0001639691-26-000035 | 10-Q | XBRL Viewer

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Shareholders’ Equity - Schedule of Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	$ 1,199,987	$ 1,320,258
Total other comprehensive (loss) income	(10,731)	37,442
Ending balance	1,211,326	1,034,298
Foreign Currency Translation Adjustments
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Beginning balance	7,330	(80,170)
Other comprehensive (loss) income before reclassifications, net of tax	(10,731)	37,442
Reclassification of amounts from AOCI, net of tax	0	0
Total other comprehensive (loss) income	(10,731)	37,442
Ending balance	$ (3,401)	$ (42,728)

- Definition

Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

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+ Details

Fair Value Measurements

3 Months Ended

Mar. 31, 2026

Fair Value Disclosures [Abstract]

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 months ended March 31, 2026 and 2025.

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):


	Total			Fair Value Measurements Using Inputs Considered as:
March 31, 2026			Level 1			Level 2			Level 3
Assets:

Derivative assets - 2029 Capped Calls	$	38,277		$	—		$	—		$	38,277
Investment in convertible notes receivable	3,000			—			—			3,000
	$	41,277		$	—		$	—		$	41,277
Liabilities:
Derivative liabilities - freestanding instruments (FX)	$	613		$	—		$	613		$	—
Derivative liabilities - 2029 Embedded Derivative	93,254			—			—			93,254
ImThera contingent consideration arrangements	102,730			—			—			102,730

	$	196,597		$	—		$	613		$	195,984


	Total			Fair Value Measurements Using Inputs Considered as:
December 31, 2025			Level 1			Level 2			Level 3
Assets
Derivative assets - freestanding instruments (FX)	$	165		$	—		$	165		$	—
Derivative assets - 2029 Capped Calls	36,551			—			—			36,551
Investment in convertible notes receivable	3,000			—			—			3,000
	$	39,716		$	—		$	165		$	39,551

Liabilities
Derivative liabilities - freestanding instruments (FX)	$	99		$	—		$	99		$	—
Derivative liabilities - 2029 Embedded Derivative	83,904			—			—			83,904
ImThera contingent consideration arrangements	92,075			—			—			92,075

	$	176,078		$	—		$	99		$	175,979

Reconciliation of Level 3 Assets and Liabilities

The tables below present reconciliations of recurring fair value measurements that use significant unobservable inputs (Level 3) (in thousands):


	Derivative Assets - 2029 Capped Calls (1)		Investment in Convertible Notes Receivable		Derivative Liabilities - 2029 Embedded Derivative (1)		ImThera Contingent Consideration Arrangements Liability
December 31, 2025	$	36,551	$	3,000	$	83,904	$	92,075
Changes in fair value (2)	1,726		—		9,350		10,655
March 31, 2026	$	38,277	$	3,000	$	93,254	$	102,730


	Derivative Assets - 2025 Capped Calls (1)		Derivative Assets - 2029 Capped Calls (1)		Derivative Liabilities - 2025 Embedded Derivative (1)		Derivative Liabilities - 2029 Embedded Derivative (1)		ImThera Contingent Consideration Arrangements Liability
December 31, 2024	$	2,624	$	23,735	$	2,915	$	51,819	$	84,218



Changes in fair value (2)	(1,819)		(6,545)		(2,041)		(14,593)		922
March 31, 2025	$	805	$	17,190	$	874	$	37,226	$	85,140

(1)Gains and losses are recorded in foreign exchange and other income/(expense) in the condensed consolidated statements of income (loss).

(2)For the three months ended March 31, 2026, the contingent consideration change in fair value resulted in an increase of $1.1 million recorded to cost of sales and an increase of $9.6 million recorded to R&D. For the three months ended March 31, 2025, the contingent consideration change in fair value was primarily recorded to R&D.

Share Price Volatility

The share price volatility utilized in determining the fair value of LivaNova’s 2029 Capped Call derivative assets and 2029 Embedded Derivative liability as of March 31, 2026 was 39%. In general, an increase in LivaNova’s share price or share 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 share 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 March 31, 2026:

ImThera Acquisition

Valuation Technique

Unobservable Input

Inputs

Regulatory milestone-based payment

Discounted cash flow

Discount rate

6.9%

Probability of payment (1)

100%

Projected payment year

2026

Sales-based earnout

Monte-Carlo simulation

Risk-adjusted discount rate

11.7%

Credit risk discount rate

7.4% - 7.7%

Revenue volatility

22.8%

Probability of payment

95%

Projected payment years

2028 - 2029

(1)In March 2026, the Company achieved the regulatory milestone upon PMA by the FDA. As a result, the probability of payment was increased to 100% and will be paid within 90 days of milestone achievement.

Other

The carrying value of LivaNova’s long-term debt including the current portion as of March 31, 2026 and December 31, 2025 was $285.3 million and $376.1 million, respectively. The fair value of the 2029 Notes, excluding the conversion feature, as of March 31, 2026 and December 31, 2025 was $306.0 million and $315.2 million, respectively. The fair value was estimated using a discounted cash flow model and is classified as Level 2 within the fair value hierarchy. For all other long-term debt obligations, LivaNova believes the carrying value approximates fair value. The fair values and principal values consider the terms of the related debt and exclude the impacts of debt discounts and hedging activity.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

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+ Details

Derivatives and Risk Management

3 Months Ended

Mar. 31, 2026

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Derivatives and Risk Management

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 2029 Notes, including exchange/conversion and settlement provisions based on the price of its ordinary shares at exchange/conversion or maturity of the 2029 Notes. The 2029 Capped Calls associated with the 2029 Notes also include settlement provisions that are based on the price of LivaNova’s ordinary shares, subject to a capped price per share.

These derivatives are intended to serve as economic hedges and follow the cash flows of the economic hedged item. LivaNova does not enter into derivative contracts for speculative purposes.

LivaNova had no designated hedging instruments as of March 31, 2026 and December 31, 2025.

Freestanding FX Derivatives

LivaNova uses freestanding derivative forward contracts to offset the variability of the value associated with intercompany loans denominated in a foreign currency. The gross notional amount of freestanding FX derivative contracts outstanding as of March 31, 2026 and December 31, 2025 was $128.2 million and $113.2 million, respectively. LivaNova recorded net losses of $2.2 million for the three months ended March 31, 2026 and net gains of $10.4 million for the three months ended March 31, 2025 from freestanding derivatives. These amounts, together with foreign currency remeasurement gains and losses on the underlying intercompany loans, 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). The Capped Call Transactions are measured at fair value using the Black-Scholes model utilizing observable and unobservable market data, including share price, remaining contractual term, expected volatility, risk-free interest rate, and expected dividend yield, as applicable. For additional information, refer to “Note 3. Fair Value Measurements,” and “Note 11. Supplemental Financial Information.”

2029 Capped Calls

In March 2024, LivaNova issued the 2029 Notes. In connection with the pricing of the 2029 Notes, the Company entered into related privately-negotiated capped call transactions with certain financial institutions. Under the 2029 Capped Calls, the Company purchased a capped call option with an initial strike price of $69.40 and an initial cap price of $94.28 per share. The strike price, which is subject to certain adjustments, corresponds to the initial conversion price of the 2029 Notes. The 2029 Capped Calls are intended to offset any cash payments and/or cash equivalent value of ordinary shares upon conversion of the 2029 Notes if the market value per ordinary share is greater than the strike price, with such offsets being subject to the initial cap price of $94.28 per share. However, the proceeds under the 2029 Capped Calls are limited to the initial cap price in the event the Company’s share price exceeds the cap price at the time of conversion. The 2029 Capped Calls expire on March 15, 2029, and must be settled in cash. The 2029 Capped Calls are subject to anti-dilution adjustments substantially similar to those applicable to the 2029 Notes and cover the number of LivaNova’s ordinary shares underlying the 2029 Notes. If the 2029 Capped Calls are terminated early, settlement occurs at their termination value, which is equal to their fair value at the time of the early termination.

2025 Capped Calls

In June 2020, LivaNova issued the 2025 Notes. In connection with the pricing of the 2025 Notes, the Company entered into related privately-negotiated capped call transactions with certain financial institutions. Under the 2025 Capped Calls, the Company purchased a capped call option with an initial strike price of $60.98 and an initial cap price of $100.00 per share. The strike price, subject to certain adjustments, corresponds to the initial exchange price of the 2025 Notes. The 2025 Capped Calls were intended to offset any cash payments upon exchange of the 2025 Notes in excess of the principal amount. In connection with the issuance of the 2029 Notes, the Company repurchased an aggregate principal amount of $230.0 million of the 2025 Notes and unwound a corresponding portion of the 2025 Capped Calls at the fair value of such portion of the 2025 Capped Calls. The Company received $22.5 million in cash consideration, the fair value of the terminated portion, upon settlement. The remaining 2025 Capped Calls expired with a fair value of zero on December 15, 2025.

Embedded Derivatives

The 2025 Notes included, and the 2029 Notes 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.”

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

March 31, 2026

Balance Sheet Location

Fair Value

Balance Sheet Location

Fair Value

Derivatives Not Designated as Hedging Instruments:

2029 Capped Calls

Long-term derivative assets

38,277

2029 Embedded Derivative

Long-term derivative liabilities

93,254

FX derivative contracts

Accrued liabilities and other

613

Total derivatives not designated as hedging instruments

38,277

93,867

Derivative Assets

Derivative Liabilities

December 31, 2025

Balance Sheet Location

Fair Value

Balance Sheet Location

Fair Value

Derivatives Not Designated as Hedging Instruments:

2029 Capped Calls

Long-term derivative assets

36,551

2029 Embedded Derivative

Long-term derivative liabilities

83,904

FX derivative contracts

Prepaid expenses and other current assets

165

Accrued liabilities and other

Total derivatives not designated as hedging instruments

36,716

84,003

- Definition

The entire disclosure for derivative instruments and hedging activities including, but not limited to, risk management strategies, non-hedging derivative instruments, assets, liabilities, revenue and expenses, and methodologies and assumptions used in determining the amounts.

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+ Details

Supplemental Financial Information - Schedule of Foreign Exchange and Other Income/(Expense) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Derivative Instruments, Gain (Loss) [Line Items]
Interest income	$ 3,552	$ 6,443
Impairment of investment	(1,132)	0
FX fluctuations	(589)	(610)
Investment revaluation - Ceribell, Inc.	0	(2,614)
Other	98	(73)
Foreign exchange and other income/(expense)	(5,695)	11,416
2029 Embedded Derivative \| 2029 Notes
Derivative Instruments, Gain (Loss) [Line Items]
Fair value adjustment	(9,350)	14,593
2029 Embedded Derivative \| 2025 Notes
Derivative Instruments, Gain (Loss) [Line Items]
Fair value adjustment	0	2,041
2029 Capped Calls \| 2029 Notes
Derivative Instruments, Gain (Loss) [Line Items]
Fair value adjustment	1,726	(6,545)
2029 Capped Calls \| 2025 Notes
Derivative Instruments, Gain (Loss) [Line Items]
Fair value adjustment	$ 0	$ (1,819)

Share-Based Incentive Plans - Schedule of Allocation of Share-Based Compensation Costs by Type of Arrangement (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	$ 8,270	$ 7,783
Service-based RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	4,438	3,548
Service-based SARs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	3,085	2,753
Market performance-based RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	168	414
Operating performance-based RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	226	821
Employee share purchase plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation expense	$ 353	$ 247

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

Income Taxes	3 Months Ended
Income Taxes	Mar. 31, 2026
Income Tax Disclosure [Abstract]
Income Taxes	Note 8. Income Taxes LivaNova’s effective income tax rate for the three months ended March 31, 2026 and 2025 was 15.8% and (3.7)%, respectively. The changes in the effective tax rates for the three months ended March 31, 2026, compared to the prior year period, were primarily attributable to year-over-year changes in income before income 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. LivaNova has accounted for the relevant changes within its annual effective tax rate and cash taxes. 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.

- Definition

The entire disclosure for income tax.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2026

Commitments and Contingencies Disclosure [Abstract]

Schedule of Litigation Provision Liability

The following table presents the changes in the litigation provision liability for the three months ended March 31, 2026 (in thousands):


As of December 31, 2025	$	15,602
Payments	(2,835)
Adjustments (1)	15
FX and other	(141)
As of March 31, 2026	12,641
Less: Current portion as of March 31, 2026	9,643
Long-term portion as of March 31, 2026 (2)	$	2,998

(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.

Supplemental Financial Information (Tables)

3 Months Ended

Mar. 31, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of Inventories

The following table presents the components of inventories (in thousands):


	March 31, 2026		December 31, 2025
Raw materials	$	72,313	$	75,800
Work-in-process	18,104		12,875
Finished goods	75,087		76,026
	$	165,504	$	164,701

Schedule of Accrued Liabilities and Other

The following table presents the components of accrued liabilities and other (in thousands):


	March 31, 2026		December 31, 2025
Legal and professional costs	$	24,616	$	18,396
Italian MedTech payback measure	13,329		12,839
Contract liabilities	16,198		11,510
Operating lease liabilities	8,959		8,788
Royalty accrual	4,824		4,758
Provisions for agents, returns, and other	4,362		5,322
Research and development costs	1,414		1,234
Current derivative liabilities	613		99
Interest payable	234		4,638
Other accrued expenses	28,100		26,989
	$	102,649	$	94,573

Schedule of Foreign Exchange and Other Income/(Expense)

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 March 31,
		2026		2025
Fair value adjustment - 2029 Embedded Derivative (1)		$	(9,350)	$	14,593
Interest income		3,552		6,443
Fair value adjustment - 2029 Capped Calls (1)		1,726		(6,545)
Impairment of investment		(1,132)		—
FX fluctuations		(589)		(610)
Investment revaluation - Ceribell, Inc.		—		(2,614)
Fair value adjustment - 2025 Embedded Derivative (1)		—		2,041
Fair value adjustment - 2025 Capped Calls (1)		—		(1,819)
Other		98		(73)
		$	(5,695)	$	11,416

(1)Refer to “Note 3. Fair Value Measurements.”

Commitments and Contingencies - Product Liability Litigation (Details) $ in Thousands	May 06, 2026 claim	Mar. 31, 2026 USD ($)	Dec. 31, 2025 USD ($)
Product Liability
Other Commitments [Line Items]
Loss contingency accrual \| $		$ 12,641	$ 15,602
Subsequent Event
Other Commitments [Line Items]
Number of claims \| claim	60

Fair Value Measurements - Schedule of Fair Value of Assets and Liabilities Measured on a Recurring Basis (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Assets:
Investment in convertible notes receivable	$ 3,000	$ 3,000
Total assets	41,277	39,716
Liabilities:
ImThera contingent consideration arrangements	102,730	92,075
Total liabilities	196,597	176,078
2029 Capped Calls \| 2029 Notes
Assets:
Derivative asset	38,277	36,551
Foreign exchange contract
Assets:
Derivative asset		165
Liabilities:
Derivative liability	613	99
2029 Embedded Derivative \| 2029 Notes
Liabilities:
Derivative liability	93,254	83,904
Level 1
Assets:
Investment in convertible notes receivable	0	0
Total assets	0	0
Liabilities:
ImThera contingent consideration arrangements	0	0
Total liabilities	0	0
Level 1 \| 2029 Capped Calls \| 2029 Notes
Assets:
Derivative asset	0	0
Level 1 \| Foreign exchange contract
Assets:
Derivative asset		0
Liabilities:
Derivative liability	0	0
Level 1 \| 2029 Embedded Derivative \| 2029 Notes
Liabilities:
Derivative liability	0	0
Level 2
Assets:
Investment in convertible notes receivable	0	0
Total assets	0	165
Liabilities:
ImThera contingent consideration arrangements	0	0
Total liabilities	613	99
Level 2 \| 2029 Capped Calls \| 2029 Notes
Assets:
Derivative asset	0	0
Level 2 \| Foreign exchange contract
Assets:
Derivative asset		165
Liabilities:
Derivative liability	613	99
Level 2 \| 2029 Embedded Derivative \| 2029 Notes
Liabilities:
Derivative liability	0	0
Level 3
Assets:
Investment in convertible notes receivable	3,000	3,000
Total assets	41,277	39,551
Liabilities:
ImThera contingent consideration arrangements	102,730	92,075
Total liabilities	195,984	175,979
Level 3 \| 2029 Capped Calls \| 2029 Notes
Assets:
Derivative asset	38,277	36,551
Level 3 \| Foreign exchange contract
Assets:
Derivative asset		0
Liabilities:
Derivative liability	0	0
Level 3 \| 2029 Embedded Derivative \| 2029 Notes
Liabilities:
Derivative liability	$ 93,254	$ 83,904

Financing Arrangements - Narrative (Details) - USD ($) $ in Thousands		3 Months Ended		12 Months Ended
	Jan. 08, 2026	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025	Mar. 08, 2024
Debt Instrument [Line Items]
Repayment of long-term debt obligations		$ 95,938	$ 4,375
Term Facilities
Debt Instrument [Line Items]
Repayment of long-term debt obligations	$ 95,900
Loss on debt extinguishment		900
Revolving Credit Facility
Debt Instrument [Line Items]
Borrowed funds		$ 0		$ 0
2029 Notes \| Senior Notes
Debt Instrument [Line Items]
Effective interest rate (as a percent)		9.84%
Debt discounts and issuance costs		$ 64,800		69,400
Revolving Credit Facility
Debt Instrument [Line Items]
Short-term debt		$ 2,500		$ 600
Effective interest rate (as a percent)		5.33%
Line of credit, maximum borrowing capacity					$ 225,000
Commitment fee (as a percent)		0.25%		0.25%

Fair Value Measurements - Narrative (Details) $ in Thousands	Mar. 31, 2026 USD ($)	Dec. 31, 2025 USD ($)
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt	$ 285,281	$ 376,063
2029 Notes \| 2029 Embedded Derivative \| Stock Price Volatility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Measurement input	0.39
2029 Notes \| Capped call derivatives \| Stock Price Volatility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Measurement input	0.39
2029 Notes \| Senior Notes
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt	$ 280,172	275,599
Debt instrument, fair value	$ 306,000	$ 315,200

- Definition

Fair value portion of debt instrument payable, including, but not limited to, notes payable and loans payable.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (bbb)(2)(i)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
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-Section 50
-Paragraph 2
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-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
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+ Details

Fair Value Measurements - Schedule of Recurring Fair Value Measurements Using Significant Unobservable Inputs (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Derivative Liabilities Embedded Derivative \| 2029 Notes \| 2029 Embedded Derivative
Liabilities Measured on Recurring Basis
As of beginning balance	$ 83,904	$ 51,819
Changes in fair value	9,350	(14,593)
As of ending balance	93,254	37,226
Derivative Liabilities Embedded Derivative \| 2025 Notes \| 2029 Embedded Derivative
Liabilities Measured on Recurring Basis
As of beginning balance		2,915
Changes in fair value		(2,041)
As of ending balance		874
ImThera Contingent Consideration Arrangements Liability
Liabilities Measured on Recurring Basis
As of beginning balance	92,075	84,218
Changes in fair value	10,655	922
As of ending balance	102,730	85,140
ImThera Contingent Consideration Arrangements Liability \| Cost of Sales
Liabilities Measured on Recurring Basis
Changes in fair value	1,100
ImThera Contingent Consideration Arrangements Liability \| Research and Development Expense
Liabilities Measured on Recurring Basis
Changes in fair value	9,600
Derivative Assets Capped Calls \| 2029 Notes \| 2029 Capped Calls
Assets Measured on Recurring Basis
As of beginning period	36,551	23,735
Changes in fair value	1,726	(6,545)
As of ending period	38,277	17,190
Derivative Assets Capped Calls \| 2025 Notes \| 2029 Capped Calls
Assets Measured on Recurring Basis
As of beginning period		2,624
Changes in fair value		(1,819)
As of ending period		$ 805
Investment in Convertible Notes Receivable
Assets Measured on Recurring Basis
As of beginning period	3,000
Changes in fair value	0
As of ending period	$ 3,000

Financing Arrangements

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Financing Arrangements

Note 4. Financing Arrangements

The following table presents a summary of LivaNova’s long-term debt obligations (in thousands):


	March 31, 2026		December 31, 2025		Maturity	Interest Rate
2029 Notes	$	280,172	$	275,599	March 2029	2.50%
Term Facilities	—		95,063
Other	5,109		5,401
Total long-term debt	285,281		376,063
Less: Current portion of long-term debt	121		30,878
Total long-term debt obligations	$	285,160	$	345,185

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 $2.5 million and $0.6 million as of March 31, 2026 and December 31, 2025, respectively, with an interest rate of 5.33% as of March 31, 2026.

On March 8, 2024, LivaNova and LivaNova USA entered into Incremental Facility Amendment No. 3, which provides for LivaNova USA to obtain revolving commitments in an aggregate principal amount of $225.0 million, and matures on March 8, 2029. There were no outstanding borrowings under the revolving facilities under the 2021 First Lien Credit Agreement as of March 31, 2026 and December 31, 2025. As of both March 31, 2026 and December 31, 2025, the applicable commitment fee percentage was 0.25% per annum. As of March 31, 2026, the Company was in compliance with the financial covenants contained in the 2021 First Lien Credit Agreement.

On January 8, 2026, LivaNova paid $95.9 million in an early repayment of the remaining amount outstanding under the Term Facilities in full. The early repayment resulted in the recognition of a loss on debt extinguishment of $0.9 million for the three months ended March 31, 2026, associated with the write-off of the remaining unamortized debt issuance costs, and is included within interest expense in the condensed consolidated statements of income (loss).

2029 Notes

The effective interest rate of the 2029 Notes was 9.84% as of March 31, 2026. The unamortized debt discount and issuance costs related to the 2029 Notes as of March 31, 2026 and December 31, 2025 were $64.8 million and $69.4 million, respectively. As of March 31, 2026, 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 in the condensed consolidated balance sheet as of March 31, 2026, and the 2029 Notes are not convertible for the three months ending June 30, 2026. For additional information regarding the 2029 Notes, refer to LivaNova’s 2025 Form 10-K.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 8A
-Publisher FASB
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Revision of Previously Issued Financial Statements (Tables)

3 Months Ended

Mar. 31, 2026

Accounting Changes and Error Corrections [Abstract]

Schedule of Corrections to Impacted Financial Statements

The following table presents a summary of the corrections to the impacted financial statement line items in the Company’s financial statements previously issued in the unaudited March 31, 2025 Quarterly Report on Form 10-Q (in thousands):


	Three Months Ended March 31, 2025
	As Previously Reported		Adjustment		As Revised
Cost of sales	$	96,080	$	4,521	$	100,601
Gross profit	220,775		(4,521)		216,254
Selling, general, and administrative	133,667		(4,521)		129,146

The following table presents a summary of the corrections to the impacted Cardiopulmonary disaggregated segment income table line items in “Note 10. Geographic and Segment Information” previously included in the unaudited March 31, 2025 Quarterly Report on Form 10-Q (in thousands):


	Three Months Ended March 31, 2025
	As Previously Reported		Adjustment		As Revised
Cost of sales	$	80,399	$	4,521	$	84,920
Selling, general, and administrative	58,480		(4,521)		53,959

Commitments and Contingencies- Saluggia Site Hazardous Substances (Details) - Saluggia, Italy € in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2020	Mar. 31, 2026 USD ($)	Mar. 31, 2026 EUR (€)	Dec. 31, 2025 USD ($)	Dec. 31, 2025 EUR (€)
Other Commitments [Line Items]
Period to demonstrate financial capacity (in years)	5 years
Estimate of possible loss		$ 41.0	€ 35.5	$ 41.8	€ 35.6
Maximum
Other Commitments [Line Items]
Estimate of possible loss		$ 54.6	€ 47.3

Shareholders’ Equity - Schedule of Shareholders’ Equity (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance (in shares)	55,535,181
Beginning balance	$ 1,199,987	$ 1,320,258
Share-based compensation plans	(224)	3,920
Net income (loss)	22,294	(327,322)
Other comprehensive (loss) income	$ (10,731)	37,442
Ending balance (in shares)	55,537,746
Ending balance	$ 1,211,326	$ 1,034,298
Ordinary Shares
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance (in shares)	55,535,000	54,438,000
Beginning balance	$ 84,564	$ 83,156
Share-based compensation plans (in shares)	3,000	1,003,000
Share-based compensation plans	$ 0	$ 1,290
Ending balance (in shares)	55,538,000	55,441,000
Ending balance	$ 84,564	$ 84,446
Additional Paid-In Capital
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance	2,254,980	2,220,658
Share-based compensation plans	(224)	3,920
Ending balance	2,254,756	2,224,578
Accumulated Other Comprehensive Income (Loss)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance	7,330	(80,170)
Other comprehensive (loss) income	(10,731)	37,442
Ending balance	(3,401)	(42,728)
Accumulated Deficit
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance	(1,145,721)	(903,250)
Net income (loss)	22,294	(327,322)
Ending balance	(1,123,427)	(1,230,572)
Treasury Shares
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance	(1,166)	(136)
Share-based compensation plans	0	(1,290)
Ending balance	$ (1,166)	$ (1,426)

Segment and Geographic Information (Tables)

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Schedule of Net Revenue by Operating Segments and Geographic Region

The following table presents net revenue by operating segment and geographic region (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary
United States		$	69,279	$	60,834
Europe (1)		57,304		44,507
Rest of World (1)		82,072		70,979
		208,655		176,320
Neuromodulation
United States		115,400		108,334
Europe (1)		18,348		15,194
Rest of World (1)		18,040		15,365
		151,788		138,893
Other Revenue (2)		1,815		1,642
Totals
United States		184,678		169,164
Europe (1)		75,652		59,701
Rest of World (1)		101,928		87,990
		$	362,258	$	316,855

(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.

Schedule of Segment Reporting Information, by Segment

The following table presents a reconciliation of segment income to consolidated income (loss) before income tax (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary		$	30,067	$	24,691
Neuromodulation		44,154		52,353
Segment income		74,221		77,044


Other expense		(32,750)		(28,427)
Operating income		41,471		48,617
SNIA environmental liability expense		—		(360,393)
Interest expense (1)		(8,291)		(15,286)

Foreign exchange and other income/(expense)		(5,695)		11,416
Income (loss) before income tax		$	27,485	$	(315,646)

(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 $4.8 million and $5.7 million for the three months ended March 31, 2026 and 2025, respectively.

The following table presents the components of segment income, including significant expenses, of LivaNova’s reportable segments (in thousands):


	Cardiopulmonary				Neuromodulation
	Three Months Ended March 31,				Three Months Ended March 31,
	2026		2025		2026		2025
Net revenue	$	208,655	$	176,320	$	151,788	$	138,893
Less:
Cost of sales	100,929		84,920		14,221		13,386


Selling, general, and administrative	59,849		53,959		52,619		47,570
Research and development	17,795		12,044		40,794		25,584
3T litigation provision	15		706		—		—
	$	30,067	$	24,691	$	44,154	$	52,353

The following table presents assets by reportable segment (in thousands):


	March 31, 2026		December 31, 2025
Cardiopulmonary	$	1,046,099	$	1,045,189
Neuromodulation	650,103		639,742
Other assets (1)	820,149		921,122
	$	2,516,351	$	2,606,053

(1)“Other assets” primarily include corporate assets not allocated to segments.

The following table presents capital expenditures by segment (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary		$	10,409	$	5,169
Neuromodulation		8,843		2,033
Other capital expenditures (1)		4,409		3,102
		$	23,661	$	10,304

(1)“Other capital expenditures” primarily includes corporate capital expenditures not allocated to segments.

Schedule of Changes in Carrying Amount of Goodwill

The following table presents changes in the carrying amount of goodwill by reportable segment for the three months ended March 31, 2026 (in thousands):


	Cardiopulmonary		Neuromodulation		Total
December 31, 2025	$	394,086	$	398,754	$	792,840

Foreign currency adjustments	(7,250)		—		(7,250)
March 31, 2026	$	386,836	$	398,754	$	785,590

Schedule of Property, Plant, and Equipment, Net by Geographic Region

The following table presents property, plant, and equipment, net by geographic region (in thousands):


	March 31, 2026		December 31, 2025
United States	$	86,404	$	79,499
Europe	152,886		147,303
Rest of World	16,193		15,801
	$	255,483	$	242,603

- Definition

Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule.

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+ Details

Supplemental Financial Information - Schedule of Accrued Liabilities and Other (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Legal and professional costs	$ 24,616	$ 18,396
Italian MedTech payback measure	13,329	12,839
Contract liabilities	16,198	11,510
Operating lease liabilities	8,959	8,788
Royalty accrual	4,824	4,758
Provisions for agents, returns, and other	4,362	5,322
Research and development costs	1,414	1,234
Current derivative liabilities	613	99
Interest payable	234	4,638
Other accrued expenses	28,100	26,989
Total accrued liabilities and other	$ 102,649	$ 94,573

Financing Arrangements (Tables)

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Schedule of Long-term Debt

The following table presents a summary of LivaNova’s long-term debt obligations (in thousands):


	March 31, 2026		December 31, 2025		Maturity	Interest Rate
2029 Notes	$	280,172	$	275,599	March 2029	2.50%
Term Facilities	—		95,063
Other	5,109		5,401
Total long-term debt	285,281		376,063
Less: Current portion of long-term debt	121		30,878
Total long-term debt obligations	$	285,160	$	345,185

- Definition

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+ Details

Financing Arrangements - Schedule of Long-term Debt (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Debt Instrument [Line Items]
Total long-term debt	$ 285,281	$ 376,063
Less: Current portion of long-term debt	121	30,878
Total long-term debt obligations	285,160	345,185
Senior Notes \| 2029 Notes
Debt Instrument [Line Items]
Total long-term debt	$ 280,172	275,599
Interest Rate	2.50%
Term Facilities
Debt Instrument [Line Items]
Total long-term debt	$ 0	95,063
Other
Debt Instrument [Line Items]
Total long-term debt	$ 5,109	$ 5,401

- Definition

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-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1I

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-Topic 835
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+ Details

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

+ Details

Revision of Previously Issued Financial Statements (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales	$ 118,509	$ 100,601
Gross profit	243,749	216,254
Selling, general, and administrative	143,568	129,146
Cardiopulmonary \| Operating Segments
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales	100,929	84,920
Selling, general, and administrative	$ 59,849	53,959
As Previously Reported
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales		96,080
Gross profit		220,775
Selling, general, and administrative		133,667
As Previously Reported \| Cardiopulmonary \| Operating Segments
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales		80,399
Selling, general, and administrative		58,480
Adjustment
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales		4,521
Gross profit		(4,521)
Selling, general, and administrative		(4,521)
Adjustment \| Cardiopulmonary \| Operating Segments
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Cost of sales		4,521
Selling, general, and administrative		$ (4,521)

- Definition

The aggregate costs related to goods produced and sold and services rendered by an entity during the reporting period. This excludes costs incurred during the reporting period related to financial services rendered and other revenue generating activities.

+ References + Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References + Details

- Definition

Aggregate revenue less cost of goods and services sold or operating expenses directly attributable to the revenue generation activity.

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- Definition

The aggregate total costs related to selling a firm's product and services, as well as all other general and administrative expenses. Direct selling expenses (for example, credit, warranty, and advertising) are expenses that can be directly linked to the sale of specific products. Indirect selling expenses are expenses that cannot be directly linked to the sale of specific products, for example telephone expenses, Internet, and postal charges. General and administrative expenses include salaries of non-sales personnel, rent, utilities, communication, etc.

+ References + Details

Income Taxes (Details)	3 Months Ended
Income Taxes (Details)	Mar. 31, 2026	Mar. 31, 2025
Income Tax Disclosure [Abstract]
Effective tax rate (as a percent)	15.80%	(3.70%)

Supplemental Financial Information

3 Months Ended

Mar. 31, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Supplemental Financial Information

Note 11. Supplemental Financial Information

The following table presents the components of inventories (in thousands):


	March 31, 2026		December 31, 2025
Raw materials	$	72,313	$	75,800
Work-in-process	18,104		12,875
Finished goods	75,087		76,026
	$	165,504	$	164,701

As of March 31, 2026 and December 31, 2025, inventories included adjustments totaling $19.1 million and $18.0 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):


	March 31, 2026		December 31, 2025
Legal and professional costs	$	24,616	$	18,396
Italian MedTech payback measure	13,329		12,839
Contract liabilities	16,198		11,510
Operating lease liabilities	8,959		8,788
Royalty accrual	4,824		4,758
Provisions for agents, returns, and other	4,362		5,322
Research and development costs	1,414		1,234
Current derivative liabilities	613		99
Interest payable	234		4,638
Other accrued expenses	28,100		26,989
	$	102,649	$	94,573

As of March 31, 2026 and December 31, 2025, contract liabilities totaling $20.8 million and $17.9 million, respectively, were included in accrued liabilities and other long-term liabilities in 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 March 31,
		2026		2025
Fair value adjustment - 2029 Embedded Derivative (1)		$	(9,350)	$	14,593
Interest income		3,552		6,443
Fair value adjustment - 2029 Capped Calls (1)		1,726		(6,545)
Impairment of investment		(1,132)		—
FX fluctuations		(589)		(610)
Investment revaluation - Ceribell, Inc.		—		(2,614)
Fair value adjustment - 2025 Embedded Derivative (1)		—		2,041
Fair value adjustment - 2025 Capped Calls (1)		—		(1,819)
Other		98		(73)
		$	(5,695)	$	11,416

(1)Refer to “Note 3. Fair Value Measurements.”

Commitments and Contingencies - Schedule of Litigation Provision Liability (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2026 USD ($)
Loss Contingency Accrual [Roll Forward]
Less: Current portion of litigation provision liability	$ 9,643
Long-term portion of litigation provision liability	2,998
Product Liability
Loss Contingency Accrual [Roll Forward]
Beginning liability	15,602
Payments	(2,835)
Adjustments	15
FX and other	(141)
Ending liability	$ 12,641

Segment and Geographic Information - Schedule of Property, Plant, and Equipment by Geographic Region (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Segment Reporting Information [Line Items]
Property, plant, and equipment, net	$ 255,483	$ 242,603
United States
Segment Reporting Information [Line Items]
Property, plant, and equipment, net	86,404	79,499
Europe
Segment Reporting Information [Line Items]
Property, plant, and equipment, net	152,886	147,303
Rest of World
Segment Reporting Information [Line Items]
Property, plant, and equipment, net	$ 16,193	$ 15,801

Segment and Geographic Information - Schedule of Net Revenue by Operating Segment & Geographic Region (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Net revenue	$ 362,258	$ 316,855
United States
Segment Reporting Information [Line Items]
Net revenue	184,678	169,164
Europe
Segment Reporting Information [Line Items]
Net revenue	75,652	59,701
Rest of World
Segment Reporting Information [Line Items]
Net revenue	101,928	87,990
Operating Segments \| Cardiopulmonary
Segment Reporting Information [Line Items]
Net revenue	208,655	176,320
Operating Segments \| Neuromodulation
Segment Reporting Information [Line Items]
Net revenue	151,788	138,893
Operating Segments \| United States \| Cardiopulmonary
Segment Reporting Information [Line Items]
Net revenue	69,279	60,834
Operating Segments \| United States \| Neuromodulation
Segment Reporting Information [Line Items]
Net revenue	115,400	108,334
Operating Segments \| Europe \| Cardiopulmonary
Segment Reporting Information [Line Items]
Net revenue	57,304	44,507
Operating Segments \| Europe \| Neuromodulation
Segment Reporting Information [Line Items]
Net revenue	18,348	15,194
Operating Segments \| Rest of World \| Cardiopulmonary
Segment Reporting Information [Line Items]
Net revenue	82,072	70,979
Operating Segments \| Rest of World \| Neuromodulation
Segment Reporting Information [Line Items]
Net revenue	18,040	15,365
Other
Segment Reporting Information [Line Items]
Net revenue	$ 1,815	$ 1,642

- Definition

Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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+ Details

Segment and Geographic Information - Schedule of Expenditures by Segment (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Capital expenditures	$ 23,661	$ 10,304
Operating Segments \| Cardiopulmonary
Segment Reporting Information [Line Items]
Capital expenditures	10,409	5,169
Operating Segments \| Neuromodulation
Segment Reporting Information [Line Items]
Capital expenditures	8,843	2,033
Other
Segment Reporting Information [Line Items]
Capital expenditures	$ 4,409	$ 3,102

Earnings (Loss) Per Share - Schedule of Earning (Loss) Per Share, Basic and Diluted (Details) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Numerator:
Net income (loss) - basic and diluted	$ 22,294	$ (327,322)
Denominator:
Basic weighted average shares outstanding (in shares)	54,688	54,421
Add: Dilutive effect of share-based compensation and convertible debt instruments (in shares)	1,256	0
Diluted weighted average shares outstanding (in shares)	55,944	54,421
Stock Compensation Plan
Denominator:
Antidilutive securities excluded from computation of income (loss) per share amount (in shares)	100	4,600

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Segment and Geographic Information

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Segment and Geographic Information

Note 10. Segment and Geographic 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 has two reportable segments: Cardiopulmonary and Neuromodulation.

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. This segment also includes the design and development of neurostimulation devices for treating OSA.

The following table presents net revenue by operating segment and geographic region (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary
United States		$	69,279	$	60,834
Europe (1)		57,304		44,507
Rest of World (1)		82,072		70,979
		208,655		176,320
Neuromodulation
United States		115,400		108,334
Europe (1)		18,348		15,194
Rest of World (1)		18,040		15,365
		151,788		138,893
Other Revenue (2)		1,815		1,642
Totals
United States		184,678		169,164
Europe (1)		75,652		59,701
Rest of World (1)		101,928		87,990
		$	362,258	$	316,855

(2)“Other Revenue” includes rental and site services income not allocated to segments.

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 and rental income. 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 income tax (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary		$	30,067	$	24,691
Neuromodulation		44,154		52,353
Segment income		74,221		77,044


Other expense		(32,750)		(28,427)
Operating income		41,471		48,617
SNIA environmental liability expense		—		(360,393)
Interest expense (1)		(8,291)		(15,286)

Foreign exchange and other income/(expense)		(5,695)		11,416
Income (loss) before income tax		$	27,485	$	(315,646)

The following table presents the components of segment income, including significant expenses, of LivaNova’s reportable segments (in thousands):


	Cardiopulmonary				Neuromodulation
	Three Months Ended March 31,				Three Months Ended March 31,
	2026		2025		2026		2025
Net revenue	$	208,655	$	176,320	$	151,788	$	138,893
Less:
Cost of sales	100,929		84,920		14,221		13,386


Selling, general, and administrative	59,849		53,959		52,619		47,570
Research and development	17,795		12,044		40,794		25,584
3T litigation provision	15		706		—		—
	$	30,067	$	24,691	$	44,154	$	52,353

The following table presents assets by reportable segment (in thousands):


	March 31, 2026		December 31, 2025
Cardiopulmonary	$	1,046,099	$	1,045,189
Neuromodulation	650,103		639,742
Other assets (1)	820,149		921,122
	$	2,516,351	$	2,606,053

(1)“Other assets” primarily include corporate assets not allocated to segments.

The following table presents capital expenditures by segment (in thousands):


	Three Months Ended March 31,
		2026		2025
Cardiopulmonary		$	10,409	$	5,169
Neuromodulation		8,843		2,033
Other capital expenditures (1)		4,409		3,102
		$	23,661	$	10,304

(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 three months ended March 31, 2026 (in thousands):


	Cardiopulmonary		Neuromodulation		Total
December 31, 2025	$	394,086	$	398,754	$	792,840

Foreign currency adjustments	(7,250)		—		(7,250)
March 31, 2026	$	386,836	$	398,754	$	785,590

Geographic Information

The following table presents property, plant, and equipment, net by geographic region (in thousands):


	March 31, 2026		December 31, 2025
United States	$	86,404	$	79,499
Europe	152,886		147,303
Rest of World	16,193		15,801
	$	255,483	$	242,603

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

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+ Details

Cover Page - shares	3 Months Ended
Cover Page - shares	Mar. 31, 2026	Apr. 29, 2026
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2026
Document Transition Report	false
Entity File Number	001-37599
Entity Registrant Name	LivaNova PLC
Entity Incorporation, State or Country Code	X0
Entity Tax Identification Number	98-1268150
Entity Address, Address Line One	20 Eastbourne Terrace
Entity Address, City or Town	London
Entity Address, Country	GB
Entity Address, Postal Zip Code	W2 6LG
Country Region	44
City Area Code	0
Local Phone Number	203 325-0660
Title of 12(b) Security	Ordinary Shares - £1.00 par value per share
Trading Symbol	LIVN
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding (in shares)		54,933,538
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2026
Document Fiscal Period Focus	Q1
Entity Central Index Key	0001639691

Share-Based Incentive Plans - Schedule of Stock-Based Compensation Agreements Issued (Details) shares in Thousands	3 Months Ended
	Mar. 31, 2026 $ / shares shares
Service-based RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares (in shares) \| shares	533
Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 61.27
Performance-based RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares (in shares) \| shares	188
Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 70.26
Award vesting period (in years)	3 years
Share-based compensation, percentage	100.00%
Performance-based RSUs \| Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation, percentage	0.00%
Performance-based RSUs \| Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation, percentage	200.00%

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

Revision of Previously Issued Financial Statements

3 Months Ended

Mar. 31, 2026

Accounting Changes and Error Corrections [Abstract]

Revision of Previously Issued Financial Statements

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).


	Three Months Ended March 31, 2025
	As Previously Reported		Adjustment		As Revised
Cost of sales	$	96,080	$	4,521	$	100,601
Gross profit	220,775		(4,521)		216,254
Selling, general, and administrative	133,667		(4,521)		129,146


	Three Months Ended March 31, 2025
	As Previously Reported		Adjustment		As Revised
Cost of sales	$	80,399	$	4,521	$	84,920
Selling, general, and administrative	58,480		(4,521)		53,959

Earnings (Loss) Per Share - Schedule of Basic and Diluted Income (Loss) Per Share (Details) - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Earnings Per Share [Abstract]
Basic earnings (loss) per share (in dollars per share)	$ 0.41	$ (6.01)
Diluted earnings (loss) per share (in dollars per share)	$ 0.40	$ (6.01)

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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+ Details

Fair Value Measurements (Tables)

3 Months Ended

Mar. 31, 2026

Fair Value Disclosures [Abstract]

Schedule of Fair Value of Assets and Liabilities Measured 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):


	Total			Fair Value Measurements Using Inputs Considered as:
March 31, 2026			Level 1			Level 2			Level 3
Assets:

Derivative assets - 2029 Capped Calls	$	38,277		$	—		$	—		$	38,277
Investment in convertible notes receivable	3,000			—			—			3,000
	$	41,277		$	—		$	—		$	41,277
Liabilities:
Derivative liabilities - freestanding instruments (FX)	$	613		$	—		$	613		$	—
Derivative liabilities - 2029 Embedded Derivative	93,254			—			—			93,254
ImThera contingent consideration arrangements	102,730			—			—			102,730

	$	196,597		$	—		$	613		$	195,984


	Total			Fair Value Measurements Using Inputs Considered as:
December 31, 2025			Level 1			Level 2			Level 3
Assets
Derivative assets - freestanding instruments (FX)	$	165		$	—		$	165		$	—
Derivative assets - 2029 Capped Calls	36,551			—			—			36,551
Investment in convertible notes receivable	3,000			—			—			3,000
	$	39,716		$	—		$	165		$	39,551

Liabilities
Derivative liabilities - freestanding instruments (FX)	$	99		$	—		$	99		$	—
Derivative liabilities - 2029 Embedded Derivative	83,904			—			—			83,904
ImThera contingent consideration arrangements	92,075			—			—			92,075

	$	176,078		$	—		$	99		$	175,979

Schedule of Recurring Fair Value Measurements Using Significant Unobservable Inputs

The tables below present reconciliations of recurring fair value measurements that use significant unobservable inputs (Level 3) (in thousands):


	Derivative Assets - 2029 Capped Calls (1)		Investment in Convertible Notes Receivable		Derivative Liabilities - 2029 Embedded Derivative (1)		ImThera Contingent Consideration Arrangements Liability
December 31, 2025	$	36,551	$	3,000	$	83,904	$	92,075
Changes in fair value (2)	1,726		—		9,350		10,655
March 31, 2026	$	38,277	$	3,000	$	93,254	$	102,730


	Derivative Assets - 2025 Capped Calls (1)		Derivative Assets - 2029 Capped Calls (1)		Derivative Liabilities - 2025 Embedded Derivative (1)		Derivative Liabilities - 2029 Embedded Derivative (1)		ImThera Contingent Consideration Arrangements Liability
December 31, 2024	$	2,624	$	23,735	$	2,915	$	51,819	$	84,218



Changes in fair value (2)	(1,819)		(6,545)		(2,041)		(14,593)		922
March 31, 2025	$	805	$	17,190	$	874	$	37,226	$	85,140

(1)Gains and losses are recorded in foreign exchange and other income/(expense) in the condensed consolidated statements of income (loss).

Schedule of Significant Unobservable Inputs Related to Contingent Consideration

These arrangements are Level 3 fair value measurements and include the following significant unobservable inputs as of March 31, 2026:

ImThera Acquisition

Valuation Technique

Unobservable Input

Inputs

Regulatory milestone-based payment

Discounted cash flow

Discount rate

6.9%

Probability of payment (1)

100%

Projected payment year

2026

Sales-based earnout

Monte-Carlo simulation

Risk-adjusted discount rate

11.7%

Credit risk discount rate

7.4% - 7.7%

Revenue volatility

22.8%

Probability of payment

95%

Projected payment years

2028 - 2029

Commitments and Contingencies - SNIA Environmental Litigation (Details)	1 Months Ended	3 Months Ended		12 Months Ended
	Feb. 28, 2022 EUR (€)	Mar. 31, 2026 USD ($)	Mar. 31, 2026 EUR (€)	Dec. 31, 2016 EUR (€)	Mar. 31, 2026 EUR (€)	Dec. 31, 2025 USD ($)	Dec. 31, 2021 EUR (€)	Mar. 31, 2019 EUR (€)
Other Commitments [Line Items]
Reimbursed legal fees		$ 336,677		€ 292,000
Imposed cost		125,400,000			€ 108,800,000
SNIA environmental liability		389,485,000				$ 396,242,000
SNIA
Other Commitments [Line Items]
Loss contingency, damages awarded and subsequently dismissed		181,300,000	€ 157,300,000
SNIA environmental liability		389,500,000			€ 337,800,000
SNIA \| Pending Litigation
Other Commitments [Line Items]
Estimate of possible loss		659,600,000
SNIA \| Pending Litigation \| SNIA s.p.a
Other Commitments [Line Items]
Compensation sought		4,000,000,000.0
Non-privileged creditor, amount		523,000,000.0
SNIA \| Judicial Ruling
Other Commitments [Line Items]
Estimate of possible loss \| €							€ 453,600,000	€ 572,100,000
SNIA \| Judicial Ruling \| Surety Bond
Other Commitments [Line Items]
SNIA litigation guarantee	€ 270,000,000.0	$ 311,300,000

Commitments and Contingencies - Italian MedTech Payback Measure (Details) - Italian MedTech Payback - Pending Litigation € in Millions, $ in Millions	1 Months Ended		3 Months Ended
	Sep. 30, 2025 USD ($)	Sep. 30, 2025 EUR (€)	Mar. 31, 2026 USD ($)	Dec. 31, 2025 USD ($)
Other Commitments [Line Items]
Bond required to be posted		€ 3.5	$ 4.0
Loss contingency accrual, period increase (decrease)	$ 3.8
Estimate of possible loss			$ 13.3	$ 12.8

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2026
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

New Accounting Pronouncements (Tables)

3 Months Ended

Mar. 31, 2026

Accounting Standards Update and Change in Accounting Principle [Abstract]

Schedule of New Accounting Pronouncements and Changes in Accounting Principles

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

November 2024 ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—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.

September 2025 ASU No. 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-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.

Shareholders’ Equity

3 Months Ended

Mar. 31, 2026

Stockholders' Equity Note [Abstract]

Shareholders’ Equity

Note 6. Shareholders’ Equity

The tables below present the condensed consolidated statements of shareholders’ equity as of and for the three months ended March 31, 2026 and 2025 (in thousands):


	Ordinary Shares	Ordinary Shares - Amount		Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Accumulated Deficit		Treasury Shares		Total Shareholders’ Equity
December 31, 2025	55,535	$	84,564	$	2,254,980	$	7,330	$	(1,145,721)	$	(1,166)	$	1,199,987
Share-based compensation plans	3	—		(224)		—		—		—		(224)
Net income	—	—		—		—		22,294		—		22,294
Other comprehensive loss	—	—		—		(10,731)		—		—		(10,731)
March 31, 2026	55,538	$	84,564	$	2,254,756	$	(3,401)	$	(1,123,427)	$	(1,166)	$	1,211,326

December 31, 2024	54,438	$	83,156	$	2,220,658	$	(80,170)	$	(903,250)	$	(136)	$	1,320,258
Share-based compensation plans	1,003	1,290		3,920		—		—		(1,290)		3,920
Net loss	—	—		—		—		(327,322)		—		(327,322)
Other comprehensive income	—	—		—		37,442		—		—		37,442
March 31, 2025	55,441	$	84,446	$	2,224,578	$	(42,728)	$	(1,230,572)	$	(1,426)	$	1,034,298

The tables below present the changes in AOCI, net of tax, for the three months ended March 31, 2026 and 2025 (in thousands):


	Foreign Currency Translation Adjustments (1)
December 31, 2025	$	7,330


Other comprehensive loss before reclassifications, net of tax	(10,731)


Reclassification of amounts from AOCI, net of tax	—
Net current-period other comprehensive loss, net of tax	(10,731)
March 31, 2026	$	(3,401)

(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, 2024	$	(80,170)


Other comprehensive income before reclassifications, net of tax	37,442


Reclassification of amounts from AOCI, net of tax	—
Net current-period other comprehensive income, net of tax	37,442
March 31, 2025	$	(42,728)

(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.

- Definition

The entire disclosure for equity.

+ References

+ Details

Segment and Geographic Information - Narrative (Details)	3 Months Ended
	Mar. 31, 2026 segment
Segment Reporting [Abstract]
Number of reportable segments	2

Segment and Geographic Information - Schedule of Reconciliation of Segment Income (Loss) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Operating income	$ 41,471	$ 48,617
SNIA environmental liability expense	0	(360,393)
Interest expense	(8,291)	(15,286)
Foreign exchange and other income/(expense)	(5,695)	11,416
Income (loss) before income tax	27,485	(315,646)
Amortization of debt issuance costs	4,769	5,676
Operating Segments
Segment Reporting Information [Line Items]
Operating income	74,221	77,044
Operating Segments \| Cardiopulmonary
Segment Reporting Information [Line Items]
Operating income	30,067	24,691
Operating Segments \| Neuromodulation
Segment Reporting Information [Line Items]
Operating income	44,154	52,353
Other
Segment Reporting Information [Line Items]
Operating income	$ (32,750)	$ (28,427)

Segment and Geographic Information - Schedule of Segment Income of LivaNova’s Reportable Segments (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting Information [Line Items]
Net revenue	$ 362,258	$ 316,855
Cost of sales	118,509	100,601
Selling, general, and administrative	143,568	129,146
Research and development	58,695	37,879
Operating income	41,471	48,617
Operating Segments
Segment Reporting Information [Line Items]
Operating income	74,221	77,044
Operating Segments \| Cardiopulmonary
Segment Reporting Information [Line Items]
Net revenue	208,655	176,320
Cost of sales	100,929	84,920
Selling, general, and administrative	59,849	53,959
Research and development	17,795	12,044
3T litigation provision	15	706
Operating income	30,067	24,691
Operating Segments \| Neuromodulation
Segment Reporting Information [Line Items]
Net revenue	151,788	138,893
Cost of sales	14,221	13,386
Selling, general, and administrative	52,619	47,570
Research and development	40,794	25,584
3T litigation provision	0	0
Operating income	$ 44,154	$ 52,353

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS) (UNAUDITED) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Income Statement [Abstract]
Net revenue	$ 362,258	$ 316,855
Cost of sales	118,509	100,601
Gross profit	243,749	216,254
Operating expenses:
Selling, general, and administrative	143,568	129,146
Research and development	58,695	37,879
Other operating expense	15	612
Operating income	41,471	48,617
SNIA environmental liability expense	0	(360,393)
Interest expense	(8,291)	(15,286)
Foreign exchange and other income/(expense)	(5,695)	11,416
Income (loss) before income tax	27,485	(315,646)
Income tax expense	4,340	11,656
Loss from equity method investments	(851)	(20)
Net income (loss)	$ 22,294	$ (327,322)
Basic earnings (loss) per share (in dollars per share)	$ 0.41	$ (6.01)
Diluted earnings (loss) per share (in dollars per share)	$ 0.40	$ (6.01)
Basic weighted average shares outstanding (in shares)	54,688	54,421
Diluted weighted average shares outstanding (in shares)	55,944	54,421

Segment and Geographic Information - Schedule of Changes in Carrying Amount of Goodwill (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2026 USD ($)
Goodwill
Goodwill, beginning	$ 792,840
Foreign currency adjustments	(7,250)
Goodwill, ending	785,590
Cardiopulmonary
Goodwill
Goodwill, beginning	394,086
Foreign currency adjustments	(7,250)
Goodwill, ending	386,836
Neuromodulation
Goodwill
Goodwill, beginning	398,754
Foreign currency adjustments	0
Goodwill, ending	$ 398,754

- Definition

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 350
-SubTopic 20
-Name Accounting Standards Codification
-Section 55
-Paragraph 24
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482548/350-20-55-24

Reference 2: http://www.xbrl.org/2003/role/exampleRef
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Reference 3: http://www.xbrl.org/2003/role/exampleRef
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Reference 5: http://www.xbrl.org/2003/role/exampleRef
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Reference 6: http://www.xbrl.org/2003/role/exampleRef
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Reference 7: http://www.xbrl.org/2003/role/exampleRef
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-Paragraph 100
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Reference 8: http://www.xbrl.org/2003/role/exampleRef
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Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 210
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(15))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
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Reference 13: http://www.xbrl.org/2003/role/disclosureRef
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-Section S99
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Reference 14: http://www.xbrl.org/2009/role/commonPracticeRef
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-Section 50
-Paragraph 4
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479581/805-30-50-4

+ Details

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Current Assets:
Cash and cash equivalents	$ 539,706	$ 635,552
Accounts receivable, net of allowance of $10,309 as of March 31, 2026 and $12,527 as of December 31, 2025	229,273	215,985
Inventories	165,504	164,701
Prepaid and refundable taxes	41,272	48,606
Prepaid expenses and other current assets	38,482	36,769
Total Current Assets	1,014,237	1,101,613
Property, plant, and equipment, net	255,483	242,603
Goodwill	785,590	792,840
Intangible assets, net	224,556	229,964
Operating lease assets	54,532	55,519
Investments	18,492	20,291
Deferred tax assets	109,816	110,983
Long-term derivative assets	38,277	36,551
Other assets	15,368	15,689
Total Assets	2,516,351	2,606,053
Current Liabilities:
Current debt obligations	2,628	31,472
Accounts payable	99,148	97,157
Accrued liabilities and other	102,649	94,573
SNIA environmental liability	389,485	396,242
Current contingent consideration	59,589	50,030
Current litigation provision liability	9,643	12,552
Taxes payable	41,704	33,133
Accrued employee compensation and related benefits	57,632	92,913
Total Current Liabilities	762,478	808,072
Long-term debt obligations	285,160	345,185
Long-term contingent consideration	43,141	42,045
Deferred tax liabilities	6,812	9,590
Long-term operating lease liabilities	46,696	48,327
Long-term employee compensation and related benefits	13,105	13,574
Long-term derivative liabilities	93,254	83,904
Other long-term liabilities	54,379	55,369
Total Liabilities	1,305,025	1,406,066
Commitments and contingencies (Note 5)
Shareholders’ Equity:
Ordinary Shares, £1.00 par value: Unlimited shares authorized; 55,537,746 shares issued and 54,901,316 shares outstanding as of March 31, 2026; 55,535,181 shares issued and 54,649,085 shares outstanding as of December 31, 2025	84,564	84,564
Additional paid-in capital	2,254,756	2,254,980
Accumulated other comprehensive (loss) income	(3,401)	7,330
Accumulated deficit	(1,123,427)	(1,145,721)
Treasury shares at cost, 636,430 ordinary shares as of March 31, 2026; 886,096 ordinary shares as of December 31, 2025	(1,166)	(1,166)
Total Shareholders’ Equity	1,211,326	1,199,987
Total Liabilities and Shareholders’ Equity	$ 2,516,351	$ 2,606,053

Earnings (Loss) Per Share

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

Earnings (Loss) Per Share

Note 9. Earnings (Loss) Per Share

The following table presents basic and diluted earnings (loss) per share:


	Three Months Ended March 31,
		2026		2025
Basic earnings (loss) per share		$	0.41	$	(6.01)
Diluted earnings (loss) per share		0.40		(6.01)

The following table presents the reconciliations of net income (loss) and weighted average shares outstanding used in the calculations of basic and diluted earnings (loss) per share (in thousands):


	Three Months Ended March 31,
		2026		2025
Numerator (1):
Net income (loss) - basic and diluted		$	22,294	$	(327,322)




Denominator:
Basic weighted average shares outstanding		54,688		54,421
Add: Dilutive effect of share-based compensation and convertible debt instruments (1) (2)		1,256		—
Diluted weighted average shares outstanding		55,944		54,421

(1)For the three months ended March 31, 2026 and 2025, the 2029 Notes were outstanding and potentially dilutive securities but were excluded from the computation of diluted earnings (loss) per share because their effect would have been anti-dilutive.

(2)Excluded from the computation of diluted earnings (loss) per share were shares underlying stock options, SARs, and RSUs totaling 0.1 million and 4.6 million for the three months ended March 31, 2026 and 2025, respectively, because to include them would have been anti-dilutive under the treasury stock method.

Share-Based Incentive Plans

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Share-Based Incentive Plans

Note 7. Share-Based Incentive Plans

Share-Based Compensation Expense

The following table presents the amounts of share-based compensation expense recognized in LivaNova’s condensed consolidated statements of income (loss) by type of arrangement (in thousands):


	Three Months Ended March 31,
		2026		2025
Service-based RSUs		$	4,438	$	3,548
Service-based SARs		3,085		2,753
Market performance-based RSUs		168		414
Operating performance-based RSUs		226		821
Employee share purchase plan		353		247
		$	8,270	$	7,783

Share-based compensation granted for the three months ended March 31, 2026, representing potential shares and their weighted average grant date fair values by type, is as follows (shares in thousands, fair value in dollars):


	Three Months Ended March 31, 2026
	Shares	Weighted Average Grant Date Fair Value
Service-based RSUs	533	$	61.27
Performance-based RSUs (1) (2)	188	70.26

(1)Awards cliff vest after three years and are subject to performance conditions, including the rank of LivaNova’s total shareholder return for the three-year period ending December 31, 2028 relative to the total shareholder returns of the S&P Healthcare Equipment Select Constituents index, as well as the achievement of specified cumulative revenue growth and adjusted EPS performance thresholds.

(2)Represents shares based on an assumed 100% performance achievement. Performance-based RSU awards have a minimum and maximum possible achievement level of 0% and 200%, respectively.

Derivatives and Risk Management (Tables)

3 Months Ended

Mar. 31, 2026

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of Fair Value of Derivative Instruments in Statement of Financial Position

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

March 31, 2026

Balance Sheet Location

Fair Value

Balance Sheet Location

Fair Value

Derivatives Not Designated as Hedging Instruments:

2029 Capped Calls

Long-term derivative assets

38,277

2029 Embedded Derivative

Long-term derivative liabilities

93,254

FX derivative contracts

Accrued liabilities and other

613

Total derivatives not designated as hedging instruments

38,277

93,867

Derivative Assets

Derivative Liabilities

December 31, 2025

Balance Sheet Location

Fair Value

Balance Sheet Location

Fair Value

Derivatives Not Designated as Hedging Instruments:

2029 Capped Calls

Long-term derivative assets

36,551

2029 Embedded Derivative

Long-term derivative liabilities

83,904

FX derivative contracts

Prepaid expenses and other current assets

165

Accrued liabilities and other

Total derivatives not designated as hedging instruments

36,716

84,003

Supplemental Financial Information - Narrative (Details) - USD ($) $ in Millions	Mar. 31, 2026	Dec. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Provision for obsolescence	$ 19.1	$ 18.0
Contract liability	$ 20.8	$ 17.9

Fair Value Measurements - Schedule of Significant Unobservable Inputs Related to Contingent Consideration (Details) - ImThera - Level 3	3 Months Ended
	Mar. 31, 2026
Discounted cash flow \| Discount rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.069
Discounted cash flow \| Probability of payment
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	1
Milestone achievement, payment due, period	90 days
Monte-Carlo simulation \| Probability of payment
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.95
Monte-Carlo simulation \| Risk-adjusted discount rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.117
Monte-Carlo simulation \| Revenue volatility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.228
Minimum \| Monte-Carlo simulation \| Credit risk discount rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.074
Maximum \| Monte-Carlo simulation \| Credit risk discount rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable input	0.077

Derivatives and Risk Management - Schedule of Fair Value of Derivative Instruments in Statement of Financial Position (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Derivatives, Fair Value [Line Items]
Long-term derivative assets	$ 38,277	$ 36,551
Long-term derivative liabilities	93,254	83,904
Accrued liabilities and other	613	99
2029 Capped Calls \| 2029 Notes
Derivatives, Fair Value [Line Items]
Derivative assets	38,277	36,551
2029 Embedded Derivative \| 2029 Notes
Derivatives, Fair Value [Line Items]
Derivative liability	93,254	83,904
FX derivative contracts
Derivatives, Fair Value [Line Items]
Derivative assets		165
Derivative liability	613	99
Derivatives Not Designated as Hedging Instruments:
Derivatives, Fair Value [Line Items]
Derivative assets	38,277	36,716
Derivative liability	93,867	84,003
Derivatives Not Designated as Hedging Instruments: \| 2029 Capped Calls \| 2029 Notes
Derivatives, Fair Value [Line Items]
Long-term derivative assets	38,277	36,551
Derivatives Not Designated as Hedging Instruments: \| 2029 Embedded Derivative \| 2029 Notes
Derivatives, Fair Value [Line Items]
Long-term derivative liabilities	93,254	83,904
Derivatives Not Designated as Hedging Instruments: \| FX derivative contracts
Derivatives, Fair Value [Line Items]
Prepaid expenses and other current assets		165
Accrued liabilities and other	$ 613	$ 99

Supplemental Financial Information - Schedule of Inventories (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Raw materials	$ 72,313	$ 75,800
Work-in-process	18,104	12,875
Finished goods	75,087	76,026
Total inventories	$ 165,504	$ 164,701

Commitments and Contingencies

3 Months Ended

Mar. 31, 2026

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

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 March 31, 2026 was $41.0 million (€35.5 million), which represented the estimated low end of the range of loss, with an estimated maximum end of the range of loss of $54.6 million (€47.3 million). The estimated liability as of December 31, 2025 was $41.8 million (€35.6 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. 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 2015, Sorin was merged into LivaNova.

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 ($336,677 as of March 31, 2026) for legal fees. The Public Administrations appealed the 2016 Decision to the Court of Appeal. In March 2019, the Court of Appeal issued a partial decision on the merits declaring 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 ($659.6 million as of March 31, 2026). 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 ($523.0 million as of March 31, 2026). LivaNova appealed the decision on damages in December 2021. In February 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, subject to LivaNova providing a first demand bank guarantee of €270.0 million ($311.3 million as of March 31, 2026); LivaNova delivered the SNIA Litigation Guarantee in March 2022.

In November 2022, the Italian Supreme Court issued 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. In July 2024, the ECJ issued a judgment, stating 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 ($181.3 million as of March 31, 2026). The case was 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.

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, the Public Administrations 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 Public Administrations 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 ($125.4 million as of March 31, 2026) at a minimum. These assertions are counter to the decision of the Italian Supreme Court’s judgment, which disapproved costs of €157.3 million ($181.3 million as of March 31, 2026). The Public Administrations’ filing is not a legal judgment or demand for payment.

At a hearing on January 28, 2026, the Court of Appeal scheduled a hearing for June 24, 2026 to allow the parties to discuss a possible out-of-court resolution of the matter. Discussions remain ongoing, and there can be no assurance that they will result in a settlement.

As a result of the March 14, 2025 decision by the Italian Supreme Court, the Company recorded a current liability in the first quarter of 2025. As of March 31, 2026, the current liability on the consolidated balance sheet was €337.8 million ($389.5 million), representing the Company’s best estimate 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). As of the date of this filing, the Company believes the amount recorded for the SNIA matter remains its best estimate and has determined that it has sufficient resources to satisfy the liability.

Product Liability Litigation

The Company continues to be involved in litigation involving LivaNova’s 3T device. The litigation includes the cases remaining in the federal multi-district litigation in the U.S. District Court for the Middle District of Pennsylvania and various U.S. state courts, as well as claims in jurisdictions outside the United States. As of May 6, 2026, the Company was aware of approximately 60 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.

As of March 31, 2026 and December 31, 2025, the provision for these matters was $12.6 million and $15.6 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 three months ended March 31, 2026 (in thousands):


As of December 31, 2025	$	15,602
Payments	(2,835)
Adjustments (1)	15
FX and other	(141)
As of March 31, 2026	12,641
Less: Current portion as of March 31, 2026	9,643
Long-term portion as of March 31, 2026 (2)	$	2,998

(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 2024, the Constitutional Court upheld the payback law, and it entered into force in August 2025. In June 2025, the Italian government introduced a settlement mechanism for 2015-2018 obligations, in which the Company elected to participate. In September 2025, the Company paid €3.5 million ($4.0 million as of March 31, 2026), representing full settlement of its obligations for that period, and reversed the remaining $3.8 million reserve associated with those years. As of March 31, 2026 and December 31, 2025, the Company had a reserve of $13.3 million and $12.8 million, respectively, reflecting its best estimate of the full potential obligation for 2019 to present; however, the actual liability could vary. 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).

Other Matters

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 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 condition, and/or cash flows.

Unaudited Condensed Consolidated Financial Statements	3 Months Ended
Unaudited Condensed Consolidated Financial Statements	Mar. 31, 2026
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Unaudited Condensed Consolidated Financial Statements	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 months ended March 31, 2026 and 2025 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, 2025 has been derived from audited consolidated financial statements contained in LivaNova’s 2025 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 months ended March 31, 2026, and are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. The financial information presented herein should be read in conjunction with the audited consolidated financial statements and notes thereto accompanying LivaNova’s 2025 Form 10-K. 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 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 (loss) 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 shareholders’ equity for the above period. The Company has revised the previously issued condensed consolidated statements of income (loss) for the three months ended March 31, 2025 to correct for the error, and these revisions are reflected in this Form 10-Q. 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 2025 Form 10-K.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Operating Activities:
Net income (loss)	$ 22,294	$ (327,322)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Remeasurement of contingent consideration to fair value	10,655	922
Remeasurement of derivative instruments	9,795	(18,717)
Depreciation	8,300	6,419
Share-based compensation	8,270	7,783
Amortization of debt issuance costs	4,769	5,676
Amortization of intangible assets	4,563	4,215
Amortization of operating lease assets	2,732	4,037
Deferred income tax expense	1,824	2,244
Impairments of investments	1,132	0
Loss on investment revaluation - Ceribell, Inc.	0	2,614
Other	1,174	11
Changes in operating assets and liabilities:
Accounts receivable, net	(14,669)	(3,896)
Inventories	(1,546)	(2,494)
Other current and non-current assets	(4,199)	6,437
Accounts payable and accrued current and non-current liabilities	(38,771)	(30,516)
Taxes payable	1,713	5,934
Litigation provision liability	(2,820)	226
SNIA environmental liability	0	360,393
Net cash provided by operating activities	15,216	23,966
Investing Activities:
Purchases of property, plant, and equipment	(14,290)	(10,790)
Other	(290)	162
Net cash used in investing activities	(14,580)	(10,628)
Financing Activities:
Repayment of long-term debt obligations	(95,938)	(4,375)
Other	1,693	(46)
Net cash used in financing activities	(94,245)	(4,421)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	(2,237)	5,964
Net (decrease) increase in cash, cash equivalents, and restricted cash	(95,846)	14,881
Cash, cash equivalents, and restricted cash at beginning of period	635,552	723,556
Cash and cash equivalents at end of period	539,706	738,437
Supplemental noncash investing and financing transactions:
Capital expenditures included in accounts payable	$ 10,461	$ 2,379

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 22,294	$ (327,322)
Other comprehensive (loss) income
Foreign currency translation adjustments	(10,731)	37,442
Total other comprehensive (loss) income	(10,731)	37,442
Total comprehensive income (loss)	$ 11,563	$ (289,880)

- Definition

Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners.

+ References + Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

Earnings (Loss) Per Share (Tables)

3 Months Ended

Mar. 31, 2026

Earnings Per Share [Abstract]

Schedule of Basic and Diluted Earnings (Loss) Per Share

The following table presents basic and diluted earnings (loss) per share:


	Three Months Ended March 31,
		2026		2025
Basic earnings (loss) per share		$	0.41	$	(6.01)
Diluted earnings (loss) per share		0.40		(6.01)

The following table presents the reconciliations of net income (loss) and weighted average shares outstanding used in the calculations of basic and diluted earnings (loss) per share (in thousands):


	Three Months Ended March 31,
		2026		2025
Numerator (1):
Net income (loss) - basic and diluted		$	22,294	$	(327,322)




Denominator:
Basic weighted average shares outstanding		54,688		54,421
Add: Dilutive effect of share-based compensation and convertible debt instruments (1) (2)		1,256		—
Diluted weighted average shares outstanding		55,944		54,421

Shareholders’ Equity (Tables)

3 Months Ended

Mar. 31, 2026

Stockholders' Equity Note [Abstract]

Schedule of Shareholders’ Equity

The tables below present the condensed consolidated statements of shareholders’ equity as of and for the three months ended March 31, 2026 and 2025 (in thousands):


	Ordinary Shares	Ordinary Shares - Amount		Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Accumulated Deficit		Treasury Shares		Total Shareholders’ Equity
December 31, 2025	55,535	$	84,564	$	2,254,980	$	7,330	$	(1,145,721)	$	(1,166)	$	1,199,987
Share-based compensation plans	3	—		(224)		—		—		—		(224)
Net income	—	—		—		—		22,294		—		22,294
Other comprehensive loss	—	—		—		(10,731)		—		—		(10,731)
March 31, 2026	55,538	$	84,564	$	2,254,756	$	(3,401)	$	(1,123,427)	$	(1,166)	$	1,211,326

December 31, 2024	54,438	$	83,156	$	2,220,658	$	(80,170)	$	(903,250)	$	(136)	$	1,320,258
Share-based compensation plans	1,003	1,290		3,920		—		—		(1,290)		3,920
Net loss	—	—		—		—		(327,322)		—		(327,322)
Other comprehensive income	—	—		—		37,442		—		—		37,442
March 31, 2025	55,441	$	84,446	$	2,224,578	$	(42,728)	$	(1,230,572)	$	(1,426)	$	1,034,298

Schedule of Accumulated Other Comprehensive Income (Loss)

The tables below present the changes in AOCI, net of tax, for the three months ended March 31, 2026 and 2025 (in thousands):


	Foreign Currency Translation Adjustments (1)
December 31, 2025	$	7,330


Other comprehensive loss before reclassifications, net of tax	(10,731)


Reclassification of amounts from AOCI, net of tax	—
Net current-period other comprehensive loss, net of tax	(10,731)
March 31, 2026	$	(3,401)

(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, 2024	$	(80,170)


Other comprehensive income before reclassifications, net of tax	37,442


Reclassification of amounts from AOCI, net of tax	—
Net current-period other comprehensive income, net of tax	37,442
March 31, 2025	$	(42,728)

(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.

New Accounting Pronouncements

3 Months Ended

Mar. 31, 2026

Accounting Standards Update and Change in Accounting Principle [Abstract]

New Accounting Pronouncements

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

November 2024 ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses

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 for Internal-Use Software

LivaNova is currently evaluating the effect this standard will have on the Company’s consolidated financial statements and related disclosures.

- Definition

The entire disclosure for change in accounting principle. Includes, but is not limited to, nature, reason, and method of adopting amendment to accounting standards or other change in accounting principle.

+ References

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+ Details

Share-Based Incentive Plans (Tables)

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Schedule of Allocation of Share-Based Compensation Costs by Type of Arrangement

The following table presents the amounts of share-based compensation expense recognized in LivaNova’s condensed consolidated statements of income (loss) by type of arrangement (in thousands):


	Three Months Ended March 31,
		2026		2025
Service-based RSUs		$	4,438	$	3,548
Service-based SARs		3,085		2,753
Market performance-based RSUs		168		414
Operating performance-based RSUs		226		821
Employee share purchase plan		353		247
		$	8,270	$	7,783

Schedule of Share-Based Compensation Agreements Granted


	Three Months Ended March 31, 2026
	Shares	Weighted Average Grant Date Fair Value
Service-based RSUs	533	$	61.27
Performance-based RSUs (1) (2)	188	70.26

(2)Represents shares based on an assumed 100% performance achievement. Performance-based RSU awards have a minimum and maximum possible achievement level of 0% and 200%, respectively.

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) (Parenthetical) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2026 USD ($) shares	Dec. 31, 2025 USD ($) shares	Mar. 31, 2026 £ / shares	Dec. 31, 2025 £ / shares
Statement of Financial Position [Abstract]
Allowance for doubtful accounts \| $	$ 10,309	$ 12,527
Ordinary shares, par value (in pounds per share) \| £ / shares			£ 1.00	£ 1.00
Ordinary shares, authorized (in shares)	Unlimited	Unlimited
Ordinary shares issued (in shares)	55,537,746	55,535,181
Ordinary shares outstanding (in shares)	54,901,316	54,649,085
Treasury stock (in shares)	636,430	886,096

Derivatives and Risk Management - Narrative (Details) - USD ($)		3 Months Ended
	Mar. 08, 2024	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025	Dec. 15, 2025	Mar. 31, 2024	Jun. 30, 2020
2025 Notes \| Senior Notes
Derivative [Line Items]
Aggregate principal amount repurchased	$ 230,000,000.0
Foreign exchange contract \| Derivatives Not Designated as Hedging Instruments:
Derivative [Line Items]
Notional amount		$ 128,200,000		$ 113,200,000
Net (loss) gain on derivative		$ (2,200,000)	$ 10,400,000
Capped call derivatives
Derivative [Line Items]
Derivative, cap price per share (in dollars per share)							$ 100.00
Capped call derivatives \| 2029 Notes
Derivative [Line Items]
Conversion price (in dollars per share)						$ 69.40
Derivative, cap price per share (in dollars per share)						$ 94.28
Capped call derivatives \| 2025 Notes
Derivative [Line Items]
Conversion price (in dollars per share)							$ 60.98
Proceeds from unwind of capped calls	$ 22,500,000
Fair value of expired capped calls					$ 0

Segment and Geographic Information - Schedule of Assets by Reportable Segments (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Segment Reporting Information [Line Items]
Assets	$ 2,516,351	$ 2,606,053
Operating Segments \| Cardiopulmonary
Segment Reporting Information [Line Items]
Assets	1,046,099	1,045,189
Operating Segments \| Neuromodulation
Segment Reporting Information [Line Items]
Assets	650,103	639,742
Other
Segment Reporting Information [Line Items]
Assets	$ 820,149	$ 921,122

- Definition

Amount of asset recognized for present right to economic benefit.

+ References

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+ Details

Unaudited Condensed Consolidated Financial Statements (Policies)

3 Months Ended

Mar. 31, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements of LivaNova and the notes thereto as of and for the three months ended March 31, 2026 and 2025 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, 2025 has been derived from audited consolidated financial statements contained in LivaNova’s 2025 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 months ended March 31, 2026, and are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. The financial information presented herein should be read in conjunction with the audited consolidated financial statements and notes thereto accompanying LivaNova’s 2025 Form 10-K.

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 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 (loss) 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 shareholders’ equity for the above period. The Company has revised the previously issued condensed consolidated statements of income (loss) for the three months ended March 31, 2025 to correct for the error, and these revisions are reflected in this Form 10-Q. 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.”

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

November 2024 ASU No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses

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 for Internal-Use Software

LivaNova is currently evaluating the effect this standard will have on the Company’s consolidated financial statements and related disclosures.