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LivaNova plc: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 25 February 2026: press release. Guidance figures: 5 new. The quarter’s numbers.

Key takeaways

  • Full-year revenue rose 10.7%: Full-year revenue was $1.39 billion, up 10.7% reported, 9.7% constant-currency and 10.7% organic, against $1,253.4 million in 2024. Source
  • Full-year GAAP loss on SNIA charge: Full-year GAAP diluted loss per share was $4.45, against diluted EPS of $1.16 in 2024, impacted by a $365.6 million SNIA environmental liability expense. Source
  • Adjusted EPS rose to $3.90: Full-year adjusted diluted EPS was $3.90, against $3.38 for 2024. Source
  • Cardiopulmonary grew 14.9% on Essenz: Full-year Cardiopulmonary revenue was $785.4 million, up 14.9% reported and 13.3% constant-currency, on Essenz sales, consumables demand and market share gains. Source
  • Adjusted operating margin reached 20.6%: Full-year adjusted operating margin was 20.6%, against 19.1%; GAAP operating margin was 14.4%, against 10.3%. Source
  • Adjusted free cash flow of $183.3 million: Full-year net cash provided by operating activities was $254.3 million, and adjusted free cash flow was $183.3 million. Source
  • SNIA liability of $396.2 million: SNIA environmental liability was $396.2 million at December 31, 2025, shown among current liabilities, against nil a year earlier. Source

“reflecting strong execution in both our Cardiopulmonary and Epilepsy businesses”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Guidance

AreaPeriodFigureAgainst last quarter
Revenue growth, constant currency SourceFull-year 20266.0% to 7.0%New
Foreign currency effect on revenue SourceFull-year 2026approximately 1.0% tailwindNew
Adjusted diluted EPS SourceFull-year 2026$4.15 to $4.25New
Share count for adjusted EPS SourceFull-year 2026approximately 56 millionNew
Adjusted free cash flow SourceFull-year 2026$160 million to $180 millionNew

What changed from last quarter

  • New guidance: Full-year 2026 guidance issued, covering constant-currency revenue growth, foreign currency effect and adjusted diluted EPS. Source
  • New: FDA approval received for the cloud-based digital health platform, covering the DRE patient journey. Source
  • New: Medicare provider reimbursement for VNS Therapy in drug-resistant epilepsy procedures increased, effective January 1, 2026. Source
  • New: Lucile Blaise appointed Global Head of Commercialization for Obstructive Sleep Apnea, effective December 1, 2025. Source

Full-year and fourth-quarter results

  • Fourth-quarter revenue rose 12.1%: Fourth-quarter revenue was $360.9 million, up 12.1% reported and 9.5% on constant-currency and organic bases against the prior-year quarter. Source
  • Full-year revenue rose 10.7%: Full-year revenue was $1.39 billion, up 10.7% reported, 9.7% constant-currency and 10.7% organic, against $1,253.4 million in 2024. Source
  • Fourth-quarter EPS, GAAP and adjusted: Fourth-quarter diluted EPS was $0.56 on a GAAP basis, against $1.02, and adjusted diluted EPS was $0.86, against $0.81. Source
  • Full-year GAAP loss on SNIA charge: Full-year GAAP diluted loss per share was $4.45, against diluted EPS of $1.16 in 2024, impacted by a $365.6 million SNIA environmental liability expense. Source
  • Adjusted EPS rose to $3.90: Full-year adjusted diluted EPS was $3.90, against $3.38 for 2024. Source

Segments and regions

  • Neuromodulation grew 7.0% for the year: Full-year Neuromodulation revenue was $592.8 million, up 7.0% reported and 6.6% constant-currency, with growth across all regions. Source
  • Europe led full-year regional growth: Full-year reported growth was U.S. 6.4%, Europe 22.3% to $269.2 million, and Rest of World 12.1% to $379.3 million. Source
  • Fourth-quarter Neuromodulation up 11.0%: Fourth-quarter Neuromodulation revenue was $152.7 million, up 11.0% reported and 9.9% constant-currency, with growth across all regions. Source
  • Fourth-quarter Europe up 21.7%: Fourth-quarter Europe revenue was $75.0 million, up 21.7% reported and 12.3% constant-currency, against $61.6 million. Rest of World was $94.4 million, up 10.9%. Source

“With disciplined capital allocation and a capable team, we are well positioned for 2026 and the years ahead.”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Products and programs

  • Cardiopulmonary grew 14.9% on Essenz: Full-year Cardiopulmonary revenue was $785.4 million, up 14.9% reported and 13.3% constant-currency, on Essenz sales, consumables demand and market share gains. Source
  • Fourth-quarter Cardiopulmonary drivers: Fourth-quarter Cardiopulmonary revenue was $206.6 million, up 13.7% reported and 9.9% constant-currency; the company cited consumables and Essenz sales as drivers. Source
  • RECOVER durability manuscript published: A RECOVER durability manuscript was published in January 2026, reporting that about 80% of adjunctive VNS patients in treatment-resistant depression kept clinically meaningful benefit through 24 months. Source

Margins and costs

  • Adjusted operating margin reached 20.6%: Full-year adjusted operating margin was 20.6%, against 19.1%; GAAP operating margin was 14.4%, against 10.3%. Source
  • Full-year gross margin slightly lower: Full-year adjusted gross margin was 68.6%, against 68.8%; GAAP gross margin was 67.7%, against 68.1%. Source
  • Operating expense ratios declined: Full-year adjusted SG&A was 35.3% of net revenue, against 36.0%, and adjusted R&D was 12.7%, against 13.7%. Source
  • Fourth-quarter margin rose: Fourth-quarter adjusted operating margin was 17.7%, against 17.3%; GAAP operating margin was 11.8%, against 11.5%. Source

Cash, debt and capital

  • Adjusted free cash flow of $183.3 million: Full-year net cash provided by operating activities was $254.3 million, and adjusted free cash flow was $183.3 million. Source
  • Capital expenditure rose: Purchases of property, plant and equipment were $81.1 million for the year, against $47.1 million in 2024. Source
  • Cash balance rose to $635.6 million: Cash and cash equivalents were $635.6 million at December 31, 2025, against $428.9 million a year earlier; restricted cash was nil, against $294.7 million. Source
  • Debt repayments of $280.9 million: Repayments of long-term debt obligations were $280.9 million in 2025, against $247.5 million in 2024. Source
  • Employee share withholding repurchases: Shares repurchased from employees for minimum tax withholding were $4.4 million in 2025, against $8.4 million in 2024. Source

Balance sheet and SNIA liability

  • SNIA liability of $396.2 million: SNIA environmental liability was $396.2 million at December 31, 2025, shown among current liabilities, against nil a year earlier. Source
  • Liabilities rose, equity fell: Total liabilities were $1,406.1 million, against $1,186.1 million; total shareholders' equity was $1,200.0 million, against $1,320.3 million. Source
  • Long-term contingent consideration declined: Long-term contingent consideration was $42.0 million, against $84.2 million a year earlier, with a further $50.0 million shown as current. Source

Strategy, workforce and share count

  • Investing behind OSA while core performs: Management said it is investing behind OSA while core businesses continue to perform. Source
  • About 3,300 employees: The company reported approximately 3,300 employees and a presence in more than 100 countries. Source
  • Adjusted diluted shares of 55.0 million: Adjusted diluted weighted average shares for 2025 were 55.0 million, from 54.5 million GAAP diluted shares plus 0.5 million from share-based compensation. Source

Risks management discussed

  • Regulatory: Fourth-quarter GAAP results included 3T Heater-Cooler defense legal expenses, SNIA liability and a Saluggia site remediation provision, which are adjusted out of non-GAAP results. Source
  • Financial: Fourth-quarter GAAP results included mark-to-market adjustments on 2025 and 2029 Notes derivatives and non-cash interest expense, which are adjusted out of non-GAAP results. Source
  • Financial: Forward-looking adjusted measures are subject to variability, including the outcome of legal proceedings and gains or losses on potential asset sales. Source

Earlier plans management reported on

  • Not stated: Management said 2026 guidance is consistent with the medium-term view outlined at the November 2025 Investor Day. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.