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LivaNova plc: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 5 August 2026: press release. Guidance figures: 2 raised, 1 lowered, 2 kept. The quarter’s numbers.

Key takeaways

  • Revenue grew 10.8% reported: Second-quarter revenue was $390.6 million, up 10.8% reported and 9.8% in constant currency, from $352.5 million a year earlier. Source
  • Cardiopulmonary grew 11.2% reported: Cardiopulmonary revenue was $221.6 million, with Europe up 26.3% reported, Rest of World up 9.9% and U.S. up 2.2%. Source
  • Thermo Fisher supply agreement: The oxygenator component agreement is expected to increase availability and support higher oxygenator output over time, addressing unmet customer demand. Source
  • Adjusted operating margin widened: Adjusted operating margin was 23.2% against 21.9%; GAAP operating margin was 12.7% against 15.4%. Source
  • Adjusted free cash flow of $45.5M: Second-quarter operating cash flow was $66.6 million, with capital expenditure of $31.6 million, leaving adjusted free cash flow at $45.5 million. Source
  • Investment behind lower cash target: Management said the free cash flow range reflects added spending on Cardiopulmonary capacity, innovation and IT systems to support growth. Source

“In the second quarter, LivaNova delivered strong revenue growth driven by sustained performance in our Cardiopulmonary and Epilepsy businesses,”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Guidance

AreaPeriodFigureAgainst last quarter
Revenue growth, constant currency SourceFull-year 20268% to 9%Raised from 7% to 8%
Foreign currency effect on revenue SourceFull-year 2026approximately 1% tailwindKept
Adjusted diluted EPS SourceFull-year 2026$4.30 to $4.40Raised from $4.20 to $4.30
Diluted share count assumption SourceFull-year 2026approximately 56 millionKept
Adjusted free cash flow SourceFull-year 2026$140 million to $160 millionLowered from $160 million to $180 million

What changed from last quarter

  • Guidance raised: Full-year revenue growth guidance raised to 8% to 9% constant currency from 7% to 8%. Source
  • Guidance raised: Adjusted diluted EPS guidance raised to $4.30 to $4.40 from $4.20 to $4.30. Source
  • Guidance lowered: Adjusted free cash flow guidance lowered to $140 million to $160 million from $160 million to $180 million. Source
  • Guidance kept: Currency tailwind of approximately 1% kept from prior guidance. Source
  • New: Long-term agreement with Thermo Fisher Scientific for an oxygenator component. Source
  • New: Stefano Folli appointed President, Cardiopulmonary, effective August 1. Source
  • New: Anne Liddy appointed Chief Legal Officer, effective August 31. Source
  • New: Jette Nygaard-Anderson appointed to the Board and the Nominating and Corporate Governance Committee. Source
  • New: Favorable Italian tax ruling produced a discrete tax benefit tied to the SNIA liability. Source
  • New: PolySync data reported for proximal hypoglossal nerve stimulation response in sleep apnea. Source

Results and growth drivers

  • Revenue grew 10.8% reported: Second-quarter revenue was $390.6 million, up 10.8% reported and 9.8% in constant currency, from $352.5 million a year earlier. Source
  • GAAP operating income declined: GAAP operating income was $49.5 million against $54.2 million, while adjusted operating income rose to $90.8 million from $77.4 million. Source
  • Adjusted EPS rose year over year: GAAP diluted EPS was $1.93 against $0.50, and adjusted diluted EPS was $1.26 against $1.05 in the prior-year quarter. Source

Segments and regions

  • Cardiopulmonary grew 11.2% reported: Cardiopulmonary revenue was $221.6 million, with Europe up 26.3% reported, Rest of World up 9.9% and U.S. up 2.2%. Source
  • Neuromodulation grew in all regions: Neuromodulation revenue was $166.9 million, up 10.1% reported; U.S. rose 8.0%, Europe 12.0% and Rest of World 22.8%. Source
  • Europe grew fastest by region: Europe revenue was $81.8 million, up 22.5% reported and 20.0% in constant currency, against U.S. at 5.8% and Rest of World at 12.5%. Source

“We are also pleased to announce an agreement with Thermo Fisher Scientific, an important step in securing a critical component for our oxygenators, supporting the Cardiopulmonary supply chain long-term.”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Products and customers

  • Essenz and consumables drove growth: Management cited Essenz Perfusion System sales, consumables demand and favorable realized price as the Cardiopulmonary drivers, led by Europe. Source
  • PolySync improved sleep apnea response: Data showed PolySync raised the cumulative apnea-hypopnea index response rate to 84.5% in moderate to severe obstructive sleep apnea, with proximal hypoglossal nerve stimulation. Source
  • Thermo Fisher supply agreement: The oxygenator component agreement is expected to increase availability and support higher oxygenator output over time, addressing unmet customer demand. Source

Costs, margins and pricing

  • Gross margin rose on adjusted basis: GAAP gross margin was 70.1% against 67.8%, and adjusted gross margin was 71.0% against 68.9%. Source
  • Adjusted operating margin widened: Adjusted operating margin was 23.2% against 21.9%; GAAP operating margin was 12.7% against 15.4%. Source
  • GAAP operating expenses rose: GAAP SG&A was $158.1 million against $137.8 million, R&D $53.7 million against $47.2 million, and other operating expense $12.4 million. Source
  • Currency loss and lower interest: Foreign exchange and other expense was $23.8 million against $4.3 million, while interest expense fell to $7.2 million from $14.9 million. Source

Cash, capital and balance sheet

  • Adjusted free cash flow of $45.5M: Second-quarter operating cash flow was $66.6 million, with capital expenditure of $31.6 million, leaving adjusted free cash flow at $45.5 million. Source
  • Six-month operating cash flow: Six-month operating cash flow was $81.8 million against $86.9 million, with capital expenditure of $45.8 million against $25.9 million. Source
  • Cash balance declined in half: Cash and equivalents were $516.6 million at June 30, 2026, from $635.6 million at December 31, 2025; long-term debt obligations were $289.9 million. Source
  • Contingent consideration paid, share count: Six-month payments of contingent consideration totaled $50.4 million, and second-quarter diluted weighted average shares were 56.3 million. Source

Tax ruling and investment priorities

  • Italian tax ruling lowers GAAP tax line: The favorable Italian tax ruling on the SNIA liability contributed to a GAAP income tax benefit of $90.2 million in the quarter. Source
  • Investment behind lower cash target: Management said the free cash flow range reflects added spending on Cardiopulmonary capacity, innovation and IT systems to support growth. Source

Leadership and governance

  • Folli takes Cardiopulmonary presidency: Stefano Folli joined June 1 and was appointed President, Cardiopulmonary, effective August 1. Source
  • Liddy named chief legal officer: Anne Liddy was appointed Chief Legal Officer, effective August 31. Source
  • New board member added: Jette Nygaard-Anderson joined the Board and the Nominating and Corporate Governance Committee, effective June 10. Source

Coming up, as management said on 5 August 2026

  • Oxygenator output rises over time: Management expects the Thermo Fisher agreement to support increased oxygenator output over time; no date was given. Source
  • Liddy starts August 31: Anne Liddy's appointment as Chief Legal Officer takes effect August 31. Source

Earlier plans management reported on

  • Not stated: Management said the updated guidance reflects execution while advancing its strategic plan. Source
  • Not stated: The approximately 1% currency tailwind is described as consistent with prior guidance. 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.