LivaNova (NASDAQ: LIVN) lifts 2025 results, targets 6.0–7.0% 2026 growth

Rhea-AI Filing Summary

LivaNova PLC reported strong fourth-quarter and full-year 2025 results while absorbing a large environmental charge and issuing 2026 guidance. Q4 revenue was $360.9 million, up 12.1% on a reported basis and 9.5% in constant currency, with double‑digit growth in both Cardiopulmonary and Neuromodulation.

For 2025, revenue reached $1.39 billion, rising 10.7% reported and 10.7% organically. GAAP diluted loss per share was $4.45 due largely to a $365.6 million SNIA environmental liability, while adjusted diluted earnings per share increased to $3.90 from $3.38.

The company guided 2026 constant-currency revenue growth between 6.0% and 7.0%, adjusted diluted earnings per share of $4.15 to $4.25, and adjusted free cash flow of $160 million to $180 million. LivaNova also gained significantly higher Medicare reimbursement for VNS Therapy DRE procedures and received U.S. FDA approval for its cloud-based digital health platform, supporting future Neuromodulation growth.

Positive

• Double-digit 2025 growth and margin expansion: Full-year revenue reached $1.39 billion, up 10.7% reported and organic, with adjusted operating income rising to $286.1 million and adjusted diluted EPS improving to $3.90 from $3.38.
• Supportive 2026 guidance and cash generation: The company targets 6.0–7.0% constant-currency revenue growth, adjusted EPS of $4.15–$4.25, and adjusted free cash flow of $160–$180 million, after generating $254.3 million in operating cash flow and $183.3 million in adjusted free cash flow in 2025.
• Regulatory and reimbursement tailwinds in Neuromodulation: CMS increased Medicare hospital outpatient payments for VNS Therapy DRE procedures by approximately 48% for new implants and 47% for end-of-service procedures, and the U.S. FDA approved LivaNova’s cloud-based digital health platform.

Negative

• Large environmental liability drives GAAP loss: Recording a $365.6 million SNIA environmental liability led to a 2025 GAAP diluted loss per share of ($4.45) and a new SNIA environmental liability balance of $396.2 million on the balance sheet.
• Elevated legal and regulatory cost exposure: Results include significant "certain legal & regulatory" adjustments tied to 3T Heater-Cooler matters, SNIA, Saluggia site remediation, MDR costs, and cybersecurity incident impacts, highlighting ongoing non-operational risk and earnings volatility.

Insights

Sell-side equity analyst

Strong 2025 growth, robust 2026 outlook, but a large environmental charge distorts GAAP results.

LivaNova delivered solid operating momentum in 2025. Revenue rose to $1.39 billion, up 10.7% reported and organic, with Cardiopulmonary and Neuromodulation growing across all regions. Adjusted operating income increased to $286.1 million and adjusted diluted EPS climbed to $3.90 from $3.38.

GAAP performance was heavily impacted by a $365.6 million SNIA environmental liability expense, driving a diluted loss per share of ($4.45). The balance sheet shows a new $396.2 million SNIA environmental liability and lower long-term debt of $345.2 million, indicating legacy risk but improved leverage.

For 2026, management guides constant-currency revenue growth of 6.0–7.0%, adjusted EPS of $4.15–$4.25, and adjusted free cash flow of $160–$180 million. Enhanced Medicare reimbursement for VNS Therapy DRE (hospital outpatient payments up about 48% and 47%) and FDA approval of a cloud-based digital platform may support Neuromodulation growth, while execution versus this guidance will be visible in subsequent quarterly results.

LIVANOVA PLC0001639691false00016396912026-02-252026-02-25

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): February 25, 2026

LivaNova PLC

(Exact Name of Registrant as Specified in its Charter)

England and Wales

001-37599

98-1268150

(State or Other Jurisdiction  of Incorporation)

(Commission File Number)

(IRS Employer Identification No.)

20 Eastbourne Terrace

London, W2 6LG

United Kingdom

(Address of Principal Executive Offices)

+44 20 33250660

(Registrant’s Telephone Number, Including Area Code)

N/A

(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instructions A.2. below):

☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class			Trading Symbol(s)			Name on each exchange on which registered
Ordinary Shares - £1.00 par value per share			LIVN			NASDAQ Global Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

☐

Item 2.02 Results of Operations and Financial Condition.

On February 25, 2026, LivaNova PLC (the “Company”) issued a press release announcing financial results for the quarter and full year ended December 31, 2025. The Company will host a business update conference call and webcast today, February 25, 2026, at 1 p.m. London time (8 a.m. Eastern Time), during which the Company will discuss the financial results. The conference call will be available through the LivaNova website at www.livanova.com/events.

A copy of the Company’s press release related to the foregoing matters is attached hereto as Exhibit 99.1. The information in Exhibit 99.1 is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and is not to be incorporated by reference into any filing by the Company under the Securities Act of 1933, as amended or the Exchange Act, regardless of any general incorporation language contained in such filing, unless otherwise expressly stated in such filing.

Item 9.01 Financial Statements and Exhibits

(d)    Exhibits.

Exhibit						Description
99.1						Press Release of LivaNova PLC dated February 25, 2026
104						Cover Page Interactive Data File (embedded within the Inline XBRL document)

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

			LivaNova PLC
Date: February 25, 2026			By: /s/ Sarah K. Mohr
			Name: Sarah K. Mohr
			Title: VP, Legal, Corporate & Securities and Company Secretary

EXHIBIT 99.1

NEWS RELEASE

LivaNova Reports Fourth-Quarter and Full-Year 2025 Results; Issues 2026 Guidance

–Delivered double-digit reported and organic revenue growth and continued operating margin expansion for full-year 2025

–Issued full-year 2026 guidance, including constant-currency revenue growth between 6.0% and 7.0% and adjusted diluted earnings per share in the range of $4.15 to $4.25

–Received increased provider reimbursement from U.S. Centers for Medicare & Medicaid Services for VNS Therapy for Drug-Resistant Epilepsy procedures, effective Jan. 1, 2026, significantly reducing a known barrier to procedure penetration

–Received U.S. Food and Drug Administration approval for cloud-based digital health platform

LONDON, FEB. 25, 2026 — LivaNova PLC (Nasdaq: LIVN), a market-leading medical technology company, today reported fourth-quarter and full-year 2025 results and issued full-year 2026 guidance.

Financial Summary and Highlights(1)

•Fourth-quarter revenue of $360.9 million increased 12.1% on a reported basis and 9.5% on both a constant-currency and organic basis as compared to the prior-year period

•Fourth-quarter U.S. GAAP diluted earnings per share of $0.56 and adjusted diluted earnings per share of $0.86

•Full-year 2025 revenue of $1.39 billion increased 10.7% on a reported basis, 9.7% on a constant-currency basis, and 10.7% on an organic basis as compared to the prior year

•Full-year 2025 U.S. GAAP diluted loss per share of $4.45, impacted by recording the SNIA environmental liability expense of $365.6 million, and adjusted diluted earnings per share of $3.90

•Full-year 2025 net cash provided by operating activities of $254.3 million and adjusted free cash flow of $183.3 million

•Expects full-year 2026 revenue to grow between 6.0% and 7.0% on a constant-currency basis. Adjusted diluted earnings per share for 2026 is expected to be in the range of $4.15 to $4.25. Adjusted free cash flow is expected to be in the range of $160 million to $180 million

•Received increased provider reimbursement from U.S. Centers for Medicare & Medicaid Services for VNS Therapy™ for Drug-Resistant Epilepsy (DRE). Effective Jan. 1, 2026, provider reimbursement for VNS

(1) Constant-currency percent change, organic revenue percent change, adjusted diluted earnings per share, and adjusted free cash flow are non-GAAP measures. Constant-currency percent change excludes the impact from fluctuations in the various currencies in which the Company operates as compared to reported percent change. Organic revenue percent change excludes the impact of acquisitions, divestitures, and currency translation effects. For an explanation of these and other non-GAAP measures used in this news release, see the section entitled "Use of Non-GAAP Financial Measures." For reconciliations of certain non-GAAP measures, see the tables that accompany this news release. As discussed in the section entitled "Use of Non-GAAP Financial Measures" below, the Company is unable to predict with a reasonable degree of certainty the type and extent of certain items that would be expected to impact GAAP measures but would not impact the non-GAAP measures. Accordingly, the Company is unable to reconcile the forward-looking non-GAAP financial measures included in this paragraph to their most directly comparable forward-looking GAAP financial measures without unreasonable efforts.

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Therapy DRE procedures under Medicare significantly increased, with hospital outpatient payments rising by approximately 48% for new patient implants and 47% for end-of-service procedures versus 2025 rates

•Received U.S. Food and Drug Administration approval for the Company's cloud-based digital health platform, establishing the foundation to deliver greater convenience and deeper insights throughout the DRE patient journey

•Appointed Lucile Blaise as Global Head of Commercialization, Obstructive Sleep Apnea (OSA), effective Dec. 1, 2025

•In January 2026, announced the publication of the RECOVER durability manuscript in The International Journal of Neuropsychopharmacology, demonstrating durable outcomes through 24 months for adjunctive VNS Therapy in Treatment-Resistant Depression patients, including approximately 80% of patients maintaining clinically meaningful benefit

“In 2025, LivaNova delivered double‑digit revenue growth, meaningful operating margin expansion, and robust cash generation, reflecting strong execution in both our Cardiopulmonary and Epilepsy businesses,” said Vladimir Makatsaria, Chief Executive Officer of LivaNova. “We also advanced key innovation programs that strengthen the foundation for our future. Looking to 2026, our guidance is aligned with the medium-term outlook outlined at our November 2025 Investor Day, reflecting healthy performance in our core businesses while investing behind our differentiated OSA opportunity. We are leveraging the strength of the core to enter a high‑growth, high‑margin OSA market to drive sustainable, accelerated top‑line and bottom‑line growth for the enterprise. With disciplined capital allocation and a capable team, we are well positioned for 2026 and the years ahead.”

Fourth-Quarter 2025 Results

The following table summarizes revenue by segment (in millions):

						Three Months Ended December 31,												% Change						Constant-Currency % Change
						2025						2024
Cardiopulmonary						$206.6						$181.7						13.7		%				9.9		%
Neuromodulation						152.7						137.6						11.0		%				9.9		%
Other Revenue (1)						1.6						2.5						(36.3)		%				(41.7)		%
Total Net Revenue						$360.9						$321.8						12.1		%				9.5		%
Less: ACS (2)						—						0.1						(100.0)		%				100.0		%
Total Organic Net Revenue						$360.9						$321.7						N/A						9.5		%

(1)“Other Revenue” includes rental and site services income not allocated to segments. In addition, for 2024, “Other Revenue” includes revenue from the Company’s former ACS reportable segment.

(2)Includes the results from the wind-down portion of the Company’s former ACS reportable segment.

•Numbers may not add precisely due to rounding.

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Fourth-quarter 2025 Cardiopulmonary revenue increased 13.7% on a reported basis and 9.9% on a constant-currency basis versus the fourth quarter of 2024 with growth across all regions, driven by strong consumables demand and Essenz™ Perfusion System sales.

Fourth-quarter 2025 Neuromodulation revenue increased 11.0% on a reported basis and 9.9% on a constant-currency basis versus the fourth quarter of 2024 with growth across all regions.

Earnings Analysis

On a U.S. GAAP basis, fourth-quarter 2025 operating income was $42.6 million, as compared to operating income of $37.0 million for the fourth quarter of 2024. Adjusted operating income for the fourth quarter of 2025 was $63.8 million, as compared to adjusted operating income of $55.6 million for the fourth quarter of 2024.

On a U.S. GAAP basis, fourth-quarter 2025 diluted earnings per share was $0.56, as compared to diluted earnings per share of $1.02 in the fourth quarter of 2024. Fourth-quarter 2025 adjusted diluted earnings per share was $0.86, as compared to adjusted diluted earnings per share of $0.81 in the fourth quarter of 2024.

Full-Year 2025 Results

The following table summarizes revenue by segment (in millions):

						Year Ended December 31,												% Change						Constant-Currency % Change
						2025						2024
Cardiopulmonary						$785.4						$683.5						14.9		%				13.3		%
Neuromodulation						592.8						554.2						7.0		%				6.6		%
Other Revenue (1)						9.9						15.7						(37.2)		%				(40.1)		%
Total Net Revenue						$1,388.1						$1,253.4						10.7		%				9.7		%
Less: ACS (2)						—						11.6						(100.0)		%				100.0		%
Total Organic Net Revenue						$1,388.1						$1,241.8						N/A						10.7		%

(1)"Other Revenue" includes rental and site services income not allocated to segments. In addition, for 2024, “Other Revenue” includes revenue from the Company’s former ACS reportable segment

(2)Includes the results from the wind-down portion of the Company's former ACS reportable segment.

•Numbers may not add precisely due to rounding.

Full-year 2025 Cardiopulmonary revenue increased 14.9% on a reported basis and 13.3% on a constant-currency basis versus full-year 2024 with growth across all regions, driven by Essenz Perfusion System sales and strong consumables demand as well as market share gains.

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Full-year 2025 Neuromodulation revenue increased 7.0% on a reported basis and 6.6% on a constant-currency basis versus full-year 2024 with growth across all regions.

Earnings Analysis

On a U.S. GAAP basis, full-year 2025 operating income was $199.4 million, as compared to operating income of $129.1 million for full-year 2024. Adjusted operating income for full-year 2025 was $286.1 million, as compared to adjusted operating income of $239.2 million for full-year 2024.

On a U.S. GAAP basis, full-year 2025 diluted loss per share was $4.45, impacted by recording the SNIA environmental liability expense of $365.6 million, as compared to diluted earnings per share of $1.16 for full-year 2024. Full-year 2025 adjusted diluted earnings per share was $3.90, as compared to adjusted diluted earnings per share of $3.38 for full-year 2024.

Full-Year 2026 Guidance

LivaNova expects full-year 2026 revenue to grow between 6.0% and 7.0% on a constant-currency basis. Foreign currency is expected to be a tailwind of approximately 1.0% based on current exchange rates.

Adjusted diluted earnings per share for 2026 is expected to be in the range of $4.15 to $4.25, assuming a share count of approximately 56 million for full-year 2026. In 2026, the Company estimates that adjusted free cash flow will be in the range of $160 million to $180 million.

As discussed in the section entitled "Use of Non-GAAP Financial Measures" below, the Company is unable to predict with a reasonable degree of certainty the type and extent of certain items that would be expected to impact GAAP measures but would not impact the non-GAAP measures. Accordingly, the Company is unable to reconcile the forward-looking non-GAAP financial measures included in this section to their most directly comparable forward-looking GAAP financial measures without unreasonable efforts.

Webcast and Conference Call Instructions

The Company will host a live audiocast at 1 p.m. London time (8 a.m. Eastern Standard Time) on Wed., Feb. 25, 2026 that will be accessible at www.livanova.com/events. Listeners should register in advance and log on approximately 10 minutes early to ensure proper setup. To listen to the conference call by telephone, dial
+1 833 470 1428 (if dialing from within the U.S.) or +1 929 526 1599 (if dialing from outside the U.S.). The conference call access code is 901145. Within 24 hours of the audiocast, a replay will be available at www.livanova.com/events, where it will be archived and accessible for approximately 90 days.

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About LivaNova

LivaNova PLC is a global medical technology company built on nearly five decades of experience with a vision to change the trajectory of lives for a new day. Through ingenious medical solutions in select neurological and cardiac conditions, LivaNova strives to ignite patient turnarounds. Headquartered in London, with approximately 3,300 employees and a presence in more than 100 countries, LivaNova serves patients, healthcare professionals, and healthcare systems worldwide. For more information, please visit www.livanova.com.

Use of Non-GAAP Financial Measures

To supplement financial measures presented in accordance with generally accepted accounting principles in the United States (U.S. GAAP or GAAP), management has disclosed certain additional measures not presented in accordance with GAAP known as “non-GAAP financial measures” or “adjusted financial measures.” Company management uses these non-GAAP measures to monitor the Company’s operational performance and for benchmarking against other medical technology companies. Non-GAAP financial measures used by the Company may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies. These non-GAAP financial measures should be considered along with, but not as alternatives to, operational performance measures as prescribed by GAAP.

In this news release, the Company refers to revenue and percentage change in revenue on a comparable, constant-currency, and organic basis. Company management believes that these non-GAAP measures provide a useful way to evaluate the revenue performance of LivaNova and to compare the revenue performance of current periods to prior periods on a consistent basis. Constant-currency percent change measures the change in revenue between current and prior-year periods using average exchange rates in effect during the applicable prior-year period. Organic revenue percent change excludes the impact of acquisitions, divestitures, and currency translation effects.

LivaNova calculates forward-looking non-GAAP financial measures based on internal forecasts that omit certain amounts that would be included in GAAP financial measures. For example, forward-looking net revenue growth projections are estimated on a constant-currency basis and exclude the impact of foreign currency fluctuations. Forward-looking non-GAAP adjusted diluted earnings per share guidance excludes items such as, but not limited to, changes in fair value of derivatives and contingent consideration arrangements and asset impairment charges that would be included in comparable GAAP financial measures. The most directly comparable GAAP measure for adjusted free cash flow is net cash provided by operating activities. Adjusted free cash flow is defined as net cash provided by operating activities less cash used for the purchase of property, plant, and equipment excluding the impact of 3T litigation settlement payments, cybersecurity incident insurance

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proceeds, SNIA environmental liability and related financing costs, and gains related to dividends received from investments and further adjusted as needed for other charges, expenses, or gains that may not be indicative of the Company’s operational performance. However, non-GAAP financial adjustments on a forward-looking basis are subject to uncertainty and variability as they are dependent on many factors, including but not limited to, the effect of foreign currency exchange fluctuations, impacts from potential acquisitions or divestitures, the ultimate outcome of legal proceedings, gains or losses on the potential sale of businesses or other assets, restructuring costs, merger and integration activities, changes in fair value of derivatives, and contingent consideration arrangements, asset impairment charges and the tax impact of the aforementioned items, tax law changes, or other tax matters. Accordingly, the Company does not reconcile non-GAAP financial measures on a forward-looking basis as it is impractical to do so without unreasonable effort.

Adjusted financial measures such as organic revenue, adjusted cost of sales, adjusted gross profit, adjusted selling, general, and administrative expense, adjusted research and development expense, adjusted other operating expense, adjusted operating income, adjusted income before income tax, adjusted income tax expense, adjusted net income, and adjusted diluted earnings per share are measures that LivaNova generally uses to facilitate management review of the operational performance of the company, to serve as a basis for strategic planning, and in the design of incentive compensation plans. Additionally, the Company uses the non-GAAP liquidity measure adjusted free cash flow. The Company believes that the presentation of these adjusted financial measures allows investors to evaluate the Company’s operational performance for different periods on a more comparable and consistent basis, and with other medical technology companies by adjusting for items that are not related to the operational performance of the Company or incurred in the ordinary course of business.

Safe Harbor Statement

Certain statements in this news release, other than statements of historical or current fact, are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act, and Section 21E of the Exchange Act. These statements include, but are not limited to, LivaNova’s plans, objectives, strategies, financial performance and outlook, trends, the amount and timing of future cash distributions, prospects or future events, and involve known and unknown risks that are difficult to predict. As a result, the Company’s actual financial results, performance, achievements, or prospects may differ materially from those expressed or implied by these forward-looking statements. Generally, forward-looking statements can be identified by the use of words such as “may,” “could,” “seek,” “guidance,” “predict,” “potential,” “likely,” “believe,” “will,” “should,” “expect,” “anticipate,” “estimate,” “plan,” “intend,” “forecast,” “foresee,” or variations of these terms and similar expressions, or the negative of these terms or similar

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expressions. Such forward-looking statements are necessarily based on estimates and assumptions that, while considered reasonable by LivaNova and its management based on their knowledge and understanding of the business and industry, are inherently uncertain. These statements are not guarantees of future performance, and shareholders should not place undue reliance on forward-looking statements. There are a number of risks, uncertainties, and other important factors, many of which are beyond the Company’s control, that could cause the Company’s actual results to differ materially from the forward-looking statements contained in this news release, and include, but are not limited to, the following risks and uncertainties: volatility in the global market and worldwide economic conditions; adverse changes in export and import costs and other trade restrictions as well as uncertainty over global tariffs; risks relating to supply chain pressures; failure to protect, maintain, or upgrade LivaNova’s IT systems or products, or safeguard against cybersecurity incidents, service disruptions, or data corruption; costs of complying with privacy and security of personal information requirements and laws; changes in technology, including the development of superior or alternative technology or devices by competitors and/or competition from providers of alternative medical therapies; risks related to AI integration and regulation; failure of investments, alliances, acquisitions, or divestitures to achieve expected returns; failure to maintain appropriate working relationships with healthcare professionals to aid in the continuing development of products; the risk of quality issues and the impacts thereof; risks relating to recalls, replacement of inventory, enforcement actions, or product liability claims; failure to comply with, or changes in, laws, regulations, or administrative practices affecting government regulation of the Company’s products; failure to retain talent, maintain an effective succession plan, and negotiate successfully with local works councils; failure to obtain or maintain approvals, clearance, or reimbursement in relation to the Company’s products; unfavorable results from clinical studies or failure to meet milestones; global healthcare policy changes that may lead to restricted access and pricing as well as payback requirements and limited reimbursement; failure to comply with rules relating to healthcare goods and services as well as anti-bribery laws; the unfavorable impact of pending or existing climate change; product liability, intellectual property, shareholder-related, environmental-related, income tax, and other litigation, disputes, losses, and costs, including in the case of the Company’s 3T Heater-Cooler litigation; risks associated with environmental laws and regulations as well as environmental liabilities, violations, and litigation, including in the case of Saluggia and SNIA; failure to protect the Company’s proprietary intellectual property; changes in tax laws and regulations, including exposure to additional income tax liabilities; risks relating to the Company’s indebtedness; risks associated with potential government shutdowns; the potential for impairments of intangible assets, goodwill, and other long-lived assets; risks associated with public health crises; risks associated with shareholder activism; effectiveness of the Company’s internal controls over financial reporting; changes in the Company’s profitability and/or failure to manage costs and expenses; fluctuations in future quarterly operating results and/or variations in revenue and

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operating expenses relative to estimates; and other unknown or unpredictable factors that could harm the Company’s financial performance.

The foregoing list of factors is not exhaustive. You should carefully consider the foregoing factors and the other risks and uncertainties that affect the Company’s business, including those described in the “Risk Factors” section of the Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and other documents filed from time to time with the U.S. Securities and Exchange Commission by LivaNova.

Readers are cautioned not to place undue reliance on the Company’s forward-looking statements, which speak only as of the date of this news release. The Company undertakes no obligation to update publicly any of the forward-looking statements in this news release to reflect actual results, new information or future events, changes in assumptions or changes in other factors affecting forward-looking statements, except to the extent required by applicable law. If LivaNova updates one or more forward-looking statements, no inference should be drawn that the Company will make additional updates with respect to those or other forward-looking statements.

VNS Therapy and Essenz are trademarks of LivaNova USA, Inc.

Briana Gotlin

Vice President, Investor Relations

Phone: +1 281 895 2382

e-mail: InvestorRelations@livanova.com

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LIVANOVA PLC
NET REVENUE - UNAUDITED
(U.S. dollars in millions)
									Three Months Ended December 31,
									2025						2024						% Change						Constant-Currency % Change
Cardiopulmonary
U.S.									$71.8						$64.5						11.4		%				11.4		%
Europe (1)									57.4						47.6						20.6		%				10.4		%
Rest of World (1)									77.3						69.5						11.2		%				8.1		%
									206.6						181.7						13.7		%				9.9		%
Neuromodulation
U.S.									119.7						110.5						8.3		%				8.3		%
Europe (1)									17.6						14.0						25.7		%				18.7		%
Rest of World (1)									15.5						13.1						18.0		%				14.0		%
									152.7						137.6						11.0		%				9.9		%
Other Revenue (2)									1.6						2.5						(36.3)		%				(41.7)		%
Totals
U.S.									191.5						175.1						9.4		%				9.4		%
Europe (1)									75.0						61.6						21.7		%				12.3		%
Rest of World (1)									94.4						85.1						10.9		%				7.6		%
									$360.9						$321.8						12.1		%				9.5		%

(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 2024, “Other Revenue” includes revenue from the Company’s former ACS reportable segment.

•    Numbers may not add precisely due to rounding.

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LIVANOVA PLC
NET REVENUE - UNAUDITED
(U.S. dollars in millions)
									Year Ended December 31,
									2025						2024						% Change						Constant-Currency % Change
Cardiopulmonary
U.S.									$275.9						$242.5						13.8		%				13.8		%
Europe (1)									201.0						168.0						19.7		%				14.1		%
Rest of World (1)									308.5						273.0						13.0		%				12.4		%
									785.4						683.5						14.9		%				13.3		%
Neuromodulation
U.S.									463.6						441.0						5.1		%				5.1		%
Europe (1)									65.0						54.9						18.4		%				13.8		%
Rest of World (1)									64.2						58.3						10.1		%				11.2		%
									592.8						554.2						7.0		%				6.6		%
Other Revenue (2)									9.9						15.7						(37.2)		%				(40.1)		%
Totals
U.S.									739.6						695.1						6.4		%				6.4		%
Europe (1)									269.2						220.0						22.3		%				16.8		%
Rest of World (1)									379.3						338.3						12.1		%				11.7		%
									$1,388.1						$1,253.4						10.7		%				9.7		%

(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 2024, “Other Revenue” includes revenue from the Company’s former ACS reportable segment.

•    Numbers may not add precisely due to rounding.

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LIVANOVA PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME - UNAUDITED
(U.S. dollars in millions, except per share amounts)
						Three Months Ended December 31,
						2025						2024
Net revenue						$360.9						$321.8
Cost of sales						121.1						107.5
Gross profit						239.8						214.4
Operating expenses:
Selling, general, and administrative						143.4						130.6
Research and development						52.1						43.3
Other operating expense						1.7						3.4
Operating income						42.6						37.0
SNIA environmental liability expense						(1.7)						—
Interest expense						(10.9)						(15.8)
Foreign exchange and other income/(expense)						(2.3)						35.2
Income before income tax						27.6						56.5
Income tax (benefit) expense						(3.3)						0.6
Net income						$30.9						$55.9
Basic income per share						$0.57						$1.03
Diluted income per share						$0.56						$1.02
Weighted average common shares outstanding:
Basic						54.6						54.4
Diluted						55.5						54.7

•    Numbers may not add precisely due to rounding.

11

Adjusted Financial Measures (U.S. dollars in millions, except per share amounts) - Unaudited

									Three Months Ended December 31,
									2025						2024
Adjusted SG&A									$130.6						$122.0
Adjusted R&D									49.1						40.3
Adjusted operating income									63.8						55.6
Adjusted net income									47.7						44.2
Adjusted diluted earnings per share									$0.86						$0.81

Statistics (as a % of net revenue, except for income tax rate) - Unaudited

									GAAP Three Months Ended December 31,												Adjusted Three Months Ended December 31,
									2025						2024						2025						2024
Gross profit									66.4		%				66.6		%				67.5		%				67.7		%
SG&A									39.7		%				40.6		%				36.2		%				37.9		%
R&D									14.4		%				13.5		%				13.6		%				12.5		%
Operating income									11.8		%				11.5		%				17.7		%				17.3		%
Net income									8.6		%				17.4		%				13.2		%				13.7		%
Income tax rate									(11.9)		%				1.0		%				24.3		%				19.8		%

12

LIVANOVA PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS) - UNAUDITED
(U.S. dollars in millions, except per share amounts)
						Year Ended December 31,
						2025						2024
Net revenue						$1,388.1						$1,253.4
Cost of sales						448.2						400.0
Gross profit						939.9						853.5
Operating expenses:
Selling, general, and administrative						548.8						508.9
Research and development						185.8						182.5
Other operating expense						5.9						33.0
Operating income						199.4						129.1
SNIA environmental liability expense						(365.6)						—
Interest expense						(49.3)						(63.1)
Loss on debt extinguishment						(2.7)						(25.5)
Foreign exchange and other income/(expense)						(2.7)						47.8
(Loss) income before income tax						(220.8)						88.3
Income tax expense						21.6						25.1
Loss from equity method investments						(0.1)						—
Net (loss) income						($242.5)						$63.2
Basic (loss) income per share						($4.45)						$1.17
Diluted (loss) income per share						($4.45)						$1.16
Weighted average common shares outstanding:
Basic						54.5						54.2
Diluted						54.5						54.6

•    Numbers may not add precisely due to rounding.

13

Adjusted Financial Measures (U.S. dollars in millions, except per share amounts) - Unaudited

									Year Ended December 31,
									2025						2024
Adjusted SG&A									$490.5						$451.7
Adjusted R&D									176.2						171.2
Adjusted operating income									286.1						239.2
Adjusted net income									214.6						184.3
Adjusted diluted earnings per share									$3.90						$3.38

Statistics (as a % of net revenue, except for income tax rate) - Unaudited

									GAAP Year Ended December 31,												Adjusted Year Ended December 31,
									2025						2024						2025						2024
Gross profit									67.7		%				68.1		%				68.6		%				68.8		%
SG&A									39.5		%				40.6		%				35.3		%				36.0		%
R&D									13.4		%				14.6		%				12.7		%				13.7		%
Operating income									14.4		%				10.3		%				20.6		%				19.1		%
Net (loss) income									(17.5)		%				5.0		%				15.5		%				14.7		%
Income tax rate									(9.8)		%				28.4		%				23.1		%				21.0		%

14

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions, except per share amounts)
									Non-GAAP Adjustments
Three Months Ended December 31, 2025			GAAP Financial Measures						Depreciation and Amortization Expenses (1)			Divestiture Related Items (2)						Financing Related Items (3)			Contingent Consideration (4)			Certain Legal & Regulatory Costs (5)			Share-based Compensation Costs (6)			Certain Tax Adjustments (7)			Adjusted Financial Measures
Cost of sales			$121.1						($1.8)			$—						$—			($1.4)			$—			($0.5)			$—			$117.5
Gross profit percent			66.4		%				0.5		%	—		%				—		%	0.4		%	—		%	0.1		%	—		%	67.5		%
Selling, general, and administrative			143.4						(2.6)			—						—			—			(2.8)			(7.4)			—			130.6
Selling, general, and administrative as a percent of net revenue			39.7		%				(0.7)		%	—		%				—		%	—		%	(0.8)		%	(2.0)		%	—		%	36.2		%
Research and development			52.1						—			—						—			(1.0)			(0.6)			(1.5)			—			49.1
Research and development as a percent of net revenue			14.4		%				—		%	—		%				—		%	(0.3)		%	(0.2)		%	(0.4)		%	—		%	13.6		%
Other operating expense			1.7						—			—						—			—			(1.7)			—			—			—
Operating income			42.6						4.4			—						—			2.4			5.1			9.4			—			63.8
Operating margin percent			11.8		%				1.2		%	—		%				—		%	0.7		%	1.4		%	2.6		%	—		%	17.7		%
Net income			30.9						4.4			(4.1)						16.6			2.4			6.8			9.4			(18.6)			47.7
Net income as a percent of net revenue			8.6		%				1.2		%	(1.1)		%				4.6		%	0.7		%	1.9		%	2.6		%	(5.2)		%	13.2		%
Diluted EPS			$0.56						$0.08			($0.07)						$0.30			$0.04			$0.12			$0.17			($0.34)			$0.86

GAAP results for the three months ended December 31, 2025 include:

(1) Depreciation and amortization associated with purchase price accounting

(2) Gain on sale of asset

(3) Mark-to-market adjustments for the 2025 and 2029 Notes embedded and capped call derivatives and non-cash interest expense

(4) Remeasurement of contingent consideration related to the ImThera acquisition

(5) 3T Heater-Cooler defense legal expenses, SNIA environmental liability, and Saluggia site remediation provision

(6) Non-cash expenses associated with share-based compensation costs

(7) The impact of valuation allowances, discrete tax items, the tax impact of intercompany transactions, and the tax impact on non-GAAP adjustments

• Numbers may not add precisely due to rounding.

15

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions, except per share amounts)
						Non-GAAP Adjustments
Three Months Ended December 31, 2024			GAAP Financial Measures			Restructuring Expenses (1)			Depreciation and Amortization Expenses (2)			Investment Related Items (3)			Financing Related Items (4)			Contingent Consideration (5)			Certain Legal & Regulatory Costs (6)			Share-based Compensation Costs (7)			Certain Tax Adjustments (8)			Adjusted Financial Measures
Cost of sales			$107.5			$—			($1.7)			$—			$—			($1.6)			$—			($0.3)			$—			$103.9
Gross profit percent			66.6		%	—		%	0.5		%	—		%	—		%	0.5		%	—		%	0.1		%	—		%	67.7		%
Selling, general, and administrative			130.6			—			(2.6)			—			—			—			(0.3)			(5.8)			—			122.0
Selling, general, and administrative as a percent of net revenue			40.6		%	—		%	(0.8)		%	—		%	—		%	—		%	(0.1)		%	(1.8)		%	—		%	37.9		%
Research and development			43.3			—			—			—			—			(1.4)			(0.8)			(0.9)			—			40.3
Research and development as a percent of net revenue			13.5		%	—		%	—		%	—		%	—		%	(0.4)		%	(0.2)		%	(0.3)		%	—		%	12.5		%
Other operating expense			3.4			(0.5)			—			—			—			—			(2.9)			—			—			—
Operating income			37.0			0.5			4.2			—			—			3.0			4.0			6.9			—			55.6
Operating margin percent			11.5		%	0.2		%	1.3		%	—		%	—		%	0.9		%	1.2		%	2.2		%	—		%	17.3		%
Net income			55.9			0.5			4.2			(7.1)			(12.8)			3.0			4.0			6.9			(10.3)			44.2
Net income as a percent of net revenue			17.4		%	0.2		%	1.3		%	(2.2)		%	(4.0)		%	0.9		%	1.2		%	2.2		%	(3.2)		%	13.7		%
Diluted EPS			$1.02			$0.01			$0.08			($0.13)			($0.23)			$0.05			$0.07			$0.13			($0.19)			$0.81

GAAP results for the three months ended December 31, 2024 include:

(1) Restructuring expenses related to organizational changes

(2) Depreciation and amortization associated with purchase price accounting

(3) Gain on investment revaluation of Ceribell, Inc.

(4) Mark-to-market adjustments for the 2025 and 2029 Notes embedded and capped call derivatives, interest expense on the Term Facilities, non-cash interest expense on the 2025 and 2029 Notes and Revolving Credit Facility, and interest income on the collateral for the SNIA litigation guarantee and delayed draw on Term Facilities

(5) Remeasurement of contingent consideration related to ImThera acquisition

(6) Legal expenses primarily related to 3T Heater-Cooler defense, 3T Heater-Cooler litigation provision, cybersecurity incident costs net of insurance reimbursement, and Medical Device Regulation ("MDR") costs

(7) Non-cash expenses associated with share-based compensation costs

(8) The impact of valuation allowances, discrete tax items, the tax impact of intercompany transactions, and the tax impact on non-GAAP adjustments

•    Numbers may not add precisely due to rounding.

16

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions, except per share amounts)
									Non-GAAP Adjustments
Year Ended December 31, 2025			GAAP Financial Measures						Restructuring Expenses (1)			Depreciation and Amortization Expenses (2)			Divestiture Related Items (3)			Investment Related Items (4)			Financing Related Items (5)			Contingent Consideration (6)			Certain Legal & Regulatory Costs (7)			Share-based Compensation Costs (8)			Certain Tax Adjustments (9)			Adjusted Financial Measures
Cost of sales			$448.2						$—			($7.1)			$—			$—			$—			($4.2)			$—			($1.7)			$—			$435.2
Gross profit percent			67.7		%				—		%	0.5		%	—		%	—		%	—		%	0.3		%	—		%	0.1		%	—		%	68.6		%
Selling, general, and administrative			548.8						—			(10.2)			—			—			—			—			(20.3)			(27.7)			—			490.5
Selling, general, and administrative as a percent of net revenue			39.5		%				—		%	(0.7)		%	—		%	—		%	—		%	—		%	(1.5)		%	(2.0)		%	—		%	35.3		%
Research and development			185.8						—			0.2			—			—			—			(3.6)			0.8			(6.9)			—			176.2
Research and development as a percent of net revenue			13.4		%				—		%	—		%	—		%	—		%	—		%	(0.3)		%	0.1		%	(0.5)		%	—		%	12.7		%
Other operating expense			5.9						0.2			—			—			—			—			—			(6.1)			—			—			—
Operating income			199.4						(0.2)			17.1			—			—			—			7.9			25.6			36.3			—			286.1
Operating margin percent			14.4		%				—		%	1.2		%	—		%	—		%	—		%	0.6		%	1.8		%	2.6		%	—		%	20.6		%
Net (loss) income			(242.5)						(0.2)			17.1			(4.1)			4.2			47.5			7.9			391.1			36.3			(42.7)			214.6
Net (loss) income as a percent of net revenue			(17.5)		%				—		%	1.2		%	(0.3)		%	0.3		%	3.4		%	0.6		%	28.2		%	2.6		%	(3.1)		%	15.5		%
Diluted EPS (10)			($4.45)						$—			$0.31			($0.08)			$0.08			$0.86			$0.14			$7.11			$0.66			($0.78)			$3.90

GAAP results for the year ended December 31, 2025 include:

(1) Restructuring expenses related to organizational changes

(2) Depreciation and amortization associated with purchase price accounting

(3) Gain on sale of asset

(4) Loss on investment revaluation of Ceribell, Inc. and impairment of investment without readily determinable fair value

(5) Non-cash interest expense on the 2025 and 2029 Notes and Revolving Credit Facility, mark-to-market adjustments for the 2025 and 2029 Notes embedded and capped call derivatives, interest expense on the Term Facilities, loss on debt extinguishment, and interest income on the collateral for the SNIA litigation guarantee and delayed draw on Term Facilities

(6) Remeasurement of contingent consideration related to the ImThera acquisition

(7) SNIA environmental liability, legal expenses primarily related to 3T Heater-Cooler defense, 3T Heater-Cooler litigation provision, MDR costs, Saluggia site remediation provision, cybersecurity incident costs net of insurance reimbursement, and R&D tax incentive

(8) Non-cash expenses associated with share-based compensation costs

(9) The impact of valuation allowances, discrete tax items, the tax impact of intercompany transactions, and the tax impact on non-GAAP adjustments

(10) The denominator used to calculate the impact of non-GAAP adjustments on a per share basis and adjusted diluted earnings per common share includes dilution from LivaNova's share-based compensation awards that was excluded from the calculation of GAAP diluted net loss per common share because the effect would have been anti-dilutive. See the reconciliation of GAAP diluted weighted average shares outstanding, used in the computation of GAAP diluted net loss per common share, to adjusted diluted weighted average shares outstanding, used in the computation of adjusted diluted earnings per common share, at the end of this news release.

•    Numbers may not add precisely due to rounding.

17

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions, except per share amounts)
									Non-GAAP Adjustments
Year Ended December 31, 2024			GAAP Financial Measures						Restructuring Expenses (1)			Depreciation and Amortization Expenses (2)			Investment Related Items (3)						Financing Related Items (4)			Contingent Consideration (5)			Certain Legal & Regulatory Costs (6)			Share-based Compensation Costs (7)			Certain Tax Adjustments (8)			Adjusted Financial Measures
Cost of sales			$400.0						$—			($6.8)			$—						$—			($1.3)			$0.7			($1.2)			$—			$391.4
Gross profit percent			68.1		%				—		%	0.5		%	—		%				—		%	0.1		%	(0.1)		%	0.1		%	—		%	68.8		%
Selling, general, and administrative			508.9						—			(10.5)			—						—			—			(20.4)			(26.3)			—			451.7
Selling, general, and administrative as a percent of net revenue			40.6		%				—		%	(0.8)		%	—		%				—		%	—		%	(1.6)		%	(2.1)		%	—		%	36.0		%
Research and development			182.5						—			0.2			—						—			(2.0)			(3.1)			(6.4)			—			171.2
Research and development as a percent of net revenue			14.6		%				—		%	—		%	—		%				—		%	(0.2)		%	(0.2)		%	(0.5)		%	—		%	13.7		%
Other operating expense			33.0						(13.4)			—			—						—			—			(19.7)			—			—			—
Operating income			129.1						13.4			17.1			—						—			3.3			42.4			33.9			—			239.2
Operating margin percent			10.3		%				1.1		%	1.4		%	—		%				—		%	0.3		%	3.4		%	2.7		%	—		%	19.1		%
Net income			63.2						13.4			17.1			(1.5)						36.4			3.3			42.4			33.9			(24.0)			184.3
Net income as a percent of net revenue			5.0		%				1.1		%	1.4		%	(0.1)		%				2.9		%	0.3		%	3.4		%	2.7		%	(1.9)		%	14.7		%
Diluted EPS			$1.16						$0.24			$0.31			($0.03)						$0.67			$0.06			$0.78			$0.62			($0.44)			$3.38

GAAP results for the year ended December 31, 2024 include:

(1) Restructuring expenses related to organizational changes

(2) Depreciation and amortization associated with purchase price accounting

(3) Gain on investment revaluation of Ceribell, Inc. and impairment of investment in ShiraTronics, Inc.

(4) Loss on debt extinguishment, mark-to-market adjustments for the 2025 and 2029 Notes embedded and capped call derivatives, interest expense on the Term Facilities, non-cash interest expense on the 2025 and 2029 Notes and Revolving Credit Facility, and interest income on the collateral for the SNIA litigation guarantee and delayed draw on Term Facilities

(5) Remeasurement of contingent consideration related to ImThera acquisition

(6) 3T Heater-Cooler litigation provision, legal expenses primarily related to 3T Heater-Cooler defense, cybersecurity incident costs net of insurance reimbursement, MDR costs, and costs related to the SNIA matter

(7) Non-cash expenses associated with share-based compensation costs

(8) The impact of valuation allowances, discrete tax items, the tax impact of intercompany transactions, and the tax impact on non-GAAP adjustments

•    Numbers may not add precisely due to rounding.

18

LIVANOVA PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS - UNAUDITED
(U.S. dollars in millions)
						December 31, 2025						December 31, 2024
ASSETS
Current Assets:
Cash and cash equivalents						$635.6						$428.9
Restricted cash						—						294.7
Accounts receivable, net of allowance						216.0						193.2
Inventories						164.7						147.6
Prepaid and refundable taxes						48.6						30.5
Prepaid expenses and other current assets						36.8						32.4
Total Current Assets						1,101.6						1,127.2
Property, plant, and equipment, net						242.6						170.3
Goodwill						792.8						750.0
Intangible assets, net						230.0						237.3
Operating lease assets						55.5						46.8
Investments						20.3						25.1
Deferred tax assets						111.0						111.9
Long-term derivative assets						36.6						23.7
Other assets						15.7						14.1
Total Assets						$2,606.1						$2,506.4
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current Liabilities:
Current debt obligations						$31.5						$78.0
Accounts payable						97.2						69.7
Accrued liabilities and other						94.6						118.5
SNIA environmental liability						396.2						—
Current contingent consideration						50.0						—
Current litigation provision liability						12.6						12.9
Taxes payable						33.1						32.5
Accrued employee compensation and related benefits						92.9						80.5
Total Current Liabilities						808.1						392.1
Long-term debt obligations						345.2						549.6
Long-term contingent consideration						42.0						84.2
Deferred tax liabilities						9.6						10.9
Long-term operating lease liabilities						48.3						40.1
Long-term employee compensation and related benefits						13.6						12.8
Long-term derivative liabilities						83.9						51.8
Other long-term liabilities						55.4						44.5
Total Liabilities						1,406.1						1,186.1
Total Shareholders’ Equity						1,200.0						1,320.3
Total Liabilities and Shareholders’ Equity						$2,606.1						$2,506.4

•    Numbers may not add precisely due to rounding.

19

LIVANOVA PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - UNAUDITED
(U.S. dollars in millions)						Year Ended December 31,
						2025						2024
Operating Activities:
Net (loss) income						($242.5)						$63.2
Adjustments to reconcile net (loss) income to net cash provided by operating activities
Share-based compensation						36.3						33.9
Depreciation						28.6						25.1
Amortization of debt issuance costs						23.1						21.6
Amortization						17.7						17.2
Amortization of operating lease assets						13.4						8.8
Remeasurement of contingent consideration to fair value						7.9						3.3
Remeasurement of derivative instruments, net						(6.9)						(25.3)
Gain on sale of asset						(4.1)						—
Loss (gain) on investment revaluation - Ceribell, Inc.						3.6						(7.1)
Loss on debt extinguishment						2.7						25.5
Deferred income tax expense						0.5						6.8
Impairment of investments						1.1						5.8
Other						3.2						3.0
Changes in operating assets and liabilities:
Accounts receivable, net						(10.7)						11.1
Inventories						(5.3)						(6.8)
Other current and non-current assets						38.5						(1.6)
Accounts payable and accrued current and non-current liabilities						(13.4)						(14.5)
Taxes payable						(3.6)						10.9
SNIA environmental liability						365.6						—
Litigation provision liability						(1.1)						2.3
Net cash provided by operating activities						254.3						183.0
Investing Activities:
Purchases of property, plant, and equipment						(81.1)						(47.1)
Proceeds from sale of investment						6.5						—
Proceeds from asset sales						7.3						0.1
Purchases of investments						(5.7)						(1.1)
Net cash used in investing activities						(72.9)						(48.2)
Financing Activities:
Repayment of long-term debt obligations						(280.9)						(247.5)
Shares repurchased from employees for minimum tax withholding						(4.4)						(8.4)
Proceeds from exercise of stock options						—						6.3
Proceeds from long-term debt obligations						—						335.5
Payment of debt extinguishment costs						—						(39.0)
Purchase of capped calls						—						(31.6)
Proceeds from unwind of capped calls						—						22.5
Payment of contingent consideration						—						(13.8)
Payment of debt issuance costs						—						(5.9)
Other						(0.3)						0.4
Net cash (used in) provided by financing activities						(285.7)						18.6
Effect of exchange rate changes on cash, cash equivalents, and restricted cash						16.2						(7.7)
Net (decrease) increase in cash, cash equivalents, and restricted cash						(88.0)						145.7
Cash, cash equivalents, and restricted cash at beginning of period						723.6						577.9
Cash, cash equivalents, and restricted cash at end of period						$635.6						$723.6

•    Numbers may not add precisely due to rounding.

20

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions)
									Three Months Ended December 31,
									2025																		2024
									GAAP Financial Measures						Certain Tax Adjustments						Adjusted Financial Measures						GAAP Financial Measures						Certain Tax Adjustments						Adjusted Financial Measures
Income before income tax									$27.6						$—						$63.0						$56.5						$—						$55.1
Income tax (benefit) expense									(3.3)						18.6						15.3						0.6						10.3						10.9
Net income									$30.9						($18.6)						$47.7						$55.9						($10.3)						$44.2
Income tax rate									(11.9)		%										24.3		%				1.0		%										19.8		%

									Year Ended December 31,
									2025																		2024
									GAAP Financial Measures						Certain Tax Adjustments						Adjusted Financial Measures						GAAP Financial Measures						Certain Tax Adjustments						Adjusted Financial Measures
(Loss) income before income tax									($220.8)						$—						$279.0						$88.3						$—						$233.4
Income tax expense									21.6						42.7						64.3						25.1						24.0						49.0
Net (loss) income									($242.5)						($42.7)						$214.6						$63.2						($24.0)						$184.3
Income tax rate									(9.8)		%										23.1		%				28.4		%										21.0		%

•    Numbers may not add precisely due to rounding.

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions)
									Three Months Ended December 31,												% Change						Constant-Currency % Change
									2025						2024
GAAP net revenue									$360.9						$321.8						12.1		%				9.5		%
Less: ACS (1)									—						0.1						(100.0)		%				100.0		%
Organic net revenue									$360.9						$321.7						N/A						9.5		%
									Year Ended December 31,												% Change						Constant-Currency % Change
									2025						2024
GAAP net revenue									$1,388.1						$1,253.4						10.7		%				9.7		%
Less: ACS (1)									—						11.6						(100.0)		%				100.0		%
Organic net revenue									$1,388.1						$1,241.8						N/A						10.7		%

(1)Includes net revenue from the Company's former ACS reportable segment.

•    Numbers may not add precisely due to rounding.

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (U.S. dollars in millions)
						Three Months Ended December 31, 2025						Year Ended December 31, 2025
Net cash provided by operating activities						$82.4						$254.3
Less: Purchases of plant, property, and equipment						(32.2)						(81.1)
Less: Cybersecurity incident insurance proceeds						(0.6)						(1.7)
Less: Dividends received from investments						—						(0.6)
Add: 3T Heater-Cooler litigation payments						3.9						5.8
Add: SNIA financing and other costs						—						6.5
Adjusted free cash flow						$53.5						$183.3

•    Numbers may not add precisely due to rounding.

21

The following table presents the reconciliation of GAAP diluted weighted average shares outstanding, used in the computation of GAAP diluted net loss per common share, to adjusted diluted weighted average shares outstanding, used in the computation of adjusted diluted earnings per common share:

RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES - UNAUDITED (shares in millions)

Year Ended December 31, 2025

GAAP diluted weighted average shares outstanding

54.5

Add: Effects of share-based compensation instruments

0.5

Adjusted diluted weighted average shares outstanding

55.0

•    Numbers may not add precisely due to rounding.

22

FAQ

How did LivaNova (LIVN) perform financially in full-year 2025?

LivaNova delivered solid 2025 growth, with revenue of $1.39 billion, up 10.7% reported and organic. GAAP results showed a $4.45 loss per share due to a large environmental charge, while adjusted diluted EPS rose to $3.90 from $3.38.

What were LivaNova (LIVN)'s key fourth-quarter 2025 results?

In Q4 2025, LivaNova reported $360.9 million in revenue, up 12.1% reported and 9.5% constant-currency. GAAP diluted EPS was $0.56, and adjusted diluted EPS was $0.86, reflecting growth in both Cardiopulmonary and Neuromodulation segments.

Why did LivaNova (LIVN) report a GAAP loss in 2025 despite growth?

LivaNova recorded a $365.6 million SNIA environmental liability expense in 2025, which drove a GAAP diluted loss per share of ($4.45). Excluding this and other adjustments, adjusted diluted EPS was $3.90, showing underlying profitability improvement.

What guidance did LivaNova (LIVN) provide for 2026?

For 2026, LivaNova expects 6.0%–7.0% constant-currency revenue growth, adjusted diluted EPS of $4.15–$4.25, and adjusted free cash flow of $160–$180 million. Guidance assumes an average share count of about 56 million for the year.

How is Medicare reimbursement changing for LivaNova’s VNS Therapy DRE procedures?

Effective January 1, 2026, Medicare hospital outpatient payments for VNS Therapy for Drug-Resistant Epilepsy increased about 48% for new patient implants and 47% for end-of-service procedures, significantly reducing a previously identified barrier to procedure penetration.

What new regulatory milestones did LivaNova (LIVN) achieve in its digital and neuromodulation offerings?

LivaNova received U.S. FDA approval for its cloud-based digital health platform, enhancing support for DRE patients. Combined with stronger VNS Therapy reimbursement, this approval underpins future growth opportunities in the company’s Neuromodulation franchise.

How did segment revenue trends look for LivaNova (LIVN) in 2025?

In 2025, Cardiopulmonary revenue rose to $785.4 million, up 14.9% reported, while Neuromodulation revenue reached $592.8 million, up 7.0% reported. Both segments grew across all regions, with particularly strong Cardiopulmonary contributions from the Essenz Perfusion System and consumables.

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