LivaNova
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LivaNova (LIVN) investor relations material

LivaNova Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Achieved double-digit revenue growth in Q1 2026, with reported revenue up 14.3% to $362.3 million and constant-currency growth of 11.1%, driven by strong performance across all regions and both Cardiopulmonary and Neuromodulation segments.

  • Adjusted diluted EPS grew 11% to $0.98, and net income was $22.3 million, reversing a prior-year loss.

  • Raised full-year 2026 revenue growth guidance to 7.0%-8.0% and adjusted diluted EPS guidance to $4.20-$4.30, reflecting strong execution and confidence in future growth.

  • Received FDA premarket approval for the aura6000 System for obstructive sleep apnea and published positive 12-month OSPREY trial results, supporting clinical efficacy.

  • Maintained strong liquidity with $539.7 million in cash and reduced long-term debt to $285.2 million after early repayments.

Financial highlights

  • Q1 2026 revenue was $362.3 million, up 14.3% reported and 11.1% constant-currency year-over-year, with a $10 million FX tailwind.

  • Adjusted gross margin was 68.2% (down from 68.9% prior year); adjusted operating margin was 19.6%-20%.

  • Adjusted operating income was $71.1 million, up from $64.6 million year-over-year.

  • Adjusted diluted EPS was $0.98, up from $0.88 in Q1 2025, driven by higher revenue.

  • Adjusted free cash flow was $3.8-$4 million, down from $20 million, due to higher capital spend and working capital needs.

Outlook and guidance

  • Full-year 2026 revenue growth guidance raised to 7.0%-8.0% constant-currency, with FX expected to add ~1%.

  • Adjusted diluted EPS guidance increased to $4.20-$4.30, representing ~9% growth at midpoint.

  • Adjusted operating income margin expected at 20%-21%; adjusted free cash flow guidance maintained at $160-$180 million.

  • Capital spending for 2026 projected at $120 million, supporting manufacturing expansion and IT investments.

  • Cardiopulmonary revenue expected to grow 8.5%-9.5%, Epilepsy/Neuromodulation revenue 6.0%-7.0% for 2026.

aura6000 FDA approval competitive advantages
Cardiopulmonary revenue guidance update drivers
Middle East conflict impact on 2026 EPS bridge
aura6000 FDA labeling vs competitive HGNS devices
Cardiopulmonary growth drivers and Essenz impact
Basis for maintaining 2026 free cash flow outlook
aura6000 FDA label competitive differentiation
VNS pricing dynamics post-Medicare reimbursement
Oxygenator capacity expansion and share gains
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