LivaNova PLC
For the period ended Sep 30, 2025. Filed Nov 5, 2025.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Sep 30, 2025 · Filed Nov 5, 2025
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Item 1. FINANCIAL STATEMENTS
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS)
(In thousands, except per share amounts)
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Net revenue | $357,753 | $318,120 | $1,027,132 | $931,607 |
| Cost of sales | 112,898 | 97,091 | 327,035 | 292,492 |
| Gross profit | 244,855 | 221,029 | 700,097 | 639,115 |
| Operating expenses: | ||||
| Selling, general, and administrative | 138,522 | 127,426 | 405,448 | 378,238 |
| Research and development | 48,577 | 48,805 | 133,641 | 139,206 |
| Other operating expense | 3,744 | 9,180 | 4,196 | 29,641 |
| Operating income | 54,012 | 35,618 | 156,812 | 92,030 |
| SNIA environmental liability expense | (1,745) | — | (363,815) | — |
| Interest expense | (10,863) | (15,878) | (38,429) | (47,303) |
| Loss on debt extinguishment | — | — | (2,651) | (25,482) |
| Foreign exchange and other income/(expense) | (7,493) | 24,701 | (332) | 12,585 |
| Income (loss) before income tax | 33,911 | 44,441 | (248,415) | 31,830 |
| Income tax expense | 7,114 | 11,525 | 24,921 | 24,469 |
| (Loss) income from equity method investments | (13) | 37 | (41) | (18) |
| Net income (loss) | $26,784 | $32,953 | $(273,377) | $7,343 |
| Basic income (loss) per share | $0.49 | $0.61 | $(5.01) | $0.14 |
| Diluted income (loss) per share | $0.49 | $0.60 | $(5.01) | $0.13 |
| Shares used in computing basic income (loss) per share | 54,630 | 54,352 | 54,529 | 54,194 |
| Shares used in computing diluted income (loss) per share | 55,153 | 54,585 | 54,529 | 54,526 |
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Net income (loss) | $26,784 | $32,953 | $(273,377) | $7,343 |
| Other comprehensive (loss) income: | ||||
| Foreign currency translation adjustment | (2,605) | 26,116 | 85,678 | 1,180 |
| Other comprehensive (loss) income, net of tax | (2,605) | 26,116 | 85,678 | 1,180 |
| Comprehensive income (loss) | $24,179 | $59,069 | $(187,699) | $8,523 |
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share amounts)
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| ASSETS | ||
| Current Assets: | ||
| Cash and cash equivalents | $646,079 | $428,858 |
| Restricted cash | — | 294,698 |
| Accounts receivable, net of allowance of $13,313 at September 30, 2025 and $11,275 at December 31, 2024 | 211,579 | 193,158 |
| Inventories | 167,538 | 147,566 |
| Prepaid and refundable taxes | 27,531 | 30,544 |
| Prepaid expenses and other current assets | 44,422 | 32,362 |
| Total Current Assets | 1,097,149 | 1,127,186 |
| Property, plant, and equipment, net | 218,510 | 170,260 |
| Goodwill | 791,034 | 750,006 |
| Intangible assets, net | 234,530 | 237,294 |
| Operating lease assets | 51,197 | 46,837 |
| Investments | 15,049 | 25,084 |
| Deferred tax assets | 107,305 | 111,855 |
| Long-term derivative assets | 28,011 | 23,735 |
| Other assets | 14,798 | 14,132 |
| Total Assets | $2,557,583 | $2,506,389 |
| LIABILITIES AND STOCKHOLDERS’ EQUITY | ||
| Current Liabilities: | ||
| Current debt obligations | $85,440 | $78,004 |
| Accounts payable | 88,156 | 69,726 |
| Accrued liabilities and other | 92,229 | 118,485 |
| SNIA environmental liability | 394,587 | — |
| Current contingent consideration | 49,041 | — |
| Current litigation provision liability | 16,499 | 12,918 |
| Taxes payable | 21,373 | 32,456 |
| Accrued employee compensation and related benefits | 80,263 | 80,536 |
| Total Current Liabilities | 827,588 | 392,125 |
| Long-term debt obligations | 349,031 | 549,624 |
| Long-term contingent consideration | 40,641 | 84,218 |
| Deferred tax liabilities | 10,096 | 10,915 |
| Long-term operating lease liabilities | 43,075 | 40,105 |
| Long-term employee compensation and related benefits | 13,543 | 12,847 |
| Long-term derivative liabilities | 64,515 | 51,819 |
| Other long-term liabilities | 51,864 | 44,478 |
| Total Liabilities | 1,400,353 | 1,186,131 |
| Commitments and contingencies (Note 5) | ||
| Stockholders’ Equity: | ||
| Ordinary Shares, £1.00 par value: unlimited shares authorized; 55,503,264 shares issued and 54,605,279 shares outstanding at September 30, 2025; 54,437,670 shares issued and 54,348,542 shares outstanding at December 31, 2024 | 84,520 | 83,156 |
| Additional paid-in capital | 2,245,024 | 2,220,658 |
| Accumulated other comprehensive income (loss) | 5,508 | (80,170) |
| Accumulated deficit | (1,176,627) | (903,250) |
| Treasury stock at cost, 897,985 ordinary shares at September 30, 2025; 89,128 ordinary shares at December 31, 2024 | (1,195) | (136) |
| Total Stockholders’ Equity | 1,157,230 | 1,320,258 |
| Total Liabilities and Stockholders’ Equity | $2,557,583 | $2,506,389 |
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
| Nine Months Ended September 30, | ||
|---|---|---|
| 2025 | 2024 | |
| Operating Activities: | ||
| Net (loss) income | $(273,377) | $7,343 |
| Adjustments to reconcile net (loss) income to net cash provided by operating activities: | ||
| Stock-based compensation | 26,904 | 26,984 |
| Depreciation | 21,008 | 18,683 |
| Amortization of debt issuance costs | 17,259 | 15,692 |
| Remeasurement of derivative instruments | (16,990) | 400 |
| Amortization of intangible assets | 13,186 | 12,960 |
| Amortization of operating lease assets | 10,732 | 6,918 |
| Remeasurement of contingent consideration to fair value | 5,464 | 338 |
| Deferred income tax expense | 4,066 | 9,093 |
| Loss on investment revaluation - Ceribell, Inc. | 3,622 | — |
| Loss on debt extinguishment | 2,651 | 25,482 |
| Impairments of investments | 1,112 | 5,768 |
| Other | 2,427 | 1,453 |
| Changes in operating assets and liabilities: | ||
| Accounts receivable, net | (5,830) | 17,425 |
| Inventories | (8,100) | (13,895) |
| Other current and non-current assets | 50,582 | (14,841) |
| Accounts payable and accrued current and non-current liabilities | (36,051) | (23,383) |
| Taxes payable | (13,575) | 2,628 |
| SNIA environmental liability | 363,815 | — |
| Litigation provision liability | 3,038 | 5,283 |
| Net cash provided by operating activities | 171,943 | 104,331 |
| Investing Activities: | ||
| Purchases of property, plant, and equipment | (48,817) | (36,701) |
| Proceeds from investments | 6,522 | — |
| Other | (358) | (751) |
| Net cash used in investing activities | (42,653) | (37,452) |
| Financing Activities: | ||
| Repayment of long-term debt obligations | (216,813) | (243,174) |
| Shares repurchased from employees for minimum tax withholding | (3,625) | (8,071) |
| Proceeds from long-term debt obligations | — | 335,513 |
| Payment of debt extinguishment costs | — | (38,953) |
| Purchase of capped calls | — | (31,637) |
| Proceeds from unwind of capped calls | — | 22,523 |
| Payment of contingent consideration | — | (13,750) |
| Payment of debt issuance costs | — | (5,931) |
| Proceeds from exercise of stock options | 33 | 5,028 |
| Other | (2,371) | 447 |
| Net cash (used in) provided by financing activities | (222,776) | 21,995 |
| Effect of exchange rate changes on cash, cash equivalents, and restricted cash | 16,009 | (170) |
| Net (decrease) increase in cash, cash equivalents, and restricted cash | (77,477) | 88,704 |
| Cash, cash equivalents, and restricted cash at beginning of period | 723,556 | 577,872 |
| Cash, cash equivalents, and restricted cash at end of period | $646,079 | $666,576 |
| Supplemental noncash investing and financing transaction: | ||
| Asset obtained in exchange for finance lease obligation | $4,760 | $— |
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
Note 1. Unaudited Condensed Consolidated Financial Statements
Basis of Presentation
The accompanying unaudited condensed consolidated financial statements of LivaNova and the notes thereto as of and for the three and nine months ended September 30, 2025 and 2024 have been prepared in accordance with U.S. GAAP for interim financial information and the instructions to Form 10-Q and Article 10 of Regulation S-X. The accompanying condensed consolidated balance sheet of LivaNova as of December 31, 2024 has been derived from audited consolidated financial statements contained in LivaNova’s 2024 Form 10-K but does not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, the condensed consolidated financial statements reflect all adjustments considered necessary for a fair statement of the operating results of LivaNova and its subsidiaries for the three and nine months ended September 30, 2025, and are not necessarily indicative of the results that may be expected for the year ending December 31, 2025. The financial information presented herein should be read in conjunction with the audited consolidated financial statements and notes thereto accompanying LivaNova’s 2024 Form 10-K.
Cybersecurity Incident
As previously disclosed, in November 2023, LivaNova detected a cybersecurity incident that resulted in a disruption of portions of the Company’s information technology systems. As a result, the Company engaged external cybersecurity experts, coordinated with law enforcement, implemented remediation measures, and notified affected individuals and regulators as required by applicable law. The incident was contained, and the Company’s mitigation efforts are considered complete. For further discussion on legal and regulatory developments, refer to “Note 5. Commitments and Contingencies.”
Through September 30, 2025, LivaNova incurred direct costs totaling $13.1 million in connection with this cybersecurity incident, including $0.1 million and $2.5 million for the three months ended September 30, 2025 and 2024, respectively, and $1.5 million and $8.2 million for the nine months ended September 30, 2025 and 2024, respectively. The total direct costs incurred primarily include external cybersecurity expert and legal fees, system restoration costs, and $1.2 million related to a class action settlement, and do not include business interruption losses. The Company may incur additional costs related to this incident in the future. LivaNova maintains insurance, including cyber insurance, which is subject to certain retentions and policy limitations that will likely limit the amount that the insurers may reimburse the Company. LivaNova has filed claims for insurance reimbursement of direct costs and business interruption losses related to this incident and has submitted additional claims and supplemental requests for reimbursement as new costs have been incurred. Through September 30, 2025, LivaNova has received $9.6 million, including $6.2 million in reimbursement of direct costs and $3.4 million in reimbursement of business interruption losses. For the nine months ended September 30, 2025, LivaNova received $1.2 million in reimbursement of direct costs. The Company’s insurance coverage may be insufficient to cover all costs and expenses related to this cybersecurity incident or may be unavailable to cover all costs and expenses related to this cybersecurity incident.
Revision of Previously Issued Financial Statements
During the second quarter of 2025, the Company identified and corrected an immaterial error related to the classification of certain employee costs in the Cardiopulmonary segment between cost of sales and selling, general, and administrative expense in the consolidated statements of income (loss). This misclassification understated cost of sales and overstated selling, general, and administrative expense by equal and offsetting amounts, with no impact to operating income (loss) or net income (loss) for annual and interim periods for the years ended December 31, 2023 and 2024 and the three months ended March 31, 2025. The Company evaluated the error and determined that the related impact was not material to the consolidated statements of income for any prior period and had no impact on the consolidated balance sheets, statements of comprehensive income (loss), statements of cash flows, or statements of stockholders’ equity for any of the above periods. The Company has revised the previously issued condensed consolidated statements of income (loss) for the three and nine months ended September 30, 2024 to correct for the error, and these revisions are reflected in this Form 10-Q. The Company will also correct previously reported financial information for this error in its future filings, as applicable. A summary of the corrections to the impacted financial statement line items in the previously issued consolidated statements of income (loss) and disaggregated Cardiopulmonary segment income disclosure for each affected period is presented in “Note 13. Revision of Previously Issued Financial Statements.”
Significant Accounting Policies
LivaNova’s significant accounting policies are included within “Note 2. Basis of Presentation, Use of Accounting Estimates, and Significant Accounting Policies” and “Note 3. Revenue Recognition” of LivaNova’s 2024 Form 10-K.
Note 2. Derivatives and Risk Management
Due to the global nature of LivaNova’s operations, the Company is exposed to FX fluctuations. LivaNova enters into FX derivative contracts to reduce the impact of FX fluctuations on earnings and cash flow.
LivaNova is also exposed to equity price risk in connection with its 2025 Notes and 2029 Notes, including exchange/conversion and settlement provisions based on the price of its ordinary shares at exchange/conversion or maturity of the 2025 Notes and 2029 Notes. The Capped Call Transactions associated with the 2025 Notes and 2029 Notes also include settlement provisions that are based on the price of LivaNova’s ordinary shares, subject to a capped price per share. LivaNova does not enter into derivative contracts for speculative purposes.
LivaNova measures all outstanding derivatives each period-end at fair value and reports the fair value as either financial assets or liabilities on the condensed consolidated balance sheets. At the inception of the contract, the derivative is designated as either a freestanding derivative or a hedge. Derivatives that are not designated as hedging instruments are referred to as freestanding derivatives, with changes in fair value included in earnings. These derivatives are intended to serve as economic hedges and follow the cash flows of the economic hedged item. The cash flows from these derivative contracts are reported as operating activities in LivaNova’s condensed consolidated statements of cash flows. LivaNova had no designated hedging instruments as of September 30, 2025 and December 31, 2024.
Freestanding FX Derivatives
The gross notional amount of freestanding FX derivative contracts outstanding as of September 30, 2025 and December 31, 2024 was $96.8 million and $442.3 million, respectively. These derivative contracts are designed to offset the FX effects in earnings of various intercompany loans and trade receivables. LivaNova recorded net losses of $0.2 million and $5.0 million for the three months ended September 30, 2025 and 2024, respectively, and net gains of $25.2 million and net losses of $0.1 million for the nine months ended September 30, 2025 and 2024, respectively, from freestanding derivatives. These amounts are included in foreign exchange and other income/(expense) in LivaNova’s condensed consolidated statements of income (loss).
Capped Call Derivatives
The Capped Call Transactions are carried on the condensed consolidated balance sheets as a derivative asset at their estimated fair value and are adjusted at the end of each reporting period, with unrealized gain or loss reflected in foreign exchange and other income/(expense) in the condensed consolidated statements of income (loss). For additional information, refer to “Note 11. Supplemental Financial Information.” The Capped Call Transactions are measured at fair value using the Black-Scholes model utilizing observable and unobservable market data, including stock price, remaining contractual term, expected volatility, risk-free interest rate, and expected dividend yield, as applicable. For additional information regarding the Capped Call Transactions, refer to LivaNova’s 2024 Form 10-K.
Embedded Derivatives
The 2025 Notes and 2029 Notes each include terms resulting in a bifurcated embedded derivative. The Embedded Derivatives are measured at fair value using a binomial lattice model and estimated discounted cash flows that utilize observable and unobservable market data and are adjusted at the end of each reporting period, with the unrealized gain or loss reflected in foreign exchange and other income/(expense) in the condensed consolidated statements of income (loss). For additional information, refer to “Note 11. Supplemental Financial Information.”
Counterparty Credit Risk
LivaNova is exposed to credit risk in the event of non-performance by the counterparties to the Company’s derivatives.
The Option Counterparties are financial institutions. To limit LivaNova’s credit risk, the Company selected financial institutions with a minimum long-term investment grade credit rating. LivaNova’s exposure to the credit risk of the Option Counterparties is not secured by any collateral. If one or more of the Option Counterparties becomes subject to insolvency proceedings, LivaNova will become an unsecured creditor in those proceedings, with a claim equal to the Company’s exposure at that time under the 2025 Capped Calls and/or 2029 Capped Calls, as applicable, with that Option Counterparty.
To manage credit risk with respect to LivaNova’s FX derivatives, the Company selects and periodically reviews counterparties based on credit ratings, limits its exposure with respect to each counterparty, and monitors their respective market positions. However, if one or more of these counterparties were in a liability position to the Company and were unable to meet their obligations, any transactions with the counterparty could be subject to early termination, which could result in losses for the Company.
Balance Sheet Presentation
LivaNova offsets fair value amounts associated with its derivative instruments that are executed with the same counterparty under master netting arrangements on the Company’s condensed consolidated balance sheets. Master netting arrangements include a right to set off or net together purchases and sales of similar products in the settlement process.
The following tables present the fair value and the location of derivative contracts reported on the condensed consolidated balance sheets (in thousands):
| Derivative Assets | Derivative Liabilities | |
|---|---|---|
| September 30, 2025 · Balance Sheet Location · Fair Value (1) · Balance Sheet Location · Fair Value (1) | ||
| Derivatives Not Designated as Hedging Instruments: | ||
| Capped call derivatives (2025 Notes) | Prepaid expenses and other current assets | $1,627 |
| Capped call derivatives (2029 Notes) | Long-term derivative assets | 28,011 |
| Embedded derivative (2025 Notes) | Accrued liabilities and other | $1,685 |
| Embedded derivative (2029 Notes) | Long-term derivative liabilities | 64,515 |
| FX derivative contracts | Accrued liabilities and other | 203 |
| Total derivatives not designated as hedging instruments | $29,638 | $66,403 |
(1)For the classification of inputs used to evaluate the fair value of LivaNova’s derivatives, refer to “Note 3. Fair Value Measurements.”
| Derivative Assets | Derivative Liabilities | |
|---|---|---|
| December 31, 2024 · Balance Sheet Location · Fair Value (1) · Balance Sheet Location · Fair Value (1) | ||
| Derivatives Not Designated as Hedging Instruments: | ||
| Capped call derivatives (2025 Notes) | Prepaid expenses and other current assets | $2,624 |
| Capped call derivatives (2029 Notes) | Long-term derivative assets | 23,735 |
| Embedded derivative (2025 Notes) | Accrued liabilities and other | $2,915 |
| Embedded derivative (2029 Notes) | Long-term derivative liabilities | 51,819 |
| FX derivative contracts | Prepaid expenses and other current assets | 738 |
| Total derivatives not designated as hedging instruments | $27,097 | $54,734 |
(1)For the classification of inputs used to evaluate the fair value of LivaNova’s derivatives, refer to “Note 3. Fair Value Measurements.”
Note 3. Fair Value Measurements
LivaNova reviews its fair value hierarchy classification on a quarterly basis. Changes in the ability to observe valuation inputs may result in a reclassification of levels for certain securities in the fair value hierarchy. There were no transfers between Level 1, Level 2, or Level 3 for the three and nine months ended September 30, 2025 and 2024.
Assets and Liabilities Measured at Fair Value on a Recurring Basis
The following tables present the level in the fair value hierarchy at which the Company’s assets and liabilities are measured on a recurring basis (in thousands):
| Balance Sheet Location · September 30, 2025 · Fair Value Measurements Using Inputs Considered as: | |||||
|---|---|---|---|---|---|
| Level 1 · Level 2 · Level 3 | |||||
| Assets: | |||||
| Derivative assets - capped call derivatives (2025 Notes) | Prepaid expenses and other current assets | $1,627 | $— | $— | $1,627 |
| Derivative assets - capped call derivatives (2029 Notes) | Long-term derivative assets | 28,011 | — | — | 28,011 |
| $29,638 | $— | $— | $29,638 | ||
| Liabilities: | |||||
| Derivative liabilities - freestanding instruments (FX) | Accrued liabilities and other | $203 | $— | $203 | $— |
| Derivative liabilities - embedded derivative (2025 Notes) | Accrued liabilities and other | 1,685 | — | — | 1,685 |
| Derivative liabilities - embedded derivative (2029 Notes) | Long-term derivative liabilities | 64,515 | — | — | 64,515 |
| ImThera contingent consideration arrangement | Current contingent consideration | 49,041 | — | — | 49,041 |
| ImThera contingent consideration arrangement | Long-term contingent consideration | 40,641 | — | — | 40,641 |
| $156,085 | $— | $203 | $155,882 | ||
| Balance Sheet Location · December 31, 2024 · Fair Value Measurements Using Inputs Considered as: | |||||
|---|---|---|---|---|---|
| Level 1 · Level 2 · Level 3 | |||||
| Assets | |||||
| Derivative assets - freestanding instruments (FX) | Prepaid expenses and other current assets | $738 | $— | $738 | $— |
| Derivative assets - capped call derivatives (2025 Notes) | Prepaid expenses and other current assets | 2,624 | — | — | 2,624 |
| Derivative assets - capped call derivatives (2029 Notes) | Long-term derivative assets | 23,735 | — | — | 23,735 |
| Investment with readily determinable fair value | Investments | 10,144 | 10,144 | — | — |
| $37,241 | $10,144 | $738 | $26,359 | ||
| Liabilities | |||||
| Derivative liabilities - embedded derivative (2025 Notes) | Accrued liabilities and other | $2,915 | $— | $— | $2,915 |
| Derivative liabilities - embedded derivative (2029 Notes) | Long-term derivative liabilities | 51,819 | — | — | 51,819 |
| ImThera contingent consideration arrangement | Long-term contingent consideration | 84,218 | — | — | 84,218 |
| $138,952 | $— | $— | $138,952 | ||
Reconciliation of Level 3 Assets and Liabilities
The tables below present reconciliations of recurring fair value measurements that use significant unobservable inputs (Level 3) as of and for the three and nine months ended September 30, 2025 and 2024 (in thousands):
| Capped Call Derivative Assets (2025 Notes) | Capped Call Derivative Assets (2029 Notes) | Embedded Derivative Liability (2025 Notes) | Embedded Derivative Liability (2029 Notes) | ImThera Contingent Consideration Liability | |
|---|---|---|---|---|---|
| June 30, 2025 | $1,303 | $21,658 | $1,363 | $48,093 | $87,927 |
| Changes in fair value | 324 | 6,353 | 322 | 16,422 | 1,755 |
| September 30, 2025 | $1,627 | $28,011 | $1,685 | $64,515 | $89,682 |
| Capped Call Derivative Assets (2025 Notes) | Capped Call Derivative Assets (2029 Notes) | Convertible Notes Receivable | Embedded Derivative Liability (2025 Notes) | Embedded Derivative Liability (2029 Notes) | Contingent Consideration Liability | |
|---|---|---|---|---|---|---|
| June 30, 2024 | $7,439 | $32,114 | $275 | $10,017 | $95,392 | $81,174 |
| Changes in fair value | (1,668) | (2,517) | (275) | (2,829) | (18,423) | 66 |
| September 30, 2024 | $5,771 | $29,597 | $— | $7,188 | $76,969 | $81,240 |
| Capped Call Derivative Assets (2025 Notes) | Capped Call Derivative Assets (2029 Notes) | Embedded Derivative Liability (2025 Notes) | Embedded Derivative Liability (2029 Notes) | ImThera Contingent Consideration Liability | |
|---|---|---|---|---|---|
| December 31, 2024 | $2,624 | $23,735 | $2,915 | $51,819 | $84,218 |
| Changes in fair value | (997) | 4,276 | (1,230) | 12,696 | 5,464 |
| September 30, 2025 | $1,627 | $28,011 | $1,685 | $64,515 | $89,682 |
| Capped Call Derivative Assets (2025 Notes) | Capped Call Derivative Assets (2029 Notes) | Convertible Notes Receivable | Embedded Derivative Liability (2025 Notes) | Embedded Derivative Liability (2029 Notes) | Contingent Consideration Liability Arrangements | |
|---|---|---|---|---|---|---|
| December 31, 2023 | $38,496 | $— | $275 | $45,569 | $— | $94,652 |
| Additions | — | 31,637 | — | — | 87,457 | — |
| Cash receipt | (22,524) | — | — | — | — | — |
| Payment | — | — | — | (36,915) | — | (13,750) |
| Changes in fair value | (10,201) | (2,040) | (275) | (1,466) | (10,488) | 338 |
| September 30, 2024 | $5,771 | $29,597 | $— | $7,188 | $76,969 | $81,240 |
Stock Price Volatility
The following table presents the stock price volatility utilized in determining the fair value of LivaNova’s capped call derivative assets and embedded derivative liabilities:
| Stock Price Volatility (1) | Capped Call Derivative Assets (2025 Notes) | Capped Call Derivative Assets (2029 Notes) | Embedded Derivative Liability (2025 Notes) | Embedded Derivative Liability (2029 Notes) |
|---|---|---|---|---|
| September 30, 2025 | 46% | 39% | 46% | 39% |
| December 31, 2024 | 37% | 35% | 37% | 35% |
(1) The embedded and capped call derivatives are classified as Level 3 because the Company uses historical volatility and implied volatility from actual options traded to determine expected stock price volatility, an unobservable input that is significant to the valuation. In general, an increase in LivaNova’s stock price or stock price volatility would increase the fair value of the embedded and capped call derivatives, which would result in an increase in net expense. As the remaining time to the expiration of the derivatives decreases, the fair value of the derivatives decreases. The future impact of the derivatives on net income (loss) depends on how significant inputs, such as stock price, stock price volatility, and time to the expiration of the derivatives, change in relation to other inputs.
Contingent Consideration Arrangements
The ImThera business combination involved contingent consideration arrangements comprised of potential cash payments upon the achievement of a certain regulatory milestone and a sales-based earnout associated with sales of products. The sales-based earnouts are valued using projected sales from LivaNova’s internal strategic plan. These arrangements are Level 3 fair value measurements and include the following significant unobservable inputs as of September 30, 2025:
| ImThera Acquisition | Valuation Technique | Unobservable Input | Inputs |
|---|---|---|---|
| Regulatory milestone-based payment | Discounted cash flow | Discount rate | 6.3% |
| Probability of payment | 85% | ||
| Projected payment year · 2026 | |||
| Sales-based earnout | Monte-Carlo simulation | Risk-adjusted discount rate | 13.0% - 13.1% |
| Credit risk discount rate | 6.5% - 7.0% | ||
| Revenue volatility | 23.3% | ||
| Probability of payment | 85% | ||
| Projected years of earnout | 2027 - 2030 | ||
Note 4. Financing Arrangements
The following table presents a summary of LivaNova’s long-term debt obligations (in thousands, except interest rates):
| September 30, 2025 | December 31, 2024 | Maturity | Interest Rate | |
|---|---|---|---|---|
| Term Facilities | $101,403 | $313,014 | July 2027 | 7.38% |
| 2029 Notes | 270,994 | 258,043 | March 2029 | 2.50% |
| 2025 Notes | 56,683 | 53,887 | December 2025 | 3.00% |
| Bank of America, U.S. | — | 1,500 | ||
| Other | 5,374 | 519 | ||
| Total long-term facilities | 434,454 | 626,963 | ||
| Less: Current portion of long-term debt | 85,423 | 77,339 | ||
| Total long-term debt obligations | $349,031 | $549,624 | ||
Revolving Credit and Term Facilities
The outstanding principal amount of LivaNova’s short-term unsecured revolving credit agreements and other agreements with various banks was $17 thousand and $0.7 million at September 30, 2025 and December 31, 2024, respectively.
There wereno outstanding borrowings under the $225.0 million revolving facilities under the 2021 First Lien Credit Agreement as of September 30, 2025 and December 31, 2024. As of September 30, 2025 and December 31, 2024, the applicable commitment fee percentage was 0.25% per annum and 0.5% per annum, respectively. As of September 30, 2025, the Company was in compliance with the financial covenants contained in the 2021 First Lien Credit Agreement.
Debt discount and issuance costs related to the Initial Term Facility were $9.6 million. The unamortized debt discount and issuance costs related to the Initial Term Facility were $1.1 million and $4.8 million as of September 30, 2025 and December 31, 2024, respectively.
On May 2, 2025, LivaNova made an early repayment of $200 million on principal borrowings under the Term Facilities. The early repayment resulted in the recognition of a loss on debt extinguishment of $2.7 million for the nine months ended September 30, 2025, associated with the write-off of unamortized debt issuance costs, and is included within loss on debt extinguishment on the condensed consolidated statements of income (loss).
2029 Notes
The effective interest rate of the 2029 Notes was 9.84% as of September 30, 2025. The unamortized debt discount and issuance costs related to the 2029 Notes as of September 30, 2025 and December 31, 2024 were $74.0 million and $87.0 million, respectively. As of September 30, 2025, the conditions for conversion were not met. The Company included its obligations from the 2029 Notes and the associated embedded derivative as long-term liabilities on the condensed consolidated balance sheet as of September 30, 2025, and the 2029 Notes are not convertible for the three months ended December 31, 2025. For additional information regarding the 2029 Notes, refer to LivaNova’s 2024 Form 10-K.
2025 Notes
The effective interest rate of the 2025 Notes was 9.92% as of September 30, 2025. The unamortized debt discount and issuance costs related to the 2025 Notes as of September 30, 2025 and December 31, 2024 were $0.8 million and $3.6 million, respectively. Beginning on September 15, 2025, the 2025 Notes became exchangeable at the holder’s option, without any additional conditions, and remain exchangeable through the second scheduled trading day immediately preceding the maturity date of the 2025 Notes. The Company included its obligations from the 2025 Notes and the associated embedded derivative as current liabilities on the condensed consolidated balance sheet as of September 30, 2025. As of September 30, 2025, LivaNova held $57.5 million in cash designated for the December 2025 repayment of the 2025 Notes principal amount in a LivaNova-controlled depository account, which is included within cash and cash equivalents on the condensed consolidated balance sheet. For additional information regarding the 2025 Notes, refer to LivaNova’s 2024 Form 10-K.
Note 5. Commitments and Contingencies
Saluggia Site Hazardous Substances
LSM, formerly a subsidiary of Sorin, one of the companies that merged into LivaNova PLC in 2015, manages site services for the campus in Saluggia, Italy. In addition to being a former LivaNova manufacturing facility, the Saluggia campus is also the location of manufacturing facilities of third parties, a cafeteria for workers, and storage facilities for hazardous substances and equipment previously used in a nuclear research center, later turned nuclear medicine business, between the 1960s and the late 1990s. Pursuant to authorization from the Italian government, LSM performs ordinary maintenance, secures the facilities, monitors air and water quality, and files applicable reports with the competent environmental authorities.
In 2020, LSM received correspondence from ISIN requesting that, within five years, LSM demonstrate the financial capacity to meet its obligations under Italian law to clean and dismantle any contaminated buildings and equipment, as well as to deliver hazardous substances to a national repository. The national repository will be built by the Italian government at a location and time yet to be determined. ISIN subsequently published Technical Guide n. 30, which identifies the technical criteria and general safety and protection requirements for the design, construction, operation, and dismantling of temporary storage facilities for the hazardous substances.
Although there is no legal obligation to deliver any hazardous substances, as the performance of these obligations is contingent on the construction of the as-yet unbuilt national repository, based on the aforementioned factors, the Company concluded its obligation to clean, dismantle, and deliver any hazardous substances to a national repository is probable and reasonably estimable. The estimated liability as of September 30, 2025 was $40.3 million (€34.3 million), which represented the estimated low end of the range of loss, with an estimated maximum end of the range of loss of $55.2 million (€47.0 million). The estimated liability as of December 31, 2024 was $36.7 million (€35.4 million).
SNIA Environmental Litigation
Sorin was created as a result of a spin-off from SNIA in 2004. SNIA subsequently became insolvent, and the Public Administrations sought compensation from SNIA in an aggregate amount of approximately $4.0 billion for remediation costs relating to the environmental damage at chemical sites previously operated by SNIA’s other subsidiaries. Thereafter, in 2015, Sorin was merged into LivaNova.
There are proceedings relating to the SNIA bankruptcy to which LivaNova is not a party in the Bankruptcy Court of Udine and the Bankruptcy Court of Milan. In 2011, the Bankruptcy Court of Udine held that the Public Administrations were not creditors of either SNIA or its subsidiaries in connection with their claims in the Italian insolvency proceedings. The Public Administrations appealed. In 2016, the Court of Udine rejected the appeal, and the Public Administrations appealed to the Italian Supreme Court. Similarly, in 2014, the Bankruptcy Court of Milan held that the Public Administrations were not creditors of either SNIA or its subsidiaries. The Public Administrations appealed. In April 2022, the Bankruptcy Court of Milan declared the Public Administrations to be a non-privileged creditor of SNIA for up to €453.6 million ($532.2 million as of September 30, 2025), and the Public Administrations appealed to the Italian Supreme Court.
In 2012, SNIA filed a civil action against Sorin in the Civil Court of Milan, asserting joint liability of a parent and a spun-off company; the Public Administrations entered voluntarily into the proceeding, asking Sorin, as jointly liable with SNIA, to pay compensation for SNIA’s environmental damages. In 2016, the Court of Milan dismissed all legal actions of SNIA and of the Public Administrations, further requiring the Public Administrations to pay Sorin €292,000 ($342,602 as of September 30,
- for legal fees. The Public Administrations appealed the 2016 Decision to the Court of Appeal. On March 5, 2019, the Court of Appeal issued a partial decision on the merits declaring Sorin/LivaNova jointly liable with SNIA for SNIA’s environmental liabilities in an amount up to the fair value of the net worth received by Sorin because of the spin-off of Sorin from SNIA in 2004, an estimated €572.1 million ($671.2 million as of September 30, 2025). LivaNova appealed the partial decision on liability to the Italian Supreme Court in August 2019.
In 2021, the Court of Appeal delivered the remainder of its decision, ordering LivaNova to pay damages of €453.6 million ($532.2 million as of September 30, 2025). LivaNova appealed the decision on damages in December 2021. On February 21, 2022, the Court of Appeal notified the Company that it granted the Company a suspension with respect to the payment of damages until a decision was reached on the appeal to the Italian Supreme Court. This suspension was subject to LivaNova providing a first demand bank guarantee of €270.0 million ($316.8 million as of September 30, 2025) within 30 calendar days, and on March 21, 2022, LivaNova delivered the SNIA Litigation Guarantee, thereby satisfying the condition.
In 2022, in response to one of a number of appeals asserted by LivaNova, the Italian Supreme Court issued an ordinance, a procedural document, whereby the Italian Supreme Court referred a question on the interpretation of a European directive on demergers to the ECJ. Specifically, the ordinance asked the ECJ to provide a binding decision as to whether a company resulting from a demerger can be held jointly and severally liable not only for the established liabilities of the demerged company that were articulated at the time of demerger, but also for the environmental liabilities of the demerged company that materialized after the demerger which are derived from actions performed prior to the demerger. On July 29, 2024, the ECJ issued a judgment in response to the ordinance. The ECJ judgment states that a demerged company can be held responsible for liabilities not established prior to a demerger as long as the liabilities derive from the conduct of a demerged company prior to the demerger. The ECJ judgment also states that national law should determine whether liability for damages stemming from conduct after a demerger can be assigned to a demerged company.
On March 14, 2025, the Italian Supreme Court issued its decision in response to all of the appeals of the Company and counter-appeals submitted by the Public Administrations. The Italian Supreme Court determined that LivaNova can be held jointly and severally liable for the established liabilities of SNIA at the time of demerger, as well as the environmental liabilities of the demerged company that materialized after the demerger, which are derived from actions performed prior to the demerger; however, the Italian Supreme Court also ruled that the Company should not be held responsible for certain payments previously approved by the Court of Appeal in the amount of €157.3 million ($184.5 million as of September 30, 2025). The case has been referred back to the Court of Appeal to implement the decisions respecting costs and damages in accordance with the judgment of the Italian Supreme Court.
As a result of the decision by the Italian Supreme Court, the Company recorded a current liability in the first quarter of 2025 and has continued to accrue interest on the liability since that time. As of September 30, 2025, the Company has a current liability of €336.3 million ($394.6 million) on the condensed consolidated balance sheet, representing its best estimate of the liability, inclusive of estimated costs, fees, interest, and taxes. These estimated costs do not include the Company’s legal fees, which are expensed as incurred and included in SG&A in LivaNova’s condensed consolidated statements of income (loss). The Company has determined that it has sufficient resources to cover the liability as of September 30, 2025.
On March 31, 2025, as a result of the decision by the Italian Supreme Court, the SNIA Litigation Guarantee was terminated, and the restriction on the cash deposit held as collateral was released. For additional information on the financing of the guarantee, refer to “Note 11. Supplemental Financial Information.”
On May 15, 2025, as a procedural step outlined above, the Ministry served the Company with a filing to return the proceedings to the Court of Appeal. In addition to seeking a return of the case to the Court of Appeal, the Ministry asserted that the Court of Appeal forgo an examination of the amounts disapproved by the Italian Supreme Court and instead impose costs of €108.8 million ($127.7 million as of September 30, 2025) at a minimum. These assertions are counter to the decision of the Italian Supreme Court’s judgment, which disapproved costs of €157.3 million ($184.5 million as of September 30, 2025). The Ministry’s filing is not a legal judgment or demand for payment. The Company disagrees with the assertions made in the Ministry’s filing and believes they contradict the decisions of the Italian Supreme Court. The Company intends to challenge the Ministry’s assertions and purported costs and to defend its position in accordance with the Italian Supreme Court’s judgment. The Company continues to believe that its recorded liability remains the best estimate of the liability associated with the SNIA matter, and, as such, no adjustments were made to the accrual in response to the filing on May 15, 2025. A hearing has been scheduled for January 28, 2026.
Product Liability Litigation
The Company continues to be involved in litigation involving LivaNova’s 3T device. The litigation includes the cases remaining in the MDL and various U.S. state courts, as well as claims in jurisdictions outside the United States. As of
November 5, 2025, the Company was aware of approximately 65 filed and unfiled claims worldwide. The complaints generally seek damages and other relief based on theories of strict liability, negligence, breach of express and implied warranties, failure to warn, design and manufacturing defect, fraudulent and negligent misrepresentation or concealment, unjust enrichment, and violations of various state consumer protection statutes.
For the three and nine months ended September 30, 2025, LivaNova recorded an additional liability of $4.4 million and $5.0 million, respectively, upon receiving new information regarding the nature of certain claims. As of September 30, 2025 and December 31, 2024, the provision for these matters was $19.8 million and $15.8 million, respectively. While the amount accrued represents LivaNova’s best estimate for those worldwide filed and unfiled claims of which LivaNova is aware and believes are both probable and estimable at this time, the actual liability for resolution of these matters may vary from the Company’s provision. A provision has not been recorded for any claims where a potential loss is not determined to be probable, or a potential loss or range of potential loss is not reasonably estimable at this time.
The following table presents the changes in the litigation provision liability for the nine months ended September 30, 2025 (in thousands):
| As of December 31, 2024 | $15,843 |
|---|---|
| Payments | (1,951) |
| Adjustments (1) | 4,989 |
| FX and other | 895 |
| As of September 30, 2025 | 19,776 |
| Less: Current portion as of September 30, 2025 | 16,499 |
| Long-term portion as of September 30, 2025 (2) | $3,277 |
(1)Adjustments to the litigation provision are included in other operating expense on the condensed consolidated statements of income (loss).
(2)Included in other long-term liabilities on the condensed consolidated balance sheets.
Italian MedTech Payback Measure
In 2015, the Italian Parliament introduced a law regarding public contracts with the National Healthcare System for the supply of goods and services. In particular, the law introduced a payback measure requiring companies selling medical devices in Italy to repay a percentage of the healthcare expenditures exceeding the regional maximum caps for medical devices. In August 2022, a decree was published that provided guidance and timetables for the payback measure. In response, LivaNova filed an appeal at the Administrative Court against the decree of the Ministry of Health, assessing the amount payable and against the payback law. LivaNova also filed appeals against the regions requesting payments. In July 2024, the Constitutional Court determined that the payback law is compliant with the Italian Constitution. Furthermore, on June 30, 2025, the Italian Government introduced a decree that would allow companies to settle their 2015-2018 payment obligations by paying 25% of the originally requested amounts if those companies were to withdraw any outstanding appeals related to that period and remit payment within 30 days of the law entering into force. The Italian Parliament subsequently converted the decree into law, and it entered into force on August 10, 2025. In September 2025, the Company paid €3.5 million ($4.1 million as of September 30, 2025), representing 25% of the originally requested amounts in full settlement of its 2015-2018 payment obligations and reversed the remaining $3.8 million reserve for that period. The related pending appeals are in the process of being withdrawn. As of September 30, 2025, the Company had a reserve of $12.3 million for the years 2019 to the present reflecting its best estimate of the full potential obligation; however, the actual liability could vary. As of December 31, 2024, the reserve was $16.0 million, including $7.0 million for the years 2015-2018. The reserve is included in accrued liabilities and other in the condensed consolidated balance sheets. Amounts recognized associated with the Italian MedTech payback measure are recorded as a reduction to net revenue in the condensed consolidated statements of income (loss).
Cyber Litigation
In connection with the cybersecurity incident initially reported on November 20, 2023, LivaNova USA was named as a defendant insix putative class action lawsuits filed in the United States District Court for the Southern District of Texas in June and July 2024. Those cases were consolidated in a single action, and the plaintiffs filed against LivaNova USA a consolidated class action complaint, which asserted claims of negligence, breach of contract, and violation of various state consumer protection laws. The plaintiffs sought damages, equitable/injunctive relief, and attorneys’ fees, costs, and expenses, among other relief. The parties entered into mediation and agreed to a class action settlement, with respect to which the Company recorded an accrual of $1.2 million for the quarter ended September 30, 2024. The class action settlement received approval from the court on April 4, 2025. The Company expects all settlement administration activities to be completed in 2025.
In addition, HHS’s Office for Civil Rights is investigating the incident pursuant to its authority to enforce the HIPAA rules regarding privacy, security, and breach notification. The Office for Civil Rights issued a request for information regarding the Company’s response to the incident and the Company’s compliance with HIPAA rules, to which the Company responded. The Office for Civil Rights may issue additional requests for information and documentation. In connection with its investigation, the Office for Civil Rights may, among other measures, seek to impose civil monetary penalties against LivaNova and seek to require that the Company implement a corrective action plan. Furthermore, the Company has received, and may receive in the future, additional government requests for information about the incident, to which LivaNova will respond. For example, the Italian data protection authority requested that LivaNova provide certain information regarding the incident, and the Company responded to the request. On September 29, 2025, the Italian data protection authority closed its inquiry.
Other Matters
Additionally, LivaNova is the subject of various pending or threatened legal actions and proceedings that arise in the ordinary course of LivaNova’s business. These matters are subject to many uncertainties and outcomes that are not predictable and that may not be known for extended periods of time. Since the outcome of these matters cannot be predicted with certainty, the costs associated with them could have a material adverse effect on LivaNova’s consolidated results of operations, financial position, or liquidity.
Note 6. Stockholders’ Equity
The tables below present the condensed consolidated statements of stockholders’ equity as of and for the three and nine months ended September 30, 2025 and 2024 (in thousands):
| Ordinary Shares | Ordinary Shares - Amount | Additional Paid-In Capital | Treasury Stock | Accumulated Other Comprehensive Income (Loss) | Accumulated Deficit | Total Stockholders’ Equity | |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 55,499 | $84,521 | $2,234,777 | $(1,161) | $8,113 | $(1,203,411) | $1,122,839 |
| Stock-based compensation plans | 4 | (1) | 10,247 | (34) | — | — | 10,212 |
| Net income | — | — | — | — | — | 26,784 | 26,784 |
| Other comprehensive loss | — | — | — | — | (2,605) | — | (2,605) |
| September 30, 2025 | 55,503 | $84,520 | $2,245,024 | $(1,195) | $5,508 | $(1,176,627) | $1,157,230 |
| June 30, 2024 | 54,404 | $83,070 | $2,204,580 | $(195) | $(52,819) | $(992,094) | $1,242,542 |
| Stock-based compensation plans | 2 | 42 | 8,352 | 39 | — | — | 8,433 |
| Net income | — | — | — | — | — | 32,953 | 32,953 |
| Other comprehensive income | — | — | — | — | 26,116 | — | 26,116 |
| September 30, 2024 | 54,406 | $83,112 | $2,212,932 | $(156) | $(26,703) | $(959,141) | $1,310,044 |
| Ordinary Shares | Ordinary Shares - Amount | Additional Paid-In Capital | Treasury Stock | Accumulated Other Comprehensive Income (Loss) | Accumulated Deficit | Total Stockholders’ Equity | |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 54,438 | $83,156 | $2,220,658 | $(136) | $(80,170) | $(903,250) | $1,320,258 |
| Issuance of shares - EBT | 1,000 | 1,290 | — | (1,290) | — | — | — |
| Stock-based compensation plans | 65 | 74 | 24,366 | 231 | — | — | 24,671 |
| Net loss | — | — | — | — | — | (273,377) | (273,377) |
| Other comprehensive income | — | — | — | — | 85,678 | — | 85,678 |
| September 30, 2025 | 55,503 | $84,520 | $2,245,024 | $(1,195) | $5,508 | $(1,176,627) | $1,157,230 |
| December 31, 2023 | 53,942 | $82,533 | $2,189,517 | $(55) | $(27,883) | $(966,484) | $1,277,628 |
| Issuance of shares - EBT | — | 440 | — | (440) | — | — | — |
| Stock-based compensation plans | 464 | 139 | 23,415 | 339 | — | — | 23,893 |
| Net income | — | — | — | — | — | 7,343 | 7,343 |
| Other comprehensive income | — | — | — | — | 1,180 | — | 1,180 |
| September 30, 2024 | 54,406 | $83,112 | $2,212,932 | $(156) | $(26,703) | $(959,141) | $1,310,044 |
The tables below present the changes in AOCI, net of tax, for the nine months ended September 30, 2025 and 2024 (in thousands):
| Foreign Currency Translation Adjustments (1) | |
|---|---|
| December 31, 2024 | $(80,170) |
| Other comprehensive income before reclassifications, before tax | 85,678 |
| Tax expense | — |
| Other comprehensive income before reclassifications, net of tax | 85,678 |
| Net current-period other comprehensive income, net of tax | 85,678 |
| September 30, 2025 | $5,508 |
(1)Taxes were not provided for foreign currency translation adjustments, as translation adjustments are related to earnings that are intended to be reinvested in the countries where earned.
| Foreign Currency Translation Adjustments (1) | |
|---|---|
| December 31, 2023 | $(27,883) |
| Other comprehensive income before reclassifications, before tax | 1,180 |
| Tax expense | — |
| Other comprehensive income before reclassifications, net of tax | 1,180 |
| Net current-period other comprehensive income, net of tax | 1,180 |
| September 30, 2024 | $(26,703) |
(1)Taxes were not provided for foreign currency translation adjustments, as translation adjustments are related to earnings that are intended to be reinvested in the countries where earned.
Note 7. Stock-Based Incentive Plans
Stock-Based Plans
On June 11, 2025, the Company’s shareholders approved the 2025 Director Incentive Plan and the Second A&R 2022 Plan. The 2025 Director Incentive Plan provides equity-based compensation to non-executive directors by making available a total of
300,000 shares for awards granted on or after the date on which the 2025 Director Incentive Plan was approved by the Company’s shareholders. The 2025 Director Incentive Plan is intended to be the successor to the 2015 Plan. No further awards may be made under the 2015 Plan, although any outstanding awards under the 2015 Plan will continue to remain in full force and effect. The Second A&R 2022 Plan provides for an aggregate of 2,200,000 shares that can be issued pursuant to awards granted on or after the date on which the Second A&R 2022 Plan was approved by the Company’s shareholders. The other terms of the Second A&R 2022 Plan, including its expiration date, remain unchanged from the A&R 2022 Plan. As of September 30, 2025, under the 2025 Director Incentive Plan, there were 259,423 shares available for future grants to LivaNova’s non-executive directors, and under the Second A&R 2022 Plan, there were 2,297,696 shares available for future grants to LivaNova’s employees.
For the nine months ended September 30, 2025, LivaNova issued stock-based compensatory awards to its employees and Board of Directors with terms approved by the Compensation and Human Capital Management Committee of LivaNova’s Board of Directors and LivaNova’s Board of Directors, respectively. The employee awards with service conditions generally vest ratably over three years for RSUs andfour years for SARs, and are subject to forfeiture unless service conditions are met. The employee market performance-based awards that were issued generally cliff vest after three years, subject to the rank of LivaNova’s total shareholder return for thethree-year period ending December 31, 2027, relative to the total shareholder returns of the S&P Healthcare Equipment Select Industry Index. The employee adjusted free cash flow and return on invested capital operating performance-based awards that were issued generally cliff vest after three years, subject to the achievement of certain thresholds of cumulative results for thethree-year period ending December 31, 2027. The Board of Director RSU awards with service conditions generally cliff vest atone year. Compensation expense related to awards granted during 2025 for the three and nine months ended September 30, 2025 was $3.7 million and $6.0 million, respectively.
Stock-Based Compensation Expense
The following table presents the amounts of stock-based compensation expense recognized in LivaNova’s condensed consolidated statements of income (loss) by type of arrangement (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Service-based RSUs | $4,715 | $4,288 | $12,784 | $13,662 |
| Service-based SARs | 3,494 | 3,480 | 9,628 | 10,003 |
| Market performance-based RSUs | 629 | 257 | 1,558 | 1,303 |
| Operating performance-based RSUs | 748 | 255 | 2,030 | 1,119 |
| Employee share purchase plan | 361 | 279 | 904 | 897 |
| $9,947 | $8,559 | $26,904 | $26,984 | |
Stock-based compensation agreements issued for the nine months ended September 30, 2025, representing potential shares and their weighted average grant date fair values by type, are as follows (shares in thousands, fair value in dollars):
| Shares | Weighted Average Grant Date Fair Value | |
|---|---|---|
| Service-based SARs | 1,038 | $17.87 |
| Service-based RSUs | 566 | 39.98 |
| Market performance-based RSUs | 82 | 41.67 |
| Operating performance-based RSUs | 93 | 39.98 |
Note 8. Income Taxes
LivaNova PLC is a resident in the UK. LivaNova’s effective income tax rate fluctuates based on, among other factors, changes in pre-tax income in countries with varying statutory tax rates, discrete tax items, valuation allowances, tax credits and incentives, unrecognized tax benefits associated with uncertain tax positions, and tax laws. LivaNova’s tax returns are periodically audited or subjected to review by tax authorities. The Company operates in multiple jurisdictions worldwide and assesses the recoverability of its deferred tax assets for each period and jurisdiction by considering whether it is more likely than not that all or a portion of the deferred tax assets will not be realized. The Company considers all available evidence (both positive and negative) in determining whether a valuation allowance is required. Depending on operating results in the future, a release of a valuation allowance could occur within the next 12 months. The timing and amount of the valuation allowance release could vary based on the Company’s assessment of all available evidence.
LivaNova’s effective income tax rate for the three and nine months ended September 30, 2025 was 21.0% and (10.0)%, respectively, compared to 25.9% and 76.9% for the three and nine months ended September 30, 2024, respectively. The changes in the effective tax rates for the three and nine months ended September 30, 2025, compared to the prior year periods, were primarily attributable to year-over-year changes in income before tax in countries with varying statutory tax rates, certain discrete tax items, including the SNIA environmental liability, and changes in valuation allowances.
The OBBBA was enacted in the U.S. on July 4, 2025 and includes significant provisions, such as the permanent extension of certain expiring provisions of the Tax Cuts and Jobs Act, modifications to the international tax framework, and the restoration of favorable tax treatment for certain business provisions. The legislation has multiple effective dates, with certain provisions effective in 2025 and others in 2026. LivaNova has accounted for the relevant changes effective for the 2025 tax year within its annual effective tax rate and continues to evaluate certain provisions that will take effect beginning in 2026, which may or may not affect the Company’s 2025 tax return elections.
LivaNova is subject to income taxes as well as non-income-based taxes in the U.S., the UK, the EU, and various other jurisdictions. LivaNova will continue to monitor developments globally that may impact the Company’s operations.
Note 9. Income (Loss) Per Share
The following table presents basic and diluted income (loss) per share:
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Basic income (loss) per share | $0.49 | $0.61 | $(5.01) | $0.14 |
| Diluted income (loss) per share | 0.49 | 0.60 | (5.01) | 0.13 |
The following table presents the reconciliations of net income (loss) and weighted average shares outstanding used in the calculations of basic and diluted income (loss) per share (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Numerator (1): | ||||
| Net income (loss) - basic and diluted | $26,784 | $32,953 | $(273,377) | $7,343 |
| Denominator: | ||||
| Weighted average shares outstanding - basic | 54,630 | 54,352 | 54,529 | 54,194 |
| Add: Dilutive effect of share-based compensation and convertible debt instruments (1) (2) | 523 | 233 | — | 332 |
| Weighted average shares outstanding - diluted | 55,153 | 54,585 | 54,529 | 54,526 |
(1)For the three and nine months ended September 30, 2025, the 2029 Notes were outstanding and potentially dilutive securities, but were excluded from the computation of diluted income (loss) per share because their effect would have been anti-dilutive.
(2)Excluded from the computation of diluted income (loss) per share were shares underlying stock options, SARs, and RSUs totaling 0.5 million and 3.1 million for the three months ended September 30, 2025 and 2024, respectively, and 2.6 million and 2.8 million for the nine months ended September 30, 2025 and 2024, respectively, because to include them would have been anti-dilutive under the treasury stock method.
Note 10. Geographic and Segment Information
Segment Information
LivaNova identifies operating segments based on how it manages, evaluates, and internally reports its business activities to allocate resources, develop and execute its strategy, and assess performance. LivaNova hastwo reportable segments: Cardiopulmonary and Neuromodulation. Net revenue of the Company’s reportable segments includes revenues from the sale of products developed, manufactured, and distributed by each segment, as well as from services related to certain products.
LivaNova’s Cardiopulmonary segment is engaged in the design, development, manufacture, marketing, and sale of cardiopulmonary products, including HLMs, oxygenators, autotransfusion systems, perfusion tubing systems, cannulae, and other related accessories, and provides services related to certain of these products.
LivaNova’s Neuromodulation segment is engaged in the design, development, manufacture, marketing, and sale of devices that deliver neuromodulation therapy for treating DRE and DTD. Neuromodulation products include the VNS Therapy System, which consists of an implantable pulse generator, a lead that connects the generator to the vagus nerve, and other accessories. It also includes the development and management of clinical testing of LivaNova’s aura6000 System for treating OSA.
LivaNova operates under three geographic regions: U.S., Europe, and Rest of World. The following table presents net revenue by operating segment and geographic region (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Cardiopulmonary | ||||
| United States | $71,946 | $62,504 | $204,023 | $177,954 |
| Europe (1) | 50,052 | 40,894 | 143,605 | 120,387 |
| Rest of World (1) | 81,220 | 68,841 | 231,182 | 203,503 |
| 203,218 | 172,239 | 578,810 | 501,844 | |
| Neuromodulation | ||||
| United States | 118,390 | 112,906 | 343,950 | 330,518 |
| Europe (1) | 14,521 | 11,922 | 47,445 | 40,919 |
| Rest of World (1) | 16,614 | 15,033 | 48,693 | 45,172 |
| 149,525 | 139,861 | 440,088 | 416,609 | |
| Other Revenue (2) | 5,010 | 6,020 | 8,234 | 13,154 |
| Totals (3) | ||||
| United States | 190,447 | 179,828 | 548,085 | 519,985 |
| Europe (1) | 67,683 | 52,815 | 194,160 | 158,414 |
| Rest of World (1) | 99,623 | 85,477 | 284,887 | 253,208 |
| $357,753 | $318,120 | $1,027,132 | $931,607 | |
(1)“Europe” includes the UK, Germany, France, Italy, the Netherlands, Spain, Belgium, Poland, Sweden, Switzerland, Austria, Norway, Portugal, Finland, and Denmark. Excluding Europe and the U.S., “Rest of World” includes all other countries where LivaNova operates.
(2)“Other Revenue” includes rental and site services income not allocated to segments. In addition, for the three and nine months ended September 30, 2024, “Other Revenue” includes revenue from the Company’s former ACS reportable segment.
(3)No single customer represented over 10% of the Company’s consolidated net revenue. No country’s net revenue exceeded 10% of the Company’s consolidated net revenue except for the U.S.
LivaNova defines segment income as operating income before restructuring expense, amortization of intangible assets, the Saluggia site provision, merger and integration expense, and other income and expense not allocated to segments. Other income and expense not allocated to segments primarily includes corporate expense, rental income, and the results of LivaNova’s former ACS reportable segment. LivaNova’s CODM is the Company’s CEO, who is regularly provided the results comprising segment income to make strategic business decisions, including, but not limited to, evaluation of the Company’s business portfolio, R&D investment decisions, and consideration of the Company’s organizational structure.
The following table presents a reconciliation of segment income to consolidated income (loss) before tax (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Cardiopulmonary | $24,698 | $21,669 | $80,796 | $56,007 |
| Neuromodulation | 56,185 | 49,533 | 164,558 | 151,023 |
| Segment income | 80,883 | 71,202 | 245,354 | 207,030 |
| Other expense | (26,871) | (35,584) | (88,542) | (115,000) |
| Operating income | 54,012 | 35,618 | 156,812 | 92,030 |
| SNIA environmental liability expense | (1,745) | — | (363,815) | — |
| Interest expense (1) | (10,863) | (15,878) | (38,429) | (47,303) |
| Loss on debt extinguishment | — | — | (2,651) | (25,482) |
| Foreign exchange and other income/(expense) | (7,493) | 24,701 | (332) | 12,585 |
| Income (loss) before tax | $33,911 | $44,441 | $(248,415) | $31,830 |
(1)“Interest expense” includes contractual interest expense associated with LivaNova’s short- and long-term financing arrangements and the amortization of debt discount and issuance costs of $5.9 million and $17.3 million for the three and nine months ended September 30, 2025, respectively, and $5.5 million and $15.7 million for the three and nine months ended September 30, 2024, respectively.
The following tables present the components of segment income, including significant expenses, of LivaNova’s reportable segments (in thousands):
| Cardiopulmonary · Neuromodulation | ||||
|---|---|---|---|---|
| Three Months Ended September 30, | Three Months Ended September 30, | |||
| 2025 | 2024 | 2025 | 2024 | |
| Net revenue | $203,218 | $172,239 | $149,525 | $139,861 |
| Less: | ||||
| Cost of sales | 98,088 | 80,971 | 12,693 | 11,385 |
| Selling, general, and administrative | 58,580 | 49,338 | 49,937 | 45,529 |
| Research and development | 18,108 | 12,560 | 30,710 | 33,414 |
| 3T litigation provision | 3,744 | 7,701 | — | — |
| $24,698 | $21,669 | $56,185 | $49,533 | |
| Cardiopulmonary · Neuromodulation | ||||
|---|---|---|---|---|
| Nine Months Ended September 30, | Nine Months Ended September 30, | |||
| 2025 | 2024 | 2025 | 2024 | |
| Net revenue | $578,810 | $501,844 | $440,088 | $416,609 |
| Less: | ||||
| Cost of sales | 278,473 | 243,856 | 40,848 | 33,916 |
| Selling, general, and administrative | 168,551 | 146,842 | 148,604 | 137,322 |
| Research and development | 46,617 | 38,341 | 86,078 | 94,348 |
| 3T litigation provision | 4,373 | 16,798 | — | — |
| $80,796 | $56,007 | $164,558 | $151,023 | |
The following table presents assets by reportable segment (in thousands):
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| Cardiopulmonary | $1,018,811 | $900,672 |
| Neuromodulation | 639,970 | 640,956 |
| Other assets (1) | 898,802 | 964,761 |
| $2,557,583 | $2,506,389 |
(1)“Other assets” primarily includes corporate assets not allocated to segments.
The following table presents capital expenditures by reportable segment (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Cardiopulmonary | $9,495 | $7,383 | $23,431 | $18,657 |
| Neuromodulation | 4,738 | 1,379 | 10,988 | 2,380 |
| Other capital expenditures (1) | 9,151 | 5,318 | 16,642 | 13,241 |
| $23,384 | $14,080 | $51,061 | $34,278 | |
(1)“Other capital expenditures” primarily includes corporate capital expenditures not allocated to segments.
The following table presents changes in the carrying amount of goodwill by reportable segment for the nine months ended September 30, 2025 (in thousands):
| Cardiopulmonary | Neuromodulation | Total | |
|---|---|---|---|
| December 31, 2024 | $351,252 | $398,754 | $750,006 |
| Foreign currency adjustments | 41,028 | — | 41,028 |
| September 30, 2025 | $392,280 | $398,754 | $791,034 |
Geographic Information
The following table presents property, plant, and equipment, net by geographic region (in thousands):
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| United States | $74,296 | $65,170 |
| Europe | 129,274 | 94,394 |
| Rest of World | 14,940 | 10,696 |
| $218,510 | $170,260 |
Note 11. Supplemental Financial Information
The following table presents the components of inventories (in thousands):
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| Raw materials | $77,895 | $71,949 |
| Work-in-process | 17,971 | 12,322 |
| Finished goods | 71,672 | 63,295 |
| $167,538 | $147,566 |
As of September 30, 2025 and December 31, 2024, inventories included adjustments totaling $20.7 million and $16.4 million, respectively, to record balances at the lower of cost or net realizable value.
The following table presents the components of accrued liabilities and other (in thousands):
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| Legal and professional costs | $18,481 | $17,379 |
| Italian MedTech payback measure | 12,255 | 15,981 |
| Contract liabilities | 11,084 | 10,848 |
| Operating lease liabilities | 9,001 | 9,040 |
| Provisions for agents, returns, and other | 4,948 | 6,744 |
| Royalty accrual | 4,660 | 4,466 |
| Interest payable | 3,235 | 9,479 |
| Current derivative liabilities | 1,888 | 2,915 |
| Research and development costs | 1,353 | 6,167 |
| Restructuring liabilities | — | 2,003 |
| Other accrued expenses | 25,324 | 33,463 |
| $92,229 | $118,485 |
As of September 30, 2025 and December 31, 2024, contract liabilities totaling $15.3 million and $14.7 million, respectively, were included in accrued liabilities and other long-term liabilities on the condensed consolidated balance sheets.
The following table presents the items included in foreign exchange and other income/(expense) on the condensed consolidated statements of income (loss) (in thousands):
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Embedded derivative fair value adjustment (2025 Notes) (1) | $(322) | $2,829 | $1,230 | $1,466 |
| Embedded derivative fair value adjustment (2029 Notes) (1) | (16,422) | 18,423 | (12,696) | 10,488 |
| Capped call fair value adjustment (2025 Notes) (1) | 324 | (1,668) | (997) | (10,201) |
| Capped call fair value adjustment (2029 Notes) (1) | 6,353 | (2,517) | 4,276 | (2,040) |
| Investment revaluation - Ceribell, Inc. (2) | — | — | (3,622) | — |
| Impairments of investments (3) | (1,112) | — | (1,112) | (5,750) |
| Interest income | 3,899 | 7,139 | 14,525 | 21,497 |
| FX fluctuations | (613) | 220 | (2,463) | (2,885) |
| Other | 400 | 275 | 527 | 10 |
| $(7,493) | $24,701 | $(332) | $12,585 | |
(1)Refer to “Note 3. Fair Value Measurements.”
(2)During the second quarter of 2025, LivaNova liquidated its investment in Ceribell, Inc., consisting of 391,952 common shares, in a series of transactions with an average sales price of $16.69 per common share, resulting in net proceeds of $6.5 million from an initial investment in 2018 of $3.0 million.
(3)For the three and nine months ended September 30, 2025, LivaNova recorded an impairment of its investment in Highlife S.A.S. For the nine months ended September 30, 2024, LivaNova recorded an impairment related to the Company’s preferred share ownership converting into common stock of ShiraTronics, Inc.
The following table presents a reconciliation of cash, cash equivalents, and restricted cash reported on the condensed consolidated balance sheets that sum to the total of the amounts shown on the condensed consolidated statements of cash flows (in thousands):
| September 30, 2025 | December 31, 2024 | |
|---|---|---|
| Cash and cash equivalents | $646,079 | $428,858 |
| Restricted cash (1) | — | 294,698 |
| $646,079 | $723,556 |
(1)On March 18, 2022, LivaNova PLC, acting through its Italian branch, entered into an Indemnity Letter and an Account Pledge Agreement with Barclays, further to which Barclays issued the SNIA Litigation Guarantee. As security for the SNIA Litigation
Guarantee, LivaNova was required to grant cash collateral to Barclays in USD in an amount equal to the USD equivalent of 105% of the amount of the SNIA Litigation Guarantee, calibrated on a biweekly basis, which is presented as restricted cash on the condensed consolidated balance sheet. On March 31, 2025, as a result of the decision by the Italian Supreme Court, the SNIA Litigation Guarantee was terminated, and the restriction on the cash deposit held as collateral was released. For additional information, refer to “Note 5. Commitments and Contingencies.”
Note 12. New Accounting Pronouncements
The following table presents a description of future adoptions of new ASUs issued by the FASB that may have an impact on LivaNova’s consolidated financial statements when adopted:
| Issue Date & Standard | Description | Adoption | Assessment |
|---|---|---|---|
| December 2023 ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures | This ASU expands annual income tax disclosures primarily related to the rate reconciliation and income taxes paid. | This ASU will be effective for annual periods beginning after December 15, 2024, on a prospective basis, with early adoption and retrospective application permitted. | LivaNova does not expect this standard will have a material effect on the Company’s consolidated financial statements and related disclosures. |
| November 2024 ASU No. 2024-03, Income Statement—Reporting ComprehensiveIncome—Expense Disaggregation Disclosures(Subtopic 220-40): Disaggregation of Income Statement Expenses | This ASU requires disclosure in the notes to financial statements of additional information disaggregating specific expense categories underlying certain income statement expense line items, including employee compensation, depreciation, and intangible asset amortization, as well as certain other disclosures to provide enhanced transparency into the nature and function of expenses. | This ASU will be effective for annual periods beginning after December 15, 2026, and interim periods beginning after December 15, 2027. This ASU may be applied on either a prospective or retrospective basis, with early adoption permitted. | LivaNova is currently evaluating the effect this standard will have on the Company’s consolidated financial statements and related disclosures. |
| July 2025 ASU No. 2025-05, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets | This ASU provides a practical expedient related to the estimation of expected credit losses for current accounts receivable and current contract assets arising from transactions accounted for under Topic 606, including those assets acquired in a business combination. The practical expedient permits an entity to assume that current conditions as of the balance sheet date do not change for the remaining life of the current accounts receivable and current contract assets. | This ASU will be effective for annual periods beginning after December 15, 2025, and interim periods within those annual reporting periods, on a prospective basis, with early adoption permitted. | LivaNova is currently evaluating the effect this standard will have on the Company’s consolidated financial statements and related disclosures. |
| September 2025 ASU No. 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting forInternal-Use Software | This ASU updates the cost capitalization threshold for internal-use software development costs by removing all references to software project development stages and providing new guidance on how to evaluate whether the probable-to-complete recognition threshold has been met. | This ASU will be effective for annual periods beginning after December 15, 2027, and interim periods within those annual reporting periods, with early adoption permitted. The transition method may be prospective, modified, or retrospective. | LivaNova is currently evaluating the effect this standard will have on the Company’s consolidated financial statements and related disclosures. |
Note 13. Revision of Previously Issued Financial Statements
As discussed in “Note 1. Unaudited Condensed Consolidated Financial Statements,” the Company identified and corrected an immaterial error related to the classification of certain employee costs in the Cardiopulmonary segment between cost of sales and selling, general, and administrative expense in the consolidated statements of income (loss).
The following tables present a summary of the corrections to the impacted financial statement line items in the Company’s financial statements previously issued in the Annual Report on Form 10-K and unaudited Quarterly Reports on Form 10-Q (in thousands):
| Twelve Months Ended December 31, 2024 | Twelve Months Ended December 31, 2023 | |||||
|---|---|---|---|---|---|---|
| As Previously Reported | Adjustment | As Revised | As Previously Reported | Adjustment | As Revised | |
| Cost of sales | $382,564 | $17,389 | $399,953 | $382,295 | $15,430 | $397,725 |
| Gross profit | 870,873 | (17,389) | 853,484 | 771,250 | (15,430) | 755,820 |
| Selling, general, and administrative | 526,265 | (17,389) | 508,876 | 518,129 | (15,430) | 502,699 |
| Three Months Ended March 31, 2025 | Three Months Ended March 31, 2024 | |||||
|---|---|---|---|---|---|---|
| As Previously Reported | Adjustment | As Revised | As Previously Reported | Adjustment | As Revised | |
| Cost of sales | $96,080 | $4,521 | $100,601 | $87,522 | $4,182 | $91,704 |
| Gross profit | 220,775 | (4,521) | 216,254 | 207,390 | (4,182) | 203,208 |
| Selling, general, and administrative | 133,667 | (4,521) | 129,146 | 129,863 | (4,182) | 125,681 |
| Three Months Ended September 30, 2024 | Nine Months Ended September 30, 2024 | |||||
|---|---|---|---|---|---|---|
| As Previously Reported | Adjustment | As Revised | As Previously Reported | Adjustment | As Revised | |
| Cost of sales | $92,856 | $4,235 | $97,091 | $280,088 | $12,404 | $292,492 |
| Gross profit | 225,264 | (4,235) | 221,029 | 651,519 | (12,404) | 639,115 |
| Selling, general, and administrative | 131,661 | (4,235) | 127,426 | 390,642 | (12,404) | 378,238 |
The following tables present a summary of the corrections to the impacted Cardiopulmonary disaggregated segment income table line items in “Note 17. Geographic and Segment Information” and “Notre 10. Geographic and Segment Information” previously included in the 2024 Annual Report on Form 10-K and in the unaudited March 31, 2025 Quarterly Report on Form 10-Q, respectively (in thousands):
| Twelve Months Ended December 31, 2024 | Twelve Months Ended December 31, 2023 | |||||
|---|---|---|---|---|---|---|
| As Previously Reported | Adjustment | As Revised | As Previously Reported | Adjustment | As Revised | |
| Cost of sales | $316,937 | $17,389 | $334,326 | $290,929 | $15,430 | $306,359 |
| Selling, general, and administrative | 217,136 | (17,389) | 199,747 | 207,001 | (15,430) | 191,571 |
| Three Months Ended March 31, 2025 | Three Months Ended March 31, 2024 | |||||
|---|---|---|---|---|---|---|
| As Previously Reported | Adjustment | As Revised | As Previously Reported | Adjustment | As Revised | |
| Cost of sales | $80,399 | $4,521 | $84,920 | $72,097 | $4,182 | $76,279 |
| Selling, general, and administrative | 58,480 | (4,521) | 53,959 | 50,745 | (4,182) | 46,563 |
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.