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LivaNova

LIVN
58
Medical - Devices · Healthcare
Price
$78.74
+0.53 (+0.68%)
Market Cap
$4.33B
Exchange
NASDAQ
Winston Score
58
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Strong
Growth
Mixed
Cash Flow
Strong
Stability
Strong
Valuation
Strong

Share count rising — dilution

+7.6% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 50.6M (2021) → 54.5M (2025)

Winston Score History

The full picture

LivaNova is a medical device company that makes two main types of products: machines that help the heart work properly during surgery, and small implanted devices that treat epilepsy and depression. Its cardiopulmonary products are used by hospitals during open-heart surgeries, while its neuromodulation devices — particularly the vagus nerve stimulator — are implanted in patients whose seizures or depression don't respond well to medication. The company sells to hospitals, surgeons, and specialty clinics around the world.

LivaNova earns money by selling its hardware devices and the disposable components used during heart surgeries, which creates a recurring revenue stream. The company operates globally, with a strong presence in Europe and North America, and generates roughly $1.2 billion in annual revenue. Its vagus nerve stimulator has a long track record and regulatory approvals that are difficult for competitors to replicate quickly, but the company faces risk from slower-than-expected adoption of its newer depression treatment indication, which is central to its long-term growth story.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+10.8% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+296.0% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$186M/ year

Flat (+2% vs prior year)

13.4% of revenue

Below sector average (18%)

Steady R&D investment year-over-year

Insider Activity

0.4%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$532M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

LivaNova is a rare growth stock that's already generating positive cash flow while growing at 11%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
70.1%
Premium pricing power — 70.1% gross margin
Profit after running costs
Operating Margin
12.7%
Healthy — 12.7% operating margin
Return on the money invested
ROCE
12.2%
Good — 12.2% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+12.4%
Fast-growing sales (+12.4% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
132%
Turns 132% of profit into real cash
Spare cash per sale
FCF Margin
10.1%
Modest free cash flow (10.1%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
0.22
Conservative — low debt load (0.22)
Covers its interest
Interest Cover
4.30x
Adequate interest coverage (4.3x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
22.8x
Growth-priced — P/E 22.8

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
+7.8
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (22.8 → 15.0)

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Dividends

Not applicable for this business.
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