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LivaNova PLC (LIVN)
NASDAQ:LIVN

LivaNova (LIVN) AI Stock Analysis

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LivaNova

(NASDAQ:LIVN)

56Neutral
LivaNova's overall stock score reflects a mixed outlook. While there is strong revenue growth and improving operational cash flows, profitability remains a concern due to high leverage and fluctuating net income. Technical analysis indicates bearish trends, and the stock appears overvalued based on its P/E ratio. The recent legal liability further complicates the financial outlook, suggesting caution for investors.
Positive Factors
Core Business Growth
Multiple drivers in the core business support durable 6-7% organic growth.
Liability Management
LIVN expects to record a liability of ~$363M, which is lower than the ~$493M initially disclosed, improving its financial position.
Market Share and Competition
Getinge's decision to divest its surgical perfusion business could be a modest positive for LIVN, which already has a significant market share in this area.
Negative Factors
Competition Risk
Potential competition risk is anticipated from NeuroPace's responsive neurostimulation technology, which could impact a significant portion of the company's volume.
Epilepsy Segment Performance
There are execution issues affecting the global epilepsy market, with significant personnel changes and a decline in performance.
Litigation Overhang
The company continues to face the overhang of outstanding litigation (SNIA).

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

LivaNova Business Overview & Revenue Model

Company DescriptionLivaNova PLC is a global medical technology company headquartered in London, United Kingdom. The company operates in the healthcare sector, primarily focusing on the development and manufacturing of innovative therapeutic solutions. LivaNova's core product offerings are centered around cardiovascular and neuromodulation technologies, including devices for cardiac surgery, cardiac rhythm management, and the treatment of epilepsy and other neurological disorders.
How the Company Makes MoneyLivaNova generates revenue through the sale of its medical devices and related services. The company's key revenue streams include its Cardiovascular segment, which offers products like heart-lung machines, oxygenators, and heart valve replacement products used in cardiac surgery. Additionally, the Neuromodulation segment provides devices that deliver electrical impulses to nerve centers, primarily focusing on the treatment of drug-resistant epilepsy and depression. LivaNova's earnings are also supported by strategic partnerships, research and development collaborations, and long-term contracts with healthcare providers and institutions. These partnerships and contracts help in expanding the company's product reach and adoption in key markets globally.

LivaNova Financial Statement Overview

Summary
LivaNova's financial performance indicates recovery with steady revenue growth and improving cash flows. However, the company's profitability remains a concern due to fluctuating net income and high leverage, posing potential risks. Continued focus on operational efficiency and debt management will be crucial for long-term stability.
Income Statement
65
Positive
LivaNova has demonstrated a consistent recovery in revenue from 2020 to 2024, with a notable revenue growth rate of approximately 9% from 2023 to 2024. The gross profit margin has been stable around 68-70% in recent years. However, net profit margins are low, with significant fluctuations and a net loss in several years, indicating challenges in maintaining profitability. The positive EBIT and EBITDA margins in 2024 suggest improvements in operational efficiency.
Balance Sheet
50
Neutral
LivaNova's balance sheet shows a high debt-to-equity ratio, indicating reliance on debt financing, which may pose financial risk. The equity ratio has been declining, reflecting decreased shareholder equity over time. Despite these concerns, the company has managed to maintain a positive cash position, which provides some liquidity buffer.
Cash Flow
70
Positive
LivaNova has shown strong growth in operating and free cash flows, with operating cash flow to net income ratio improving significantly. The free cash flow growth has been positive, suggesting better cash management. However, the historical volatility in cash flows highlights the need for continued focus on consistent cash generation.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
1.25B1.15B1.02B1.04B934.20M
Gross Profit
870.87M771.25M707.20M706.00M618.20M
EBIT
129.05M-68.50M52.70M-900.00K-42.80M
EBITDA
202.52M39.02M30.85M-6.33M-225.87M
Net Income Common Stockholders
63.23M17.55M-86.20M-135.70M-343.30M
Balance SheetCash, Cash Equivalents and Short-Term Investments
428.86M266.50M214.20M208.00M252.80M
Total Assets
2.51B2.43B2.29B2.20B2.41B
Total Debt
676.77M640.40M571.00M275.40M697.80M
Net Debt
247.91M373.90M356.80M67.40M445.00M
Total Liabilities
1.19B1.15B1.09B906.40M1.29B
Stockholders Equity
1.32B1.28B1.21B1.29B1.12B
Cash FlowFree Cash Flow
135.93M39.93M43.40M77.00M-114.40M
Operating Cash Flow
183.04M74.91M69.90M102.50M-79.40M
Investing Cash Flow
-48.16M-40.33M-38.40M36.90M-41.80M
Financing Cash Flow
18.55M21.48M280.10M-181.50M310.80M

LivaNova Technical Analysis

Technical Analysis Sentiment
Negative
Last Price33.96
Price Trends
50DMA
41.95
Negative
100DMA
45.65
Negative
200DMA
48.17
Negative
Market Momentum
MACD
-2.05
Positive
RSI
30.70
Neutral
STOCH
29.29
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For LIVN, the sentiment is Negative. The current price of 33.96 is below the 20-day moving average (MA) of 38.29, below the 50-day MA of 41.95, and below the 200-day MA of 48.17, indicating a bearish trend. The MACD of -2.05 indicates Positive momentum. The RSI at 30.70 is Neutral, neither overbought nor oversold. The STOCH value of 29.29 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (48)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
70
Outperform
$2.71B79.7719.39%82.74%
67
Neutral
$1.61B27.5718.76%26.08%30.54%
63
Neutral
$2.85B-26.77%64.84%21.67%
56
Neutral
$1.85B29.584.87%8.33%256.54%
55
Neutral
$475.24M-1.53%3.85%49.09%
52
Neutral
$1.31B-0.44%4.47%-110.70%
48
Neutral
$6.36B1.19-46.31%2.67%19.41%1.23%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
LIVN
LivaNova
33.96
-19.41
-36.37%
IART
Integra Lifesciences
16.99
-15.07
-47.01%
UFPT
Ufp Technologies
209.42
-19.32
-8.45%
TMDX
TransMedics Group
80.58
-11.24
-12.24%
CTKB
Cytek Biosciences
3.71
-2.31
-38.37%
PRCT
PROCEPT BioRobotics
52.07
1.47
2.91%

LivaNova Earnings Call Summary

Earnings Call Date: Feb 25, 2025 | % Change Since: -31.39% | Next Earnings Date: May 7, 2025
Earnings Call Sentiment Positive
The earnings call reflected strong financial performance with significant growth in key segments and positive clinical milestones. However, challenges in the epilepsy segment and uncertainties regarding SNIA litigation and tax rate increases were noted.
Highlights
Strong Organic Revenue Growth
LivaNova delivered 11% organic revenue growth in 2024, marking the second consecutive year of double-digit organic growth.
Clinical Milestones Achievement
Clinical milestones achieved in obstructive sleep apnea, difficult-to-treat depression, and VNS therapy for epilepsy, including the successful OSPREY clinical study.
Cardiopulmonary Segment Performance
Cardiopulmonary revenue was $182 million in Q4, up 11% versus Q4 2023. Full-year cardiopulmonary revenue grew 14% to $684 million.
Adjusted Operating Income Growth
Achieved 41% growth in adjusted operating income and 21% growth in adjusted diluted earnings per share.
Free Cash Flow Improvement
Delivered $163 million in adjusted free cash flow for 2024, representing a 70% increase from the prior year.
Innovation and Product Development
Continued progress in innovation pipeline with new product launches like ProtekDuo Plus and focus on enhancing epilepsy and cardiopulmonary portfolios.
Lowlights
Epilepsy Revenue Challenges
Epilepsy revenue in Europe and rest of the world declined by 9% in Q4 versus the prior year due to execution issues.
SNIA Litigation Uncertainty
Pending decision from the Italian Supreme Court regarding SNIA litigation, with potential financial implications not included in 2025 guidance.
Higher Effective Tax Rate Impact
Adjusted effective tax rate increased to 20% in Q4 2024, negatively impacting EPS compared to the prior year.
Company Guidance
During LivaNova's earnings call, the company provided guidance for 2025, highlighting expected revenue growth between 5% and 6% on a constant-currency basis and between 6% and 7% on an organic basis. They anticipate a foreign currency headwind of 1.5% to 2%. For the cardiopulmonary segment, LivaNova forecasts revenue growth of 7% to 8%, driven by the expanded capacity and new market launches for the Essenz heart-lung machine. In the epilepsy segment, they expect global revenue to grow by 4% to 5%, with a mid-single-digit growth rate for U.S. new patient implants. The company also projects an adjusted effective tax rate of approximately 24% and adjusted diluted earnings per share in the range of $3.65 to $3.75. Adjusted free cash flow is expected to be between $135 million and $155 million, accounting for increased capital spending, particularly in IT infrastructure and cardiopulmonary capacity expansion.

LivaNova Corporate Events

Legal Proceedings
LivaNova Faces €333 Million Liability Ruling
Negative
Mar 17, 2025

LivaNova PLC, through a merger with Sorin, has been involved in a civil action regarding environmental liabilities linked to SNIA, Sorin’s former parent company. On March 14, 2025, the Italian Supreme Court ruled that LivaNova could be held liable for certain liabilities but not for others previously approved by the Court of Appeal of Milan. As a result, LivaNova expects to record a liability of approximately €333 million for the first quarter of 2025, which it can cover with its existing resources.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

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.