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LivaNova PLC (LIVN)
NASDAQ:LIVN
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LivaNova (LIVN) AI Stock Analysis

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LIVN

LivaNova

(NASDAQ:LIVN)

Rating:61Neutral
Price Target:
$56.00
▲(0.99% Upside)
LivaNova's overall stock score is driven by strong earnings call performance and positive technical indicators, indicating potential growth. However, profitability challenges and valuation concerns weigh down the score. The legal dispute over environmental liabilities adds an element of risk.
Positive Factors
Financial Performance
LIVN's 2Q25 revenue and EPS beat consensus.
Market Expansion
LivaNova received approval for Essenz in China, its second-largest market by install base, and will begin commercialization.
Negative Factors
Operational Challenges
LIVN's US Epilepsy business experienced procedure deferrals due to a voluntary field service notification, causing a financial impact.
Valuation and Risks
A recent downgrade to Peer Perform after a multi-year stint with a positive rating indicates concerns about the stock's valuation and potential risks.

LivaNova (LIVN) vs. SPDR S&P 500 ETF (SPY)

LivaNova Business Overview & Revenue Model

Company DescriptionLivaNova PLC, a medical device company, designs, develops, manufactures, and sells therapeutic solutions worldwide. It operates through three segments: Cardiopulmonary, Neuromodulation, and Advanced Circulatory Support. The Cardiopulmonary segment develops, produces, and sells cardiopulmonary products, including oxygenators, heart-lung machines, autotransfusion systems, perfusion tubing systems, cannulae, connect, and other related products. The Neuromodulation segment designs, develops, and markets VNS Therapy System, an implantable device that delivers vagus nerve stimulation (VNS) therapy for the treatment of drug-resistant epilepsy, difficult-to-treat depression, and obstructive sleep apnea. It is also involved in the development and clinical testing of the VITARIA System for treating heart failure through VNS. The Advanced Circulatory Support segment develops, produces, and sells temporary life support products, such as cardiopulmonary and respiratory support solutions. The company serves perfusionists, neurologists, neurosurgeons, and other physicians, as well as hospitals, other medical institutions, and healthcare providers. It sells its products through direct sales representatives and independent distributors. The company has a research collaboration with Verily to capture clinical biomarkers of depression. LivaNova PLC was founded in 1987 and is headquartered in London, the United Kingdom.
How the Company Makes MoneyLivaNova generates revenue through the sale of its medical devices and related services. The company has key revenue streams from its cardiovascular segment, which includes products such as heart-lung machines, perfusion products, and cardiac surgery devices. The neuromodulation segment contributes significantly to its earnings through the sale of devices designed for epilepsy treatment and other neurological disorders. Additionally, LivaNova benefits from ongoing partnerships with healthcare providers and institutions that utilize its technologies. The company also engages in research and development initiatives, which may lead to new product launches and expanded market opportunities, further enhancing its revenue potential.

LivaNova Earnings Call Summary

Earnings Call Date:Aug 06, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 29, 2025
Earnings Call Sentiment Positive
The earnings call reflected a strong performance for LivaNova in the second quarter of 2025, with significant revenue growth, successful clinical milestones, and improved financial health. However, supply chain constraints and an increased tax rate were noted as challenges.
Q2-2025 Updates
Positive Updates
Strong Organic Revenue Growth
LivaNova delivered a 10% organic revenue growth year-over-year, driven by momentum in the cardiopulmonary business and solid neuromodulation performance across all regions.
Cardiopulmonary Segment Performance
The cardiopulmonary segment achieved a revenue of $199 million, a 13% increase compared to Q2 2024, with significant contributions from heart-lung machines and oxygenators.
Epilepsy Segment Achievements
Epilepsy revenue increased by 6% compared to the previous year, with notable growth in both U.S. and international markets, and successful transition to the updated SenTiva generator.
Positive Clinical Milestones
Long-term results from the CORE-VNS study showed significant seizure reductions, supporting the effectiveness of VNS therapy in drug-resistant epilepsy.
Debt Reduction and Cash Flow
Total debt decreased to $431 million from $628 million at the end of 2024, and adjusted free cash flow improved to $68 million in the first half of the year.
Guidance Raise for 2025
The company raised its organic growth outlook to between 9% and 10% for 2025, reflecting strong performance and successful business execution.
Negative Updates
Supply Chain Constraints
Third-party supply is a limiting factor for more rapid expansion in the cardiopulmonary segment, although the company is working to address these issues.
Tax Rate Increase
The adjusted effective tax rate increased to 22% from 21% in Q2 2024, with an expectation of reaching 23% for the full year 2025.
Company Guidance
During the LivaNova PLC second quarter 2025 earnings call, the company reported a 10% organic revenue growth compared to the previous year, primarily driven by strong performance in the cardiopulmonary and neuromodulation sectors. Cardiopulmonary segment revenue increased by 13%, reaching $199 million, with heart-lung machines and oxygenators showing low double-digit growth. The epilepsy segment saw a 6% revenue increase, with significant contributions from Europe and the Rest of the World regions. LivaNova raised its full-year 2025 revenue growth guidance to 9% to 10% on an organic basis. The company also highlighted notable clinical achievements, including long-term data from the CORE-VNS study, which showed an 80% median seizure reduction in patients with focal onset seizures. LivaNova is pursuing national Medicare coverage for VNS therapy in treatment-resistant depression, supported by strong data from the RECOVER study. Additionally, the company is progressing with its FDA submission for obstructive sleep apnea treatment. The revised guidance reflects strong first-half performance, updated revenue expectations, and improved operational execution.

LivaNova Financial Statement Overview

Summary
LivaNova shows moderate revenue growth but struggles with profitability, as indicated by negative net income and EBIT margins. The balance sheet is stable with manageable leverage, yet inefficiencies are evident with a negative return on equity. Cash flow performance is improving, particularly in free cash flow growth, but operational cash generation remains a concern.
Income Statement
45
Neutral
LivaNova's income statement shows moderate revenue growth with a 2.66% increase in TTM. However, the company is struggling with profitability, as indicated by a negative net profit margin of -16.14% and a negative EBIT margin of -9.33%. The gross profit margin remains strong at 69.07%, but the negative EBITDA margin of -5.59% highlights operational challenges.
Balance Sheet
55
Neutral
The balance sheet reflects a stable equity position with a debt-to-equity ratio of 0.42, indicating manageable leverage. However, the return on equity is negative at -17.66%, suggesting inefficiencies in generating returns from equity. The equity ratio stands at 44.80%, showing a solid equity base relative to total assets.
Cash Flow
60
Neutral
Cash flow analysis reveals a positive trend with an 11.39% growth in free cash flow. The operating cash flow to net income ratio is 0.26, indicating some cash generation challenges relative to net income. However, the free cash flow to net income ratio of 0.75 suggests better cash flow management compared to net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.31B1.25B1.15B1.02B1.04B934.20M
Gross Profit904.33M870.87M771.25M707.20M706.00M618.20M
EBITDA-73.18M202.52M39.02M30.85M-6.33M-225.87M
Net Income-211.32M63.23M17.55M-86.20M-135.70M-343.30M
Balance Sheet
Total Assets2.51B2.51B2.43B2.29B2.20B2.41B
Cash, Cash Equivalents and Short-Term Investments593.64M428.86M266.50M214.20M208.00M252.80M
Total Debt473.40M676.77M640.40M571.00M275.40M697.80M
Total Liabilities1.38B1.19B1.15B1.09B906.40M1.29B
Stockholders Equity1.12B1.32B1.28B1.21B1.29B1.12B
Cash Flow
Free Cash Flow162.10M135.93M39.93M43.40M77.00M-114.40M
Operating Cash Flow216.59M183.04M74.91M69.90M102.50M-79.40M
Investing Cash Flow-48.82M-48.16M-40.33M-38.40M36.90M-41.80M
Financing Cash Flow-220.13M18.55M21.48M280.10M-181.50M310.80M

LivaNova Technical Analysis

Technical Analysis Sentiment
Positive
Last Price55.45
Price Trends
50DMA
47.29
Positive
100DMA
44.06
Positive
200DMA
45.30
Positive
Market Momentum
MACD
2.92
Negative
RSI
70.28
Negative
STOCH
80.23
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For LIVN, the sentiment is Positive. The current price of 55.45 is above the 20-day moving average (MA) of 51.31, above the 50-day MA of 47.29, and above the 200-day MA of 45.30, indicating a bullish trend. The MACD of 2.92 indicates Negative momentum. The RSI at 70.28 is Negative, neither overbought nor oversold. The STOCH value of 80.23 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for LIVN.

LivaNova Risk Analysis

LivaNova disclosed 32 risk factors in its most recent earnings report. LivaNova reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

LivaNova Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$1.68B24.8719.29%40.98%34.80%
71
Outperform
$3.93B59.5628.21%48.09%2410.18%
61
Neutral
$3.09B30.62-17.87%8.57%-1154.64%
54
Neutral
$529.25M-1.67%-0.85%61.31%
53
Neutral
$2.25B-26.40%55.71%24.37%
51
Neutral
$7.81B-0.22-40.01%2.29%21.48%-2.11%
50
Neutral
$1.15B-38.92%3.53%-2309.98%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
LIVN
LivaNova
55.45
5.21
10.37%
IART
Integra Lifesciences
14.84
-5.87
-28.34%
UFPT
Ufp Technologies
211.29
-123.00
-36.79%
TMDX
TransMedics Group
116.72
-49.93
-29.96%
CTKB
Cytek Biosciences
4.17
-1.52
-26.71%
PRCT
PROCEPT BioRobotics
40.34
-38.35
-48.74%

LivaNova Corporate Events

Executive/Board ChangesShareholder Meetings
LivaNova Shareholders Approve Key Incentive Plans at AGM
Positive
Jun 11, 2025

On June 11, 2025, LivaNova PLC held its Annual General Meeting where shareholders approved two key incentive plans: the Second Amended and Restated 2022 Incentive Award Plan and the 2025 Director Incentive Award Plan. These plans, previously approved by the Board, aim to provide equity-based compensation to executives and directors, with a total of 2,500,000 shares allocated for awards. The AGM also saw the election of ten directors and the approval of various resolutions, including the ratification of PricewaterhouseCoopers LLP as the company’s auditor for 2025, reflecting strong shareholder support for the company’s governance and strategic initiatives.

Legal Proceedings
LivaNova Faces Legal Dispute Over Environmental Liabilities
Negative
May 21, 2025

LivaNova PLC is currently involved in a legal dispute regarding environmental liabilities inherited through its merger with Sorin. On March 14, 2025, the Italian Supreme Court referred the case back to the Court of Appeal, leading the company to record a liability of €333.3 million. Despite a filing by the Ministry of Ecological Transition challenging this decision, LivaNova intends to defend its position and maintain its current financial guidance for 2025.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 19, 2025