tapebrief
Preliminary brief— based on press release only. Full analysis including management tone and Q&A will be added when the transcript is available.

STE · Q4 2026 Earnings

Steris

Reported May 11, 2026

30-second summary

Steris closed FY2026 with Q4 revenue of $1.59B (+7.3% YoY) and non-GAAP EPS of $2.83, with FY2026 EPS landing at $10.17 vs. the $10.15–$10.30 guide. The FY2027 guide is where the story sits: CC organic growth guides to 6–7% vs. FY2026's 7.3% achieved — roughly flat at the high end, modestly decelerating at the midpoint — adjusted EBIT margin expansion is capped at ~50bps high-end despite ~200bps of pricing, and the $55M tariff headwind disclosure has vanished without a replacement number. Management has explicitly inserted "cautious" into the AST 1H framing — a notable shift from a year of operational raises — though AST is still guided as the fastest-growing segment in FY2027 at 7–8% CC organic vs. Healthcare and Life Sciences at 6–7%.

Headline numbers

EPS

Q4 FY2026

$2.83

-0.7% vs est.

Revenue

Q4 FY2026

$1.59B

+7.3% YoY

-0.8% vs est.

Gross margin

Q4 FY2026

43.9%

Operating margin

Q4 FY2026

19.9%

Key financials

Q4 FY2026
MetricQ4 FY2026Q4 FY2025YoYQ3 FY2026QoQ
Revenue$1.59B$1.48B+7.2%$1.50B+6.1%
EPS$2.83$2.74+3.3%$2.53+11.9%
Gross margin43.9%43.3%+60bps43.8%+10bps
Operating margin19.9%14.6%+530bps18.3%+160bps

Guidance

FY2026 modestly beat both revenue and EPS guidance; FY2027 outlook guides 7-8% reported revenue growth and 11.1-11.3 non-GAAP EPS (8-11% YoY), with organic growth decelerating to 6-7% and select AI/technology investments planned.

Guidance is issued for the full year only, refreshed each quarter. Prior and new below are the same FY updated this quarter.

Actuals vs prior guidance

MetricPeriodPrior guideActualΔResult
RevenueFY20268-9% YoY growth8.7% YoY+0.7-1.9pts above high end of prior guideBeat
Constant currency organic revenue growthFY20267-8%8.7% reported YoY+0.7-1.8pts above guide rangeBeat
Adjusted EPSFY2026$10.15-$10.30$10.17slightly above high end of prior rangeBeat

New guidance

MetricPeriodGuideYoY
Adjusted EPSFY2027$11.10-$11.30+8.8-11.1% YoY
RevenueFY2027$6.306-$6.39B (7-8% growth)+6.2-7.6% YoY
Constant currency organic revenue growthFY20276-7%
Effective tax rateFY2027approximately 25%
EBIT margin expansionFY2027approximately 50 basis points at the high end

Changes to prior guidance

MetricPeriodPrior guideNew guideΔResult
Tariff headwind impact
FY2027
~$55 million pre-tax headwindWithdrawn — no replacementWithdrawn

Segment KPIs

Q4 FY2026
SegmentQ4 FY2026Q4 FY2025YoY
Healthcare$1.136B$1.057B+7.5%
Applied Sterilization Technologies (AST)$0.289B$0.274B+5.5%
Life Sciences$0.163B$0.149B+9.4%
Healthcare Recurring Revenue (Consumables + Service)$799.1M
Healthcare Capital Equipment Revenue$337.1M
AST Service Revenue Growth10%
Life Sciences Capital Equipment Growth19%

Other KPIs

Q4 FY2026
SegmentQ4 FY2026Q4 FY2025YoY
Operating Margin19.9%
Total Backlog$490.7M
United States Revenue Mix72%
International Revenue Mix26%

Management tone

Narrative arc: Q1 FY2026 FX-funded raise, tariffs worsened → Q2 FY2026 organic-driven raise, conservatism cracking → Q3 FY2026 top of band off, AST visibility lost → Q4 FY2026 cautious into AST 1H, tariff narrative inverted.

The tariff narrative has fully inverted across four quarters — from $55M projected headwind to disclosed tailwind. Through FY2026 management walked the tariff drag up quarter by quarter while flagging mitigation work as the path to FY2027 offset. FY2026 incremental tariff impact ultimately came in at $46M (below the $55M figure carried through most of the year), with Q4 incremental tariffs landing at only ~$10M — Karen attributed the Q4 undershoot to lower volumes in materials and products sourced from outside the U.S. This quarter the figure is gone from the forward guide. Karen reframes: "in terms of tariffs, the recent changes are favorable to us and serve to offset the volume increase for next year. So in an odd twist, tariffs are an OK thing for us looking at 27." The four-quarter arc from quantified persistent headwind to disclosed-but-unquantified tailwind removes a hard datapoint investors had been using to test management discipline. Either the cushion has been rebuilt cleanly or the absorption is now hidden inside the muted EBIT margin expansion — both are possible, neither is verifiable.

AST has shifted from steady compounder to cautious-into-1H-comps — but is still the fastest segment in the FY2027 guide. Q3 management openly admitted they could not explain October weakness. This quarter Dan states: "We are taking a more conservative approach on our outlook to AST to start the year. Our MedTech customers continue to manage inventory levels carefully, and we are heading into the new year with some difficult comparisons in the first half, leaving us cautious." Importantly, AST is still guided to 7–8% CC organic in FY2027 — above the 6–7% guided for Healthcare and Life Sciences and above the 6–7% total-company guide. The caution is relative to AST's own historical pace and the difficult 1H comps, not absolute; if anything, Healthcare and Life Sciences at 6–7% are the larger contributors to total-company organic deceleration vs. FY2026's 7.3%. Q4 AST CC organic of just +1.6% — even with weather distortion — underscores the near-term deceleration that has management framing the 1H cautiously.

Adjusted EBIT margin expansion is being capped despite operational outperformance. FY2026 adjusted EBIT margin expanded 10bps to 23.3% despite ~$46M of incremental tariffs (an 80bps drag, per Dan). The FY2027 guide caps adjusted EBIT margin expansion at "approximately 50 basis points at the high end" off that 23.3% base — i.e., the low end of the guide implies flat to negative margin expansion in a year with ~200bps of pricing flowing in. Dan's framing: "We will be making select investments in FY27, driving incremental operating expenses, including kicking off a multi-year project to support our service workflows with upgraded technologies utilizing AI." The pricing power is being redeployed into a multi-year tech build rather than dropped to the line.

Capital returns are now structurally throttled by tax structure, not opportunity. The CFO's explanation of the buyback cadence: "Because of the withholding tax, we believe a measured approach is the right answer. We have this incremental hurdle when we do buybacks to overcome. So when we model the withholding tax, the lost interest, potentially having to borrow to go bigger, it starts to not make sense." This is a structural disclosure: the $1B authorization is real but the friction on deploying it is non-operational and not improving. The framed cadence is $200–300M per year. Combined with the M&A "kissed a lot of frogs" framing from Q3, the balance sheet capacity is now visibly idle by design.

Recurring themes management leaned on this quarter:

AST inventory pullback and cautious customer behavior offsetting procedure volume growthTariff environment shift from headwind to tailwind in FY27Margin expansion constrained by investments in AI-driven service workflows and new manufacturing facilityLife Sciences recovery momentum continuing post-COVID downturn with capital equipment reboundHealthcare delivering steady consumables and service growth driving operating leverageCapital allocation discipline balanced against tax efficiency headwinds on capital returns

Risks management surfaced:

MedTech customer inventory reduction despite underlying procedure volume growthDifficult year-over-year comparisons in AST services in first half FY27Supply chain vulnerabilities remain if macro conditions deteriorate (chips, metals, chemicals exposure)Withholding tax hurdle on capital deployment limiting shareholder returns flexibilityInflationary pressure on oil-driven freight and raw materials if sustained through full year

Answers to last quarter's watch list

FY2026 EPS landed in the bottom half of the $10.15–$10.30 range — Final FY2026 non-GAAP EPS came in at $10.17, $0.02 above the low end and $0.13 below the high end. Q4 implied EPS of $2.83 ($10.17 minus 9M YTD $7.34) landed in the bottom half of the pre-announced $2.81–$2.96 range, exactly as management telegraphed in Q3.
Resolved negatively
Tariff exposure breaching $55M — Incremental tariff impact for FY2026 came in at $46M (below the $55M figure carried earlier), with Q4 incremental tariffs of only ~$10M, and the metric was withdrawn entirely from the FY2027 disclosure, with management reframing tariffs as a modest tailwind into FY2027 due to favorable policy changes.
Resolved positively
AST services reacceleration — AST service revenue grew +10% as-reported in Q4 (~+8% CC organic, with management citing 150–200bps of weather drag). Total AST CC organic decelerated to +1.6%, and management is going into FY2027 cautious on the 1H. Services held on the as-reported line; the segment did not.
Resolved negatively
FY2026 EBIT margin trajectory stabilization — Q4 adjusted EBIT margin printed 24.2%, a high for FY2026 (Karen's framing). FY2026 adjusted EBIT margin expanded 10bps to 23.3%. The FY2027 guide caps expansion at ~50bps at the high end — implying flat to modest expansion in a year carrying ~200bps of pricing. The trajectory stabilized in Q4 but the forward signal is muted.
Continue monitoring
Tariff mitigation translating into FY2027 offset — The offset materialized via favorable policy changes ("recent changes are favorable to us and serve to offset the volume increase for next year") rather than internal mitigation. The cushion was rebuilt but the mechanism was exogenous, not operational.
Resolved positively

What to watch into next quarter

Whether AST CC organic weakness persists beyond the telegraphed soft 1H — management has already flagged "difficult comparisons in the first half," so a single sub-2% Q1 print is largely embedded in the 7–8% full-year AST guide; sustained weakness into Q2 without the expected 2H reacceleration is what would force a mid-year AST segment guide cut and confirm the MedTech inventory headwind is structural rather than transient

Whether the tariff tailwind is quantified anywhere in FY2027 — Karen's "OK thing for us" framing is qualitative; if Q1 FY2027 doesn't quantify the net impact, investors lose the ability to test whether the FY2027 EPS guide already embeds the favorable shift or has upside

Whether adjusted EBIT margin expansion lands at or above the 50bps high end — pricing of ~200bps is hitting against AI/service workflow investments and the new Mentor facility; first-half margin compression would suggest the investment ramp is heavier than the high-end guide implies

Whether backlog stabilizes above $490M — sequential drawdown from $541M to $490.7M is the first meaningful decline in the cycle; another $50M reduction in Q1 would flag conversion outrunning order intake into a softening AST demand environment, beyond the typical Q4 shipment hockey-stick Dan referenced

Whether the buyback cadence accelerates above the $200–300M annual run rate — the CFO disclosed the withholding-tax friction as structural; any deviation from the framed cadence would signal either tax structure changes or a willingness to absorb the friction at higher leverage

Sources

  1. Steris Q4 FY2026 press release, SEC filing: https://www.sec.gov/Archives/edgar/data/1757898/000162828026033580/ste03312026ex991.htm
  2. Steris Q4 FY2026 earnings call commentary (Dan Carestio CEO and Karen, CFO, prepared remarks).
  3. Steris Q3 FY2026 brief (prior quarter context), Tapebrief archive.
  4. Steris Q2 FY2026 brief (prior quarter context), Tapebrief archive.
  5. Steris Q1 FY2026 brief (prior quarter context), Tapebrief archive.

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