Monday, September 20, 2021

An International Equity holding: LivaNova PLC (LIVN, $83.50): “LivaNova by your strengths” By: Andrew Duwa, AIM Student at Marquette University

LivaNova PLC (LIVN, $83.50): “LivaNova by your strengths”

By: Andrew Duwa, AIM Student at Marquette University

Disclosure: The AIM Equity Fund currently holds this position. This article was written by myself, and it expresses my own opinions. I am not receiving compensation for it, and I have no business relationship with any company whose stock is mentioned in this article.

Summary

  • LivaNova PLC. (NASDAQ: LIVN) is a global medical company that designs and provides therapeutic products for patients, healthcare professionals, and systems primarily in the United States, Western Europe, and Asian Pacific.
  • LIVN continues to dominate aortic valve market, new competitors entering suture-less market
  • Announced early retirement of $450 million senior secured term loan, executes $125 million revolving credit facility
  • Experiencing a recovering demand for products on Covid-19 tailwinds, some risk of resurgence with new variants and hospital bed shortages
  • Begin clinical trials of OSPREY to treat obstructive sleep apnea

Key points: LivaNova continues to dominate the aortic valve market, which provides replacement valves for patients requiring open heart surgery. Even with new competition entering the market only 9 companies currently produce these valves, and only 3 offer suture-less valves. LivaNova no longer has as strong of market domination in this area but continues to control it none-the-less.

On August 16th, 2021LivaNova announced the retirement of a 5-year senior secured term loan, paying out $35.6 Million in accrued interest. This was funded by an offering of shares on August 6th, 2021, to reduce interest expenses by $39 million through Q2 of 2022. This move is expected to increase EPS by $0.20 and improve their financial standing.

Throughout 2020 and early 2021, a lag in demand for healthcare products occurred due to a variety of reasons. According to the United States Surgical Procedure Volume Database, major surgical procedures have increased substantially in 2021. These rates will stabilize through FY 2025 to a growth of 10%. This return in demand translated to a 41% increase in revenues in Q2 2020.

In Q2 of 2021, LivaNova received investigational device exemption FDA approval to begin confirmatory clinical trial of OSPREY, an implantable device to treat obstructive sleep apnea, with the first patient expected to be in Q4 of 2021. This type of sleep apnea is a common yet extremely dangerous condition that affects around 100 million globally, with approximately 25% receiving treatment. The most common treatment is continuous positive airway pressure, but only 46% of patients can comply with this treatment.

What has the stock done lately?

LIVN has grown 8.11% within the past month, peaking at around $90 per share. The continued growth from delayed procedures as well as capital restructure have aided LivaNova, and they are expected to turn a profit in the second half of 2021, which will only propel the company further.

Past Year Performance: LIVN has increased 83.68% in value over the past year, which has been a monster gain in a great year for healthcare companies. This growth will continue through 2021 as their dominant products and improved financial standing will aide this continued rise.

1 Year Stock Chart vs. Russel 2000

Source: FactSet

My Takeaway

The market domination that LivaNova has built, the introduction of new products, major sales increase due to a lag in demand in FY 2020 from Covid-19 and improved financial situation set LIVN up for continued growth even with their impressive 2021 already. Because of these reasons I recommend LivaNova as a buy.

1 Month Stock Chart from FactSet here

Source: FactSet