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LivaNova (LIVN) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Medical Devices
A
ExcellentMetricSide Score: 85/100
ProfitabilityProfit15/30
GrowthGrowth25/25
Balance SheetBalance25/25
Cash QualityCash20/20
Price & Volume
Market Cap $4.54B

LivaNova PLC, a medical technology company, designs, develops, manufactures, markets, and sells products, therapies, and services in the United States, the United Kingdom, Germany, France, Italy, the Netherlands, Spain, Belgium, Poland, Sweden, Switzerland, Austria, Norway, Portugal, Finland, Denmark, and internationally. The company operates in two segments, Cardiopulmonary and Neuromodulation. The Cardiopulmonary segment provides cardiopulmonary products, including heart-lung machines, oxygenators, autotransfusion systems, perfusion tubing systems, cannula, and other related accessories, as well as services related products. The Neuromodulation segment offers VNS Therapy System, an implantable pulse generator and connective lead that stimulates the vagus nerve, surgical equipment to assist with the implant procedure, and equipment and instruction manuals; and devices that deliver neuromodulation therapy for treating drug-resistant epilepsy and depression. This segment also includes the development and clinical testing of LivaNova's aura6000 system for treating obstructive sleep apnea. It serves perfusionists, neurologists, neurosurgeons, other healthcare professionals, hospitals, and other medical institutions and healthcare providers. The company sells its medical devices through a combination of direct sales representatives, agents, and independent distributors. LivaNova PLC was incorporated in 2015 and is headquartered in Gloucester, the United Kingdom.

Moat Signals

Competitive analysis based on 41 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are expanding at ~13.0%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~18.5% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 41 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~13.4% — no sign of cost or pricing stress.

Earnings Quality

Healthy

FCF covers net income by 1.2x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

D/E ratio is 0.2 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Share count is stable — no significant dilution or buyback activity.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$1.43B
12.4%
Q. Revenue
$362.26M
TTM EBITDA
$240.74M
26.1%
TTM Op. Income
$192.24M
19.1%
Q. Op. Income
$41.47M
TTM Net Income
$107.14M
148.2%
Q. Net Income
$22.29M
EPS
$0.41
Shares Out.
$54.69M
0.5%
$1.43B in TTM revenue grew 12.4% YoY, reaching $362.26M last quarter. TTM EBITDA of $240.74M and TTM operating income of $192.24M shows growth is flowing through. Net income of $107.14M TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
67.3%
3.4%
EBITDA Margin
15.0%
Op. Margin
11.4%
25.4%
Net Margin
6.2%
106.0%
Op. margin of 11.4% is down 3.9% YoY — costs are rising relative to revenue. Net margin at 6.2% and gross margin of 67.3% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
42.4x
P/S Ratio
3.2x
P/B Ratio
3.7x
At 42.4x P/E, the stock trades at a premium — the market expects above-average growth. P/S of 3.2x and P/B of 3.7x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$2.52B
Cash
$539.71M
Long-Term Debt
$285.16M
Book Value
$1.21B
D/E Ratio
0.2
Debt/EBITDA
5.2
With $2.52B in assets and $285.16M in long-term debt, the D/E of 0.2and book value of $1.21B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$15.22M
TTM Free Cash Flow
$161.04M
10.7%
FCF Margin
11.2%
FCF / Net Income
1.5
TTM FCF of $161.04M on $15.22M in operating cash flow. The FCF / Net Income ratio of 1.5x means earnings are well backed by actual cash — high-quality earnings.

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