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Siemens Healthineers AG

Interim / Quarterly Report May 13, 2024

391_10-q_2024-05-13_b7bb07c3-4954-484e-adc6-112004b62453.pdf

Interim / Quarterly Report

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Siemens Healthineers

Half-Year Financial Report

First half of fiscal year 2024

siemens-healthineers.com

Table of contents

A. Interim group management report

A.2 Net assets and financial position B.2 Consolidated statements of

Page 11 Page 15 Page 31

Page 12 Page 16

B. Half-year consolidated financial statements

Page 3 Page 13 Page 29

A.1 Results of operations B.1 Consolidated statements of income

comprehensive income

A.3 Outlook B.3 Consolidated statements of financial position

A.4 Risks and opportunities B.4 Consolidated statements of cash flows

Page 17

B.5 Consolidated statements of changes in equity

Page 18

B.6 Notes to half-year consolidated financial statements

C. Additional information

C.1 Responsibility statement

Page 7 Page 14 Page 30

C.2 Review report

C.3 Notes and forward-looking statements

Introduction

Siemens Healthineers AG's Half-Year Financial Report complies with the applicable legal requirements of the German Securities Trading Act ("Wertpapierhandelsgesetz") and comprises condensed half-year consolidated financial statements, an interim group management report and a responsibility statement in accordance with Section 115 of the German Securities Trading Act.

The Half-Year Financial Report should be read in conjunction with the Annual Report for fiscal year 2023.

A. Interim group management report

A.1 Results of operations

A.1.1 Revenue by segment and region

(in millions of €)¹ First half
2024
First half
2023
%-Change
Act.
%-Change
Comp.²
Siemens Healthineers 10,611 10,423 1.8% 4.3%
Therein:
Imaging 5,748 5,654 1.7% 3.9%
Diagnostics 2,162 2,228 −3.0% −0.3%
Varian 1,821 1,704 6.9% 8.9%
Advanced Therapies 1,001 972 3.0% 6.5%

1 Siemens Healthineers: revenue according to IFRS, segments: total adjusted revenue. 2 Year-over-year on a comparable basis, excluding effects in line with revaluation of contract liabilities from IFRS 3 purchase price allocations as well as currency translation and portfolio effects.

Revenue by region (location of customer)

(in millions of €) First half
2024
First half
2023
%-Change
Act.
%-Change
Comp.¹
Europe, C.I.S., Africa, Middle East (EMEA) 3,604 3,316 8.7% 9.4%
Therein: Germany 533 493 8.1% 8.1%
Americas 4,326 4,197 3.1% 4.5%
Therein: United States 3,653 3,561 2.6% 4.5%
Asia Pacific Japan² 1,429 1,517 −5.8% 0.7%
China 1,252 1,392 −10.0% −4.5%
Siemens Healthineers 10,611 10,423 1.8% 4.3%

1Year-over-year on a comparable basis, excluding effects in line with revaluation of contract liabilities from IFRS 3 purchase price allocations as well as currency translation and portfolio effects.

Siemens Healthineers

2Including India.

Revenue increased by 4.3% on a comparable basis compared to the prior-year period. Excluding revenue from rapid COVID-19 antigen tests which ended in the fourth quarter of fiscal year 2023, comparable growth was 5.0%. This was driven by very strong growth in the Varian segment, strong growth in the Advanced Therapies segment and moderate growth in the Imaging segment. The Diagnostics segment showed flat revenue development. Excluding the now-ended rapid antigen-test business, comparable revenue increased moderately for the Diagnostics segment. On a nominal basis, revenue increased by 1.8% to €10,611 million. Currency translation effects had a negative impact of around 3 percentage points on revenue growth. The equipment book-tobill ratio was a very good 1.11 in the first half, slightly below the prior-year figure, which was also very good, at 1.17.

Segments

Adjusted revenue in Imaging rose by 3.9% on a comparable basis relative to the very strong prior-year period. Molecular Imaging and Magnetic Resonance in particular showed very strong growth. From a geographical perspective, comparable revenue growth was significant in EMEA and moderate in the Americas region. The region Asia Pacific Japan showed slight comparable revenue growth. In the China region, revenue decreased by a high single-digit percentage after very strong revenue development in the prior-year period. Temporarily delayed customer orders in the China region in preceding quarters had a negative effect on revenue in the first half of fiscal year 2024. On a nominal basis, adjusted revenue rose by 1.7% to €5,748 million.

The Diagnostics segment showed flat revenue development with an adjusted revenue decline of 0.3% on a comparable basis. Excluding the rapid COVID-19 antigen test business, which no longer generated revenue in the first half of fiscal year 2024 (prior-year period: €67 million), adjusted revenue increased by 2.8%. While EMEA recorded strong growth and the Americas region posted slight comparable growth, revenue in the China region decreased moderately. Against the backdrop of sharp growth due to higher revenue from rapid COVID-19 antigen tests in the prior-year period, the Asia Pacific Japan region showed a low double-digit comparable revenue decline. On a nominal basis, adjusted revenue decreased by 3.0% to €2,162 million.

Varian's adjusted revenue increased by 8.9% on a comparable basis above the significant revenue growth in the prior-year period. From a geographical perspective, the Asia Pacific Japan region in particular recorded significant growth. While the Americas region reported very strong comparable revenue growth after significant revenue development in the prior-year period, comparable revenue in the China and EMEA regions showed strong growth. On a nominal basis, adjusted revenue rose by 6.9% to €1,821 million.

Adjusted revenue at Advanced Therapies increased by 6.5% on a comparable basis. The Americas and Asia Pacific Japan regions recorded very strong growth and EMEA recorded strong comparable revenue growth. Against the backdrop of sharp revenue development in the prior-year period and due to temporarily delayed customer orders in preceding quarters, revenue in the China region decreased slightly on a comparable basis. On a nominal basis, adjusted revenue rose by 3.0% to €1,001 million.

Regions

In the EMEA region, revenue increased by 9.4% on a comparable basis. In particular, the Imaging segment showed significant growth. Advanced Therapies, Diagnostics and Varian achieved strong revenue development. Germany reported revenue growth of 8.1% on a comparable basis, mainly because of sharp growth in the Varian business and significant growth in Imaging. While Advanced Therapies showed moderate comparable revenue growth, a mid single-digit revenue decline at Diagnostics had the opposite effect.

The Americas region and within it, the United States, each recorded comparable revenue growth of 4.5%, driven by very strong revenue developments in the Varian and Advanced Therapies segments. Imaging in the Americas region, as well as in the United States, achieved moderate growth, and Diagnostics recorded slight revenue growth on a comparable basis.

In the Asia Pacific Japan region, revenue rose by 0.7% on a comparable basis. Excluding the now-ended rapid COVID-19 antigen test business, the region recorded moderate comparable revenue growth. The Varian segment contributed significant growth, Advanced Therapies achieved very strong growth and Imaging slight growth. Against sharp growth in the prior-year period driven by high contributions from rapid COVID-19 antigen tests, Diagnostics reported a low double-digit revenue decline on a comparable basis.

Against the backdrop of very strong comparable revenue growth in the prior-year period, revenue in the China region declined by 4.5% on a comparable basis. This was mainly related to a high single-digit revenue decrease in the Imaging segment as well as to moderate and slight revenue declines in the Diagnostics and Advanced Therapies segments respectively. This was mainly due to the above mentioned temporarily delayed customer orders in preceding quarters. Varian in contrast achieved strong comparable revenue growth after an already very strong prior-year period.

A.1.2 Adjusted EBIT

(Adjusted EBIT in millions of €, margin in %) First half
2024
First half
2023
Adjusted EBIT Siemens Healthineers 1,564 1.449¹
Therein:
Imaging 1,131 1.202¹
Diagnostics 99 −23¹
Varian 295 246
Advanced Therapies 153 139
Adjusted EBIT margin Siemens Healthineers 14.7% 13.9%¹
Therein:
Imaging 19.7% 21.3%¹
Diagnostics 4.6% −1.0%¹
Varian 16.2% 14.5%
Advanced Therapies 15.3% 14.3%

1Comparable based on the definition of adjustments effective October 1, 2023.

Siemens Healthineers

In the first half of fiscal year 2024, adjusted EBIT increased by 8% from the prior-year period, to €1,564 million. The adjusted EBIT margin of 14.7% was above the prior-year level of 13.9%. The main reasons were cost reductions related to the transformation program of the Diagnostics business along with contributions from revenue growth. A temporary unfavorable business mix compared to the prior-year period, and now-ended contributions from the rapid COVID-19 antigen-test business, which ended in the fourth quarter of fiscal year 2023, had a slightly negative impact.

Adjusted EBIT was affected by €34 million or around 4% higher research and development expenses. Adjusted for currency translation, research and development expenses rose strongly from the prior-year level. Research and development intensity was around 9% and on the level of the prior-year period.

Adjusted EBIT was affected by €54 million or around 3% higher selling and general administrative expenses. Adjusted for currency translation, these expenses rose strongly compared to the prior-year level.

Segments

The adjusted EBIT margin of 19.7% in the Imaging segment was below the prior-year level due to a less favorable business mix year-on-year as well as lower absolute profit conversion from below average revenue growth. Adjusted EBIT decreased to €1,131 million.

In Diagnostics, the adjusted EBIT margin of 4.6% was clearly above the prior-year level of -1.0%. This was mainly driven by cost reductions related to the transformation program of the Diagnostics business. Furthermore, there was a positive effect from the longer useful life of leased-out laboratory analyzers as well as from contributions from revenue conversion. In contrast, nowended contributions from the rapid COVID-19 antigen-test business, which ended in the fourth quarter of fiscal year 2023, had a negative impact compared to the prior-year period. Adjusted EBIT rose to €99 million.

The Varian segment's adjusted EBIT margin of 16.2% was above the prior-year level of 14.5% due to very strong revenue growth. Adjusted EBIT increased to €295 million.

The Advanced Therapies segment's adjusted EBIT margin rose to 15.3%, above the prior-year level of 14.3%, driven by strong revenue growth. Compared to the prior-year period, negative currency effects were more than offset by positive effects from focusing the endovascular robotics solution exclusively on neurovascular interventions. Adjusted EBIT rose to €153 million.

Siemens Healthineers Half-Year Financial Report 2024 Interim group management report – Results of operations

Reconciliation to net income

(in millions of €) First half
2024
First half
2023
Adjusted EBIT 1,564 1,449¹
Amortization, depreciation and other effects from IFRS 3 purchase price allocation adjustments −191 −208
Transaction, integration, retention and carve-out costs −11 −16
Gains and losses from divestments
Severance charges −54 −66
Expenses for other portfolio-related measures −329²
Other restructuring expenses −126 −121¹
Total adjustments −381 −740¹
EBIT 1,182 709
Financial income, net −99 −72
Income before income taxes 1,084 637
Income tax expenses −221 −103
Net income 863 534

1 Comparable based on the definition of adjustments effective October 1, 2023. 2 Including expenses for impairment of other intangible assets in the amount of €244 million.

The line item amortization, depreciation and other effects from IFRS 3 purchase price allocation adjustments declined slightly to €191 million.

Severance charges decreased by €12 million to €54 million and were comprised mainly of severance charges in connection with the transformation of the Diagnostics segment.

In the first half of fiscal year 2024, there were no expenses for other portfolio-related measures. In the prior-year period, expenses for other portfolio-related measures of €329 million had a negative effect. This was due to focusing the endovascular robotics solution exclusively on neurovascular interventions in the Advanced Therapies segment.

Other restructuring expenses rose to €126 million, which, as in the prior-year period, were mainly related to the transformation of the Diagnostics segment.

Financial income, net decreased by €27 million to a negative €99 million. Higher interest expenses were partially offset by a positive change in the fair market valuation of an investment in a listed company.

Income tax expenses increased by €118 million. The effective income tax rate was a low 20.4%, positively impacted by the disappearance of tax risks in the first half of fiscal year 2024, compared to a low 16.2% in the prior-year period. The prior-year period was particularly affected by the release of a tax provision. Both effects were in the mid double-digit millions of euros.

As a result of the developments described above, net income increased by 62% to €863 million.

Reconciliation to basic earnings per share

(in €) First half
2024
First half
2023
Basic earnings per share 0.77 0.47
Amortization, depreciation and other effects from IFRS 3 purchase price allocation adjustments 0.17 0.19
Transaction, integration, retention and carve-out costs 0.01 0.01
Gains and losses from divestments 0.00 −0.00
Severance charges 0.05 0.06
Expenses for other portfolio-related measures 0.29
Other restructuring expenses 0.11 0.11²
Transaction-related costs within financial income
Tax effects on adjustments¹ −0.07 −0.11²
Adjusted basic earnings per share 1.04 1.02²

1Calculated based on the income tax rate of the respective reporting period. 2Comparable based on the definition of adjustments effective October 1, 2023.

Adjusted basic earnings per share for the first half of fiscal year 2024 was at €1.04 slightly above the prior-year level of €1.02.

A.2 Net assets and financial position

A.2.1 Net assets and capital structure

(in millions of €) Mar 31,
2024
Sept 30,
2023
Operating net working capital 4,841 4,598
Remaining current assets 1,301 1,115
Remaining non-current assets 31,168 31,516
Net debt (including pensions) −13,742 −13,667
Remaining current liabilities −2,668 −3,116
Remaining non-current liabilities −2,225 −2,313
Total equity 18,676 18,133

Material developments in the first half of the current fiscal year within net assets and capital structure are described below.

Operating net working capital

(in millions of €) Mar 31,
2024
Sept 30,
2023
Trade and other receivables 4,280 4,492
Contract assets 1,670 1,629
Inventories 4,636 4,294
Trade payables −2,022 −2,203
Contract liabilities −3,729 −3,627
Receivables from and payables to the Siemens Group from operating activities 6 12
Operating net working capital 4,841 4,598

Operating net working capital increased by €243 million to €4,841 million, slightly above the level of the previous balance sheet date, despite negative effects from currency translation.

This is mainly due to an increase of €342 million in inventories, attributed to a build-up in preparation for stronger business development in the second half of fiscal year 2024, mainly in the Imaging and Varian segments, as well as in connection with long-term sourcing of critical materials. The decrease in trade and other receivables by €211 million, partly due to currency translation, had an offsetting effect. Trade payables decreased by €181 million, particularly in the Imaging segment.

Remaining current assets

(in millions of €) Mar 31,
2024
Sept 30,
2023
Other current financial assets¹ 315 224
Current income tax assets 262 244
Other current assets 713 645
Remaining current receivables from the Siemens Group 11 2
Remaining current assets 1,301 1,115

1 Excluding fair value of forwards for hedging of foreign currency liabilities from financing activities.

The increase of €186 million to €1,301 million in remaining current assets was due primarily to an increase in other current financial assets. This was influenced mainly by the change in the fair market valuation of an investment in a listed company for which an external investor has entered into a definitive agreement to acquire the company. Secondly, other current assets increased mainly due to accruals for advanced payments.

Siemens Healthineers Half-Year Financial Report 2024 Interim group management report – Net assets and financial position

Remaining non-current assets

(in millions of €) Mar 31,
2024
Sept 30,
2023
Goodwill 17,906 18,118
Other intangible assets 7,434 7,726
Property, plant and equipment 4,217 4,210
Investments accounted for using the equity method 32 35
Other financial assets¹ 529 530
Deferred tax assets 551 416
Other non-current assets 499 480
Remaining non-current assets 31,168 31,516

1 Excluding fair value of forwards for hedging of foreign currency liabilities from financing activities.

Remaining non-current assets decreased by €348 million to €31,168 million. Therein, currency translation effects had a negative impact, particularly in the line items goodwill and other intangible assets. This was partly offset by an increase in deferred tax assets of €135 million to €551 million, mainly due to R&D expenses in the U.S., which were capitalized for tax purposes.

Net debt (including pensions)

(in millions of €) Mar 31,
2024
Sept 30,
2023
Cash and cash equivalents¹ −2,305 −2,247
Current receivables from the Siemens Group from financing activities¹ −19 −16
Non-current receivables from the Siemens Group from financing activities −2
Current liabilities to the Siemens Group from financing activities 2,067 4,197
Non-current liabilities to the Siemens Group from financing activities 13,594 11,821
Fair value of forwards for hedging of foreign currency liabilities from financing activities −832 −1,260
Short-term financial debt and current maturities of long-term financial debt 226 198
Long-term financial debt 444 437
Net debt 13,174 13,128
Provisions for pensions and similar obligations 568 539
Net debt (including pensions) 13,742 13,667

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

The line items cash and cash equivalents, and current receivables from and current liabilities to the Siemens Group from financing activities, particularly include, in addition to current loans, our cash pooling with the Siemens Group. Changes were attributable to income and expenditures from operations and to short-term investment or borrowing of liquidity. Together with the credit facilities, these line items collectively make up the Company's funds available at short notice.

As of the reporting date, net debt amounted to €13,174 million, €46 million above the level of September 30, 2023.

Along with currency translation effects related to U.S. dollar loans, the changes in current and non-current liabilities to the Siemens Group from financing activities resulted particularly from the following activities:

In the reporting period, two loans from the Siemens Group in a total amount of US\$2.5 billion were repaid. In return, the Siemens Group provided the following additional loans:

  • €0.5 billion, maturing in fiscal year 2025,
  • €0.5 billion, maturing in fiscal year 2028,
  • €0.6 billion, maturing in fiscal year 2029,
  • €0.5 billion, maturing in fiscal year 2030.

Furthermore, the fair value of forward contracts for hedging of foreign currency liabilities from financing activities decreased by €428 million. These derivatives were entered into to hedge the foreign currency risks of loans denominated in U.S. dollars.

As of March 31, 2024, the two multicurrency revolving credit facilities of up to a total of €4.5 billion granted by the Siemens Group were utilized in an amount of €1,013 million (September 30, 2023: €1,267 million).

Siemens Healthineers Half-Year Financial Report 2024 Interim group management report – Net assets and financial position

Remaining current liabilities

(in millions of €) Mar 31,
2024
Sept 30,
2023
Other current financial liabilities¹ 228 252
Current provisions 402 409
Current income tax liabilities 371 462
Other current liabilities 1,651 1,990
Remaining current liabilities to the Siemens Group 16 2
Remaining current liabilities 2,668 3,116

1 Excluding fair value of forwards for hedging of foreign currency liabilities from financing activities.

Remaining current liabilities declined by €448 million to €2,668 million, primarily due to the decrease of other current liabilities by €339 million. This is mainly a result of the pro-rata accumulation of performance-related remuneration components. In addition, current income tax liabilities decreased by €92 million, particularly in connection with the payment of income taxes from the prior fiscal year.

Remaining non-current liabilities

(in millions of €) Mar 31,
2024
Sept 30,
2023
Deferred tax liabilities 1,572 1,663
Non-current provisions 153 172
Other non-current financial liabilities¹ 33 29
Other non-current liabilities 467 450
Remaining non-current liabilities 2,225 2,313

1 Excluding fair value of forwards for hedging of foreign currency liabilities from financing activities.

Remaining non-current liabilities declined by €88 million to €2,225 million. This was primarily because of a decline in deferred tax liabilities of €91 million due to increased netting opportunities of deferred tax assets and deferred tax liabilities.

Total equity

Mar 31,
(in millions of €)
2024
Sept 30,
2023
Issued capital
1,128
1,128
Capital reserve
15,813
15,839
Retained earnings
2,206
1,381
Other components of equity
−45
339
Treasury shares
−468
−607
Total equity attributable to shareholders of Siemens Healthineers AG
18,634
18,081
Non-controlling interests
42
52
Total equity
18,676
18,133

Equity increased by €543 million to €18,676 million. The increase in retained earnings of €825 million is mainly due to the net income of €863 million for the first half of fiscal year 2024. Furthermore, other components of equity decreased by €385 million, mainly as a result of currency translation differences. The increase in the cost of hedging reserve associated with foreign currency loans had an offsetting effect. To fulfill share-based payment programs based on shares of Siemens Healthineers AG, treasury shares were transferred to plan participants in the first half year of fiscal year 2024, while no treasury shares were repurchased due to the fully completed share buyback program in fiscal year 2023. Thus, treasury shares decreased by €139 million to €468 million.

For further details regarding equity, please see Note 5 Equity in the notes to the half-year consolidated financial statements.

Siemens Healthineers Half-Year Financial Report 2024 Interim group management report – Net assets and financial position

A.2.2 Cash flows

First half
(in millions of €)
2024
First half
2023
Net income
863
534
Change in operating net working capital
−278
−357
Other reconciling items to cash flows from operating activities
71
667
Cash flows from operating activities
656
844
Cash flows from investing activities
−332
−402
Cash flows from financing activities¹
−231
−133

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

Operating activities

Cash inflows from operating activities decreased by €188 million from the prior-year period to €656 million. The impact on cash flows from operating activities from the change in operating net working capital was €79 million less than in the prior-year period. This resulted largely from a lower increase in inventories and contract assets relative to the prior-year period. This was partly offset by a lower increase in contract liabilities and a stronger reduction of trade payables. The decrease of €596 million in other reconciling items to cash flows from operating activities was mainly related to lower depreciation. The prior-year period included an impairment in connection with the focusing of the endovascular robotics solution exclusively on vascular interventions in neurology, and the associated withdrawal from the endovascular cardiology business. Furthermore, payments for performance-related remuneration components, which were higher than in the prior-year period, had a negative impact on other reconciling items to cash flows from operating activities.

Investing activities

Cash outflows from investing activities declined by €70 million from the prior-year period to €332 million. This was mainly a result of lower payouts for additions to intangible assets and property, plant and equipment.

Financing activities

In the first half of fiscal year 2024, cash outflows from financing activities amounted to €231 million and were thus €98 million above the level of the prior-year period. This was mainly a result of two opposing effects. On the one hand, net inflows from the change in short-term financial debts and other financing activities provided by the Siemens Group were lower than in the prioryear period. On the other hand, there were no dividend payouts in the first half of fiscal year 2024, in contrast to the prior-year period, because the Annual Shareholders' Meeting 2024 took place after the first half of the fiscal year.

Free cash flow

Siemens Healthineers reports free cash flow as a supplemental liquidity measure:

(in millions of €) First half
2024
First half
2023
Cash flows from operating activities 656 844
Additions to intangible assets and property, plant and equipment −298 −405
Free cash flow 358 439

A.3 Outlook

For fiscal year 2024, we continue to expect comparable revenue growth of between 4.5% and 6.5% over fiscal year 2023. Excluding revenue from rapid COVID-19 antigen tests, this corresponds to comparable revenue growth of between 5.0% and 7.0%.

The expectation for adjusted basic earnings per share remains unchanged at between €2.10 and €2.30.

The outlook is based on several assumptions. This includes the expectation that the current macroeconomic environment, including the interest rate level, will remain largely unchanged.

Furthermore, the outlook is based on assumptions regarding revenue growth and the adjusted earnings development of our segments. These assumptions remain unchanged, with the exception of the Diagnostics segment, for which the adjusted EBIT margin guidance has been raised as follows:

For the Diagnostics segment, we now expect an adjusted EBIT margin of between 4% and 6% (previously 2.5% to 4.5% in the 2023 Annual Report) with unchanged assumptions for comparable revenue growth (between 2% and 4% excluding the rapid COVID-19 antigen test business).

In addition, the outlook is based on assumptions about exchange rate developments. Furthermore, this outlook excludes potential portfolio measures. In addition, the outlook is based on the assumption that developments related to the war in Ukraine and conflicts in the Middle East will not have a material impact on our business activities. The outlook is based on the number of shares outstanding at the end of fiscal year 2023. This outlook also excludes charges from legal, tax and regulatory issues and framework conditions.

A.4 Risks and opportunities

In our annual report for fiscal year 2023 we described certain risks that could have a material adverse effect on our business objectives, net assets and financial position (including effects on assets, liabilities and cash flows), results of operations and reputation. In addition, we described our significant opportunities as well as the design of our risk management system.

Besides the risks and opportunities that we presented in our annual report for fiscal year 2023, we identified a new opportunity that arises in connection with developments relating to sustainability.

Favorable shifts in the political and regulatory landscape towards a carbon-neutral economy are encouraging our suppliers to invest in carbon-neutral solutions and our customers to establish and pursue greenhouse gas-reduction targets. In addition to minimizing CO2 emissions in our own operations, this increased attention on resource conservation could potentially ease the path to achieve sustainability goals along the value chain. Improving environmental performance is also a key consideration in product design and manufacturing at Siemens Healthineers. We are continuously improving the energy efficiency of our systems and working on holistic approaches to bundle our systems with service offerings, including digitalization, to support our customers in lowering their greenhouse gas emissions. Furthermore, we are building up sustainability-related consultancy skills and offerings to meet these evolving demands. These developments could give us an opportunity to generate additional revenue and profit. We have a solid foundation of existing circularity practices, where we potentially can accelerate the expansion in scope and impact, to help us with our sustainability efforts. The intensified reuse of returned materials can have benefits such as increased resilience against supply shortages, reduced dependency on raw material consumption and optimized cost in the endto-end lifecycle of parts.

The most significant risks currently include Economic, Political and Geopolitical Developments, Cybersecurity and Competitive Environment. Compared to the annual report 2023 the risk Competitive Environment increased slightly, as the global footprint of our Chinese competitor continues to expand. Besides measures that we have implemented already, we continue to monitor developments and make adjustments where necessary. Furthermore, our assessment of individual risks in the first half of the fiscal year 2024 did not change significantly.

Additional risks and opportunities not known to us or that we currently consider immaterial could also affect our business operations. At present, no risks have been identified that in their known form either individually or in combination could endanger our ability to continue as a going concern. Chapter C.3 Notes and forward-looking statements should be noted.

B. Half-year consolidated financial statements

B.1 Consolidated statements of income

(in millions of €, earnings per share in €) Note First half
2024
First half
2023
Revenue 7 10,611 10,423
Cost of sales −6,640 −6,943
Gross profit 3,971 3,480
Research and development expenses −938 −906
Selling and general administrative expenses −1,801 −1,784
Other operating income 10 11
Other operating expenses −58 −95
Income from investments accounted for using the equity method, net −1 3
Earnings before interest and taxes 1,182 709
Interest income 64 40
Interest expenses 8 −218 −111
Other financial income, net 55
Income before income taxes 1,084 637
Income tax expenses −221 −103
Net income 863 534
Thereof attributable to:
Non-controlling interests 6 8
Shareholders of Siemens Healthineers AG 857 526
Basic earnings per share 0.77 0.47
Diluted earnings per share 0.76 0.47

B.2 Consolidated statements of comprehensive income

(in millions of €) First half
2024
First half
2023
Net income 863 534
Remeasurements of defined benefit plans −37 29
Therein: Income tax effects 36 −6
Other comprehensive income that will not be reclassified to profit or loss −37 29
Currency translation differences −404 −2,366
Cash flow hedges −5 −33
Therein: Income tax effects 2 17
Cost/Income from hedging 24 334
Therein: Income tax effects −10 −139
Other comprehensive income that may be reclassified subsequently to profit or loss −386 −2,066
Other comprehensive income, net of taxes −423 −2,037
Comprehensive income 440 −1,503
Thereof attributable to:
Non-controlling interests 5 7
Shareholders of Siemens Healthineers AG 435 −1,509

B.3 Consolidated statements of financial position

(in millions of €) Note Mar 31,
2024
Sept 30,
2023
Cash and cash equivalents¹ 2, 6 2,305 2,247
Trade and other receivables 6 4,280 4,492
Other current financial assets 6 335 549
Current receivables from the Siemens Group¹ 2, 6, 8 44 35
Contract assets 1,670 1,629
Inventories 4,636 4,294
Current income tax assets 262 244
Other current assets 713 645
Total current assets 14,246 14,136
Goodwill 17,906 18,118
Other intangible assets 7,434 7,726
Property, plant and equipment 4 4,217 4,210
Investments accounted for using the equity method 32 35
Other non-current financial assets 6 1,457 1,561
Non-current receivables from the Siemens Group 6, 8 2
Deferred tax assets 551 416
Other non-current assets 499 480
Total non-current assets 32,096 32,548
Total assets 46,342 46,684
Short-term financial debt and current maturities of long-term financial debt 6 226 198
Trade payables 6 2,022 2,203
Other current financial liabilities 6 344 348
Current liabilities to the Siemens Group 6, 8 2,091 4,204
Contract liabilities 3,729 3,627
Current provisions 402 409
Current income tax liabilities 371 462
Other current liabilities 1,651 1,990
Total current liabilities 10,836 13,440
Long-term financial debt 6 444 437
Provisions for pensions and similar obligations 568 539
Deferred tax liabilities 1,572 1,663
Non-current provisions 153 172
Other non-current financial liabilities 6 33 29
Other non-current liabilities 467 450
Non-current liabilities to the Siemens Group 6, 8 13,594 11,821
Total non-current liabilities 16,830 15,110
Total liabilities 27,666 28,550
Issued capital 1,128 1,128
Capital reserve 15,813 15,839
Retained earnings 2,206 1,381
Other components of equity −45 339
Treasury shares −468 −607
Total equity attributable to shareholders of Siemens Healthineers AG 5 18,634 18,081
Non-controlling interests 42 52
Total equity 18,676 18,133
Total liabilities and equity 46,342 46,684

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

B.4 Consolidated statements of cash flows

(in millions of €) First half
2024
First half
2023
Net income 863 534
Adjustments to reconcile net income to cash flows from operating activities:
Amortization, depreciation and impairments 619 916
Income tax expenses 221 103
Interest income/expenses, net 154 71
Income/loss related to investing activities −25 76
Other non-cash income/expenses, net 101 −135
Change in operating net working capital
Contract assets −51 −150
Inventories −374 −453
Trade and other receivables 152 97
Receivables from and payables to the Siemens Group from operating activities 7 7
Trade payables −151 −91
Contract liabilities 140 232
Change in other assets and liabilities −422 145
Additions to equipment leased to others in operating leases −95 −114
Income taxes paid −512 −417
Dividends received 1 1
Interest received 29 22
Cash flows from operating activities 656 844
Additions to intangible assets and property, plant and equipment −298 −405
Purchase of investments and financial assets for investment purposes −3
Acquisitions of businesses, net of cash acquired −41 −5
Disposal of investments, intangible assets and property, plant and equipment 10 8
Cash flows from investing activities −332 −402
Purchase of treasury shares −43
Other transactions with owners −9 −13
Repayment of long-term debt (including current maturities of long-term debt) −97 −98
Change in short-term financial debt and other financing activities 15 −30
Interest paid −18 −12
Dividends paid to shareholders of Siemens Healthineers AG −1,066
Dividends paid to non-controlling interests −16 −14
Interest paid to the Siemens Group −96 −122
Other transactions/financing with the Siemens Group¹ ²
Repayment of long-term debt (including current maturities of long-term debt) −20
Change in short-term financial debt and other financing activities 9 1,265
Cash flows from financing activities −231 −133
Effect of changes in exchange rates on cash and cash equivalents¹ −35 −140
Change in cash and cash equivalents¹ 59 169
Cash and cash equivalents at beginning of period¹ 2,247 2,117
Cash and cash equivalents at end of period¹ 2,305 2,286

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies. 2 From the beginning of fiscal year 2024 other transactions/financing with the Siemens Group are no longer presented on a net basis.

B.5 Consolidated statements of changes in equity

Other components of equity
(in millions of €) Issued capital Capital reserve Retained
earnings
Currency
translation
differences
Reserve of equity
instruments
measured at fair
value through other
comprehensive
income
Cash flow
hedges
reserve
Cost of
hedging
reserve
Treasury
shares
at cost
Total equity
attributable to
shareholders of
Siemens
Healthineers AG
Non
controlling
interests
Total equity
Balance as of October 1, 2022 1,128 15,861 894 2,465 −30 141 −219 −405 19,836 16 19,852
Net income 526 526 8 534
Other comprehensive income, net of taxes 29 −2,365 −33 334 −2,035 −1 −2,037
Dividends −1,066 −1,066 −14 −1,080
Share-based payment −83 −83 −83
Purchase of treasury shares −39 −39 −39
Reissuance of treasury shares 3 174 177 177
Other changes in equity 21 21 2 23
Balance as of March 31, 2023 1,128 15,781 405 100 −30 108 115 −270 17,337 10 17,347
Balance as of October 1, 2023 1,128 15,839 1,381 404 −30 74 −108 −607 18,081 52 18,133
Net income 857 857 6 863
Other comprehensive income, net of taxes −37 −403 −5 24 −422 −1 −423
Dividends −16 −16
Share-based payment −29 −2 −31 −31
Purchase of treasury shares
Reissuance of treasury shares 3 139 141 141
Other changes in equity 7 7 1 8
Balance as of March 31, 2024 1,128 15,813 2,206 1 −30 68 −84 −468 18,634 42 18,676

B.6 Notes to half-year consolidated financial statements

Note 1 Basis of presentation

The condensed half-year consolidated financial statements as of March 31, 2024, present the operations of Siemens Healthineers AG and its subsidiaries (hereinafter, collectively, "Group" or "Siemens Healthineers"). The half-year consolidated financial statements were prepared in accordance with International Financial Reporting Standards (IFRS) as issued by the International Accounting Standards Board (IASB) and as adopted by the European Union (EU), in particular in accordance with International Accounting Standard (IAS) 34, Interim Financial Reporting. The half-year consolidated financial statements were prepared and published in euros (€). Due to rounding, numbers may not add up precisely to the totals provided.

The results achieved in the interim reporting period are not necessarily indicative of the development of future business performance.

In connection with the war in Ukraine, there were no material adjustments to the carrying amounts of assets and liabilities in the first half of fiscal year 2024. Siemens Healthineers has no production sites in Ukraine or Russia. The business activities of the sales and service units could be negatively impacted by further escalation of the war, possible further sanctions, a further escalation of the Middle East conflict, and the exchange rate development of particular local currencies. Due to the volatile geopolitical situation, the potential impacts for the second half of fiscal year 2024 cannot be reliably estimated. The associated risks are monitored on an ongoing basis.

For further information on disaggregation of revenue and on segment information, please see disclosures in the interim group management report.

The half-year consolidated financial statements are unaudited. They were authorized for issue by the Managing Board of Siemens Healthineers AG on April 30, 2024.

Note 2 Accounting policies

The accounting policies applied for the preparation of the half-year consolidated financial statements are substantially consistent with these accounting policies applied for the preparation of the consolidated financial statements for fiscal year 2023. New or revised international accounting standards in accordance with IFRS, that are mandatory for the first time in fiscal year 2024, had no material impact.

As of October 1, 2023, the useful life of equipment from the Diagnostics segment that is leased to customers under operating leases was increased from seven to nine years to reflect the reassessed expected utility based on the latest knowledge of the actual and expected use of the equipment (please also see Note 4 Other intangible assets and property, plant and equipment).

Income tax expenses are determined in interim reporting periods based on the current estimated annual effective tax rate of Siemens Healthineers for the full year.

Adjustment due to the change in the composition of cash and cash equivalents

In February 2024, the rating of Siemens AG was improved by Standards & Poor's. Subsequently, the classification of credit balances on cash-pooling accounts and short-term deposits of up to three months with the Siemens Group was reassessed. The items are now presented as cash and cash equivalents in the consolidated statements of financial position and consolidated statements of cash flows because they are held for the purpose of meeting short-term cash commitments and are readily convertible to a known amount of cash. Due to the high creditworthiness of the Siemens Group and the bank-like liquidity management of Siemens Corporate Treasury, the risk of changes in value is assessed to be insignificant. Comparative amounts were adjusted retrospectively.

The following tables summarize the impacts on the consolidated statements of financial position and the consolidated statements of cash flow.

Consolidated statements of financial position

(in millions of €) Mar 31,
2024
Sept 30,
2023
(reported)
Sept 30,
2023
(adjusted)
Mar 31,
2023
(reported)
Mar 31,
2023
(adjusted)
Oct 1,
2022
(reported)
Oct 1,
2022
(adjusted)
Cash and Cash equivalents 2,305 1,642 2,247 1,370 2,286 1,436 2,117
Current receivables from the
Siemens Group
44 640 35 936 20 819 138

Consolidated statements of cash flows

(in millions of €) First half
2024
First half
2023
(reported)
First half
2023
(adjusted)
Cash and cash equivalents at beginning of period 2,247 1,436 2,117
Cash flows from operating activities 656 844 844
Cash flows from investing activities −332 −402 −402
Cash flows from financing activities −231 −396 −133
Effect of changes in exchange rates on cash and cash equivalents −35 −112 −140
Cash and cash equivalents at end of period 2,305 1,370 2,286

Note 3 Income taxes

In the first half of fiscal year 2024, the tax rate of 20.4%, positively impacted by the disappearance of tax risks, was higher than the tax rate for the first half of fiscal year 2023, which was due to a one-off effect 16.2%.

Note 4 Other intangible assets and property, plant and equipment

As of October 1, 2023, the useful life of equipment from the Diagnostics segment that is leased to customers under operating leases was increased from seven to nine years to reflect the reassessed expected utility based on the latest knowledge of the actual and expected use of the equipment. In the first half of fiscal year 2024 this resulted in lower depreciation expense of €36 million.

Note 5 Equity

Capital reserve: In the first half of fiscal year 2024, expenses for share-based payment based on Siemens Healthineers AG shares led to an increase in the capital reserve of €64 million (first half of fiscal year 2023: €58 million). In connection with the settlement of the share-based payment awards, Siemens Healthineers AG shares, held as treasury shares, were transferred to employees at cost of €95 million (first half of fiscal year 2023: €135 million), leading to a decrease in the capital reserve of €92 million (first half of fiscal year 2023: €135 million) and in retained earnings of €2 million (first half of fiscal year 2023: €0 million).

Treasury shares: In the first half of fiscal year 2024, Siemens Healthineers repurchased no shares (first half of fiscal year 2023: 815,072), because the share buyback program was fully completed in fiscal year 2023. 2,783,132 treasury shares were transferred to employees (first half of fiscal year 2023: 3,676,483). As of March 31, 2024, the number of treasury shares amounted to 9,428,754 (September 30, 2023: 12,211,886).

Dividends: The Annual Shareholders' Meeting on April 18, 2024, resolved to distribute a dividend of €1.063 million (€0.95 per share entitled to the dividend) for the expired fiscal year 2023. The dividend was paid on April 23, 2024.

Note 6 Financial instruments

The following tables show the carrying amounts and measurement details of each category of financial assets and liabilities:

Carrying amounts as of Mar 31, 2024

In scope of IFRS 9
Category of
financial assets
Measured at fair value
(in millions of €) and liabilities
(IFRS 9)¹
Measured at
amortized cost
Level 1 Level 2 Not in scope
of IFRS 9
Total
Cash and cash equivalents AC 2,305 Level 3
2,305
Trade receivables² AC 4,203 4,203
Receivables from finance leases³ n.a. 371 371
Receivables from the Siemens Group AC 44 44
Other financial assets²
Derivatives included in hedge accounting n.a. 951 951
Derivatives not included in hedge accounting FVtPL 34 34
Equity instruments and fund shares measured at fair
value through profit or loss
FVtPL 67 12 108 186
Equity instruments measured at fair value through other
comprehensive income
FVtOCI 50 50
Debt instruments measured at fair value through profit
or loss
FVtPL 33 33
Other AC 243 243
Total financial assets 6,795 67 997 191 371 8,421
Short-term and current maturities of long-term financial
debt as well as long-term financial debt⁴
AC 62 62
Trade payables AC 2,022 2,022
Lease liabilities⁵ n.a. 642 642
Liabilities to the Siemens Group⁴ AC 15,651 15,651
Other financial liabilities
Derivatives included in hedge accounting n.a. 123 123
Derivatives not included in hedge accounting FVtPL 32 32
Contingent considerations from business combinations FVtPL 18 18
Liabilities from written put options on non-controlling
interests
n.a. 49 49
Other AC 155 155
Total financial liabilities 17,890 155 18 691 18,753

1 AC = Financial Assets/Liabilities at Amortized Cost;

FVtPL = Financial Assets/Liabilities at Fair Value through Profit or Loss; FVtOCI = Financial Assets at Fair Value through Other Comprehensive Income;

n.a. = not applicable.

2 Excluding separately disclosed receivables from finance leases.

3 Reported in the line items trade and other receivables as well as other non-current financial assets.

4 Excluding separately disclosed lease liabilities.

5 Reported in the line items short-term financial debt and current maturities of long-term financial debt, long-term financial debt, current liabilities to the Siemens Group and non-current liabilities to the Siemens Group.

Siemens Healthineers Half-Year Financial Report 2024 Half-year consolidated financial statements – Notes to half-year consolidated financial statements

Carrying amounts as of Sept 30, 2023
Category of In scope of IFRS 9
financial assets
and liabilities
Measured at Measured at fair value Not in scope
(in millions of €) (IFRS 9)¹ amortized cost Level 1 Level 2 Level 3 of IFRS 9 Total
Cash and cash equivalents⁶ AC 2,247 2,247
Trade receivables² AC 4,420 4,420
Receivables from finance leases³ n.a. 359 359
Receivables from the Siemens Group⁶ AC 37 37
Other financial assets²
Derivatives included in hedge accounting n.a. 1,363 1,363
Derivatives not included in hedge accounting FVtPL 30 30
Equity instruments and fund shares measured at fair
value through profit or loss
FVtPL 11 11 110 132
Equity instruments measured at fair value through other
comprehensive income
FVtOCI 51 51
Debt instruments measured at fair value through profit
or loss
FVtPL 35 35
Other AC 213 213
Total financial assets 6,916 11 1,404 196 359 8,886
Short-term and current maturities of long-term financial
debt as well as long-term financial debt⁴
AC 44 44
Trade payables AC 2,203 2,203
Lease liabilities⁵ n.a. 628 628
Liabilities to the Siemens Group⁴ AC 15,988 15,988
Other financial liabilities
Derivatives included in hedge accounting n.a. 128 128
Derivatives not included in hedge accounting FVtPL 41 41
Contingent considerations from business combinations FVtPL 25 25
Liabilities from written put options on non-controlling
interests
n.a. 73 73
Other AC 110 110
Total financial liabilities 18,344 170 25 701 19,239

1 AC = Financial Assets/Liabilities at Amortized Cost;

FVtPL = Financial Assets/Liabilities at Fair Value through Profit or Loss;

FVtOCI = Financial Assets at Fair Value through Other Comprehensive Income; n.a. = not applicable.

2 Excluding separately disclosed receivables from finance leases. 3 Reported in the line items trade and other receivables as well as other non-current financial assets.

4 Excluding separately disclosed lease liabilities.

5 Reported in the line items short-term financial debt and current maturities of long-term financial debt, long-term financial debt, current liabilities to the Siemens Group and non-current liabilities to the Siemens Group. 6 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

The carrying amount of liabilities to the Siemens Group from U.S. dollar-denominated long-term loans was €8,223 million as of March 31, 2024 (September 30, 2023: €8,391 million). The fair value of these liabilities, which is based on prices provided by price service agencies (level 2), amounted to €7,099 million (September 30, 2023: €6,888 million). The carrying amount of liabilities to the Siemens Group from euro-denominated long-term fixed-rate loans was €4,650 million as of March 31, 2024 (September 30, 2023: €2,550 million). The fair value of these liabilities amounted to €4,720 million (September 30, 2023: €2,524 million) and was estimated by discounting future cash flows using rates currently available for debt of similar terms and remaining maturities (level 2). The carrying amounts of the remaining financial assets and liabilities measured at amortized cost approximated their fair value.

The fair values of forward exchange contracts and foreign exchange swaps were based on forward exchange rates (level 2).

Except for publicly listed investments for which a quoted price in an active market exists (level 1), the fair values of venture capital investments were generally determined on the basis of prices from most recently executed financing rounds (level 3). The fair values of other equity instruments were generally derived from a discounted cash flow valuation (level 3). Expected cash flows are thereby subject to future market and business developments as well as price volatility. The discount rates applied consider respective risk-adjusted capital costs. The fair value measurement of fund shares was based on their net asset values (level 2). In the first half of fiscal year 2024, net gains from the measurement of equity instruments at fair value amounted to €63 million (in the first half of fiscal year 2023: net loss of €2 million). The gains were recognized in other financial income and

resulted mainly from an investment in a listed company for which an external investor has entered into a definitive agreement to acquire the company.

Debt instruments measured at fair value through profit or loss consisted mainly of bonds and loans related to the financing of proton therapy centers. Along with other debt investors, these funds were provided to various entities to finance the development, construction and operation of proton therapy centers in the United States. The repayment is either directly or indirectly linked to the commercial success of the centers. The fair values of the bonds and loans are based primarily on the individual creditworthiness of the debtor, taking into account the risk characteristics and operating performance of the financed project (level 3). Where appropriate, a probability weighted expected return model is used, utilizing management's assumptions of different outcomes such as the sale, refinancing or closure of the therapy center. Credit ratings are taken into account when adjusting the fair values for credit risks. Consequently, a better rating will generally result in an increased fair value of the loan receivable. As of March 31, 2024, the carrying amounts of financings provided by Siemens Healthineers and measured at fair value through profit or loss were €27 million (September 30, 2023: €26 million), while the total undiscounted amount, including accrued interest, amounted to €211 million (September 30, 2023: €207 million). The carrying amounts represent the maximum exposure to loss.

Liabilities from written put options on non-controlling interests were measured at the present value of the exercise price of the options. The exercise price is generally derived from the proportionate enterprise value.

The changes in the carrying amount of the financial assets and liabilities measured at fair value based on unobservable inputs (level 3) were as follows:

Equity instruments Debt instruments measured
at fair value through profit
or loss Contingent considerations
from business combinations
(in millions of €) First half
2024
2023 First half
2024
2023 First half
2024
2023
Balance at beginning of first half year 161 159 35 53 25 4
Gains and losses recognized in profit or loss 7 1 −1 −2
Additions 3 22 1 5
Disposals and settlements −10 −8 −23 −4 −3
Currency translation differences −3 −17 −1 −3 −1
Balance at end of first half year 158 158 33 28 18 5

The following table shows the composition of Siemens Healthineers' financial debt:

(in millions of €) Mar 31,
2024
Sept 30,
2023
Short-term financial debt and current maturities of long-term financial debt 226 198
Therein:
Loans from banks 61 31
Lease liabilities 164 166
Current liabilities to the Siemens Group from financing activities 2,067 4,197
Therein: Lease liabilities 13 13
Total current financial debt 2,293 4,395
Long-term financial debt 444 437
Therein:
Loans from banks 10
Lease liabilities 443 426
Non-current liabilities to the Siemens Group from financing activities 13,594 11,821
Therein: Lease liabilities 22 23
Total non-current financial debt 14,038 12,258
Total financial debt 16,330 16,653

As of March 31, 2024, financing arrangements with Siemens AG consisted of a multicurrency revolving credit facility of up to €2.5 billion (September 30, 2023: €2.5 billion), which serves to finance net working capital and as a short-term credit facility, as well as a multicurrency revolving credit facility of up to €2.0 billion (September 30, 2023: €2.0 billion) as a backup facility. As of the reporting date, an amount of €1,013 million (September 30, 2023: €1,267 million) was drawn from these credit facilities.

In the reporting period, two loans from the Siemens Group in a total amount of US\$2.5 billion were repaid. In return, the Siemens Group provided the following additional loans:

  • €0.5 billion, maturing in fiscal year 2025 (contractual interest rate: 3.73%),
  • €0.5 billion, maturing in fiscal year 2028 (contractual interest rate: 2.96%),
  • €0.6 billion, maturing in fiscal year 2029 (contractual interest rate: 3.20%),
  • €0.5 billion, maturing in fiscal year 2030 (contractual interest rate: 3.21%).

Current liabilities to the Siemens Group from financing activities primarily decreased due to the repayment and refinancing of the above-mentioned loans. The devaluation of the U.S. dollar against the Euro had a reducing effect on the liabilities to the Siemens Group from financing activities.

Siemens Healthineers Half-Year Financial Report 2024 Half-year consolidated financial statements – Notes to half-year consolidated financial statements

Note 7 Segment information

Adjusted
external revenue¹
Inter
segment revenue
Total
adjusted revenue¹
Adjusted EBIT² Assets³ Free cash flow Additions to other
intangible assets and
property, plant and
equipment⁴
Amortization,
depreciation and
impairments
First half First half First half First half Mar 31, Sept 30, First half First half First half
(in millions of €)
Imaging
2024
5,536
2023
5,440
2024
211
2023
214
2024
5,748
2023
5,654
2024
1,131‐
2023
1,2025
2024
9,140
2023
8,983
2024
859
2023
990
2024
115
2023
118
2024
85
2023
99
Diagnostics 2,162 2,228 2,162 2,228 99‐ −235 5,974 5,950 −80 −90 181 263 184 193
Varian 1,820 1,703 1 1 1,821 1,704 295‐ 246‐ 14,251 14,368 158 8 51 16 20 17
Advanced Therapies 999 968 2 4 1,001 972 153‐ 139‐ 1,913 1,862 83 85 8 11 8 258
Total segments 10,517 10,339 214 219 10,732 10,558 1,678‐ 1,5645 31,277 31,163 1,021 994 354 409 297 567
Reconciliation to consolidated
financial statements⁶
94 83 −214 −219 −121 −136 −594‐ −9275 15,064 15,521 −663 −555 216 246 322 349
Siemens Healthineers 10,611 10,423 10,611 10,423 1,0842 6372 46,342 46,684 358 439 570 655 619 916

1 Siemens Healthineers: IFRS revenue.

2 Siemens Healthineers: Income before income taxes.

3 On segment level: net capital employed.

4 Including additions through business combinations, excluding goodwill. 5

Comparable based on the definition of adjustments effective October 1, 2023. 6 Including effects in line with revaluation of contract liabilities from IFRS 3 purchase price allocations. Accounting policies for segment information are generally the same as those described in the annual report for fiscal year 2023. From the beginning of fiscal year 2024, adjusted EBIT is additionally adjusted for other expenses in connection with restructuring measures within the meaning of IAS 37. Figures for first half of fiscal year 2023 are comparable based on the definition of adjustments effective October 1, 2023.

Adjusted revenue

Siemens Healthineers' revenue included revenue from contracts with customers and income from leases. In the first half of fiscal year 2024, income from leases amounted to €130 million (first half of fiscal year 2023: €180 million). No revenue from rapid COVID-19 antigen tests in the Diagnostics segment were achieved in the first half of fiscal year 2024 (first half of fiscal year 2023: €67 million).

For each of the segments, revenue results mainly from performance obligations satisfied at a point in time, especially in the case of the sale of goods, including reagents and consumables in the Diagnostics segment. However, the performance obligations related to maintenance contracts for equipment sold are generally satisfied over time with revenue recognized on a straight-line basis over this period.

Adjusted EBIT

(in millions of €) First half
2024
First half
2023
Total segments' adjusted EBIT 1,678 1,5642
Centrally carried pension service and administration expenses 2 1
Amortization, depreciation and other effects from IFRS 3 purchase price allocation adjustments −191 −208
Transaction, integration, retention and carve-out costs −11 −16
Gains and losses from divestments
Severance charges −54 −66
Expenses for other portfolio-related measures −3293
Other restructuring expenses −126 −1212
Financial income, net −99 −72
Corporate items −128 −1122
Corporate treasury, Siemens Healthineers Real Estate¹, eliminations and other items 12 −5
Total reconciliation to consolidated financial statements −594 −9272
Siemens Healthineers' income before income taxes 1,084 637

1 Siemens Healthineers Real Estate manages Siemens Healthineers' entire real estate business portfolio, operates the properties and is responsible for building projects and for the purchase and sale of real estate. 2 Comparable based on the definition of adjustments effective October 1, 2023.

3 Including expenses for impairment of other intangible assets in the amount of €244 million.

In the first half of fiscal year 2024, other restructuring expenses amounted to €126 million. This is mainly related to expenses in connection with the transformation of the Diagnostics business.

In the prior year period, expenses for other portfolio-related measures were €329 million. This was due to the focusing of the endovascular robotics solution exclusively on interventional solutions in neurology and the associated withdrawal from the robotic-assisted endovascular cardiology business in the Advanced Therapies segment. In the first half of fiscal year 2024, there were no expenses for other portfolio-related measures.

Siemens Healthineers Half-Year Financial Report 2024 Half-year consolidated financial statements – Notes to half-year consolidated financial statements

Assets

(in millions of €) Mar 31,
2024
Sept 30,
2023
Total segments' assets 31,277 31,163
Asset-based adjustments 6,340 6,383
Therein:
Positive fair value of forwards for hedging of foreign currency liabilities from financing activities 962 1,399
Assets corporate treasury¹ 2,419 2,350
Assets Siemens Healthineers Real Estate 1,905 1,833
Receivables from the Siemens Group from non-operating activities¹ 30 20
Current income tax assets and deferred tax assets 814 661
Liability-based adjustments 8,724 9,137
Total reconciliation to consolidated financial statements 15,064 15,521
Siemens Healthineers' total assets 46,342 46,684

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

Free cash flow

(in millions of €) First half
2024
First half
2023
Total segments' free cash flow 1,021 994
Tax-related cash flow −512 −417
Corporate items and other −150 −138
Total reconciliation to consolidated financial statements −663 −555
Siemens Healthineers' free cash flow 358 439

Note 8 Related party transactions

The following presents the relationships Siemens Healthineers maintained with the Siemens Group, meaning Siemens AG and its subsidiaries.

Transactions with the Siemens Group

Sales of goods and services and
other income
Purchases of goods and services
and other expenses
(in millions of €) First half
2024
First half
2023
First half
2024
First half
2023
Siemens AG 2 1 122 127
Other Siemens Group entities 112 142 92 88
Total 114 143 214 214

In the first half of fiscal year 2024, Siemens Healthineers obtained support from the Siemens Group for central corporate services with a total value of €143 million (first half of fiscal year 2023: €139 million). In addition, there were leasing transactions with the Siemens Group and related benefit trusts that fund pension obligations, mainly for real estate. As of March 31, 2024, total lease liabilities amounted to €50 million (September 30, 2023: €53 million).

In addition, the first half of fiscal 2024 included the acquisition of a Siemens Healthineers business from a Siemens Group entity in Algeria that had previously processed the business. The purchase price was €24 million.

Siemens Healthineers Half-Year Financial Report 2024 Half-year consolidated financial statements – Notes to half-year consolidated financial statements

Receivables from and liabilities to the Siemens Group

Receivables from the
Siemens Group¹
Liabilities to the Siemens Group
(in millions of €) Mar 31,
2024
Sept 30,
2023
Mar 31,
2024
Sept 30,
2023
Siemens AG 4 2 3,367 3,358
Other Siemens Group entities 40 35 12,319 12,666
Total 44 37 15,686 16,024

1 Prior-year value includes retrospective adjustment due to the change in the composition of cash and cash equivalents. For further information, please refer to Note 2 Accounting policies.

The liabilities to other Siemens Group entities decreased due to the repayment of two matured loans in the total amount of US\$2.5 billion. This was offset by the following additional loans:

  • €0.5 billion, maturing in fiscal year 2025,
  • €0.5 billion, maturing in fiscal year 2028,
  • €0.6 billion, maturing in fiscal year 2029 and,
  • €0.5 billion, maturing in fiscal year 2030.

In the first half of fiscal year 2024, interest expenses from financing arrangements with Siemens AG amounted to €82 million (first half of fiscal year 2023: €38 million) and from financing arrangements with other Siemens Group entities amounted to €90 million (first half of fiscal year 2023: €54 million). These include positive effects from the hedging of exchange rate risks of U.S. dollar-denominated loans.

As of March 30, 2024, the multicurrency revolving credit facilities in a total amount of €4.5 billion (September 30, 2023: €4.5 billion) were utilized in an amount of €1,013 million (September 30, 2023: €1.267 million). The liabilities to Siemens AG reduced respectively.

Credit balances on cash-pooling accounts and short-term deposits of up to three months with the Siemens Group are shown as cash and cash equivalents and amounted to €962 million as of March 31, 2024 (September 30, 2023: €605 million). For further details, see Note 2 Accounting policies.

Hedging with the Siemens Group

As of March 31, 2024, other current and other non-current financial assets resulting from hedging activities with the Siemens Group as counterparty amounted to €968 million (September 30, 2023: €1,376 million). As of March 31, 2024, other current and other non-current financial liabilities from hedging activities amounted to €129 million (September 30, 2023: €139 million).

C. Additional information

C.1 Responsibility statement

To the best of our knowledge, and in accordance with the applicable reporting principles for half-year financial reporting, the half-year consolidated financial statements give a true and fair view of the net assets, financial position and results of operations of the Group, and the interim group management report includes a fair review of the development and performance of the business and the position of the Group, together with a description of the material opportunities and risks associated with the expected development of the Group for the remaining months of the financial year.

Munich, April 30, 2024

Siemens Healthineers AG The Managing Board

Dr. Bernhard Montag

Darleen Caron

Dr. Jochen Schmitz

Elisabeth Staudinger-Leibrecht

C.2 Review report

To Siemens Healthineers AG, Munich

We have reviewed the condensed half-year consolidated financial statements – comprising the consolidated statement of income, the consolidated statement of comprehensive income, the consolidated statement of financial position, the consolidated statement of cash flows, the consolidated statement of changes in equity and selected explanatory notes – and the interim group management report of Siemens Healthineers AG, for the period from October 1, 2023 to March 31, 2024 which are part of the half-year financial report pursuant to § [Article] 115 WpHG ("Wertpapierhandelsgesetz": German Securities Trading Act). The preparation of the condensed half-year financial statements in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and of the interim group management report in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports is the responsibility of the parent Company's executive directors. Our responsibility is to issue a review report on the condensed half-year consolidated financial statements and on the interim group management report based on our review.

We conducted our review of the condensed half-year consolidated financial statements and the interim group management report in accordance with German generally accepted standards for the review of financial statements promulgated by the Institut der Wirtschaftsprüfer (Institute of Public Auditors in Germany) (IDW) and supplementary compliance with the International Standard on Review Engagements "Review of Interim Financial Information Performed by the Independent Auditor of the Entity" (ISRE 2410). Those standards require that we plan and perform the review so that we can preclude through critical evaluation, with moderate assurance, that the condensed half-year consolidated financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU and that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports. A review is limited primarily to inquiries of company personnel and analytical procedures and therefore does not provide the assurance attainable in a financial statement audit. Since, in accordance with our engagement, we have not performed a financial statement audit, we cannot express an audit opinion.

Based on our review, no matters have come to our attention that cause us to presume that the condensed half-year consolidated financial statements have not been prepared, in all material respects, in accordance with the IFRS applicable to interim financial reporting as adopted by the EU nor that the interim group management report has not been prepared, in all material respects, in accordance with the provisions of the German Securities Trading Act applicable to interim group management reports.

Munich, April 30, 2024

PricewaterhouseCoopers GmbH Wirtschaftsprüfungsgesellschaft

sgd. Dr. Bernd Roese sgd. Holger Lutz Wirtschaftsprüfer Wirtschaftsprüfer [German Public Auditor] [German Public Auditor]

C.3 Notes and forward-looking statements

This document contains statements related to our future business and financial performance and future events or developments involving Siemens Healthineers that may constitute forward-looking statements. These statements may be identified by words such as "expect", "forecast", "anticipate", "intend", "plan", "believe", "seek", "estimate", "will", "target" or words of similar meaning. We may also make forward-looking statements in other reports, in presentations, in material delivered to shareholders and in press releases. In addition, our representatives may from time to time make oral forward-looking statements. Such statements are based on the current expectations, plans and certain assumptions of Siemens Healthineers' management, of which many are beyond Siemens Healthineers' control. As they relate to future events or developments, these statements are subject to a number of risks, uncertainties and factors, including, but not limited to those possibly described in the respective disclosures. Should one or more of these or other risks, uncertainties or factors (e.g. events of force majeure, including but not limited to unrest, acts of war, pandemics or acts of God) materialize, plans change or should underlying expectations not occur or assumptions prove incorrect, Siemens Healthineers' management actions, actual results, performance or achievements of Siemens Healthineers may (negatively or positively) vary materially from those described explicitly or implicitly in the forwardlooking statement.

This document includes supplemental financial measures that are or may be alternative performance measures not precisely defined in the applicable financial reporting framework. These supplemental financial measures may have limitations as analytical tools and should not be viewed in isolation or as alternatives to measures of Siemens Healthineers' net assets and financial position or results of operations as presented in accordance with the applicable financial reporting framework. Other companies that report or describe similarly titled alternative performance measures may calculate them differently, and therefore they may not be comparable to those included in this document. Please find further explanations regarding our (supplemental) financial measures in chapter "A.2 Financial performance system" and in the Notes to consolidated financial statements, Note 30 "Segment information" of the Annual Report 2023 of Siemens Healthineers.

Due to rounding, individual numbers presented throughout this and other documents may not add up precisely to the totals provided and percentages may not precisely reflect the absolute figures to which they refer.

For technical reasons, there may be differences in formatting between the accounting records appearing in this document and those published pursuant to legal requirements.

This document is a convenience English language translation of the German document. In case of discrepancies, the German language document is the sole authoritative and universally valid version.

The information contained in this document is provided as of the date of this document and is subject to change without notice.

In the event that the male form is used in this document, the information nevertheless refers to all persons (male, female, nonbinary).

Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany siemens-healthineers.com

Investor Relations Phone: +49 (9131) 84-3385 Email: [email protected]

___________________________________________

Press Email: [email protected]

© Siemens Healthineers AG, 2024

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