tariffs
Geopolitical Exposure
New U.S. tariffs and retaliatory tariffs reduced 2025 Operating income by ~$245M and cash flows by ~$285M; mitigation not expected to fully offset.
Relevance 95·Dependency 70·Confidence 98
Source evidence
“tariffs materially impacted our Operating income by approximately $245 million and cash flows by approximately $285 million for the year ended December 31, 2025”
China region generated $2,251M of 2025 revenue (-4.6%); local competition and Volume Based Procurement policies pressured orders and revenues.
Relevance 92·Dependency 75·Confidence 97
Source evidence
“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”
Tariffs and trade restrictions
Revenue Exposure
Tariffs materially impacted profitability and cash flows in 2025; mitigation not expected to fully offset additional costs, with continued material impact expected if tariffs persist.
Relevance 92·Dependency 70·Confidence 95
Source evidence
“we expect to continue to see a material impact to our financial results through the incurrence of additional costs”
United States
Geopolitical Exposure
U.S. tariffs on most imports from all countries during 2025 and potential industry-specific restrictions (e.g., pharmaceuticals) materially affect costs and results.
Relevance 92·Dependency 70·Confidence 92
Source evidence
“during 2025, the U.S. imposed a variety of new tariffs on most imports from all countries in the world”
China
Geopolitical Exposure
Bilateral U.S.-China tariffs materially impacted 2025 profitability and cash flows; China localization requirements create market share risk if operations are not localized.
Relevance 90·Dependency 75·Confidence 92
Source evidence
“tariffs materially impacted our profitability and cash flows in 2025, primarily the bilateral U.S. and Chinese tariffs”
Supply chain disruption
Supplier Dependency
Inability to manage supply chain or obtain components/raw materials has restricted manufacturing, caused delivery delays, and increased costs.
Relevance 88·Dependency 75·Confidence 92
Source evidence
“Our inability to manage our supply chain or obtain supplies of components or raw materials”
AI, cloud, edge computing, and software
Technology Dependency
Business strategy includes substantial R&D investment focused on AI, cloud, edge computing, and software offerings; returns are not guaranteed.
Relevance 85·Dependency 70·Confidence 93
Source evidence
“Our business strategy includes substantial investment in R&D, with a focus on AI, cloud, edge computing, and software offerings.”
United States
Geopolitical Exposure
U.S.-imposed tariffs and trade restrictions, including potential pharmaceutical-specific restrictions, could further materially impact results; U.S. legislation changed the federal income tax system.
Relevance 85·Dependency 65·Confidence 95
Source evidence
“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.”
rare earth minerals
Raw Material Dependency
Restricted supply or price increases in rare earth minerals could constrain manufacturing, reduce margins, and adversely affect business and customers.
Relevance 85·Dependency 60·Confidence 96
Source evidence
“If supply of these materials is restricted or if prices increase, this could constrain our manufacturing of affected products, reduce our profit margins”
Chinese Renminbi
Currency Exposure
Chinese Renminbi is a principal currency creating FX translation exposure on revenues, expenses, and intercompany transactions.
Relevance 85·Dependency 55·Confidence 95
Source evidence
“Such principal currencies include the Euro, the Chinese Renminbi, the Japanese Yen, the Norwegian Krone, and the British Pound Sterling, among others.”
Public and private healthcare payers
Demand Driver
Payer efforts to control healthcare cost growth and reimbursement changes may affect price of and demand for products and services.
Relevance 82·Dependency 65·Confidence 90
Source evidence
“Efforts by public and private payers to control the growth of healthcare costs may affect the price of and demand for our products and services.”
Independent service organizations (ISOs)
Competitive Exposure
ISOs seek access to OEM service tools, parts, and software, aided by the U.S. copyright exemption and right-to-repair laws, competing with the company's services business.
Relevance 80·Dependency 60·Confidence 92
Source evidence
“the strengthening of independent service organizations (“ISOs”) (third-party entities that specialize in the repair and maintenance of medical devices produced by original equipment manufacturers (“OEMs”), including us)”
Euro is among the largest currency exposures; majority of revenue generated outside the U.S. and translated into USD.
Relevance 80·Dependency 60·Confidence 95
Source evidence
“our largest currency exposures are the Euro, Chinese Renminbi, Japanese Yen, Norwegian Krone, and British Pound Sterling”
Chinese Renminbi
Currency Exposure
Chinese Renminbi is among the largest currency exposures against USD for translation of non-U.S. results.
Relevance 80·Dependency 60·Confidence 95
Source evidence
“our largest currency exposures are the Euro, Chinese Renminbi, Japanese Yen, Norwegian Krone, and British Pound Sterling”
helium
Raw Material Dependency
Helium is a relied-upon raw material with volatile availability and pricing.
Relevance 80·Dependency 55·Confidence 96
Source evidence
“We rely upon supplies of certain raw materials including helium, iodine, and rare earth minerals.”
US Dollar
Currency Exposure
USD is functional currency; 10% USD weakening would increase FX derivative fair value by $111 million; net investment hedging protects against USD movements.
Relevance 80·Dependency 50·Confidence 95
Source evidence
“We use net investment hedging to hedge the foreign currency risk of our net investment in foreign operations against adverse movements in exchange rates against the USD.”
China
Competitive Exposure
Increased competition from local Chinese companies and Volume Based Procurement have pressured Imaging, AVS, and PCS orders and revenues in China.
Relevance 78·Dependency 60·Confidence 93
Source evidence
“increased competition from local companies and the prevalence of Volume Based Procurement policies, both of which have impacted our orders and revenues”
rare earth minerals
Raw Material Dependency
China's 2025 rare earth export controls could constrain manufacturing of affected products and reduce profit margins.
Relevance 75·Dependency 70·Confidence 97
Source evidence
“If supply of these materials is further restricted or if prices increase, this could constrain our manufacturing of affected products, reduce our profit margins”
commodity and energy cost inflation
Cost Driver
Commodity, energy, shipping, and transportation cost increases hurt results if not passed through; price increases risk market share loss.
Relevance 75·Dependency 45·Confidence 90
Source evidence
“increasing our prices to our customers could result in long-term sales declines or loss of market share if our customers find alternative suppliers”
helium
Raw Material Dependency
Helium is a disclosed key raw material with volatile worldwide demand, availability, and pricing that could constrain manufacturing and margins.
Relevance 70·Dependency 65·Confidence 95
Source evidence
“We rely upon supplies of certain raw materials, including helium, iodine, and rare earth minerals.”
interest rate changes
Cost Driver
Rate changes affect fair value of $9.5 billion fixed-rate debt and cash flows of variable-rate debt; 100 bps = ~$32 million annual interest expense impact.
Relevance 70·Dependency 50·Confidence 93
Source evidence
“A hypothetical change of interest rates by 100 basis points would increase or decrease our annual interest expense by approximately $32 million”
russia_ukraine_war
Geopolitical Exposure
Sanctions and export licensing affect ability to supply Russian customers; $214M of assets and $353M of revenues tied to Russia/Ukraine in 2025.
Relevance 70·Dependency 45·Confidence 95
Source evidence
“The implementation of these measures affected our ability to supply customers in Russia during the years ended December 31, 2025 and 2024”
contract manufacturing organizations
Supplier Dependency
CMOs produce certain molecular imaging pharmaceutical products; their failure to maintain capacity or quality systems could cause shortages, certification withdrawal, and market-access loss.
Relevance 65·Dependency 70·Confidence 93
Source evidence
“we rely on contract manufacturing organizations to produce certain of our molecular imaging pharmaceutical products.”
GE (General Electric)
Legal Exposure
Potential indemnification obligation to GE if the Spin-Off is deemed taxable; also potential liability from GE pre-Spin-Off tax audits and Tax Matters Agreement constraints on deferred tax assets.
Relevance 60·Dependency 55·Confidence 90
Source evidence
“If the Spin-Off is determined to be a taxable transaction, it could result in significant tax liability to GE and its stockholders and we could have an indemnification obligation to GE”
U.S. False Claims Act
Regulatory Exposure
FCA imposes civil liability, treble damages, and potential exclusion from government healthcare programs for false or fraudulent claims.
Relevance 60·Dependency 50·Confidence 92
Source evidence
“The FCA also allows a private individual or entity with knowledge of past or present fraud against the federal government to sue on behalf of the government to recover civil penalties and treble damages.”
Company monitors whether tariffs and macro factors dampen growth, slow global trade, or impact inflation, which could adversely affect the business as customers adapt.
Relevance 60·Dependency 50·Confidence 85
Source evidence
“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.”
Localization requirements and government policies in Russia, alongside the Russia-Ukraine conflict, are disclosed as risks to market share and business results.
Relevance 60·Dependency 40·Confidence 85
Source evidence
“The implementation of localization requirements and the other government policies in certain geographies such as China and Russia creates a risk”
russia_ukraine_war
Geopolitical Exposure
Russia-Ukraine conflict heightens cyber-attack risk and is among key countries with supply chain interruption/price increase exposure.
Relevance 55·Dependency 40·Confidence 88
Source evidence
“Geopolitical tensions or conflicts, such as the conflict between Russia and Ukraine, and the increased adoption of AI technologies, may further heighten the risk of cyber-attacks.”