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LivaNova plc: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 4 November 2026: press release. Guidance figures: 2 raised, 3 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 9.9 percent: Third-quarter revenue was $393.1 million, up 9.9% on a reported basis and 10.0% on a constant-currency basis from $357.8 million a year earlier. Source
  • GAAP operating income declined: On a U.S. GAAP basis, third-quarter operating income was $28.4 million, against $54.0 million a year earlier. Source
  • Oxygenator line began operation: Management said the new oxygenator manufacturing line reached operational production, an important step in expanding capacity to address customer demand. Source
  • Adjusted operating margin rose to 23.5%: Adjusted operating income was $92.3 million, against $80.4 million, with the adjusted operating margin at 23.5% versus 22.5%. Source
  • Adjusted free cash flow $55.8 million: Operating cash flow was $73.7 million and capital expenditure $30.8 million. Adding back $12.9 million of 3T litigation payments gave adjusted free cash flow of $55.8 million. Source
  • 3T litigation provision recorded: GAAP results included a 3T Heater-Cooler litigation provision and related defense costs, which the company excludes from adjusted measures. Source

“Our team continues to deliver robust revenue growth driven by commercial execution and healthy global demand for our Cardiopulmonary and Epilepsy technologies,”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Guidance

AreaPeriodFigureAgainst last quarter
Revenue growth, constant currency SourceFull-year 20269% to 10%Raised from 8% to 9%
Foreign currency effect on revenue SourceFull-year 2026tailwind of approximately 1%Kept
Adjusted diluted EPS SourceFull-year 2026$4.40 to $4.50Raised from $4.30 to $4.40
Share count for EPS guidance SourceFull-year 2026approximately 56 millionKept
Adjusted free cash flow Source2026$140 million to $160 millionKept

What changed from last quarter

  • Guidance raised: The full-year 2026 constant-currency revenue growth range was raised by 100 basis points to 9% to 10%. Source
  • Guidance raised: The full-year 2026 adjusted diluted EPS range was raised by $0.10 at midpoint to $4.40 to $4.50. Source
  • Guidance kept: The 2026 adjusted free cash flow range of $140 million to $160 million was maintained. Source
  • New: A dedicated oxygenator manufacturing line reached operational production during the quarter. Source
  • New: In October 2026 the AMA CPT Editorial Panel announced new Category I codes covering the company's sleep apnea nerve stimulation therapy. Source
  • New: In October 2026 the company announced publication of full 36-month CORE-VNS study results. Source

Results and growth drivers

  • Revenue rose 9.9 percent: Third-quarter revenue was $393.1 million, up 9.9% on a reported basis and 10.0% on a constant-currency basis from $357.8 million a year earlier. Source
  • Nine-month GAAP results compared with 2025: Nine-month GAAP net income was $165.2 million, against a net loss of $273.4 million a year earlier. Diluted EPS was $2.93, against a loss of $5.01. Source
  • GAAP operating income declined: On a U.S. GAAP basis, third-quarter operating income was $28.4 million, against $54.0 million a year earlier. Source
  • Adjusted EPS rose to $1.23: Adjusted diluted EPS was $1.23, against $1.11 a year earlier. The reconciliation tables list the items that separate GAAP and adjusted EPS. Source

Segments and regions

  • Cardiopulmonary grew 10.9 percent: Cardiopulmonary revenue of $225.3 million rose on consumables, Essenz Perfusion System sales and favorable realized price, with growth in all regions. Source
  • Neuromodulation grew on volume: Neuromodulation revenue of $166.1 million rose on higher volume and favorable realized price, with growth across all regions. Source
  • Europe and rest of world growth rates: U.S. revenue rose 10.9% to $211.1 million. Europe rose 8.8% to $73.7 million, or 10.5% constant-currency. Rest of World rose 8.7% to $108.3 million. Source
  • Other revenue fell on prior-year item: Other revenue was $1.7 million, against $5.0 million. The prior-year figure included a $3.1 million reserve reduction tied to the Italian MedTech payback measure. Source

“We also made meaningful progress against key milestones, positioning us to address significant market demand while expanding patient access to care.”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Products and clinical data

  • Oxygenator line began operation: Management said the new oxygenator manufacturing line reached operational production, an important step in expanding capacity to address customer demand. Source
  • CORE-VNS 36-month data published: Full 36-month CORE-VNS results, covering drug-resistant epilepsy, showed a 76% median reduction in seizure frequency. Source
  • Sleep apnea CPT codes established: The AMA CPT Editorial Panel set up new Category I codes that include the company's proximal hypoglossal nerve stimulation therapy for moderate to severe sleep apnea. Source

Costs, margins and pricing

  • Adjusted operating margin rose to 23.5%: Adjusted operating income was $92.3 million, against $80.4 million, with the adjusted operating margin at 23.5% versus 22.5%. Source
  • Other operating expense increased: Other operating expense was $34.0 million, against $3.7 million a year earlier. The company removes this amount in its adjusted measures. Source
  • Adjusted gross margin little changed: Adjusted gross profit was 69.3% of revenue, against 69.4%. GAAP gross profit was 67.4%, against 68.4%. Source
  • Adjusted R&D fell as share of revenue: Adjusted R&D was $44.7 million, or 11.4% of revenue, against $45.0 million and 12.6%. Adjusted SG&A was 34.5% of revenue, against 34.3%. Source
  • Tax rate rose to 26.5 percent: The GAAP income tax rate was 26.5%, against 21.0%. The adjusted tax rate was 23.3%, against 22.1%. Source
  • Interest expense fell, FX income rose: Interest expense was $8.0 million, against $10.9 million. Foreign exchange and other income was $26.3 million, against an expense of $7.5 million. Source

“Our updated 2026 guidance reflects confidence across the portfolio as we advance our strategic priorities, drive innovation to address important unmet patient needs, and remain focused on delivering long-term shareholder value.”

Vladimir Makatsaria, Chief Executive Officer of LivaNova

Capital, cash and shareholder items

  • Adjusted free cash flow $55.8 million: Operating cash flow was $73.7 million and capital expenditure $30.8 million. Adding back $12.9 million of 3T litigation payments gave adjusted free cash flow of $55.8 million. Source
  • Nine-month capital spending rose: Nine-month capital expenditure was $76.6 million, against $48.8 million, while operating cash flow was $155.5 million, against $171.9 million. Source
  • Cash and debt repayments: Cash and equivalents were $563.5 million at September 30, against $635.6 million at December 31, 2025. Nine-month debt repayment was $95.9 million and contingent consideration payments were $50.4 million. Source
  • 2029 Notes gain removed from diluted: A $28.2 million after-tax gain on the 2029 Notes conversion option was removed from the diluted numerator, leaving diluted net income of $6.1 million. Source
  • Shares withheld for employee taxes: Shares repurchased from employees for minimum tax withholding totaled $11.7 million in the nine months, against $3.6 million a year earlier. No other repurchase program appears in the release. Source

Legal and regulatory items

  • 3T litigation provision recorded: GAAP results included a 3T Heater-Cooler litigation provision and related defense costs, which the company excludes from adjusted measures. Source
  • SNIA liability balance declined: The current SNIA environmental liability was $383.6 million at September 30, against $396.2 million at December 31, 2025. Source
  • Legal costs adjusted out of operating income: Certain legal and regulatory costs excluded from operating income totaled $39.8 million in the quarter, including the $34.0 million in other operating expense. Source

Coming up, as management said on 4 November 2026

  • Sleep apnea codes take effect: The new Category I CPT codes for the company's sleep apnea therapy have an expected effective date of January 1, 2028. Source

Risks management discussed

  • Regulatory: Litigation provisions and defense costs for the 3T Heater-Cooler matter were recorded in the quarter and excluded from adjusted results. Source

Earlier plans management reported on

  • Met: The company says the previously announced oxygenator manufacturing line has reached operational production. Source
  • Not stated: The approximately 1% foreign currency tailwind is described as consistent with prior guidance. Source
  • Not stated: The $140 million to $160 million adjusted free cash flow range 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.