our sources of liquidity and the effects of our ratings on our costs of funds and access to liquidity. Our ratings may be subject to a revision or withdrawal at any time by the assigning rating organization, and each rating should be evaluated independently of any other rating.
RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
For a discussion of recently issued accounting standards, see Note 2, “Summary of Significant Accounting Policies” to the consolidated and combined financial statements appearing elsewhere in this Annual Report on Form 10-K.
CRITICAL ACCOUNTING ESTIMATES
Our financial results are affected by the selection and application of accounting policies and methods. We have adopted accounting policies to prepare our consolidated and combined financial statements in conformity with U.S. GAAP.
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To prepare our consolidated and combined financial statements in accordance with U.S. GAAP, management makes estimates and assumptions that may affect the reported amounts of our assets and liabilities, including our contingent liabilities, as of the date of our consolidated and combined financial statements, and the reported amounts of our revenues and expenses during the reporting periods. Our actual results may differ from these estimates. We consider estimates to be critical (i) if we are required to make assumptions about material matters that are uncertain at the time of estimation or (ii) if materially different estimates could have been made or it is reasonably likely that the accounting estimate will change from period to period. The following are areas considered to be critical and require management’s judgment: Revenue Recognition, Business Combination Related Measurements, Pensions, and Income Taxes.
See Note 2, “Summary of Significant Accounting Policies” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our significant accounting policies.
REVENUE RECOGNITION.
Our revenues are recorded based on the consideration specified in customer contracts net of any sales incentives, discounts, returns, chargebacks, group purchasing organization fees, rebates, or credits, which are accounted for as estimated variable consideration. Our estimates for these deductions are based upon historical experience and consider current and forecasted market trends. We record the estimated amounts as a reduction to revenue when we recognize the related product or service sale.
Chargebacks are a form of variable consideration that occur when a contracted customer purchases through an intermediary wholesaler. The contracted customer generally purchases product from the wholesaler at its contracted price plus a mark-up. The wholesaler, in turn, charges us back for the difference between the price initially paid by the wholesaler and the contract price paid to the wholesaler by the contracted customer. A provision for outstanding chargebacks is recorded at the time we recognize revenue from the sale to the wholesaler and requires certain estimates such as the wholesaler chargeback rates, the expected sell-through levels by our wholesale customers to contracted customers, as well as estimated wholesaler inventory levels.
The amounts of variable consideration included in the net transaction price for revenue recognition are limited to the amounts that are estimated to be probable of occurrence to avoid a material revenue reversal in a future period.
See Note 3, “Revenue Recognition” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on revenue recognition.
BUSINESS COMBINATION RELATED MEASUREMENTS.
Our consolidated and combined financial statements include the operations of an acquired business starting from the completion of the combination. The assets acquired and liabilities assumed, including any contingent consideration we may be liable to pay in the future, are recorded on the date of the business combination at their respective estimated fair values, with any excess of the purchase price over the estimated fair values of the net assets acquired recorded as goodwill. Our business combinations typically result in the recognition of goodwill, developed technology, and other intangible assets, which affect the amount of future period amortization expense. The fair values of acquired intangible assets and liabilities are determined using information available at the business combination date based on estimates and assumptions that are deemed reasonable. Significant assumptions vary by the class of asset or liability and the valuation technique used and can include the discount rates, timing, and probability of achieving regulatory and commercialization milestones and certain assumptions that form the basis of the forecasted results of the acquired business including revenue; earnings before interest, taxes, depreciation and amortization; growth rates; royalty rates; and technology obsolescence rates. These assumptions are forward-looking and could be affected by future economic and market conditions. We engage third-party valuation specialists who review our critical assumptions and prepare the calculations of the fair value of acquired intangible assets in connection with significant business combinations.
See Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our business combinations.
PENSIONS.
Pension benefits are calculated using significant inputs to the actuarial models that measure pension benefit obligations and related effects on operations. Two assumptions, discount rate and expected return on assets, are important elements of plan expense and related asset and liability measurement. The Company evaluates these critical assumptions at least annually on a plan and country-specific basis. The Company periodically evaluates other assumptions involving demographic factors such as retirement age, mortality, and turnover, and updates them to reflect our experience and expectations for the future. Actual results in any given year often will differ from actuarial assumptions because of economic and other factors.
Projected benefit obligations (“PBO”) are measured as the present value of expected payments. We discount those cash payments using the weighted average of market-observed yields for high-quality fixed-income securities with maturities that correspond to the expected timing of benefit payment. Generally, lower discount rates increase present values and increase subsequent-year pension expense; higher discount rates decrease present values and decrease subsequent-year pension expense.
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A 50 basis point change in the assumed discount rate would have the following effects on the calculation of net periodic benefit costs in 2024 and PBO and accumulated postretirement benefit obligation (“APBO”) as of December 31, 2023:
| Discount Rate Sensitivity | ||||||||
|---|---|---|---|---|---|---|---|---|
| Principal Pension Plans | Other Pension Plans | Other Postretirement Plans | ||||||
| 50 bps increase in discount rate | ||||||||
| Impact on PBO/APBO at December 31, 2023 | $ | (859) | $ | (296) | $ | (37) | ||
| Impact on service cost and interest cost in 2024 | 37 | 6 | 3 | |||||
| 50 bps decrease in discount rate | ||||||||
| Impact on PBO/APBO at December 31, 2023 | $ | 940 | $ | 318 | $ | 40 | ||
| Impact on service cost and interest cost in 2024 | (42) | (7) | (3) |
The deficit sensitivity to the discount rate would be lower than the projected benefit obligation sensitivity as a result of the liability hedging program incorporated in the plan’s asset allocation.
To determine the expected long-term rate of return on pension plan assets, we consider current and target asset allocations, as well as historical and expected returns on various categories of plan assets. In developing future long-term return expectations for our principal benefit plans’ assets, we formulate views on the future economic environment, both in the U.S. and abroad. We evaluate general market trends and historical relationships among a number of key variables that impact asset class returns such as expected earnings growth, inflation, valuations, yields, and spreads, using both internal and external sources. We also consider expected volatility by asset class and diversification across classes to determine expected overall portfolio results given current and target allocations. A 1% change in the assumed expected long-term rate of return on plan assets would increase or decrease the 2024 net periodic benefit costs of these plans by $207 million.
Our pension plan assets contain financial instruments that are measured at fair value. While the majority of these assets are valued based on quoted prices for identical or similar instruments in active markets, the fair value of certain assets is estimated using significant unobservable inputs (Level 3). These assets primarily relate to real estate and private equity investments.
For pension benefits and retiree health and life benefits transferred from GE on January 1, 2023, third-party actuaries were engaged to assist in the valuation of transferred pension assets and liabilities using assumptions provided by GE which the Company reviewed prior to recording amounts in our combined financial statements.
See Note 10, “Postretirement Benefit Plans” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our postretirement benefit plans.
INCOME TAXES.
For periods prior to the Spin-Off, GE HealthCare is included in the combined U.S. federal, state, and foreign income tax returns of GE, where eligible. However, we have adopted the separate return approach for purposes of our combined financial statements. The income tax provisions and related deferred tax assets and liabilities reflected in our combined financial statements for the periods ended December 31, 2022 and 2021 have been estimated as if we were a separate taxpayer.
Our annual tax expense is based on our income, statutory tax rates, and tax incentives available to us in the various jurisdictions in which we operate. Changes in existing tax laws or rates could significantly impact the estimate of our tax liabilities. Deferred tax assets represent amounts available to reduce income taxes payable on taxable income in future years. Such assets arise because of temporary differences between the financial reporting and tax bases of assets and liabilities, as well as from net operating loss and tax credit carryforwards. We evaluate the recoverability of these future tax deductions and credits by assessing the adequacy of future expected taxable income from all sources, including reversal of taxable temporary differences, forecasted operating earnings, and available tax planning strategies. These sources of income rely heavily on estimates; we use our historical experience as well as our short- and long-range business forecasts to provide insight.
Significant judgment is required in determining our tax expense and in evaluating our tax positions, including evaluating uncertainties. We recognize tax benefits from uncertain tax positions only if we believe that it is more likely than not that the tax position will be sustained on examination by the relevant taxing authorities based on the technical merits of the position. Our policy is to adjust these reserves when facts and circumstances change, such as the settlement or effective settlement of positions with the relevant taxing authorities. We have provided for the amounts we believe will ultimately result from these changes; however, due to the complexity of some of these uncertainties, the ultimate resolution may result in a payment that is materially different from our current estimate of the tax liabilities. Such differences will be reflected as increases or decreases to income tax expense in the period in which they are determined.
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See Note 11, “Income Taxes” to the consolidated and combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on income taxes.
FY 2022 10-K MD&A
SEC filing source: 0001932393-23-000025.
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the combined financial statements and corresponding notes included elsewhere in this Annual Report on Form 10-K. The following discussion and analysis provides information management believes to be relevant to understanding the financial condition and results of operations of GE HealthCare Technologies Inc. for the years ended December 31, 2022 and 2021. For additional information on the year ended December 31, 2020 and year-over-year comparisons to December 31, 2021, refer to "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Form 10-12B/A filed with the SEC on December 2, 2022. This discussion contains forward-looking statements that are based upon current expectations and are subject to uncertainty and changes in circumstances. Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those discussed below and elsewhere in this Annual Report on Form 10-K, particularly in "Item 1A. Risk Factors." Actual results may differ materially from these expectations, see “Forward-Looking Statements.”
The following tables are presented in millions of U.S. dollars unless otherwise stated, except for per-share amounts which are presented in U.S. dollars.
BUSINESS OVERVIEW
OUR BUSINESS.
GE HealthCare Technologies Inc. is a leading global medical technology, pharmaceutical diagnostics, and digital solutions innovator. We generate revenues from the sale of medical devices, single-use and consumable products, service capabilities, and digital solutions. Our customers are healthcare providers and researchers, including public, private, and academic institutions. Our products, services, and solutions enable clinicians to make more informed decisions quickly and efficiently, improving patient care from diagnosis to therapy to monitoring. We sell our products through a combination of a global sales force and a network of channel partners, including distributors and other third parties. We are organized into four business segments that are aligned with the industries we serve: Imaging, Ultrasound, PCS, and PDx.
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TRENDS AND FACTORS IMPACTING OUR PERFORMANCE
We believe that our performance and future success depend on a number of factors that present significant opportunities for us but also pose risks and challenges, including those discussed below and in "Item 1A. Risk Factors."
KEY TRENDS AFFECTING RESULTS OF OPERATIONS.
Manufacturing, Sourcing and Supply Chain Management
Our suppliers must provide us with quality products in substantial quantities, in compliance with regulatory requirements, at acceptable costs and on a timely basis. Competition for resources throughout the supply chain, such as production and transportation capacities, has increased over the course of the last two years. Trends affecting the supply chain include the impact of increasing prices of labor and raw materials as well as limitations on capacity and increased cost of shipping. In addition, the announcement or imposition of any new or increased tariffs, duties, or taxes could adversely affect our supply chain.
COVID-19 Pandemic
Factors related directly and indirectly to the COVID-19 pandemic have been impacting operations and financial performance at varying levels across our business: refer to the respective segment sections below for further details on specific COVID-19 impacts on results.
We continue to actively monitor the pandemic, attempt to take steps to identify and mitigate the adverse impacts and risks to the business, and take appropriate actions to promote the safety of our employees, customers, and other business partners, including, as required, by government authorities.
Russia and Ukraine Conflict
The implications related to Russia’s invasion of Ukraine, both short- and long-term, are difficult to predict. While we cannot estimate the broader impact of this conflict on our business due to the high degree of uncertainty related to the dynamic nature of these events and the numerous potentially destabilizing economic, political, and geopolitical developments stemming from this conflict, these two countries represent a small portion of our business. We had $143 million and $194 million of assets in or directly related to these two countries as of December 31, 2022, and December 31, 2021, respectively, none of which are subject to sanctions that impact the carrying value of the assets. We generated revenues of $395 million and $356 million from customers in these two countries for the years ended December 31, 2022, and December 31, 2021, respectively. The potential inability to repatriate earnings from these two countries will not have a material impact on our ability to operate.
We continue to monitor the effects of Russia’s invasion of Ukraine, including the consideration of financial impact, cybersecurity risks, the applicability and effect of sanctions, and the employee base in Ukraine and Russia. The Board of Directors of GE oversaw and monitored those risks prior to the Spin-Off. Our Board assumed oversight of these risks upon completion of the Spin-Off and, with management, will continue to assess whether developments related to the conflict have had, or are reasonably likely to have, a material impact on the Company.
Given the nature of our products, we do not believe that the current sanctions and other measures imposed by the U.S., European Union, and other countries preclude us from conducting business in Ukraine and Russia, as these sanctions provide for exemptions for medicines and medical devices. However, these constantly evolving measures and the geopolitical choices of some of our parts and logistics providers have made and will continue to make it more burdensome and costly to serve customers in Ukraine and Russia. We continue to monitor contract manufacturing activities for the local market. We have discontinued sales and services to all military customers in Russia and, based on the ongoing review of our remaining activities in Russia, we continue sales and services to private medical institutions and certain government customers in Russia, such as government-owned hospitals, in accordance with applicable sanctions. With the current uncertainty in Russia and Ukraine and to ensure continuity of supply of our products and services to our customers, we are closely monitoring the performance of our suppliers and sub-tier suppliers. In addition, we are monitoring the impact of the potential Russian oil supply and energy interruptions in Europe on the capacity of our facilities and of our suppliers. To mitigate these risks, we are utilizing strategic inventory of materials and finished goods and additional sources of supply.
Seasonality
Our revenues and operating profits vary from quarter to quarter. Revenues in the fourth quarter have historically been higher than in other quarters due to the spending patterns of our customers. In addition, Cash provided from operating activities is typically higher in the fourth quarter sequentially as inventories are lower as a result of higher revenues.
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TRANSITION TO STAND-ALONE COMPANY.
Relationship with GE
GE Healthcare Holding LLC was formed as a Delaware limited liability corporation on May 16, 2022 for the purpose of receiving, pursuant to a reorganization, all of the assets of GE's Healthcare business. On December 29, 2022, GE Healthcare Holding LLC converted into a Delaware corporation pursuant to a statutory conversion and was renamed GE HealthCare Technologies Inc. On January 3, 2023, GE distributed shares representing approximately 80.1% of GE HealthCare Technologies Inc.’s outstanding common stock to holders of record of GE’s common stock as of the close of business on December 16, 2022 (the "Distribution"), in a Spin-Off that is tax-free for U.S. federal tax purposes. The Spin-Off was subject to receipt of a private letter ruling, received November 1, 2022, from the tax authorities to the effect that the Distribution and certain related transactions will qualify as tax-free to GE and its stockholders under Sections 355 and 368 of the Code. Following the Distribution, GE HealthCare Technologies Inc. became an independent, publicly traded company. For additional information, see Note 1, "Organization and Basis of Presentation" and Note 19, "Subsequent Events" to our combined financial statements.
GE HealthCare utilized allocations and carve-out methodologies through the date of the Spin-Off to prepare historical combined financial statements. The combined financial statements herein for periods prior to the Spin-Off may not be indicative of our future performance, do not necessarily include the actual expenses that would have been incurred by us, and may not reflect our results of operations, financial position, and cash flows had we been a separate, stand-alone company during the historical periods presented. For additional information, see Note 1, "Organization and Basis of Presentation" to our combined financial statements.
Historically, we have relied on GE to manage certain aspects of our operations and provide us certain services, the costs of which have historically been either allocated or directly billed to us. Historical costs for such services may not necessarily reflect the actual expenses we would have incurred, or will incur, as an independent company. In connection with the Spin-Off, we entered into the Separation and Distribution Agreement with GE as well as other agreements with GE, including a Transition Services Agreement, a Tax Matters Agreement, an Employee Matters Agreement, a Trademark License Agreement and Intellectual Property Cross License Agreements, as described in "Item 13. Certain Relationships and Related Transactions, and Director Independence." We generally expect to be able to utilize GE’s services for a transitional period following the Spin-Off before we replace these services over time with services supplied either internally or by third parties. The expenses for the services we will receive from GE initially and then internally or by third parties may vary from the historical costs directly billed and allocated to us for the same services. We will face challenges as we transition to becoming a stand-alone public company, including the establishment of new functions that were previously provided by GE. Addressing the needs that arise from becoming a stand-alone company will require significant resources, including time and attention from our senior management and others throughout the Company. We will continue to monitor potential separation dis-synergies, as we may lose the benefit of the scale and buying power of GE, and we anticipate incurring one-time costs associated with creating our own capabilities.
Stand-Alone Company Expenses
As a result of the Spin-Off, we are subject to the requirements of the federal and state securities laws and stock exchange requirements. We have begun to establish additional procedures and practices as a stand-alone public company. As a result, we have started to and will continue to incur additional costs related to external reporting, internal audit, treasury, investor relations, Board of Directors and officers, and stock administration.
Pension and Other Benefit-Related Liabilities
In connection with the Spin-Off, on January 1, 2023 GE transferred certain plan liabilities and assets to GE HealthCare. The amounts related to the plans assumed by GE HealthCare on January 1, 2023, in addition to the existing GE HealthCare plans, are shown in the table below.
| Projected benefit obligations | Fair value of plan assets | Funded status - surplus (deficit) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| GE HealthCare Pension Plan | $ | 15,968 | $ | 14,860 | $ | (1,108) | |||
| GE HealthCare Supplementary Pension Plan | 2,032 | — | (2,032) | ||||||
| Other Pension Plans | 3,743 | 4,048 | 305 | ||||||
| Retiree Benefit Plans | 1,210 | — | (1,210) | ||||||
| Total transferred plans | 22,953 | 18,908 | (4,045) | ||||||
| Plans sponsored by GE HealthCare(a) | 703 | 425 | (278) | ||||||
| Total | $ | 23,656 | $ | 19,333 | $ | (4,323) | |||
| (a) Refer to Note 10, "Postretirement Benefit Plans" to our combined financial statements for more details. |
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We have qualified plans that are subject to regulatory funding and non-qualified plans which are funded by the Company as benefits are due. Based on our current assumptions, we do not anticipate having to make additional required contributions to the GE HealthCare Pension Plan in the near future. We expect to pay approximately $141 million for benefit payments under our GE HealthCare Supplementary Pension Plan and approximately $54 million for benefit payments for other pension plans transferred in connection with the Spin-Off from GE in 2023. We fund retiree health benefits on a pay-as-you-go basis. We expect to pay approximately $146 million in 2023 to fund such benefits. In 2023, we expect to contribute approximately $19 million to our existing plans sponsored by GE HealthCare. For additional detail regarding our pension policy and significant pension plans, please see the “Critical Accounting Estimates” section below and see Note 10, “Postretirement Benefit Plans” to the combined financial statements.
Compensation
We expect to institute competitive compensation policies and programs as an independent public company. The expense for these policies and programs will increase from the compensation expense allocated by GE in our combined financial statements and related notes, driven primarily by higher cash and stock compensation to retain employees and align more closely with industry peers.
SUMMARY OF KEY PERFORMANCE MEASURES
Management reviews and analyzes several key performance measures including Total revenues, Remaining Performance Obligations (“RPO”), Operating income, Net income attributable to GE HealthCare, Earnings per share - continuing operations, and Cash flow from operations. Management also reviews and analyzes Organic revenue*, Adjusted Earnings Before Interest and Taxes (Adjusted EBIT*), Adjusted net income*, Adjusted earnings per share*, and Free cash flow*, which are non-GAAP financial measures. These measures are reviewed and analyzed in order to evaluate our business performance, identify trends affecting our business, allocate capital, and make strategic decisions, including those discussed below. The non-GAAP financial measures should be considered along with the most directly comparable U.S. GAAP financial measures. Definitions of these non-GAAP financial measures, a discussion of why we believe they are useful to management and investors as well as certain of their limitations, and reconciliations to their most directly comparable U.S. GAAP financial measures are provided below under “Non-GAAP Financial Measures.”
| Total Revenues | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||||
| 2022 | 2021 | % change | % organic* change | ||||||
| Total revenues | $ | 18,341 | $ | 17,585 | 4 | % | 7 | % |
Total revenues were $18,341 million for the year ended December 31, 2022, an increase of $756 million, or 4% as reported and 7% organically* from the year ended December 31, 2021, primarily driven by increases in Imaging and Ultrasound revenues. See "Total revenues" section below for further information.
| Remaining Performance Obligations | ||||||
|---|---|---|---|---|---|---|
| As of December 31 | ||||||
| 2022 | 2021 | % change | ||||
| Products | $ | 4,992 | $ | 4,543 | 10% | |
| Services | 9,351 | 10,028 | (7)% | |||
| Total RPO | $ | 14,343 | $ | 14,571 | (2)% |
RPO represents the estimated revenue expected from customer contracts that are partially or fully unperformed inclusive of amounts deferred in contract liabilities, excluding contracts, or portions thereof, that provide the customer with the ability to cancel or terminate without incurring a substantive penalty. RPO as of December 31, 2022 decreased 2% to $14,343 million from December 31, 2021, primarily due to the timing of multi-year service contract renewals in the U.S., partially offset by an increase in product orders in the U.S., China, and Europe.
| Business Performance | ||||||
|---|---|---|---|---|---|---|
| For the years ended December 31 | ||||||
| 2022 | 2021 | % change | ||||
| Operating income | $ | 2,522 | $ | 2,795 | (10)% | |
| Net income attributable to GE HealthCare | 1,916 | 2,247 | (15)% | |||
| Adjusted EBIT* | 2,861 | 3,172 | (10)% | |||
| Adjusted net income* | 2,103 | 2,347 | (10)% |
____________________
*Non-GAAP Financial Measure
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Operating income was $2,522 million for the year ended December 31, 2022, a decrease of $273 million or 10% from the year ended December 31, 2021. Net income attributable to GE HealthCare was $1,916 million for the year ended December 31, 2022, a decrease of $331 million or 15% from the year ended December 31, 2021. This was mainly attributable to inflationary cost pressures and planned increases in Research and development and commercial investments, partially offset by an increase in Total revenues.
Adjusted EBIT* was $2,861 million for the year ended December 31, 2022, a decrease of $311 million or 10% from the year ended December 31, 2021. Adjusted net income* was $2,103 million for the year ended December 31, 2022, a decrease of $244 million or 10% from the year ended December 31, 2021. This was mainly attributable to a decrease in Operating income. See “Operating income, Net Income Attributable to GE HealthCare, Adjusted EBIT*, and Adjusted Net Income*” below for further information.
| Cash Flow | ||||||
|---|---|---|---|---|---|---|
| For the years ended December 31 | ||||||
| 2022 | 2021 | % change | ||||
| Cash from (used for) operating activities – continuing operations | $ | 2,134 | $ | 1,607 | 33% | |
| Free cash flow* | 1,828 | 2,827 | (35)% |
Cash generated from operating activities – continuing operations was $2,134 million for the year ended December 31, 2022, an increase of $527 million or 33% from the year ended December 31, 2021. Cash generated in the year ended December 31, 2022 was higher as compared to the year ended December 31, 2021, primarily driven by $1,453 million lower impact from the discontinuation of factoring programs in 2021 and an increase in accounts payable partially offset by an increase in receivables excluding the impact of factoring programs, a decrease in Net income from continuing operations, and higher cash taxes paid mainly due to mandatory capitalization of research and development costs under the Tax Cuts and Jobs Act (“TCJA”) beginning in 2022.
Free cash flow* was $1,828 million for the year ended December 31, 2022, a decrease of $999 million or 35% from the year ended December 31, 2021, primarily driven by an increase in receivables excluding the impact of factoring programs, a decrease in Net income from continuing operations, and higher cash taxes paid mainly due to mandatory capitalization of research and development costs under the TCJA beginning in 2022.
____________________
*Non-GAAP Financial Measure
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RESULTS OF OPERATIONS
The following tables set forth our results of operations for each of the periods presented:
| Combined Statements of Income | |||||
|---|---|---|---|---|---|
| For the years ended December 31 | |||||
| 2022 | 2021 | ||||
| Sales of products | $ | 12,044 | $ | 11,165 | |
| Sales of services | 6,297 | 6,420 | |||
| Total revenues | 18,341 | 17,585 | |||
| Cost of products | 7,975 | 7,196 | |||
| Cost of services | 3,187 | 3,215 | |||
| Gross profit | 7,179 | 7,174 | |||
| Selling, general, and administrative | 3,631 | 3,563 | |||
| Research and development | 1,026 | 816 | |||
| Total operating expenses | 4,657 | 4,379 | |||
| Operating income | 2,522 | 2,795 | |||
| Interest and other financial charges—net | 77 | 40 | |||
| Non-operating benefit (income) costs | (5) | 3 | |||
| Other (income) expense—net | (62) | (123) | |||
| Income from continuing operations before income taxes | 2,512 | 2,875 | |||
| Benefit (provision) for income taxes | (563) | (600) | |||
| Net income from continuing operations | 1,949 | 2,275 | |||
| Income (loss) from discontinued operations, net of taxes | 18 | 18 | |||
| Net income | 1,967 | 2,293 | |||
| Net (income) loss attributable to noncontrolling interests. | (51) | (46) | |||
| Net income attributable to GE HealthCare | $ | 1,916 | $ | 2,247 | |
| Per share data: | |||||
| Basic and diluted earnings per share – continuing operations(a) | $ | 4.18 | $ | 4.91 | |
| Basic and diluted earnings per share – discontinued operations(a) | $ | 0.04 | $ | 0.04 |
(a)On January 3, 2023, there were approximately 454 million shares of GE HealthCare common stock outstanding, including the 19.9% interest in our outstanding shares of common stock retained by GE following the Distribution. The computation of basic and diluted earnings per common share for all periods through December 31, 2022 was calculated using this same number of common shares outstanding since no GE HealthCare equity awards were outstanding as of the Distribution Date and is net of Net (income) loss attributable to noncontrolling interest which is fully associated with continuing operations.
TOTAL REVENUES.
| Revenues by Segment | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||||
| 2022 | 2021 | % change | % organic* change | ||||||
| Segment revenues | |||||||||
| Imaging | $ | 9,985 | $ | 9,433 | 6 | % | 10 | % | |
| Ultrasound | 3,422 | 3,172 | 8 | 6 | |||||
| PCS | 2,916 | 2,915 | 0 | 3 | |||||
| PDx | 1,958 | 2,018 | (3) | 2 | |||||
| Other(a) | 60 | 47 | |||||||
| Total revenues | $ | 18,341 | $ | 17,585 | 4 | % | 7 | % |
(a)Financial information not presented within the reportable segments, shown within the Other category, represents the HealthCare Financial Services (“HFS”) business which does not meet the definition of an operating segment.
____________________
*Non-GAAP Financial Measure
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| Revenues by Region | |||||||
|---|---|---|---|---|---|---|---|
| For the years ended December 31 | |||||||
| 2022 | 2021 | % change | |||||
| USCAN(a) | $ | 8,130 | $ | 7,373 | 10 | % | |
| EMEA | 4,684 | 4,535 | 3 | ||||
| China region(b) | 2,531 | 2,690 | (6) | ||||
| Rest of World | 2,996 | 2,987 | 0 | ||||
| Total revenues | $ | 18,341 | $ | 17,585 | 4 | % |
(a)Includes revenue from the United States and Canada.
(b)Includes revenue from China, Taiwan, Mongolia, and Hong Kong.
For the year ended December 31, 2022
Total revenues were $18,341 million for the year ended December 31, 2022, growing 4% or $756 million as reported and 7% organically*. The reported growth was due to Sales of products growing 8% or $879 million, primarily driven by increases in Imaging and Ultrasound revenues. Sales of services decreased 2% or $123 million, primarily driven by unfavorable foreign currency impacts.
The segment revenues performance were as follows:
•Imaging segment revenues were $9,985 million for the year ended December 31, 2022, growing 6% or $552 million as reported due to an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 10% primarily due to growth in MR and MI/CT product lines due to new product introductions as well as supply chain fulfillment improvements;
•Ultrasound segment revenues were $3,422 million for the year ended December 31, 2022, growing 8% or $250 million as reported due to the acquisition of BK Medical and an increase in Organic revenue*, partially offset by unfavorable foreign currency impacts. Organic revenue* grew 6% primarily due to growth in Radiology and Primary Care and Women’s Health product lines due to new product introductions and increased pricing of our products, in part to offset inflation;
•PCS segment revenues were $2,916 million for the year ended December 31, 2022, flat versus the prior year as reported due to an increase in Organic revenue*, offset by unfavorable foreign currency impacts. Organic revenue* grew 3% primarily due to growth in Anesthesia and Maternal Infant Care product lines, partially offset by a decrease in COVID-19 related ventilator volume; and
•PDx segment revenues were $1,958 million for the year ended December 31, 2022, decreasing 3% or $60 million as reported due to unfavorable foreign currency impacts, partially offset by an increase in Organic revenue*. Organic revenue* grew 2% primarily due to growth in sales volume of our products, partially offset by China related impacts.
The regional revenues performance were as follows:
•USCAN revenues were $8,130 million for the year ended December 31, 2022, growing 10% or $757 million as reported due to growth across all segments as well as the acquisition of BK Medical within Ultrasound;
•EMEA revenues were $4,684 million for the year ended December 31, 2022, growing 3% or $149 million as reported due to growth in Imaging revenues and the acquisition of BK Medical within Ultrasound, partially offset by unfavorable foreign currency impacts;
•China region revenues were $2,531 million for the year ended December 31, 2022, decreasing 6% or $159 million as reported due to a decrease of PDx and Imaging revenues primarily due to the impact of COVID-19 driven disruptions and unfavorable foreign currency impacts; and
•Rest of World revenues were $2,996 million for the year ended December 31, 2022, flat versus the prior year as reported due to growth in Imaging and Ultrasound revenues, partially offset by unfavorable foreign currency impacts and a decrease in PCS revenues primarily due to the impact of COVID-19 driven disruptions.
____________________
*Non-GAAP Financial Measure
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OPERATING INCOME, NET INCOME ATTRIBUTABLE TO GE HEALTHCARE, ADJUSTED EBIT*, AND ADJUSTED NET INCOME*.
| For the years ended December 31 | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| 2022 | % of Total revenues | 2021 | % of Total revenues | % change | |||||
| Operating income | $ | 2,522 | 13.8% | $ | 2,795 | 15.9% | (10)% | ||
| Net income attributable to GE HealthCare | 1,916 | 10.4% | 2,247 | 12.8% | (15)% | ||||
| Adjusted EBIT* | 2,861 | 15.6% | 3,172 | 18.0% | (10)% | ||||
| Adjusted net income* | 2,103 | 11.5% | 2,347 | 13.3% | (10)% |
For the year ended December 31, 2022
Operating income was $2,522 million for the year ended December 31, 2022, a decrease of $273 million or 210 basis points as a percentage of Total revenues due to the $756 million increase in Total revenues being more than offset by the following factors:
•Cost of products sold increased $779 million or 170 basis points as a percent of Sales of products. The increase as a percent of sales was driven by cost inflation in material and logistics, partially offset by an increase in pricing of our products and cost productivity benefits from engineering design improvements. Cost of services sold decreased $28 million but increased 50 basis points as a percent of Sales of services. The increase as a percent of sales was driven by cost inflation in materials and labor, partially offset by cost productivity initiatives and an increase in pricing of our service offerings. Included in our total cost of revenue for the year ended December 31, 2022, as part of our product investment, was $429 million in engineering costs for design follow-through on new product introductions and product lifecycle maintenance subsequent to the initial product launch, compared to $386 million for the year ended December 31, 2021; and
•Total operating expenses increased $278 million due to an increase in planned Research and development ("R&D") investments of $210 million and an increase in Selling, general, and administrative ("SG&A") expense of $68 million due to increased investment in commercial teams and marketing programs partially offset by a benefit from the remeasurement of contingent consideration related to acquisitions. As a result, R&D as a percentage of Total revenues increased by 100 basis points and SG&A as a percentage of Total revenues decreased by 50 basis points.
Net income attributable to GE HealthCare was $1,916 million for the year ended December 31, 2022, a decrease of $331 million primarily due to the following factors:
•Operating income decreased $273 million, as discussed above;
•Other (income) expense – net decreased $61 million in 2022 primarily due to investment revaluations on equity investments;
•Interest and other financial charges – net increased $37 million in 2022 primarily due to interest expense on the debt securities issued by GE HealthCare in November of 2022; and
•The decrease in net income was partially offset by a decrease in Provision for income taxes of $37 million primarily due to lower income before taxes and geographical mix of earnings. For additional detail regarding our income taxes, please see “Critical Accounting Estimates” below and Note 11, “Income Taxes” to the combined financial statements.
Adjusted EBIT* and Adjusted EBIT margin* were $2,861 million and 15.6% for the year ended December 31, 2022, a decrease of $311 million and 240 basis points, respectively, primarily due to a decrease in Operating income and a decrease in Other (income) expense – net as discussed above.
Adjusted net income* was $2,103 million for the year ended December 31, 2022, a decrease of $244 million due to a decrease in Operating income and higher Interest and other financial charges – net, partially offset by lower Provision for income taxes as discussed above.
EARNINGS PER SHARE AND ADJUSTED EARNINGS PER SHARE*.
On January 3, 2023, there were approximately 454 million shares of GE HealthCare common stock outstanding, including the 19.9% interest in our outstanding shares of common stock retained by GE following the Distribution. The computation of basic and diluted earnings per common share for all periods through December 31, 2022 was calculated using this same number of common shares outstanding since no GE HealthCare equity awards were outstanding as of the Distribution Date and is net of Net (income) loss attributable to noncontrolling interest which is fully associated with continuing operations.
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*Non-GAAP Financial Measure
52
| Earnings per Share and Adjusted Earnings per Share* | ||||||||
|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | ||||||||
| 2022 | 2021 | $ change | ||||||
| Per share data: | ||||||||
| Basic and diluted earnings per share – continuing operations | $ | 4.18 | $ | 4.91 | $ | (0.73) | ||
| Adjusted basic and diluted earnings per share* | 4.63 | 5.17 | (0.54) |
For the year ended December 31, 2022
Basic and diluted earnings per share - continuing operations was $4.18 for the year ended December 31, 2022, a decrease of $0.73 primarily due to a decrease of $331 million in Net income attributable to GE HealthCare as discussed above.
Adjusted basic and diluted earnings per share* was $4.63 for the year ended December 31, 2022, a decrease of $0.54 due to a decrease of $244 million in Adjusted net income* as discussed above.
RESULTS OF OPERATIONS – SEGMENTS
We report our business in four reportable segments (Imaging, Ultrasound, PCS, and PDx) and we evaluate their operating performance using revenue and Segment EBIT. We exclude from Segment EBIT certain corporate-related expenses and certain transactions or adjustments that our Chief Operating Decision Maker (which is our Chief Executive Officer) considers to be non-operational, such as interest expenses, income tax expenses, restructuring costs, acquisition and disposition related charges (benefits), Spin-Off and separation costs, Non-operating benefit (income) costs, gain/loss of business dispositions/divestments, amortization of acquisition-related intangible assets, Net (income) loss attributable to noncontrolling interests, Income (loss) from discontinued operations, net of taxes, and investment revaluation gain/loss. See “Results of Operations” section above for discussion on the performance of segments on revenue.
| Segment EBIT | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| For the years ended December 31 | ||||||||||||
| 2022 | % of segment revenues | 2021 | % of segment revenues | % change | ||||||||
| Segment EBIT | ||||||||||||
| Imaging | $ | 1,100 | 11.0 | % | $ | 1,240 | 13.1 | % | (11) | % | ||
| Ultrasound | 908 | 26.5 | % | 885 | 27.9 | % | 3 | % | ||||
| PCS | 341 | 11.7 | % | 356 | 12.2 | % | (4) | % | ||||
| PDx | 520 | 26.6 | % | 693 | 34.3 | % | (25) | % | ||||
| Other(a) | (8) | (2) | ||||||||||
| $ | 2,861 | $ | 3,172 | (10) | % |
(a)Financial information not presented within the reportable segments, shown within the Other category, represents the HFS business and certain other investments which do not meet the definition of an operating segment.
For the year ended December 31, 2022
•Imaging Segment EBIT was $1,100 million for the year ended December 31, 2022, a decrease of $140 million due to cost inflation as well as planned R&D and commercial investments, partially offset by a growth in sales volume and an increase in pricing of our products, in part to offset inflation;
•Ultrasound Segment EBIT was $908 million for the year ended December 31, 2022, an increase of $23 million due to an increase in pricing of our products, in part to offset inflation, and growth in sales volume supported by new product introductions, partially offset by planned R&D and commercial investments and cost inflation;
•PCS Segment EBIT was $341 million for the year ended December 31, 2022, a decrease of $15 million due to cost inflation as well as planned R&D investments, partially offset by an increase in pricing of our products, in part to offset inflation; and
•PDx Segment EBIT was $520 million for the year ended December 31, 2022, a decrease of $173 million due to China-related impacts and cost inflation, partially offset by a growth in sales volume.
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*Non-GAAP Financial Measure
53
NON-GAAP FINANCIAL MEASURES
The non-GAAP financial measures presented in this Annual Report on Form 10-K are supplemental measures of our performance and our liquidity that we believe help investors understand our financial condition, cash flows and operating results, and assess our future prospects. We believe that presenting these non-GAAP financial measures, in addition to the corresponding U.S. GAAP financial measures, are important supplemental measures that exclude non-cash or other items that may not be indicative of or are unrelated to our core operating results and the overall health of our company. We believe that these non-GAAP financial measures provide investors greater transparency to the information used by management for its operational decision-making and allows investors to see our results “through the eyes of management.” We further believe that providing this information assists our investors in understanding our operating performance and the methodology used by management to evaluate and measure such performance. When read in conjunction with our U.S. GAAP results, these non-GAAP financial measures provide a baseline for analyzing trends in our underlying businesses and can be used by management as one basis for financial, operational, and planning decisions. Finally, these measures are often used by analysts and other interested parties to evaluate companies in our industry.
The non-GAAP financial measures we report include:
Organic revenue and Organic revenue growth rate
We believe that Organic revenue and Organic revenue growth rate, by excluding the effect of acquisitions, dispositions, and foreign currency rate fluctuations, provide management and investors with additional understanding of our core, top-line operating results and greater visibility into underlying revenue trends of our established, ongoing operations. Organic revenue and Organic revenue growth rate also provide greater insight regarding the overall demand for our products and services.
Adjusted EBIT and Adjusted EBIT margin
We believe Adjusted EBIT and Adjusted EBIT margin provide management and investors with additional understanding of our business by highlighting the results from ongoing operations and the underlying profitability factors. These metrics exclude interest expense, interest income, non-operating benefit (income) costs, and tax expense, as well as unique and/or non-cash items, that can have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. We believe this provides additional insight into how our businesses are performing, on a normalized basis. However, Adjusted EBIT and Adjusted EBIT margin should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Adjusted net income
We believe Adjusted net income provides investors with improved comparability of underlying operating results and a further understanding and additional transparency regarding how we evaluate our business. Adjusted net income also provides management and investors with additional perspective regarding the impact of certain significant items on our earnings. Adjusted net income excludes non-operating benefit (income) costs, certain tax expense adjustments, and unique and/or non-cash items, that can have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. However, Adjusted net income should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Adjusted earnings per share
We believe Adjusted earnings per share provides investors with improved comparability of underlying operating results and a further understanding and additional transparency regarding how we evaluate our business. Adjusted earnings per share also provides management and investors with additional perspective regarding the impact of certain significant items on our per share earnings. Adjusted earnings per share excludes non-operating benefit (income) costs, certain tax expense adjustments, and unique and/or non-cash items, that can have a material impact on our results. In addition, we may from time to time consider excluding other nonrecurring items to enhance comparability between periods. However, Adjusted earnings per share should not be construed as inferring that our future results will be unaffected by the items for which the measure adjusts.
Free cash flow
We believe that Free cash flow provides management and investors with an important measure of our ability to generate cash on a normalized basis. Free cash flow also provides insight into our flexibility to allocate capital, including reinvesting in the Company for future growth, paying down debt, paying dividends, and pursuing other opportunities that may enhance stockholder value. Free cash flow is Cash from (used for) operating activities - continuing operations including cash flows related to the additions and dispositions of PP&E and internal-use software as well as the impact of discontinued factoring programs. The cash flow from operating activity impacted by factoring programs, discontinued in 2021, represents the cash that we would have otherwise collected in the period had customer receivables not been previously sold to GE in those discontinued programs. We believe investors may find it useful to compare Free cash flow performance without the effects of the factoring program discontinuation. Our historical Free cash flow includes interest expense associated with the internal and external factoring of current receivables and other financial charges. Interest expense associated with external debt that was historically held by GE is not recognized in the combined financial statements and related notes. Additionally, Free cash flow does not represent residual cash flows available for discretionary expenditures, due to the fact the measures do not deduct the payments required for debt repayments.
54
Non-GAAP Reconciliations
Management recognizes that these non-GAAP financial measures have limitations, including that they may be calculated differently by other companies or may be used under different circumstances or for different purposes, thereby affecting their comparability from company to company. In order to compensate for these and the other limitations discussed below, management does not consider these measures in isolation from or as alternatives to the comparable financial measures determined in accordance with U.S. GAAP. Readers should review the reconciliations below and should not rely on any single financial measure to evaluate our business. The reconciliations of each non-GAAP financial measure to the most directly comparable U.S. GAAP financial measure are provided below.
| Organic Revenue* | For the years ended December 31 | ||||
|---|---|---|---|---|---|
| 2022 | 2021 | % change | |||
| Imaging revenues | $ | 9,985 | $ | 9,433 | 6% |
| Less: Acquisitions(a) | — | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (413) | — | |||
| Imaging organic revenue* | $ | 10,398 | $ | 9,433 | 10% |
| Ultrasound revenues | $ | 3,422 | $ | 3,172 | 8% |
| Less: Acquisitions(a) | 237 | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (182) | — | |||
| Ultrasound organic revenue* | $ | 3,367 | $ | 3,172 | 6% |
| PCS revenues | $ | 2,916 | $ | 2,915 | —% |
| Less: Acquisitions(a) | — | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (73) | — | |||
| PCS organic revenue* | $ | 2,989 | $ | 2,915 | 3% |
| PDx revenues | $ | 1,958 | $ | 2,018 | (3)% |
| Less: Acquisitions(a) | 2 | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (100) | — | |||
| PDx organic revenue* | $ | 2,056 | $ | 2,018 | 2% |
| Other revenues | $ | 60 | $ | 47 | 28% |
| Less: Acquisitions(a) | — | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (3) | — | |||
| Other organic revenue* | $ | 63 | $ | 47 | 34% |
| Total revenues | $ | 18,341 | $ | 17,585 | 4% |
| Less: Acquisitions(a) | 239 | — | |||
| Less: Dispositions(b) | — | — | |||
| Less: Foreign currency exchange | (771) | — | |||
| Organic revenue* | $ | 18,873 | $ | 17,585 | 7% |
(a)Represents revenues attributable to acquisitions from the date we completed the transaction through the end of four quarters following the transaction.
(b)Represents revenues attributable to dispositions for the four quarters preceding the disposition date.
____________________
*Non-GAAP Financial Measure
55
| Adjusted EBIT* | For the years ended December 31 | |||||
|---|---|---|---|---|---|---|
| 2022 | 2021 | % change | ||||
| Net income attributable to GE HealthCare | $ | 1,916 | $ | 2,247 | (15)% | |
| Add: Interest and other financial charges - net | 77 | 40 | ||||
| Add: Non-operating benefit (income) costs | (5) | 3 | ||||
| Less: Benefit (provision) for income taxes | (563) | (600) | ||||
| Less: Income (loss) from discontinued operations, net of taxes | 18 | 18 | ||||
| Less: Net (income) loss attributable to noncontrolling interests | (51) | (46) | ||||
| EBIT* | $ | 2,584 | $ | 2,918 | (11)% | |
| Add: Restructuring costs(a) | 146 | 155 | ||||
| Add: Acquisition and disposition related charges (benefits)(b) | (34) | 14 | ||||
| Add: Spin-Off and separation costs(c) | 14 | — | ||||
| Add: (Gain)/loss of business dispositions/divestments(d) | (1) | (2) | ||||
| Add: Amortization of acquisition-related intangible assets | 121 | 90 | ||||
| Add: Investment revaluation (gain)/loss(e) | 31 | (3) | ||||
| Adjusted EBIT* | $ | 2,861 | $ | 3,172 | (10)% | |
| Net income margin | 10.4% | 12.8% | (240) bps | |||
| Adjusted EBIT margin* | 15.6% | 18.0% | (240) bps |
(a)Consists of severance, facility closures, and other charges associated with historical restructuring programs.
(b)Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions.
(c)Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, and other one-time costs.
(d)Consists of gains and losses resulting from the sale of assets and investments.
(e)Primarily relates to valuation adjustments for equity investments.
| Adjusted Net Income* | For the years ended December 31 | |||||
|---|---|---|---|---|---|---|
| 2022 | 2021 | % change | ||||
| Net income attributable to GE HealthCare | $ | 1,916 | $ | 2,247 | (15)% | |
| Add: Non-operating benefit (income) costs | (5) | 3 | ||||
| Add: Restructuring costs(a) | 146 | 155 | ||||
| Add: Acquisition and disposition related charges (benefits)(b) | (34) | 14 | ||||
| Add: Spin-Off and separation costs(c) | 14 | — | ||||
| Add: (Gain)/loss of business dispositions/divestments(d) | (1) | (2) | ||||
| Add: Amortization of acquisition-related intangible assets | 121 | 90 | ||||
| Add: Investment revaluation (gain)/loss(e) | 31 | (3) | ||||
| Add: Tax effect of reconciling items | (67) | (62) | ||||
| Less: Certain tax adjustments(f) | — | 77 | ||||
| Less: Income (loss) from discontinued operations, net of taxes | 18 | 18 | ||||
| Adjusted net income* | $ | 2,103 | $ | 2,347 | (10)% |
(a)Consists of severance, facility closures, and other charges associated with historical restructuring programs.
(b)Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions.
(c)Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, and other one-time costs.
(d)Consists of gains and losses resulting from the sale of assets and investments.
(e)Primarily relates to valuation adjustments for equity investments.
(f)Consists of certain income tax adjustments, such as the impact of tax legislation and the establishment or reversal of significant deferred tax asset valuation allowances.
____________________
*Non-GAAP Financial Measure
56
| Adjusted Earnings Per Share* | For the years ended December 31 | ||||||
|---|---|---|---|---|---|---|---|
| 2022 | 2021 | $ change | |||||
| Basic and diluted earnings per share – continuing operations | $ | 4.18 | $ | 4.91 | $ | (0.73) | |
| Add: Non-operating benefit (income) costs | (0.01) | 0.01 | |||||
| Add: Restructuring costs(a) | 0.32 | 0.34 | |||||
| Add: Acquisition and disposition related charges (benefits)(b) | (0.07) | 0.03 | |||||
| Add: Spin-Off and separation costs(c) | 0.03 | — | |||||
| Add: (Gain)/loss of business dispositions/divestments(d) | (0.00) | (0.00) | |||||
| Add: Amortization of acquisition-related intangible assets | 0.27 | 0.20 | |||||
| Add: Investment revaluation (gain)/loss(e) | 0.07 | (0.01) | |||||
| Add: Tax effect of reconciling items | (0.15) | (0.14) | |||||
| Less: Certain tax adjustments(f) | — | 0.17 | |||||
| Adjusted basic and diluted earnings per share*(g) | $ | 4.63 | $ | 5.17 | $ | (0.54) |
(a)Consists of severance, facility closures, and other charges associated with historical restructuring programs.
(b)Consists of legal, consulting, and other transaction and integration fees, and adjustments to contingent consideration, as well as other purchase accounting related charges and other costs directly related to the transactions.
(c)Costs incurred in the Spin-Off and separation from GE, including system implementations, audit and advisory fees, legal entity separation, and other one-time costs.
(d)Consists of gains and losses resulting from the sale of assets and investments.
(e)Primarily relates to valuation adjustments for equity investments.
(f)Consists of certain income tax adjustments, such as the impact of tax legislation and the establishment or reversal of significant deferred tax asset valuation allowances.
(g)Adjusted earnings per share* amounts are computed independently, thus, the sum of per-share amounts may not equal the total.
| Free Cash Flow* | For the years ended December 31 | |||||
|---|---|---|---|---|---|---|
| 2022 | 2021 | % change | ||||
| Cash from (used for) operating activities – continuing operations | $ | 2,134 | $ | 1,607 | 33% | |
| Add: Additions to PP&E and internal-use software | (310) | (248) | ||||
| Add: Dispositions of PP&E | 4 | 15 | ||||
| Add: Impact of discontinued factoring programs(a) | — | 1,453 | ||||
| Free cash flow* | $ | 1,828 | $ | 2,827 | (35)% |
(a) Adjustment to present net cash flows from operating activities from continuing operations had we not factored receivables with GE’s Working Capital Solutions (“WCS”). Factoring of receivables with WCS was discontinued by the end of 2021.
LIQUIDITY AND CAPITAL RESOURCES
Historically, our business has generated positive cash flows from operating activities from continuing operations. A significant majority of such cash flows were transferred to GE. We participated in GE’s cash pooling arrangements to manage liquidity and fund operations, the effect of which is presented as net parent investment in our combined financial statements included elsewhere in this Annual Report on Form 10-K.
Upon completion of the Spin-Off, we ceased participation in GE cash pooling arrangements and our Cash, cash equivalents, and restricted cash are held and used solely for our own ongoing operations and commitments. Our capital structure, long-term commitments, and sources of liquidity will change significantly from our historical practices. For additional detail regarding changes to our capital structure, see “Debt and Credit Facilities” section below.
We believe our cash on hand, cash generated from operating activities, and other sources of liquidity discussed in detail below will be sufficient to meet the needs of our current and planned operations for at least the next 12 months.
The following table summarizes our cash flows for the periods presented:
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*Non-GAAP Financial Measure
57
| Cash Flow | ||||
|---|---|---|---|---|
| For the years ended December 31 | ||||
| 2022 | 2021 | |||
| Cash from (used for) operating activities – continuing operations | $ | 2,134 | $ | 1,607 |
| Cash from (used for) investing activities – continuing operations | (398) | (1,761) | ||
| Cash from (used for) financing activities – continuing operations | (822) | (263) | ||
| Free cash flow* | 1,828 | 2,827 |
Operating Activities
Cash generated from operating activities from continuing operations was $2,134 million and $1,607 million in the years ended December 31, 2022 and 2021, respectively.
Cash generated from operating activities in the year ended December 31, 2022, included Net income from continuing operations of $1,949 million, non-cash charges for depreciation and amortization of $633 million, and $448 million outflow from changes in assets and liabilities, primarily driven by an increase in inventory mainly due to inventory build to meet demand for 2023, higher cash taxes paid mainly due to mandatory capitalization of research and development costs under the TCJA beginning in 2022, and an increase in receivables, partially offset by an increase in accounts payable.
Cash generated from operating activities in the year ended December 31, 2021 included Net income from continuing operations of $2,275 million, non-cash charges for depreciation and amortization of $625 million, and $1,293 million outflow from changes in assets and liabilities, primarily driven by a $1,453 million impact from the discontinuation of factoring programs in 2021, and an increase in inventory due to supply chain constraints, partially offset by an increase in accounts payable and a decrease in current receivables excluding the effect of discontinuation of factoring programs.
Investing Activities
Cash used for investing activities from continuing operations was $398 million and $1,761 million in the years ended December 31, 2022 and 2021, respectively.
Cash used for investing activities in the year ended December 31, 2022, included additions to PP&E of $310 million related primarily to new product introductions and manufacturing capacity expansion, and other investments of $92 million partially offset by dispositions of PP&E of $4 million. The cash invested in other investments was primarily related to the following investments:
•On July 20, 2022, we made an investment in AliveCor. AliveCor is a medical device and AI company producing ECG hardware and software for consumer mobile devices. AliveCor’s mission is to save lives and transform cardiology by delivering intelligent, highly personalized heart data to clinicians and patients anytime, anywhere.
•On June 21, 2022, we made an investment in Pulsenmore, taking a step forward in further enabling precision care. Pulsenmore’s innovative handheld tele-ultrasound device docks with a smartphone, allowing expectant mothers to perform clinician-led ultrasound scans at home and receive remote clinical feedback from healthcare professionals.
Cash used for investing activities in the year ended December 31, 2021, included net cash payments of $1,481 million for purchase of businesses, and additions to PP&E and internal-use software of $248 million related primarily to new product introductions and manufacturing capacity expansion, partially offset by dispositions of PP&E of $15 million. The cash invested in purchase of businesses pertained to the following acquisitions:
•On December 21, 2021, we acquired BK Medical, a leader in advanced surgical visualization. The acquisition of BK Medical supports our Ultrasound segment’s expansion from diagnostics into surgical and therapeutic interventions. BK Medical is a highly complementary addition to Ultrasound’s business operations representing another example in delivering precision care; and
•On May 5, 2021, we acquired Zionexa, a leading innovator of in vivo oncology and neurology biomarkers that help enable more personalized healthcare. This acquisition demonstrates GE HealthCare’s commitment to its precision care vision and builds additional pipelines of oncology and neurology tracers to help physicians personalize treatment.
Financing Activities
Cash used for financing activities from continuing operations was $822 million and $263 million in the years ended December 31, 2022 and 2021, respectively. Cash used for financing activities included $8,934 million and $238 million of transfers to parent in the years ended December 31, 2022 and 2021, respectively partially offset by newly issued debt of $8,198 million and $5 million in the years ended December 31, 2022 and 2021, respectively.
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*Non-GAAP Financial Measure
58
Free cash flow*
Free cash flow* was $1,828 million and $2,827 million in the years ended December 31, 2022 and 2021, respectively. Free cash flow* decreased $999 million primarily due to an increase in receivables excluding the impact of factoring programs, a decrease in Net income from continuing operations, and higher cash taxes paid mainly due to mandatory capitalization of research and development costs under the TCJA beginning in 2022.
Capital Expenditures
Cash used for capital expenditures was $310 million and $248 million for the years ended December 31, 2022 and 2021, respectively. Capital expenditures were primarily for manufacturing capacity expansion, equipment and tooling for new and existing products, purchased software, and internal-use software development.
Material Cash Requirements
In the normal course of business, we enter into contracts and commitments that oblige us to make payments in the future. Information regarding our obligations under lease, debt, and purchase arrangements are provided in Note 7, "Leases," Note 9, “Borrowings,” and Note 14, “Commitments, Guarantees, Product Warranties, and Other Loss Contingencies,” respectively, to the combined financial statements contained elsewhere in this Annual Report on Form 10-K. Additionally, we have material cash requirements related to our pension obligations as described in Note 10, “Postretirement Benefit Plans,” to the combined financial statements.
Debt and Credit Facilities
As part of our capital structure, we have incurred debt. The servicing of this debt will be supported by cash flows from our operations. As of December 31, 2022, we had $8,249 million of total debt compared to $37 million as of December 31, 2021.
The increase in our total debt as of December 31, 2022 was driven by the issuance of $8,250 million of senior notes, issued on November 22, 2022. The issuance included the following unsecured senior notes: $1,000 million of 5.550% senior notes due 2024, $1,500 million of 5.600% senior notes due 2025, $1,750 million of 5.650% senior notes due 2027, $1,250 million of 5.857% senior notes due 2030, $1,750 million of 5.905% senior notes due 2032 and $1,000 million of 6.377% senior notes due 2052 (collectively, the “Notes”). In addition, the Company entered into certain Euro to U.S. dollar cross currency interest rate swap arrangements with a notional amount of $2,132 million as of December 31, 2022 and maturities ranging from 2024 to 2025.
Of the $8,250 million of senior notes, $4,000 million of the indebtedness was issued directly to GE and net cash proceeds of $4,221 million from the remaining indebtedness issued to third parties was distributed to GE. GE exchanged the $4,000 million of indebtedness with third parties prior to December 31, 2022. As of December 31, 2022, all of the Notes were held by third parties.
On November 4, 2022, GE HealthCare entered into: (i) a five-year senior unsecured revolving credit facility (the “5-Year Revolving Credit Facility”) in an aggregate committed amount of $2,500 million; (ii) a 364-day senior unsecured revolving facility (the “364-Day Revolving Credit Facility” and, together with the 5-Year Revolving Credit Facility, the “Revolving Credit Facilities”) in an aggregate committed amount of $1,000 million; and (iii) a three-year senior unsecured term loan credit facility (the “Term Loan Facility” and, together with the Revolving Credit Facilities, the “Credit Facilities”), in an aggregate principal amount of $2,000 million, all in connection with the Spin-Off. The Credit Facilities include various customary covenants that limit, among other things, the incurrence of liens and the entry into certain fundamental change transactions by GE HealthCare. The Credit Facilities were not available to the Company or its subsidiaries until consummation of the Spin-Off. As such, there were no outstanding amounts under the Credit Facilities as of December 31, 2022.
On January 3, 2023, GE HealthCare completed a $2,000 million drawdown of the Term Loan Facility in connection with the Spin-Off from GE, bringing total principal balance of borrowings to $10,250 million. We began operations as an independent company, after settlement of all necessary Spin-Off transactions with GE, with approximately $1,800 million of cash, cash equivalents, and restricted cash.
For additional details on debt and credit facilities, see Note 9, "Borrowings" to the combined financial statements.
Access to Capital and Credit Ratings
We have historically relied, via GE, on the debt capital markets to fund a significant portion of our operations. We plan to continue to rely on capital markets, and we expect to have access to credit facilities to fund operations. The cost and availability of debt financing will be influenced by our credit ratings and market conditions. Moody's Investors Service ("Moody's"), Standard and Poor's Global Ratings ("S&P"), and Fitch Ratings ("Fitch") currently issue ratings on our long-term debt. Our credit ratings as of the date of this filing are set forth in the table below.
| Moody's | S&P | Fitch | |
|---|---|---|---|
| Long-term rating | Baa2 | BBB | BBB |
| Outlook | Stable | Stable | Stable |
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*Non-GAAP Financial Measure
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We are disclosing our credit ratings to enhance understanding of our sources of liquidity and the effects of our ratings on our costs of funds and access to liquidity. Our ratings may be subject to a revision or withdrawal at any time by the assigning rating organization, and each rating should be evaluated independently of any other rating.
We believe that our financing arrangements, future cash from operations, and access to capital markets will provide adequate resources to fund our future cash flow needs.
RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
For a discussion of recently issued accounting standards, see Note 2, "Summary of Significant Accounting Policies" to the combined financial statements appearing elsewhere in this Annual Report on Form 10-K.
CRITICAL ACCOUNTING ESTIMATES
Our financial results are affected by the selection and application of accounting policies and methods. We have adopted accounting policies to prepare our combined financial statements in conformity with U.S. GAAP.
To prepare our combined financial statements in accordance with U.S. GAAP, management makes estimates and assumptions that may affect the reported amounts of our assets and liabilities, including our contingent liabilities, as of the date of our combined financial statements and the reported amounts of our revenues and expenses during the reporting periods. Our actual results may differ from these estimates. We consider estimates to be critical (i) if we are required to make assumptions about material matters that are uncertain at the time of estimation or (ii) if materially different estimates could have been made or it is reasonably likely that the accounting estimate will change from period to period. The following are areas considered to be critical and require management’s judgment: Revenue Recognition, Business Combination Related Measurements, Pensions, and Income Taxes.
See Note 2, “Summary of Significant Accounting Policies” to the combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our significant accounting policies.
REVENUE RECOGNITION.
Our revenues are recorded based on the consideration specified in customer contracts net of any sales incentives, discounts, returns, chargebacks, group purchasing organization fees, rebates, or credits, which are accounted for as estimated variable consideration. Our estimates for these deductions are based upon historical experience and consider current and forecasted market trends. We record the estimated amounts as a reduction to revenue when we recognize the related product or service sale.
Chargebacks are a form of variable consideration that occur when a contracted customer purchases through an intermediary wholesaler. The contracted customer generally purchases product from the wholesaler at its contracted price plus a mark-up. The wholesaler, in turn, charges us back for the difference between the price initially paid by the wholesaler and the contract price paid to the wholesaler by the contracted customer. A provision for chargebacks is recorded at the time we recognize revenue from the sale to the wholesaler and requires certain estimates such as the wholesaler chargeback rates, the expected sell-through levels by our wholesale customers to contracted customers, as well as estimated wholesaler inventory levels.
The amounts of variable consideration included in the net transaction price for revenue recognition are limited to the amounts that are estimated to be probable of occurrence to avoid a material revenue reversal in a future period. See Note 3, “Revenue Recognition” to the combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on revenue recognition.
BUSINESS COMBINATION RELATED MEASUREMENTS.
Our combined financial statements include the operations of an acquired business starting from the completion of the combination. The assets acquired and liabilities assumed, including any contingent consideration we may be liable to pay in the future, are recorded on the date of the business combination at their respective estimated fair values, with any excess of the purchase price over the estimated fair values of the net assets acquired recorded as goodwill. Our business combinations typically result in the recognition of goodwill, developed technology, and other intangible assets, which affect the amount of future period amortization expense. The fair values of acquired intangible assets and liabilities are determined using information available at the business combination date based on estimates and assumptions that are deemed reasonable. Significant assumptions vary by the class of asset or liability and the valuation technique used and can include the discount rates, timing, and probability of achieving regulatory and commercialization milestones and certain assumptions that form the basis of the forecasted results of the acquired business including revenue, earnings before interest, taxes, depreciation and amortization, growth rates, royalty rates, and technology obsolescence rates. These assumptions are forward-looking and could be affected by future economic and market conditions. We engage third-party valuation specialists who review our critical assumptions and prepare the calculations of the fair value of acquired intangible assets in connection with significant business combinations.
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In-process research and development (“IPR&D”) acquired as part of a business combination is initially capitalized at fair value when acquired and considered an indefinite-lived intangible asset and is subject to an annual impairment test. Determining whether an impairment loss occurred for indefinite-lived intangible assets involves calculating the fair value of the indefinite-lived intangible assets and comparing the fair value to the carrying value. If the fair value is less than the carrying value, the difference is recorded as an impairment loss. When the IPR&D project is complete, the asset is considered a finite-lived intangible asset and would be subject to a final impairment test at that date. Thereafter, the IPR&D asset is amortized over its estimated useful life and would be subject to impairment assessments in the same manner as all amortizing intangible assets.
See Note 8, “Acquisitions, Goodwill, and Other Intangible Assets” to the combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our business combinations.
PENSIONS.
We engage third-party actuaries to assist in the determination of pension obligations and related plan costs. We develop significant long-term assumptions including discount rates and the expected rate of return on assets in connection with our pension accounting. We recognize differences between the expected long-term return on plan assets, the actual return, and net actuarial gains and losses for the pension plan liabilities annually in the fourth quarter of each fiscal year and whenever a plan is determined to qualify for a remeasurement within the combined Statements of Comprehensive Income.
To determine the expected long-term rate of return on pension plan assets, we consider current and target asset allocations, as well as historical and expected returns on various categories of plan assets. In developing future long-term return expectations for our principal benefit plans’ assets, we formulate views on the future economic environment, both in the U.S. and abroad. We evaluate general market trends and historical relationships among a number of key variables that impact asset class returns such as expected earnings growth, inflation, valuations, yields, and spreads, using both internal and external sources. We also consider expected volatility by asset class and diversification across classes to determine expected overall portfolio results given current and target allocations.
For pension benefits and retiree health and life benefits transferred from GE on January 1, 2023, third-party actuaries were engaged to assist in the valuation of transferred pension assets and liabilities using assumptions provided by GE which the Company reviewed prior to recording in our combined financial statements. For details on the plans transferred by GE please refer to "Transition to Stand-alone Company" above.
See Note 10, “Postretirement Benefit Plans” to the combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on our postretirement benefit plans.
INCOME TAXES.
GE HealthCare is included in the combined U.S. federal, state, and foreign income tax returns of GE, where eligible. However, we have adopted the separate return approach for purposes of our combined financial statements. The income tax provisions and related deferred tax assets and liabilities reflected in our combined financial statements have been estimated as if we were a separate taxpayer.
Our annual tax expense is based on our income, statutory tax rates, and tax incentives available to us in the various jurisdictions in which we operate. Changes in existing tax laws or rates could significantly impact the estimate of our tax liabilities. Deferred tax assets represent amounts available to reduce income taxes payable on taxable income in future years. Such assets arise because of temporary differences between the financial reporting and tax bases of assets and liabilities, as well as from net operating loss and tax credit carryforwards. We evaluate the recoverability of these future tax deductions and credits by assessing the adequacy of future expected taxable income from all sources, including reversal of taxable temporary differences, forecasted operating earnings, and available tax planning strategies. These sources of income rely heavily on estimates; we use our historical experience as well as our short- and long-range business forecasts to provide insight.
Significant judgment is required in determining our tax expense and in evaluating our tax positions, including evaluating uncertainties. We recognize tax benefits from uncertain tax positions only if we believe that it is more likely than not that the tax position will be sustained on examination by the relevant taxing authorities based on the technical merits of the position. Our policy is to adjust these reserves when facts and circumstances change, such as the settlement or effective settlement of positions with the relevant taxing authorities. We have provided for the amounts we believe will ultimately result from these changes; however, due to the complexity of some of these uncertainties, the ultimate resolution may result in a payment that is materially different from our current estimate of the tax liabilities. Such differences will be reflected as increases or decreases to income tax expense in the period in which they are determined.
See Note 11, “Income Taxes” to the combined financial statements included elsewhere in this Annual Report on Form 10-K for further information on income taxes.
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