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Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings report shows strong revenue growth both quarterly and annually, improved operating income, and significant free cash flow growth. However, the decrease in EPS due to a higher tax rate and increased debt from a convertible note offering are concerns. The Q&A highlighted optimism in new product launches and strategic innovations, although some execution issues were noted. Overall, the positive financial performance and promising product developments outweigh the negatives, suggesting a positive stock price movement.
Revenue (Q4 2024) $322 million, an increase of 5% year-over-year (7% organic growth). This growth was driven by strength in both the cardiopulmonary and epilepsy businesses.
Revenue (Full-Year 2024) $1.3 billion, a 9% increase year-over-year (11% organic growth). The growth was attributed to strong performance in cardiopulmonary and epilepsy segments.
Adjusted Operating Income (Q4 2024) $56 million, up from $48 million in Q4 2023, representing a 41% increase. The increase was primarily driven by higher revenue and improved operating leverage.
Adjusted Diluted Earnings Per Share (Q4 2024) $0.81, down from $0.87 in Q4 2023. The decrease was primarily due to a higher effective tax rate.
Adjusted Free Cash Flow (Q4 2024) $62 million, up from $61 million in Q4 2023. The increase was driven by stronger operating results and working capital improvements.
Adjusted Free Cash Flow (Full-Year 2024) $163 million, up from $96 million in the prior year, representing a 70% growth. This significant improvement was attributed to enhanced cash generation.
Adjusted Gross Margin (Q4 2024) 69%, compared to 68% in Q4 2023. The increase was driven by favorable product mix and pricing.
Total Debt (Year-End 2024) $628 million, up from $587 million at year-end 2023. The increase was due to the closing of a $345 million private offering of convertible senior notes.
Cash Balance (Year-End 2024) $429 million, up from $267 million at year-end 2023. This increase reflects improved cash generation.
Adjusted R&D Expense (Q4 2024) $40 million, down from $42 million in Q4 2023. The decrease was largely driven by the closeout of the heart failure trial.
Adjusted SG&A Expense (Q4 2024) $127 million, up from $120 million in Q4 2023. The increase was driven by commercial activities to support growth.
New Product Launch: Commercial launch of ProtekDuo Plus in the U.S. and Canada with approval for ECMO procedures.
Product Development: Accelerating investment in OSA product development to deliver a competitive and differentiated product portfolio.
Market Expansion: Expect hypoglossal nerve stimulation market for OSA to approach $2 billion by the end of the decade.
Market Share Growth: Essenz expected to represent approximately 60% of annual HLM units placed in 2025.
Operational Efficiency: Achieved 41% growth in adjusted operating income and 21% growth in adjusted diluted earnings per share.
Free Cash Flow: Delivered $163 million in adjusted free cash flow for the full-year 2024.
Strategic Shift: Embarked on a transformative journey to strengthen talent and culture, focusing on innovation and growth mindset.
Leadership Changes: Approximately 30% of director-level and above positions filled by new hires or internal promotions.
Regulatory Issues: LivaNova is pursuing CMS coverage for its difficult-to-treat depression program, which is critical for expanding treatment options for patients. The outcome of this pursuit is uncertain and represents a risk to the company's growth in this area.
Competitive Pressures: The hypoglossal nerve stimulation market for obstructive sleep apnea is expected to approach $2 billion by the end of the decade, indicating significant competition and the need for LivaNova to differentiate its product offerings.
Supply Chain Challenges: The company has noted that global demand for its products is outpacing supply, which could impact its ability to meet market needs and growth expectations.
Economic Factors: The guidance for 2025 includes a forecasted unfavorable impact of 1.5% to 2% from foreign currency exchange rates, which could affect revenue growth.
Litigation Risks: LivaNova is involved in ongoing litigation related to the SNIA matter, with a public hearing scheduled. The outcome of this litigation could have financial implications for the company.
Taxation Risks: The adjusted effective tax rate is expected to increase to approximately 24% in 2025, which could negatively impact earnings per share.
Organic Revenue Growth: LivaNova achieved 11% organic revenue growth in 2024, marking the second consecutive year of double-digit organic growth.
Investment in OSA Technology: LivaNova plans to bring hypoglossal nerve stimulation technology to market, increasing investment to accelerate product development.
Talent and Culture Transformation: In 2024, LivaNova focused on strengthening talent and culture, filling approximately 30% of director-level and above positions with new hires or promotions.
Innovation Pipeline: LivaNova is advancing its innovation pipeline, particularly in obstructive sleep apnea and difficult-to-treat depression.
2025 Revenue Growth: LivaNova forecasts 2025 revenue growth between 5% and 6% on a constant-currency basis and between 6% and 7% on an organic basis.
Adjusted Diluted EPS: Projected adjusted diluted earnings per share for 2025 is in the range of $3.65 to $3.75, representing a growth of 9% at midpoint.
Adjusted Free Cash Flow: Expected adjusted free cash flow for 2025 is between $135 million and $155 million, including $90 million in capital spending.
Cardiopulmonary Revenue Growth: For 2025, cardiopulmonary revenue is expected to grow 7% to 8%.
Epilepsy Revenue Growth: Global epilepsy revenue is expected to grow 4% to 5% in 2025.
Adjusted Free Cash Flow for 2024: $163 million, up from $96 million in the prior year period, representing 70% growth.
Projected Adjusted Free Cash Flow for 2025: Expected to be in the range of $135 million to $155 million.
Total Debt at Year End 2024: $628 million, up from $587 million at year end 2023.
Repurchase of Convertible Senior Notes: $230 million of convertible senior notes maturing in 2025.
Private Offering of Convertible Senior Notes: $345 million, maturing in 2029.
The earnings call presents a positive outlook with raised guidance for revenue growth, EPS, and free cash flow. The Q&A section highlights strategic investments in capacity expansion and new product launches, despite some conservative Q4 guidance. The positive feedback on the Essenz launch in China and the anticipated Medicare reimbursement increase for epilepsy therapy further support a positive sentiment. Although management avoided some specifics, the overall sentiment is positive, considering the strategic initiatives and growth prospects.
The earnings call reveals strong financial performance with increased operating income, EPS, and cash balance, alongside reduced debt. Product developments, like epilepsy treatment data and Essenz launch in China, are promising. CMS proposal and APC upgrade suggest potential reimbursement boosts. Despite some management vagueness in Q&A, the overall sentiment is positive, supported by growth drivers in cardiopulmonary and neuromodulation businesses. Thus, the stock is likely to experience a positive movement.
The earnings report shows strong revenue growth both quarterly and annually, improved operating income, and significant free cash flow growth. However, the decrease in EPS due to a higher tax rate and increased debt from a convertible note offering are concerns. The Q&A highlighted optimism in new product launches and strategic innovations, although some execution issues were noted. Overall, the positive financial performance and promising product developments outweigh the negatives, suggesting a positive stock price movement.
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