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STERIS (STE) Fiscal Q2 2027 Earnings Call: EPS Guidance Raised

Nov 5, 2026 8:07 PM
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STERIS reported fiscal Q2 2027 revenue of $1.6 billion, up 9% year over year, with 8% constant-currency organic growth. Adjusted diluted EPS rose 19% to $2.94, boosted by $20 million in tariff refunds that added 130 basis points to adjusted EBIT margins. Management raised fiscal 2027 adjusted EPS guidance to $11.35–$11.55 while maintaining revenue growth expectations at 7%–8%. Life Sciences achieved record margins and 18% organic growth, while Healthcare and AST saw steady demand despite inflation and inventory normalization. STERIS also announced the planned acquisition of Xodus Medical and approved a restructuring plan expected to generate $9 million in annualized savings.

AI-generated summary

STERIS Plc (NYSE: STE) reported broad-based growth in fiscal Q2 2027, supported by Healthcare consumables and service, strong Life Sciences capital equipment shipments and tariff refunds. Management raised full-year adjusted EPS guidance while keeping its companywide revenue outlook unchanged.

Key Takeaways

  • Reported revenue increased 9% year over year to $1.6 billion. Constant-currency organic revenue grew 8%, including 230 basis points from pricing.
  • Adjusted diluted EPS rose 19% to $2.94. Excluding tariff refunds, adjusted EPS increased 13%.
  • Adjusted EBIT margin expanded 150 basis points to 24.6%. Approximately 130 basis points of the increase came from tariff refunds.
  • Life Sciences organic revenue grew 18%, led by 53% capital equipment growth. Management raised the segment’s fiscal 2027 organic growth outlook to 9%-10% from 6%-7%.
  • Management increased fiscal 2027 adjusted diluted EPS guidance to $11.35-$11.55 from $11.10-$11.30, while maintaining reported revenue growth guidance of 7%-8%.
  • STERIS lowered its AST organic growth outlook to 6%-7% from 7%-8%. Management said customer destocking had ended and growth improved in September and October.

Core Financial Data

MetricFiscal Q2 2027Year-over-year change / context
Reported revenue$1.6 billionUp 9%
Constant-currency organic revenue—Up 8%
Pricing contribution—230 basis points
Adjusted gross margin45.3%Up 100 basis points
Adjusted EBIT margin24.6%Up 150 basis points
Adjusted net income$286.8 million$244.5 million in the prior-year quarter
Adjusted diluted EPS$2.94Up 19% from $2.47
Adjusted effective tax rate25.3%24.5% in the prior-year quarter
Capital expenditures$76.1 millionQuarter total
Depreciation and amortization$125.6 millionQuarter total
Total debt$1.9 billionGross debt-to-EBITDA of approximately 1.1x
Six-month free cash flow$492.5 millionDown from $527.7 million
Six-month operating cash flow$656.1 millionDown from $707.8 million

STERIS received approximately $20 million of tariff refunds during the quarter. These refunds added 130 basis points to both gross-margin and EBIT-margin comparisons. Management does not expect material additional tariff refunds during the remainder of fiscal 2027.

Underlying gross margin declined slightly as favorable pricing was more than offset by inflation. Operating cash flow decreased primarily because inventory was built to support second-half shipments, partly offset by higher net income.

The company repurchased $100 million of shares during the quarter and $200 million in the first half. It had $800 million remaining under its current authorization.

Business and Operating Performance

Healthcare

Healthcare constant-currency organic revenue grew 7%. Service revenue increased 10%, while consumables rose 10% on higher customer consumption, market-share gains, endoscopy procedure growth and a recent GI products acquisition.

Capital equipment revenue increased 4%, including support from a recent acquisition. Orders grew 1%, and ending backlog reached $456 million. Healthcare EBIT margin fell 110 basis points to 24% as inflation, weaker productivity and accelerated long-term investments outweighed volume and pricing benefits.

Management said Healthcare consumables benefited from prior placements of dedicated chemistry equipment and automatic endoscope reprocessors. Endoscopy procedure growth remained in the mid- to high-single digits, according to the company.

Applied Sterilization Technologies

AST constant-currency organic revenue grew 5%. Service revenue increased 5% as reported and 6% in constant currency. EBIT margin decreased about 60 basis points to 44.7%, reflecting higher depreciation and inflation, partly offset by pricing.

Management said network utilization remained high but capacity was available to support additional demand. Existing fixed infrastructure could provide margin leverage as volumes recover, although facilities still ramping up have a dilutive effect.

Life Sciences

Life Sciences constant-currency organic revenue increased 18%. Capital equipment revenue rose 53%, consumables increased 9% and service revenue grew 5%. Quarter-end backlog was $93 million, slightly below the prior year.

Segment EBIT margin reached a record 44.4%, up approximately 310 basis points, driven by volume, pricing, productivity and favorable mix. Management cited manufacturing reshoring and localization, pent-up pharmaceutical-sector demand and a capital equipment order exceeding $10 million from one customer. The company cautioned that an order of that size would not recur every quarter.

Xodus Medical Acquisition

STERIS said its planned acquisition of Xodus Medical would add a clinical sales presence in the operating room and expand its portfolio of single-use consumables. Xodus products include the Pink Pad as well as patient positioning, handling, transfer, warming and other operating-room products.

Management’s go-forward model assumes mid-teens revenue growth and EBIT margins in the low- to mid-50% range. The company expects the transaction to be accretive to revenue, margins and EPS, but will update guidance only after closing. STERIS plans to fund the acquisition with debt; management said a roughly 6% interest-rate assumption was reasonable.

Management Guidance

Fiscal 2027 guidanceCurrent outlookPrevious outlook
Reported revenue growth7%-8%7%-8%
Constant-currency organic revenue growth6%-7%6%-7%
Adjusted diluted EPS$11.35-$11.55$11.10-$11.30
Healthcare organic growth6%-7%6%-7%
AST organic growth6%-7%7%-8%
Life Sciences organic growth9%-10%6%-7%

The EPS outlook includes an approximately $0.18-per-share benefit from fiscal year-to-date tariff refunds. Management attributed the additional guidance increase to second-quarter performance and lower interest expense.

The outlook excludes Xodus Medical. Management plans to revise expectations after the acquisition closes.

Risks and Watch Items

  • Tariff refunds materially supported second-quarter margin expansion, but management expects no significant additional refunds in fiscal 2027.
  • Inflation exceeded pricing benefits at the underlying gross-margin level and weighed on Healthcare and AST profitability.
  • AST’s annual growth outlook was reduced after a slow first half, although management said destocking had ended and recent growth had normalized.
  • Management placed North American procedure growth near 3%, at the low end of its typical 2.5%-5% range, while emphasizing that overall procedure demand remained positive.
  • Life Sciences growth included a customer order exceeding $10 million that management does not expect to repeat each quarter.
  • First-half free cash flow declined as STERIS increased inventory to support expected second-half shipments.

Analyst Q&A Highlights

  • AST demand: Management said European growth was as good as or better than North American growth in the quarter. Easier comparisons and the end of customer destocking underpin expectations for stronger second-half performance.
  • Healthcare capital spending: STERIS reported no slowdown in capital demand. Healthcare backlog was near a record level when excluding the supply-chain disruption period.
  • Procedure volumes: Management characterized concerns about softer volumes as overstated. Data from sterile processing departments showed higher tray volumes and consumption despite financial pressure on healthcare customers.
  • Life Sciences demand: Current strength reflects reshoring, localization and catch-up spending after several years of underinvestment by pharmaceutical customers. Automation trends are viewed as a longer-term opportunity but are not yet visible in the order book.
  • Restructuring: A newly approved plan carries expected charges of $45 million, including $10 million of cash costs and $35 million of noncash charges. It is expected to generate approximately $9 million in annualized savings, with partial benefits in fiscal 2028 and full benefits thereafter.
  • Portfolio actions: The restructuring includes removing a single-use urology scope from the portfolio, terminating related supply contracts and consolidating selected manufacturing sites.

Full Earnings Call Transcript


Complete Earnings Call Transcript

Management Remarks

Operator

Good day, and welcome to the STERIS Plc Second Quarter 2027 Financial Results Conference Call. [Operator Instructions] Please note this event is being recorded. I would now like to turn the conference over to Julie Winter, Investor Relations. Please go ahead.

Julie Winter

Thank you, Nick, and good morning, everyone. Speaking on today's call will be Karen Burton, our Senior Vice President and CFO; and Dan Carestio, our President and CEO.

I do have a few words of caution before we open for comments from management. This webcast contains time-sensitive information that is accurate only as of today. Any redistribution, retransmission or rebroadcast of this call without the express written consent of STERIS is strictly prohibited. Some of the statements made during this review are or may be considered forward-looking statements. Many important factors could cause actual results to differ materially from those in the forward-looking statements, including, without limitation, those risk factors described in STERIS' securities filings. The company does not undertake to update or revise any forward-looking statements as a result of new information or future events or developments. STERIS' SEC filings are available through the company and on our website.

In addition, on today's call, non-GAAP financial measures, including adjusted earnings per diluted share, adjusted operating income, constant currency organic revenue growth and free cash flow will be used. Additional information regarding these measures, including definitions, is available in our release as well as reconciliations between GAAP and non-GAAP financial measures. Non-GAAP financial measures are presented during this call with the intent of providing greater transparency to supplemental financial information used by management and the Board of Directors in their financial analysis and operational decision-making.

With those cautions, I will hand the call over to Karen.

Karen Burton

Thank you, Julie, and good morning, everyone. It is my pleasure to be with you this morning to review the highlights of our second quarter performance. For the second quarter, total as reported revenue grew 9% to $1.6 billion. Constant currency organic revenue grew 8% in the quarter, driven by volume as well as 230 basis points of price. Adjusted gross margin for the quarter was 45.3%, and up 100 basis points versus the prior year. Margin expansion was driven primarily by tariff refunds of approximately $20 million during the quarter, which added 130 basis points year-over-year. Underlying margins were down slightly as favorable price was more than offset by inflation. Gross tariff costs were approximately $15 million in the second quarter, flat with the prior year.

For clarity, tariff refunds are not being allocated to our business segments, but instead are book to corporate to enable business segment analysis. Adjusted EBIT margin was 24.6% for the quarter, up 150 basis points from the second quarter last year. Tariff refunds contributed 130 basis points to the increase. Underlying margin improvement benefited from favorable price and volume, partially offset by inflation and investments in the business, including the acceleration of R&D spending. We do not expect any material additional tariff refunds during the remainder of fiscal 2027.

The adjusted effective tax rate in the quarter was 25.3%, and an increase from 24.5% in the second quarter of last year. The increase was primarily driven by unfavorable discrete items. Adjusted net income in the quarter was $286.8 million compared with $244.5 million in the prior year. Adjusted earnings per share were $2.94 and a 19% increase over $2.47 in the second quarter of last year. Excluding tariff refunds, adjusted earnings per diluted share grew 13%. Capital expenditures for the second quarter were $76.1 million, and depreciation and amortization totaled $125.6 million.

We ended the quarter with a strong balance sheet, reflecting $1.9 billion in total debt, gross debt to EBITDA at quarter end was approximately 1.1x. Free cash flow for the first 6 months was $492.5 million compared with $527.7 million in the prior year period. Cash flow from operations was $656.1 million compared with $707.8 million last year. The decline in cash flow was driven primarily by significantly lower contribution from working capital as we utilized cash to build inventory in support of second half shipments partially offset by higher net income. Share buybacks in the second quarter totaled $100 million or $200 million for the year-to-date. We have $800 million remaining under our current authorization.

During the quarter, we approved an additional restructuring plan covering targeted facilities realignment and product rationalization and select organizational realignment. We anticipate total charges of $45 million, including $10 million in cash expenditures and $35 million in noncash charges. Approximately $25 million was recorded in the second quarter. The plan is expected to generate annualized savings of approximately $9 million, with a portion realized in fiscal 2028 and and the full benefit in subsequent fiscal years.

With that, I will now turn the call over to Dan for his remarks.

Daniel Carestio

Thanks, Karen, and good morning, everyone. Thank you for joining us to hear more about our second quarter 2027 performance and our outlook for the remainder of the year. Karen covered the quarter at a high level, so I will add some commentary on our segments.

Starting with Healthcare. Constant currency organic revenue grew 7% in the quarter. Our performance reflected solid underlying demand with continued strength in our GI business. The strength of our portfolio in commercial teams enables us to help our customers navigate a complex operating environment. Service continued its streak of outperformance, growing 10% in the second quarter. Consumables grew 10%, benefiting from increased customer consumption and driven by share gains, procedural growth in endoscopy and to a lesser extent, a recent acquisition of GI products.

Healthcare capital equipment revenue increased 4% in the quarter, also benefiting from a recent acquisition. Orders remained stable with 1% growth in the second quarter, and our ending backlog increased to $456 million. EBIT margins for health care in the quarter decreased 110 basis points to 24% and Improvements in volume and price were more than offset by inflation, lower productivity and longer-term investments we have accelerated on the back of tariff refunds.

Turning to AST constant currency organic revenue grew 5% for the quarter with 5% growth in services as reported or 6% constant currency. We ended the quarter on solid ground and early indications suggest that October is holding those games. EBIT margins for AST were 44.7%, a decrease of approximately 60 basis points from the second quarter of last year. The decline reflected increased depreciation and inflation, somewhat offset by improved pricing. Constant currency organic revenue increased 18% for Life Sciences for the quarter. Supporting that growth, capital equipment grew 53% and consumables increased 9%. Service revenue grew 5%, reflecting strong shipments backlog was $93 million at quarter end down a bit from prior year. Margins were a record 44.4%, an increase of approximately 310 basis points, reflecting improvement in volume, price, productivity and favorable mix. Reshoring and localization of manufacturing are benefiting our Life Sciences segment.

Turning -- before we turn to the outlook, I do want to discuss our recently announced agreement to acquire Xodus Medical. A surgical specialties products business focused on patient and OR staff safety. Xodus Medical is a natural complement to our health care portfolio, expanding our consumables offering and the way we support customers in the operating room. The business is well known for its flagship Pink Pad, a single-use surgical patient positioning product but this portfolio is much broader. Their products span patient position, patient handling and transfer, patient warming and operating room essentials. This highly clinical, single-use portfolio will strengthen our recurring revenue and expand our direct commercial presence in the OR.

Xodus has consistently demonstrated impressive growth driven by a steady stream of innovation and highly effective commercial model. Our go-forward model reflects maintaining revenue growth in the mid-teens and EBIT margins in the low to mid-50s. The competitive clinical position is well defined and supported by clinical studies, ARN guidelines and a solid innovation pipeline as well as intellectual property protection for core products. We are very excited about the opportunities as our company is aligned to better serve customers.

Shifting gears to outlook. Based on our second quarter results and our expectations for the remainder of the year, we are updating our outlook for fiscal 2027. Our total company revenue growth expectations remain unchanged including as-reported revenue growth of 7% to 8% and constant currency organic growth of 6% to 7%. Our fiscal 2027 earnings per diluted share outlook has been increased to $11.35 to $11.55 compared with our prior range of $11.10 to $11.30. This includes approximately $0.18 per share benefit from tariff refunds year-to-date in fiscal 2027. The additional increase in outlook was driven by second quarter outperformance and lower interest.

From a segment perspective, we continue to expect Healthcare constant currency organic revenue growth of 6% to 7%. We now expect AST growth of 6% to 7% previously compared to the 7% to 8%. This revision reflects us maintaining our exit rate for the second quarter for the balance of the year. Based on the strong first half, we are increasing Life Sciences constant currency organic growth outlook to 9% to 10% and compared with 6 to 7 previously. This reflects a return to more normalized growth in the second half of the year and the outperformance in the first half led by capital equipment. All other elements of our most recently provided outlook remains unchanged, but as a reminder, this outlook does not include Xodus Medical, and we will update our expectations after close. This is a very exciting time at STERIS. The business continues to perform very well, and we are able to prioritize investments in the business that will support our growth for years to come.

I want to thank all of our associates for continuing to do what they do best, focus on our customers and strive to do it a little better each day. That concludes our prepared remarks the call. Nick, would you please give the instructions, and we can begin the Q&A.

Operator

[Operator Instructions] The first question will come from Brett Fishbin with KeyBanc.

Question-and-Answer Session

Brett Fishbin

Maybe just starting with the acquisition of Xodus Medical definitely seems like a nice fit for STERIS. And I was just curious if you could discuss a little bit more than what you provided on why this was particularly attractive for the company? And then just more broadly, how you think about this new call point as a longer-term opportunity for the health care business?

Daniel Carestio

Thanks, Brett. Appreciate the question. Yes, we're very excited about the planned acquisition of Xodus. And you mentioned it, but it gives us a new call point and a real clinical sales force in the OR which we really don't have today. I mean, when we sell our surgical infrastructure, our capital products, lights and tables, [indiscernible], that's more on a build type architectural type cell. This really gives us an everyday call point and a reason to be in the operating room which is the beginning of reprocessing or the end of a processing depending on how you look at it in the total perioperative loop.

So they have great products. They're high margin, high growth and consumable and he had a great trajectory of performance for 7, 8 years now, I would say. The product has a lot of customer acceptance and appreciation. It's supported by ARN and we just think it's going to be a great add for STERIS.

Brett Fishbin

All right. Awesome. Awesome. And then maybe just 1 more question on the guidance. I think the AST topic is -- or sorry, the Applied Sterilization Technologies topic has just been a little bit of a conversation. And you had a competitor talking about some incremental headwinds in Europe around just overall activity levels. So I was curious if the change to guidance -- the slight change to guidance is more to do with continued inventory dynamics or if you're also seeing some type of slowdown or weakening in any particular geographies?

Daniel Carestio

Sure thing, Brett. So what I would say is this, -- we had a slow start to the year based on really difficult comps. As we started into Q2, which we just ended, obviously, we saw that improve, especially in September, and those improvements continue through in October. So we feel pretty confident in the back half that we're going to be somewhere in the 6% to 8% growth for that side of the business. And that's supported by the numbers we've seen thus far. I would not say there's a reason at -- we obviously do listen to the other supports, and we actually had better growth or as good or better growth in Europe last quarter than we did in North America. So I think it's just pockets of different customers and things that happened that caused some things.

I wouldn't read too much into that in terms of general volume in the U.S. we said this before, we expect it to be procedural growth at the lower end of the range, which is somewhere around 3% instead of the high end of that range, which can be 5%, which drives consumption of all of our businesses for the most part.

Operator

The next question will come from Patrick Wood with UBS.

Patrick Andrew Wood

Maybe for the first one, just to jump on AST again as volumes start coming back. Where are we at very roughly or qualitatively in terms of utilization. I'm sure is pretty tight, but obviously, things like gamma, the fixed costs of the half-life outside of things, you can get a lot of talk as volumes begin coming back moving through the P&L on margins. So like are we going to see as volumes begin to come back a little bit of leverage coming through on those facilities. I'm not sure where utilization sits today versus history?

Daniel Carestio

Thanks, Pat, this is Dan. Well, total utilization across the network is pretty high. but we have room effectively everywhere because the volumes are slightly less aggressive than what we thought they were going to be at the beginning of the year. So as volumes do come back on the existing infrastructure that we have in place and capacity that we have installed, because we never slowed our isotope loading or anything like that because if you miss it, you missed it forever. So we've kept up with our loadings. We have adequate capacity to take on the increased demand as it flows through.

And yes, you're right. The difference of a couple of percentage points makes an awfully big difference in terms of drop through at the margin line. And some of that's offset that we've got some new facilities that are in ramp-up mode. So those obviously aren't contributing margin at the same level as a very mature facility. So that has somewhat of a dilutive effect, but those are for the most part already in the P&L. And so any improvement in volume should show through.

Patrick Andrew Wood

Super clear. And then just quickly, the -- on the health care business, obviously, all the capital equipment line a chunk of it is essentially not optional, obviously, because it's going to have to be sterilizing -- but you have some that's a little bit more surgically connected on that side. And I guess maybe it's a bit off the beaten path, but the 340B reform rules were kind of finalized and looked like last night. -- we're all debating what effect that could have on the hospitals or those hospitals P&Ls that we're relying on it a little bit. I don't know, have you heard anything from customers in terms of their CapEx outlook, whether that would affect them? Or is it just more of the same?

Daniel Carestio

It's more of the same. In fact, we actually had a really great order quarter on our surgical products this past quarter. So -- and there's a bit of a shift going on in health care today where the plan is, as our population ages here domestically anyways. Hospital is going to have to push healthy basins out to their ASC networks for procedures and they're going to have to take higher acuity patients into the large acute care facilities, which are going to require more capacity in those locations. So we haven't seen any slowdown on the capital whatsoever. Our backlog in health care it's pretty much near record if you exclude the supply chain crisis a few years ago. But -- so we feel pretty good about that.

Operator

The next question will come from Mac Etoch with Stephens.

Steven Etoch

Maybe just starting on the Life Sciences segment. You previously disclosed that onshore could be more of a longer-term benefit. But given some of your prepared remarks, can you just expand on what you're seeing today and how you're thinking around some of these broader macro factors are developing versus maybe at the start of the year?

Daniel Carestio

Yes. I think the difference today is that some of the plans that were previously announced by our customers for expansion in the U.S. and also some of the [indiscernible] position of manufacturing in Europe. We're just that, but now they're starting to materialize, and we're starting to see orders from a capital equipment perspective, but also we're starting to see requests for work on our chemistry side of the business as well. Now having said that, this past quarter was the outperformance there -- we had a great order shipments quarter, but there was 1 particular order that really made a big difference that was in excess of $10 million for a single customer. So that 1 moved the needle, that 1 won't be replaced on a quarterly basis. But nonetheless, we expect great performance by life science throughout the end of the year.

Steven Etoch

Got it. I appreciate that. And then maybe just quickly touching on tariffs as well. I think -- you all cited $24 million as being the total pool of available tariff refunds for the year. Has that shifted at all? Is that available pool widened? I know you're not factoring anything in anything additional in the guide, obviously, but I just want to get a sense there.

Karen Burton

Thanks, Mac. Yes, this is Karen. The tariffs that we have received of $24 million is what we expect to receive the total EPA tariffs paid last year were 27%. So we've got about $3 million where there's just no refund program right now to recoup those. So we are not projecting receipt of those.

Operator

[Operator Instructions] The next question will come from Michael Polark with Wolfe Research.

Michael Polark

Dan, curious if you could bridge health care consumables growth. I know there's a small M&A flowing through, but 7% last year, call it, high single digits solidly year-to-date with ASD volumes being muted. What's the disconnect there? Why is health care consumables growth just wanted to at a high level kind of growing at a much higher rate in ASD volumes still kind of seem tempered.

Daniel Carestio

There's an easy explanation, Mike. So the reality is, over the last few years, we've placed an awful lot of dedicated chemistry equipment out there. And those are things like Pros and our washers and obviously, ARs. And as a result, that share gains that we've been delivering on the capital side is now converting into consumables growth. In addition to that, a lot of our chemistries franchise and consumables and health care is weighted towards endoscopy. It's the chemistry that goes through our automatic endoscope of processors. And we've had a really great year thus far on placements of new machines.

And in addition to that, the general growth rate of endoscopy has remained strong. When I talk about the general growth rate, I mean procedures has remained mid- to high single digits consistently. So there's a bit of a bias in our health care consumables business towards endoscopy.

Michael Polark

I'll follow up on that. That was just 1 of my other topics. So I heard yes, just now and then in your prepared remarks, the GI enthusiasm reaffirmed. There is a competitor that has some challenges in the U.S. So [ Olympus ], I'll say the name, so you don't have to. Obviously, you don't sell scopes, but they solve processors and maybe some accessories. And has that been a benefit we're spiking out in your GI business? Or no, this is not a share gain for execution in market.

Daniel Carestio

Look, it's been a benefit, but it's minor. I mean it's been a quarter or 2 of improved AER sales. But I mean there's an awful lot of those machines out there still. So over time, we'll continue to do well, I'm sure. But like I said, it's been a help, but it's been insignificant in the grand scheme of things.

Operator

The next question will come from Mike Matson with Needham & Co.

Michael Matson

So just want to ask another 1 on Xodus Medical. By our rough math, it seems like this could be a fairly accretive acquisition to EPS. I mean we're coming up with kind of 3% to 5% EPS accretion on a manual basis. I mean, this business has extremely high operating margins. I don't know if you're willing to comment on that? Or I assume maybe you'll give us more information when you actually close the deal?

Karen Burton

Yes, Mike, this is Karen. We will give updated guidance once we close the deal. And certainly, we expect it to be accretive top to bottom revenue margins and EPS I would encourage you to make sure you're including all of the interest costs as we are funding this deal with debt.

Michael Matson

Okay. Yes. I mean we were assuming around like a 6% interest rate. Does that sound in the ballpark?

Karen Burton

It certainly does.

Michael Matson

Okay. All right. And then there was some commentary earlier in September at an investor conference about destocking in the AST business by our customers. So I think you've kind of addressed that in a way by saying you saw it get better in October, but just wanted to see if you could elaborate on that commentary a little bit.

Daniel Carestio

Yes, sure, Mike. Thanks. Yes, I think at this point, we're confident to say that destocking has ended. We think it washed itself out in the last quarter that we just completed -- and then we've seen more normalized growth at the back end of that quarter, and then we have pretty good revenue growth in October, which we normally don't hit on, but given it's relevant as to what we've been saying for the last 6 months that first half is going to be tough and then we got easier comps in a second, we're confident in delivering that message.

Operator

The next question will come from Jason Bednar with Piper Sandler.

Jason Bednar

I'm going to try 1 here on AST. That's a little bit of a follow-up to some other questions. But for clarity, do you see a change in growth guidance here, it's a function of some softer procedure volumes, I think. But -- can you put a finer point on what you're expecting in guidance with respect to volume growth across your U.S. and European customers? Are you assuming the better volume growth, better performance in the business. I think you referenced, Dan, in September and October that persists for the rest of your fiscal year? What's the sensitivity on improving or softening from here knowing that the macro still has a layer of uncertainty to it.

Daniel Carestio

Yes. It's -- honestly, Jason, thanks for the question. It's kind of a simple math. And what I mean by that is last year first half of the year that we were comparing to, we grew over 10% right? And then that slowed significantly. If you go back and look at the constant currency organic numbers to mid- to low single digits. So just the comps and growth become a lot easier to get to as we started seeing destocking in the third quarter of last year. So as a result of that and based on what we think is a very stable health care operating environment right now, we're confident that against those easier comps, we should be able to deliver much higher than we did in the first half.

Jason Bednar

All right. Maybe 1 follow-up to that and then I got a separate question. But I think a lot of investors are really trying to understand like a little bit of the sell-in, sellout dynamic on what you're seeing and understanding your layer of move from the sellout, if you will, the actual procedure volumes. I mean, are you seeing anything different that's shifting just because there is a lot of information that's flowing out there suggesting some softer volumes.

So I guess just trying to understand if there's anything there -- and then the separate question here, maybe Karen, this is for you, can you talk about what's stimulating another restructuring program? Just strategically, it seems like these are maybe becoming a little bit more common the last few years? Is something changing with respect to how you're approaching operations in your portfolio?

Daniel Carestio

Jason. I'll start on your question on the volumes. You talked -- you used the word softer volumes. And I think this is way overplayed. I mean the fact of the matter is that there are some highly elective procedures that have been and will get deferred. And some some of our peers in different segments of highly elected products have talked about that. Some have contradicted each other as well. So in terms of what they're seeing. So I think that is what it is right now. there's still great growth going on in health care in terms of general procedures. We -- I've said -- and I've been clear that it's at the low end of the range, meaning if we always sort of assume somewhere between 2.5%, 3% and 5% procedure growth rate, especially in North America, we're probably down towards 3 right now.

But it's still growth rate, right? It's not negative or flat. And we have a mountain of data from all the SPD still processing departments that we run across North America and the U.K. and other places in Europe that says that the number of trades and consumption is up. So based on everything that we're looking at, although there's economic stress clearly for our customers, in particular, in North America, there's still high level demand.

Karen Burton

All right, Jason, I will talk to you a bit about restructuring. So the new plan is targeted in terms of some smaller actions that would include some key components like elimination of a single-use urology scope from our product portfolio -- so the costs include disposal of inventory, termination of supply contracts, impairment of intangible assets. Another key component is some small site consolidation, including transition of production of our sterility assurance products to the new meter manufacturing site that was announced early in fiscal '26.

The plan that was announced in August, in conjunction with the announcement of the formulated chemistry center of excellence was 100% focused on that action and the impact of that center of. So we kept this these other actions separate so that it was clear what we were doing and the timing of those actions. And as you said, this is a little bit unusual for us. We've got 2 announced this year. We had the Bordeaux restructuring a couple of years ago now. And I would say when you link those together, what you're seeing is a focus on really challenging our portfolio and our manufacturing and distribution network, and that's the key driver behind -- all 3 of these plans.

Operator

The next question is a follow-up from Michael Polark of Wolfe Research.

Michael Polark

One more on Life Sciences. Look, I heard the comment, Dan, 1 large order $10 million loud and clear, but there's 18% segment growth, 50% in capital, something was good. You said onshoring localization of supply chains heard. We know that's a megatrend. I would say the feedback from bioprocessing as an example, somewhat mixed and still slow going. So I want to ask if you think there could be something else here and the other topic in tools land is the so-called self-driving labs as Claude starts doing experimentation, and my joke is call will make the beakers [ 32 ] and someone will have to clean them. Do you see evidence that, that kind of theme is an opportunity for life sciences beyond reshoring?

Daniel Carestio

Thanks, Mike. Yes, we do see that as an opportunity clearly. What I would say is it's not something that's registering yet in our order book or anything like that. But as that trend does continue, I think the way we produce aseptic pharmaceuticals will change over time. And I think that STERIS will be in a great position to adapt to that. So I think what we're seeing on the life science order intake and shipments as it relates to capital is just some pent-up demand, too, from a couple of years of underbuying in the pharmaceutical sector, and now there's just a little bit of catch-up. So we're getting to benefit from that.

Operator

This concludes our question-and-answer session. I would like to turn the conference back over to Julie Winter for any closing remarks.

Julie Winter

Thank you all for taking the time to join us this morning and learn more about the quarter and our outlook for the year. We do have quite a few conferences coming up this fall. I look forward to seeing many of you on the road.

Operator

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

This article may include AI-generated content that is human-reviewed, which is for reference and general information purposes only and does not constitute investment advice.

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