Sysmex Corporation TSE:6869

Sysmex : Presentation( PDF format / 1.1MB )

Published

Source: MarketScreener

Business Results

Fiscal Year Ended March 31, 2026

Sysmex Corporation

May 14, 2026





Our Approach under the New Management Structure

Reflecting frankly on the progress of the previous mid-term management plan, and based on selection and concentration and a return to fundamentals, we will reinforce the strengths and earning power of the diagnostics business.

  • This is the first earnings briefing under the new management structure

  • The previous mid-term management plan fell short of initial targets, due to factors including structural market changes caused by healthcare cost containment policies in China and divergence between plans and results in certain new business areas. We have taken to heart both the external factors and results related to our own response measures.

  • We will accelerate initiatives aimed at enhancing corporate value under the following three policies.

Selection and concentration Disciplined capital allocation

Return to fundamentals

Expansion of shareholder returns

We will review the business portfolio based on disciplined hurdle rates and prioritize allocation of resources to businesses with high future profitability.

We will strengthen the diagnostics business through the introduction of new products that meet customer expectations and the creation of new value through DX, thereby improving profitability, capital efficiency, and cash generation capability.

In addition to continuing progressive dividends, we implement shareholder returns combined with share buybacks.

Index

  1. Executive Summary

  2. Business Results, Fiscal Year Ended March 31, 2026

  3. Strategic Themes under the Mid-Term Management Plan

  4. Financial Forecast for the Fiscal Year Ending March 31, 2027

(Appendix)

  1. Executive Summary



    Executive Summary (Fiscal Year Ended March 31, 2026)

    Performance in the Americas, EMEA and AP remained solid, but net sales and profit declined due to the continued impact of healthcare cost containment policies in China and the recording of goodwill impairment losses.

Net sales

¥500.0 billion -1.7% YoY

Operating profit

¥51.8 billion -40.8% YoY

Profit attributable to owners of the parent

¥35.4 billion -33.9% YoY

Key reasons for lower sales and profits

  • Continued impact of healthcare cost containment policies in China (principle of minimal necessity, distributor inventory adjustments, etc.)

    Sales in China down 24.9% (YoY, local currency basis)

  • Total goodwill impairment losses at consolidated subsidiaries in new business areas of ¥11.2 billion

    Maintained the diagnostics business competitiveness

  • Excluding China, sales (yen basis) +5.1% YoY

  • Americas +7.3% / EMEA +5.2% / AP +6.4%

    (all on a local currency basis)

  • Demand for hematology testing in China remained firm

    Forex impact

    • Net sales +¥10.2 billion ( - 3.7%)

    • SG&A expenses +¥4.63 billion (+5.9%)

    • Operating profit +¥0.09 billion (- 40.9%)

    Year-on-year change excluding foreign exchange effects is shown in parentheses.

Cash generation

Operating cash flow:

¥73.8 billion

Operating cash flow down 16% YoY

Free cash flow of ¥22.3 billion

Capital efficiency / profitability

ROE:

7.3%

ROIC: 7.6% / CCC: 205 days

Shareholder returns

Annual dividend:

¥38

Increase from previous year's ¥32: +18.8% Maintained progressive dividend policy (payout ratio: 67.3%)



Executive Summary (Forecast for Fiscal Year Ending March 31, 2027)

Taking uncertainty in China into account, we anticipate higher sales and profit, driven by growth across regions.

Net sales

¥535.0 billion +7.0% YoY

Operating profit

¥58.0 billion +11.9% YoY

Profit attributable to owners of the parent

¥36.0 billion +1.5% YoY

Assumptions for net sales (+7.0%)

  • China (down 20%)

    -In addition to the principle of minimal necessity, assumptions include the impact of a standardization of testing prices.

  • Americas +6% / EMEA +7% / AP +13% expected to remain strong (local

    currency basis)

  • Japan Contribution from taking over JEOL's clinical chemistry business

    (clinical chemistry field:¥+10.0 billon)

    Assumptions for operating profit (+11.9%)

  • Gross profit decline in China to be offset by growth in the diagnostics business and elimination of one-time factors (goodwill impairment losses)

  • Assumes increases in raw material and logistics costs associated with U.S. reciprocal tariffs and worsening conditions in the Middle East

Strategic Themes

  • Strengthen competitiveness of the diagnostics business (regional expansion + flagship product launches)

  • Implement value chain reforms aimed at improving profitability

  • Accelerate expansion in the hemostasis field and accelerate expansion in emerging markets

  • Review the business portfolio

(Discussions initiated under the new management structure from April onward)

Cash generation Operating cash flow:

¥88.0 billion+19% YoY

Free cash flow of ¥27.0 billion (+21%)

Capital efficiency / profitability ROE:

7.3% ±0.0 pt YoY

ROIC 7.5% (-0.1 pt)

CCC 200 days (down five days)

Shareholder returns Annual dividend:

+5.3% from previous year's ¥38

Maintaining the progressive dividend policy

¥40

Assumed exchange rates

1USD ¥155

1EUR ¥180

1CNY ¥22.0

  1. Business Results, Fiscal Year Ended March 31, 2026

    Financial Highlights (Year on Year)

    508.6 500.0

    Fiscal year ended

    March 31, 2026

    Fiscal year ended

    (Billions of yen)

    461.5

    410.5

    87.5

    363.7

    78.3

    73.6

    67.4

    51.8

    53.6

    44.0

    45.7

    49.6

    35.4



    YoY (Previous

    March 31, 2025

    (Billions of yen)

    period =

    Results Ratio Results Ratio

    100%)

    Net sales 500.0

    100%

    508.6

    100%

    98.3%

    Cost of sales 244.3

    48.9%

    236.6

    46.5%

    103.2%

    SG&A expenses 164.3

    32.9%

    150.8

    29.7%

    109.0%

    R&D expenses 29.1

    5.8%

    31.4

    6.2%

    92.7%

    Other income (10.3)

    (2.1)%

    (2.0)

    (0.4)%

    -

    Operating profit 51.8

    10.4%

    87.5

    17.2%

    59.2%

    Profit attributable to

    owners of the 35.4

    parent

    7.1%

    53.6

    10.6%

    66.1%

    2022 2023 2024 2025 2026

    (Years to March 31)

    (expenses)

    Net sales

    Operating profit

    Profit attributable to owners of the parent

    Fiscal year ended

    Fiscal year ended

    March 31, 2026

    March 31, 2025

    1USD

    ¥150.8

    ¥152.6

    1EUR

    ¥174.8

    ¥163.8

    1CNY

    ¥21.2

    ¥21.1

    Breakdown of Net Sales (by Business and Field)

    Sales by Business and Field



Fiscal year ended March 31, 2026

YoY

(Previous period = 100%)

Hematology

(Billions of yen)

(Billions of yen)

Results Ratio Yen basis

Excluding FX impact

Excluding China

(Yen basis)

Net sales

500.0

100.0%

98.3%

96.3%

105.1%

Hematology

299.4

59.9%

98.7%

97.2%

103.3%

508.6

FCM

0.9

FX

impact

10.2 500.0

-8.4

2.6

Urinalysis

Others

LS

2.4 1.9

-12.6

Hemostasis -3.6

-2.0

Immunochemistry

Medical robotics

- ¥8.6 billion

FCM 4.6 0.9% 128.9% 125.0% 123.9%

Urinalysis 44.0 8.8% 107.9% 106.5% 117.5%

Hemostasis

72.4

14.5%

87.9%

84.6% 103.3%

Immunochemistry 22.3 4.5% 86.3% 86.1% 93.3%

Clinical chemistry 2.9 0.6% 80.3% 80.5% 88.7%

Life science 24.9 5.0% 117.1% 111.7% 117.1%

Others 25.9 5.2% 115.7% 111.8% 115.8%

2025

(Years to March 31)

2026

Medical robotics

3.3 0.7% 61.5% 61.4% 61.5%

Diagnostic business

496.7

99.3%

98.7%

96.7% 105.7%

business



Breakdown of Net Sales (by Destination and Product Type)

Net sales were down, owing to the impact of performance in Japan and China, although sales rose firmly in the Americas, EMEA, and AP.

(Billions of yen)

Fiscal year ended March 31, 2026

YoY (Previous period = 100%)

Local currency

Major Reasons for Changes by Destination

Americas

  • Favorable performance continued in North America, while Central and Latin America achieved strong growth, including double-digit growth in Brazil, resulting in higher sales overall.

EMEA

  • Strong performance in hematology and urinalysis across major countries and Eastern Europe offset sales declines in the Middle East, resulting in higher sales.

China

  • Sales declined due to the expanding impact of healthcare cost containment policies (including the principle of minimal necessity), as well as expanded inventory adjustments driven by the worsening financial conditions of distributors.

AP

  • Sales increased as major countries, including India, continued to achieve strong growth. (In Q4 alone, sales increased significantly by 17.8% year on year.)

Japan

  • Sales decreased due to the impact of accelerated reagent sales resulting from a system transition in 4Q of the previous fiscal year, in addition to a reaction to strong hematology instrument sales in the previous fiscal year and lower sales in the medical robotics business associated with worsening hospital management.

Note: On a local currency basis

Results Ratio Yen basis

basis

Net sales 500.0 100.0% 98.3% 96.3%*

Americas

139.2

27.9%

106.2%

107.3%

EMEA

158.0

31.6%

112.6%

105.2%

China

89.4

17.9%

75.8%

75.1%

AP

54.6

10.9%

106.4%

106.4%*

Japan

58.6

11.7%

86.5%

-

Instruments 103.2

20.6%

99.0%

96.2%*

Reagents 307.9

61.6%

98.1%

96.5%*

Services 69.2

13.9%

101.3%

99.8%*

Others 19.5

3.9%

88.4%

82.9%*

(Billions of yen)

6.6

508.6

3.2

10.2

500.0

-29.2

-9.1

By Destination

*Year -on-year change on a yen basis, excluding the impact of exchange rate fluctuations

9.6

By Product Type

508.6

(Billions of yen)

-3.9

10.2

500.0

-11.0

0.1

3.7

2025 Americas EMEA China AP Japan FX impact 2026

(Years to March 31)

2025 Instruments Reagents Services Others FX impact 2026

(Years to March 31) 11



Information by Destination (Americas)

Favorable performance continued in North America, while Central and Latin America achieved strong growth, including double-digit growth in Brazil, resulting in higher sales overall.

Fiscal year Fiscal year

(Million USD)

31, 2026 31, 2025

YoY (Previous period

Local currency basis

= 100%)

Yen basis

Net sales

922.1

859.8

107.3%

106.2%

Instruments

216.9

190.1

114.1%

113.2%

Reagents

453.4

433.2

104.7%

103.5%

Services, others

251.8

236.4

106.5%

105.3%

ended March ended March

Sales (Million USD)

820.7 859.8

743.0 781.7

922.1

251.8

Services, others

  • Instruments

    • Installations progressed steadily, and performance was favorable in the hematology and urinalysis fields.

    • In particular, in the urinalysis field, installations at large-scale facilities progressed in both North America and Central and Latin America.

  • Reagents

    196.2

    204.3

    342.5

    205.6

    213.9

    362.2

    213.7

    214.7

    392.3

    236.4

    190.1

    433.2

    216.9

    453.4

    Instruments

    Reagents

    • Sales increased, supported by solid performance in the hematology and urinalysis fields.

    • In the hemostasis field, reagent sales are expected to increase going forward in line with growth in instrument placements.

    • Amyloid β testing reagents also remained firm (Net sales: USD 9.3 million, up 39.3% year on year).

2022 2023 2024 2025 2026

(Years to March 31) 12



Information by Destination (EMEA)

(Million EUR)

Fiscal year ended March

Fiscal year ended March

YoY

Strong performance in hematology and urinalysis across major countries and Eastern Europe offset sales declines in the Middle East, resulting in higher sales.

(Previous period = 100%)

31, 2026

31, 2025

Local currency basis

Yen basis

Net sales

902.7

857.9

105.2%

112.6%

Instruments

214.6

199.8

107.4%

115.4%

Reagents

551.5

526.0

104.9%

112.0%

Services, others

136.5

132.0

103.5%

110.6%

  • Instruments



    • Through direct sales, performance in the hematology and urinalysis fields was favorable in Italy, while in France we achieved the winning of major tenders for

      Sales (Million EUR)

      798.7 857.9

      902.7

      Services, others

      the XR -Series at commercial labs.

    • In the hemostasis field, sales increased following the acquisition of large-scale tenders in Germany, France,

      722.8 746.2

      125.1

      132.0

      136.5

      and other countries.

      123.2

      187.2

      412.5

      121.0

      193.6

      431.6

      194.0

      479.6

      199.8

      526.0

      214.6

      551.5

      Instruments

      Reagents

      • Reagents

        • Sales increased across all fields, including strong performance in the urinalysis field driven by growth in the installed instrument base.

        • In the hemostasis field, sales also expanded in Germany, Egypt, and other countries in line with the

      2022 2023 2024 2025 2026

      (Years to March 31)

      Note: Sales figures, including for past fiscal years, exclude Russia.

      increase in the installed instrument base.

      13



      Information by Destination (China)

      (Million CNY)

      Fiscal year ended March 31, 2026

      Fiscal year ended March 31, 2025

      YoY

      Sales declined due to the expanding impact of healthcare cost containment policies (including the principle of minimal necessity), as well as continued inventory adjustments driven by deteriorating distributor finances.

(Previous period = 100%)

Local

Net sales

4,207.2

5,605.4

75.1%

75.8%

Instruments

538.1

738.3

72.9%

74.2%

Reagents

3,231.6

4,148.4

77.9%

78.6%

Services, others

437.4

718.6

60.9%

61.7%

currency basis

Sales (Million CNY)

5,437 5,605

Yen basis

  • Instruments

    • Sales declined due to lower appetite for capital investment and distributor inventory adjustments, among other factors.

    • In the hemostasis field, sales increased, with steady performance continuing from the second half of the previous fiscal year, supported by the impact of

5,313

575

1,151

3,586

4,907

622

767

3,517

648

745

4,043

718

738

4,148

4,207

437 538

3,231

Services, others Instruments

Reagents

knockdown local production.

  • Reagents

    • Due to the expanded impact of the principle of minimal necessity, the number of tests declined, particularly in the hemostasis field.

    • Sales in the hematology field also declined due to the impact of inventory adjustments associated with

      2022 2023 2024 2025 2026

      (Years to March 31)

      deteriorating distributor finances.

      14



      Outlook for China

      We expect negative growth to continue throughout the fiscal year ending March 31, 2027. We will continue to closely monitor developments while incorporating uncertainty associated with the standardization of testing prices.

      YoY Change in Net Sales (Conceptual)

      (pt)

      FY3/26 (Full Year):

      -25% (Local Currency Basis)

      FY3/27 (Full Year):

      -20% (Local Currency Basis)

      -4.9%

      -10.0%

      -24.9%

      -21.1%

      -28.0%

      FY3/26 Q1

      FY3/26 Q2

      FY3/26 Q3

      -38.5%

      FY3/26 Q4

      FY3/27 1H

      FY3/27 2H



      FY3/26 results: Q4 progressed generally as expected

      • Impact of the principle of minimal necessity and distributor inventory adjustments continued

      0

      Outlook for FY3/27

      • Our forecast newly incorporates the impact of the standardization of testing prices being advanced by the Chinese government.

      Note:

      We will monitor the situation closely and disclose important changes in a timely manner.

      Distributor inventory adjustments Principle of minimal necessity

      Other factors (VBP, competition, etc.) Impact of testing price standardization

      Future initiatives

      • Further strengthen the direct sales structure targeting Tier 3 hospitals in the hematology field

      • Expand the portfolio in the diagnostics business

Overall impact (%)

Organic growth + portfolio expansion, etc.

Demand for hematology testing in China remains firm, and the Company's brand value remains strong.

Over the medium to long term, we will rebuild competitiveness through higher added value and strengthening of the direct sales structure.



Changes in the Testing Market Environment in China

Although the market is currently in a phase of structural adjustment, over the medium to long term we will rebuild competitiveness through higher added value and strengthening of direct sales.

  • Changes in the market structure

    To date

    Instruments were tools for generating profits

    Focus on testing throughput and durability

    Testing was a source of hospital revenue

    Shift toward a sustainable healthcare

    • Centralized procurement

      Going forward

      Testing instruments will become tools for improving productivity and patient satisfaction

      Shift toward solving issues and emphasizing added value

      Testing will become a cost center for hospitals

      • Increase in testing parameters and testing volume

      • Testing prices set by region and hospital

        • Principle of minimal necessity

        • Standardization of testing prices

    Negative impact

    • Increased cost pressure

      Positive impact

    • Increased demand for more sophisticated and complex testing workflows

    • Consolidation and outsourcing of testing operations, etc.

      → Expected increase in demand for system products



      Providing high-quality customer care

Detection capabilities for abnormal specimens and academic support

Providing expertise for improving productivity in advanced countries

  • Sysmex's strengths

Prioritize achieving customer satisfaction through quality and service

Received top customer satisfaction ranking at the China Medical Industry Data Conference (March, 2026)

Strengthening direct sales

Deliver Sysmex strengths directly to customers

Information by Destination (AP)

(Billions of yen) en Fiscal year31, ded March

2026

Fiscal year YoY (Previous ended period = 100%)

March 31,

2025 Yen basis

Net sales 54.6

51.3 ( 106.4%

106.4%)

Diagnostics business

54.4

50.7

107.3%

Instruments

10.1

10.3

98.0%

Reagents

40.0

35.1

113.9%

Services, others

4.2

5.2

81.3%

Medical robotics business

0.1

0.5

30.5%

Note: Figures in parentheses exclude the impact of exchange rate fluctuations.

Net Sales (Billion JPY)

Sales increased as major countries, including India, continued to achieve strong growth. (In Q4 alone, sales increased significantly by 17.8% year on year.)



Diagnostics business

  • Instruments

    • Although sales grew due to the winning of major tenders in India, this was insufficient to offset lower sales in Indonesia, resulting in an overall decline in sales.

  • Reagents

    • In India, sales expanded due to an increase in the installed

      29.6

      2.4

      7.2

      19.9

      36.4

      3.0

      8.1

      25.3

      45.2

      (2.1)

      5.2 9.6

      30.3

      51.3

      (3.0)

      5.2 10.3

      35.1

      54.6

      (4.1)

      4.2

      10.1

      40.0

      Note: Sales in Russia are indicated in parentheses.

      Services, others Instruments

      Reagents

      base of compact hematology instruments.

    • Sales increased across all fields, supported by favorable performance centered on Southeast Asia, including the Philippines and Malaysia.

Medical robotics business

  • Total cumulative installations: four units.

  • The number of surgeries continues to increase steadily, with more than 150 procedures performed in both Singapore and

2022

2023

2024 2025 2026

(Years to March 31)

Malaysia.

*Excludes sales in Russia

Includes sales in Russia 17



Information by Destination (Japan)

(Billions of yen)

Fiscal year ended March 31, 2026

Fiscal year ended March 31,

2025

YoY (Previous period = 100%)

Sales decreased in reaction to strong hematology instrument sales in the previous fiscal year, as well as a decline in medical robotics business projects associated with worsening hospital management conditions.

Yen basis

Diagnostics business

55.4

62.9

88.1%

Instruments

10.0

13.6

73.7%

Reagents

34.4

39.1

87.9%

Services, others

11.0

10.2

107.9%

Medical robotics business

3.1

4.8

65.2%

Net sales 58.6 67.7 86.5%

Sales (Billion JPY)

67.7

Diagnostics business

  • Instruments

    • Sales declined in reaction to the replacement demand for legacy products in the hematology field in the previous fiscal year.

    • In the urinalysis field, both instrument replacement demand and new installations remained favorable.

  • Reagents

    • Sales declined due to the impact of sales brought forward in the

      55.6

      1.2

      59.8 62.1

      2.3 3.7

      4.8

      10.2

      58.6

      3.1

      Medical robotics business

      fourth quarter of the previous fiscal year associated with the transition to a new system.

      9.2

      9.5

      35.5

      9.7

      9.7

      38.0

      9.7

      12.0

      36.6

      13.6

      39.1

      11.0

      10.0

      34.4

      Services, others Instruments

      Reagents

      • Multiple new immunochemistry reagent parameters were launched.

        Medical robotics business

      • Installation results were below the previous fiscal year due to continued weak appetite for capital investment among hospitals.

        • Number of units installed during the fiscal year: 20 units (21 units globally)

          2022 2023 2024 2025 2026

          (Years to March 31)

        • Cumulative installed base: 106 units (110 units globally)

18



Operating profit

Breakdown of Operating Profit (Year on Year)

Lower R&D expenses 2.2

Change in other income and expenses

-8.8

FX

impact

0.09

87.5

51.8

Deterioration in the cost of sales ratio

-10.1 Higher

SG&A

expenses

-10.8

Fluctuation in gross profit due to changes in net sales

2025

- ¥35.7 billion

(Years to March 31)

-8.2

(Billions of yen)

2026

Note: Figures and comments below exclude the impact of exchange rates.

  • Fluctuation in gross profit due to changes in net sales: - ¥10.10 billion

  • Deterioration in the cost of sales ratio: - ¥10.89 billion

    (2.2pt deterioration)

    • Negative factors: Q1 inventory revaluations, 0.4pt

      Impact of product mix, 0.4 pt Deterioration of service costs, 0.6 pt Tariff impact, 0.4 pt

      Deterioration in logistics costs, 0.2 pt

  • Higher SG&A expenses: - ¥8.87 billion

    • Labor costs rose ¥2.5 billion, due to personnel increases owing to expansion of the direct sales area, as well as higher unit costs.

    • Other costs rose ¥1.3 billion in line with an increase in scale and sales promotion activities.

    • Depreciation and amortization rose ¥2.95 billion owing to the launch of core systems operations

  • Lower R&D expenses: + ¥2.29 billion

    • While investment in product development continues, total R&D expenses declined due to prioritization and narrowing of research themes.

  • Change in other income and expenses: - ¥8.27 billion

    • Goodwill impairment losses: - ¥11.2 billion

  • FX impact: +¥0.09 billion



    Goodwill Impairment Losses at Consolidated Subsidiaries

    Based on the review of business plans under the new management structure,

    we redesigned resource allocation with a greater focus on profitability and capital efficiency.

  • We reevaluated the business plans of each consolidated subsidiary in line with the policies of the mid-term management plan and the capital allocation discipline under the new management structure.

  • For goodwill recognized at the time of acquisition, full impairment losses were recorded based on future cash flow outlooks, changes in the business environment, and strategic revisions.

Sysmex Partec GmbH

  • Development and manufacturing in the FCM field

Impairment loss: ¥1.5 billion

  • Development and manufacturing in the LS field (FISH and NGS genome analysis business)

Impairment loss: ¥2.7 billion

Oxford

Gene Technology IP Limited

  • Development and manufacturing of testing systems for the primary care market that rapidly determine antimicrobial susceptibility

Impairment loss: ¥7.0 billion

Sysmex Astrego AB

Total: ¥11.2 billion

  • Going forward, we will apply financial discipline metrics such as ROIC, IRR, and payback period as hurdle rates tailored to business characteristics, and promote disciplined resource allocation in line with the policy of "selection and concentration"



Breakdown of Changes in the Consolidated Statement of Financial Position

Assets Liabilities/Equity

Current assets: +¥23.78 billion Non-current assets: +¥18.47 billion

Property, plant and

(Billions of yen)

Other non-current

Intangible assets

Liabilities: +¥1.12 billion Equity: +¥41.14 billion

(Billions of yen)

Other equity

20.18

1.02

707.5

Cash and cash equivalents

665.2 5.77

-5.45

Inventory 9.66

13.80

Other current assets

-10.06

Goodwill

Trade and other receivables

+¥42.26 billion

equipment

assets

7.33

Retained

27.71

707.5

Non-current liabilities

4.68

earnings

13.43

665.2

Current liabilities

-3.56

+¥42.26 billion

2025

(Years to March 31)

2026

2025

(Years to March 31)

2026



Cash Flows

Operating CF

Investing CF

Financing CF

Net Increase in Cash and Cash Equivalents*

(Billions of yen)

88.2

(Billions of yen)

(Billions of yen)

(Billions of yen)

63.9

73.8

differences on cash and cash equivalents

6.0

14.0

-9.0

-5.4

-24.3

-37.6

* Includes translation

-54.9

-52.4

-51.4

2024 2025 2026

(Years to March 31)



Proposed Dividend for the Fiscal Year Ended March 31, 2026

Maintaining the progressive dividend policy, and as announced at the beginning of the fiscal year, the annual dividend will increase by ¥6 (+18.8%) from the previous fiscal year, including a commemorative dividend marking the 30th anniversary of the Company's listing.

Interim dividend

Year-end dividend

Total

Payout ratio

Fiscal year ended March 31, 2025

¥15

¥17

¥32

37.4%

Fiscal year ended March 31, 2026 (proposal)

¥19

¥19*

¥38

67.3%

*We plan to propose this year-end dividend to the 59th Ordinary General Meeting of Shareholders.

  1. Strategic Themes under the Mid-Term Management Plan




Accelerated Rollouts in the Hemostasis Field

Expansion of sales in EMEA and the Americas due to a global OEM agreement

*Growth rate forecast for the fiscal year ending March 31, 2027 compared with the fiscal year ended March 31, 2026 (local currency basis)

EMEA

+20% or more*

Americas

+70% or more*

Current: Won numerous large tenders, including from laboratory chains in Germany and projects in France and Switzerland



Outlook: Reagent sales expected to grow in line with the increase in installed instrument base

Current: Obtained FDA approval for the full reagent lineup, including specialty parameters, establishing a framework capable of meeting a broad range of testing needs

Outlook: Sales growth to accelerate through expanded adoption in high-end markets, centered on the CNTM-9000, which launched in the previous fiscal year



Key countries with major new tender wins

CN-Series automated blood coagulation analyzer

Hemostasis-related reagents

CN-9000 automated hemostasis solution



Business Expansion in Emerging Markets
  • Net Sales (Full Year)

Emerging markets

(Asia, Central and South America, the Middle East and Africa)

Key initiatives in the fiscal year ending March 31, 2027



  • India: Leveraging competitive advantages

23.1

26.8

12.4

14.5

36.3

42.5

18.0

26.0

(Billions of yen)

54.3

Asia Central and South America the Middle East and Africa

63.5 74.1

22

86.5

  • Expansion of Make in India Class I products



    XQ -320 multiparameter automated

  • Preparation for the launch of strategic

18.8 22.2

15.8

models and public health services

hematology analyzer for the Indian market New functionality: Improved anemia classification performance (RUO)

India

(Million INR)

2024 2025 2026 2027 (Forecast)

(Years to March 31)

+15.4%

2024 2025 2026 2027 (Forecast)

(Years to March 31)

30

32

36

43

2024

2025

2026

2027 (Forecast)

  • Brazil: Commencement of construction of a new plant and acceleration of growth in the urinalysis and hemostasis fields

    7,239

7,000

6,061

4,129

  • Urinalysis field: Expansion into mid- and lower-end markets

  • Hemostasis field: Launch of sales of the CN-Series for high-end markets



  • New Brazil plant: Strengthening the stable supply framework for reagents

At full operation, production capacity is

Brazil

(Million USD)

+19.4%

expected to be

approximately doubled

(compared with the current Brazil plant)

Artist's rendering of the new plant in Brazil, which is scheduled for completion in the fiscal year ending March 31, 2028



Strengthening the Competitiveness of the Diagnostics Business

Fiscal year ended March 31, 2026

Fiscal year ending March 31, 2027

From fiscal year ending March 31, 2028



Hematology

Rollout of global flagship models in the aim of achieving an overwhelming No. 1 global market position



XR-1000

(North America)

North America: Transition from the





XNTM-Seriies to an XR-Series Launch Achieve an overwhelming No. 1 global market position

India: Launch of Make in India products



・Strengthen competitive advantage

Launch of next-generation flagship models

・Moving to a new stage beyond screening

Hemostasis

Direct sales expansion in Europe and the Americas to drive reagent sales growth and significantly contribute to profitability improvement





Following Europe, rollout of a full lineup including specialty parameters in North America

Launch of next-generation flagship models(Japan)





CN-Series (North America)



Start of reagent sales growth in Europe

Global expansion



・Achieve a market share of over 10% for Sysmex alone in Europe and the Americas

Immunochemistry

Accelerate reagent sales and improve profitability by leveraging strategic parameters, including Alzheimer's disease testing-related panels



HISCLTM-5000

Mid-Scale change (Japan)

Three reagent parameters, including procalcitonin (Japan)

Aβ42/40: Launch in the U.S. as an LDT

Launch of compact models









Evaluation toward introduction of LDT panel testing parameters

(p-Tau217/p-tau205/MTBR-Tau)

Launch of next-generation flagship models(Japan)



Global expansion



Succession and Future Expansion in the Clinical Chemistry Field

1. Taking over the business and acquiring strengths

Three-year development roadmap

BioMajesty JCA-ZS050



Category

FY03/2027

FY03/2028

FY03/2029

Instruments

Succession of existing products

Launch of new products

Reagents

Manufacturer negotiations

OEM

agreements

Full-scale supply

Geographic expansion

Centered on Japan

Promote overseas expansion

Expand scale

Profit contribution

Instruments

Instruments + reagents

Instruments + reagents

Took over JEOL's clinical chemistry business in April

  • Obtained a top domestic market share in clinical chemistry analyzers

  • Acquired technologies for reagent miniaturization and high-throughput processing of tests

    2. Global expansion leveraging the sales network

Extensive sales network covering 190 countries and regions worldwide

  • Emerging markets: Cultivate the market through package proposals combining basic testing (hematology and urinalysis)

  • Advanced countries: Drive expansion of immunochemistry testing through proposals for "serum testing" packages combining immunochemistry and clinical chemistry testing

    3. Establishment of a high-profitability model through collaboration on reagents

Improve the low-profitability model centered on standalone analyzers

  • Through collaboration with reagent manufacturers, including OEM supply, we aim to transition into the reagent business, driving business expansion and contributing to improved profitability.

    Primarily instrument sales (mainly in Japan)

    ¥13.0

    billion

Fiscal year ending March 31, 2027

Transition to the reagent business (Japan + overseas))

Fiscal year ending March 31, 2028

Plan for sales growth in the clinical chemistry field (conceptual image)

Reagent business

full-scale global expansion

¥19.0

billion

Fiscal year ending March 31, 2029



Initiatives to Improve Profitability
  • Improve the product mix

  • Boost reagent profitability

  • Optimize the supply chain

Value chain reform

  • Optimize production and inventory by improving the accuracy of demand forecasting

  • Improve operational efficiency and effectiveness through digitalization

    • Curtail hiring of new staff

    • Speed up transition from development to mass production

Promotion of data utilization

Improvement of profitability and efficiency

Started discussions and evaluations under the new management structure

Review of the business portfolio



Enhance Profitability through Reforms to the Value Chain

Improve profitability by expanding the reagent business and reducing costs

Improve the product mix

  • Increase the proportion of high-profitability products, including reagents in the hemostasis field in Europe and the Americas

  • Raise average selling prices in line with new product launches



Improving the Gross Profit Margin (Conceptual Image)

  • Improve the product mix

  • Boost reagent profitability

  • Optimize the supply chain

    Boost reagent profitability

    • Internalize production of raw materials (immunochemistry, hemostasis) and promote switching (hematology, urinalysis)

    • Improve productivity by utilizing digital information (including optimization of production scale)

    Baseline



Optimize the supply chain

  • Reduce costs by optimizing reagent production sites and supply frameworks



FY03/2026

FY03/2027 FY03/2028 FY03/2029



Review the Business Portfolio

Thoroughly implement selection and concentration to improve profitability, capital efficiency, and cash generation capability

Objectives

Principles

  • Reinforce the strengths and earning power of the diagnostics business

  • Improve profit margins, ROE/ROIC, CCC, and FCF

  • Return to a growth trajectory and enhance corporate value

    Started discussions and evaluations under the new management structure

    • Selection and concentration

    • Prioritize allocation of resources to businesses with high future profitability

      Summarize reviews and implementation status

      April 2026

      Begin sequential implementation

      1H March 2027

      Evaluation criteria

  • Align with the mid-term management plan

  • Establish hurdle rates according to the business while confirming ROIC/IRR, payback period, and additional capital requirements

  • Evaluate market environment, regulations, and uncertainties

We will provide disclosures and updates on important matters as appropriate in a timely manner.

4. Financial Forecast for the Fiscal Year Ending March 31, 2027



Financial Forecast for the Fiscal Year Ending March 31, 2027

Taking uncertainty in China into account, we anticipate higher sales and profit, driven by growth across regions.

Planned investment

(Billions of yen)

Fiscal year ending March 31, 2027

Forecast Ratio

Fiscal year ended March 31, 2026

Results Ratio

Growth rate

Net sales

535.0

100.0%

500.0

100%

+7.0%

Cost of sales

267.0

49.9%

244.3

48.9%

+9.3%

SG&A expenses

181.0

33.8%

164.3

32.9%

+10.1%

R&D expenses

30.0

5.6%

29.1

5.8%

+2.9%

Operating profit

58.0

10.8%

51.8

10.4%

+11.9%

Profit attributable to owners of the parent

36.0

6.7%

35.4

7.1%

+1.5%

Capital expenditure:

¥48.0 billion

Depreciation and amortization: ¥47.0 billion

(Billions of yen)

508.6

500.0

87.5

51.8

53.6

35.4

36.0

58.0



535.0

  • Assumed Exchange Rates

    Previous

  • Exchange Rate Sensitivity

2025 2026 2027

Full-year assumptions

results

(Fiscal year ended March 31, 2026)

Net sales (year)

Operating profit (year)

(Years to March 31)

Net sales

Operating profit

1 USD

¥155.0

¥150.8

USD

¥0.83 billion

¥0.21 billion

Profit attributable to owners of the parent

1 EUR

¥180.0

¥174.8

EUR

¥0.63 billion

¥0.07 billion

1 CNY

¥22.0

¥21.2

CNY*

¥0.32 billion

¥0.23 billion



Breakdown of Net Sales and Operating Profit for the Fiscal Year Ending March 31, 2027

Net Sales Operating Profit

Growth in the clinical chemistry

business FX

(Billions of yen)

Higher gross

13.7

Impact of U.S.

reciprocal tariffs

Increases in SG&A and

(Billions of yen)

Diagnostics business

28.2 2.2

Medical robotics business

9.9

-17.2

Lower sales in China

impact

35.0 billion

11.9

535.0

profit on increased sales

20.3

-1.0

Elimination of temporary factors

-6.7

R&D expenses

Impact of lower sales in China

500.0

51.8

Deterioration

in the cost of sales ratio

-14.5

-9.1

3.5

FX

impact

58.0

6.2 billion

2026

(Years to March 31)

2027

2026

(Years to March 31)

2027

(Forecast) (Forecast)



Capital Allocation (Outlook for the Fiscal Year Ending March 31, 2027)

¥124.0

billion or more

Operating cash flow*

Generate cash through earning power

*Before R&D tax credits

¥50.0 billion

Active use of borrowings and other financing

Review the Business Portfolio, etc.

Shareholder returns

¥52.0 billion

¥15.0 billion

¥58.0

billion

¥48.0

billion

Maintain a 40% dividend payout ratio and a progressive dividend policy + share buybacks (up to ¥30.0 billion)

Strategic investments (Including consideration paid for the takeover of JEOL's business)

Business operations and R&D

R&D expenses

(Including internally generated intangible assets)

Capital investment

(facility development and expansion of the leasing business) Net sales ratio: Approx. 9%

(including medical DX)

Diagnostics business Medical robotics business New technologies and businesses

Prioritize allocation to the diagnostics business



Dividend Forecast for the Fiscal Year Ending March 31, 2027

In terms of returns to shareholders, we intend to provide a stable dividend on a continuous basis and aim for a consolidated payout ratio of 40% , adopt progressive dividend approach under our basic policy of sharing the successes of our operations in line with

business performance.

(Yen)

Dividend (annual) based on a conversion to shares following the stock split on April 1, 2024

38

Payout ratio (consolidated)

32

23.33

24

24

25.33 27.33

28

67.4%

67.3%

17.33 19.33

22

12.67

29.6%

43.1% 47.1%

36.0% 37.5% 35.4% 37.4%

18.9%

22.6%

17.8% 17.9%

26.8%

20.0%

31.9%

29.4%

27.0%

29.1% 29.1%

9

27.1%

27.5% 29.7%

35.1% 35.4%

4.17

4.67

5

5.67

6.67

1.04

1.25

1.67

2.17

3

4

40

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027

Proposed Forecast

Up to ¥30.0 billion share buyback

Note: The payout ratio for the fiscal year ending March 31, 2027 is calculated based on the Company's forecasts, including an assumed share buyback.

(Appendix)



Quarterly Results for the Fiscal Year Ended March 31, 2026

(Billions of yen)

Q1 of fiscal year ended March 31, 2026 (April-June)

Results Ratio

Q2 of fiscal year ended March 31, 2026

(July-September)

Results Ratio

Q3 of fiscal year ended March 31, 2026 (October-December)

Results Ratio

Q4 of fiscal year ended March 31, 2026 (January-March)

Results Ratio

Net sales

105.7

100%

126.7

100%

128.6

100%

138.8

100%

Cost of sales

51.2

48.5%

58.7

46.3%

63.5

49.4%

70.7

51.0%

SG&A expenses

38.2

36.2%

39.5

31.2%

42.3

32.9%

44.1

31.8%

R&D expenses

6.4

6.1%

6.7

5.4%

7.2

5.6%

8.7

6.3%

Other income (expenses)

0.8

0.8%

0.6

0.5%

0.1

0.2%

(12.0)

Operating profit

10.6

10.1%

22.3

17.6%

15.6

12.2%

3.1

2.3%

Profit attributable to owners of the parent

4.5

4.3%

14.4

11.4%

14.8

11.5%

1.7

1.3%



Financial Forecast for the Fiscal Year Ending March 31, 2027 (Sales by Business, Field, and Destination)

Sales by business and field Sales by destination

(Billions of yen)

Fiscal year ending March 31,

2027

Ratio

YoY (Previous period = 100%)

Hematology

317.0

59.3%

105.9%

FCM

7.0

1.3%

149.2%

Urinalysis

48.5

9.1%

110.1%

Hemostasis

74.0

13.8%

102.2%

Immunochemistry

23.0

4.3%

103.0%

Clinical chemistry

13.0

2.4%

445.5%

Life science

23.5

4.4%

94.1%

Others

23.5

4.4%

90.6%

Diagnostics business

529.5

99.0%

106.6%

Medical robotics business

5.5

1.0%

166.4%

Total

535.0

100%

107.0%

(Billions of yen)

Fiscal year ending March 31,

2027

Ratio

YoY

(Previous period = 100%)

Yen basis

Local currency basis

Americas

152.0

28.4%

109.2%

106.3%

EMEA

174.0

32.5%

110.1%

107.1%

China

75.0

14.0%

83.8%

81.0%

AP

62.0

11.6%

113.5%

-

Japan

72.0

13.5%

122.9%

-



Highlights (April 2025 to April 2026)

Diagnostics business

  • Sysmex's CN-6000 Automated Blood Coagulation Analyzer and XR-Series Automated Hematology Analyzer Receive U.S. FDA 510(k) Clearance

  • Sysmex Establishes a Subsidiary in Kenya and Greece (EMEA)

  • Sysmex Group's New Manufacturing Base in India Begins Full-Scale Operations and Launches "Make in India" Products (AP)

  • Sysmex Expands Portfolio and Accelerates Global Expansion through Acquisition of JEOL's Clinical Chemistry Testing Business

  • Introduction of Compact Model to the CN-Series: Launch of the CN-700 Automated Blood Coagulation Analyzer (Japan)

  • Sysmex Launches an Assay Kit for Identifying p-Tau217 in the Blood, a Biomarker Related to Alzheimer's Disease

    Sustainability

  • Sysmex Introduces Performance-Linked Stock Compensation Plan

  • Sysmex Becomes First in the Industry to Obtain Certification for Closed-loop Recycling of Reagent Containers under the Plastic Resource Circulation Act

  • Balancing Business Growth and Reducing Environmental Impact as the Industry's First TNFD Adopter

  • Sysmex Selected for DDP 2025 "Climate Change" A List

  • Sysmex Ranked in the Top 1% in the Sustainability Yearbook 2026 by S&P Global

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