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LivaNova

livn · NASDAQ Healthcare
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Ticker livn
Exchange NASDAQ
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Industry Medical - Devices
Employees 1001-5000
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FY2015 Annual Report · LivaNova
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Annual Report
201(cid:22)

From left to right on front cover - 

AspireSR: 
Neuromodulation

INSPIRE:
Cardiac Surgery 

The only VNS Therapy 
system that provides 
responsive stimulation to 
heart-rate increases that 
are often associated with 
seizures in people with 
epilepsy. Aspire SR® was 
approved in the United 
States in June, 2015.

A completely new family of 
adult oxygenators designed 
from years of research and 
laboratory experience, input 
from clinical experts from 
around the world and the 
application of advanced 
manufacturing technologies 
that adhere to the highest 
quality standards. Combined 
with an electronic perfusion 
charting system (Connect™) 
and a world-leading 
heart-lung machine design, 
Inspire™ was first introduced 
into the market in 2011.

Platinium: 
Cardiac Rhythm 
Management

A new range of implantable 
cardiac defibrillators (ICDs) 
and cardiac resynchroniza-
tion therapy devices (CRT-Ds) 
with the world’s longest 
projected longevity.  
PlatiniumTM’s longevity will 
protect patients from 
avoidable replacement 
surgeries and inherent risk of 
complications. Platinium was 
approved in Europe and 
Japan in November, 2015.

Perceval:  
Cardiac Surgery

A 100 percent sutureless 
valve for aortic valve 
replacement. PercevalTM 
is designed to be highly 
versatile and suitable for 
a wide range of surgical 
approaches, including 
traditional and minimally 
invasive. Launched in the 
United States in January, 
2016, Perceval is commer-
cially available in more than 
80 countries and has the 
broadest follow-up 
published in sutureless 
solutions.

UK Annual Report and IFRS Financial Statements 
Period Ended 31 December 2015

This UK Annual Report of LivaNova PLC comprises the Strategic Report, Directors’ Report, Corporate Governance 
Report  and  Directors’  Remuneration  Report  and  the  LivaNova  PLC  consolidated  and  company  IFRS  Financial 
Statements contained herein.

This UK Annual Report has been prepared to satisfy the reporting requirements of the Companies Act 2006 and 
the Financial Conduct Authority’s Disclosure Rules and Transparency Rules, has been submitted to the National 
Storage Mechanism and is available for inspection at http://www.morningstar.co.uk/uk/nsm and will be included 
in the 2016 Annual General Meeting materials made available to shareholders.

Cautionary statement

Certain statements made in this UK Annual Report are forward looking. Such statements are based on current expectations and are subject to a 
number of risks and uncertainties that could cause actual results to differ materially from any expected future events or results referred to in the 
forward looking statements. Unless otherwise required by applicable laws, regulations or accounting standards, we do not undertake any obligation 
to update or revise any forward looking statements, whether as a result of new information, future developments or otherwise. Nothing in this UK 
Annual Report should be regarded as a profit forecast.

 
TABLE OF CONTENTS

STRATEGIC REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 –
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Chief Executive Officer’s Letter to Shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 –
 –

 –

 –

 Overview and Background to the Mergers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I. 
II.  Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – A.  LivaNova’s Strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
B.  Business Units and the New Ventures – Business Model  . . . . . . . . . . . . . . . . . . . . . . . .
 – C.  Research and Development  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – D.  Acquisitions and Investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E.  Patents and Licenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
 –
 Markets and Distribution Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F. 
 – G.  Competition and Industry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – H.  Financial Information about the Company, the Business Units and Geographic Areas . .
  Production and Availability of Raw Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
I. 
 Government Regulation and Other Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
J. 
K.  Working Capital Practices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
 –
 Employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
L. 
 – M.  Environment and Other Social Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – N.  Seasonality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – O.  Properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
III.  Business Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – A. 
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B.  Key Performance Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
 – C.  Results of Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – D.  Liquidity and Capital Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E.  Quantitative and Qualitative Disclosures about Market Risk. . . . . . . . . . . . . . . . . . . . . .
 –
IV.  Principal Risks and Uncertainties  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DIRECTORS’ REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CORPORATE GOVERNANCE REPORT  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Corporate Governance in 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Audit & Compliance Committee Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

REMUNERATION REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Letter from the Chairman of the Compensation Committee  . . . . . . . . . . . . . . . . . . . . . . . .
 –
Introduction and Compliance Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
 –
Remuneration Policy Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Annual Remuneration Report  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FINANCIAL STATEMENTS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 –
Independent Auditor’s Report  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Consolidated Income Statement  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Consolidated Balance Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Consolidated Statement of Changes in Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Consolidated Statement of Cash Flows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Notes to the Consolidated Financial Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Company Income Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Company Balance Sheet  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Company Statement of Changes in Equity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Company Statement of Cash Flow. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 – Notes to the Company Financial Statements  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GLOSSARY AND DEFINITIONS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Introduction

STRATEGIC REPORT

This Strategic Report presents the required strategy and business review for the Company in order to satisfy the reporting 
requirements of the Companies Act and the DTRs.

Chief Executive Officer’s Letter to Shareholders

29 April 2016

Dear Shareholder,

Our merger was completed on 19 October 2015 and heralded an exciting era for our new company, LivaNova. While the 
last twelve months have been full of anticipation and promise, 2016 will be the first full year of LivaNova’s operations as a 
combined entity, and I want to outline our near-term execution objectives and longer-term strategic plans.

LivaNova starts out with a number of key strengths:

•  Diversified product portfolio and revenue base – Cardiac Surgery accounts for approximately 50 per cent. 
of revenue, Neuromodulation for over 25 per cent., and the balance of revenues comes from Cardiac Rhythm 
Management, or CRM

•  Market leadership in key product areas – global leader in cardiopulmonary devices and Neuromodulation, 
and solid platforms in CRM and heart valves. Over 60 per cent. of LivaNova’s revenue comes from products 
where we lead the market

•  Broad geographic reach – sales in approximately 100 countries and over 20 per cent. of revenue from outside 

the US and Europe

•  Opportunities for margin expansion – with specific plans established across the whole income statement

•  Strong balance sheet – minimal leverage allowing for flexibility in capital allocation

•  Experienced management team – many years of industry involvement across the product platforms

•  Opportunities for growth in new markets – such as mitral valves, heart failure and sleep apnea

2016 Objectives

Our objective for the current year is to ensure that the substantial platform created by our merger is firmly in place and 
focused on a number of key areas.

Firstly,  we  will  continue  to  evolve  the  organisation,  which  is  headquartered  in  our  new  location  in  London.  I  have  been 
extremely pleased with the response at all levels within LivaNova as we seek to incorporate the best practices of both legacy 
companies  around  building  the  new  culture  of  LivaNova,  which  is  exemplified  by  the  theme  of  “Health  Innovation  that 
Matters. Day to day. Life by life.”

Secondly, we will focus on the key financial objectives outlined on our call with investors earlier this year, in particular:

•  Revenue growth in each of the three business units: Cardiac Surgery, CRM and Neuromodulation

• 

• 

Execution with respect to synergy targets

Expansion of operating margins, adjusted for one-time costs

•  Growth in earnings per share

Further,  we  plan  to  articulate  a  more  comprehensive  capital  allocation  strategy  in  2016  with  the  aim  of  building 
shareholder value.

1

Thirdly, we will conduct a rigorous review of our existing product platforms and investment portfolio to determine which 
present the greatest opportunity for revenue and profitability growth in the future. An important component of this review 
will be an evaluation of the existing manufacturing footprint to ensure that appropriate efficiencies can be achieved.

Longer-term Strategic Plans

From the date of the original announcement of the merger over twelve months ago, the vision has been to create a growth 
company built around the core strengths from both legacy companies. Today, we develop, manufacture and sell products of 
the highest quality standards that are vital to the well-being of patients around the world.

Our R&D teams are focused on the need for quality products that deliver improved outcomes to patients, provide useful data 
to physicians and value for payers. We expect that focus will continue to be at the forefront of our Company.

Over the past few years, the legacy companies have invested in three potential new growth platforms in the areas of mitral 
valve,  sleep  apnea  and  heart  failure.  Developing  new  products  is  a  challenging,  long-term  effort  and  the  path  forward 
can  require  patience  and  commitment.  LivaNova  believes  that  each  of  these  platforms  provides  an  opportunity  for  our 
shareholders to participate in important new product development efforts to benefit for patients.

Today, approximately 20 per cent. of our sales are outside the US and European markets and our plans are to grow that 
share. China continues to be a focus area with our CRM joint venture and local manufacture of Cardiac Surgery products 
both well advanced. Completion of regulatory activity in 2017 should see both projects drive growth for many years. Our 
distributor relationships are developed across many geographies and we plan to continue to utilise this network in various 
countries. In addition, we have expanded our direct sales footprint in Brazil, Columbia and Australia over the last year, and 
can take advantage of this infrastructure in these and other markets such as Canada and Japan to drive further sales of 
Neuromodulation products.

The  delivery  of  healthcare  is  changing  at  an  increasing  rate,  ranging  from  the  development  of  different  payment 
models to continued expansion in developing markets to product evolution. LivaNova plans to be at the forefront of 
this change in our chosen product fields and we will continue to assess and evolve our business model in light of the 
changing environment

Conclusion/Thanks

The Board of Directors has come together under the leadership of Dan Moore, and our governance processes are already 
established and operating at high standards. The Board of Directors shares management’s plans for 2016 and their vision for 
the future, and has put in place appropriate compensation arrangements to support those plans.

LivaNova  employs  approximately  4,500  people  across  the  world  in  a  variety  of  capacities.  We  recognise  that  it  is  their 
contribution which will ultimately provide the energy to propel LivaNova forward and allow it to achieve its potential. I would 
personally like to thank them for their efforts in a year of significant change.

Finally, let me thank you, our shareholders, for your trust and support as we at LivaNova continue to build a world class 
medical device company. We look forward to 2016 with confidence built on the talents of our people, the strengths of the 
organisation and its products.

ANDRÉ-MICHEL BALLESTER 
CHIEF EXECUTIVE OFFICER

2

I. 

Overview and Background to the Mergers

The Company is a public limited company incorporated under the laws of England and Wales. Headquartered in London, 
United  Kingdom,  LivaNova  is  a  global  medical  device  company  focused  on  the  development  and  delivery  of  important 
therapeutic solutions for the benefit of patients, healthcare professionals and healthcare systems throughout the world. 
Working closely with medical professionals in the fields of cardiac surgery, neuromodulation and cardiac rhythm management, 
LivaNova designs, develops, manufactures and sells innovative therapeutic solutions that are consistent with its mission to 
improve  LivaNova’s  patients’  quality  of  life,  increase  the  skills  and  capabilities  of  healthcare  professionals  and  minimise 
healthcare costs.

The Company was formed, along with its wholly owned subsidiary, Merger Sub, on 20 February 2015 for the purpose of 
facilitating the business combination of Cyberonics and Sorin. On 19 October 2015, pursuant to the terms of the Merger 
Agreement, Sorin merged with and into the Company, with the Company continuing as the surviving company, immediately 
followed by the merger of Merger Sub with and into Cyberonics, with Cyberonics continuing as the surviving company and 
as a wholly owned subsidiary of the Company.

As a result of the Mergers, the Company became the holding company of the combined businesses of Cyberonics and Sorin. 
On 19 October 2015, the Company’s Ordinary Shares were listed for trading on NASDAQ and admitted to listing on the 
standard segment of the FCA’s Official List and to trading on the Main Market of the LSE under the trading symbol “LIVN.” 
As a result of the Mergers, on 19 October 2015 the Company issued 48,822,316 Ordinary Shares.

Prior to the Mergers, shares of Cyberonics common stock were registered pursuant to Section 12(b) of the Exchange Act 
and listed on NASDAQ, and Sorin ordinary shares were listed on the Italian Stock Exchange. Shares of Cyberonics common 
stock and the Sorin ordinary shares were suspended from trading on NASDAQ and the Italian Stock Exchange, respectively, 
prior to the opening of trading on 19 October 2015.

On 19 October 2015, each ordinary share of Sorin was converted into the right to receive 0.0472 Ordinary Shares, and each 
share of common stock of Cyberonics was converted into the right to receive one Ordinary Share. Based on the number 
of  outstanding  shares  of  Sorin  and  Cyberonics  as  of  19  October  2015,  former  Sorin  and  Cyberonics  shareholders  held 
approximately 46 per cent. and 54 per cent., respectively, of the Company’s Ordinary Shares immediately after giving effect 
to the Mergers.

The  Mergers  are  expected  to  provide  revenue  enhancements,  cost  savings,  opportunities  for  synergies  and  to  increase 
the  size  and  scale  of  the  Company’s  revenue,  provide  greater  geographic  and  product  diversity  and  to  enhance  growth 
opportunities  in  three  emerging  markets  in  the  areas  of  heart  failure,  sleep  apnea  and  percutaneous  mitral  valves.  The 
Mergers are also expected to allow the Company to utilise and integrate certain Sorin technologies into its existing and 
future product lines for epilepsy treatments.

II. 

A. 

Business

LivaNova’s Strategy

The Mergers enabled LivaNova to combine Cyberonics’ global leadership in devices used for the treatment of epilepsy and 
neuromodulation, with Sorin’s global leadership in cardiac surgery and cardiac rhythm management, to create a premier 
global medical technology company.

In addition to the strategy of delivering identified synergies, there are three additional growth opportunities that have been 
identified as being central to the strategy of LivaNova:

• 

Leadership in large and growing markets

The Mergers brought together global leaders in cardiac surgery and neuromodulation, as well as the opportunity 
to leverage the innovation in cardiac rhythm management.

Sorin was a global leader in cardiac surgery and a market leader in the development, production and sale of 
cardiovascular surgery products, including heart-lung machines and oxygenators. Sorin had a strong history rooted 
in continued development and innovation of its product offering and the technology it used. Sorin had historically 
made acquisitions to expand and enhance its product lines, such as the acquisition of Bioengineering Laboratories 
in 2014 to expand its cannulae manufacturing activities, and the development of US FDA approved MitroflowTM, 
an  aortic  pericardial  heart  valve  with  PRT,  and  CE  Mark  certified  CROWN  PRTTM  stented  aortic  bioprosthetics. 
Recent US FDA approvals for PercevalTM and CROWN PRTTM have enhanced LivaNova’s market position.

3

Cyberonics had a long-standing reputation in the market as a leader in neuromodulation. Cyberonics engaged 
in the design, development, sale and marketing of the US FDA approved VNS Therapy System, which is used to 
treat refractory epilepsy and depression in hospitals and surgeries in the US and elsewhere. Cyberonics further 
developed its neuromodulation technology by pioneering the use of the VNS Therapy System for the treatment 
of chronic heart failure.

LivaNova will utilise the commercial network established by the legacy Sorin business in developing markets to 
further enhance the sales of VNS therapy for patients with refractory epilepsy in those markets.

LivaNova will leverage the innovation behind Sorin’s cardiac rhythm management global market and reputation, 
which is particularly strong in Europe and Japan. LivaNova is able to utilise the depth and breadth of Sorin’s 
cardiac rhythm management expertise, given Sorin’s experience and innovation in the technologies and devices 
offered to the market, including the CE Mark certified REPLY 200TM and KORA 100TM pacemakers, as well as the 
broad geographical markets where its products are offered, including in the rapidly growing market in China. 
The recent regulatory approval to sell KORA 250 in Japan is expected to enhance LivaNova’s market position in 
that country.

•  Highly complementary technologies and selling capabilities

LivaNova  can  utilise  and  leverage  the  shared  technologies  that  Sorin  and  Cyberonics  had  independently 
developed  over  the  years  in  relation  to  their  respective  product  offerings  using  implantable  electronics  for 
the treatment of chronic heart failure and sleep apnea, and in connection with neuromodulation and cardiac 
rhythm management such as remote monitoring algorithms and wireless technologies.

LivaNova can also benefit from opportunities to commercialise the complementary product portfolios of Sorin 
and Cyberonics. With their combined knowledge of the medical devices industry, LivaNova has a wealth of 
experience in marketing new products and technologies, through existing sales channels in all of the global 
markets in which LivaNova operates, including through clinicians ranging from epileptologists, neurologists, 
neurosurgeons and perfusionists with whom Sorin and Cyberonics worked as independent companies.

•  Opportunities in three potential new markets

LivaNova  is  focused  on  developing  new  opportunities  and  commercialising  new  product  offerings  in  three 
potential new markets: heart failure, sleep apnea and percutaneous mitral valve. In heart failure, LivaNova has 
completed initial clinical studies on both the VITARIATM and Equalia systems and has received CE Mark approval 
on both products. The Company will seek to build further clinical evidence in randomised trials and is currently 
evaluating the most appropriate studies moving forward. LivaNova also expects to benefit from the developing 
market  for  active  implantable  treatments  for  sleep  apnea,  with  investments  aimed  at  the  under-addressed 
central sleep apnea, or CSA, and the obstructive sleep apnea, or OSA, markets. LivaNova also has investments 
aimed at addressing the market for percutaneous mitral valve replacement/repair products.

B. 

Business Units and the New Ventures – Business Model

Upon completion of the Mergers, LivaNova reorganised its reporting structure and aligned its segments and the underlying 
divisions and businesses. LivaNova is now comprised of three principal Business Units: Neuromodulation, Cardiac Surgery 
and CRM, corresponding to three main therapeutic areas. These Business Units represent a strategic combination of the 
historic business operations of legacy Cyberonics and Sorin, aligned to best serve LivaNova’s customers and capitalise upon 
the  benefits  of  the  Mergers.  The  historic  Cyberonics  operations  are  included  under  the  Neuromodulation  Business  Unit, 
and  the  historical  Sorin  businesses  are  included  in  LivaNova’s  Cardiac  Surgery  and  CRM  Business  Units.  The  Company’s 
New Ventures group, which is managed in Corporate Business Development and New Ventures, is focused on new growth 
platforms and identification of other opportunities for expansion.

4

LivaNova currently functions in three reportable segments that primarily manufacture and sell device-based medical therapies. 
LivaNova’s operating segments with each of their reported net sales for financial year 2015, along with their related divisions 
and businesses, are as follows:

•  Cardiac Surgery (for the Transitional Period net sales of $147.6 million)

•  Cardiopulmonary

•  Heart Valves

•  CRM (Transitional Period net sales of $52.5 million)

•  Neuromodulation (Transitional Period net sales of $214.8 million)

Please  refer  to  the  “Introduction”  section  of  the  “Business  Review”  at  Part  III  of  this  Strategic  Report  below  for  more 
information on the Transitional Period.

Neuromodulation Business Unit

LivaNova’s Neuromodulation Business Unit designs, develops and markets neuromodulation-based medical devices for the 
treatment of epilepsy and depression. Through this Business Unit, LivaNova markets its proprietary implantable VNS Therapy 
Systems that deliver vagus nerve stimulation therapy for the treatment of epilepsy and depression.

VNS Therapy System

LivaNova’s seminal neuromodulation product, the VNS Therapy® System, is an implantable device authorised for the treatment 
of drug-resistant epilepsy and TRD. The VNS Therapy System consists of: an implantable pulse generator and connective lead 
that work to stimulate the vagus nerve; surgical equipment to assist with the implant procedure; equipment and instruction 
manuals enabling a treating physician to set parameters for a patient’s pulse generator; and magnets to manually suspend 
or induce nerve stimulation. The VNS therapy pulse generator and lead are surgically implanted in a subcutaneous pocket 
in the upper left chest area, generally during an out-patient procedure. The lead (which does not need to be removed to 
replace a generator battery) is connected to the pulse generator and tunnelled under the skin to the vagus nerve in the 
lower left side of the patient’s neck.

VNS for the treatment of epilepsy

Globally, there are several broad types of treatment available to persons with epilepsy, including multiple seizure medications, 
various forms of the ketogenic diet, vagus nerve stimulation, resective brain surgery, trigeminal nerve stimulation, responsive 
intracranial neurostimulation and deep brain stimulation. Seizure medications typically serve as a first-line treatment and are 
prescribed for virtually all patients diagnosed with epilepsy. After two seizure medications fail to deliver seizure control, the 
epilepsy is defined as drug-resistant, at which point, adjunctive non-drug options are considered, including VNS therapy, 
brain surgery and a ketogenic diet.

In  the  US,  the  VNS  Therapy  System  was  the  first  medical  device  treatment  approved  by  the  US  FDA  for  refractory  drug 
resistant epilepsy in adults and adolescents over 12 years of age and is indicated for use as an adjunctive therapy in reducing 
the frequency of seizures. Other worldwide regulatory bodies have also approved the VNS Therapy System for the treatment 
of epilepsy, many without age restrictions or seizure-type limitations. Patients with epilepsy can also use a small, handheld 
magnet provided with the VNS Therapy System to activate or inhibit stimulation manually. LivaNova sells a number of VNS 
product  models  for  the  treatment  of  epilepsy,  including  its  Model  102  (Pulse™),  Model  102R  (Pulse  Duo™),  Model  103 
(Demipulse®), Model 104 (Demipulse Duo®) and Model 105 (AspireHC®) pulse generators. To date, an estimated 100,000 
patients have been treated with VNS Therapy System for epilepsy.

In addition to these models, LivaNova also offers the Model 106 (AspireSR®) generator in Europe and other international 
markets. The Aspire SR generator provides the benefits of VNS therapy, with an additional feature – automatic stimulation 
in  response  to  detection  of  changes  in  heart  rate  indicative  of  a  seizure.  The  AspireSR  generator  is  capable  of  delivering 
additional  stimulation  automatically  by  responding  to  a  patient’s  relative  heart-rate  changes  that  exceed  certain  variable 
thresholds. Heart-rate changes accompany seizure activity in certain patients. The thresholds are programmed by the patient’s 
physician and can be adjusted to suit the patient’s level of physical activity or for other reasons. On 2 June 2015, the Company 
announced US FDA approval of the AspireSR generator for sale in the US, and sales in the region have commenced. By 31 
December 2015, sales of AspireSR accounted for approximately 70 per cent. of LivaNova’s VNS Therapy generator sales.

5

VNS for the treatment of TRD

Major depressive disorder is one of the most prevalent and serious illnesses in the US. It affects nearly 19 million Americans 
18 years of age or older every year. In July 2005, the US FDA approved the VNS Therapy System for the adjunctive long-term 
treatment of chronic or recurrent depression for patients of 18 years of age or older who have not had an adequate response 
to multiple anti-depressant treatments. Regulatory bodies in the EEA, Canada, Brazil, Mexico, Australia, Israel and certain 
other international markets have approved the VNS Therapy products for the treatment of chronic or recurrent depression 
in patients who are in a treatment-resistant or treatment-intolerant depressive episode. Reimbursement for the use of VNS 
Therapy to treat TRD is significantly limited in most countries in which it is available. To date, an estimated 4,100 patients 
worldwide have been treated with the VNS Therapy System for depression.

Customers and Competitors – Neuromodulation Products

The primary medical professionals who treat patients with Neuromodulation products are neurologists and neurosurgeons, 
although  customers  are  hospitals  and  healthcare  systems,  and  in  some  cases,  government  health  departments.  Primary 
medical device competitors in the Neuromodulation product group are NeuroPace, Inc. and Medtronic Global.

Neuromodulation Recent Developments

LivaNova’s  epilepsy  product  development  efforts  are  directed  toward  improving  the  VNS  Therapy  System,  improving  its 
efficacy, and developing new products that provide additional features and functionality. LivaNova is conducting ongoing 
product development activities to enhance the VNS Therapy System pulse generator, lead and programming software and 
to introduce new products. LivaNova participates in studies for its product development efforts and to build clinical evidence 
for the VNS Therapy System. LivaNova will be required to obtain appropriate US and international regulatory approvals, 
and clinical studies may be a prerequisite to regulatory approvals for some products. LivaNova’s R&D efforts will require 
significant funding to complete and may not be successful. Even if successful, additional clinical studies may be needed to 
achieve regulatory approval and to commercialise any or all new or improved products.

In  June  2015,  the  US  FDA  approved  AspireSRTM  for  commercialisation  in  the  US.  Growth  of  VNS  therapy  products  has 
been strong during the period following this approval. Acceptance of the new product, as evidenced by the proportion of 
generators sold, has been high, and pricing obtained for the product has been at a premium due to the unique nature of 
the device.

Several development projects have been either terminated or halted during the last year, including the planned development 
of a wirelessly enabled generator, and an external device planned to be used to warn or notify patients of impending or 
actual seizures. The temporary or permanent change in development priorities has been due to both technological issues 
as well as the possible advantages arising from the Mergers, which could allow for adoption of technologies previously 
developed by Sorin.

Cyberonics  invested  approximately  $5.1  million  in  Cerbomed,  a  privately  held,  European  development-stage  company 
developing a transcutaneous vagus nerve stimulation device for several indications, including the treatment of drug-resistant 
epilepsy. Cerbomed received CE Mark approval for its device for the treatment of epilepsy and depression in March 2010, 
and has completed a clinical study in Germany to study outcomes in the treatment of refractory epilepsy. During the quarter 
ended  23  January  2015,  Cyberonics  invested  an  additional  €1.0  million,  or  $1.2  million,  in  convertible  preferred  stock. 
During the Transitional Period, the Company determined that its investment in Cerbomed was fully impaired and recorded 
a loss of $5.1 million.

In May 2007, the CMS issued a national determination of non-coverage within the US with respect to reimbursement of the 
VNS Therapy System for patients with TRD, significantly limiting access to this therapeutic option for most patients. As the 
result of lack of access following this determination, the legacy Cyberonics business has not engaged in active commercial 
efforts with respect to TRD in any of its markets. However, in the future LivaNova intends to re-engage in limited commercial 
efforts  in  certain  international  markets  if,  or  as,  reimbursement  pathways  become  available.  As  a  result  of  new  clinical 
evidence,  including  the  completion  of  a  post-approval  dosing  study  and  other  studies  that  have  resulted  in  more  than 
five recent publications in peer-reviewed journals, the legacy Cyberonics business submitted a formal request to CMS for 
reconsideration of VNS therapy for TRD. CMS declined the request for reconsideration in May 2013. In October 2013, two 
Medicare beneficiaries appealed the lack of coverage by Medicare through the DAB. In January 2015, the DAB concluded 
that the record relating to the non-coverage conclusion by CMS is complete and adequately supports the non-coverage 
determination. As a result, market access to the vast majority of the patients in the US remains closed.

6

Cardiac Surgery Business Unit

LivaNova’s  Cardiac  Surgery  Business  Unit  is  engaged  in  the  development,  production  and  sale  of  cardiovascular  surgery 
products,  including  oxygenators,  heart-lung  machines,  perfusion  tubing  systems,  cannulae  and  accessories,  and  systems 
for  autotransfusion  and  autologous  blood  washing,  as  well  as  implantable  prostheses  for  the  replacement  or  repair  of 
heart valves.

Cardiopulmonary Products

During  conventional  coronary  artery  bypass  graft  procedures  and  heart  valve  surgery,  the  patient’s  heart  is  temporarily 
stopped, or arrested. The patient is placed on an extracorporeal circulatory support system that temporarily functions as the 
patient’s heart and lungs and provides blood flow to the body. LivaNova’s products include systems to enable cardiopulmonary 
bypass,  including  heart-lung  machines,  oxygenators,  perfusion  tubing  sets,  cannulae  and  accessories,  as  well  as  related 
equipment and disposables for autotransfusion and autologous blood washing, for neonatal, pediatric and adult patients. 
LivaNova’s primary cardiopulmonary products include:

Heart-lung machines

The heart-lung machine product group includes heart-lung machines, heater-coolers, related cardiac surgery equipment and 
maintenance services.

Oxygenators and perfusion tubing systems

The oxygenators product group, which includes oxygenators and other disposable devices for extracorporeal circulation, 
also  achieved  significant  growth,  especially  in  the  US,  Europe  and  Japan,  largely  driven  by  the  successful  rollout  of  the 
new  InspireTM,  HeartlinkTM  and  ConnectTM  system.  The  Inspire  range  of  products,  comprised  of  12  models,  will  enable 
perfusionists to replace the existing oxygenator lines with more advanced systems capable of delivering better performance 
and greater flexibility. The total modularity of this new range of products will also help reduce production time and costs, 
providing perfusionists with a more customised approach to further benefit patients.

ConnectTM

ConnectTM is LivaNova’s innovative and intuitive perfusion charting system. Focused on real time and retrospective calculations 
and  trending  tools,  ConnectTM  assists  perfusionists  with  data  management  during  and  after  cardiopulmonary  bypass. 
InspireTM, HeartlinkTM and ConnectTM products can all be integrated with LivaNova’s heart-lung machines to deliver a unique 
perfusion solution combining hardware components, disposable devices and data management systems.

Autotransfusion systems

One  of  the  key  elements  for  a  complete  blood  management  strategy  is  autotransfusion,  which  involves  the  collection, 
processing and reinfusion of the patient’s own blood that is lost at the surgical site during the peri-operative period.

Cannulae

LivaNova’s  cannulae  product  family,  which  is  part  of  the  oxygenator  product  group,  are  perfusion  tubing  sets  used  to 
connect the extracorporeal circulation to the heart of the patient during cardiac surgery.

Customers and Competitors – Cardiopulmonary Products

The primary medical professionals who use LivaNova’s cardiopulmonary products are perfusionists and cardiac surgeons. 
Primary  competitors  in  the  cardiopulmonary  product  group  are  Terumo  Medical  Corporation,  Maquet  Medical  Systems, 
Medtronic Global and Haemonetics Corporation.

Cardiopulmonary Recent Developments

In December 2015, LivaNova received a warning letter from the US FDA alleging certain violations of regulations at LivaNova’s 
Munich, Germany and Arvada, Colorado manufacturing facilities. The warning letter included restrictions on the importation 
of 3T Heater Cooler devices to the US. While LivaNova cannot sell additional 3T Heater Cooler devices to new customers, 
LivaNova can service existing customers through a medically necessary protocol. LivaNova takes these matters seriously and 

7

is working diligently to resolve the concerns raised by the US FDA and to reduce any adverse impact this import restriction 
will have on existing US customers of 3T Heater Cooler devices. The Company believes that the US FDA’s concerns can be 
resolved without a material impact on LivaNova’s financial results.

On 12 February 2016, the Company was notified that a class action complaint had been filed in the US District Court for 
the Middle District of Pennsylvania with respect to the 3T Heater Cooler devices, naming as evidence, in part, the warning 
letter issued by the US FDA. The named plaintiffs to the complaint are two individuals who underwent open heart surgeries 
at WellSpan York Hospital and Penn State Milton S. Hershey Medical Center in 2015. On 21 March 2016, an amended 
class action complaint was filed adding Sorin Group USA, Inc. and Sorin Group Deutschland GmbH as defendants to the 
action, alongside the Company. The complaint alleges that: (i) patients were exposed to a harmful form of bacteria, known 
as nontuberculous mycobacterium, or NTM, from the 3T Heater Cooler devices; and (ii) the Company knew or should have 
known that design or manufacturing defects in 3T Heater Cooler devices can lead to NTM colonisation, regardless of the 
cleaning and disinfection procedures used (and recommended by LivaNova). The named plaintiffs have sought to certify 
a class of plaintiffs consisting of all Pennsylvania residents who underwent open heart surgery at WellSpan York Hospital 
and Penn State Milton S. Hershey Medical Center between 2011 and 2015 and who are currently asymptomatic for NTM 
infection  (approximately  3,600  patients).  The  putative  class  action,  which  has  not  been  certified,  seeks:  (i)  declaratory 
relief finding the 3T Heater Cooler devices are defective and unsafe for intended uses; (ii) medical monitoring; (iii) general 
damages;  and  (iv)  attorneys’  fees.  Patient  safety  is  of  the  utmost  importance  to  LivaNova,  and  significant  resources  are 
dedicated to the delivery of safe, high-quality products. Should the lawsuit proceed, LivaNova intends to vigorously defend 
against these claims. Given the early stage of this matter, LivaNova cannot, however, give any assurances that additional 
legal proceedings making the same or similar allegations will not be filed against the Company or one of its subsidiaries, nor 
that the resolution of the complaint and any related litigation in connection therewith will not have a material adverse effect 
on LivaNova’s business, results of operations, financial condition and/or liquidity.

Heart Valves and Repair Products

LivaNova offers a comprehensive line of products to treat a variety of heart valve disorders, including a complete line of 
surgical  tissue  and  mechanical  valve  replacements  and  repair  products  for  damaged  or  diseased  heart  valves.  The  heart 
valves and repair product offerings include:

Tissue heart valves

LivaNova’s  tissue  valves  include  the  MitroflowTM  aortic  pericardial  tissue  valve  with  phospholipid  reduction  treatment,  or 
PRT,  which  is  designed  to  mitigate  valve  calcification,  and  the  CROWN  PRTTM  and  Solo  SmartTM  aortic  pericardial  tissue 
valves.  CROWN  PRTTM  is  the  latest  advancement  in  stented  aortic  bioprosthesis  technology,  featuring  surgeon-friendly 
design,  PRT  technology,  and  state-of-the-art  hemodynamic  and  durability  performance.  CROWN  PRTTM  enables  intuitive 
intraoperative  handling  through  a  short  rinse  time,  enhanced  ease  of  implant  through  visible  markers  and  improved 
radiographic  visualisation  through  dedicated  X-ray  markers.  LivaNova’s  Solo  SmartTM  aortic  pericardial  tissue  valve  is  an 
innovative, completely biological aortic heart valve with no synthetic material and a removable stent. Solo SmartTM provides 
the ease of implantation of a stented valve with the hemodynamic performance of a stentless valve.

Self-anchoring tissue heart valves

PercevalTM  is  LivaNova’s  sutureless  bioprosthetic  device  designed  to  replace  a  diseased  native  valve  or  a  malfunctioning 
prosthetic  aortic  valve  using  either  traditional  or  minimally  invasive  heart  surgery  techniques.  PercevalTM  incorporates  a 
unique technology that allows 100 per cent. sutureless positioning and anchoring at the implantation site. This, in turn, 
offers  the  potential  benefit  of  reducing  the  time  the  patient  spends  in  cardiopulmonary  bypass.  To  date,  over  12,000 
patients worldwide benefit from the PercevalTM valve.

Mechanical heart valves

LivaNova’s wide range of mechanical valve offerings includes the Carbomedics StandardTM, Top HatTM and Reduced Series 
Aortic ValvesTM, as well as the Carbomedics Carbo-SealTM and Carbo-Seal ValsalvaTM aortic prostheses. LivaNova also offers 
the Carbomedics StandardTM, OrbisTM and OptiformTM mechanical mitral valves.

8

Heart valve repair products

Mitral  valve  repair  is  a  well-established  solution  for  patients  suffering  from  a  leaky  mitral  valve,  or  mitral  regurgitation. 
LivaNova  offers  a  wide  range  of  mitral  valve  repair  products,  including  the  Memo  3DTM  and  Memo  3D  ReChordTM, 
AnnuloFloTM and AnnuloFlexTM.

Customers and Competitors – Heart Valves

The primary medical professionals who use LivaNova’s heart valve products are cardiac surgeons. Primary competitors in the 
heart valve business are Edwards Lifesciences, St. Jude Medical and Medtronic Global.

Heart Valve Recent Developments

In January 2016 the Company announced it had received US FDA approval for its PercevalTM sutureless valve. PercevalTM is 
a surgical aortic valve with a unique self-anchoring frame that enables the surgeon to replace the diseased valve without 
suturing it into place. LivaNova has begun commercial distribution of the device in the US.

In addition, in early February 2016, the Company announced that it had received US FDA approval of the CROWN PRTTM 
valve for the treatment of aortic valve disease. The CROWN PRTTM is a stented aortic bioprosthesis technology and features 
a surgeon-friendly design, with optimised hemodynamics with patented PRT, designed to enhance valve durability. LivaNova 
anticipates launching CROWN PRTTM in the US later this year.

Cardiac Rhythm Management Business Unit

The  CRM  Business  Unit  develops,  manufactures  and  markets  products  for  the  diagnosis,  treatment,  and  management 
of heart rhythm disorders and heart failure. These products include implantable devices, leads and delivery systems and 
information systems for the management of patients with CRM devices.

CRM Products

The following are the principal products offered by the CRM Business Unit:

Implantable Cardiac Pacemakers

A  pacemaker  is  a  battery-powered  device  implanted  in  the  chest  that  delivers  electrical  impulses  to  treat  bradycardia,  a 
condition of abnormally slow heart rhythms or unsteady heart rhythms that cause symptoms such as dizziness, fainting, 
fatigue and shortness of breath. LivaNova’s pacemakers include the REPLYTM and ESPRITTM models, which have received both 
US FDA clearance and CE Mark certification, and the KORA 100TM model which has received CE Mark certification. In 2015, 
LivaNova launched its latest generator of pacemaker systems in Europe, the Kora 250TM, which is compatible with certain 
MRI machines.

ICDs

ICDs continually monitor the heart and deliver therapy when an abnormal heart rhythm, such as tachyarrhythmia, or rapid 
heart rhythm, occurs and leads to sudden cardiac arrest. LivaNova’s latest generation ICD is the PLATINIUMTM, which has CE 
Mark certification and features industry leading battery longevity, advanced shock reduction technology and a contoured 
shape with thin, smooth, edges that better fits inside the body. Other ICDs include the PARADYMTM family. PLATINIUMTM 
was approved in Europe in the second quarter of 2015 and in Japan in the fourth quarter of 2015.

Implantable CRT-Ds

Implantable  CRT-Ds  treat  heart  failure  patients  by  altering  the  abnormal  electrical  sequence  of  cardiac  contractions  by 
sending  tiny  electrical  impulses  to  the  lower  chambers  of  the  heart  to  help  them  beat  in  a  more  synchronised  fashion. 
LivaNova’s latest generations of CRT-Ds use the SonRTM technology that provides heart failure patients with automatic and 
frequent hemodynamic CRT optimisation both at rest and exercise using a unique hemodynamic sensor embedded in the 
SonRtipTM atrial sensing/pacing lead. SonRTM technology is found in INTENSIATM, PARADYM RFTM, PARADYM 2TM and the 
most recent PLATINIUMTM families of CRT-Ds. LivaNova has US FDA approval for the PARADYM RFTM CRT-D.

9

Patient Management Tools

LivaNova’s Smartview system enables remote monitoring of patients with certain Sorin pacemakers, ICDs and CRT-Ds, by 
enabling transmission of data from the patient’s ICD or CRT-D to their healthcare provider using a portable monitor that is 
connected to the patient’s telephone line.

Customers and Competitors – CRM

The  primary  medical  specialists  who  use  LivaNova’s  CRM  products  include  electrophysiologists,  implanting  cardiologists, 
heart failure specialists and cardiac surgeons. Primary competitors in the CRM business are Medtronic, St. Jude Medical, 
Boston Scientific and Biotronik.

CRM Recent Developments

In November 2015, LivaNova launched the PLATINIUMTM ICD in Europe. During 2015, LivaNova continued the development 
of IS4 PLATINIUM CRT-D with SonRTM technology dedicated to the use of quadripolar left ventricular catheters with IS-4 
compatibilities.  The  development  of  new  ranges  of  leads  for  defibrillation  and  left  ventricular  stimulation  also  enjoyed 
significant progress with the completion of the pre-qualification phase.

Following the Company’s launch of a full body MRI conditional pacemaker, the KORA 250, in June 2015, it has now been 
approved for sale in Japan and has been launched in Japan in the first quarter of 2016. The KORA 250 is equipped with 
the Company’s proprietary Automatic MRI mode. In addition, the device is designed to proactively manage comorbidities, 
including a pacing mode, referred to as “SafeR” that manages all types of atrioventricular block and the ability to monitor 
patients for severe sleep apnea using sleep apnea monitoring.

In March 2016, the Company announced a reorganisation plan for CRM, which is intended to strengthen its operational 
effectiveness and efficiency in response to changes in the global marketplace. The Company estimates that, net of new 
positions created, the reorganisation plan will result in a reduction of approximately 140 positions at LivaNova facilities in 
both Clamart, France and Saluggia, Italy. The plan also involves the closure of CRM’s R&D facility in Meylan, France, and 
its consolidation into the Clamart facility. In addition, the R&D team of the New Ventures unit will be combined with those 
of CRM. These actions are part of the Company’s ongoing optimisation efforts and result from an analysis of LivaNova’s 
manufacturing  and  R&D  operations  worldwide.  LivaNova  has  commenced  consultations  with  employee  representatives 
regarding  the  reorganisation  plan.  Although  the  terms  are  not  likely  to  be  finalised  until  the  second  quarter  of  2016, 
the  Company  believes  that  the  reduction  in  workforce  should  be  accomplished  primarily  through  voluntary  separation 
packages.  LivaNova  is  also  engaged  in  efforts  to  help  those  affected  secure  alternative  employment.  The  Company 
estimates that these actions will result in total pre-tax charges of approximately $20.3 million in 2016, relating to non-
recurring cash employee-related costs, including costs for severance and other employee-related assistance and other exit 
costs associated with the plan.

In  October  2014,  Sorin  announced  that  it  had  completed  enrolment  in  the  Respond  CRTTM  clinical  trial,  enrolling  1,039 
patients in the study. The results of this clinical trial are expected to be published in 2016.

New Ventures – Heart Failure, Sleep Apnea and Mitral Regurgitation

Overview

The  New  Ventures  group  was  created  to  invest  in  significant,  new  growth  opportunities  for  LivaNova.  The  three 
significant unmet clinical needs the New Ventures group is seeking to address are: heart failure, sleep apnea and mitral 
valve regurgitation.

In March 2016, LivaNova announced a reorganisation plan for the CRM business, which is intended to strengthen CRM’s 
operational  effectiveness  and  efficiency  in  responding  to  changes  in  the  global  marketplace.  As  part  of  this  plan,  the 
R&D  team  within  New  Ventures  will  be  integrated  into,  and  combined  with,  the  CRM  business.  These  actions  are  part 
of  the  ongoing  efforts  to  rationalise  the  research  and  R&D  development  portfolio  of  the  Company  and  optimising  the 
manufacturing process.

10

New Ventures develops or invests in companies with innovative, proprietary technologies to treat heart failures, sleep apnea 
and mitral valve regurgitation. For each of these conditions, there are opportunities to expand clinical indications or offer 
minimally invasive therapies to effectively treat the underlying condition. New Ventures partners with academic institutions 
and medical start-ups to develop therapeutic solutions in these areas, focusing, in particular, on neurostimulation to treat 
heart failure and sleep apnea and percutaneous mitral valve repair or replacement to treat mitral regurgitation.

Heart failure occurs when the heart is no longer able to pump enough blood to meet the needs of the body. This usually 
results from an injury to the heart such as myocardial infarction which leaves the heart too weak to fill and pump efficiently. 
It is a chronic, progressive disease and treatment depends on the heart failure stage and severity. ICDs or CRT-Ds may be 
indicated  at  a  certain  stage.  There  is  also  ample  clinical  proof  that  heart  failure  creates  an  imbalance  in  the  autonomic 
nervous system. These patients show increased sympathetic nerve activation and withdrawal of parasympathetic tone, which 
overstresses and fatigues the heart. Vagus nerve stimulation could bring the autonomic nervous system back into balance.

Mitral regurgitation occurs when the heart’s mitral valve leaflets do not close tightly, which allows blood to flow backwards 
in the chambers of the heart. This reduces the amount of blood that flows to the rest of the body, making the patient feel 
tired or out of breath. Treatment depends on the nature and the severity of mitral regurgitation. In certain cases, heart 
surgery may be needed to repair or replace the valve. Left untreated, severe mitral valve regurgitation can cause heart failure 
or heart rhythm problems (arrhythmias).

Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with 
untreated  sleep  apnea  stop  breathing  repeatedly  during  sleep,  sometimes  hundreds  of  times  per  night.  This  disrupts 
oxygen supply to the  brain and other  parts of the body  and, if left untreated, can  exacerbate cardiovascular diseases 
such as heart failure. There are two main kinds of sleep apnea: CSA and OSA. These have different etiologies, as well as 
different treatments.

Therapies and Projects

Heart failure

In  the  heart  failure  area,  New  Ventures  is  currently  managing  three  internal  neurostimulation  projects,  being  Equilia, 
VITARIA  and  Intense,  each  aimed  at  treating  heart  failure  through  vagus  nerve  stimulation.  Equilia  is  a  first-generation 
device that benefited from the legacy Sorin business’ acquisition of the Belgian company Neurotech SA in 2012, which 
enhanced Sorin’s technical expertise and intellectual property in the field of neurostimulation. The successful implantation 
of  the  first  Equilia™  neurostimulation  system  device  occurred  in  February  2015  as  part  of  the  Vanguard  (Vagal  Nerve 
Stimulation Safeguarding Heart Failure) clinical trial. The aim of the system is to treat heart failure through stimulation of 
the vagus nerve.

In February 2015, the legacy Cyberonics business received CE Mark approval for the VITARIA System for patients who have 
moderate to severe heart failure (New York Heart Association Class II/III) with left ventricular dysfunction (ejection fraction < 
40 per cent.) and who remain symptomatic despite stable, optimal heart failure drug therapy. The VITARIA System provides 
a specific method of VNS called ART and it includes the same elements as the VNS Therapy System – pulse generator, lead, 
programming wand and software, programming computer, tunnelling tool and accessory pack, but without the patient 
kit with magnets. Cyberonics conducted a pilot study, ANTHEM-HF, outside the US, which concluded during the quarter 
ended 24 October 2014. The study results support the safety of ART delivered by the VITARIA System. Cyberonics submitted 
the  results  to  its  European  Notified  Body,  DEKRA,  and  on  20  February  2015,  it  received  CE  Mark  approval.  Cyberonics 
also initiated a second pilot study, ANTHEM-HFpEF, to study ART in patients experiencing symptomatic heart failure with 
preserved ejection fraction. This pilot study is currently underway outside the US.

The other principal New Ventures heart failure initiative, Intense, is a broader project that is partially subsidised by the French 
government through Banque Publique d’Investissement.

With the completion of the Mergers, the New Ventures group is continuing to evaluate the appropriate course of action 
for  each  product,  which  could  include  future  development  efforts  such  as  additional  clinical  trials  or  re-evaluation  of 
certain projects.

11

Sleep apnea

In 2014, Sorin completed a $20 million minority investment in Respicardia, a US-based developer of implantable therapies 
designed to improve respiratory and cardiovascular health. Respicardia has developed the first fully implantable device for 
the treatment of CSA. CSA is a type of sleep-disordered breathing that disturbs the normal breathing pattern during sleep 
and  adversely  affects  patients’  overall  cardiovascular  health.  CSA  affects  over  five  million  patients  worldwide  and  over 
one-third of heart failure patients suffer from CSA. There is currently a significant unmet clinical need for more effective 
therapeutic solutions to better manage patients with CSA.

Respicardia’s remedé® System is an implantable pacemaker-like device that delivers electrical pulses to the phrenic nerve 
via a transvenous lead, which restores a more natural, less disrupted breathing pattern. The remedé® System received CE 
Mark certification in 2010 and is currently being evaluated in a US randomised, controlled IDE pivotal trial. Sorin’s initial 
investment in Respicardia has financed ongoing clinical testing of the technology and represents a potential complement to 
LivaNova’s innovative therapeutic solutions for patients with heart failure. Under the terms of Sorin’s original investment in 
Respicardia, Sorin also acquired the exclusive right to distribute the remedé® System in selected European countries and an 
exclusive option to acquire Respicardia in the future. Respicardia expects to complete a US clinical trial in 2016, and if the 
trial is successful, apply for US FDA approval in the second half of 2016 or in early 2017.

Cyberonics also invested $12.0 million in ImThera, a privately held company developing an implantable neurostimulation 
device system for the treatment of OSA. The aura6000 System stimulates the hypoglossal nerve to treat OSA. In November 
2014,  ImThera  announced  that  the  US  FDA  approved  an  IDE  for  their  pivotal  clinical  study  and  patient  enrolment 
has commenced.

Mitral valve regurgitation

Sorin also invested in three mitral valve startups. Cardiosolutions Inc., a startup headquartered in the US in which it has held 
an interest since 2012, is developing an innovative “Spacer” technology for treating mitral regurgitation. In addition, Highlife, 
headquartered in France, and Caisson, headquartered in the US, are two external companies focused on developing devices 
for  treating  mitral  regurgitation  through  percutaneous  replacement  of  the  native  mitral  valve.  Although  both  ventures 
are  focused  on  mitral  valve  replacement,  their  devices  differ  significantly  in  both  the  delivery  system  (transapical  versus 
transfemoral) and the anchoring system. In February 2015, Sorin made further investments of €2.8 million ($3.1 million) 
and $7.5 million, respectively, in HighLife and Caisson, to achieve certain development milestones. As at 31 December 2015, 
the Company had total outstanding bridge loans to Caisson ($2.0 million) and Highlife ($1.7 million), which amounted to 
$3.7 million on a combined basis.

C. 

Research and Development

The  markets  in  which  LivaNova  participates  are  subject  to  rapid  technological  advances.  Product  improvement  and 
innovation are necessary to maintain market leadership. LivaNova’s R&D efforts are directed toward maintaining or achieving 
technological leadership in each of the markets it serves to help ensure that patients using its devices and therapies receive the 
most advanced and effective treatment possible. LivaNova remains committed to developing technological enhancements 
and new uses for existing products and less invasive and new technologies for new and emerging markets to address unmet 
patient  needs.  That  commitment  leads  LivaNova  to  initiate  and  participate  in  many  clinical  trials  each  fiscal  year  as  the 
demand for clinical and economic evidence remains high. LivaNova also expects its development activities to help reduce 
patient care costs and the length of hospital stays.

Approximately  16  per  cent.  of  LivaNova’s  employees  work  in  R&D.  LivaNova’s  R&D  activities  include  improving  existing 
products and therapies, expanding their uses and applications and developing new products. LivaNova continues to focus 
on optimising innovation and will continue to assess the R&D programmes based on their ability to deliver economic value 
to the customer.

During the Transitional Period, LivaNova spent $51 million on R&D.

R&D updates

Neuromodulation Business Unit: Following an internal review of LivaNova’s R&D activities, the Company decided to terminate 
certain R&D projects in Neuromodulation, including the ProGuardian™ System project and the recharge technology project. 
A loss of $2.1 million has been recorded as a charge to R&D in the Company’s consolidated income statement.

12

Cardiac Surgery Business Unit: On 5 October 2015, the Company also announced the initiation of PERSIST-AVR, the first 
international,  prospective  post-market  randomised  multi-centre  trial  to  evaluate  the  PercevalTM  sutureless  aortic  valve 
compared  to  standard  sutured  bioprostheses  in  patients  with  aortic  valve  disease.  The  study  is  expected  to  enrol  1,234 
patients within a two-year enrolment period and patients will be followed until five years post procedure.

CRM Business Unit: During 2015, LivaNova has continued the development of implantable defibrillators dedicated to the 
use of quadripolar left ventricular leads with IS-4 compatibilities. This follows from the clinical trial under an IDE protocol 
for Respond CRTTM. The purpose of the Respond CRTTM clinical trial assesses the safety and effectiveness of the SonR CRTTM 
system (described above) in patients affected by advanced heart failure.

New Ventures: The ANTHEM clinical study tested the VITARIA System in 60 reduced ejection fraction patients followed for 
24 months. The study confirmed the safety of the VITARIA System. The Company is now evaluating the next steps in its 
clinical plan to prove the long-term efficacy of the therapy. In addition, LivaNova is testing the VITARIA System in a single 
arm trial of preserved ejection fraction patients (HFpEF).

D. 

Acquisitions and Investments

LivaNova’s strategy of providing a broad range of therapies requires a wide variety of technologies, products and capabilities. 
The rapid pace of technological development in the medical industry and the specialised expertise required in different areas 
of medicine make it difficult for one company alone to develop a broad portfolio of technological solutions. In addition 
to internally-generated growth through R&D efforts, LivaNova has historically relied, and expects to continue to rely, upon 
acquisitions, investments and alliances to provide access to new technologies in both new and existing markets.

LivaNova expects to further its strategic objectives and strengthen its existing businesses by making future acquisitions or 
investments in companies that it believes can stimulate the development of new technologies and products. Mergers and 
acquisitions of medical technology companies are inherently risky and no assurance can be given that any of its previous 
or future acquisitions will be successful or will not materially adversely affect LivaNova’s consolidated operations, financial 
condition, and/or cash flows.

E. 

Patents and Licenses

LivaNova relies on a combination of patents, trademarks, copyrights, trade secrets, and non-disclosure and non-competition 
agreements to establish and protect LivaNova’s proprietary technology. It has a portfolio of over 2,000 patents and patent 
applications, and has filed and obtained numerous patents in the US and abroad in a continuing effort to establish and 
protect  its  proprietary  technology  rights.  US  patents  typically  have  a  20-year  term  from  the  application  date;  patent 
protection outside the US varies by country. In addition, LivaNova has entered into exclusive and non-exclusive licences for a 
wide array of third-party technologies. It has also obtained certain trademarks and trade names for products, and maintains 
certain  details  about  company  processes,  products  and  strategies  as  trade  secrets.  In  the  aggregate,  these  intellectual 
property assets and licences are considered to be of material importance to LivaNova’s business segments and operations. 
LivaNova regularly reviews third-party patents and patent applications in an effort to protect its intellectual property and 
avoid disputes over proprietary rights.

F. 

Markets and Distribution Methods

The three largest markets for LivaNova’s medical devices are Europe, the US and Japan. Emerging markets are an area of 
increasing focus and opportunity. LivaNova sells most of its medical devices through direct sales representatives in the US 
and a combination of direct sales representatives and independent distributors in markets outside the US.

LivaNova’s marketing and sales strategy is focused on rapid, cost-effective delivery of high-quality products to a diverse 
group  of  customers  worldwide  –  including  physicians,  perfusionists,  hospitals  and  other  medical  institutions  and 
healthcare providers. To achieve this objective, LivaNova maintains a highly knowledgeable and dedicated sales staff that 
is able to foster strong customer relationships. LivaNova maintains excellent working relationships with professionals in 
the medical industry, who provide LivaNova with a detailed understanding of therapeutic and diagnostic developments, 
trends, and emerging opportunities, which enables it to respond quickly to the changing needs of providers and patients. 
LivaNova actively participates in medical meetings and conducts comprehensive training and educational activities in an 
effort to enhance its presence in the medical community, and believes that these activities also contribute to healthcare 
professional expertise.

13

Due to the emphasis on cost-effectiveness in healthcare delivery, the current trend among hospitals and other medical device 
customers  is  to  consolidate  into  larger  purchasing  groups  in  order  to  enhance  purchasing  power.  As  a  result,  customer 
transactions have become increasingly complex. Enhanced purchasing power may also lead to pressure on pricing and an 
increase in the use of preferred vendors. LivaNova’s customer base continues to evolve to reflect such economic changes 
across the geographic markets it serves.

G. 

Competition and Industry

LivaNova  competes  in  the  medical  device  market  in  over  5,000  hospitals  in  more  than  100  countries.  This  market  is 
characterised  by  rapid  change  resulting  from  technological  advances  and  scientific  discoveries.  Its  competitors,  across 
LivaNova’s product portfolio, range from large manufacturers with multiple business lines to small manufacturers offering 
a limited selection of specialised products. In addition, LivaNova faces competition from providers of alternative medical 
therapies. Competitors for each of LivaNova’s business segments are discussed below:

•  Cardiac Surgery:

•  Cardiopulmonary Products: all Cardiopulmonary products face competition from at least two other large 
companies, and some regional competitors, although not all competitors are present in all product lines. 
All products are sold in a competitive market where pricing can be a relevant factor.

•  Heart Valves: LivaNova competes with three large competitors, and pricing is a significant factor.

•  CRM:  LivaNova  competes  with  four  large  competitors,  and  features  offered  and  pricing  are  significant 

competitive factors.

•  Neuromodulation: LivaNova faces competition from a large competitor in Europe and a smaller competitor in 

the US.

Product problems, physician advisories, safety alerts and publications about LivaNova’s products can cause major shifts in 
industry  market  share,  reflecting  the  importance  of  product  quality,  product  efficacy  and  quality  systems  in  the  medical 
device industry. In addition, because of developments in managed care, economically-motivated customers, consolidation 
among  healthcare  providers,  increased  competition,  and  declining  reimbursement  rates,  LivaNova  may  be  increasingly 
required to compete on the basis of price. In order to continue to compete effectively, LivaNova must continue to create or 
acquire advanced technology, incorporate this technology into proprietary products, obtain regulatory approvals in a timely 
manner, maintain high-quality manufacturing processes and successfully market these products.

H. 

Financial Information about the Company, the Business Units and Geographic Areas

Following  the  Mergers,  LivaNova  operates  its  business  as  three  segments,  which  it  calls  Business  Units.  The  historical 
Cyberonics  operations  are  included  in  the  Neuromodulation  Business  Unit  and  the  historical  Sorin  business  activities  are 
included in the Cardiac Surgery and CRM Business Units.

LivaNova’s worldwide operations are accompanied by certain financial and other risks. Relationships with customers and 
effective terms of sale vary by country; often with longer-term receivables than are typical in the US. Currency exchange rate 
fluctuations can affect revenues, net of expenses, and cash flows from operations worldwide.

I. 

Production and Availability of Raw Materials

LivaNova manufactures a majority of its products at ten manufacturing facilities located in Italy, France, Germany, the US, 
Canada, Brazil, Costa Rica and the Dominican Republic. LivaNova purchases many of the components and raw materials used 
in manufacturing these products from numerous suppliers in various countries. For quality assurance, sole source availability 
or cost effectiveness purposes, LivaNova may procure certain components and raw materials from a sole supplier. LivaNova 
works  closely  with  its  suppliers  to  ensure  continuity  of  supply  while  maintaining  high  quality  and  reliability.  Due  to  the 
regulatory requirements regarding manufacturing of its products, LivaNova may not be able to quickly establish additional or 
replacement sources for certain components or materials. Generally, LivaNova has been able to obtain adequate supplies of 
such raw materials and components. However, a sudden or unexpected reduction or interruption in supply, and an inability 
to develop alternative sources for such supply, could adversely affect operations.

14

The  quality  systems  utilised  by  LivaNova  in  the  design,  production,  warehousing  and  distribution  of  LivaNova’s  products 
are designed to ensure that the products are safe and effective. Some of the governmental agencies and quality system 
regulations with which LivaNova is required to comply are as follows:

• 

• 

• 

• 

The QSR under section 520 of the US FDCA and its implementing regulations at 21 C.F.R. Part 820.

The International Standards Organisation – EN ISO 13485:2012, Medical devices – Quality management systems.

The independent certification bodies – DEKRA, LNE/G-MED and TUV SUD act as LivaNova’s notified bodies to 
ensure that the manufacturing quality systems comply with ISO 13485:2003.

The European Council Directives 93/42/EEC and 90/385/EEC, ISO 13485, which relate to medical devices and 
active implantable medical devices.

In addition, LivaNova utilises environmental management systems and safety programmes to protect the environment and 
LivaNova’s employees. Some of the regulations and governmental agencies with which LivaNova complies are as follows:

• 

• 

• 

• 

The US Environmental Protection Agency for the regulation of environmental and employee health and the US 
Occupational Health and Safety Assessment System.

The European Union Registration, Evaluation, Authorisation and Restriction of Chemicals.

Italian regulations under the Integrated Environmental Authorisation acts.

ISO 14001 certification

J. 

Government Regulation and Other Considerations

LivaNova’s medical devices are subject to regulation by numerous government agencies, including the US FDA and similar 
agencies outside the US. To varying degrees, each of these agencies requires LivaNova to comply with laws and regulations 
governing  the  research,  development,  testing,  manufacturing,  labelling,  pre-market  clearance  or  approval,  marketing, 
distribution, advertising, promotion, recordkeeping, reporting, tracking, and importing and exporting of its medical devices. 
The business is also affected by patient privacy and security laws, cost containment initiatives, and environmental health 
and safety laws and regulations worldwide. The primary laws and regulations that affect the business are described below.

The laws applicable to LivaNova are subject to change and subject to evolving interpretations. If a governmental authority 
were to conclude that LivaNova is not in compliance with applicable laws and regulations, LivaNova and its officers and 
employees could be subject to severe criminal and civil penalties, including substantial fines and damages, and exclusion 
from participation as a supplier of product to beneficiaries covered by government programmes, among other potential 
enforcement actions.

US

Each medical device LivaNova seeks to commercially distribute in the US must first receive 510(k) clearance or pre-market 
approval from the US FDA, unless specifically exempted by that agency. Under the US FDCA, medical devices are classified 
into one of three classes – Class I, Class II or Class III – depending on the degree of risk associated with each medical device 
and the extent of control needed to ensure safety and effectiveness. Devices deemed to pose a lower risk are categorised 
as either Class I or II, which requires the manufacturer to submit to the US FDA a 510(k) pre-market notification requesting 
clearance of the device for commercial distribution in the US. Some low-risk devices are exempted from this requirement. 
Devices deemed by the US FDA to pose the greatest risk, such as life sustaining, life-supporting or implantable devices, 
or devices deemed not substantially equivalent to a previously 510(k)-cleared device, are categorised as Class III, requiring 
approval of a PMA application.

510(k) Clearance Process

To obtain 510(k) clearance, LivaNova must submit a pre-market notification to the US FDA demonstrating that the proposed 
device is substantially equivalent to a previously-cleared 510(k) device, a device that was in commercial distribution before 
28 May 1976 for which the US FDA has not yet called for the submission of approval PMA application, or a device that has 
been reclassified from Class III to either Class II or I. In rare cases, Class III devices may be cleared through the 510(k) process. 
The  US  FDA’s  510(k)  clearance  process  usually  takes  three  to  twelve  months  from  the  date  the  application  is  submitted 

15

and filed with the US FDA, but may take significantly longer and clearance is never assured. Although many 510(k) pre-
market notifications are cleared without clinical data, in some cases, the US FDA requires significant clinical data to support 
substantial equivalence. In reviewing a pre-market notification submission, the US FDA may request additional information, 
including clinical data, which may significantly prolong the review process.

After a device receives 510(k) clearance, any subsequent modification of the device that could significantly affect its safety 
or effectiveness, or that would constitute a major change in its intended use, will require a new 510(k) clearance or could 
require a PMA. The US FDA requires each manufacturer to make this determination initially, but the US FDA may review 
any such decision and may disagree with a manufacturer’s determination. If the US FDA disagrees with a manufacturer’s 
determination, the US FDA may require the manufacturer to cease marketing and/or recall the modified device until 510(k) 
clearance or approval of a PMA is obtained. Under these circumstances, the US FDA may also subject a manufacturer to 
significant regulatory fines or other penalties. In addition, the US FDA is currently evaluating the 510(k) process and may 
make substantial changes to industry requirements, including which devices are eligible for 510(k) clearance, the ability to 
rescind previously granted 510(k)s and additional requirements that may significantly impact the process.

Pre-market Approval Process

A  PMA  application  must  be  submitted  if  the  medical  device  is  in  Class  III  (although  the  US  FDA  has  the  discretion  to 
continue to allow certain pre-amendment Class III devices to use the 510(k) process) or cannot be cleared through the 510(k) 
process. A PMA application must be supported by, among other things, extensive technical, preclinical and clinical trials, 
and manufacturing and labelling data to demonstrate to the US FDA’s satisfaction the safety and effectiveness of the device.

After a PMA application is submitted and filed, the US FDA begins an in-depth review of the submitted information, which 
typically takes between one and three years, but may take significantly longer. During this review period, the US FDA may 
request additional information or clarification of information already provided. Also during the review period, an advisory 
panel  of  experts  from  outside  the  US  FDA  will  usually  be  convened  to  review  and  evaluate  the  application  and  provide 
recommendations to the US FDA as to the approvability of the device. In addition, the US FDA will conduct a pre-approval 
inspection of the manufacturing facility to ensure compliance with the QSR, which imposes elaborate design development, 
testing, control, documentation and other quality assurance procedures in the design and manufacturing process. The US 
FDA may approve a PMA application with post-approval conditions intended to ensure the safety and effectiveness of the 
device including, among other things, restrictions on labelling, promotion, sale, and distribution and collection of long-term 
follow-up data from patients in the clinical study that supported approval. Failure to comply with the conditions of approval 
can result in materially adverse enforcement action, including, among other things, the loss or withdrawal of the approval. 
New PMA applications or supplements are required for significant modifications to the manufacturing process, labelling of 
the product and design of a device that is approved through the PMA process. PMA supplements often require submission 
of the same type of information as an original PMA application, except that the supplement is limited to information needed 
to support any changes from the device covered by the original PMA application, and may not require as extensive clinical 
data or the convening of an advisory panel.

Clinical Studies

One or more clinical trials may be required to support a 510(k) application and are almost always required to support a 
PMA  application.  Clinical  trials  of  unapproved  or  uncleared  medical  devices  or  devices  being  studied  for  uses  for  which 
they are not approved or cleared (investigational devices) must be conducted in compliance with US FDA requirements. If 
human clinical trials of a device are required and the device presents a significant risk, the sponsor of the trial must file an 
investigational device exemption, or IDE, application prior to commencing human clinical trials. The IDE application must be 
supported by data, typically including the results of animal and/or laboratory testing. If the IDE application is approved by 
the US FDA and one or more IRBs, human clinical trials may begin at a specific number of institutional investigational sites 
with the specific number of patients approved by the US FDA. If the device presents a non-significant risk to the patient, 
a sponsor may begin the clinical trial after obtaining approval for the trial by one or more IRBs without separate approval 
from the US FDA. During the trial, the sponsor must comply with the US FDA’s IDE requirements including, for example, 
investigator selection, trial monitoring, adverse event reporting and recordkeeping. The investigators must obtain patient 
informed  consent,  rigorously  follow  the  investigational  plan  and  trial  protocol,  control  the  disposition  of  investigational 
devices and comply with reporting and recordkeeping requirements. LivaNova, the US FDA and the IRB at each institution 
at which a clinical trial is being conducted may suspend a clinical trial at any time for various reasons, including a belief that 
the subjects are being exposed to an unacceptable risk.

16

Continuing Regulation

After a device is cleared or approved for marketing in the US, numerous and pervasive regulatory requirements continue 
to  apply  and  LivaNova  will  continue  to  be  subject  to  inspection  by  the  US  FDA  to  determine  its  compliance  with  these 
requirements, as will its suppliers, contract manufacturers and contract testing laboratories. These requirements include, 
among others:

• 

• 

the  QSR,  which  governs,  among  other  things,  how  manufacturers  design,  test,  manufacture,  modify,  label, 
exercise quality control over and document manufacturing and quality issues regarding their products;

Establishment Registration, which requires establishments involved in the production and distribution of medical 
devices, intended for commercial distribution in the US, to register with the US FDA;

•  Medical Device Listing, which requires manufacturers to list the devices they have in commercial distribution 

with the US FDA;

• 

labelling and claims regulations, which require that all advertising and promotion of devices be truthful, not 
misleading and fairly balanced and provide adequate directions for use, and that all claims be substantiated;

•  prohibition of marketing devices for off-label uses, including requirements relating to dissemination of articles 

and information and responding to unsolicited requests for off-label information;

•  medical  device  reporting  regulations,  which  require  reporting  to  the  US  FDA  if  a  device  may  have  caused 
or contributed to a death or serious injury, or if a device has malfunctioned and would be likely to cause or 
contribute to a death or serious injury if the malfunction were to recur;

• 

reporting and record keeping for certain corrections or removals initiated by a manufacturer to reduce a risk 
to health posed by a device or to remedy a violation of the US FDCA caused by the device that may present a 
risk to health;

•  new statutory and regulatory requirements for Unique Device Identifiers on devices and submission of certain 

information about each device to the US FDA’s Global Unique Device Identification Database; and

• 

in some cases, ongoing monitoring and tracking of a device’s performance and periodic reporting to the US 
FDA of such performance results.

The US FDA enforces these requirements by inspection and market surveillance. The US FDA periodically inspects LivaNova’s 
manufacturing  facilities,  which  potentially  includes  LivaNova’s  suppliers.  If  the  US  FDA  observes  conditions  that  may 
constitute violations, LivaNova must correct the conditions or satisfactorily demonstrate the absence of the violations. The 
US FDA also has the authority to request repair, replacement or refund of the cost of any device manufactured or distributed 
by LivaNova. Recently, the US FDA has placed an increased emphasis on enforcement of the QSR and other post-market 
regulatory requirements. LivaNova continues to expend resources to maintain compliance with LivaNova’s obligations under 
the US FDA’s regulations. Failure to comply with applicable regulatory requirements may result in enforcement action by the 
US FDA, which may include one or more of the following sanctions:

•  untitled letters or warning letters;

•  fines, injunctions and civil penalties;

•  mandatory recall or seizure of LivaNova’s products;

• 

administrative detention or banning of LivaNova’s products;

•  operating restrictions, partial suspension or total shutdown of production;

• 

• 

• 

refusing LivaNova’s request for 510(k) clearance or pre-market approval of new product versions;

revocation of 510(k) clearance or pre-market approvals previously granted; and

criminal prosecution and penalties.

17

In December 2015, LivaNova received an US FDA Warning Letter alleging certain violations of US FDA regulations applicable 
to LivaNova’s 3T Heater Cooler devices and LivaNova’s Munich, Germany and Arvada, Colorado manufacturing facilities.

International

Outside the US, LivaNova is subject to government regulation in the countries in which it operates. Although many of the 
regulations applicable to LivaNova’s products in these countries are similar to those of the US FDA, these regulations vary 
significantly from country to country and with respect to the nature of the particular medical device. The time required 
to obtain foreign approvals to market LivaNova’s products may be longer or shorter than the time required in the US, and 
requirements for such approvals may differ from US FDA requirements. In the EEA, a single regulatory approval process 
exists, and conformity with the legal requirements is represented by the CE Mark. To obtain CE Mark certification, defined 
products must meet minimum standards of performance, safety and quality (i.e., the essential requirements) set out in 
the EU Medical Devices Directives (Council Directive 93/42/EEC on Medical Devices and Council Directive 90/385/EEC on 
Active Implantable Medical Devices). To demonstrate compliance with the essential requirements LivaNova must undergo 
a  conformity  assessment  procedure,  which  varies  according  to  the  type  of  medical  device  and  its  classification.  Except 
for low-risk medical devices (Class I with no measuring function and which are not sterile), where the manufacturer can 
issue  an  EC  Declaration  of  Conformity  based  on  a  self-assessment  of  the  conformity  of  its  products  with  the  essential 
requirements  of  the  EU  Medical  Devices  Directives,  a  conformity  assessment  procedure  requires  the  intervention  of  an 
organisation accredited by a Member State of the EU or an EEA competent authority to conduct conformity assessments, 
or a Notified Body. Depending on the relevant conformity assessment procedure, the Notified Body would typically audit 
and  examine  the  technical  file  and  the  quality  system  for  the  manufacture,  design  and  final  inspection  of  LivaNova’s 
devices.  Following  successful  completion  of  a  conformity  assessment  procedure  the  Notified  Body  issues  a  certification 
that entitles the manufacturer to affix the CE Mark to its medical devices after having prepared and signed a related EC 
Declaration of Conformity. Manufacturers with CE Marked devices are subject to regular inspections by Notified Bodies to 
monitor continued compliance with the essential requirements.

As a general rule, demonstration of conformity of medical devices and their manufacturers with the essential requirements 
must be based, among other things, on the evaluation of clinical data supporting the safety and performance of the 
products during normal conditions of use. Specifically, a manufacturer must demonstrate that the device achieves its 
intended performance during normal conditions of use, that the known and foreseeable risks, and any adverse events, 
are  minimised  and  acceptable  when  weighed  against  the  benefits  of  its  intended  performance,  and  that  any  claims 
made about the performance and safety of the device (e.g., product labelling and instructions for use) are supported 
by suitable evidence.

In  the  EEA,  clinical  trials  for  medical  devices  usually  require  the  approval  of  an  ethics  review  board  and  approval  by  or 
notification to the national regulatory authorities. Both regulators and ethics committees also typically require the submission 
of adverse event reports during a study and may request a copy of the final study report.

In September 2012, the European Commission published  proposals  for the  revision of the EU  regulatory  framework for 
medical  devices.  The  proposal  would  replace  the  Medical  Devices  Directive  and  the  Active  Implantable  Medical  Devices 
Directive with a new regulation, known as the Medical Devices Regulation. Unlike the Directives that must be implemented 
into national laws, the Medical Devices Regulation would be directly applicable in all EEA countries and so is intended to 
eliminate current national differences in regulation of medical devices.

In October 2013, the European Parliament approved a package of reforms to the European Commission’s proposals. Under 
the  revised  proposals,  only  designated  “special  notified  bodies”  would  be  entitled  to  conduct  conformity  assessments 
of  high-risk  devices,  such  as  active  implantable  devices.  These  special  notified  bodies  will  need  to  notify  the  European 
Commission  when  they  receive  an  application  for  a  conformity  assessment  for  a  new  high-risk  device.  The  European 
Commission will then forward the notification and the accompanying documents on the device to the MDCG, (a new, yet 
to be created, body chaired by the European Commission, and representatives of Member States) for an opinion. These 
new procedures may result in the re-assessment of LivaNova’s existing medical devices, or a longer or more burdensome 
assessment of LivaNova’s new products.

If  finally  adopted,  the  Medical  Devices  Regulation  is  expected  to  enter  into  force  during  2016  and  become  effective 
three  years  thereafter.  In  its  current  form  it  would,  among  other  things,  also  impose  additional  reporting  requirements 
on  manufacturers  of  high  risk  medical  devices,  impose  an  obligation  on  manufacturers  to  appoint  a  “qualified  person” 
responsible for regulatory compliance, and provide for more strict clinical evidence requirements.

18

The competent authorities of the EEA countries oversee the clinical research for medical devices and are responsible for 
market surveillance of products once they are placed on the market. LivaNova is required to report device failures and injuries 
potentially related to product use to these authorities in a timely manner. Various penalties exist for non-compliance with 
the laws setting forth the medical device directives.

The US FDA enforces these requirements by inspection and market surveillance. The US FDA periodically inspects LivaNova’s 
manufacturing facilities, which potentially includes LivaNova’s suppliers. If the US FDA observes conditions that may constitute 
violations, LivaNova must correct the conditions or satisfactorily demonstrate the absence of the violations; if LivaNova is 
unable to do so, it may face regulatory action. Non-compliance with applicable US FDA requirements can result in, among 
other things, fines, injunctions, civil penalties, recall or seizure of products, total or partial suspension of production, failure 
of  the  US  FDA  to  grant  marketing  approvals,  withdrawal  of  marketing  approvals,  a  recommendation  by  the  US  FDA  to 
prevent LivaNova from entering into government contracts, and criminal prosecutions. The US FDA also has the authority to 
request repair, replacement or refund of the cost of any device manufactured or distributed by LivaNova. Recently, the US 
FDA has placed an increased emphasis on enforcement of the QSR and other post-market regulatory requirements. LivaNova 
continues to expend resources to maintain compliance with LivaNova’s obligations under the US FDA’s regulations.

To be sold in Japan, most medical devices must undergo thorough safety examinations and demonstrate medical efficacy 
before they are granted approval, or “shonin”. The Japanese government, through the MHLW, regulates medical devices 
under the PAL. Oversight for medical devices is conducted with participation by the PMDA, a quasi-government organisation 
performing many of the review functions for MHLW. Penalties for a company’s noncompliance with PAL could be severe, 
including revocation or suspension of a company’s business licence and criminal sanctions. MHLW and PMDA also assess the 
quality management systems of the manufacturer and the product conformity to the requirements of the PAL. LivaNova is 
subject to inspection for compliance by these agencies.

Many countries in which LivaNova operates (outside of the EU, US, or Japan) have their own regulatory requirements for 
medical devices. Most countries outside of the EU, US or Japan require that product approvals be recertified on a regular 
basis, generally every five years. The recertification process requires that LivaNova evaluates any device changes and any new 
regulations or standards relevant to the device and, where needed, conduct appropriate testing to document continued 
compliance. Where recertification applications are required, they must be approved in order to continue selling LivaNova’s 
products in those countries. Since export control and economic sanctions laws and regulations are complex and constantly 
changing, LivaNova cannot ensure that laws and regulations may not be enacted, amended, enforced or interpreted in a 
manner materially impacting LivaNova’s ability to sell or distribute its products.

LivaNova’s global regulatory environment is becoming increasingly stringent and unpredictable, which could increase the 
time, cost and complexity of obtaining regulatory approvals for LivaNova’s products. Several countries that did not have 
regulatory requirements for medical devices have established such requirements in recent years and other countries have 
expanded, or plan to expand, existing regulations. Certain regulators are requiring local clinical data in addition to global 
clinical  data.  While  harmonisation  of  global  regulations  has  been  pursued,  requirements  continue  to  differ  significantly 
among countries. LivaNova expects that this global regulatory environment will continue to evolve, which could impact its 
ability to obtain future approvals for its products, or could increase the cost and time to obtain such approvals in the future. 
LivaNova cannot ensure that any new medical devices it develops will be approved in a timely or cost-effective manner, or 
approved at all.

Promotional Restrictions

Both  before  and  after  a  product  is  commercially  released,  LivaNova  has  ongoing  responsibilities  under  various  laws  and 
regulations governing medical devices. In addition to US FDA regulatory requirements, the US FDA and other US regulatory 
bodies (including the US Federal Trade Commission, the US Office of the Inspector General of the Department of Health 
and Human Services, the US Department of Justice and various US state Attorneys General) monitor the manner in which 
LivaNova promotes and advertises its products. Although physicians are permitted to use their medical judgment to employ 
medical devices for indications other than those cleared or approved by the US FDA, LivaNova is prohibited from promoting 
products for such “off-label” uses and can only market its products for cleared or approved uses.

Governmental Trade Regulations

The sale and shipment of LivaNova’s products and services across international borders, as well as the purchase of components 
and products from international sources, subjects LivaNova to extensive governmental trade regulations. A variety of laws 
and regulations apply to the sale, shipment and provision of goods, services and technology across international borders. 

19

Many  countries  control  the  export  and  re-export  of  goods,  technology  and  services  for  reasons  including  public  health, 
national security, regional stability, anti-terrorism policies and other reasons. Some governments may also impose economic 
sanctions against certain countries, persons or entities. In certain circumstances, approval from governmental authorities 
may be required before goods, technology or services are exported or re-exported to certain destinations, to certain end-
users  and  for  certain  end-uses.  Since  LivaNova  is  subject  to  extensive  regulations  in  the  countries  in  which  it  operates, 
LivaNova is subject to the risk that laws and regulations could change in a way that would expose it to additional costs, 
penalties or liabilities. These laws and regulations govern, among other things, LivaNova’s import and export activities.

In  addition  to  LivaNova’s  need  to  comply  with  such  regulations  in  connection  with  its  direct  export  activities,  LivaNova 
also  sells  and  provides  goods,  technology  and  services  to  agents,  representatives  and  distributors  who  may  export  such 
items to customers and end-users. If these third parties violate applicable export control and economic sanctions laws and 
regulations when engaging in transactions involving LivaNova’s products, LivaNova may be subject to varying degrees of 
liability  dependent  upon  LivaNova’s  participation  in  the  transaction.  The  activities  of  LivaNova’s  third  parties  may  cause 
disruption or delays in the distribution and sales of LivaNova’s products, or result in restrictions being placed upon LivaNova’s 
international distribution and sales of products, which may materially impact its business activities.

Patient Privacy and Security Laws

Various laws worldwide protect the confidentiality of certain patient health information, including patient medical records, 
and restrict the use and disclosure of patient health information by healthcare providers. Privacy standards in Europe and 
Asia are becoming increasingly strict, enforcement action and financial penalties related to privacy in the EU are growing, 
and  new  laws  and  restrictions  are  being  passed.  The  management  of  cross-border  transfers  of  information  among  and 
outside of EU member countries is becoming more complex, which may complicate LivaNova’s clinical research activities, as 
well as product offerings that involve transmission or use of clinical data. LivaNova will continue its efforts to comply with 
those requirements and to adapt its business processes to those standards.

With respect to the US, the HIPAA, as amended by the HITECH and their respective implementing regulations, including 
the  final  omnibus  rule  published  on  25  January  2013,  imposes  specified  requirements  relating  to  the  privacy,  security 
and transmission of individually identifiable health information. Among other things, HITECH makes HIPAA’s privacy and 
security  standards  directly  applicable  to  “business  associates,”  defined  as  independent  contractors  or  agents  of  covered 
entities that create, receive, maintain or transmit protected health information in connection with providing a service for or 
on behalf of a covered entity. HITECH also increased the civil and criminal penalties that may be imposed against covered 
entities, business associates and possibly other persons, and gave state attorneys new general authority to file civil actions 
for damages or injunctions in federal courts to enforce the federal HIPAA laws and seek attorney’s fees and costs associated 
with pursuing federal civil actions. In addition, state laws govern the privacy and security of health information in certain 
circumstances, many of which differ from each other in significant ways, thus complicating compliance efforts. LivaNova 
potentially operates as a business associate to covered entities in a limited number of instances. In those cases, the patient 
data that LivaNova receives may include protected health information, as defined under HIPAA. Enforcement actions can 
be costly and interrupt regular operations of LivaNova’s business. Nonetheless, these requirements affect a limited subset 
of LivaNova’s business. While LivaNova has not been named in any such suits, if a substantial breach or loss of data from 
LivaNova’s records were to occur, it could become a target of such litigation.

Cost Containment Initiatives

Government and private sector initiatives to limit the growth of healthcare costs, including price regulation, competitive 
pricing, bidding and tender mechanics, coverage and payment policies, comparative effectiveness of therapies, technology 
assessments,  and  managed-care  arrangements,  are  continuing  in  many  countries  where  LivaNova  does  business.  These 
changes are causing the marketplace to put increased emphasis on the delivery of more cost-effective medical devices and 
therapies. Government programmes, private healthcare insurance and managed-care plans have attempted to control costs 
by  limiting  the  extent  of  coverage  or  amount  of  reimbursement  available  for  particular  procedures  or  treatments,  tying 
reimbursement  to  outcomes,  shifting  to  population  health  management,  and  other  mechanisms  designed  to  constrain 
utilisation  and  contain  costs.  Hospitals,  which  purchase  implants,  are  also  seeking  to  reduce  costs  through  a  variety  of 
mechanisms, including, for example, creating centralised purchasing functions that set pricing and in some cases limit the 
number of vendors that can participate in the purchasing program. Hospitals are also aligning their interests with physicians’ 
through  employment  and  other  arrangements,  such  as  gainsharing,  whereby  a  hospital  agrees  with  physicians  to  share 

20

certain realised cost savings resulting from the physicians’ collective change in practice patterns, such as standardisation 
of  devices  where  medically  appropriate,  and  participation  in  affordable  care  organisations.  Such  alignment  has  created 
increasing levels of price sensitivity among customers for LivaNova’s products.

Some third-party payers must also approve coverage and set reimbursement levels for new or innovative devices or therapies 
before they will reimburse healthcare providers who use the medical devices or therapies. Even though a new medical device 
may be cleared for commercial distribution, LivaNova may find limited demand for the device until coverage and sufficient 
reimbursement levels have been obtained from governmental and private third-party payers. In addition, some private third-
party payers require that certain procedures or the use of certain products be authorised in advance as a condition of coverage.

In the US, the implementation of the Affordable Care Act, for example, has the potential to substantially change healthcare 
financing and delivery by both governmental and private insurers, and significantly impact the pharmaceutical and medical 
device industries. The Affordable Care Act imposed, among other things, a new federal excise tax on the sale of certain 
medical  devices,  which  due  to  subsequent  legislative  amendments,  has  been  suspended  from  1  January  2016  to  31 
December 2017, and, absent further legislative action, will be reinstated starting 1 January 2018. In addition, the Affordable 
Care  Act  provided  incentives  to  programmes  that  increase  the  federal  government’s  comparative  effectiveness  research. 
The  Affordable  Care  Act  also  implemented  payment  system  reforms  including  a  national  pilot  programme  on  payment 
bundling  to  encourage  hospitals,  physicians  and  other  providers  to  improve  the  coordination,  quality  and  efficiency  of 
certain healthcare services through bundled payment models.

In addition, other legislative changes have been proposed and adopted since the Affordable Care Act was enacted. On 2 
August 2011, President Obama signed into law the US Budget Control Act of 2011, which, among other things, created the 
Joint Select Committee on Deficit Reduction to recommend to Congress proposals on spending reductions. The Joint Select 
Committee did not achieve a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, triggering 
the legislation’s automatic reduction of several government programmes. These included reductions to Medicare payments 
to  providers  of  2  per  cent.  per  fiscal  year,  which  went  into  effect  on  1  April  2013,  and,  due  to  subsequent  legislative 
amendments, will stay in effect through 2025 unless additional Congressional action is taken. On 2 January 2013, President 
Obama signed into law the American Taxpayer Relief Act of 2012, which, among other things, further reduced Medicare 
payments to several providers, including hospitals.

International examples of cost containment initiatives and healthcare reforms in markets significant to LivaNova’s business 
include  Japan,  where  the  government  reviews  reimbursement  rate  benchmarks  every  two  years,  such  reviews  may 
significantly reduce reimbursement for procedures using LivaNova’s medical devices or result in the denial of coverage for 
those procedures.

In addition, the Italian Parliament has introduced new rules for entities that supply goods and services to the Italian National 
Healthcare System. The new healthcare law is expected to impact the business and financial reporting of companies operating 
in the medical technology sector that sell medical devices in Italy. A key provision of the law is a ‘payback’ measure, requiring 
companies selling medical devices in Italy to make payments to the Italian state if medical device expenditures exceed regional 
maximum ceilings. Companies are required to make payments equal to a percentage of expenditures exceeding maximum 
regional caps. There is considerable uncertainty about how the law will operate and the exact timeline for finalisation.

As a result of LivaNova’s manufacturing efficiencies, cost controls and other cost-savings initiatives, LivaNova believes it is 
well-positioned to respond to changes resulting from this worldwide trend toward cost-containment; however, uncertainty 
remains as to the nature of any future legislation or other reforms, making it difficult for LivaNova to predict the potential 
impact of cost-containment trends on future operating results.

Applicability of Anti-Corruption Laws and Regulations

LivaNova worldwide business is subject to the US FCPA, the UK Bribery Act and other anti-corruption laws and regulations 
applicable in the jurisdictions where it operates.

Health Care Fraud and Abuse Laws

LivaNova is also subject to healthcare regulation and enforcement by the states, the federal government, and foreign states 
in which it conducts its business. These laws include, without limitation, state and federal anti-kickback, fraud and abuse, 
false claims and physician sunshine laws and regulations.

21

The  US  federal  Anti-Kickback  Statute  prohibits,  among  other  things,  any  person  from  knowingly  and  wilfully  offering, 
soliciting, receiving or providing remuneration, directly or indirectly, to induce either the referral of an individual for an item 
or service or the purchasing or ordering of a good or service, for which payment may be made under federal healthcare 
programmes such as Medicare and Medicaid. The US Anti-Kickback Statute is subject to evolving interpretations. In the 
past,  the  government  has  enforced  the  US  Anti-Kickback  Statute  to  reach  large  settlements  with  healthcare  companies 
based  on  sham  consulting  and  other  financial  arrangements  with  physicians.  A  person  or  entity  does  not  need  to  have 
actual  knowledge  of  the  statute  or  specific  intent  to  violate  it  in  order  to  have  committed  a  violation.  In  addition,  the 
government may assert that a claim including items or services resulting from a violation of the federal US Anti-Kickback 
Statute constitutes a false or fraudulent claim for purposes of the US False Claims Act. The majority of states also have 
anti-kickback laws which establish similar prohibitions, and in some cases may apply to items or services reimbursed by any 
third-party payer, including commercial insurers.

Additionally, the civil US False Claims Act prohibits knowingly presenting or causing the presentation of a false, fictitious, 
or fraudulent claim for payment to the US government. Actions under the US False Claims Act may be brought by the US 
Attorney General or as a qui tam action by a private individual in the name of the government. Violations of the US False 
Claims Act can result in very significant monetary penalties and treble damages. The federal government is using the US 
False Claims Act, and the accompanying threat of significant financial liability, in its investigation and prosecution of device 
and  biotechnology  companies  throughout  the  country,  for  example,  in  connection  with  the  promotion  of  products  for 
unapproved  uses  and  other  sales  and  marketing  practices.  The  government  has  obtained  multi-million  and  multi-billion 
dollar  settlements  under  the  US  False  Claims  Act  in  addition  to  individual  criminal  convictions  under  applicable  criminal 
statutes. Given the significant size of actual and potential settlements, it is expected that the government will continue to 
devote substantial resources to investigating healthcare providers’ and manufacturers’ compliance with applicable fraud and 
abuse laws.

HIPAA also created new federal criminal statutes that prohibit, among other actions, knowingly and wilfully executing, or 
attempting to execute, a scheme to defraud any healthcare benefit program, including private third-party payers; knowingly 
and  wilfully  embezzling  or  stealing  from  a  healthcare  benefit  program;  wilfully  obstructing  a  criminal  investigation  of  a 
healthcare offence; and knowingly and wilfully falsifying, concealing or covering up a material fact or making any materially 
false,  fictitious  or  fraudulent  statement  in  connection  with  the  delivery  of  or  payment  for  healthcare  benefits,  items  or 
services. Similar to the federal US Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the 
statute or specific intent to violate it in order to have committed a violation.

There has also been a recent trend of increased federal and state regulation of payments made to physicians and other 
healthcare providers. The Affordable Care Act, among other things, imposes new reporting requirements on certain device 
manufacturers  for  payments  made  by  them  to  physicians  and  teaching  hospitals,  as  well  as  ownership  and  investment 
interests held by physicians and their immediate family members. Failure to submit required information may result in civil 
monetary penalties of up to an aggregate of $150,000 per year (or up to an aggregate of $1 million per year for “knowing 
failures”),  for  all  payments,  transfers  of  value,  or  ownership  or  investment  interests  that  are  not  timely,  accurately  and 
completely reported in an annual submission. Device manufacturers must submit reports to the government by the 90th 
day  of  each  calendar  year.  Certain  states  also  mandate  implementation  of  compliance  programmes,  impose  restrictions 
on device manufacturer marketing practices, and/or require the tracking and reporting of gifts, compensation, and other 
remuneration to physicians.

The shifting commercial compliance environment and the need to build and maintain robust systems to comply with different 
compliance and/or reporting requirements in multiple jurisdictions increase the possibility that a healthcare company may 
violate one or more of the requirements. If LivaNova’s operations are found to be in violation of any of such laws or any other 
governmental regulations that apply to it, it may be subject to penalties, including, without limitation, civil and criminal 
penalties, damages, fines, the curtailment or restructuring of its operations, exclusion from participation in federal and state 
healthcare programmes and imprisonment, any of which could adversely affect its ability to operate its business and its 
financial results.

In addition, the FCPA can be used to prosecute companies in the US for arrangements with physicians, or other parties 
outside the US, if the physician or party is a government official of another country and the arrangement violates the law 
of that country. There are similar laws and regulations applicable to LivaNova outside the US, all of which are subject to 
evolving interpretations.

22

Environmental Health and Safety Laws

LivaNova is also subject to various environmental health and safety laws and regulations worldwide. Like other medical device 
companies,  LivaNova’s  manufacturing  and  other  operations  involve  the  use  and  transportation  of  substances  regulated 
under environmental health and safety laws including those related to the transportation of hazardous materials. To the best 
of the Company’s knowledge at this time, it does not expect that compliance with environmental protection laws will have 
a material impact on its consolidated results of operations, financial position, or cash flows.

Patent Litigation Risks

LivaNova operates in an industry characterised by extensive patent litigation. Patent litigation can result in significant damage 
awards and injunctions that could prevent the manufacture and sale of affected products broadly, or in specified markets, 
or result in significant royalty payments in order to continue selling the products. Although LivaNova is not currently a party 
to any patent litigation, LivaNova has in the past been involved as both a plaintiff and a defendant in patent infringement 
actions. At any given time, LivaNova may be involved again as either a plaintiff or a defendant in a patent infringement action; 
the outcome of which may not be known for prolonged periods of time. While it is not possible to predict participation in, 
or the outcome of, patent litigation incidental to LivaNova’s business, it believes the costs associated with future litigation 
of this type could have a material adverse impact on its consolidated results of operations, financial position, or cash flows.

Product Liability and Insurance

The  development,  manufacture,  and  sale  of  LivaNova’s  products  subject  LivaNova  to  the  risk  of  product  liability  claims. 
LivaNova is currently named as a defendant in one or more product liability lawsuits. As the manufacturer of medical devices, 
LivaNova likely will be named in the future as a defendant in other product liability lawsuits. The Company does not believe 
that  LivaNova’s  products  involved  in  the  current  lawsuits  are  defective;  however,  the  outcome  of  litigation  is  inherently 
unpredictable and could result in an adverse judgment and an award of substantial and material damages against LivaNova. 
Although LivaNova maintains product liability insurance in amounts that the Company believes to be reasonable, coverage 
limits may prove to be inadequate in some circumstances. Product liability insurance is expensive and in the future may 
only be available at significantly higher premiums or not available on acceptable terms, if at all. A successful claim brought 
against LivaNova in excess of LivaNova’s insurance coverage could severely harm LivaNova’s business and consolidated results 
of operations and financial position. LivaNova has undertaken field corrections to address product defects, and there can be 
no assurance that LivaNova will not be required to perform field corrections and product recalls or removals in the future.

LivaNova has sent safety alert letters and recommendations and published field notifications for its products. All of LivaNova’s 
US FDA related field notifications and safety alerts affecting a significant patient population are available on its website, 
www.livanova.com. Any such current or future product defects may result in legal claims with material adverse consequences 
to LivaNova’s business.

LivaNova  endeavours  to  maintain  executive  and  organisation  liability  insurance  in  a  form  and  with  aggregate  coverage 
limits that the Company believes are adequate for LivaNova’s business purposes, but the coverage limits may prove not to 
be adequate in some circumstances. In addition, executive and organisation liability insurance is expensive and in the future 
may be available only at significantly higher premiums or not be available on acceptable terms, if at all. Further, insurance 
companies may be unable to meet their obligations under the policies they have issued or will issue in the future.

K. 

Working Capital Practices

LivaNova’s goal is to carry sufficient levels of inventory to ensure adequate supply of raw materials from suppliers and meet 
the product delivery needs of LivaNova’s customers. To meet the operational demands of LivaNova’s customers, LivaNova 
also provides payment terms to customers in the normal course of business and rights to return product under warranty.

23

L. 

Employees

As of 31 December 2015, LivaNova employed approximately 4,700 employees worldwide. LivaNova’s employees are vital to 
LivaNova’s success, and LivaNova is engaged in an ongoing effort to identify, hire, manage, and maintain the talent necessary 
to meet LivaNova’s business objectives. The Company believes that LivaNova has thus far been successful in attracting and 
retaining qualified personnel in a highly competitive labour market due, in large part, to LivaNova’s competitive compensation 
and benefits, and LivaNova’s rewarding work environment, fostering employee professional training and development and 
providing employees with opportunities to contribute to LivaNova’s continued growth and success.

As at 31 December 2015:

• 

• 

• 

LivaNova had 8 directors, of whom 7 were male and 1 was female;

LivaNova had 10 persons discharging managerial responsibilities, all of whom were male; and

LivaNova had 4,653 employees, of whom 2,004 were male and 2,649 were female.

In March 2016, LivaNova announced a reorganisation plan for CRM, further details of which are set out in part B of this 
section II in the paragraph headed “CRM Recent Developments”.

M. 

Environment and Other Social Matters

LivaNova is committed to conducting its business in compliance with all applicable environmental laws and regulations in 
a manner that has the highest regard for the environment and the health and safety, and well-being of employees and the 
general public.  

N. 

Seasonality

For all product segments, the number of medical procedures incorporating LivaNova’s product sales is generally lower during 
summer months due to summer vacation schedules. This is particularly relevant to European countries.

O. 

Properties

LivaNova’s principal executive office is located in the United Kingdom and is leased. LivaNova’s business unit headquarters 
are  located  in  France,  Italy  and  the  US,  with  the  location  in  France  being  leased  and  the  locations  in  Italy  and  the  US 
being owned. Manufacturing and research facilities are located in Belgium, Brazil, British Columbia, Costa Rica, Dominican 
Republic, France, Germany, Italy, The People’s Republic of China, Australia and the US. LivaNova’s total manufacturing and 
research facilities are approximately 1,662,178 square feet, of which approximately 32 per cent. are located within the US. 
Approximately 60 per cent. of LivaNova’s manufacturing or research facilities are owned and the balance are leased.

LivaNova also maintains 21 primary administrative offices in 15 countries. Most of these locations are leased. LivaNova is 
using substantially all of its currently available productive space to develop, manufacture and market its products. LivaNova’s 
facilities  are  in  good  operating  condition,  suitable  for  their  respective  uses  and  adequate  for  current  needs.  LivaNova  is 
currently evaluating its properties for additional cost savings and efficiencies, due to the Mergers.

24

III. 

A. 

Business Review

Introduction

The Mergers became effective on 19 October 2015 and LivaNova became the holding company of the combined businesses 
of Cyberonics and Sorin. Based on the structure of the Mergers, management determined that Cyberonics is considered to 
be the acquirer and predecessor for accounting purposes.

LivaNova  is  reporting  in  its  consolidated  financial  statements  in  this  UK  Annual  Report  the  results  from  operations  for 
Cyberonics for the period 25 April 2015 to 31 December 2015 and the results of operations for Sorin for the period 19 
October 2015 to 31 December 2015, being the Transitional Period.

Historically, Sorin and Cyberonics prepared their financial statements in accordance with IFRS and US GAAP, respectively. 
Following completion of the Mergers, LivaNova is preparing its consolidated financial statements in accordance with both (i) 
US GAAP in accordance with US securities law and reporting requirements, and (ii) IFRS in accordance with the requirements 
of the Companies Act and the DTRs. The US GAAP financial statements for the Transitional Period were contained in the 
Annual Report on Form 10-K filed with the SEC on 4 March 2016 and the IFRS financial statements are contained in this 
UK Annual Report.

The  basis  of  presentation,  critical  accounting  estimates  and  significant  accounting  policies  are  set  out  in  note  2  to  the 
consolidated IFRS financial statements contained in this UK Annual Report.

LivaNova reported a loss from operations of $23.7 million on net sales of $415.7 million for the Transitional Period. This 
period included a $24.5 million impact from amortisation of the step-up in inventory and fixed assets. Also included in this 
period  is  $72  million  in  exceptional  items,  including  merger,  integration  and  restructuring  expenses,  and  an  impairment 
of an equity investment, along with $23 million in accelerated equity compensation expenses. The directors believe that, 
due to the timing of completion of the Mergers, and the time period covered by the transitional results, the results are not 
comparable to prior periods.

B. 

Key Performance Indicators

The  directors  of  LivaNova  consider  that  the  most  important  KPIs  for  2016  are  those  set  out  below.  As  LivaNova  only 
began operating as a combined entity on 19 October 2015 on completion of the Mergers, it is not possible to provide KPI 
information for 2015.

•  Net sales growth (on a constant currency basis, or adjusted net sales)

Due to the number of currencies in which LivaNova’s sales are invoiced to customers, the directors believe that constant 
currency sales growth is a more appropriate way to measure operational performance. Constant currency growth measures 
the change in sales between any particular year and the immediate prior year using average foreign exchange rates during 
the immediate prior year.

•  Adjusted income from operations

Income from operations, as adjusted for various costs arising from the Mergers (including those costs incurred as a result 
of purchase price accounting), measures LivaNova’s management of sales, gross profit and normalized operating expenses.

•  Adjusted net profit

Net profit, as adjusted for the items referred to above, and also adjusted for unusual costs from finance related matters, 
minority investments and accounting for taxation, measures the totality of LivaNova’s income statement.

•  Adjusted earnings per share

Earnings per share, as adjusted for the items referred to above, is a measure often used by investors to arrive at a value for 
each share issued by a company, including the dilutive effect of incentive shares issued to management.

An  important  KPI  to  be  evaluated  over  a  period  longer  than  one  year  is  the  share  price,  which  reflects  not  only  the 
management of LivaNova’s earnings on a consistent basis, but also management’s ability to articulate medium and longer 
term strategy and communicate both of these to investors.

25

C. 

Results of Operations

On  19  October  2015,  pursuant  to  the  terms  of  the  Merger  Agreement  Sorin  merged  with  and  into  the  Company, 
with  the  Company  continuing  as  the  surviving  company,  immediately  followed  by  the  merger  of  Merger  Sub  with 
and into Cyberonics,  with  Cyberonics continuing as  the  surviving company and  as  a  wholly owned subsidiary of  the 
Company.  Upon  the  consummation  of  the  Mergers,  the  historical  financial  statements  of  Cyberonics  became  the 
Company’s historical financial statements. Accordingly, the historical financial statements of Cyberonics are included in 
the comparative prior period.

Prior to the Mergers, Cyberonics had a 52/53-week financial year that ended on the last Friday in April. The financial year 
ended 24 April 2015 on the accompanying consolidated statement of income is a 52-week year. As a result of the Mergers, 
Cyberonics changed to a calendar year ending 31 December of each year. The change in financial year, effective as of 19 
October 2015, resulted in a transitional period which began on 25 April 2015 and ended on 31 December 2015. Therefore, 
the comparative amounts for the financial year ended 24 April 2015 are not comparable.

Upon completion of the Mergers, LivaNova reorganised its reporting structure and aligned its segments and the underlying 
divisions and businesses. The Cyberonics operations and historical data are included in the Neuromodulation segment, and 
the Sorin businesses activities are included in the Cardiac Surgery and the CRM segments.

Net Sales

The table below illustrates net sales by operating segment for the Transitional Period as compared to the financial year ended 
24 April 2015 (which uses historical Cyberonics data), or Cyberonics FY 2015 (in thousands):

Transitional Period 
25 April 2015 to  
31 December 2015  

Financial year 
ended 24 
April 2015

  % Change

Net revenues

Neuromodulation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $
Cardiac Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Cardiac Rhythm Management . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Corporate and New Venture . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Total  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $

214,761    $ 291,558   
—   
147,635   
—   
52,470   
—   
841   
415,707    $ 291,558   

(26.3)

The Cardiac Surgery and CRM segment sales occurred from 19 October 2015 to 31 December 2015 following the accounting 
acquisition of Sorin as a result of the Mergers.

Neuromodulation net sales for the Transitional Period decreased $76.8 million, or 26.3 per cent., compared to Cyberonics 
FY  2015.  The  decrease  in  Neuromodulation  net  sales  is  primarily  due  to  the  Transitional  Period  including  approximately 
36 weeks compared to 52 weeks in Cyberonics FY 2015. The successful US launch of AspireSR in June 2015 provided an 
important impetus for net sales.

The table below illustrates net sales by market geography for the Transitional Period as compared to Cyberonics FY 2015 
(in thousands):

Transitional Period 25 April 2015 to 31 December 2015

Financial year 
ended 24 April 2015

  Neuromodulation  

Cardiac 
Surgery

Cardiac Rhythm 
Management

United States . . . . . . . . . . . . . . .  $
Europe(1)  . . . . . . . . . . . . . . . . . . 
Rest of World. . . . . . . . . . . . . . . 
Total  . . . . . . . . . . . . . . . . . . . . .   $

180,764    $ 48,960    $

21,081   
12,916   

  40,272   
  58,403   

214,761    $ 147,635    $

—    $

New Ventures 
and Corporate   Neuromodulation
235,712 
41,484 
14,362 
291,558 

242   
599   
841    $

2,537    $

43,188   
6,745   
52,470    $

(1) 

Includes those countries in Europe where LivaNova has a direct sales presence. Countries where sales are made through distributors are included in 
Rest of World.

26

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
Cost of Sales and Expenses

The table below illustrates LivaNova’s cost of sales and major expenses as a percentage of sales for the Transitional Period, 
as compared to Cyberonics FY 2015:

Cost of sales  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Selling, general and administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Research and development  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Merger related expenses  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Integration expenses  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Restructuring expenses  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

Cost of Sales

Transitional Period 
25 April 2015 to 
31 December 2015  
35.8% 
40.3% 
12.2% 
10.1% 
3.3% 
2.7% 

Financial year 
ended 24 
April 2015

% Change

9.4% 
42.3% 
14.9% 
3.0% 
—%  
—%  

26.4%
(2.0)%
(2.7)%
7.1%
3.3%
2.7%

Cost of sales consisted primarily of direct labour, allocated manufacturing overhead, the acquisition cost of raw materials 
and components and the MDET. MDET began on 1 January 2013 and has been suspended for the period 1 January 2016 
to 31 December 2017.

LivaNova’s cost of sales as a percentage of net sales increased to 35.8 per cent. for the Transitional Period, as compared 
to  9.4  per  cent.  for  Cyberonics  FY  2015.  Cost  of  sales,  as  a  percentage  of  net  sales,  increased  as  a  result  of  including 
lower margin sales in Cardiac Surgery and CRM from the date of the Mergers, as well as the product transitions in CRM 
and Neuromodulation.

Looking ahead

The Company expects the cost of sales as a percentage of net sales in the year ending 31 December 2016 will be approximately 
the same as the Transitional Period.

SG&A Expenses

SG&A expenses are comprised of sales, marketing, general and administrative activities. SG&A expenses exclude expenses 
incurred in connection with the merger between Cyberonics and Sorin, integration costs after the Mergers and restructuring 
costs under the Restructuring Plan.

SG&A expenses as a percentage of net sales  for the  Transitional  Period decreased by  2.0 per cent. to 40.3 per cent. as 
compared to Cyberonics FY 2015. SG&A expenses, as a percentage of net sales, declined due to the higher sales base arising 
from the Mergers, and the initial impact of certain cost savings due to the elimination of duplicate overhead costs.

Looking ahead

LivaNova’s SG&A expenses in future years could be favourably impacted by synergies from the Restructuring Plan.

R&D Expenses

R&D expenses consist of product design and development efforts, clinical trial programmes and regulatory activities. R&D 
expenses as a percentage of net sales were 12.2 per cent. for the Transitional Period, as compared to 14.9 per cent. for 
Cyberonics FY 2015. R&D expenses, as a percentage of net sales, decreased due to changes in the R&D programmes within 
Neuromodulation, the initial impact of cost savings as well as lower R&D costs for Cardiac Surgery and CRM from the date 
of the Mergers.

Looking ahead

LivaNova’s R&D expenditures could be affected by future impairment of intangible assets utilised in R&D projects that may 
be cancelled or by the delay or cancellation of a project based on LivaNova’s review and product priorities. Ongoing projects 
include opportunities in the area of heart failure. LivaNova’s R&D expenses in future years could, however, be favourably 
impacted by synergies from the Restructuring Plan.

27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exceptional Items

Merger Related Expenses

In the Transitional Period, LivaNova incurred $42.1 million in expenses related to the Mergers. These expenses consisted of 
professional fees for legal services, accounting services, due diligence, a fairness opinion and the preparation of registration 
and regulatory filings in the US and Europe, as well as investment banking fees.

The  Company  reported  these  expenses  as  a  part  of  exceptional  item  separately  in  the  Company’s  consolidated  income 
statement. Share-based compensation triggered by the Mergers is included under merger related expenses.

Looking ahead

The Company expect merger related expenses to be significantly reduced in the year ending 31 December 2016.

Integration Expenses

LivaNova incurred $13.7 million in the Transitional Period in integration expenses related to the Mergers. These expenses 
consisted primarily of consultation with regard to: LivaNova’s systems integration, organisation structure integration, finance, 
synergy and tax planning, the transition to US GAAP for Sorin activity, the Company’s LSE listing and certain re-branding 
efforts.  The  Company  reported  these  expenses  as  a  part  of  exceptional  item  separately  in  the  Company’s  consolidated 
income statement.

Looking ahead

The Company expects integration expenses to continue to be material in the year ending 31 December 2016.

Restructuring Expenses

LivaNova incurred $11.3 million in the Transitional Period in restructuring expenses. The Company reported these expenses 
as a part of exceptional item separately in the Company’s consolidated income statement. Termination payments triggered 
by the Mergers are included in restructuring expenses. Certain termination payments occurred following efforts to eliminate 
duplicate corporate expenses. LivaNova also initiated its Restructuring Plan which is intended to leverage economies of scale 
and streamline distributions, logistics and office functions in order to reduce overall costs.

Looking ahead

The  Company  expects  Restructuring  Plan  expenses  to  increase  in  the  year  ending  31  December  2016,  particularly  with 
respect to the Reorganisation Plan for the CRM Business Unit announced on 10 March 2016 (see note 33 to the consolidated 
Financial Statements).

Impairment of Investments

LivaNova fully impaired a cost-method equity investment in Cerbomed, a European company developing a t-VNS device for 
epilepsy treatment, for a loss of $5.1 million. The Company reported these expenses as a part of exceptional item separately 
in the Company’s consolidated income statement.

Interest Expense

LivaNova  incurred  interest  expense  of  $1.5  million  for  the  Transitional  Period,  primarily  from  LivaNova’s  outstanding 
borrowings, amortisation of debt issuance costs and debt discounts and interest accrued on unrealised tax benefits.

Looking ahead

The Company expects LivaNova’s interest expense to increase in the year ending 31 December 2016.

28

Foreign Exchange and Other Income (Expense), Net

Foreign exchange and other expenses of $7.5 million recognised during the Transitional Period included loss of $5.6 million 
from both realised and unrealised foreign currency hedges. These derivative contracts were established to hedge against 
exchange  rate  movements  on  the  loan  from  the  EIB  and  other  loans,  which  are  denominated  in  Euros.  The  loss  on  the 
hedge was recorded in the Company’s consolidated income statement, whereas the hedged instrument’s gain was recorded 
in comprehensive income in the Company’s consolidated financial statements. Other losses included net foreign currency 
transaction losses of $1.9 million.

Income Taxes

LivaNova’s effective tax rate for the Transitional Period was 15.9 per cent., primarily due to the foreign tax rate differential 
between the UK tax rate and the non-UK tax rates of $11.2 million in the jurisdictions in which LivaNova operates; unfavourable 
effect of change in tax rate of $3.3 million; the tax benefit of notional interest deduction of $3.1 million; non-deductible 
transaction costs of $5.4 million; a US R&D tax credit of $1.6 million; unfavourable change in unrecognised deferred tax assets 
of $2.2 million; equity compensation adjustment of $5.8 million; and other permanent differences, including US IRC subpart 
F income, US domestic manufacturing deduction and other non-deductible expenses.

LivaNova  files  federal  and  local  tax  returns  in  many  jurisdictions  throughout  the  world  and  is  subject  to  income  tax 
examinations  for  financial  year  1992  for  the  legacy  Cyberonics  business  and  subsequent  years,  with  certain  exceptions. 
Tax authorities may disagree with certain positions LivaNova has taken and assess additional taxes, and as a result LivaNova 
establishes  reserves  for  uncertain  tax  positions,  which  requires  a  significant  degree  of  management  judgment.  LivaNova 
regularly assesses the likely outcomes of LivaNova’s tax positions in order to determine the appropriateness of LivaNova’s 
reserves for uncertain tax positions. The total amount of unrecognised tax benefit as of 31 December 2015, if recognised, 
would  reduce  LivaNova’s  income  tax  expense  by  approximately  $20.2  million.  The  Company  is  unable  to  estimate  the 
amount of change of the majority of LivaNova’s unrecognised tax benefits over the next 12 months; however, approximately 
$0.9 million will be resolved over the next 12 months due to the expected completion of an audit.

As of closing of the Mergers, there were several investments in subsidiaries where the book basis was greater than the tax 
basis, whereby the deferred tax liability was recognised through the acquisition method of accounting. The deferred tax 
liability recognised through purchase accounting related to these subsidiaries was approximately $17.9 million. No further 
provision  has  been  made  for  income  taxes  on  undistributed  earnings  of  foreign  subsidiaries  as  of  31  December  2015, 
because it is the Company’s intention to indefinitely reinvest undistributed earnings of LivaNova’s foreign subsidiaries. In the 
event of the distribution of those earnings in the form of dividends, a sale of the subsidiaries or certain other transactions, 
LivaNova may be liable for income taxes. There should be no material tax liability on future distributions as most jurisdictions 
with undistributed earnings have various participation exemptions or no withholding tax. As of 31 December 2015, it was 
not practicable to determine the amount of the income tax liability related to those investments.

Losses from Equity Method Investments

LivaNova  recognised  a  loss  of  $3.3  million  from  LivaNova’s  share  of  the  losses  at  LivaNova’s  equity  method  investments 
during the Transitional Period, primarily due to losses at Highlife, Caisson, Respicardia and MicroPort Sorin CRM.

Looking ahead

LivaNova’s share of its investees’ losses during the Transitional Period was incurred during the period 19 October 2015 to 
31 December 2015. In the year ending 31 December 2016, LivaNova’s share of its investees’ losses will be incurred for the 
period 1 January 2016 to 31 December 2016, and the Company expect the losses to be significantly greater.

D. 

Liquidity and Capital Resources

Based  on  LivaNova’s  current  business  plan,  the  Company  believes  that  LivaNova’s  existing  cash,  investments  and  future 
cash generated from operations will be sufficient to fund its expected operating needs, working capital requirements, R&D 
opportunities, capital expenditures and debt service requirements over the next 12 months. LivaNova regularly reviews its 
capital needs and considers various investing and financing alternatives to support its requirements.

29

Cash Flows

Net  cash  and  cash  equivalents  provided  by  (used  in)  operating,  investing  and  financing  activities  and  the  net  increase 
(decrease) in the balance of cash and cash equivalents were as follows (in thousands):

Operating activities  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $
Investing activities  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Effect of exchange rate changes on cash and cash equivalents. . . . . . . . . . . . . . . . . . . .  
Net increase (decrease)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $

Operating Activities

Transitional Period 
25 April 2015 to 
31 December 2015  

Financial Year 
Ended 24 
April 2015
79,676 
(9,765)
(48,256)
(767)
20,888 

(9,288)   $
16,182   
(18,127)  
(341)  
(11,574)   $

Cash utilised in LivaNova’s consolidated operating activities during the Transitional Period was $9.3 million. In Cyberonics FY 
2015, Cyberonics’ cash flow provided by operations was $79.6 million.

During the Transitional Period, cash flow from operating activities benefited from a cash inflow of $36.3 million primarily 
due  to  the  reduction  of  Sorin’s  inventory  that  was  acquired  in  the  Mergers.  The  Company  acquired  $233.8  million  of 
Sorin inventory as of 19 October 2015. In addition, during the Transitional Period, accounts payable and accrued liabilities 
decreased by $32.8 million, primarily due to payment of accrued merger costs.

Investing Activities

Cash provided by investing activities of $16.2 million during the Transitional Period was due to the transfer of $20.0 million 
to cash and cash equivalents from short-term investments and an increase in cash of $12.5 million obtained in the business 
acquisition, offset by net investment activity of $16.4 million.

Financing Activities

LivaNova utilised cash of $18.1 million for financing activities during the Transitional Period, which included the repayment 
of long-term debt of $32.0 million, and the purchase of treasury shares for $7.3 million, partially offset by cash proceeds 
from net short-term debt borrowing of $11.1 million and stock based compensation activities of $8.8 million. In Cyberonics 
FY 2015, LivaNova utilised cash for treasury stock repurchases of $55.0 million, while stock-based compensation activity 
provided $4.7 million for a net utilisation of $48.3 million.

Debt and Capital

LivaNova’s capital structure consists of debt and equity. As of 31 December 2015, LivaNova’s total debt of $174.3 million 
was 9.6 per cent. of total equity of $1,809.9 million.

Debt Acquired in the Mergers

At  the  consummation  of  the  Mergers  on  19  October  2015,  LivaNova  acquired  all  of  the  outstanding  debt  of  Sorin  in 
the aggregate principal amount of $203.0 million payable to various financial and non-financial institutions. Prior to the 
Mergers, Cyberonics had no debt.

Debt – Post Mergers

During the period between 19 October 2015 and 31 December 2015, LivaNova repaid $32.0 million of long-term debt and 
borrowed $11.1 million against short-term credit facilities.

Factoring

As  of  31  December  2015,  LivaNova  includes  an  obligation  of  $1.2  million  related  to  advances  on  customer  receivables 
in Accrued Liabilities in the consolidated balance sheet, with the balance of $23.3 million as an offset against customer 
receivables. The Company expects to reduce or eliminate this form of financing in fiscal year 2016.

30

 
 
 
 
 
 
 
Contractual Obligations

A summary of contractual and contingent obligations as of 31 December 2015 is as follows (in thousands):

Less Than 
One Year

One to 
Three Years  

Three to 
Five Years

Over Five 
Years

Total Contractual 
Obligations

Contingent obligations

Guarantees on governmental bids(1). . . . . .  $ 25,879    $
Guarantees – commercial(2) . . . . . . . . . . . . 
Guarantees to tax authorities(3)  . . . . . . . . . 

5,010   
  11,163   
  $ 42,052    $

—    $
—   
—   
—    $

—    $
—   
—   
—    $

—    $
—   
—   
—    $

25,879 
5,010 
11,163 
42,052 

Contractual obligations related to off-balance 

sheet arrangements:
Operating leases obligations(4) . . . . . . . . . .  $ 17,798    $ 33,429    $ 20,139    $ 29,300    $
Interest payments(5) . . . . . . . . . . . . . . . . . . 
Minimum royalty obligations(6) . . . . . . . . . . 
Inventory purchase commitments  . . . . . . . 

1,364   
50   
  30,147   

1,751   
100   
3,828   

768   
100   
51   

61   
50   
214   

  $ 49,359    $ 39,108    $ 21,058    $ 29,625    $
Long-term debt, including current portion    $ 82,513    $ 42,124    $ 39,649    $ 10,018    $
Capital leases  . . . . . . . . . . . . . . . . . . . . . . 
Derivatives and other. . . . . . . . . . . . . . . . . 

4   
1,815   

—   
1,414   

—   
368   

—   
11   

  $ 84,332    $ 43,538    $ 40,017    $ 10,029    $
 Total(7) . . . . . . . . . . . . . . . . . . . . . . . . . . .   $ 175,743    $ 82,646    $ 61,075    $ 39,654    $

(1)  Government bid guarantees include such items as unconditional bank guarantees, irrevocable letters of credit and bid bonds.

(2)  Commercial guarantees include LivaNova’s Canadian production site lease guarantee of $4.1 million.

(3)  Tax guarantees include the Milan VAT Authority security of €10.2 million.

(4)  Operating lease commitments include facilities, office equipment and automobiles.

100,666 
3,944 
300 
34,240 
139,150 
174,304 
4 
3,608 
177,916 
359,118 

(5) 

Interest payments reflect the contractual interest due on LivaNova’s outstanding debt and exclude the impact of interest rates swap agreements.

(6)  Minimum royalty fees are payable to Flint Hills L.L.C. for cardiac-based seizure detection intellectual property. Other royalty payments are not disclosed 

as they cannot be determined at this time.

(7)  Unrecognised tax benefits of $20.2 million are not reflected in the above schedule due to LivaNova’s inability to make a reasonably reliable estimate 

of the timing of any income tax payments.

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
     
 
     
 
     
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
E. 

Quantitative and Qualitative Disclosures about Market Risk

LivaNova is exposed to certain market risks as part of its ongoing business operations, including risks from foreign currency 
exchange  rates,  interest  rate  risks  and  concentration  of  procurement  suppliers  that  could  adversely  affect  LivaNova’s 
consolidated balance sheet, income statement and cash flow. LivaNova manages these risks through regular operating and 
financing activities and, at certain times, derivative financial instruments.

Foreign Currency Exchange Rate Risk

Due to the global nature of LivaNova’s operations, it is exposed to foreign currency exchange rate fluctuations. LivaNova 
generally  utilises  foreign  exchange  forward  contracts  that  are  designed  to  hedge  the  variability  of  material  cash  flows 
associated  with  forecast  revenue  and  costs  denominated  in  a  currency  different  from  the  functional  currency  of  the 
consolidated income statement that will take place in the future.

LivaNova does not enter into currency exchange rate derivative instruments for speculative purposes.

Based  on  its  exposure  to  foreign  currency  exchange  rate  risk,  a  sensitivity  analysis  indicates  that  if  the  US  dollar  had 
uniformly weakened or strengthened by 10 per cent. against the pound sterling and the yen the effect on LivaNova’s 
unrealised income or expense for its derivatives outstanding as at 31 December 2015 would have been approximately 
$2.3 million.

Any gains or losses on the fair value of derivative contracts would generally be offset by gains and losses on the underlying 
transactions. These offsetting gains and losses are not reflected in the above analysis.

Interest Rate Risk

LivaNova is subject to interest rate risk on its investments and debt. LivaNova manages a portion of its interest rate risk with 
contracts that swap floating-rate interest payments for fixed rate interest payments. If interest rates were to increase or 
decrease by 0.5 per cent., the effects on LivaNova’s consolidated income statement would have been immaterial.

Concentration of Credit Risk

LivaNova’s trade accounts receivable represents potential concentrations of credit risk. This risk is limited due to the large 
number of customers and their dispersion across a number of geographic areas, as well as LivaNova’s efforts to control its 
exposure to credit risk by monitoring its receivables and the use of credit approvals and credit limits. In addition, LivaNova 
has historically had strong collections and minimal write-offs. Whilst the Company believes that LivaNova’s reserves for credit 
losses are adequate, essentially all of LivaNova’s trade receivables are concentrated in the hospital and healthcare sectors 
worldwide and, accordingly, LivaNova is exposed to their respective businesses, economic and country-specific variables. 
Although the Company does not currently foresee a concentrated credit risk associated with these receivables, repayment 
is  dependent  on  the  financial  stability  of  these  industry  sectors  and  their  respective  countries’  national  economies  and 
healthcare systems.

IV. 

Principal Risks and Uncertainties

You  should  carefully  consider  the  specific  risks  and  uncertainties  set  forth  below  and  the  other  information  contained 
within  this  Strategic  Report,  as  these  are  important  factors  that  could  cause  LivaNova’s  actual  results,  performance  or 
achievements to differ materially from its expected or historical results. Some of the statements within this Strategic Report 
and in LivaNova’s IFRS financial statements are “forward-looking” statements. For a discussion of those statements and of 
other factors to consider see the “Cautionary Statement about Forward-Looking Statements” section below.

Global healthcare policy changes, including US healthcare reform legislation, may have a material adverse effect 
on LivaNova.

In  response  to  perceived  increases  in  healthcare  costs,  there  have  been  and  continue  to  be  proposals  by  governments, 
regulators,  and  third-party  payers  to  control  these  costs.  The  adoption  of  some  or  all  of  these  proposals  could  have  a 
material adverse effect on LivaNova’s financial position and results of operations. These proposals have resulted in efforts to 
reform the US healthcare system which may lead to pricing restrictions, limits on the amounts of reimbursement available 
for LivaNova’s products and could limit the acceptance and availability of LivaNova’s products.

32

In the US, the federal government enacted legislation, including the Affordable Care Act to overhaul the nation’s healthcare 
system. While one goal of healthcare reform is to expand coverage to more individuals, it also involves increased government 
price  controls,  additional  regulatory  mandates  and  other  measures  designed  to  constrain  medical  costs.  Among  other 
things, the Affordable Care Act:

• 

• 

• 

imposes  an  annual  excise  tax  of  2.3  per  cent.  on  any  entity  that  manufactures  or  imports  medical  devices 
offered  for  sale  in  the  US.  Due  to  subsequent  legislative  amendments,  the  excise  tax  has  been  suspended 
from 1 January 2016 to 31 December 2017, and, absent further legislative action, will be reinstated starting 1 
January 2018;

establishes a new Patient-Centered Outcomes Research Institute to oversee and identify priorities in comparative 
clinical effectiveness research in an effort to coordinate and develop such research; and

implements payment system reforms including a national pilot programme on payment bundling to encourage 
hospitals, physicians and other providers to improve the coordination, quality, and efficiency of certain healthcare 
services through bundled payment models.

In addition, other legislative changes have been proposed and adopted in the US since the Affordable Care Act was enacted. 
On 2 August 2011, the Budget Control Act of 2011, among other things, created measures for spending reductions by 
Congress.  A  Joint  Select  Committee  on  Deficit  Reduction,  tasked  with  recommending  a  targeted  deficit  reduction  of  at 
least $1.2 trillion for the years 2013 through 2021, was unable to reach required goals, thereby triggering the legislation’s 
automatic  reduction  to  several  government  programmes.  This  includes  aggregate  reductions  of  Medicare  payments  to 
providers of 2 per cent. per fiscal year, which went into effect in April 2013, and, due to subsequent legislative amendments 
to  the  statute,  will  remain  in  effect  through  2025  unless  additional  Congressional  action  is  taken.  On  2  January  2013, 
President Obama signed into law the American Taxpayer Relief Act of 2012, which, among other things, further reduced 
Medicare payments to several providers, including hospitals. The Company cannot predict what healthcare programmes and 
regulations will be ultimately implemented at the federal or state level, or the effect of any future legislation or regulation. 
However,  any  changes  that  lower  reimbursement  for  LivaNova’s  products  or  reduce  medical  procedure  volumes  could 
adversely affect LivaNova’s business and results of operations.

The Affordable Care Act also focuses on a number of Medicare provisions aimed at decreasing costs. It is uncertain at this 
point  what  unintended  consequences  these  provisions  will  have  on  patient  access  to  new  technologies.  The  Medicare 
provisions  include  value-based  payment  programmes,  increased  funding  of  comparative  effectiveness  research,  reduced 
hospital payments for avoidable readmissions and hospital-acquired conditions, and pilot programmes to evaluate alternative 
payment methodologies that promote care coordination (such as bundled physician and hospital payments). Additionally, 
the law includes a reduction in the annual rate of inflation for hospitals that began in 2011 and the establishment of an 
independent payment advisory board to recommend ways of reducing the rate of growth in Medicare spending beginning 
in  2014.  The  Company  cannot  predict  what  healthcare  programmes  and  regulations  will  be  implemented  at  the  global 
level or the US federal or state level, or the effect of any future legislation or regulation. However, any changes that lower 
reimbursement for LivaNova’s products or reduce medical procedure volumes could adversely affect LivaNova’s business and 
results of operations.

The Italian Parliament introduced new rules for entities that supply goods and services to the Italian National Healthcare 
System. The new healthcare law is expected to impact the business and financial reporting of companies operating in the 
medical technology sector that sell medical devices in Italy. A key provision of the law is a ‘payback’ measure, requiring 
companies  selling  medical  devices  in  Italy  to  make  payments  to  the  Italian  state  if  medical  device  expenditures  exceed 
regional maximum ceilings. Companies are required to make payments equal to a percentage of expenditures exceeding 
maximum regional caps. There is considerable uncertainty about how the law will operate and what the exact timeline is 
for finalisation. The Company’s current assessment of the Italian medical device payback law involves significant judgment 
regarding the expected scope and actual implementation terms of the measure as the latter have not been clarified to date 
by Italian authorities. LivaNova accounts for the estimated cost of the medical device payback as a deduction from revenue.

Outside  of  the  US,  reimbursement  systems  vary  significantly  by  country.  Many  foreign  markets  have  government-
managed healthcare systems that govern reimbursement for medical devices and procedures. Additionally, some foreign 
reimbursement systems provide for limited payments in a given period and therefore result in extended payment periods. 
If  adequate  levels  of  reimbursement  from  third-party  payers  outside  of  the  US  are  not  obtained,  international  sales  of 
LivaNova’s products may decline.

33

In addition, in the US, certain state governments and the federal government have enacted legislation aimed at increasing 
transparency of LivaNova’s interactions with healthcare providers, for example, federal “sunshine” requirements imposed by 
the Affordable Care Act on certain manufacturers of devices for which payment is available under Medicare, Medicaid, or 
the Children’s Health Insurance Program regarding any “transfer of value” made or distributed to physicians and teaching 
hospitals. Failure to submit required information may result in civil monetary penalties of up to an aggregate of $150,000 per 
year (or up to an aggregate of $1 million per year for “knowing failures”), for all payments, transfers of value or ownership 
or investment interests that are not timely, accurately, and completely reported in an annual submission. Manufacturers must 
submit reports by the 90th day of each calendar year.

Similar  laws  exist  outside  the  US,  such  as  in  France,  which  adopted  the  “Physician  Payments  Sunshine  Act”  in  2011. 
The French act requires companies to publicly disclose agreements with, and certain benefits provided to, certain French 
healthcare professionals. Other countries are considering or may enact laws or regulations comparable to those implemented 
in the US and France. Any failure to comply with these legal and regulatory requirements could impact LivaNova’s business. 
In addition, LivaNova may continue to devote substantial additional time and financial resources to further develop and 
implement policies, systems, and processes to comply with enhanced legal and regulatory requirements, which may also 
impact LivaNova’s business. The Company anticipates that governmental authorities will continue to scrutinise LivaNova’s 
industry closely, and that additional regulation may increase compliance and legal costs, exposure to litigation, and other 
adverse effects to LivaNova’s operations.

LivaNova may be unable to obtain and maintain adequate third-party reimbursement on its products, which 
could have a significant negative impact on its future operating results.

LivaNova’s ability to commercialise its products is dependent, in large part, on whether third-party payers, including private 
healthcare  insurers,  managed  care  plans,  governmental  programmes  and  others  agree  to  cover  the  costs  and  services 
associated with LivaNova’s products and related procedures in the US and internationally.

LivaNova’s products are purchased principally by healthcare providers that typically bill various third-party payers, such as 
governmental programmes (e.g., Medicare and Medicaid in the US), private insurance plans and managed care plans, for the 
healthcare services provided to their patients. The ability of customers to obtain appropriate reimbursement for their services 
and  the  products  they  provide  from  government  and  third-party  payers  is  critical  to  the  success  of  medical  technology 
companies. The availability of adequate reimbursement affects which procedures customers perform, the products customers 
purchase and the prices customers are willing to pay. Reimbursement varies from country to country and can significantly 
impact the acceptance of new technology. After LivaNova develops a promising new product, it may find limited demand 
for the product unless reimbursement approval is obtained from private and governmental third-party payers. In addition, 
periodic changes to reimbursement methodologies could have an adverse impact on LivaNova’s business.

LivaNova may also experience decreasing prices for its goods and services due to pricing pressure experienced by customers 
from governmental payers, managed care organisations and other third-party payers, increased market power of LivaNova’s 
customers  as  the  medical  device  industry  consolidates  and  increased  competition  among  medical  engineering  and 
manufacturing services providers. If the prices for goods and services decrease and LivaNova is unable to reduce expenses, 
LivaNova’s results of operations will be adversely affected.

Cost-containment  pressures  and  legislative  or  administrative  reforms  resulting  in  restrictive  reimbursement 
practices of third-party payers or preferences for alternate therapies could decrease the demand for products 
purchased by LivaNova’s customers, the prices they are willing to pay for those products and the number of 
procedures using LivaNova’s devices.

Major  third-party  payers  for  healthcare  provider  services  continue  to  work  to  contain  healthcare  costs.  The  introduction 
of cost containment incentives, combined with closer scrutiny of healthcare expenditures by both private health insurers 
and employers, could result in increased discounts and contractual adjustments to healthcare provider charges for services 
performed  and  in  the  shifting  of  services  between  inpatient  and  outpatient  settings.  Initiatives  to  limit  the  growth  of 
healthcare  costs,  including  price  regulation,  are  also  underway  in  several  countries  in  which  LivaNova  does  business. 
Implementation of healthcare reforms in the US and in significant overseas markets such as Germany, Italy, France, Japan and 
other countries may limit the price of, or the level at which, reimbursement is provided for LivaNova’s products and adversely 
affect both LivaNova’s pricing flexibility and the demand for LivaNova’s products. Healthcare providers may respond to such 
cost-containment pressures by substituting lower cost products or other therapies for LivaNova’s products.

34

The continuing efforts of governmental authorities, insurance companies, and other payers of healthcare costs to contain 
or reduce these costs could lead to patients being unable to obtain approval for payment from these payers. If payment 
approval cannot be obtained by patients, sales of finished medical devices or those that use LivaNova’s components may 
decline significantly, and LivaNova’s customers may reduce or eliminate purchases of its products and/or components. This 
could have a material or adverse impact on LivaNova’s results of earnings and cash flows.

Patient confidentiality and federal and state privacy and security laws and regulations in the US may adversely 
impact LivaNova’s selling model.

HIPAA establishes federal rules protecting the privacy and security of personal health information. The privacy and security 
rules address the use and disclosure of individual healthcare information and the rights of patients to understand and control 
how such information is used and disclosed. HIPAA provides both criminal and civil fines and penalties for covered entities 
or business associates that fail to comply. If LivaNova fails to comply with the applicable regulations, it could suffer civil 
penalties up to or exceeding $50,000 per violation, with a maximum of $1.5 million for multiple violations of an identical 
requirement during a calendar year and criminal penalties with fines up to $250,000 and potential imprisonment.

In addition to HIPAA, virtually every state has enacted one or more laws to safeguard privacy, and these laws vary significantly 
from state to state and change frequently. Even if LivaNova’s business model is compliant with the HIPAA Privacy and Security 
Rule and the privacy laws of the states it operates in, it may not be compliant with the privacy laws of all states. As the 
operation of LivaNova’s business involves the collection and use of substantial amounts of “protected health information,” 
it  endeavours  to  conduct  its  business  as  a  “covered  entity”  under  the  HIPAA  Privacy  and  Security  Rule  and  consistent 
with  the  state  privacy  laws,  obtaining  HIPAA-compliant  patient  authorisations  where  required  to  support  LivaNova’s  use 
and disclosure of patient information. LivaNova also sometimes act as a “business associate” for a covered entity. The US 
Office for Civil Rights of the Department of Health and Human Services or another government enforcement agency may 
determine that LivaNova’s business model or operations are not in compliance with the HIPAA Privacy and Security Rules, 
which could subject it to penalties, could severely limit its ability to market and sell its products under its existing business 
model and could harm its business growth and consolidated financial position.

Britain is holding a referendum on its continued membership in the EU, and if the referendum favours an 
exit  from  the  EU,  there  could  be  a  material  adverse  effect  on  LivaNova’s  financial  position,  business  and 
results of operations.

Following the renegotiation of the terms of the UK’s membership of the EU, as agreed by all 28 EU Member States on 
19 February 2016, a referendum will be held on 23 June 2016 for eligible members of the electorate in the UK to decide 
whether to remain a member of the EU or to leave the EU. In the event voters elect to leave the EU (the so-called “Brexit”), 
LivaNova will face risks associated with the potential uncertainty and consequences that may flow from the Brexit vote. Since 
a significant proportion of the regulatory framework in the UK is derived from EU directives and regulations, the referendum 
could materially change the regulatory regime applicable to LivaNova’s operations in the future. A Brexit vote would also 
result in the UK no longer being an EU Member State and a member of the EU single market, which may result in increased 
trade barriers, which could impact LivaNova’s results of operations and share price. Any increased costs may result in higher 
costs being passed to customers. As a company domiciled in the UK, and with operations across Europe, Brexit could result 
in restrictions on the movement of capital, distribution and sale of goods, and the mobility of LivaNova’s personnel, which 
could have adverse material effect on LivaNova’s operations. Conversely, a vote to remain in the EU may also create similar 
uncertainties  and  adverse  policy  consequences  in  the  event  the  UK  Government  and  the  EU  enter  into  negotiations  to 
further reform the UK’s membership of the EU.

LivaNova’s information technology systems may be vulnerable to hacker intrusion, malicious viruses and other 
cybercrime attacks, which may harm its business and expose it to liability.

LivaNova’s  operations  depend  to  a  great  extent  on  the  reliability  and  security  of  its  information  technology  system, 
software  and  network,  which  are  subject  to  damage  and  interruption  caused  by  human  error,  problems  relating  to  the 
telecommunications network, software failure, natural disasters, sabotage, viruses and similar events. Any interruption in 
LivaNova’s systems could have a negative effect on the quality of products and services offered and, as a result, on customer 
demand and therefore volume of sales.

35

LivaNova’s product sales are subject to regulatory clearance or approval and its business is subject to extensive 
regulatory  requirements.  If  LivaNova  fails  to  maintain  regulatory  clearances  and  approvals,  or  is  unable  to 
obtain, or experiences significant delays in obtaining, such clearances or approvals for future products or product 
enhancements, its ability to commercially distribute and market these products could suffer.

LivaNova’s  medical  device  products  and  operations  are  subject  to  extensive  regulation  by  the  US  FDA  and  various  other 
federal, state and foreign government authorities. Government regulation of medical devices is meant to assure their safety 
and effectiveness and includes regulation of, among other things:

•  design, development and manufacturing;

• 

• 

testing, labelling, packaging, content and language of instructions for use, and storage;

clinical trials;

•  product safety;

•  pre-market clearance and approval;

•  marketing, sales and distribution (including making product claims);

• 

advertising and promotion;

•  product modifications;

• 

• 

recordkeeping procedures;

reports of corrections, removals, enhancements, recalls and field corrective actions;

•  post-market surveillance, including reporting of deaths or serious injuries and malfunctions that, if they were to 

recur, could lead to death or serious injury;

• 

complying with the new federal law and regulations requiring Unique Device Identifiers on devices and also 
requiring  the  submission  of  certain  information  about  each  device  to  the  US  FDA’s  Global  Unique  Device 
Identification Database; and

•  product import and export laws.

If LivaNova’s marketed medical devices are defective or otherwise pose safety risks, the US FDA and similar foreign 
governmental authorities could require their recall, or LivaNova may initiate a recall of its products voluntarily.

The US FDA and similar foreign governmental authorities may require the recall of commercialised products in the event of 
material deficiencies or defects in design or manufacture or in the event that a product poses an unacceptable risk to health. 
Manufacturers, on their own initiative, may recall a product if any material deficiency in a device is found. LivaNova has 
initiated voluntary product recalls in the past.

A government-mandated or voluntary recall by LivaNova or one of its sales agencies could occur as a result of an unacceptable 
risk to health, component failures, manufacturing errors, design or labelling defects or other deficiencies and issues. Recalls of 
any of LivaNova’s products would divert managerial and financial resources and have an adverse effect on its financial condition 
and operating results. Any recall could impair LivaNova’s ability to produce its products in a cost-effective and timely manner in 
order to meet its customers’ demands. LivaNova also may be required to bear other costs or take other actions that may have 
a negative impact on its future revenue and the ability to generate profits. LivaNova may initiate voluntary actions to withdraw 
or remove or repair its products in the future that it determines do not require notification of the US FDA as a recall. If the US 
FDA disagrees with LivaNova’s determinations, it could require LivaNova to report those actions as recalls. In addition, the US 
FDA could take enforcement action for failing to report the recalls when they were conducted.

In addition, depending on the corrective action LivaNova takes to redress a product’s deficiencies or defects, the US FDA 
may require, or LivaNova may decide, that LivaNova will need to obtain new approvals or clearances for the device before 
LivaNova may market or distribute the corrected device. Seeking such approvals or clearances may delay LivaNova’s ability 
to replace the recalled devices in a timely manner. Moreover, if LivaNova does not adequately address problems associated 
with its devices, it may face additional regulatory enforcement action, including US FDA warning letters, product seizure, 
injunctions, administrative penalties, or civil or criminal fines.

36

In the EEA, LivaNova’s European operations must comply with the EU Medical Device Vigilance System, the purpose of which 
is to improve the protection of health and safety of patients, users and others by reducing the likelihood of reoccurrence of 
incidents related to the use of a medical device. Under this system, incidents must be reported to the competent authorities 
of the Member States of the EU or the EEA countries. An incident is defined as any malfunction or deterioration in the 
characteristics and/or performance of a device, as well as any inadequacy in labelling or instructions that may, directly or 
indirectly,  lead  or  have  led  to  death  or  serious  health  deterioration  of  a  patient.  Incidents  are  evaluated  by  the  relevant 
competent authorities to whom they have been reported, and where appropriate, information is disseminated between them 
in the form of National Competent Authority Reports. The Medical Device Vigilance System is further intended to facilitate 
a direct, early and harmonised implementation of FSCAs, across the Member States where the device is in use. An FSCA is 
an action taken by a manufacturer to reduce a risk of death or serious deterioration in the state of health associated with 
the use of a medical device that is already placed on the market. An FSCA may include the recall, modification, exchange, 
destruction or retrofitting of the device. FSCAs must be communicated by the manufacturer or its legal representative to its 
customers and/or to the end users of the device through Field Safety Notices.

A future recall announcement in the US, EEA or elsewhere could harm LivaNova’s reputation with customers and negatively 
affect LivaNova’s revenue.

LivaNova’s manufacturing operations require LivaNova to comply with the US FDA’s and other governmental 
authorities’ laws and regulations regarding the manufacture and production of medical devices, which is costly 
and could subject LivaNova to enforcement action.

LivaNova and certain of its third-party manufacturers are required to comply with the US FDA’s current Good Manufacturing 
Practice requirements, as embodied in the QSR which covers the design, testing, production, control, quality assurance, 
labelling,  packaging,  sterilisation,  storage  and  shipping  of  medical  device  products  in  the  US.  LivaNova  and  certain  of 
its suppliers also are subject to the regulations of foreign jurisdictions regarding the manufacturing process for products 
marketed outside of the US. The US FDA enforces the QSR through periodic announced (routine) and unannounced (for 
cause or directed) inspections of manufacturing facilities, during which the US FDA may issue Forms US FDA-483 listing 
inspectional  observations  which,  if  not  addressed  to  the  US  FDA’s  satisfaction,  can  result  in  further  enforcement  action. 
Similar inspections are carried out in the EEA by Notified Bodies and competent authorities within the EEA. The failure by 
LivaNova or one of the its suppliers to comply with applicable statutes and regulations administered by the US FDA and 
other regulatory bodies, or the failure to timely and adequately respond to any adverse inspectional observations or product 
safety issues could result in:

•  untitled letters, warning letters, fines, injunctions or consent decrees;

• 

customer notifications or repair, replacement, refund, recall, detention or seizure of products;

•  operating restrictions or partial suspension or total shutdown of production;

• 

refusal to grant or delay in granting 510(k) clearance or PMA approval of new products or modified products;

•  withdrawing 510(k) clearances or PMA approvals that have already been granted;

• 

• 

refusal to grant export approval for LivaNova’s products; or

civil penalties or criminal prosecution.

Any of these actions could impair LivaNova’s ability to produce its products in a cost-effective and timely manner in order 
to meet customers’ demands. LivaNova also may be required to bear other costs or take other actions that may have a 
negative impact on its future revenue and ability to generate profits. Furthermore, LivaNova’s key component suppliers may 
not currently be or may not continue to be in compliance with all applicable regulatory requirements, which could result in 
failure to produce products on a timely basis and in the required quantities, if at all.

Product  liability  claims  could  adversely  impact  LivaNova’s  consolidated  financial  condition  and  LivaNova’s 
earnings and impair its reputation.

LivaNova’s business exposes it to potential product liability risks that are inherent in the design, manufacture and marketing 
of medical devices. In addition, many of the medical devices LivaNova manufactures and sells are designed to be implanted in 
the human body for long periods of time. Component failures, manufacturing defects, design flaws or inadequate disclosure 

37

of product-related risks or product-related information with respect to these or other products LivaNova manufactures or 
sells could result in an unsafe condition or injury to, or death of, a patient. The occurrence of such an event could result in 
product liability claims or a recall of, or safety alert relating to, one or more of LivaNova’s products. LivaNova has elected to 
self-insure with respect to a portion of its product liability risks and hold global insurance policies in amounts the Company 
believes  are  adequate  to  cover  future  losses.  Product  liability  claims  or  product  recalls  in  the  future,  regardless  of  their 
ultimate outcome, could have a material adverse effect on LivaNova’s business and reputation and on its ability to attract 
and retain customers for its products.

LivaNova’s  failure  to  comply  with  rules  relating  to  healthcare  fraud  and  abuse,  false  claims  and  privacy  and 
security laws may subject LivaNova to penalties and adversely impact its reputation and business operations.

LivaNova’s  devices  and  therapies  are  subject  to  regulation  regarding  quality  and  cost  by  various  governmental  agencies 
worldwide responsible for coverage, reimbursement and regulation of healthcare goods and services. In the US, for example, 
federal  government  healthcare  laws  apply  when  a  customer  submits  a  claim  for  an  item  or  service  that  is  reimbursable 
under a US federal government-funded healthcare program, such as Medicare or Medicaid. The principal US federal laws 
implicated include:

• 

• 

• 

• 

the  US  Anti-Kickback  Statute,  which  prohibits,  among  other  things,  persons  from  knowingly  and  wilfully 
soliciting, receiving, offering or paying remuneration, directly or indirectly, in exchange for or to induce either 
the referral of an individual for, or the purchase, order or recommendation of, any good or service for which 
payment may be made under federal healthcare programmes, such as the Medicare and Medicaid programmes. 
A person or entity does not need to have actual knowledge of the US Anti-Kickback Statute or specific intent 
to violate it to have committed a violation; in addition, the government may assert that a claim including items 
or services resulting from a violation of the US Anti-Kickback Statute constitutes a false or fraudulent claim for 
purposes of the US False Claims Act;

federal  civil  and  criminal  false  claims  laws  which  prohibit,  among  other  things,  individuals  or  entities  from 
knowingly presenting, or causing to be presented, claims for payment from Medicare, Medicaid or other federal 
third-party payers that are false or fraudulent. Private individuals can file suits on behalf of the government 
under  the  US  False  Claims  Act,  known  as  “qui  tam”  actions  and  such  individuals,  commonly  known  as 
“whistleblowers,” may share in any amounts paid by the entity to the government in fines or settlement. When 
an entity is determined to have violated the US False Claims Act, it may be required to pay up to three times the 
actual damages sustained by the government, plus civil penalties for each separate false claim;

the  federal  US  Civil  Monetary  Penalties  Law,  which  prohibits,  among  other  things,  offering  or  transferring 
remuneration to a federal healthcare beneficiary that a person knows or should know is likely to influence the 
beneficiary’s decision to order or receive items or services reimbursable by the government from a particular 
provider or supplier;

federal criminal laws that prohibit executing a scheme to defraud any federal healthcare benefit programme 
or making false statements relating to healthcare matters. Similar to the federal US Anti-Kickback Statute, a 
person or entity does not need to have actual knowledge of the statute or specific intent to violate it to have 
committed a violation;

•  HIPAA, as amended by the HITECH, which governs the conduct of certain electronic healthcare transactions 

and protects the security and privacy of protected health information;

• 

the  federal  Physician  Payment  Sunshine  Act,  which  requires  manufacturers  of  drugs,  devices,  biologics  and 
medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance 
Program  (with  certain  exceptions)  to  report  annually  to  the  CMS  information  related  to  payments  or  other 
“transfers  of  value”  made  to  physicians  (defined  to  include  doctors,  dentists,  optometrists,  podiatrists  and 
chiropractors) and teaching hospitals, and requires applicable manufacturers and group purchasing organisations 
to  report  annually  to  the  government  ownership  and  investment  interests  held  by  the  physicians  described 
above  and  their  immediate  family  members  and  payments  or  other  “transfers  of  value”  to  such  physician 
owners. Manufacturers are required to submit reports to CMS by the 90th day of each calendar year;

38

• 

• 

the FCPA, which prohibits corporations and individuals from paying, offering to pay or authorising the payment 
of anything of value to any foreign government official, government staff member, political party or political 
candidate in an attempt to obtain or retain business or to otherwise influence a person working in an official 
capacity; the UK Bribery Act, which prohibits both domestic and international bribery, as well as bribery across 
both public and private sectors; and bribery provisions contained in the German Criminal Code, which, pursuant 
to draft legislation being prepared by the German government, may make the corruption and corruptibility of 
physicians in private practice and other healthcare professionals a criminal offence; and

analogous state and foreign law equivalents of each of the above federal laws, such as anti-kickback and false 
claims laws which may apply to items or services reimbursed by any third-party payer, including commercial 
insurers; state laws that require device companies to comply with the industry’s voluntary compliance guidelines 
and the applicable compliance guidance promulgated by the federal government or otherwise restrict payments 
that may be made to healthcare providers and other potential referral sources; state laws that require device 
manufacturers to report information related to payments and other transfers of value to physicians and other 
healthcare providers or marketing expenditures; and state laws governing the privacy and security of health 
information in certain circumstances, many of which differ from each other in significant ways and may not 
have the same effect, thus complicating compliance efforts.

The risk of LivaNova being found in violation of these laws is increased by the fact that many of them have not been fully 
interpreted by the regulatory authorities or the courts, and their provisions are open to a variety of interpretations. Because 
of the breadth of these laws and the narrowness of the statutory exceptions and safe harbours available under such laws, 
it  is  possible  that  some  of  LivaNova’s  business  activities,  including  its  relationships  with  surgeons  and  other  healthcare 
providers, some of whom recommend, purchase and/or prescribe LivaNova’s devices, group purchasing organisations and 
its independent sales agents and distributors, could be subject to challenge under one or more of such laws. LivaNova is also 
exposed to the risk that its employees, independent contractors, principal investigators, consultants, vendors, independent 
sales agents and distributors may engage in fraudulent or other illegal activity. While LivaNova has policies and procedures in 
place prohibiting such activity, misconduct by these parties could include, among other infractions or violations, intentional, 
reckless  and/or  negligent  conduct  or  unauthorised  activity  that  violates  US  FDA  regulations,  including  those  laws  that 
require the reporting of true, complete and accurate information to the US FDA, manufacturing standards, federal and state 
healthcare fraud and abuse laws and regulations, laws that require the true, complete and accurate reporting of financial 
information or data or other commercial or regulatory laws or requirements. It is not always possible to identify and deter 
misconduct by LivaNova’s employees and other third parties, and the precautions it takes to detect and prevent this activity 
may not be effective in controlling unknown or unmanaged risks or losses or in protecting LivaNova from governmental 
investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations.

There  are  similar  laws  and  regulations  applicable  to  LivaNova  outside  the  US,  all  of  which  are  subject  to  evolving 
interpretations. Global enforcement of anti-corruption laws has increased substantially in recent years, with more frequent 
voluntary self-disclosures by companies, aggressive investigations and enforcement proceedings by governmental agencies, 
and assessment of significant fines and penalties against companies and individuals. LivaNova’s operations create the risk 
of unauthorised payments or offers of payments by one of its employees, consultants, sales agents, or distributors because 
these  parties  are  not  always  subject  to  LivaNova’s  control.  It  is  LivaNova’s  policy  to  implement  safeguards  to  discourage 
these practices. However, LivaNova’s existing safeguards and any future improvements may prove to be less than effective, 
and LivaNova’s employees, consultants, sales agents, or distributors may engage in conduct for which LivaNova might be 
held responsible. Any alleged or actual violations of these regulations may subject LivaNova to government scrutiny, severe 
criminal or civil sanctions and other liabilities, including exclusion from government contracting or government healthcare 
programmes, and could negatively affect its business, reputation, operating results, and financial condition. In addition, a 
governmental authority may seek to hold LivaNova liable for successor liability violations committed by any companies in 
which it invests or that it acquires.

If a governmental authority were to conclude that LivaNova is not in compliance with applicable laws and regulations, LivaNova 
and its officers and employees could also be subject to exclusion from participation as a supplier of product to beneficiaries. 
If LivaNova is excluded from participation based on such an interpretation it could adversely affect its reputation and business 
operations.  Any  action  against  LivaNova  for  violation  of  these  laws,  even  if  it  successfully  defends  against  it,  could  cause 
LivaNova to incur significant legal expenses and divert its management’s attention from the operation of its business.

39

LivaNova’s insurance policies may not be adequate to cover future losses.

LivaNova’s insurance policies (including general and products liability) provide insurance in such amounts and against such 
risks  LivaNova  has  reasonably  determined  to  be  prudent  in  accordance  with  industry  practices  or  as  is  required  by  law 
or  regulation.  Although,  based  on  historical  loss  trends,  the  Company  believes  that  LivaNova’s  insurance  coverage  will 
be adequate to cover future losses; the Company cannot guarantee that this will remain true. Historical trends may not 
be  indicative  of  future  losses,  and  losses  from  unanticipated  claims  could  have  a  material  adverse  impact  on  LivaNova’s 
consolidated earnings, financial condition, and/or cash flows.

Consolidation in the healthcare industry could have an adverse effect on LivaNova’s revenue and results 
of operations.

Many  healthcare  industry  companies,  including  medical  device  companies,  are  consolidating  to  create  new  companies 
with greater market power. As the healthcare industry consolidates, competition to provide goods and services to industry 
participants will become more intense. These industry participants may try to use their market power to negotiate price 
concessions or reductions for medical devices that incorporate components LivaNova produces. Increasing pricing pressures 
as  a  result  of  industry  consolidation  could  have  an  adverse  effect  on  LivaNova’s  revenue,  results  of  operations,  financial 
position and cash flows.

LivaNova is substantially dependent on patent and other proprietary rights and failing to protect such rights or 
to be successful in litigation related to LivaNova’s rights or the rights of others may result in LivaNova’s payment 
of significant monetary damages and/or royalty payments, negatively impact its ability to sell current or future 
products, or prohibit it from enforcing its patent and other proprietary rights against others.

LivaNova operates in an industry characterised by extensive patent litigation. Patent litigation against LivaNova could result 
in significant damage awards and injunctions that could prevent the manufacture and sale of affected products or require 
LivaNova to pay significant royalties in order to continue to manufacture or sell affected products.

LivaNova also relies on a combination of patents, trade secrets, and non-disclosure and non-competition agreements to 
protect its proprietary intellectual property and LivaNova will continue to do so. While LivaNova intends to defend against 
any  threats  to  its  intellectual  property,  these  patents,  trade  secrets,  or  other  agreements  may  not  adequately  protect  its 
intellectual property. Further, pending patent applications may not result in patents being issued to LivaNova. Patents issued 
to or licensed by LivaNova in the past or in the future may be challenged or circumvented by competitors and such patents 
may be found invalid, unenforceable or insufficiently broad to protect LivaNova’s technology and may limit its competitive 
advantage.  Third  parties  could  obtain  patents  that  may  require  LivaNova  to  negotiate  licences  to  conduct  its  business, 
and the required licences may not be available on reasonable terms or at all. LivaNova also relies on non-disclosure and 
non-competition agreements with certain employees, consultants, and other parties to protect, in part, trade secrets and 
other proprietary rights. The Company cannot be certain that these agreements will not be breached, that LivaNova will 
has  adequate  remedies  for  any  breach,  that  others  will  not  independently  develop  substantially  equivalent  proprietary 
information, or that third parties will not otherwise gain access to LivaNova’s trade secrets or proprietary knowledge.

In October 2009 for example, the legacy Cyberonics business entered into a licence arrangement with Flint Hills Scientific, 
L.L.C., which was amended in January 2011 and January 2015. The licence relates to the ability of the AspireSR generator 
to, among other things, provide additional stimulation automatically by responding to a patient’s relative heart-rate changes 
that exceed variable thresholds. The licence provides for a royalty fee in the low single digit percentages as it relates to 
AspireSR sales. Failure to protect such a licence arrangement could have a material adverse effect on the Neuromodulation 
Business Unit.

In  addition,  the  laws  of  certain  countries  in  which  LivaNova  markets  its  products  are  not  uniform  and  may  not  protect 
LivaNova’s intellectual property rights equally. If LivaNova is unable to protect its intellectual property in particular countries, 
it could have a material adverse effect on LivaNova’s business, financial condition or results of operations.

LivaNova is exposed to foreign currency exchange risk.

LivaNova transacts business in numerous countries around the world and expects that a significant portion of its business will 
continue to take place in international markets. Consolidated financial statements are prepared in the Company’s functional 
currency, while the financial statements of each of the Company’s subsidiaries are prepared in the functional currency of 
that entity.

40

Accordingly,  fluctuations  in  the  exchange  rate  of  the  functional  currencies  of  the  Company’s  foreign  currency  entities 
against the functional currency of the Company will impact its results of operations and financial condition. Several of the 
Company’s subsidiaries conduct transactions in currencies different to their functional currency. As such, it is expected that 
the Company’s revenue and earnings will continue to be exposed to the risks that may arise from fluctuations in foreign 
currency exchange rates, which could have a material adverse effect on the Company’s business, results of operation or 
financial condition. Although the Company may elect to hedge certain foreign currency exposure, the Company cannot be 
certain that the hedging activity will eliminate the Company’s currency risk.

Changes in tax laws or exposure to additional income tax liabilities could have a material impact on LivaNova’s 
financial condition and results of operations.

LivaNova is exposed to potentially adverse changes in the tax regime in each jurisdiction in which it operates. LivaNova is 
subject to income taxes as well as non-income based taxes, in the US, the EU and various jurisdictions. LivaNova is also subject 
to ongoing tax audits in various other foreign jurisdictions. Tax authorities may disagree with certain positions LivaNova has 
taken and assess additional taxes. The Company believes that LivaNova’s accruals reflect the probable outcome of known 
contingencies. However, there can be no assurance that LivaNova will accurately predict the outcomes of ongoing audits, 
and the actual outcomes of these audits could have a material impact on LivaNova’s consolidated net income or financial 
condition. Changes in tax laws or tax rulings could materially impact LivaNova’s effective tax rate or results of operations.

Furthermore,  the  increased  international  scrutiny  of  the  tax  payments  of  multinational  companies,  together  with  the 
complexity  of  tax  rules  and  other  business  activities,  are  such  that  LivaNova’s  decisions  related  to  tax  may  be  publicly 
criticised and may result in reputational damage.

LivaNova is subject to lawsuits.

LivaNova is or has been a defendant in a number of lawsuits for, among other things, alleged products liability and suits 
alleging patent infringement, and could be subject to additional lawsuits in the future. Given the uncertain nature of litigation 
generally, LivaNova is not able in all cases to estimate the amount or range of loss that could result from an unfavourable 
outcome of the litigation (including tax litigation) to which LivaNova is a party. Any such future losses, individually or in the 
aggregate, could have a material adverse effect on LivaNova’s results of operations and cash flows.

Risks related to access to financial resources.

The credit lines provided by LivaNova’s lenders are governed by clauses, commitments and covenants. The failure to comply 
with  these  provisions  can  constitute  a  failure  to  perform  a  contractual  obligation,  which  authorises  the  lender  banks  to 
demand the immediate repayment of the facilities, making it difficult to obtain alternative resources.

Changes  in  LivaNova’s  financial  position  are  the  result  of  a  number  of  factors,  specifically  including  the  achievement  of 
budgeted objectives and the trends shaping general economic conditions, and the financial markets and the industry within 
which LivaNova operates. LivaNova expects to generate the resources needed to repay maturing indebtedness and fund 
scheduled investments from the cash flow produced by LivaNova’s operations, LivaNova’s available liquidity, the renewal 
or refinancing of bank borrowings and possibly, access to the capital markets. Even under current market conditions, the 
Company expects that LivaNova’s operations will generate adequate financial resources. Nevertheless, given the volatility 
in current financial markets, the possibility that problems in the banking and monetary markets could hinder the normal 
handling of financial transactions cannot be excluded.

Certain of LivaNova’s debt instruments will require it to comply with certain affirmative covenants and specified 
financial covenants and ratios.

Certain restrictions in LivaNova’s debt instruments could affect its ability to operate and may limit LivaNova’s ability to react to 
market conditions or to take advantage of potential business opportunities as they arise. For example, such restrictions could 
adversely affect LivaNova’s ability to finance its operations, make strategic acquisitions, investments or alliances, restructure 
its organisation or finance capital needs. Additionally, LivaNova’s ability to comply with these covenants and restrictions may 
be affected by events beyond LivaNova’s control such as prevailing economic, financial, regulatory and industry conditions. 
If any of these restrictions or covenants is breached, LivaNova could be in default under one or more of its debt instruments, 
which, if not cured or waived, could result in acceleration of the indebtedness under such agreements and cross defaults 
under its other debt instruments. Any such actions could result in the enforcement of LivaNova’s lenders’ security interests 
and/or force LivaNova into bankruptcy or liquidation, which could have a material adverse effect on LivaNova’s financial 
condition and results of operations.

41

Risks related to the reduction or interruption in supply and an inability to develop alternative sources for supply 
may adversely affect LivaNova’s manufacturing operations and related product sales.

LivaNova maintains manufacturing operations in nine countries located throughout the world and purchases many of the 
components and raw materials used in manufacturing these products from numerous suppliers in various countries. Some of 
these companies are highly unionised. A close collaborative relationship between a manufacturer and its suppliers is typical 
in the medical device industry. While this approach can produce economic benefits in terms of lower costs, it also causes 
LivaNova to rely heavily on its suppliers. As a result, any problem affecting a supplier (whether due to external or internal 
causes) could have a negative impact on LivaNova.

In addition, LivaNova manufactures its products at its own facilities or through subcontractors located in various countries, 
purchasing the components and materials used to manufacture these products from numerous suppliers in various countries. 
However, in a few limited cases, specific components and raw materials are purchased from primary or main suppliers (or 
in  some  cases,  a  single  supplier)  for  reasons  related  to  quality  assurance,  cost-effectiveness  ratio  and  availability.  While 
LivaNova work closely with its suppliers to ensure supply continuity, the Company cannot guarantee that LivaNova’s efforts 
will always be successful. Moreover, due to strict standards and regulations governing the manufacture and marketing of 
LivaNova’s products, LivaNova may not be able to quickly locate new supply sources in response to a supply reduction or 
interruption, with negative effects on its ability to manufacture its products effectively and in a timely fashion.

LivaNova manufactures its products at production facilities in Italy, France, Costa Rica, Germany, the US, Canada, Brazil, 
Australia and the Dominican Republic, all of which are exposed to the risk of production stoppages caused by exceptional 
or accidental events (fires, shutdowns of access roads, etc.) or natural calamities (floods, earthquakes, etc.). Even though 
LivaNova has implemented what the Company believes to be appropriate preventive actions and insurance coverage, the 
possibility that the occurrence of events of exceptional severity or duration could have an impact on LivaNova’s performance 
cannot be excluded.

LivaNova’s  inability  to  integrate  recently  acquired  businesses  or  to  successfully  complete  future  acquisitions 
could limit its future growth or otherwise be disruptive to its ongoing business.

From time to time, LivaNova expects to pursue acquisitions in support of its strategic goals. In connection with any such 
acquisitions,  LivaNova  faces  significant  challenges  in  managing  and  integrating  any  expanded  or  combined  operations, 
including  acquired  assets,  operations  and  personnel.  There  can  be  no  assurance  that  acquisition  opportunities  will  be 
available on acceptable terms or at all, or that LivaNova will be able to obtain necessary financing or regulatory approvals 
to  complete  potential  acquisitions.  LivaNova’s  success  in  implementing  this  strategy  will  depend  to  some  degree  upon 
the  ability  of  management  to  identify,  complete  and  successfully  integrate  commercially  viable  acquisitions.  Acquisition 
transactions may disrupt LivaNova’s ongoing business and distract management from other responsibilities.

The success of any acquisition, investment or alliance may be affected by a number of factors, including LivaNova’s ability to 
properly assess and value the potential business opportunity or to successfully integrate any businesses LivaNova may acquire 
into  its  existing  business.  The  integration  of  the  operations  of  acquired  businesses  requires  significant  efforts,  including 
the  coordination  of  information  technologies,  R&D,  sales  and  marketing,  operations,  manufacturing  and  finance.  These 
efforts result in additional expenses and involve significant amounts of management’s time that cannot then be dedicated 
to other projects. Failure to successfully manage and coordinate the growth of the combined company could also have an 
adverse impact on LivaNova’s business. In addition, LivaNova cannot be certain that its investments, alliances and acquired 
businesses will become profitable or remain so. If LivaNova’s investments, alliances or acquisitions are not successful, it may 
record unexpected impairment charges. Factors that could affect the success of potential future acquisitions include:

• 

• 

• 

• 

• 

the  presence  or  absence  of  adequate  internal  controls  and/or  significant  fraud  in  the  financial  systems  of 
acquired companies;

adverse  developments  arising  out  of  investigations  by  governmental  entities  of  the  business  practices  of 
acquired companies;

any decrease in customer loyalty and product orders caused by dissatisfaction with the combined companies’ 
product lines and sales and marketing practices, including price increases;

LivaNova’s ability to retain key employees; and

the ability of the combined company to achieve synergies among its constituent companies, such as increasing 
sales of the combined company’s products, achieving cost savings and effectively combining technologies to 
develop new products.

42

LivaNova may not realise the cost savings, synergies and other benefits that are anticipated as a result of 
the Mergers.

The  combination  of  two  independent  companies  is  a  complex,  costly  and  time-consuming  process.  As  a  result  of  the 
completed Mergers, LivaNova has been required to devote significant management attention and resources to integrating 
the  business  practices  and  operations  of  Sorin  and  Cyberonics.  The  integration  process  may  disrupt  LivaNova’s  business 
operations  and,  if  implemented  ineffectively,  could  preclude  realisation  of  the  full  benefits  expected  to  be  realised  in 
connection with the Mergers. LivaNova’s failure to meet the challenges involved in successfully integrating the operations 
of  Sorin  and  Cyberonics  or  otherwise  to  realise  the  anticipated  benefits  of  the  Mergers  could  cause  an  interruption  of 
LivaNova’s  activities  and  could  seriously  harm  LivaNova’s  results  of  operations.  In  addition,  the  overall  integration  of  the 
two  companies  may  result  in  material  unanticipated  problems,  expenses,  liabilities,  competitive  responses,  loss  of  client 
relationships and diversion of management’s attention, and may cause the combined company’s stock price to decline. The 
difficulties of combining the operations of the companies include, among others:

•  managing a significantly larger company;

• 

• 

coordinating geographically separate organisations;

the  potential  diversion  of  management  focus  and  resources  from  other  strategic  opportunities  and  from 
operational matters;

• 

retaining existing customers and attracting new customers;

•  maintaining employee morale and retaining key management and other employees;

• 

• 

• 

• 

• 

• 

integrating two unique business cultures, which may prove to be incompatible;

the possibility of faulty assumptions underlying expectations regarding the integration process;

consolidating corporate and administrative infrastructures and eliminating duplicative operations;

coordinating distribution and marketing efforts;

integrating information technology, communications and other systems;

changes in applicable laws and regulations;

•  managing tax costs or inefficiencies associated with integrating the operations of the combined company;

•  unforeseen expenses associated with the Mergers; and

• 

effecting actions that may be required in connection with obtaining regulatory approvals.

Many of these factors are outside of LivaNova’s control and any one of them could result in increased costs, decreased revenue 
and diversion of management’s time and energy, which could materially impact LivaNova’s business, financial condition and 
results of operations. In addition, even if the operations of Sorin and Cyberonics are integrated successfully, LivaNova may 
not realise the full benefits of the Mergers, including the synergies, cost savings or sales or growth opportunities that the 
Company expects. These benefits may not be achieved within the anticipated time frame, or at all. As a result, the Company 
cannot assure the Company’s shareholders that the combination of Sorin and Cyberonics will result in the realisation of the 
full benefits anticipated.

LivaNova’s business relationships may be subject to disruption due to uncertainty associated with the Mergers.

Parties with which LivaNova does business may experience uncertainty associated with the Mergers. LivaNova’s business 
relationships may be subject to disruption as customers, distributors, suppliers, vendors and others may attempt to negotiate 
changes in existing business relationships or consider entering into business relationships with parties other than LivaNova. 
These disruptions could have an adverse effect on LivaNova’s business, financial condition, and/or results of operations or 
prospects, including an adverse effect on LivaNova’s ability to realise the anticipated benefits of the Mergers.

LivaNova may have difficulty attracting, motivating and retaining executives and other key employees due to uncertainty 
associated with the recent Mergers.

43

Since  the  Mergers  are  now  complete,  LivaNova’s  success  will  depend  in  part  upon  its  ability  to  retain  key  employees  of 
Sorin and Cyberonics and hire new personnel. Competition for qualified personnel can be intense. Current and prospective 
employees may experience uncertainty about the effect of the Mergers, which may impair LivaNova’s ability to attract, retain 
and motivate key management, sales, marketing, technical and other personnel.

In  addition,  pursuant  to  change-in-control  provisions  in  LivaNova’s  employment  and  transition  agreements,  certain  of 
LivaNova’s  key  employees  are  entitled  to  receive  severance  payments  upon  a  constructive  termination  of  employment. 
Certain of LivaNova’s key employees potentially could terminate their employment following specified circumstances set 
forth in the applicable employment or transition agreement, including certain changes in such key employees’ title, status, 
authority, duties, responsibilities or compensation, and collect severance. Such circumstances could occur in connection with 
the Mergers as a result of changes in roles and responsibilities. If LivaNova’s key employees depart, the continued integration 
of  Sorin’s  and  Cyberonics’  businesses  may  be  more  difficult  and  LivaNova’s  operations  may  be  harmed.  Furthermore, 
LivaNova may have to incur significant costs in identifying, hiring and retaining replacements for departing employees and 
may lose significant expertise and talent relating to the businesses of Sorin or Cyberonics, and LivaNova’s ability to realise the 
anticipated benefits of the Mergers may be adversely affected. In addition, there could be disruptions to or distractions for 
the workforce and management associated with activities of labour unions or works councils or integrating employees into 
the combined company. Accordingly, no assurance can be given that LivaNova will be able to attract or retain key employees 
to the same extent that the legacy Sorin and Cyberonics companies were able to attract or retain employees in the past.

LivaNova has and will continue to incur certain transaction and merger-related costs in connection with the Mergers.

LivaNova has incurred and expects to incur a number of non-recurring direct and indirect costs associated with the Mergers. 
These costs and expenses include fees paid to financial, legal and accounting advisors, filing fees, printing expenses and 
other related charges as well as ongoing expenses related to facilities and systems consolidation costs, severance payments 
and other potential employment-related costs, including payments remaining to be made to certain Sorin and Cyberonics 
executives.  In  the  Transitional  Period,  LivaNova  incurred  $42.1  million  in  expenses  related  to  the  Mergers  and  expects 
additional expenses in future for the integration of the two merged businesses. In addition, LivaNova incurred $13.7 million 
and $11.3 million in integration and restructuring expenses, respectively, during the Transitional Period, of which integration 
expenses related to systems integration, organisation structure integration, finance, synergy and tax planning, transitioning 
of accounting methodologies, the Company’s listing in London and certain re-branding efforts, and restructuring efforts 
related  to  LivaNova’s  intent  to  leverage  economies  of  scale,  eliminate  overlapping  corporate  expenses  and  streamline 
distributions, logistics and office functions in order to reduce overall costs. While the Company has assumed a certain level 
of expenses in connection with the terms of the Merger Agreement, there are many factors beyond the Company’s control, 
including unanticipated costs that could affect the total amount or the timing of these expenses. Although the Company 
expects that the benefits of the Mergers will offset the transaction expenses and implementation costs over time, this net 
benefit may not be achieved in the near term or at all.

The IRS may not agree with the conclusion that the Company should be treated as a foreign corporation for US 
federal tax purposes, and the Company may be required to pay substantial US federal income taxes.

The Company believes that under current law, it is treated as a foreign corporation for US federal tax purposes because it is 
a UK incorporated entity. Although the Company is incorporated in the UK, the IRS may assert that it should be treated as a 
US corporation (and, therefore, a US tax resident) for US federal tax purposes pursuant to Section 7874. For US federal tax 
purposes, a corporation is considered a tax resident in the jurisdiction of its organisation or incorporation, except as provided 
under Section 7874. Subject to the discussion of Section 7874 below, because the Company is a UK incorporated entity, it 
would be classified as a foreign corporation (and, therefore, a non-US tax resident) under these rules. Section 7874 provides 
an exception under which a foreign incorporated entity may, in certain circumstances, be treated as a US corporation for US 
federal tax purposes.

For the Company to be treated as a foreign corporation for US federal tax purposes under Section 7874, in connection 
with the Mergers completed on 19 October 2015, either (i) the former stockholders of Cyberonics must own (within the 
meaning of Section 7874) less than 80 per cent. (by both vote and value) of the Company’s Ordinary Shares by reason of 
holding shares of Cyberonics common stock, or (ii) the Company must have substantial business activities in the UK after 
the Mergers (taking into account the activities of the Company’s expanded affiliated group). For purposes of Section 7874, 
“expanded affiliated group” means a foreign corporation and all subsidiaries in which the foreign corporation, directly or 
indirectly, owns more than 50 per cent. of the shares by vote and value. The Company does not expect to have substantial 
business activities in the UK within the meaning of these rules.

44

The  Company  believes  that  because  the  former  stockholders  of  Cyberonics  own  (within  the  meaning  of  Section  7874) 
less than 80 per cent. (by both vote and value) of the Ordinary Shares by reason of holding shares of Cyberonics common 
stock, the test set forth above to treat the Company as a foreign corporation was satisfied in connection with the Mergers 
completed on 19 October 2015. However, the IRS may disagree with the calculation of the percentage of the Ordinary 
Shares  deemed  held  by  former  holders  of  Cyberonics  common  stock  by  reason  of  being  former  holders  of  Cyberonics 
common stock due to the calculation provisions laid out under Section 7874 and accompanying guidance, or the Section 
7874 Percentage. The rules relating to calculating the Section 7874 Percentage are new and subject to uncertainty, and thus 
it cannot be assured that the IRS will agree that the ownership requirements to treat the Company as a foreign corporation 
were met. In addition, there have been legislative proposals to expand the scope of US corporate tax residence, including 
by potentially causing the Company to be treated as a US corporation if the management and control of the Company 
and its affiliates were determined to be located primarily in the US. There have also been recent IRS publications expanding 
the application of Section 7874 and there could be prospective or retroactive changes to Section 7874 or the US Treasury 
Regulations promulgated thereunder that could result in the Company being treated as a US corporation. For example, the 
IRS and US Treasury recently issued new rules that (i) make changes to the manner in which the Section 7874 Percentage 
is calculated, (ii) limit the ability to acquire certain US companies within a 36 month period and (iii) recharacterise certain 
intercompany indebtedness as equity in certain circumstances. Certain of these changes may affect the Company’s ability to 
undertake future planning and acquisition strategies (see discussion “The Company’s ability to engage in certain acquisition 
strategies and certain tax planning may be impacted by recent IRS guidance. Status as a foreign corporation for US federal 
income tax purposes could be affected by a change in law” below).

The IRS may not agree with the conclusion that Section 7874 does not limit Cyberonics’ and its US affiliates’ ability to utilise 
their US tax attributes and does not impose an excise tax on gain recognised by certain individuals.

If the Section 7874 Percentage is calculated to be at least 60 per cent. but less than 80 per cent., Section 7874 imposes a 
minimum level of tax on any “inversion gain” of a US corporation (and any US person related to the US corporation) after 
the acquisition. Inversion gain is defined as (i) the income or gain recognised by reason of the transfer of property to a 
foreign related person during the 10-year period following the Cyberonics merger, and (ii) any income received or accrued 
during such period by reason of a license of any property by the US corporation to a foreign related person. The effect of 
this provision is to deny the use of certain US tax attributes (including net operating losses and certain tax credits) to offset 
US tax liability, if any, attributable to such inversion gain. In addition, the IRS and the US Treasury Department have issued 
guidance that has further limited benefits of certain post-combination transactions for combinations resulting in a Section 
7874  Percentage  of  at  least  60  per  cent.  but  less  than  80  per  cent.,  and  have  announced  the  intention  to  issue  future 
guidance that could potentially limit benefits of interest deductions from intercompany debt or other deductions deemed to 
inappropriately “strip” US source earnings.

Additionally, if the Section 7874 Percentage is calculated to be at least 60 per cent. but less than 80 per cent., Section 
7874 and rules related thereto would impose the Section 4985 Excise Tax on the gain recognised by certain “disqualified 
individuals” (including the former officers and directors of Cyberonics) on certain Cyberonics stock-based compensation 
held thereby at a rate equal to 15 per cent. If the Section 4985 Excise Tax is applicable, the compensation committee of the 
Cyberonics board previously determined that it is appropriate to provide such individuals with a payment with respect to 
the Section 4985 Excise Tax, so that, on a net after-tax basis, they would be in the same position as if no such Section 4985 
Excise Tax had been applied.

The  Company  believes  the  Section  7874  Percentage  following  the  combination  of  Cyberonics  and  Sorin  was  less  than 
60  per  cent.  As  a  result,  the  Company  believes  that  (i)  Cyberonics  and  its  US  affiliates  will  be  able  to  utilise  their  US 
tax  attributes  to  offset  their  US  tax  liability,  if  any,  resulting  from  certain  subsequent  specified  taxable  transactions,  and 
(ii) “disqualified individuals” will not be subject to the Section 4985 Excise Tax. However, the rules relating to calculating the 
Section 7874 Percentage are new and subject to uncertainty, and thus it cannot be assured that the IRS will agree that the 
Section 7874 Percentage following the combination of Cyberonics and Sorin was less than 60 per cent.

The  Company’s  ability  to  engage  in  certain  acquisition  strategies  and  certain  internal  restructurings  may  be 
impacted by recent IRS guidance.

The IRS and US Treasury recently issued new rules that materially change the manner in which the Section 7874 Percentage 
will be calculated in certain future acquisitions of US businesses in exchange for Company equity, which may impact the 
Company’s ability to engage in particular acquisition strategies. For example, the new temporary regulations would impact 
certain acquisitions of US companies for stock in the Company in the 36 month period beginning 19 October 2015 by 

45

excluding from the Section 7874 Percentage the portion of shares of the Company that are allocable to the legacy Sorin 
shareholders. This new rule would generally have the effect of increasing the otherwise applicable Section 7874 Percentage 
with respect to a future acquisition of a US business.

New rules also provide that certain intercompany debt instruments issued on or after 4 April 2016 will be treated as equity for 
US federal income tax purposes, therefore limiting US tax benefits and resulting in possible US withholding taxes. Moreover, 
while these new rules are not retroactive, they could impact the Company’s ability to engage in future restructurings if such 
transactions cause an existing debt instrument to be treated as reissued.

The Company’s status as a foreign corporation for US federal income tax purposes could be affected by a change in law.

The Company believes that under current law, it is treated as a foreign corporation for US federal tax purposes because it is a 
UK incorporated entity. However, changes to the inversion rules in Section 7874 or the US Treasury Regulations promulgated 
thereunder could adversely affect the Company’s status as a foreign corporation for US federal tax purposes, and any such 
changes could have prospective or retroactive application to the Company and its respective stockholders, shareholders and 
affiliates. For example, the IRS and US Treasury recently issued new rules that (i) make changes to the manner in which the 
Section 7874 Percentage is calculated in the case of future acquisitions, (ii) limit the ability to acquire certain US companies 
within a 36 month period and (iii) characterise certain intercompany indebtedness as equity in certain circumstances. See 
discussion “The Company’s ability to engage in certain acquisition strategies and certain tax planning may be impacted by 
recent IRS guidance. Status as a foreign corporation for US federal income tax purposes could be affected by a change in 
law” above.

In addition, recent legislative proposals and IRS guidance have aimed to expand the scope of US corporate tax residence, 
including by reducing the Section 7874 Percentage threshold at or above which the Company would be treated as a US 
corporation or by determining the Company’s US corporate tax residence based on the location of the management and 
control of the Company and its affiliates. Any such changes to Section 7874 or other such legislation, if passed, could have 
a significant adverse effect on the Company’s financial results.

Future changes to US and foreign tax laws could adversely affect the Company.

The US Congress, the UK Government, the Organisation for Economic Co-operation and Development and other government 
agencies in jurisdictions where the Company and its affiliates do business have had an extended focus on issues related to 
the taxation of multinational corporations. One example is in the area of “base erosion and profit shifting,” where payments 
are made between affiliates from a jurisdiction with high tax rates to a jurisdiction with lower tax rates. In addition, other 
recent  legislative  proposals  in  the  US  would  treat  the  Company  as  a  US  corporation  if  the  management  and  control  of 
the Company and its affiliates were determined to be located primarily in the US and/or would reduce the Section 7874 
Percentage threshold at or above which the Company would be treated as a US corporation. Furthermore, the 2016 US 
Model Income Tax Convention recently released by the US Treasury Department would reduce potential tax benefits with 
respect to the Company and its affiliates if the Section 7874 Percentage were calculated to be at least 60 per cent. but less 
than 80 per cent. by imposing full withholding taxes on payments pursuant to certain financing structures, distributions 
from US subsidiaries and payments pursuant to certain licensing arrangements. Thus, the tax laws in the US, the UK and 
other countries in which the Company and its affiliates do business could change on a prospective or retroactive basis, and 
any such changes could adversely affect the Company.

The Company may not qualify for benefits under the tax treaty entered into between the UK and the US.

The Company believes that it operates in a manner such that it is eligible for benefits under the tax treaty entered into 
between the UK and the US. However, its ability to qualify for such benefits will depend upon the requirements contained 
in such treaty.

The failure by the Company or its subsidiaries to qualify for benefits under the tax treaty entered into between the UK and 
the US could result in adverse tax consequences for the Company and its subsidiaries.

The 2016 US Model Income Tax Convention recently released by the US Treasury Department would reduce potential tax 
benefits with respect to the Company and its affiliates if the Section 7874 Percentage is calculated to be at least 60 per 
cent. but less than 80 per cent. by imposing full withholding taxes on payments pursuant to certain financing structures, 
distributions from US subsidiaries and payments pursuant to certain licensing arrangements. If the proposed treaty is enacted 
with applicability to the Company or its affiliates, it would result in material reductions in the benefit of qualifying for a treaty.

46

The Company believes that it operates so as to be treated exclusively as a resident of the UK for tax purposes, 
but the relevant tax authorities may treat it as also being a resident of another jurisdiction for tax purposes.

The Company is a company incorporated in the UK. Current UK law provides that the Company will be regarded as being 
a  UK  resident  for  tax  purposes  from  incorporation  and  shall  remain  so  unless  (a)  it  is  concurrently  resident  in  another 
jurisdiction (applying the tax residence rules of that jurisdiction) that has a double tax treaty with the UK and (b) there is a 
provision or procedure in that tax treaty which allocates or determines exclusive residence to that other jurisdiction.

Based upon the Company’s management and organisational structure, the Company believes that it should be regarded as 
resident exclusively in the UK from its incorporation for tax purposes. However, because this analysis is highly factual and 
may depend on future changes in the Company’s management and organisational structure, there can be no assurance 
regarding the final determination of its tax residence. Should the Company be treated as resident in a country or jurisdiction 
other than the UK, it could be subject to taxation in that country or jurisdiction on its worldwide income and may be required 
to comply with a number of material and formal tax obligations, including withholding tax and/or reporting obligations 
provided under the relevant tax law, which could result in additional costs and expenses for the Company, as well as its 
shareholders, lenders and/or bondholders.

The effective tax rate that will apply to the Company is uncertain and may vary from expectations.

No assurances can be given as to what the Company’s worldwide effective corporate tax rate will be because of, among 
other things, uncertainty regarding the tax policies of the jurisdictions where it operates. The Company’s actual effective tax 
rate may vary from its expectations and that variance may be material. Additionally, tax laws or their implementation and 
applicable tax authority practices could change in the future.

Cautionary Statement about Forward-Looking Statements

Certain  statements  in  this  Strategic  Report  are  “forward-looking  statements”.  These  statements  include,  but  are  not 
limited to, statements about the benefits of the business combination of Cyberonics and Sorin, LivaNova’s plans, objectives, 
strategies,  financial  performance  and  outlook,  trends,  the  amount  and  timing  of  future  cash  distributions,  prospects  or 
future  events  and  involve  known  and  unknown  risks  that  are  difficult  to  predict.  As  a  result,  LivaNova’s  actual  financial 
results, performance, achievements or prospects may differ significantly from those expressed or implied by these forward-
looking statements. In some cases, forward-looking statements can be identified by use of words such as “may”, “could”, 
“seek”,  “guidance”,  “predict”,  “potential”,  “likely”,  “believe”,  “will”,  “should”,  “expect”,  “anticipate”,  “estimate”, 
“plan”, “intend”, “forecast”, “foresee” or variations of these terms and similar expressions, or the negative of these terms 
or  similar  expressions.  Such  forward-looking  statements  are  necessarily  based  on  estimates  and  assumptions  that,  while 
considered reasonable by LivaNova and its management based on their knowledge and understanding of the business and 
industry, are inherently uncertain. These statements are not guarantees of future performance, and shareholders should not 
place undue reliance on forward-looking statements.

There are a number of risks, uncertainties and other important factors, many of which are beyond LivaNova’s control, that 
could  cause  LivaNova’s  actual  results  to  differ  materially  from  the  forward-looking  statements  contained  in  this  Strategic 
Report. Such risks, uncertainties and important factors include, among others: the statements included in this section of the 
Strategic Report, and other documents that have been published and/or publicly filed by LivaNova; LivaNova’s ability to hire 
and retain key personnel; LivaNova’s ability to attract new customers and retain existing customers in the manner anticipated; 
the  reliance  on  and  integration  of  information  technology  systems;  changes  in  legislation  or  governmental  regulations 
affecting  LivaNova;  changes  relating  to  competitive  factors  in  the  industries  in  which  LivaNova  operates;  international, 
national  or  local  economic,  social  or  political  conditions  that  could  adversely  affect  LivaNova,  its  partners  or  customers; 
conditions in the credit markets; risks associated with assumptions made in connection with critical accounting estimates and 
legal proceedings; LivaNova’s organisational and governance structure; risks that the business of legacy Cyberonics and Sorin 
will not be integrated successfully or that the combined companies will not realise the estimated cost savings, value of certain 
tax assets, synergies or growth, or that such benefits may take longer to realise than expected; the inability of LivaNova to 
meet expectations regarding the timing, completion and accounting of tax treatments; risks relating to unanticipated costs 
of integration, including the operating costs, customer loss or business disruption being greater than expected; reductions 
in  customer  spending,  a  slowdown  in  customer  payments  and  changes  in  customer  demand  for  products  and  services; 
LivaNova’s international operations, which are subject to the risks of currency fluctuations and foreign exchange controls; 
and  the  potential  of  international  unrest,  economic  downturn  or  effects  of  currencies,  tax  assessments,  tax  adjustments, 
anticipated tax rates, raw material costs or availability, benefit or retirement plan costs or other regulatory compliance costs.

47

These factors are not necessarily all of the important factors that could cause LivaNova’s actual financial results, performance, 
achievements or prospects to differ materially from those expressed in or implied by any of such forward-looking statements. 
Other unknown or unpredictable factors also could harm LivaNova’s results. All forward-looking statements attributable to 
LivaNova or persons acting on its behalf are expressly qualified in their entirety by the cautionary statements set out above. 
Forward-looking statements speak only as of the date they are made, and the Company does not undertake or assume any 
obligation to update publicly any of these forward-looking statements to reflect actual results, new information or future 
events,  changes  in  assumptions  or  changes  in  other  factors  affecting  forward-looking  statements,  except  to  the  extent 
required by applicable laws. If LivaNova updates one or more forward-looking statements, no inference should be drawn 
that it will make additional updates with respect to these forward-looking statements.

The Strategic Report for the period ended 31 December 2015 has been reviewed and approved by the Board of 
directors of the Company on 27 April 2016.

ANDRÉ-MICHEL BALLESTER 
CHIEF EXECUTIVE OFFICER

48

DIRECTORS’ REPORT

The directors present their report together with the audited financial statements for the period ended 31 December 2015.

Corporate Governance statement

The Corporate Governance statement as required by DTR 7.2.1 is set out on page 55 of this UK Annual Report. All information 
detailed in the Corporate Governance statement is incorporated by reference into this Directors’ Report and is deemed to 
form part of the Directors’ Report.

DTRs

For the purposes of DTR 4.1.5R(2) and DTR 4.1.8, this Directors’ Report and the Strategic Report on pages 1 to 48 comprise 
the Management Report.

Directors

The directors of the Company, who held office from 19 October 2015 (save where otherwise stated) and up to the date of 
this Directors’ Report, were as follows:

Chairman 
Daniel J. Moore (from 14 September 2015)

Executive Director 
André-Michel Ballester (from 14 September 2015)

Non-executive directors 
Rosario Bifulco (to 16 November 2015) 
Hugh Morrison 
Alfred J. Novak 
Dr. Arthur L. Rosenthal 
Francesco Bianchi 
Stefano Gianotti 
Dr. Sharon O’Kane

In addition, Brian Sheridan (from the date of incorporation of the Company on 20 February 2015) and Demetrio Mauro 
(from 17 April 2015) were directors of the Company until 14 September 2015.

The appointment and replacement of the directors is governed by the Companies Act and the Company’s articles of association.

The Board of directors is responsible for promoting the long-term success of the Company. The Board is responsible for 
determining the strategy of the Company, relying upon a framework of corporate governance and internal controls which 
are designed to protect the Company’s assets. The day-to-day management of the business is delegated to the executive 
leadership team, primarily comprised of senior business managers, apart from matters specifically reserved for the board’s 
decision. The Board delegates some of its duties and powers to board committees, each of which has a written charter, 
available on the Company’s website.

Pursuant to the Company’s articles of association, the current directors of the Company have been appointed for a term 
that will expire at the first annual meeting of members of the Company following the completion of the Company’s second 
full financial year in 2017. Subject to the articles of association, a director may be appointed by an ordinary resolution at a 
general meeting or by a decision of the Board of directors.

Directors’ indemnities

Each director is covered by appropriate directors’ and officers’ liability insurance and there are also deeds of indemnity in 
place between the Company and each current and former director that were executed during the period under review. 
These deeds of indemnity provide for the Company to indemnify the directors in respect of any proceedings brought by third 
parties against them personally in their capacity as directors of the Company. The Company would also fund ongoing costs 
in defending a legal action as they are incurred rather than after judgment has been given. In the event of an unsuccessful 
defence in an action against them in a criminal or civil action, individual directors would be liable to repay defence costs 

49

to the extent funded by the Company. In respect of any investigations or actions taken by a regulatory authority, individual 
directors  would  be  liable  to  repay  defence  costs  to  the  extent  funded  by  the  Company  if  that  regulatory  authority  has 
determined that the relevant director has acted fraudulently, been grossly negligent, or has engaged in wilful misconduct 
in relation to that claim.

Company details and branches outside the UK

The Company is a public limited company  incorporated  in  England  and Wales with registered  number  095451374.  The 
Company’s registered address is 5 Merchant Square, North Wharf Road, London, W2 1AY.

The Company has one branch outside the UK: LivaNova PLC Filiale Italiana in Italy.

Share capital and the articles of association of the Company

The  issued  and  fully  paid  share  capital  of  the  Company  as  at  the  close  of  business  on  27  April  2016,  being  the  latest 
practicable date prior to the publication of this Directors’ Report, was made up as follows:1

Class of shares
Ordinary  . . . . . . . . . . . . . . . . . . . . . . .

Number of shares

Nominal value

49,047,152  

£49,047,152

There are no specific restrictions on the size of a holding or on the transfer of shares. No person has any special rights of 
control over the Company’s share capital and all issued shares are fully paid. The directors are not aware of any agreements 
between holders of the Company’s shares that may result in restrictions on the transfer of securities or voting rights.

Subsequent to the year end, the majority of the merger relief reserve as at 31 December 2015 was capitalised by way of a 
bonus share issue, which gave rise to an increase in the Company’s share premium account. Following previously obtained 
shareholder  approval  on  16  October  2015,  and  following  the  approval  by  the  High  Court  Justice,  Chancery  Division  on 
6  April  2016,  the  share  premium  of  the  Company  in  the  amount  of  $2,587  million  was  cancelled.  The  purpose  of  the 
cancellation of the share premium account was to create distributable reserves in the books of account of the Company to 
be used for any corporate purpose of the Company for which realised profits are required.

Shareholders shall not be entitled to vote at any shareholders’ meetings or at a separate meeting of the holders of any class 
of shares, either in person or by representative or proxy, in respect of any share held by them unless all amounts presently 
payable by them in respect of that share have been paid.

If at any time the Board of directors is satisfied that any shareholder, or any other person appearing to be interested in the 
Company’s shares held by such a shareholder, has been duly served with a notice under section 793 of the Companies Act 
and is in default for the prescribed period in supplying to the Company the information thereby required, or, in purported 
compliance with such a notice, has made a statement which is false or inadequate in a material particular, then the Board 
of directors may, in its absolute discretion at any time thereafter by notice to such shareholder, direct that, in respect of the 
shares in relation to which the default occurred, the shareholder shall not be entitled to attend or vote either personally or 
by proxy at a general meeting or at a separate meeting of the holders of that class of shares or on a poll.

Details of employee share schemes are provided in note 21 to the consolidated Financial Statements.

The process of amending the articles of association is subject to the procedure outlined in the Companies Act.

Share repurchases

The  Company  has  not  acquired  any  of  its  own  shares  since  its  incorporation  on  20  February  2015.  The  directors  will 
be  seeking  shareholder  authority  to  repurchase  the  Company’s  shares  “on-market”  and  “off-market”  pursuant  to  the 
Companies Act at the 2016 Annual General Meeting.

The Company established its EBT, an off-shore discretionary employee benefit trust on 19 October 2015. On 19 October 
2015, the EBT was loaned £222,728 by LivaNova UK Limited (a subsidiary of the Company), to enable the EBT to subscribe 
for 222,728 Ordinary Shares. The EBT has been used to transfer fully paid Ordinary Shares to employees of the Company 
and its subsidiaries, to settle equity awards held by such employees pursuant to the Incentive Award Plan.

50

Significant shareholdings

As  at  27  April  2016,  being  the  latest  practicable  date  prior  to  the  publication  of  this  Directors’  Report,  the  Company’s 
significant shareholders who had notified the Company in accordance with the DTRs that they are interested in 3 per cent. 
or more of the issued Ordinary Shares with voting rights of the Company are as follows:

Number of shares held

% in the issued share capital

Bios S.p.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BlackRock Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fidelity Management & Research Company . . . . .
Paulson & Co., Inc . . . . . . . . . . . . . . . . . . . . . . . .
Tower 6 S.A.R.L.. . . . . . . . . . . . . . . . . . . . . . . . . .
RWC European Focus Fund Inc. . . . . . . . . . . . . . .

Dividend

4,262,285
3,721,152
2,347,923
2,253,040
1,486,084
1,480,000

8.69
7.58
4.78
4.59
3.02
3.01

No dividend has been proposed during, or in respect of, the course of the year under review. There is no immediate intention 
for the Company to pay dividends. The declaration and payment by the Company of any future dividends and the amount 
of any such dividends will depend upon the Company’s results, financial condition, future prospects, profits being available 
for distribution and any other factors deemed by the directors to be relevant at the time, subject always to the requirements 
of applicable law.

Change of control

The Companies Act requires the Company to identify (i) those significant arrangements to which the Company is party that 
take effect, alter or terminate upon a change of control of the Company following a takeover bid, (ii) the effects of any such 
agreements, and (iii) any agreements with the Company and its directors or employees for compensation for loss of office 
or employment that occurs because of a takeover bid.

The legacy Sorin business entered into a loan agreement with the EIB for €100 million on 6 May 2014. The facility provides 
that the EIB may require the Company to repay the loan amount in the event of a change of control. On 2 October 2015, 
prior to the closing of the Mergers, Sorin entered into an amendment and restatement agreement with the EIB where the 
parties agreed that the Mergers did not constitute a change of control.

In addition, provisions under the rules of the Company’s share incentive schemes, or awards made under those schemes, may 
cause options and awards granted under those schemes to vest and become exercisable in the event of a change in control.

Political donations

The Company has not made any political donations, or incurred any political expenditure, in the period under review. In 
addition, the Company has not made any contributions to a non-EU political party during the period under review. The 
legacy Cyberonics business had a PAC, which was entirely funded by employee donations. The PAC was formally closed in 
January 2016 and made its final donation in April 2015.

Employee policies

LivaNova has a culture of continuous improvement through investment in people at all levels within LivaNova. LivaNova 
is  committed  to  pursuing  equality  and  diversity  in  all  its  employment  activities,  including  recruitment,  training,  career 
development and promotion and ensuring there is no bias or discrimination in the treatment of people. LivaNova supports 
the  principle  of  equal  opportunities  in  employment  and  opposes  all  forms  of  unlawful  or  unfair  discrimination  on  the 
grounds  of  race,  age,  nationality,  religion,  ethnic  or  national  origin,  sexual  orientation,  gender  or  gender  reassignment, 
marital  status  or  disability.  Wherever  possible,  vacancies  are  filled  from  within  LivaNova  and  efforts  are  made  to  create 
opportunities for internal promotion.

It is LivaNova’s policy to encourage applications for employment from disabled people and to assist with their training and 
development, particularly in light of their aptitudes and abilities. If an existing employee becomes disabled, it is LivaNova’s 
policy wherever practicable to provide continuing employment under normal terms and conditions and to provide training, 
career development, and promotion to the disabled employee to the fullest extent possible.

51

Employees  are  consulted  regularly  about  changes  that  may  affect  them  either  through  their  trade  union-appointed  or 
works council representatives or by means of regular meetings with particular groups of employees. The consultations and 
meetings are used to ensure that employees are kept up to date with LivaNova’s business performance and the financial 
and economic factors affecting that performance. LivaNova also cascades information regularly to all employees, either by 
means of LivaNova’s intranet or through employees’ managers, to provide them with important and up-to-date information 
regarding key events and to obtain feedback from them.

LivaNova encourages share ownership among its employees by granting equity awards to selected employees under the 
Incentive Award Plan.

In addition, the Company operates through local subsidiaries in many countries, some of which, including France, Germany 
and Italy, have legal requirements to have works councils, which include employee representatives.

Greenhouse gas emissions

This Directors’ Report does not include information on emissions of carbon dioxide. Neither the legacy Cyberonics business 
nor the legacy Sorin business recorded such emissions information on a group-wide basis, although certain local operations 
recorded some limited information in compliance with local environmental laws. Therefore, for the purposes of this Directors’ 
Report, being the first year the Company has operated as a combined business, the cost of collecting the information and 
estimating  emissions  was  not  considered  to  be  proportionate  to  the  benefit.  The  Company  will  provide  its  first  year  of 
emission information in its UK Annual Report for the year ended 31 December 2016.

Financial risk management objectives/policies and hedging arrangements

Please refer to note 4 to the consolidated Financial Statements for information on LivaNova’s financial risk management 
objectives/policies and hedging arrangements.

Events since 31 December 2015

Certain important events affecting the Company and its subsidiaries that have occurred since 31 December 2015 are set out 
in the following sections of the Strategic Report:

• 

• 

• 

Section  II  (Business),  part  B  (Business  Units  and  the  New  Ventures)  paragraph  headed  “Cardiopulmonary 
Recent Developments”;

Section  II  (Business),  part  B  (Business  Units  and  the  New  Ventures)  paragraph  headed  “Heart  Valve 
Recent Developments”;

Section  II  (Business),  part  B  (Business  Units  and  the  New  Ventures)  paragraph  headed  “CRM 
Recent Developments”.

Please also refer to “Share capital and the articles of association of the Company” above for further information on the 
reduction of capital which became effective on 6 April 2016.

52

Future developments

An indication of certain expected future developments of the Company and its subsidiaries are set out in the following 
sections of the Strategic Report:

• 

• 

Section II (Business), part B (Business Units and the New Ventures) paragraph headed “CRM Recent Developments”;

Section II (Business), part B (Business Units and the New Ventures) paragraph headed “New Ventures – Heart 
Failure, Sleep Apnea and Mitral Regurgitation”.

Research and Development

Details of the activities of the Company in the field of research and development are set out in Section II (Business), part C 
(Research and Development) of the Strategic Report.

Statement of disclosure to the Company’s UK statutory auditor

In accordance with section 418 of the Companies Act, each director at the date of this Directors’ Report confirms that:

• 

so far as he or she is aware, there is no relevant audit information of which the Auditor is unaware; and

•  he or she has taken all the steps he or she ought to have taken as director to make himself or herself aware of 

any relevant audit information and to establish that the Auditor is aware of that information.

This confirmation is given and should be interpreted in accordance with the provisions of section 418 of the Companies Act.

PricewaterhouseCoopers LLP has indicated their willingness to continue in office, and a resolution that they be re-appointed 
will be proposed at the 2016 Annual General Meeting.

Directors’ responsibility statement

The directors are responsible for preparing the UK Annual Report, the Directors’ Remuneration Report and the financial 
statements in accordance with applicable law and regulations. 

The Companies Act requires the directors to prepare financial statements for each financial year. The directors have prepared 
the LivaNova group and Company financial statements in accordance with IFRS as adopted by the European Union. Under 
the Companies Act, the directors must not approve the financial statements unless they are satisfied that they give a true 
and fair view of the state of affairs of the LivaNova group and the Company, and of the profit or loss of the LivaNova group 
and the Company for that period. In preparing these financial statements, the directors are required to:

• 

select suitable accounting policies and then apply them consistently;

•  make judgements and accounting estimates that are reasonable and prudent;

• 

state whether applicable IFRS as adopted by the European Union have been followed, subject to any material 
departures disclosed and explained in the financial statements;

•  prepare  the  financial  statements  on  the  going  concern  basis  unless  it  is  inappropriate  to  presume  that  the 

Company will continue in business.

The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the LivaNova 
group  and  the  Company’s  transactions  and  disclose  with  reasonable  accuracy  at  any  time  the  financial  position  of  the 
LivaNova group and the Company and enable them to ensure that the financial statements and the Directors’ Remuneration 
Report comply with the Companies Act and, as regards the LivaNova group and the Company’s financial statements, Article 
4 of the IAS Regulation. They are also responsible for safeguarding the assets of LivaNova and hence for taking reasonable 
steps for the prevention and detection of fraud and other irregularities.

The directors are responsible for the maintenance and integrity of the Company’s website. Legislation in the United Kingdom 
governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. 

53

To the best of each director’s knowledge:

• 

• 

the  financial  statements,  prepared  in  accordance  with  the  applicable  accounting  standards,  give  a  true  and 
fair view of the assets, liabilities, financial position and profit or loss of the Company and its subsidiaries and 
subsidiary undertakings taken as a whole; and

this Directors’ Report and the Strategic Report include a fair review of the development or performance of the 
business and the position of the Company and its subsidiaries and subsidiary undertakings taken as a whole, 
together with a description of the principal risks and uncertainties that they face.

By order of the Board of directors on 27 April 2016,

Brian Sheridan 
Company Secretary

54

Corporate Governance in 2015

CORPORATE GOVERNANCE REPORT

As a dual-listed company with shares listed on NASDAQ and the standard listing segment of the FCA’s Official List, the 
Company is subject to the corporate governance rules under the NASDAQ Rules, which are available on the NASDAQ website 
www.nasdaq.com. The Company also complies with the requirement of DTR 7.1 of the DTRs to have an audit committee, 
which  it  calls  the  Audit  &  Compliance  Committee.  All  members  of  the  Company’s  Audit  &  Compliance  Committee  are 
independent directors and at least one member, being Hugh Morrison, has competence in accounting and/or auditing.

The Company only complies with the UK Corporate Governance Code to the extent that the relevant provisions overlap, 
and are consistent with, the NASDAQ Rules and the relevant provisions of the DTRs. Since the Company only has a standard 
listing in London, the Company is not required to be in full compliance with the UK Corporate Governance Code.

The Company has complied in all respects with the corporate governance rules under the NASDAQ Rules and the relevant 
provisions of the DTRs from the date of its dual-listing on 19 October 2015 to the end of 2015.

Board Composition and Independence

The corporate governance provisions of the NASDAQ Rules provide, inter alia that:

• 

• 

• 

The Board is required to have a majority of independent directors.

The Company is required to have an audit committee consisting of at least three directors, all of whom can 
read  and  understand  financial  statements  and  are  independent  directors  under  the  heightened  standard  of 
independence applicable to audit committee members. The audit committee must have at least three members, 
including one with experience that results in the individual’s financial sophistication.

The Company is required to have a compensation committee consisting of at least two directors, all of whom are 
independent directors under the heightened standard of independence applicable to compensation committee 
members. The compensation committee must determine, or recommend to the full Board for determination, 
the compensation of the chief executive officer and all other executive officers.

•  Nominees for directors must be  selected,  or recommended  for  the  Board’s selection,  either  by independent 
directors constituting a majority of the Board’s independent directors or by a nominating committee consisting 
solely of independent directors.

• 

The Company must adopt a code of conduct applicable to all directors, officers and employees.

The  Board  currently  has  eight  directors  in  total,  following  the  resignation  of  Rosario  Bifulco  which  took  effect  on  16 
November 2015. The eight directors are currently comprised of a non-executive Chairman, six non-executive directors, and 
one executive director. The Company has evaluated each of the Board directors by reference to the independence criteria 
set out in the NASDAQ Rules and has determined that each of Hugh Morrison, Alfred J. Novak, Dr. Arthur L. Rosenthal, 
Francesco  Bianchi,  Stefano  Gianotti  and  Dr.  Sharon  O’Kane  are  independent,  and  each  of  Daniel  J.  Moore  and  André-
Michel Ballester are not independent, in each case, within the meaning of the NASDAQ Rules. Under the NASDAQ Rules, 
“independent director” means a person other than an executive officer or employee of the Company or any other individual 
having  a  relationship  which,  in  the  opinion  of  the  Board  of  directors,  would  interfere  with  the  exercise  of  independent 
judgement in carrying out the responsibilities of a director. The NASDAQ Rules set out certain prescribed circumstances in 
which a director will not be considered to be independent.

55

Further details of the current members of the Board are set out in the table below.

Name

Position

Appointment Date

Tenure

Daniel J. Moore . . . . . . . . Chairman

14 September 2015 < 1 year

André-Michel Ballester . .

Executive director – Chief Executive Officer

14 September 2015 < 1 year

Hugh Morrison  . . . . . . . . Non-executive director

19 October 2015

< 1 year

Chairman of the Audit & Compliance Committee
Interim Chairman of the Nominating & Governance 
Committee

Alfred J. Novak . . . . . . . . Non-executive director

19 October 2015

< 1 year

Member of the Audit & Compliance Committee
Member of the Compensation Committee

Dr. Arthur L. Rosenthal . . Non-executive director

19 October 2015

< 1 year

Chairman of the Compensation Committee

Francesco Bianchi  . . . . . . Non-executive director

19 October 2015

< 1 year

Member of the Audit & Compliance Committee
Member of the Compensation Committee

Stefano Gianotti . . . . . . . Non-executive director

19 October 2015

< 1 year

Member of the Nominating & Governance Committee

Dr. Sharon O’Kane. . . . . . Non-executive director

19 October 2015

< 1 year

Member of the Nominating & Governance Committee

As at the date of this Corporate Governance Report, one of the eight directors on the Board is female, constituting 12.5 
per cent. of the Board.

Internal Control over Financial Reporting

On  19  October  2015,  the  Mergers  were  completed.  The  Company  has  incorporated  internal  controls  over  significant 
processes to the extent that it believes appropriate and necessary considering the level of integration during the period since 
the Mergers.

As a result of the Mergers, the internal controls over financial reporting utilised by Cyberonics prior to the Mergers became 
the internal controls over financial reporting of LivaNova and LivaNova is currently in the process of evaluating and integrating 
Sorin’s historic internal controls over financial reporting with Cyberonics.

The Company has based its internal control structure on the COSO Framework. In accordance with the COSO Framework, 
the  Board  of  directors  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial  reporting. 
The Company’s internal control over financial reporting is designed to provide reasonable assurance regarding the reliability 
of financial reporting and the preparation of financial statements for external purposes, and includes those policies and 
procedures that:

•  pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and 

dispositions of the Company’s assets;

•  provide reasonable assurance that the transactions are recorded as necessary to permit preparation of financial 
statements  in  accordance  with  generally  accepted  accounting  principles,  and  that  the  Company’s  receipts 
and expenditures are being made only in accordance with authorisations of the Company’s management and 
directors; and

•  provide  reasonable  assurance  regarding  prevention  or  timely  detection  of  unauthorised  acquisition,  use  or 

disposition of the Company’s assets that could have a material effect on the financial statements.

56

Management of Financial Risk

Increasing market fluctuations may result in significant earnings and cash flow volatility risk for the Company. The Company’s 
operating business as well as its investment and financing activities are affected particularly by changes in foreign exchange 
rates, interest rates and concentration of procurement suppliers. In order to optimise the allocation of the financial resources 
across the Company’s segments and entities, as well as to achieve its aims, the Company identifies, analyses and manages 
the associated market risks. The Company seeks to manage and control these risks primarily through its regular operating 
and financing activities, and uses derivative financial instruments when deemed appropriate.

The  CFO  oversees  the  management  of  these  risks.  The  CFO  is  supported  by  a  senior  financial  management  team  that 
advises on financial risks and the appropriate financial risk governance framework for the Company. The senior financial 
management team provides assurance to the Company’s senior management that the Company’s financial risk activities 
are  governed  by  appropriate  policies  and  procedures  and  that  financial  risks  are  identified,  measured  and  managed  in 
accordance with group policies and group risk appetite. All derivative activities for risk management purposes are carried 
out by specialist teams that have the appropriate skills, experience and supervision. It is the Company’s policy that no trading 
in derivatives for speculative purposes may be undertaken. Intercompany financing or investments of operating units are 
preferably carried out in their functional currency or on a hedged basis. The Board of directors reviews and agrees policies 
for managing each of these risks.

Board Committees

Audit & Compliance Committee

Please  see  below  for  the  Audit  &  Compliance  Committee  Report  for  further  information  on  the  work  of  the  Audit  & 
Compliance Committee in 2015.

Compensation Committee

The Compensation Committee is comprised of Dr. Arthur L. Rosenthal, Alfred J. Novak and Francesco Bianchi, of whom Dr. Arthur 
L. Rosenthal is the Chairman. Each member of the Compensation Committee shall be “independent” as defined from time to 
time by the NASDAQ Rules and by the applicable regulations of the SEC. The Compensation Committee shall meet at least twice 
each year, and otherwise as required. Appointments made to the Compensation Committee are for a period of up to three years, 
extendable by no more than two additional three-year periods, so long as the members continue to be independent.

The responsibilities of the Compensation Committee include: (i) the review, evaluation, and approval of agreements, policies, 
plans and programmes for officer and director compensation for the Company; (ii) the review, evaluation, and approval of 
the Company’s equity awards and equity plans; (iii) the review of the compensation disclosure to be included in the proxy 
statement for the Company’s Annual General Meeting; (iv) to prepare a report of the Compensation Committee for inclusion 
in the Company’s proxy statement; and (v) to perform such other functions as the Board may assign to the Compensation 
Committee from time to time.

Nominating & Governance Committee

The Nominating & Governance Committee is comprised of Stefano Gianotti, Sharon O’Kane and Hugh Morrison. Following 
the resignation of Rosario Bifulco on 16 November 2015, Hugh Morrison has acted as the interim Chairman, while the 
Nominating & Governance Committee has begun the process of searching for an appropriate replacement for the Board 
of directors. Each member of the Nominating & Governance Committee is required to be “independent” as defined from 
time  to  time  by  the  NASDAQ  Rules  applicable  to  US  listed  companies.  Appointments  to  the  Nominating  &  Governance 
Committee are for a period of up to three years, which may be extended for further periods of up to three years, provided the 
director still meets the criteria for membership of the Nominating & Governance Committee. The Nominating & Governance 
Committee is expected to meet at least twice a year, and otherwise as required.

The  responsibilities  of  the  Nominating  &  Governance  Committee  include:  (i)  assisting  the  Board  to  identify  individuals 
qualified to become Board members and to recommend nominees to the Board; (ii) to advise the Board about the appropriate 
composition  of  the  Board  and  its  committees;  (iii)  to  advise  the  Board  about  and  recommend  to  the  Board  appropriate 
corporate governance practices and to assist the Board in implementing those practices; (iv) to lead the Board in its annual 
review of the performance of the Board and its committees; and (v) to perform such other functions as the Board may assign 
from time to time to the Nominating & Governance Committee.

57

The terms of reference for the Company’s Board Committees describing their roles and responsibilities more fully can be 
found on the Company’s website at www.livanova.com.

Audit & Compliance Committee Report

The Audit & Compliance Committee is comprised of Hugh Morrison, Alfred J. Novak and Francesco Bianchi, of whom Hugh 
Morrison is the Chairman and a “financial expert” as defined by the SEC. The Audit & Compliance Committee is required 
to  meet  at  least  three  times  a  year  at  appropriate  intervals  in  the  financial  reporting  and  audit  cycle  and  otherwise  as 
required. The members of the Audit & Compliance Committee will serve until their successors are duly elected for a period 
of up to three years extendable by no more than two additional three-year periods, so long as the members continue to be 
“independent” as defined from time to time by the NASDAQ Rules and by the applicable regulations of the SEC.

Key activities of the Audit & Compliance Committee

•  Reviewing the Company’s consolidated financial statements and internal controls with management and the 

independent auditors.

•  Monitoring actions taken by the Company to comply with its internal accounting and control policies as well as 

external financial, legal and regulatory requirements.

•  Monitoring the Company’s internal audit function.

•  Reviewing  the  qualifications  and  independence  of  the  registered  public  accounting  firm  engaged  for  the 

purpose of auditing the Company’s consolidated financial statements.

• 

Selecting the Company’s independent auditors and evaluating their performance.

•  Reviewing  and  approving  the  Company’s  investment  policy  (including,  without  limitation,  any  investment 

guidelines with regard to maturity, liquidity, risk and diversification) and any modifications thereto.

Role of the Audit & Compliance Committee

The work of the Audit & Compliance Committee falls into the six following areas:

Independent Auditor

•  Review  and  approve  the  plan  and  scope  of  the  audit,  non-audit  services  and  the  fees  to  be  paid  for  such 

services, and ensuring these services are consistent with the terms of engagement.

•  Monitor the independent auditor’s compliance with relevant ethical and professional guidance on the rotation 

of the audit partner and the level of fees paid by the Company.

•  Review the findings of any audit with the independent auditor, which review shall include but not be limited to 

a discussion of any major issues which arose during the audit and key accounting and audit judgments.

Financial Statements

•  Review,  discuss  with  management  and  the  independent  auditor  the  annual  audited  consolidated  financial 

statements, including major issues regarding accounting and auditing principles and practices.

•  Review the Company’s major financial risk exposures along with management, including steps management 

has taken to monitor and control such exposures.

•  Discuss with the independent auditor the matters required to be discussed by US GAAP and IFRS relating to the 

conduct of the Company’s audit.

58

Internal Audit

•  Review and approve an annual internal audit plan regarding the objectives, organisational structure, qualifications 

and staffing of the internal audit team.

•  Monitor and review the effectiveness of the Company’s internal audit function in the context of the Company’s 

overall risk management system.

Ethical and Legal Compliance

•  Review the Company’s procedures for detecting fraud.

• 

Investigate, at its discretion, any matter brought to its attention by reviewing the Company’s books, records 
and facilities.

•  Review regular reports from the money laundering reporting officers and the adequacy and effectiveness of the 

Company’s anti-money laundering system and controls.

Internal Controls and Risk Management

•  Review the adequacy and effectiveness of the Company’s internal financial controls and internal controls and 

risk management systems.

General

•  Conduct an annual self-evaluation of the Audit & Compliance Committee’s organisation and operation.

The terms of reference for the Audit & Compliance Committee describes the role of the Audit & Compliance Committee and 
its responsibilities more fully and can be found on the Company’s website at www.livanova.com.

59

Activities of the Audit & Compliance Committee in 2015 and since the year end

From 19 October 2015 to present, the Audit & Compliance Committee held three physical meetings and three meetings by 
telephone. Each meeting was quorate, and the CFO and the Company Secretary also attended by invitation. The Audit & 
Compliance Committee also met regularly with the external auditor without management present. The Audit & Compliance 
Committee’s programme of work in 2015 was as follows:

Month

Activity

October 2015  . . . . . . . . .

•  Appointed  PricewaterhouseCoopers  LLP  and  PricewaterhouseCoopers  S.p.A.  as  the 

Company’s independent auditors for UK and US reporting purposes, respectively

November 2015. . . . . . . .

•  Reviewed the Auditor’s audit plan for 2015

•  Reviewed the Company’s IT plan, including IT and cyber-security matters

•  Considered the Company’s internal audit plan for 2016

•  Considered the Company’s compliance report

December 2015 . . . . . . . .

•  Reviewed and approved the Company’s transitional Form 10-Q filing for the period from 

25 July 2015 to 18 October 2015

Since the year end . . . . . .

•  Considered the Company’s significant accounting estimates and critical accounting policies

•  Reviewed the Company’s draft earnings release

•  Considered the Company’s cybersecurity preparedness

•  Discussed the Company’s SEC financial filings and financial statements

•  Reviewed and approved the Company’s transitional Form 10-K/T filing for the period 25 

April 2015 to 31 December 2015

Further questions

As Chairman of the Audit & Compliance Committee, I shall be pleased to answer any questions that shareholders may have 
at the 2016 Annual General Meeting.

Yours faithfully,

HUGH MORRISON 
CHAIRMAN OF THE AUDIT & COMPLIANCE COMMITTEE 
27 April 2016

60

DIRECTORS’ REMUNERATION REPORT

Letter from the Chairman of the Compensation Committee

Dear Shareholder,

I am pleased to present the first Directors’ Remuneration  Report  following the  merger of  Sorin and Cyberonics to  form 
LivaNova, which was completed on 19 October 2015. The Company was incorporated on 20 February 2015 and this report 
covers the period from incorporation to 31 December 2015.

The prospectus published on 12 October 2015 in connection with the admission of the Company’s Ordinary Shares to the 
Official List and to trading on the Main Market of the LSE, set out details of the existing incentive schemes of Sorin and 
Cyberonics and how those were treated in the Mergers. The prospectus also set out details of the new incentive award plan 
put in place by the Company on completion of the Mergers.

This Directors’ Remuneration Report sets out the Company’s proposed future remuneration policy for the new combined 
company, as well as details of the remuneration paid to the Company’s directors in the period ended 31 December 2015. 
The proposed remuneration policy set out in the Remuneration Policy Report section of this Directors’ Remuneration Report 
will be put to shareholders for approval in a binding vote at the annual general meeting on 15 June 2016, where they will 
be asked to approve the policy for a period of up to three years.

Major decisions on remuneration in the period

• 

• 

• 

• 

In June 2015, prior to the closing of the Mergers, the Cyberonics Compensation Committee engaged Pearl 
Meyer to recommend a peer group of companies for benchmarking the compensation of LivaNova’s directors 
and executive officers.

In July 2015, also at the request of the Cyberonics Compensation Committee, Pearl Meyer produced reports 
describing compensation benchmarks for our non-employee directors and our CEO.

In August and September 2015, our director designated to serve as the chairman of the Board negotiated the 
terms of a new U.K. service contract for our CEO-designee, subject to the final approval of the Board.

In September 2015 the director-designees for the Board and the Compensation Committee (in this Directors’ 
Remuneration Report, the “Committee”) met and discussed committee governance, including a draft of the 
Committee’s charter, the appointment of an independent compensation consultant, the independence of the 
director-designees, and priorities for the Committee’s business after the Mergers closed, including the service 
contract and remuneration for our CEO.

•  On 19 October 2015, the day of the Mergers closing, our Board met and confirmed the appointment of the 
director-designees as members of the Committee, approved the Committee’s charter, approved a remuneration 
scheme for the Board, and approved an award of SARs for our CEO, as contemplated by the merger agreement, 
among  many  other  matters  of  Board  business.  Also  at  that  time,  the  Committee  met  and  confirmed  the 
independence and appointment of its compensation consultant and approved the service contract for our CEO.

• 

The Committee met again in November 2015, approving an award of RSUs for our CEO, again as contemplated 
by the remuneration package negotiated with our CEO in connection with his service contract, and discussing 
its  overarching  philosophy  on  executive  officer  compensation.  During  the  balance  of  the  financial  year,  the 
Committee planned for its first full financial year, 2016.

Our remuneration philosophy

The key principles underlying LivaNova’s remuneration philosophy are:

•  Reward  consistent  and  high-level  performance  -  to  encourage  directors  to  perform  in  a  consistent, 

responsible way with the focus on long-term creation of value for LivaNova’s shareholders;

•  Reinforce business strategy – to reward directors for setting the business strategy on a path that enables 

strong execution by LivaNova’s management team to achieve business objectives and strategic goals;

61

•  Stable fixed compensation – to insulate director remuneration from business strategy decisions that might 
otherwise favour short-term strategy over long-term strategy, thereby to ensure that our director remuneration 
packages do not adversely influence business strategy; and

•  Competitive  remuneration  –  to  recruit  and  retain  the  key  talent,  essential  to  the  successful  operation  of 

LivaNova’s business by ensuring that our remuneration packages are competitive with our market peers.

In forming its director remuneration philosophy, the Committee reviews the total compensation paid to our non-employee 
directors and non-executive Chairman of our Board. The purpose of the review is to ensure that the level of compensation 
is appropriate to attract and retain a diverse group of directors with the breadth of experience necessary to perform our 
Board’s duties and to compensate our directors fairly for their services. The review includes the consideration of qualitative 
and comparative factors. To ensure directors are compensated relative to the scope of their responsibilities, the Committee 
considers: (i) the time and effort involved in preparing for Board and committee meetings and the additional duties assumed 
by committee chairs and the Chairman of our Board; (ii) the level of continuing education required to remain informed of 
broad corporate governance trends and material developments relevant to strategic initiatives within our company; (iii) the 
risks associated with fulfilling fiduciary duties; and (iv) the compensation paid to directors at a peer group of companies as 
determined by the Committee’s compensation consultant.

As  Chairman  of  the  Committee,  I  am  committed  to  ensuring  an  open  dialogue  with  our  shareholders.  If  you  have  any 
questions about remuneration generally, or the presentation or the content of this report, please contact me via mail sent to 
the Company Secretary, LivaNova PLC, 5 Merchant Square, North Wharf Road, London, W2 1AY, United Kingdom.

Dr. Arthur L. Rosenthal 
Chairman of the Compensation Committee 
27 April 2016

62

Introduction and Compliance Statement

The  purpose  of  this  Directors’  Remuneration  Report  is  to  inform  shareholders  of  the  remuneration  of  the  Company’s 
directors for the period ended 31 December 2015 and the remuneration policy for subsequent years. This report is divided 
into three sections:

• 

• 

• 

the Chairman’s letter on pages 61 to 62 above;

the Remuneration Policy Report; and

the Annual Remuneration Report.

The remuneration policy set out in the Remuneration Policy Report will be put to shareholders for approval in a binding vote 
at the annual general meeting on 15 June 2016 and the policy will be effective from that date. Shareholders will be asked to 
approve the policy for a period of up to three years starting from the effective date. The Annual Remuneration Report and 
the Chairman’s letter will be put to an advisory vote at the annual general meeting.

This Directors’ Remuneration Report has been prepared by the Committee on behalf of the Board in accordance with the 
Companies Act, Schedule 8 to the Large and Medium-sized Companies and Groups (Accounts and Reports) Regulations 
2008 (as amended) and the Listing Rules of the FCA.

The  Remuneration  Policy  Report  (which  is  not  subject  to  audit)  details  the  role  of  the  Committee,  the  principles  of 
remuneration and other matters. The Annual Remuneration Report (elements of which are audited) details the directors’ 
and former directors’ fixed and variable pay, share awards, benefits and pension arrangements.

The Company was incorporated on 20 February 2015 and its Ordinary Shares were admitted to trading on the NASDAQ 
market and admitted to the standard segment of the Official List and to trading on the Main Market of the LSE on 19 
October 2015. Therefore, this is the first year that shareholders have been asked to approve the directors’ remuneration 
report and the directors’ remuneration policy.

Remuneration Policy Report – unaudited information

Introduction

The Committee presents the directors’ Remuneration Policy Report, which will be put to shareholders as a binding vote 
at the Company’s annual general meeting to be held on 15 June 2016 and, subject to shareholder approval, shall take 
immediate effect.

Compensation Committee - objectives

The Board has delegated to the Committee responsibility for determining the policy in relation to the remuneration package 
for the Company’s sole executive director, André-Michel Ballester, and other senior management. This delegation includes 
their  terms  and  conditions  of  employment,  in  addition  to  the  operation  of  the  Group’s  share-based  employee  incentive 
arrangements. The Committee has clearly defined terms of reference in its committee charter, which is available on the 
Company’s corporate website at www.livanova.com.

Remuneration strategy

The Company’s compensation plans and arrangements have been carefully designed to support the Company’s strategic 
business objectives and align director and shareholder interests as follows:

•  Reward consistent and high-level performance – The Company recognises its responsibility to maximise 
long-term value and sustainable growth for shareholders. The level of director remuneration should reflect and 
be evaluated against the long-term shareholder value that results from the Company’s business strategy, as 
guided by the directors;

• 

Independence – our director remuneration package ensures that business strategy decisions are independent 
of the potential impact those decisions may have on a director’s remuneration, consistent with our directors’ 
duties and responsibilities to our shareholders;

63

•  Share ownership – we want our directors to think and act like business owners to ensure there is affinity 
between shareholder and director interests; directors are partly remunerated in equity and encouraged through 
our share ownership guidelines to hold a meaningful number of shares so as to achieve this objective; and

•  Value for money – our compensation packages seek to recruit and retain key talent to ensure competitiveness 
and  reward  individual  skills  and  experience  whilst  also  incentivising  our  executive  team  to  build  value  for 
LivaNova through share based incentives.

Future policy tables

Executive directors

The following table and accompanying notes explain the different elements of remuneration paid to the Company’s executive 
directors. Currently, André-Michel Ballester, the Company’s CEO, is the Company’s sole executive director.

Base salary (fixed remuneration)

• 

Purpose and link to strategy  .

•  Operation . . . . . . . . . . . . . . .

In order to attract and retain executive directors with the capability of driving LivaNova’s 
corporate strategy, the Company needs to provide base salaries for executive directors 
that are appropriate for the role and that reflect what such executive directors would 
receive  were  they  to  work  for  one  of  LivaNova’s  competitors.  Base  salaries  help 
balance  the  incentive  portions  of  the  remuneration  program  and  thereby  provide 
stability and reduce the incentive for excessive risk-taking.

Salary  levels  and  increases  reflect  a  range  of  factors,  including  responsibilities, 
experience,  tenure, 
in 
compensation for other members of senior management, changes in size, value or 
complexity  of the  company, benchmarking  analysis  and external advice relating to 
any of the foregoing.

individual  performance,  market  conditions,  changes 

Salaries are normally reviewed annually, with any increase applying from 1 April of 
each year.

Salaries for any new appointment of an executive director will be set in accordance 
with the recruitment policy set out on page 72 of this Remuneration Policy Report.

The Committee takes into consideration the impact of base salary increases on the 
package  as  a  whole,  as  bonuses  as  well  as  some  other  elements  of  pay  (such  as 
pension contributions) are generally worked out based on a percentage of salary.

The Committee considers the following factors in establishing base salaries:

• 

• 

• 

• 

• 

• 

individual performance during the recently-concluded financial year and potential 
future contribution;

responsibilities, including any recent changes in those responsibilities;

level  of  expertise  and  experience  of  the  executive  officer  compared  to  that 
required for a position;

strategic importance of a position;

internal pay equity among positions; and

competitive benchmarking data.

64

•  Maximum opportunity. . . . . .

The  current  base  salary  of  André-Michel  Ballester,  the  Company’s  sole  executive 
director, is disclosed in the Annual Remuneration Report.

The Committee will apply the foregoing factors each year to assess whether André-
Michel Ballester’s salary should be adjusted. Future salary increases for André-Michel 
Ballester will take into account the magnitude of salary increases across the Company 
but will not be based exclusively on this consideration. The Committee retains the 
discretion to approve higher increases in certain circumstances, for example, following 
an  increase  in  the  scope  and/or  responsibility  of  the  role,  a  significant  change  in 
market practice or the development of an individual in a role.

The Committee does not specify a maximum salary due to unintended consequences 
such as setting undue expectations.

• 

Performance assessment / 
targets  . . . . . . . . . . . . . . . . .

Salaries are reviewed annually by the Committee at the appropriate meeting, having 
due regard to the individual’s experience, performance and added value to the business.

Benefits (fixed remuneration)

In  order  to  attract  and  retain  executive  directors  with  the  capability  of  driving 
LivaNova’s  corporate  strategy,  the  Company  needs  to  provide  a  range  of  market-
competitive benefits similar to the benefits they would receive if they were to work 
for one of LivaNova’s competitors.

Benefits  may  vary  depending  on  the  personal  choices,  country  of  residence  and 
situation of the executive director.

Relocation or other related assistance may be provided to support the appointment 
or relocation of an executive director.

A wide-range of benefits may be provided to executive directors, including, but not 
limited to:

 –

 –

 –

 –

 –

 –

 –

 –

 –

private medical cover (for the executive director and his or her family);

life assurance;

long-term incapacity cover;

critical illness cover;

childcare vouchers;

company car or car allowance;

holiday and sick pay;

relocation assistance benefits; and

directors’ and officers’ insurance.

The Committee retains the discretion to provide additional benefits where necessary 
or relevant in the context of a particular executive director’s role or location.

Relocation or other related assistance could include, but is not limited to, removal 
and other relocation costs, assistance with accommodation and/or accommodation 
allowance,  living  expenses  and  financial,  immigration,  visa  and  tax  consultancy 
advice.  In  some  cases,  such  payments  may  be  grossed  up  and/or  tax  equalisation 
arrangements may be put in place.

65

•  Maximum opportunity. . . . . .

The  cost  to  the  Company  of  providing  such  benefits  will  vary  from  year  to  year 
in accordance with the cost of providing such benefits, which will be kept under 
regular review.

• 

Performance assessments / 
targets  . . . . . . . . . . . . . . . . .

Not applicable.

Pension (fixed remuneration)

• 

Purpose and link to strategy

•  Operation . . . . . . . . . . . . . . .

In  order  to  attract  and  retain  executive  directors  with  the  capability  of  driving 
LivaNova’s  corporate  strategy,  the  Company  needs  to  provide  market-competitive 
retirement benefits similar to the benefits they would receive if they were to work for 
one of LivaNova’s competitors.

The Company’s policy is to provide market competitive pension arrangements or a 
cash  alternative  based  on  a  percentage  of  the  executive  director’s  base  salary  and 
annual  bonus.  The  Company  retains  flexibility  to  accrue  funds  to  contribute  to  a 
private pension fund or distribute as cash to the executive director.

•  Maximum opportunity. . . . . .

The  maximum  pension  opportunity  is  linked  to  the  executive  director’s  maximum 
salary and bonus opportunity.

• 

Performance assessment / 
targets  . . . . . . . . . . . . . . . . .

Not applicable.

Annual performance bonus (variable remuneration)

• 

Purpose and link to strategy  .

Annual  performance  bonuses  are  in  place  to  incentivise  the  delivery  of  stretching, 
near-term  business  targets  based  on  LivaNova’s  business  strategy.  These  bonuses 
provide  a  strong  link  between  reward  and  performance  and  drive  the  creation  of 
further shareholder value.

•  Operation . . . . . . . . . . . . . . .

Bonus payments are determined by the Committee after the financial year end.

•  Maximum opportunity. . . . . .

The  annual  bonus  is  typically  paid  in  April  in  each  year,  based  on  the  audited 
performance of the Company in the previous financial year.

The Committee has ultimate discretion over whether a bonus is paid in cash or in 
other forms such as shares or share options.

The Company has the right to amend, reduce, hold back, defer, claw back and alter 
the structure of any payments in certain circumstances including in order to comply 
with  applicable  law,  regulation  and  governance  codes  or  policies  that  regulate  or 
govern  executive  pay  from  time  to  time.  The  Company  is  developing  a  retention 
and clawback policy in compliance with its legal obligations and the key principles 
of its remuneration philosophy which will operate in respect of annual performance 
bonuses as appropriate. 

Typically executive director annual bonus targets will be set as a percentage of their 
base salary. In no circumstances will a director’s annual bonus target exceed 200 per 
cent. of base salary.

Bonus payments are based on the percentage achievement of performance objectives 
set by the Committee at the start of each financial year.

No  bonus  is  payable  unless  the  executive  director  achieves  at  least  80  per  cent. 
of  the  performance  objectives.  The  maximum  payment  is  200  per  cent.  of  base 
salary  and  is  only  payable  if  the  executive  director  achieves  150  per  cent.  of  the 
performance objectives. 

66

• 

Performance assessment / 
targets  . . . . . . . . . . . . . . . . .

Performance criteria and bonus targets are set by the Committee at the start of each 
financial year, with a view to supporting the achievement of LivaNova’s strategy.

The relevant performance criteria are designed to capture LivaNova’s overall financial 
and  strategic  performance  and  the  executive  director’s  individual  performance. 
Performance  criteria  will  encompass  financial  and  non-financial  measures  and  the 
applicable weighting will be determined by the Committee each year. Examples of 
financial  measures  include  net  sales  and  net  profit  targets.  Financial  measures  will 
typically  represent  the  majority  of  the  bonus  with  other,  non-financial  measures 
representing the balance.

Long-term incentive schemes (variable remuneration) – Incentive Award Plan

• 

Purpose and link to strategy

To promote the success and enhance the value of the Company by linking the individual 
interests  of  the  executive  directors  (amongst  others)  to  those  of  the  Company’s 
shareholders  by  providing  such  individuals  with  an  incentive  for  outstanding 
performance to generate superior returns to the Company’s shareholders.

The plan also intends to provide flexibility to the Company in its ability to motivate, 
attract and retain the services of the executive directors (amongst others) upon whose 
judgement,  interest  and  special  effort  the  successful  conduct  of  the  Company’s 
operations is largely dependent.

67

•  Operation . . . . . . . . . . . . . . .

Awards may be granted under the Incentive Award Plan in the form of options, SARs, 
restricted stock, RSUs, and other share- and cash-based awards.

The Committee determines on an annual basis, and from time to time as needed (i.e., 
new employee or promotion), the type of awards to be granted to executives and 
other employees under the plan. These awards will typically consist of time-based or 
performance-based RSUs, or SARs, or a combination thereof.

The Committee’s current strategy is to grant an annual award to its executive director(s) 
under the plan. Each annual award is subject to time-based and performance-based 
vesting over a four year period. Awards will usually comprise four elements as follows:

• 

• 

• 

• 

an award of RSUs which are subject to performance-based vesting on achievement 
of appropriate financial performance targets (such as net sales targets). Vesting 
occurs in four equal annual tranches, subject to the relevant performance criteria 
being met each year;

an award of RSUs which are subject to performance-based vesting on achievement 
of different financial performance targets (such as net income targets). Vesting 
occurs in four equal annual tranches, subject to the relevant performance criteria 
being met each year;

an award of RSUs which are subject to a one-time market-based performance 
target which is measured in the fourth year of the award; and

an  award  of  SARs  which  are  subject  to  time-based  vesting  e.g.  25  per  cent. 
vesting over a four-year period.

Performance-based RSUs awarded under the Incentive Award Plan may incorporate 
any  of  a  variety  of  different  performance  objectives  (as  detailed  below),  but  the 
Committee currently employs objectives that management, our Board, investors and 
analysts use to evaluate the performance of our business (e.g., adjusted net sales and 
adjusted net profit), as well as a market-based objective. Generally, the Committee 
sets a target annual equity value for each participating director based on the scope 
of the director’s responsibilities, actual performance during the past year, anticipated 
future performance, internal equity considerations, and compensation benchmarking 
data from the Committee’s independent consultant, and grants awards with a grant 
date value equal to the target annual value.

An  executive  director’s  rights  in  respect  of  unvested  RSUs  and  SARs  will  lapse 
automatically upon termination of the executive director’s employment.

All  awards  are  subject  to  the  terms  of  applicable  law,  regulation  and  governance 
codes that regulate or govern executive remuneration and compensation from time 
to time. The Company is developing a retention and clawback policy in compliance 
with its legal obligations and the key principles of its remuneration philosophy which 
will operate in respect of awards under the Incentive Award Plan as appropriate.

68

•  Maximum opportunity. . . . . .

• 

Performance assessment / 
targets  . . . . . . . . . . . . . . . . .

The maximum aggregate number of Ordinary Shares with respect to which awards 
may be granted to any person in any calendar year under the Incentive Award Plan is 
one million and the maximum aggregate amount that may be paid to any one person 
during any calendar year with respect to one or more awards payable in cash under 
the Incentive Award Plan is $10 million. The Company’s current practice is to limit an 
executive director’s annual award to a value in the range of four to five times base 
salary. The Company currently intends to adhere to this range except as necessary to 
induce a new executive director to join the Company.

The  Committee  can  select  any  one  or  more  of  a  number  of  performance  criteria  to 
serve as objectives for the vesting of equity awards including (but not limited to): (i) a 
growth measure (e.g. net earnings, net sales, net income, earnings per share ); (ii) an 
investment return measure (e.g. return on assets, capital, shareholder’s equity, sales or 
total shareholder return); (iii) an efficiency measure (e.g. gross or net operating margin, 
costs,  reductions  in  costs  and  cost  control  measures;  or  (iv)  regulatory  achievements 
or compliance measures etc., any of which may be measured in absolute terms or as 
compared to any incremental increase or decrease or as compared to results of a peer 
group or to market performance indices or indicators. The Committee’s current approach 
is to combine financial, market and time-based vesting criteria as described above.

Notes on the future policy tables for executive directors

Pursuant to the terms of an agreement made in connection with the negotiation of his service contract, in 2015, our executive 
director received an initial award of SARs and an initial award of RSUs, both subject to time-based service conditions. The 
award of SARs was anticipated and described in the Merger Agreement. The Committee awarded the RSUs to provide a 
retention incentive coextensive with our executive director’s service contract. The time-based vesting requirement is believed 
to be appropriate to have our executive director retain a long-term interest in the Company.

Under the terms of the same agreement, our executive director will receive an annual equity award in each of the next four 
years commencing with 2016. Each annual award will be divided into four tranches. For 2016, two tranches will comprise 
RSUs subject to two different one-year performance objectives. These performance objectives will include an adjusted net 
sales objective and an adjusted net profit objective. The Committee selected adjusted net sales and adjusted net profit as 
appropriate  company  objectives  because  they  are  the  financial  metrics  that  are  most  widely  used  by  management,  our 
Board, investors, and analysts to evaluate the performance of our business. The Committee chose one-year objectives due 
to the potential for conflicting objectives among annual awards subject to financial metrics measured over an extended 
period of years.

Also in 2016, one tranche will comprise a market-based condition, with all units vesting if, and only if, the market objective 
is achieved during the period between 1 May 2019 and 30 April 2020. The Committee chose a market-based objective 
because  the  market  directly  determines  the  return  on  investment  for  our  shareholders.  Also  in  2016,  one  tranche  will 
comprise SARs subject to a time-based service condition.

In years 2017 to 2019, the Committee may vary the type and mix of equity awards.

For the SARs awarded under the Incentive Award Plan which are subject to time-based vesting, no performance conditions 
apply as the awards are only subject to continued service as an executive director. The multi-year vesting period for these 
awards is believed to be appropriate in order to have an executive director retain a long-term interest in the Company. The 
value of awards will move with the Company share price, which provides an incentive to deliver on the Company’s long-term 
strategic objectives and is in line with our shareholders’ interest.

69

Non-executive director remuneration

The  following  table  sets  out  the  Company’s  remuneration  policy  with  respect  to  its  Chairman  and  other  non-executive 
directors.  Non-executive  directors  do  not  participate  in  the  Company’s  bonus  arrangements  or  retirement  benefit  plans, 
although they do participate in the Incentive Award Plan.

Non-executive directors and Chairman

• 

Purpose and link to strategy  .

•  Operation . . . . . . . . . . . . . . .

•  Maximum opportunity. . . . . .

To  provide  competitive  fees,  in  the  form  of  cash  and  equity  awards,  for  the 
performance  of  non-executive  director  duties,  sufficient  to  attract  and  retain  high 
calibre individuals in this role. Payment of a proportion of fees in RSUs – which are 
subject to a one-year vesting period – aligns non-executive directors’ interests with 
those of shareholders.

The Company has a non-employee director compensation policy, further details of 
which were set out in the prospectus published on 12 October 2015 in connection 
with the admission of the Company’s Ordinary Shares to the Official List and to trading 
on the Main Market of the LSE. The policy will be reviewed periodically. Individual 
fees reflect responsibility and time commitment, as well as the skills and experience 
of  the  individual.  Additional  fees  may  be  paid  for  further  responsibilities,  such  as 
serving as Chairman, chairmanship of committees and membership of committees.

Fees will be paid in cash and/or an award of RSUs as determined by the Committee.

Cash payments are made quarterly in advance.

All RSUs have a one-year vesting period – they will be settled immediately preceding 
the date of each annual general meeting of the Company.

Expenses  reasonably  incurred  in  the  performance  of  the  role  may  be  reimbursed 
or paid for directly by the Company, as appropriate, including any tax due on the 
expenses,  such  as  travel  expenses  to  and  from  Board  and  committee  meetings, 
expenses for accommodations, and other expenses ancillary to meeting attendance. 
Non-executive directors will also be covered by the Company’s indemnity insurance.

Annual fees are determined by the Committee and are subject to periodic review in 
light  of  market  practice,  anticipated  workload,  tasks  and  potential  liabilities.  They 
currently comprise the following components:

• 

• 

• 

• 

• 

a  basic  cash  retainer,  plus  an  additional  cash  retainer  for  the  Chairman  of 
our Board;

an  additional  cash  retainer  for  each  member  of  the  Audit  &  Compliance 
Committee, plus an additional cash retainer for the chairperson of the committee;

an additional cash retainer for each member of the Committee, plus an additional 
cash retainer for the chairperson of the committee;

an  additional  cash  retainer  for  each  member  of  the  Nominating  &  Governance 
Committee, plus an additional cash retainer for the chairperson of the committee; and

annual  awards  of  RSUs  as  detailed  in  the  Company’s  non-employee  director 
compensation policy.

The maximum aggregate level of non-executive director fees is detailed in the 
Company’s non-employee director compensation policy. 

• 

Performance assessment / 
targets  . . . . . . . . . . . . . . . . .

Not applicable. The RSUs awarded to non-executive directors are subject to time 
based vesting only.

70

Notes on the future policy tables for non-executive directors

On 19 October 2015, the non-executive directors received RSU awards pursuant to the Incentive Award Plan. The RSUs 
are subject to time-based vesting and will vest on the earlier of: (i) the first anniversary of the date of grant; (ii) the day 
immediately preceding the first annual meeting of the Company’s shareholders; and (iii) the date of a change in control of 
the Company. RSUs awarded to non-executive directors are subject to time-based vesting, no performance conditions apply 
as the awards are only subject to continued service on the Board. The vesting period for these awards is believed to be 
appropriate for the non-executive directors. The value of awards will move with the Company share price, which provides 
an incentive to deliver on the Company’s strategic objectives and is in line with our shareholders’ interest.

Illustration of how our remuneration policy works

The bar chart below illustrates the level and mix of the potential total remuneration that André-Michel Ballester, currently 
the  Company’s  only  executive  director,  could  receive  under  the  remuneration  policy  under  three  different  performance 
scenarios: minimum, on target and maximum performance.

Maximum

31%

35%

34%

Target

35% 26% 39%

Minimum

57% 43% Total
2.330

Total
4.348

Total
3.842

Base Pay, benefits and
pension on base pay 

Annual bonus and
related pension 

Long-term incentive
awards (including
service related SARs) 

0

1,000 2,000 3,000 4,000 5,000

All figures in ($’000).

Notes

• 

• 

The  executive  director’s  pension  entitlement  is  linked  to  his  base  salary  and  bonus  payment  for  2016  and 
therefore varies across the minimum, target and maximum performance scenarios.

The minimum scenario comprises the basic salary, the estimated cost of contractual benefits (housing allowance, 
company  car  and  health  insurance)  and  the  basic  pension  entitlement  which  will  be  paid  to  André-Michel 
Ballester during 2016. André-Michel Ballester may also become entitled to a one-off relocation allowance of 
$50,000. This figure has not been included in the bar chart as it is not certain that it will become payable in 
2016 (and it is not performance-linked).

•  Annual bonus has been included in the target scenario (100 per cent. of base salary) and the maximum scenario 

(150 per cent. of base salary).

•  With respect to the award under the Incentive Award Plan made to André-Michel Ballester on 11 March 2016 
the following components have been included in the on-target and maximum scenarios: (i) 25 per cent. of 
the RSUs which are subject to adjusted net-sales target; and (ii) 25 per cent. of the RSUs which are subject to 
an adjusted net-profit performance target. These RSUs have been valued by multiplying the number of shares 
underlying the RSUs by the Company share price on the date of grant. RSUs awarded in March 2016 which 
are subject to performance based vesting after 31 December 2016 have not been included in the bar chart. All 
SARs awarded on 11 March 2016 have been included in the minimum, target and maximum scenarios as these 
were awarded in 2016 and are subject only to time-based vesting over a four year period. The intrinsic value 
for these SARs has been calculated as $1,000,000 (being the number of SARs multiplied by the Black Scholes 
value of the Ordinary Shares at the time of grant).

• 

In order to avoid duplication, any share based awards granted to André-Michel Ballester which are disclosed in 
the 2015 single total figure of remuneration on page 77 of the Annual Remuneration Report have not been 
included in this bar chart. This includes the following awards which vest in 2016: (i) legacy Sorin Plan RSUs 
which could entitle him up to 6,432 Ordinary Shares; (ii) SARs awarded on 19 October 2015 which could entitle 
him up to 166,703 Ordinary Shares; and (iii) RSUs awarded on 18 November 2015 which could entitle him up 
to 89,174 Ordinary Shares, 20 per cent. of which will vest in 2016.

71

Policy on recruitment arrangements

The compensation package for any new executive director would, so far as practicable, be consistent with the policy table 
set forth above, taking account of the experience and skills of the individual, market conditions and the executive’s country 
of residence. However, the Committee retains the discretion to offer a compensation package needed to meet the individual 
circumstances of the recruited executive director and enable the hiring of a high-calibre individual with the necessary skills 
and expertise. In no event, however, will the target variable annual incentive exceed 200 per cent. of base salary. Except as 
set out below, variable remuneration will follow the policy.

The  Company  recognises  that  in  many  cases,  an  external  appointee  may  forfeit  significant  cash  bonuses  and/or  share 
awards from a prior employer. The Committee believes that it needs the ability to compensate new hires for bonuses and/
or incentive awards lost on joining LivaNova. The Committee will use its discretion in settling any such compensation, which 
will be decided on a case-by-case basis; provided that in no event shall such compensation exceed the value of compensation 
forfeited by the external appointee, as confirmed by the appointee in a written agreement with the Company.

The Company also recognises that if it requires a new executive director to relocate in connection with accepting a position 
with the Company, the Company will also pay relocation and related costs as described in the future policy table on page 65.

If  the  Company  appoints  an  existing  employee  as  an  executive  director  of  the  Company  or  if  an  executive  director  joins 
as a result of  a transfer of an undertaking, merger,  reconstruction or similar reorganisation of the Company, pre-existing 
obligations with respect to remuneration, such as pension, benefits and legacy equity awards, will be honoured. Should these 
differ materially from current arrangements, these will be disclosed in the subsequent remuneration implementation report.

Any new non-executive directors will be paid in accordance with the current fee levels on appointment, in line with the 
policy set out above.

A timely announcement with respect to any director’s appointment and, where required by law or the rules of the FCA, 
remuneration arrangements, will be made to regulatory news services and posted on the Company’s website.

72

Executive director service contracts and payments for loss of office

The key employment terms and other conditions in an executive director’s service contract, including payments for loss of 
office, are set out below:

Provision

Notice period . . . . . . . . . . . . . . . .

Policy

•  12 months’ prior written notice by either the Company or the executive director. 
This would also be the maximum notice period for any new executive directors. 
The notice period in André-Michel Ballester’s service contract is 12 months.

Benefits . . . . . . . . . . . . . . . . . . . .

• 

The Company may agree that certain benefits will be specified within an executive 
director’s service contract, including

•  private medical cover (for the executive director and his or her family);

• 

• 

• 

• 

• 

life assurance;

long-term incapacity cover;

critical illness cover;

childcare vouchers;

company car or car allowance;

•  holiday and sick pay; and

•  directors’ and officers’ insurance.

•  André-Michel  Ballester,  as  the  sole  current  executive  director,  is  contractually 

entitled to the foregoing benefits.

Termination payments . . . . . . . . .

• 

The service contract may contain provisions that allow the Company to terminate 
any  executive  director’s  employment  by  making  a  payment  of  salary  and 
accommodation allowance only in lieu of notice (the “PILON”). The Company 
can elect to pay the PILON in equal monthly instalments over a period of twelve 
months  following  the  termination  of  the  executive  director’s  employment.  The 
PILON shall not exceed two times the sum of the executive director’s annual base 
salary and target annual bonus amount. The PILON in André-Michel Ballester’s 
service contract is equal to 12 months of base salary.

• 

The service contract also provides for André-Michel Ballester to receive a bonus 
(reflecting  any  accrued  bonus  entitlement  up  to  the  date  of  termination  and 
in  respect  of  any  outstanding  notice  period),  in  addition  to  the  PILON  if  his 
employment is terminated by the Company within six months following a change 
of control of the Company or if André-Michel Ballester resigns within six months 
following a change of control of the Company (and it is determined by a court 
that he has been constructively dismissed).

Immediate termination. . . . . . . . .

• 

The service contract of any executive director may also be terminated immediately 
and with no liability to make payment in certain circumstances, such as his gross 
misconduct, material breach of the terms of the service contract or if he is found 
guilty  of  a  serious  breach  of  the  rules  or  regulations  of  the  FCA  or  any  other 
regulatory authority relevant to the Company.

External appointments . . . . . . . . .

The  service  contact  of  any  executive  director  will  require  that  the  executive 
director must seek Board consent regarding external appointments.

73

In the event that the employment of an executive director is terminated, any compensation payable will be determined in 
accordance with the terms of the service contract between the Company and the employee, as well as the rules of any 
incentive plans in which they participate. The Committee shall be entitled to exercise its judgement with regard to making 
additional  payments  in  settlement  of  potential  claims,  including  but  not  limited  to  wrongful  dismissal,  unfair  dismissal, 
breach of contract, whistleblowing and discrimination, where it is appropriate to do so in the interests of the Company and 
its shareholders. An executive director shall also be entitled to receive a redundancy payment in circumstances where, in 
the judgement of the Committee, they satisfy the tests governing redundancy payments. Any redundancy payment shall be 
calculated in accordance with the redundancy payment policy in place for all employees in the relevant country at the time 
of the redundancy.

Where  an  executive  director’s  employment  with  the  Company  terminates  prior  to  the  payment  of  the  annual  bonus  in 
respect of a financial year, the Committee in its absolute discretion will determine whether any bonus should be paid. André-
Michel Ballester’s service contract provides that he will be entitled to his bonus following termination of employment where 
his employment is terminated by the Company for a reason other than for “cause” or he resigns in circumstances which 
constitute constructive dismissal. In this scenario André-Michel Ballester’s bonus would be pro-rated to the termination date.

The  treatment  of  equity  awards  made  by  the  Company  is  governed  by  the  relevant  plan  rules  and  applicable  award 
agreements. The Committee retains the discretion to prevent awards from lapsing depending on the circumstances of the 
departure and the best interests of the Company. The Committee has discretion to treat any departing director as a good 
leaver. The following table summarises the leaver provisions relating to the SARs, stock options and restricted stock units 
granted under the Incentive Award Plan held by André-Michel Ballester. The Committee anticipates that future awards made 
to  executive  diectors  and  non-executive  directors  under  the  Incentive  Award  Plan  would  be  subject  to  equivalent  leaver 
provisions.

Plan/Awards
Incentive Award Plan

Stock Appreciation Rights (SARs) – 
October 2015  . . . . . . . . . . . . . . . .

Stock Appreciation Rights (SARs) – 
March 2016. . . . . . . . . . . . . . . . . .

Restricted Stock Units (RSUs) – 
November 2015 and March 2016 . .

Termination provisions

To the extent that André-Michel Ballester’s employment is terminated and it is 
determined that such termination qualifies for “good leaver” status (which is where 
André-Michel Ballester is terminated not for “cause” or he resigns for good reason) 
under the terms of the applicable equity plan and award agreement, André-Michel 
Ballester will be eligible for pro-rata vesting of the SAR (with the potential for full 
acceleration at the discretion of the Company ); no lock-up period will apply. In such 
circumstances, the vested SAR may then be exercised for one year following such 
termination. The vesting of these SARs will also be accelerated upon a change in 
control of the Company.

To the extent that André-Michel Ballester’s employment is terminated (other than 
by reason of death or disability), any unvested SARs will lapse on the termination 
of his employment. In such circumstances, the vested SAR may then be exercised 
for three months following such termination. The vesting of these SARs will also be 
accelerated upon a change in control of the Company. 

To the extent that André-Michel Ballester’s employment is terminated, any unvested 
RSUs will lapse and expire on the termination of his employment. The vesting of the 
RSUs granted in November 2015 will also be accelerated upon a change in control 
of the Company.

For the avoidance of doubt, authority is given to the Company to honour any commitments entered into at a time when the 
relevant employee was not a director of the Company.

Chairman and non-executive directors’ letters of appointment

The Chairman and non-executive directors have letters of appointment that set out their duties and responsibilities. They do 
not have service contracts with the Company or any of its subsidiaries.

74

The  key  terms  of  the  appointments  are  set  out  in  the  table  below.  This  is  the  policy  for  current  and  any  new 
non-executive directors:

Provision
Period  . . . . . . . . . . . . . . . . . . . . . .

• 

Policy

The  appointments  are  ongoing  until  the  annual  general  meeting  following 
the  second  full  financial  year  of  the  Company,  subject  to  earlier  termination 
in  accordance  with  the  Company’s  articles  of  association  and  the  termination 
provisions below.

Termination . . . . . . . . . . . . . . . . . .

• 

Each non-executive director’s appointment can be terminated by the Company or 
the director with one month’s written notice.

•  Appointment  will  terminate  automatically  on  the  termination  by  shareholders 
or, where shareholder approval is required for the appointment to continue, the 
withdrawal of approval by shareholders.

Executive directors’ service contracts and non-executive directors’ letters of appointment are available for inspection at the 
Company’s registered office.

Statement of consideration of employment conditions elsewhere in the Company and differences to executive 
director policy

When  reviewing  and  determining  pay  for  executive  directors,  the  Committee  takes  into  account  the  level  and  structure 
of remuneration as well as salary budgets for other employees in the Company. More specifically, the Committee reviews 
annual salary increase budgets for the general employee population in the United Kingdom, Europe and North America, as 
well as the remuneration structure and policy for the global senior management population.

LivaNova employs approximately 4,500 employees and operates in more than 100 countries around the world. Given the 
Company’s  global  scale  and  complexity,  the  Committee  has  not  consulted  directly  with  employees  when  designing  the 
remuneration policy for its executive directors.

Shareholder and employee consultation

The structure of remuneration for the Company’s directors was presented to shareholders in the prospectus published on 12 
October 2015 in connection with the admission of the Company’s Ordinary Shares to the Official List and to trading on the 
Main Market of the LSE, prior to the completion of the Mergers.

The Committee is mindful of shareholder views when evaluating and setting ongoing remuneration strategy, and through 
the Company’s Investor Relations department intends to consult with key shareholders on a regular basis on compensation 
and governance matters. In addition, the Committee will respond to outreach from shareholders as appropriate to address 
shareholder concerns. No specific consultation with employees has been undertaken relating to director remuneration.

Committee discretion

The Committee has discretion on several areas of the remuneration policy, as set out in this Remuneration Policy Report. The 
Committee may make minor amendments to the policy set out above for regulatory, exchange control, tax, or administrative 
purposes, or to take account of a change in legislation, without obtaining shareholder approval for that amendment. In 
addition,  the  Committee  may  also  exercise  operational  and  administrative  discretions  under  relevant  plan  rules,  as  set 
out  in  those  rules.  These  discretions  include,  but  are  not  limited  to,  determining  entitlement  to  participate  in  the  plan, 
when awards or payments are to be made, the size of an award and/or payment (within the rules of the plan), exercising 
discretion as to the measurement of performance conditions and pro-rating in the event of a change of control, making any 
adjustment to awards or performance conditions for any significant events or exceptional circumstances and the application 
of clawback or malus provisions.

75

Annual Remuneration Report

Introduction

The  Committee  presents  the  Annual  Remuneration  Report,  which,  together  with  the  Chairman’s  letter,  will  be  put  to 
shareholders as an advisory vote at the annual general meeting of the Company to be held on 15 June 2016. Some of the 
information contained in the annual remuneration report is subject to audit. Where the information is subject to audit, this 
is identified in the relevant heading.

Activities of the Committee in 2015 and since the year end

The Committee was constituted on closing of the Mergers on 19 October 2015. The Chairman of the Committee is Dr. Arthur 
L. Rosenthal and the other members of the Committee are Alfred J. Novak and Francesco Bianchi, all of whom are non-
executive directors that the Company’s considers to be independent for the purposes of the NASDAQ Rules and all of whom 
have served on the Committee since 19 October 2015. The Committee’s terms of reference (Compensation Committee 
Charter) are available on the Company’s website.

The  Committee  met  twice  in  2015  after  completion  of  the  Mergers  on  19  October  2015,  once  in  person  and  once 
telephonically, and since year end there have been a further three meetings, twice in person and once telephonically. Each 
Committee member has attended all meetings to date. Daniel J. Moore, Chairman of the Board, attended the three in-
person meetings. In addition, exclusive of executive sessions, the following members of senior management attended the in-
person meetings by invitation of the Committee: André-Michel Ballester, executive director and CEO; Brian Sheridan, General 
Counsel and Company Secretary; and David Wise, Senior Vice President, Human Resources & Information Technology.

Prior  to  the  completion  of  the  Mergers,  the  three  Committee  members  met  in  person,  then  as  director-designees,  met 
and discussed committee governance, including a draft of the Committee’s charter, the appointment of an independent 
compensation  consultant,  the  independence  of  the  director-designees,  and  priorities  for  the  Committee’s  business  after 
the Merger closed, including the compensation package for André-Michel Ballester. In attendance at the Committee’s pre-
Merger meeting were other non-executive director-designees including Francesco Bianchi, Rosario Bifulco, Daniel J. Moore, 
Hugh Morrison, Alfred J. Novak, and Dr. Arthur L. Rosenthal. Other attendees included executive director and CEO, André-
Michel Ballester and members of senior management, Brian Sheridan and David Wise.

The Committee’s main responsibilities are to:

•  Review,  evaluate,  and  approve  the  agreements,  plans,  policies,  and  programmes  of  the  Company  to 
compensate the officers and directors of the Company, any major subsidiary undertakings and LivaNova 
as a whole, as appropriate.

•  Review, evaluate, and approve all awards by the Company of equity securities or derivatives of equity securities, 
including, but not limited to, restricted stock, stock option, and phantom stock awards, to executive officers, 
non-executive employees, and others as permitted under the Company’s equity award plans.

•  Review and discuss with the Company’s management the Compensation Discussion and Analysis (“CD&A”) 
to  be  included  in  the  Company’s  proxy  statement  for  its  annual  meeting  of  shareholders  and  to  determine 
whether to recommend to the Board that the CD&A be included in the proxy statement, in accordance with 
applicable rules and regulations.

• 

Produce the Committee report for inclusion in the Company’s proxy statement, in accordance with applicable 
rules and regulations.

•  Approve the Directors’ Remuneration Report to be included in the Company’s UK Annual Report.

•  Otherwise  discharge  the  Board’s  responsibilities  relating  to  compensation  of  the  Company’s  officers 

and directors.

In June 2015, acting in anticipation of the Mergers closing, the Cyberonics Compensation Committee engaged Pearl Meyer 
to recommend a peer group of companies for benchmarking the compensation of the Company’s directors and executive 
officers. Pearl Meyer had acted as the independent compensation consultant for the Cyberonics Compensation Committee 
since 2007. In July 2015, and again, in September 2015, the Cyberonics Compensation Committee engaged Pearl Meyer 
to generate benchmarking reports for the compensation of the Company’s Chairman, non-executive directors, CEO and 

76

CFO. The Committee director-designees considered the Pearl Meyer benchmarking reports in evaluating the compensation 
for the non-executive directors, the CEO and the CFO. Cyberonics paid Pearl Meyer a total of $88,277 computed on the 
basis of Pearl Meyer’s hourly rates for services rendered, multiplied by the number of hours required to generate the reports.

On the date that the Mergers closed, the Committee met telephonically and confirmed the independence of Pearl Meyer 
according  to  the  standard  of  independence  required  under  the  NASDAQ  Rules  and  approved  the  engagement  of  Pearl 
Meyer as its compensation consultant. NASDAQ rules require that the Committee evaluate a consultant’s independence by 
considering the consultant’s provision of other services to the Company, the amount of fees received from the Company as 
a percentage of total revenue of the consultant, the consultant’s policies and procedures designed to prevent conflicts of 
interest, any business or personal relationship of the consultant with a Committee member or an officer of the Company 
and any Company shares owned by the consultant. The Committee evaluated each of these considerations, finding that 
Pearl Meyer has no other business or personal relationship with the Company, its officers, or the Committee members, and 
determined that Pearl Meyer is independent. At that time, the Committee also approved a service contract for our CEO. 
Later in October, the Committee engaged Pearl Meyer to generate a benchmarking report regarding the compensation for 
each of our executive officers, other than for André-Michel Ballester.

The Committee met in person in November 2015, approving an award of RSUs for André-Michel Ballester, as contemplated 
in the negotiation of his remuneration package at closing of the Mergers. The Committee also considered and discussed the 
Company’s plan for a cycle of annual equity awards for employees early in 2016 and discussed its overarching philosophy 
on executive officer compensation.

In December, the Committee received Pearl Meyer’s report on executive officer compensation and began to discuss with 
David Wise, Senior Vice President, Human Resources & Information Technology, proposed executive officer compensation 
adjustments. The Company paid Pearl Meyer a total of £32,297, computed on the basis of Pearl Meyer’s hourly rates for 
services rendered, multiplied by the number of hours required to generate the reports.

In February 2016, the Committee met in person and considered and approved adjustments to the compensation of some 
of our executive officers and approved the plan and objectives for the Company’s annual bonus for the executive officers. 
The Committee also discussed management’s proposal for its initial cycle of annual equity awards for Company employees, 
including our executive officers.

In  March  2016,  the  Committee  met  telephonically  and  approved  equity  awards  for  our  employees,  including  our 
executive officers.

Remuneration details for the period ended 31 December 2015

Single total figure on remuneration – executive director – audited information

The  table  below  sets  out  for  the  Company’s  sole  executive  director,  André-Michel  Ballester,  the  single  figure  of  his 
remuneration for the period ended 31 December 2015.

This comprises the total remuneration received over the full year from 1 January 2015 to 31 December 2015, including 
remuneration received from Sorin prior to completion of the Mergers on 19 October 2015.

As  the  Company  was  a  newly  incorporated  and  listed  company  during  2015,  there  is  no  disclosure  in  this  report  of 
prior-year information.

Basic 
salary 
and fees 
($’000)

Pension 
contribution 
($’000)s

Taxable 
benefits 
($’000)

Annual 
bonus 
($’000)

Change 
in control 
($’000)

Total 
emoluments 
($’000)

Service 
based 
awards 
($’000)

Long-term 
incentive 
awards 
($’000)

Total(1) 
($’000)

André-Michel Ballester - 

Pre-Mergers. . . . . . . .  

631 

André-Michel Ballester - 

Post-Mergers. . . . . . .  

179 

24 

27 

168 

180 

0 

1,004 

0 

0  1,004

56 

189 

2,250 

2,701  5,000 

2,318  10,019

(1) 

The currency conversion rates used are: average currency rate for the period 1 January 2015 to 18 October 2015: EUR/USD = 1.11477; CHF/USD = 
1.04985; average currency rate for the period 19 October 2015 to 31 December 2015: GBP/USD = 1.51425.

77

 
 
 
Salary and benefits – executive director – audited information

With  effect  from  19  October  2015,  André-Michel  Ballester  was  paid  a  base  salary  of  £575,000  per  annum.  Prior  to 
19 October 2015 as chief executive officer of Sorin, Mr Ballester was paid an annual fee of $601,530 (€539,600) and 
received annual remuneration as an employee in Switzerland of $188,973 (CHF180,000), which includes a representation 
allowance.

The taxable benefits column in the “Pre-Mergers” line for André-Michel Ballester include: (i) an indemnity for expenses 
in the role as CEO ($24,079); (ii) the value of the use of the car as benefit in kind ($3,763); (iii) the value of the life and 
health  insurance  ($47,843);  (iv)  the  cost  of  the  CEO’s  housing  ($55,738);  and  (v)  the  value  of  the  CEO’s  paid  holiday 
allowance ($44,080).

The taxable benefits column included in the “Post-Mergers” line for André-Michel Ballester include: (i) the value of the 
car as benefit in kind ($6,208); and (ii) the cost of the CEO’s housing ($50,273).

Pension contributions – executive director – audited information

With effect from 19 October 2015, the Company has accrued an amount equal to 15 per cent. of André-Michel Ballester’s 
compensation (base salary and bonus) for the purpose of his pension. Prior to 19 October 2015, André-Michel Ballester 
received a pension contribution in connection with his Swiss employment, but he received no additional pension contribution 
in connection with his role as chief executive officer of Sorin.

Bonus payments – executive director – audited information

As André-Michel Ballester executed a new U.K.-based service contract on 19 October 2015, his pay-out under the 2015 
Sorin Group Plan was prorated for the period between 1 January 2015 and 19 October 2015. For the period between 19 
October 2015 and 31 December 2015, André-Michel Ballester received a prorated bonus under his U.K. service contract, 
which  provides  for  a  target  incentive  in  the  amount  of  100  per  cent.  of  his  base  salary.  The  Committee  awarded  an 
overachievement of 107 per cent. to André-Michel Ballester for this period, based on his leadership during the first 75 days 
of the Company since closing of the Mergers.

Change in Control payments – executive director – audited information

In connection with the Mergers, the Sorin board approved a resolution stating that the Mergers constituted a condition 
under  André-Michel  Ballester’s  Italian  collaboration  agreement  that  triggered  the  right  to  change  in  control  indemnity 
payments, pursuant to which André-Michel Ballester was paid a cash payment in an amount equal to two times the sum of 
his fixed compensation earned in the year before termination and the annual average of the variable compensation earned 
by  him  in  the  most  recent  three  years  prior  to  the  date  of  the  Mergers.  In  addition,  pursuant  to  his  Swiss  employment 
agreement, André-Michel Ballester was paid an additional cash payment equal to two times his base salary.

Service-based awards – executive director – audited information

On 18 November 2015, the Committee approved an award of RSUs to André-Michel Ballester under the Incentive Award 
Plan having a date of grant value of $5 million, which could result in him receiving up to 89,174 Ordinary Shares. 20 per 
cent. of the RSUs will vest on each of the first three anniversaries of the grant date, and the remaining 40 per cent. of the 
RSUs will vest on the fourth anniversary of the grant date. The RSUs will be satisfied in cash or shares (based on the fair 
market value as of the vesting date), or a combination of both, as determined by the Company.

Long-term incentive awards – executive director – audited information

As of the closing of the Mergers, all outstanding equity awards under the Legacy Sorin Plans were assumed by the Company. 
Accordingly, all then-outstanding equity awards granted to André-Michel Ballester under the Legacy Sorin Plans converted 
into awards under the Incentive Award Plan at the applicable conversion rate (one Sorin ordinary share converted to 0.0472 
of an Ordinary Share).

For our executive directors, the Company uses a net-shares settlement process on vesting of RSUs, pursuant to which a 
number of shares that would otherwise be distributed to the executive director are withheld to meet the executive director’s 
tax obligations. Accordingly, the Company actually delivers to the executive director the net number of shares remaining 
after satisfaction of the tax obligation. The table above reflects the value of the gross number of shares issued at the vesting 
of RSUs under the Legacy Sorin Plans, prior to net shares settlement of the tax obligation.

78

On 19 October 2015, André-Michel Ballester was issued 10,808 Ordinary Shares following the net-shares settlement of 
15,436 vested performance-based RSUs granted under the Legacy Sorin Plans.

In addition, on closing of the Mergers, André-Michel Ballester became entitled to receive up to 6,432 Ordinary Shares prior 
to net-share settlement of his tax obligation, on each of 26 February 2016 and 27 February 2017 in respect of performance-
based RSUs granted under the Legacy Sorin Plans.

Finally, André-Michel Ballester holds SARs in connection with which a maximum number of 18,806 Ordinary Shares could 
be received by him. As of the end of the reporting period, these SARs have not been exercised.

Additional information not included in the executive director remuneration table

In May 2015, André-Michel Ballester received 105,099 Sorin ordinary shares based on the vesting of performance-based 
RSUs at a 30.57 per cent. achievement level under the terms of the Sorin 2012-2014 Long-Term Incentive Plan.

On 19 October 2015, in addition to the number indicated in the table, André-Michel Ballester was issued 17,085 Ordinary 
Shares on net-shares settlement of 24,406 deferred bonus shares granted under the Legacy Sorin Plans.

Stock Appreciation Rights – executive director – audited information

On 19 October 2015, André-Michel Ballester was granted SARs with an exercise price of $69.39 under the Incentive Award 
Plan in connection with which a maximum number of 166,703 Ordinary Shares could be received by him. These SARs will 
vest  in  equal  instalments  of  50  per  cent.  on  each  of  the  first  two  anniversaries  of  19  October  2015,  and  André-Michel 
Ballester shall have three years from the relevant vesting date to exercise his SARs. Payment of the SARs shall be in cash or 
shares (based on the fair market value as of the date the SARs are exercised), or a combination of both, as determined by 
the Committee. No value has been assigned to the SARs in the single-figure reported above as the exercise price applicable 
to the SARs is higher than the Company’s share price as at 31 December 2015.

Single total figure on remuneration – Chairman and non-executive directors – audited information

The table below sets out for the Company’s non-executive Chairman and each of the Company’s non-executive directors 
the single figure of his or her remuneration for the period ended 31 December 2015. This comprises the total remuneration 
received by them since the effective date of their appointment to the Board.

As  the  Company  was  a  newly  incorporated  and  listed  company  during  2015,  there  is  no  disclosure  in  respect  of  prior 
year information.

Remuneration received by the Company’s non-executive directors since the effective date of appointment to the Board:

79

Additional 
fee for 
acting as 
chairman, 
Chair of 
committee or 
member of 
committee 
($’000)

Basic 
annual fee 
($’000)

Taxable 
benefits(2) 
($’000)

Total 
emoluments 
($’000)

Service 
based share 
awards 
($’000)

Total ($’000)

Current directors
Daniel J. Moore(1) . . . . . . . . . . . . . . . . . . .  
Hugh Morrison  . . . . . . . . . . . . . . . . . . . .  
Alfred J. Novak  . . . . . . . . . . . . . . . . . . . .  
Dr. Arthur L. Rosenthal. . . . . . . . . . . . . . .  
Francesco Bianchi. . . . . . . . . . . . . . . . . . .  
Stefano Gianotti  . . . . . . . . . . . . . . . . . . .  
Dr. Sharon O’Kane . . . . . . . . . . . . . . . . . .  
Former directors
Rosario Bifulco . . . . . . . . . . . . . . . . . . . . .  

18  
12  
12  
12  
12  
12  
12  

5  

18  
12  
5  
4  
5  
1  
1  

1  

4  

4  

2  

39  
24  
17  
20  
17  
16  
13  

6  

156  
85  
85  
85  
85  
85  
85  

85  

192
109
102
105
102
101
98

91

(1)  Daniel J. Moore’s remuneration relates to the period 14 September 2015 to 31 December 2015. 
(2) 

This corresponds to the gross expenses incurred by directors for attending Board and committee meetings in the UK.

On 19 October 2015, the non-executive directors listed above received RSU awards pursuant to the Incentive Award Plan. 
The RSUs are subject to time-based vesting and will vest on the earlier of: (i) the first anniversary of the date of grant; (ii) the 
day immediately preceding the first annual meeting of the Company’s shareholders; and (iii) the date of a change in control 
of the Company.

The following table reflects remuneration received by the Company’s non-executive directors in the period from 1 January 
2015 through 18 October 2015, including remuneration received from Cyberonics or Sorin prior to or as a consequence of 
the completion of the Mergers, as applicable. This information has not been audited.

Additional 
fee for 
acting as 
chairman, 
Chair of 
committee or 
member of 
committee 
(US$’000)

Other 
(US$’000)

Change 
in Control 
(US$’000)

Total 
emoluments 
(US$’000)

Service based 
share awards 
(US$’000)

Total 
(US$’000)

0  
0  
0  
0  
0  
0  
0  

0  
10  
11  
11  
0  
0  
0  

0  
0  
0  
0  
0  
0  
0  

0  
113  
54  
66  
6  
0  
0  

0  
0  
0  
0  
0  
0  
0  

0
113
54
66
6
0
0

Basic 
annual fee 
(US$’000)

0  
103  
43  
55  
6  
0  
0  

15  

459  

136  

3,632  

4,241  

1,390  

5,631

Current directors
Daniel J. Moore(1) . . . . . . . . . . . . . . . . .  
Hugh Morrison(2)  . . . . . . . . . . . . . . . . .  
Alfred J. Novak  . . . . . . . . . . . . . . . . . .  
Dr. Arthur L. Rosenthal. . . . . . . . . . . . .  
Francesco Bianchi. . . . . . . . . . . . . . . . .  
Stefano Gianotti  . . . . . . . . . . . . . . . . .  
Dr. Sharon O’Kane . . . . . . . . . . . . . . . .  
Former directors
Rosario Bifulco . . . . . . . . . . . . . . . . . . .  

The Company made no payments to former directors Demetrio Mauro and Brian Sheridan in respect of their appointments 
as directors of the Company.

(1)  Daniel J. Moore’s remuneration relates to the period 14 September 2015 to 31 December 2015. 
(2) 

4,315 Ordinary Shares owned by Hugh Morrison have been pledged as collateral in connection with a margin account.

80

 
 
 
 
 
 
 
 
 
 
 
 
Scheme interests awarded during the financial year - audited information

The following table sets out details of scheme interests awarded to André-Michel Ballester and the Company’s non-executive 
directors since 19 October 2015 pursuant to the Incentive Award Plan.

Director
André-Michel Ballester . .

Award 
type
SARs

André-Michel Ballester . .

RSUs

Daniel J. Moore . . . . . . .

RSUs

Hugh Morrison  . . . . . . .

RSUs

Alfred J. Novak  . . . . . . .

RSUs

Dr. Arthur L. Rosenthal. .

RSUs

Francesco Bianchi. . . . . .

RSUs

Stefano Gianotti  . . . . . .

RSUs

Dr. Sharon O’Kane . . . . .

RSUs

Rosario Bifulco(2). . . . . . .

RSUs

Basis of 
Award
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  
2015 Incentive 
Award Plan  

Face value of 
award ($)(1)

No. of shares 
subject to 
the award

Exercise 
price ($)

2,001,481  

166,703

69.39

4,999,986  

89,174

156,164

84,603

84,603

84,603

84,603

84,603

84,603

84,603

2,233

1,209

1,209

1,209

1,209

1,209

1,209

1,209

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Share price on 
date of award 
(for face value 
calculation) ($)

% of scheme 
interests 
achievable 
on minimum 
performance

N/A

56.07

69.93

69.93

69.93

69.93

69.93

69.93

69.93

69.93

100

100

100

100

100

100

100

100

100

100

Expiry of 
performance 
period

19/10/2017  

18/11/2019  

  14 June 2016  

  14 June 2016  

  14 June 2016  

  14 June 2016  

  14 June 2016  

  14 June 2016  

  14 June 2016  

  14 June 2016  

Performance 
criteria
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting
Time based 
vesting

(1) 
(2) 

Face value of SARs award calculated using Black-Scholes model on date of award.
Rosario Bifulco forfeited his RSUs effective with his resignation from the Board on 16 November 2015.

How the remuneration policy will be applied in the year ending 31 December 2016

Salary and benefits - executive director

The base salary of the Company’s sole executive director, André-Michel Ballester, of £575,000 per annum was set in 2015 
as part of the Mergers. The Company proposes no changes to the base salary, pension, or other benefits to André-Michel 
Ballester in 2016.

Bonus payments – executive director

The target annual bonus for André-Michel Ballester for 2016 will be 100 per cent. of his base salary. The amount of his 
bonus will be determined by multiplying the percentage achievement under the 2016 performance objectives, as described 
below, by such target amount. The performance objectives selected by the Committee for 2016 are as follows:

Adjusted net sales objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjusted net profit objective  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Achievement of both performance objectives:  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Percentage of 
target bonus

50%
50%
100%

The  performance  objectives  for  the  bonus  program  include  an  adjusted  net  sales  objective,  which  will  be  the  adjusted 
net sales as reported by the Company at the Company’s budgeted currency exchange rates, and an adjusted net income 
objective,  which  will  be  the  adjusted  non-GAAP  (U.S.  generally  accepted  accounting  principles)  net  income  as  reported 
by  the  Company  at  the  actual  currency  exchange  rates.  Given  that  2016  adjusted  net  sales  and  adjusted  net  profit  are 
key measures of company value, the Board considers the actual target amounts of both objectives to be too commercially 
sensitive for disclosure at this time. The Committee will disclose the target amounts after the publication of the Company’s 
2016 financial results.

81

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The percentage achievement of the performance objectives will be scaled down or up by 2 per cent. for each 1 per cent., 
or  portion  thereof,  of  underachievement  or  overachievement,  respectively,  between  an  underachievement  of  at  least 
80 per cent. and an overachievement of up to 125 per cent. Applying this scaling factor to the performance objectives, 
individual  bonuses  can  range  from  a  low  of  0  per  cent.  to  a  high  of  150  per  cent.  of  an  executive  officer’s  target 
bonus amount.

Incentive award plan – executive director

The Committee approved awards of SARs which could entitle him to up to 56,682 Ordinary Shares and RSUs which could 
entitle  him  to  up  to  52,083  Ordinary  Shares  to  André-Michel  Ballester  on  11  March  2016.  Twenty-five  per  cent.  of  the 
SARs will vest on each of the first four anniversaries of the grant date. The award of RSUs includes the entitlement of up 
to 34,722 Ordinary Shares subject to performance-based forfeiture restrictions and RSUs which could entitle André-Michel 
Ballester to up to 17,316 Ordinary Shares subject to a market-based forfeiture restriction. Twenty-five per cent. of the RSUs 
(a “tranche”) subject to the performance-based forfeiture restrictions will vest or lapse following the end of each of the 
four financial years commencing with financial year 2016. Fewer than all units in each tranche (50 per cent. or 75 per cent. 
thereof)  may  vest,  and  the  balance  of  units  will  lapse,  if  the  principal  performance  objective  is  missed,  but  a  subsidiary 
performance  objective  is  achieved.  All  units  subject  to  the  market-based  forfeiture  restriction  will  vest  if  and  only  if  the 
market objective is achieved during the period between 1 May 2019 and 30 April 2020.

Chairman and non-executive directors’ fees

The fees for the Chairman and the non-executive directors are based on the Company’s non-employee director compensation 
policy. Each non-executive director will receive the following fees and awards for 2016:

• 

• 

• 

• 

• 

a cash retainer of $60,000, plus an additional $60,000 for the Chairman;

an additional cash retainer of $5,000 for each member of the Audit & Compliance Committee, plus an additional 
$15,000 for the chairperson of the committee;

an additional cash retainer of $8,000 for each member of the Committee, plus an additional $12,000 for the 
chairperson of the Committee;

an additional cash retainer of $6,000 for each member of the Nominating & Governance Committee, plus an 
additional $9,000 for the chairperson of the Committee; and

an annual award of RSUs, granted on the date of the annual meeting of shareholders and vesting on the date 
of the next succeeding annual meeting of shareholders, having a value of $160,000, plus an additional value 
of $90,000 for the Chairman.

Percentage change in remuneration of the Chief Executive Officer

As the closing of the Mergers occurred on 19 October 2015 and the Company was newly incorporated and listed in 2015, 
it is not possible to provide this information this year.

Payments made to past directors – audited information

The Company made no payments to past directors in the period under review.

Payments made for loss of office – audited information

The Company made no payments for loss of office in the period under review.

Summary of share ownership guidelines – audited information

The Company has a voluntary share ownership guideline in place for its officers and the directors. The directors believe 
that  meaningful  ownership  of  equity  in  the  Company  is  an  essential  element  in  demonstrating  the  commitment  of  its 
leadership to its primary task of creating value for its shareholders. To further this belief, equity award programs have been 
established as part of the overall compensation plans for both officers and directors. Awards under these plans are made at 
levels which not only compensate such individuals at a competitive level in the marketplace, but also present an opportunity 

82

to accumulate equity in the Company. The following guidelines represent minimum amounts of equity ownership in the 
Company expected to be achieved by the later of (i) 31 December 2018 (approximately three years after the date of approval 
of this policy), or (ii) five years after the date an individual becomes a corporate officer or director. Although attainment 
of these ownership guidelines is voluntary, lack of attainment may be a factor considered by the Committee in approving 
future awards.

At the end of the three-year phase in period and on the last day of each financial year thereafter (the “Measurement 
Dates”), the market value of equity holdings in the Company is encouraged to be at least:

•  Chief executive officer: five times base salary

•  Officers holding the role of vice president or senior vice president: three times base salary

•  Non-executive directors five times a director’s annual cash retainer

Qualifying equity ownership includes:

• 

• 

• 

common stock owned by the individual or held individually by or jointly with the individual’s spouse or children 
(valued at the closing price of the Company’s stock on the Measurement Date);

all  unvested  RSUs  or  shares  of  restricted  stock  owned  by  the  individual  (valued  at  the  closing  price  of  the 
Company’s shares on the Measurement Date on NASDAQ, minus an estimated tax expense of 40 per cent.); and

all  in-the-money,  vested,  unexercised  SARs  or  stock  options  (valued  at  the  closing  price  of  the  Company’s 
Ordinary Shares on the Measurement Date, minus the exercise price, and minus an estimated tax expense of 
40 per cent.).

Directors’ interests in Ordinary Shares and options/awards in respect of Ordinary Shares– audited information

Ordinary 
Shares 
underlying 
Stock Options  

Ordinary 
Shares

Ordinary 
Shares 
underlying 
SARs 
following 
conversion of 
Sorin SARs

Maximum 
number of 
Ordinary 
Shares to 
be awarded 
under Sorin 
LTI Awards 
in Feb 2017  

Ordinary Shares 
underlying SARs  

André-Michel Ballester . . . . . . . .     80,959     
Daniel J. Moore(1) . . . . . . . . . . . .     64,437     
Hugh Morrison  . . . . . . . . . . . . .    
8,815     
Alfred J. Novak  . . . . . . . . . . . . .     17,020     
Dr. Arthur L. Rosenthal. . . . . . . .     15,265     
—     
Francesco Bianchi. . . . . . . . . . . .    
—     
Stefano Gianotti  . . . . . . . . . . . .    
Dr. Sharon O’Kane . . . . . . . . . . .    
—     
Former directors
Rosario Bifulco . . . . . . . . . . . . . .     127,396     
Demetrio Mauro  . . . . . . . . . . . .     18,759     
Brian Sheridan . . . . . . . . . . . . . .     13,051     

—     
103,249     
—     
—     
—     
—     
—     
—     

18,806     
—     
—     
—     
—     
—     
—     
—     

6,432     
—     
—     
—     
—     
—     
—     
—     

Ordinary Shares 
underlying RSUs
141,257 
2,233 
1,209 
1,209 
1,209 
1,209 
1,209 
1,209 

223,385     
—     
—     
—     
—     
—     
—     
—     

—     

—     

10,539     
8,742     
6,262     

—     
—     
2,069     

—     
0(3)   
59,435     

0(2) 

26,041 

(1)  An additional 2,586 Ordinary Shares are held by the DJM Family Partnership Ltd in which Daniel J. Moore has an indirect interest. During the period, 

Daniel J. Moore also received cash of $ 2,169,265 in relation to the settlement of Ordinary Shares.
The award of RSUs in respect of 1,209 Ordinary Shares were forfeited on 16 November 2015 due to Rosario Bifulco’s resignation.
The award of 23,585 SARs was cancelled on 31 December 2015.

(2) 
(3) 

Relative importance of spend on pay

As the closing of the Mergers occurred on 19 October 2015 and the Company was newly incorporated and listed in 2015, 
this section is not applicable to the Company this year.

83

 
 
 
 
       
   
Total shareholder return

Performance graph

The graph below shows the Company’s performance measured through total shareholder return on a holding of $100 in 
the Company’s shares between 19 October 2015 (when the Company first listed) and 31 December 2015, compared to the 
S&P 500 Index and the S&P Healthcare Equipment Index.

COMPARISON OF 3 MONTH CUMULATIVE TOTAL RETURN*
Among LivaNova Plc, the S&P 500 Index 
and the S&P Health Care Equipment Index

$120

$100

$80

$60

$40

$20

$0
51/91/01

51/01

51/11

51/21

LivaNova Plc

S&P 500

S&P Health Care Equipment

*$100 invested on 10/19/15 in stock or 9/30/15 in index, including reinvestment of dividends.
Fiscal year ending December 31.

Copyright© 2016 S&P, a division of McGraw Hill Financial. All rights reserved.

CEO Total Compensation

Total single-figure remuneration ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Annual bonus award (as a % of maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
Vesting of long term performance awards (as a % of maximum) . . . . . . . . . . . . . . . . . .  

Pre-Mergers

1,027,314 
47 
N/A 

Post-Mergers
  10,019,036
107
100

By order of the Board, on 27 April 2016

Dr. Arthur L. Rosenthal 
Chairman of the Compensation Committee 
27 April 2016

84

 
 
 
 
 
 
 
 
Independent Auditor’s Report to the Members of LivaNova PLC

Report on the group financial statements

Our opinion

In our opinion, LivaNova PLC’s group financial statements (the “financial statements”):

• 

• 

• 

give a true and fair view of the state of the group’s affairs as at 31 December 2015 and of its loss and cash flows for the 
8 month period (the “period”) then ended;

have been properly prepared in accordance with International Financial Reporting Standards (“IFRSs”) as adopted by 
the European Union; and

have been prepared in accordance with the requirements of the Companies Act 2006 and Article 4 of the IAS 
Regulation.

What we have audited

The financial statements, included within the Annual Report, comprise:

• 

• 

• 

• 

• 

the consolidated balance sheets as at 31 December 2015;

the consolidated statements of income (loss) and consolidated statements of comprehensive income (loss) for the 
period then ended;

the consolidated statements of cash flows for the period then ended;

the consolidated statements of changes in equity for the period then ended; and

the notes to the financial statements, which include a summary of significant accounting policies and other 
explanatory information.

The financial reporting framework that has been applied in the preparation of the financial statements is IFRSs as adopted by 
the European Union, and applicable law. Certain disclosures required by the financial reporting framework have been presented 
elsewhere in the LivaNova PLC Annual Report 2015 (the “Annual Report”), rather than in the notes to the financial statements. 
These are cross-referenced from the financial statements and are identified as audited.

In applying the financial reporting framework, the directors have made a number of subjective judgements, for example in respect 
of significant accounting estimates. In making such estimates, they have made assumptions and considered future events.

Opinion on other matter prescribed by the Companies Act 2006

In our opinion, the information given in the Strategic Report and the Directors’ Report for the financial period for which the 
financial statements are prepared is consistent with the financial statements.

Other matters on which we are required to report by exception

Adequacy of information and explanations received

Under the Companies Act 2006 we are required to report to you if, in our opinion, we have not received all the information and 
explanations we require for our audit. We have no exceptions to report arising from this responsibility.

Directors’ remuneration

Under the Companies Act 2006 we are required to report to you if, in our opinion, certain disclosures of directors’ remuneration 
specified by law are not made. We have no exceptions to report arising from this responsibility.

85

Responsibilities for the financial statements and the audit

Our responsibilities and those of the directors

As explained more fully in the Directors’ Responsibilities Statement set out on pages 53 and 54, the directors are responsible for the 
preparation of the financial statements and for being satisfied that they give a true and fair view.

Our responsibility is to audit and express an opinion on the financial statements in accordance with applicable law and 
International Standards on Auditing (UK and Ireland) (“ISAs (UK & Ireland)”). Those standards require us to comply with the 
Auditing Practices Board’s Ethical Standards for Auditors.

This report, including the opinions, has been prepared for and only for the company’s members as a body in accordance with 
Chapter 3 of Part 16 of the Companies Act 2006 and for no other purpose. We do not, in giving these opinions, accept or assume 
responsibility for any other purpose or to any other person to whom this report is shown or into whose hands it may come save 
where expressly agreed by our prior consent in writing.

What an audit of financial statements involves

We conducted our audit in accordance with ISAs (UK & Ireland). An audit involves obtaining evidence about the amounts and 
disclosures in the financial statements sufficient to give reasonable assurance that the financial statements are free from material 
misstatement, whether caused by fraud or error. This includes an assessment of:

•  whether the accounting policies are appropriate to the group’s circumstances and have been consistently applied and 

adequately disclosed;

• 

• 

the reasonableness of significant accounting estimates made by the directors; and

the overall presentation of the financial statements.

We primarily focus our work in these areas by assessing the directors’ judgements against available evidence, forming our own 
judgements, and evaluating the disclosures in the financial statements.

We test and examine information, using sampling and other auditing techniques, to the extent we consider necessary to provide 
a reasonable basis for us to draw conclusions. We obtain audit evidence through testing the effectiveness of controls, substantive 
procedures or a combination of both.

In addition, we read all the financial and non-financial information in the Annual Report to identify material inconsistencies with 
the audited financial statements and to identify any information that is apparently materially incorrect based on, or materially 
inconsistent with, the knowledge acquired by us in the course of performing the audit. If we become aware of any apparent material 
misstatements or inconsistencies we consider the implications for our report.

Other matter

We have reported separately on the company financial statements of LivaNova PLC for the 10 month period ended 31 December 
2015 and on the information in the Directors’ Remuneration Report that is described as having been audited.

Jonathan Lambert (Senior Statutory Auditor) 
for and on behalf of PricewaterhouseCoopers LLP 
Chartered Accountants and Statutory Auditors 
London 
29 April 2016

• 

• 

The maintenance and integrity of the LivaNova plc website is the responsibility of the directors; the work carried out 
by the auditors does not involve consideration of these matters and, accordingly, the auditors accept no responsibility 
for any changes that may have occurred to the financial statements since they were initially presented on the website.

Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ 
from legislation in other jurisdictions.

86

Independent Auditor’s Report to the Members of LivaNova PLC

Report on the company financial statements

Our opinion

In our opinion, LivaNova PLC’s company financial statements (the “financial statements”):

• 

• 

give a true and fair view of the state of the company’s affairs as at 31 December 2015 and of its loss and cash flows for 
the 10 month period (the “period”) then ended;

have been properly prepared in accordance with International Financial Reporting Standards (“IFRSs”) as adopted by 
the European Union; and

• 

have been prepared in accordance with the requirements of the Companies Act 2006.

What we have audited

The financial statements, included within the Annual Report, comprise:

• 

• 

• 

• 

• 

the balance sheet as at 31 December 2015;

the statement of income (loss) and comprehensive income (loss) for the period then ended;

the statement of cash flows for the period then ended;

the statement of changes in equity for the period then ended; and

the notes to the financial statements, which include a summary of significant accounting policies and other explanatory 
information.

The  financial  reporting  framework  that  has  been  applied  in  the  preparation  of  the  financial  statements  is  IFRSs  as  adopted  by 
the  European  Union,  and  applicable  law.  Certain  disclosures  required  by  the  financial  reporting  framework  have  been  presented 
elsewhere in the LivaNova PLC Annual Report 2015 (the “Annual Report”), rather than in the notes to the financial statements. These 
are cross-referenced from the financial statements and are identified as audited.

In applying the financial reporting framework, the directors have made a number of subjective judgements, for example in respect of 
significant accounting estimates. In making such estimates, they have made assumptions and considered future events.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion:

• 

• 

the information given in the Strategic Report and the Directors’ Report for the financial period for which the financial 
statements are prepared is consistent with the financial statements.

the  part  of  the  Directors’  Remuneration  Report  to  be  audited  has  been  properly  prepared  in  accordance  with  the 
Companies Act 2006.

Other matters on which we are required to report by exception

Adequacy of accounting records and information and explanations received

Under the Companies Act 2006 we are required to report to you if, in our opinion:

•  we have not received all the information and explanations we require for our audit; or

• 

• 

adequate  accounting  records  have  not  been  kept  by  the  company,  or  returns  adequate  for  our  audit  have  not  been 
received from branches not visited by us; or

the financial statements and the part of the Directors’ Remuneration Report to be audited are not in agreement with 
the accounting records and returns.

We have no exceptions to report arising from this responsibility.

87

Directors’ remuneration

Under the Companies Act 2006 we are required to report to you if, in our opinion, certain disclosures of directors’ remuneration 
specified by law are not made. We have no exceptions to report arising from this responsibility.

Responsibilities for the financial statements and the audit

Our responsibilities and those of the directors

As explained more fully in the Directors’ Responsibilities Statement set out on pages 53 and 54, the directors are responsible for the 
preparation of the financial statements and for being satisfied that they give a true and fair view.

Our responsibility is to audit and express an opinion on the financial statements in accordance with applicable law and International 
Standards on Auditing (UK and Ireland) (“ISAs (UK & Ireland)”). Those standards require us to comply with the Auditing Practices 
Board’s Ethical Standards for Auditors.

This report, including the opinions, has been prepared for and only for the company’s members as a body in accordance with Chapter 
3 of Part 16 of the Companies Act 2006 and for no other purpose. We do not, in giving these opinions, accept or assume responsibility 
for any other purpose or to any other person to whom this report is shown or into whose hands it may come save where expressly 
agreed by our prior consent in writing.

What an audit of financial statements involves

We  conducted  our  audit  in  accordance  with  ISAs  (UK  &  Ireland).  An  audit  involves  obtaining  evidence  about  the  amounts  and 
disclosures in the financial statements sufficient to give reasonable assurance that the financial statements are free from material 
misstatement, whether caused by fraud or error. This includes an assessment of:

•  whether the accounting policies are appropriate to the company’s circumstances and have been consistently applied 

and adequately disclosed;

• 

• 

the reasonableness of significant accounting estimates made by the directors; and

the overall presentation of the financial statements.

We  primarily  focus  our  work  in  these  areas  by  assessing  the  directors’  judgements  against  available  evidence,  forming  our  own 
judgements, and evaluating the disclosures in the financial statements.

We test and examine information, using sampling and other auditing techniques, to the extent we consider necessary to provide 
a reasonable basis for us to draw conclusions. We obtain audit evidence through testing the effectiveness of controls, substantive 
procedures or a combination of both.

In addition, we read all the financial and non-financial information in the Annual Report to identify material inconsistencies with 
the  audited  financial  statements  and  to  identify  any  information  that  is  apparently  materially  incorrect  based  on,  or  materially 
inconsistent with, the knowledge acquired by us in the course of performing the audit. If we become aware of any apparent material 
misstatements or inconsistencies we consider the implications for our report.

Other matter

We have reported separately on the group financial statements of LivaNova PLC for the 8 month period ended 31 December 2015.

Jonathan Lambert (Senior Statutory Auditor) 
for and on behalf of PricewaterhouseCoopers LLP 
Chartered Accountants and Statutory Auditors 
London 
29 April 2016

• 

• 

The maintenance and integrity of the LivaNova plc website is the responsibility of the directors; the work carried out 
by the auditors does not involve consideration of these matters and, accordingly, the auditors accept no responsibility 
for any changes that may have occurred to the financial statements since they were initially presented on the website.

Legislation  in  the  United  Kingdom  governing  the  preparation  and  dissemination  of  financial  statements  may  differ 
from legislation in other jurisdictions.

88

Table of Contents 

CONSOLIDATED STATEMENTS OF INCOME (LOSS) 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) 
CONSOLIDATED BALANCE SHEETS 
CONSOLIDATED STATEMENTS OF  CHANGES IN EQUITY 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
Note 1.  Nature of Operations 
Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 
Note 3.  First-time Adoption of IFRS 
Note 4. Financial Risk Management 
Note 5. Fair Value Measurements 
Note 6. Financial Instruments 
Note 7. Business Combinations 
Note 8. 2015 Restructuring Plans 
Note 9. Property, Plant and Equipment 
Note 10. Goodwill and Intangible Assets 
Note 11. Investments in Associates, Joint Ventures and Subsidiaries 
Note 12. Financial Assets 
Note 13. Inventories 
Note 14. Trade Receivables and Allowance for Bad Debt 
Note 15. Derivative Financial Instruments 
Note 16. Shareholders' Equity 
Note 17. Financial Liabilities 
Note 18. Other Non-Current Liabilities 
Note 19. Provisions 
Note 20. Other payables 
Note 21.  Share-Based Incentive Plans 
Note 22.  Employee Retirement Plans 
Note 23.  Income Taxes 
Note 24.  Commitments and Contingencies 
Note 25.  Earnings Per Share 
Note 26.  Geographic and Segment Information 
Note 27. Related Parties 
Note 28. Consolidated Statements of Income (Loss) - Expenses by Nature 
Note 29. Employee and Key Management Compensation Costs 
Note 30. Exceptional Items 
Note 31. Auditors' Remuneration 
Note 32. New Accounting Pronouncements 
Note 33. Events after the Reporting Period 

89

90 
91 
92 
94 
95 
97 
97 
115 
120 
127 
130 
133 
138 
139 
140 
141 
144 
145 
146 
148 
151 
153 
156 
156 
158 
158 
164 
169 
172 
180 
181 
184 
185 
185 
186 
187 
187 
188 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LIVANOVA PLC AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF INCOME (LOSS) 

(In thousands, except per share amounts) 

Transitional  Period 25 
April 2015 to 31 
December 2015 

  Notes  

Fiscal Year Ended 24 
April 2015 

Revenue 
Cost of sales 

Gross profit 

Operating expenses: 

Selling, general and administrative 
Research and development 

Operating profit before exceptional items 

Exceptional items 

Operating (loss)/profit 

Interest income 
Interest expense 
Foreign exchange 
Share of (loss)/profit from equity method 
investments 

(Loss)/profit before tax 

Income tax (benefit)/expense 

26   $ 
28   

  $ 

28   
28   

30   

11

  $ 

23   

(Loss)/profit attributable to owners of the parent     

  $ 

Basic (loss)/earnings per share 
Diluted (loss)/earnings per share 
Shares used in computing basic (loss)/earnings 
per share 
Shares used in computing diluted (loss)/earnings 
per share 

25   $ 
25   $ 

415,707    $ 
(148,849)  
266,858    $ 

(167,655)  
(50,740)  
48,463   
(72,172)  

(23,709)  
392   
(1,509)  
(7,522)  

(3,308)  

(35,656)   $ 
(6,540)  

(29,116)   $ 

(0.89)   $ 
(0.89)   $ 

291,558 
(27,340) 
264,218 

(123,331) 
(43,449) 
97,438 
(8,692) 
88,746 
184 
(21) 
479 

—

89,388 
32,385 
57,003 

2.16 
2.14 

32,741,357

32,741,357

26,391,064

26,625,721

See accompanying notes to the consolidated financial statements 

90

 
 
 
 
 
 
   
   
   
   
 
 
   
 
 
   
 
   
 
   
 
   
 
 
 
 
 
   
 
 
   
   
   
 
 
   
 
 
 
 
   
 
 
 
 
 
LIVANOVA PLC AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF INCOME (LOSS) 

(In thousands, except per share amounts) 

Transitional  Period 25 

April 2015 to 31 

December 2015 

  Notes  

Fiscal Year Ended 24 

April 2015 

Revenue 

Cost of sales 

Gross profit 

Operating expenses: 

Selling, general and administrative 

Research and development 

Operating profit before exceptional items 

Exceptional items 

Operating (loss)/profit 

Interest income 

Interest expense 

Foreign exchange 

Share of (loss)/profit from equity method 

investments 

(Loss)/profit before tax 

Income tax (benefit)/expense 

(Loss)/profit attributable to owners of the parent     

Basic (loss)/earnings per share 

Diluted (loss)/earnings per share 

Shares used in computing basic (loss)/earnings 

Shares used in computing diluted (loss)/earnings 

per share 

per share 

26   $ 

28   

  $ 

28   

28   

30   

11

23   

  $ 

  $ 

25   $ 

25   $ 

415,707    $ 

(148,849)  

266,858    $ 

(167,655)  

(50,740)  

48,463   

(72,172)  

(23,709)  

392   

(1,509)  

(7,522)  

(3,308)  

(35,656)   $ 

(6,540)  

(29,116)   $ 

(0.89)   $ 

(0.89)   $ 

291,558 

(27,340) 

264,218 

(123,331) 

(43,449) 

97,438 

(8,692) 

88,746 

184 

(21) 

479 

—

89,388 

32,385 

57,003 

2.16 

2.14 

32,741,357

32,741,357

26,391,064

26,625,721

LIVANOVA PLC AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) 
(In thousands) 

Transitional  Period 25 
April 2015 to 31 
December 2015 

  Notes   

Fiscal Year Ended 24 
April 2015 

(Loss)/profit attributable to owners of the parent 

 $ 

(29,116)   $ 

57,003

Items of other comprehensive income that will subsequently 
be reclassified to profit or loss 
Cash flow hedges for interest rate fluctuations 
Tax impact 
Cash flow hedges for exchange rate fluctuations 
Tax impact 
Foreign currency translation differences 

15   

15   

124   
(38)   
1,150   
(348)   
(51,716)   

— 
— 
— 
— 
(3,856) 

Total items of other comprehensive income that will 
subsequently be reclassified to profit or loss 

(50,828)   

(3,856) 

Items of other comprehensive income that will not 
subsequently be reclassified to profit or loss: 
Remeasurements of net (asset) for defined benefits 

Tax impact 
Total items of other comprehensive income that will not 
subsequently be reclassified to profit or loss 
Total other comprehensive (loss), net of taxes 

Total comprehensive (loss)/income for the period, net of 
taxes attributable to owners of the parent 

(180)   
50   

(130)   

(50,958)   

 $ 

(80,074)   $ 

— 
— 

—

(3,856) 

53,147

See accompanying notes to the consolidated financial statements 

See accompanying notes to the consolidated financial statements 
91

 
 
 
 
 
 
   
   
   
   
 
 
   
 
 
   
 
   
 
   
 
   
 
 
 
 
 
   
 
 
   
   
   
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
   
   
   
 
   
 
 
   
 
   
 
 
   
   
   
   
 
 
   
   
   
   
   
   
   
 
   
 
   
 
 
   
 
   
 
 
LIVANOVA PLC AND SUBSIDIARIES 

CONSOLIDATED BALANCE SHEETS 
 (In thousands) 

  Notes    31 December 2015 

24 April 2015 

26 April 2014 

ASSETS 
Non-current assets 

Property, plant and equipment 
Intangible assets 
Goodwill 
Equity investments in associates and joint 
ventures measured at equity 
Financial assets 
Deferred tax assets 
Other assets 

Total non-current assets 

Inventories 
Trade receivables 
Other receivables 
Other financial assets 
Tax assets 
Cash and cash equivalents 

Total current assets 
Total assets 

LIABILITIES AND EQUITY 

Equity 

Share capital 
Group reconstruction reserve 
Additional paid-in capital/Share premium 
Treasury shares 
Accumulated other comprehensive income 
(loss) 
Retained earnings 

Total equity 

Non-current liabilities 

Financial derivative liabilities 
Financial liabilities 
Other liabilities 
Provisions 
Provision for employee severance indemnities 
and other employee benefit provisions 

Public grants 
Deferred income taxes liability 

Total non-current liabilities 

9   $ 
10   
10   

11   

12   
23   

$ 

13   
14   
14   
12   
23   

 $ 

16   
16   
16   
16   
16 

16   

 $ 

15   $ 
17   
18   
19   

22   

23   

 $ 

228,991   $ 
674,538   
746,860   

61,639
19,829   
165,729   
1,463   
1,899,049   $ 

212,448   
249,075   
24,305   
9,271   
28,418   
112,613   
636,130   
2,535,179   $ 

75,444   
1,729,764   
1,673   
—   

(54,359)
57,340   
1,809,862   $ 

1,793   $ 
91,791   
7,047   
16,985   

32,597
3,918   
235,342   
389,473   $ 

38,376   $ 
12,079   
—   

—
17,127   
20,662   
1,563   
89,807 
$ 

23,963   
50,569   
4,812   
27,020   
2,971   
124,187   
233,522   
323,329   $ 

321   
—   
456,434   
(243,535)   

(3,401)  
71,591   
281,410   $ 

—   $ 
—   
—   
6,610   

3,860

—   
—   
10,470   $ 

37,528 
13,662 
— 

—
15,944 
34,184 
856 
102,174 

17,630 
50,674 
3,690 
25,029 
2,900 
103,299 
203,222 
305,396 

318 
— 
440,203 
(188,519) 

455
14,588 
267,045 

— 
— 
— 
4,711 

3,742
— 
— 
8,453 

See accompanying notes to the consolidated financial statements 

92

 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
  
 
  
 
  
   
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
  
   
   
   
 
 
 
 
 
 
  
 
 
  
Current liabilities 
Trade payables 
Other payables 
Financial derivative liabilities 
Other financial liabilities 
Provisions 
Tax payable 

Total current liabilities 
Total liabilities and equity 

 $ 

20   
15   
17   
19   

 $ 
 $ 

106,258   $ 
105,679   
1,815   
82,513   
12,880   
26,699   
335,844   $ 
2,535,179   $ 

7,251   $ 
13,781   
—   
—   
8,334   
2,083   
31,449   $ 
323,329   $ 

7,570 
16,957 
— 
— 
4,769 
602 
29,898 
305,396 

The financial statements were approved by the Board of Directors and were signed on its behalf on 29 April 2016 by: 

André-Michel Ballester 

Chief Executive Officer & Director 

LIVANOVA PLC AND SUBSIDIARIES 

CONSOLIDATED BALANCE SHEETS 

 (In thousands) 

  Notes    31 December 2015 

24 April 2015 

26 April 2014 

ASSETS 

Non-current assets 

Property, plant and equipment 

Intangible assets 

Goodwill 

Equity investments in associates and joint 

ventures measured at equity 

Financial assets 

Deferred tax assets 

Other assets 

Total non-current assets 

Inventories 

Trade receivables 

Other receivables 

Other financial assets 

Tax assets 

Cash and cash equivalents 

Total current assets 

Total assets 

LIABILITIES AND EQUITY 

Equity 

Share capital 

Group reconstruction reserve 

Additional paid-in capital/Share premium 

Accumulated other comprehensive income 

Treasury shares 

(loss) 

Retained earnings 

Total equity 

Non-current liabilities 

Financial derivative liabilities 

Financial liabilities 

Other liabilities 

Provisions 

Provision for employee severance indemnities 

and other employee benefit provisions 

Public grants 

Deferred income taxes liability 

Total non-current liabilities 

9   $ 

10   

10   

11   

12   

23   

13   

14   

14   

12   

23   

16   

16   

16   

16   

16 

16   

15   $ 

17   

18   

19   

22   

23   

 $ 

$ 

1,899,049   $ 

 $ 

2,535,179   $ 

228,991   $ 

674,538   

746,860   

61,639

19,829   

165,729   

1,463   

212,448   

249,075   

24,305   

9,271   

28,418   

112,613   

636,130   

75,444   

1,729,764   

1,673   

—   

(54,359)

57,340   

1,793   $ 

91,791   

7,047   

16,985   

32,597

3,918   

235,342   

389,473   $ 

 $ 

1,809,862   $ 

38,376   $ 

12,079   

—   

—

17,127   

20,662   

1,563   

89,807 

$ 

23,963   

50,569   

4,812   

27,020   

2,971   

124,187   

233,522   

323,329   $ 

321   

—   

456,434   

(243,535)   

(3,401)  

71,591   

281,410   $ 

—   $ 

—   

—   

6,610   

3,860

—   

—   

10,470   $ 

37,528 

13,662 

— 

—

15,944 

34,184 

856 

102,174 

17,630 

50,674 

3,690 

25,029 

2,900 

103,299 

203,222 

305,396 

318 

— 

440,203 

(188,519) 

455

14,588 

267,045 

— 

— 

— 

4,711 

3,742

— 

— 

8,453 

See accompanying notes to the consolidated financial statements 

See accompanying notes to the consolidated financial statements 

93

 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
  
 
  
 
  
   
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
  
   
   
   
 
 
 
 
 
 
  
 
 
  
 
 
 
   
   
   
   
 
 
 
 
  
 
  
  
 
 
 
 
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S

LIVANOVA AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF CASH FLOWS 
 (In thousands) 

Transitional  Period 25 
April 2015 to 31 
December 2015 

Notes 

Fiscal Year Ended 24 
April 2015 

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

Deferred income tax expense (benefit) 

Cash Flows From Operating Activities: 

(Loss)/profit for the period 

Non-cash items included in net income (loss): 

Depreciation and amortization 

Share-based compensation 

Impairment of intangible assets 

Loss on disposal of assets 

Impairment of available-for-sale 

Loss from equity method investments 

Unrealised (gain) loss in foreign currency transactions 

Other non-cash items 

Changes in operating assets and liabilities: 

Accounts receivable, net 

Inventories 

Other current and non-current assets 

Current and non-current liabilities 

Net cash provided by (used in) operating activities 

Cash Flow From Investing Activities: 

Purchase of short-term investments 

Maturities of short-term investments 

Purchase of property, plant and equipment 

Intangible assets purchases 

Proceeds from asset sales 

Cash obtained in the Merger 

Investment in cost method equity securities 

Net cash provided by (used in) investing activities 

Cash Flows From Financing Activities: 

Short-term borrowing 

Short-term repayment 

Repayment of long-term debt obligations 

Purchase of treasury shares 

Proceeds from exercise of options for shares 

Cash settlement of compensation-based share units 

Realised excess tax benefits - share-based compensation 

Other financial assets and liabilities 

 $

(29,116)  $

26 
21 

10 

12 

7 

20,500 
27,387 

(35,021) 
1,689 
102 
5,127 
3,308 
2,576 
2,835 

(15,850) 
36,326 
4,020 

(33,171) 

(9,288) 

(13,990) 
34,013 

(16,057) 

(1,229) 
950 
12,495 
— 
16,182 

56,956 

(45,844) 

(31,968) 

(7,350) 
6,480 

(708) 
3,050 
1,257 

57,003 

6,807 
12,557 
10,339 
448 
— 
— 
— 

(434) 
— 
— 

(2,654) 

(7,113) 

(2,112) 
4,835 
79,676 

(31,985) 
30,089 

(6,687) 
— 
— 
— 

(1,182) 

(9,765) 

— 
— 
— 

(55,015) 
3,184 

(1,171) 
4,746 
— 

See accompanying notes to the consolidated financial statements 

95

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
Net cash used in financing activities 

Effect of exchange rate changes on cash and cash equivalents 

Net increase (decrease) in cash and cash equivalents 

Cash and cash equivalents at beginning of period 

Cash and cash equivalents at end of period 

Supplementary Disclosures of Cash Flow Information: 

Cash paid for interest 

Cash paid for income taxes 

Supplementary disclosure of non-cash financing activity: 

Acquisition financed by ordinary shares of LivaNova 

 $ 

(18,127)   

(341)   

(11,574)   
124,187   
112,613   $ 

815   
22,738   

7   

1,589,083   

(48,256) 

(767) 
20,888 
103,299 
124,187  

1 
15,577 

— 

See accompanying notes to the consolidated financial statements 

96

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
 
 
 
 
 
   
   
 
 
 
Note 1.  Nature of Operations 

Company information. LivaNova PLC is a public limited company incorporated in the United Kingdom under the 

Companies Act 2006 (Registration number 09451374). The Company is domiciled in the United Kingdom and its 
registered address is 5 Merchant Square, North Wharf Road, London, W2 1AY, United Kingdom. 

Background. LivaNova PLC and its subsidiaries (collectively, the “Company”, “LivaNova”, “we”, or “our”), the 
successor registrant to Cyberonics, Inc., was incorporated in England and Wales on 20 February 2015 for the purpose of 
facilitating the business combination of Cyberonics, Inc., a Delaware corporation (“Cyberonics”) and Sorin S.p.A., a joint 
stock company organized under the laws of Italy (“Sorin”). As a result of the business combination, LivaNova became the 
holding company of the combined businesses of Cyberonics and Sorin. This business combination became effective on 19 
October 2015, at which time LivaNova’s ordinary shares were listed for trading on the NASDAQ Global Market 
(“NASDAQ”) and on the London Stock Exchange (the “LSE”) as a standard listing under the trading symbol “LIVN”. 

The principal legislation under which LivaNova operates is the Companies Act 2006, and regulations made thereunder. 
The LivaNova Shares are admitted to listing on the Official List pursuant to Chapter 14 of the Listing Rules, which sets out 
the requirements for standard listings. LivaNova complies with Listing Principles 1 and 2 as set out in Chapter 7 of the 
Listing Rules, as required by the Financial Conduct Authority. 

Description of the business. Headquartered in London, United Kingdom (“U.K.”), LivaNova, is a global medical 

device company focused on the development and delivery of important therapeutic solutions for the benefit of patients, 
healthcare professionals, and healthcare systems throughout the world. Working closely with medical professionals 
throughout the world in the field of Cardiac Surgery, Neuromodulation and Cardiac Rhythm Management, we design, 
develop, manufacture and sell innovative therapeutic solutions. These solutions are consistent with our mission to improve 
our patients’ quality of life, increase the skills and capabilities of healthcare professionals and minimize healthcare costs. 

Description of the Mergers. On 19 October 2015, pursuant to the terms of a definitive Transaction Agreement entered 

into by LivaNova, Cyberonics, Sorin and Cypher Merger Sub (the “Merger Sub”), dated 23 March 2015, Sorin merged 
with and into LivaNova, with LivaNova continuing as the surviving company, immediately followed by the merger of 
Merger Sub with and into Cyberonics, with Cyberonics continuing as the surviving company and as a wholly owned 
subsidiary of LivaNova (the “Mergers”). Upon the consummation of the Mergers, the historical financial statements of 
Cyberonics became the Company’s historical financial statements, as it was considered the accounting acquirer under IFRS 
3 Business Combinations. Accordingly, the historical financial statements of Cyberonics are included in the comparative 
prior periods. 

Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 

Basis of Preparation. The consolidated financial statements of LivaNova have been prepared on a going 

concern basis, in accordance with the Companies Act 2006 as applicable to companies using International 
Financial Reporting Standards (IFRS) as adopted by the European Union and interpretations issued by the IFRS 
Interpretations Committee (IFRIC). 

For all periods up to and including the transitional period ended 31 December 2015, LivaNova prepared its 

financial statements in accordance with U.S. generally accepted accounting principles (Local GAAP). These 
financial statements for the transitional period ended 31 December 2015 are the first LivaNova has prepared in 
accordance with IFRS. Refer to Note 3 First-time adoption of IFRS for information on how LivaNova adopted 
IFRS. 

The consolidated financial statements have been prepared on a historical cost basis, except for derivative 

financial instruments and share awards that have been measured at fair value. The consolidated financial 
statements are presented in United States (U.S.) dollars and all values are rounded to the nearest thousand, 
except where otherwise indicated. 

97

 
 
Fiscal Year-End.  Prior to the Mergers, Cyberonics utilized a 52/53-week fiscal year that ended on the last 

Friday in April. The fiscal years ended 24 April 2015 and 26 April 2014 in the accompanying consolidated 
statements of income, are 52-week years. As a result of the merger, Cyberonics changed to a calendar year 
ending the 31st of December each year. The change of fiscal year, effective as of 19 October 2015, resulted in a 
transitional period which began 25 April 2015 and ended 31 December 2015. Therefore, the comparative 
amounts for the fiscal year ended 24 April 2015 are not entirely comparable. 

Reporting Period. LivaNova, as the successor company to Cyberonics, is reporting the results of operations 

for Cyberonics for the period 25 April 2015 to 31 December 2015 and the results of operations for Sorin and 
Cyberonics from 19 October 2015 to 31 December 2015. 

Consolidation.  The accompanying consolidated financial statements include LivaNova, our wholly owned 

subsidiaries and the LivaNova PLC Employee Benefit Trust (“the Trust”). 

Subsidiaries are all entities (including structured entities) over which we have control. The Company 
controls an entity when the Company is exposed to, or has rights to, variable returns from its involvement with 
the entity and has the ability to affect those returns through its power to direct the activities of the entity. 
Subsidiaries are fully consolidated from the date on which control is transferred to the Company. They are 
deconsolidated from the date that control ceases. The acquisition method of accounting is used to account for 
business combinations by the Company. 

Intercompany transactions, balances and unrealised gains on transactions between LivaNova companies are 

eliminated. Unrealised losses are also eliminated, unless the transaction provides evidence of an impairment of 
the transferred asset. Accounting policies of subsidiaries have been changed where necessary to ensure 
consistency with the policies adopted by the Company. 

Investments in Associates. Associates are all entities over which the group has significant influence but not 
control or joint control. This is generally where the Company holds between 20% and 50% of the voting rights. 
Investments in associates are accounted for using the equity method of accounting, after initially being 
recognised at cost. 

Joint Arrangements. Under IFRS 11 Joint Arrangements investments in joint arrangements are classified as 

either joint operations or joint ventures. The classification depends on the contractual rights and obligations of 
each investor, rather than the legal structure of the joint arrangement. In joint operations the Company 
recognises its direct right to the assets, liabilities, revenues and expenses of joint operations and its share of any 
jointly held or incurred assets, liabilities, revenues and expenses.  Interests in joint ventures are accounted for 
using the equity method of accounting, after initially being recognised at cost in the consolidated balance sheet. 
LivaNova has joint ventures. 

Equity method. Under the equity method of accounting, the investments are initially recognised at cost and 
adjusted thereafter to recognise the Company’s share of the post-acquisition profits or losses of the investee in 
profit or loss, and the Company’s share of movements in other comprehensive income of the investee in other 
comprehensive income. Dividends received or receivable from associates are recognised as a reduction in the 
carrying amount of the investment. 

When the Company’s share of losses in an equity-accounted investment equals or exceeds its interest in the 

entity, including any other unsecured long-term receivables, the Company does not recognise further losses, 
unless it has incurred obligations or made payments on behalf of the other entity. 

98

 
 
Fiscal Year-End.  Prior to the Mergers, Cyberonics utilized a 52/53-week fiscal year that ended on the last 

Unrealised gains on transactions between the Company and its associates and joint ventures are eliminated 

Friday in April. The fiscal years ended 24 April 2015 and 26 April 2014 in the accompanying consolidated 

statements of income, are 52-week years. As a result of the merger, Cyberonics changed to a calendar year 

ending the 31st of December each year. The change of fiscal year, effective as of 19 October 2015, resulted in a 

transitional period which began 25 April 2015 and ended 31 December 2015. Therefore, the comparative 

amounts for the fiscal year ended 24 April 2015 are not entirely comparable. 

Reporting Period. LivaNova, as the successor company to Cyberonics, is reporting the results of operations 

for Cyberonics for the period 25 April 2015 to 31 December 2015 and the results of operations for Sorin and 

Cyberonics from 19 October 2015 to 31 December 2015. 

Consolidation.  The accompanying consolidated financial statements include LivaNova, our wholly owned 

subsidiaries and the LivaNova PLC Employee Benefit Trust (“the Trust”). 

Subsidiaries are all entities (including structured entities) over which we have control. The Company 

controls an entity when the Company is exposed to, or has rights to, variable returns from its involvement with 

the entity and has the ability to affect those returns through its power to direct the activities of the entity. 

Subsidiaries are fully consolidated from the date on which control is transferred to the Company. They are 

deconsolidated from the date that control ceases. The acquisition method of accounting is used to account for 

business combinations by the Company. 

Intercompany transactions, balances and unrealised gains on transactions between LivaNova companies are 

eliminated. Unrealised losses are also eliminated, unless the transaction provides evidence of an impairment of 

the transferred asset. Accounting policies of subsidiaries have been changed where necessary to ensure 

consistency with the policies adopted by the Company. 

Investments in Associates. Associates are all entities over which the group has significant influence but not 

control or joint control. This is generally where the Company holds between 20% and 50% of the voting rights. 

Investments in associates are accounted for using the equity method of accounting, after initially being 

recognised at cost. 

Joint Arrangements. Under IFRS 11 Joint Arrangements investments in joint arrangements are classified as 

either joint operations or joint ventures. The classification depends on the contractual rights and obligations of 

each investor, rather than the legal structure of the joint arrangement. In joint operations the Company 

recognises its direct right to the assets, liabilities, revenues and expenses of joint operations and its share of any 

jointly held or incurred assets, liabilities, revenues and expenses.  Interests in joint ventures are accounted for 

using the equity method of accounting, after initially being recognised at cost in the consolidated balance sheet. 

LivaNova has joint ventures. 

Equity method. Under the equity method of accounting, the investments are initially recognised at cost and 

adjusted thereafter to recognise the Company’s share of the post-acquisition profits or losses of the investee in 

profit or loss, and the Company’s share of movements in other comprehensive income of the investee in other 

comprehensive income. Dividends received or receivable from associates are recognised as a reduction in the 

carrying amount of the investment. 

When the Company’s share of losses in an equity-accounted investment equals or exceeds its interest in the 

entity, including any other unsecured long-term receivables, the Company does not recognise further losses, 

unless it has incurred obligations or made payments on behalf of the other entity. 

to the extent of the Company’s interest in these entities. Unrealised losses are also eliminated unless the 
transaction provides evidence of an impairment of the asset transferred. Accounting policies of equity accounted 
investees have been changed where necessary to ensure consistency with the policies adopted by the Company. 

Business Combinations. We allocate the amounts we pay for on acquisition to the assets we acquire and 

liabilities we assume based on their fair values at the date of acquisition, including property, plant and 
equipment, inventories, accounts receivable, long-term debt, and identifiable intangible assets which either arise 
from a contractual or legal right or are separable from goodwill. We base the fair value of identifiable intangible 
assets acquired in a business combination, including in-process research and development, on detailed 
valuations that use information and assumptions provided by management, which consider management’s best 
estimates of inputs and assumptions that a market participant would use. We allocate any excess purchase price 
over the fair value of the net tangible and identifiable intangible assets acquired to goodwill. Transaction costs 
associated with these acquisitions are expensed as incurred and are reported as operating expenses. 

Any contingent consideration to be transferred by the acquirer will be recognised at fair value at the 

acquisition date. All contingent consideration (except that which is classified as equity) is measured at fair value 
with the changes in fair value going through profit or loss. Contingent consideration that is classified as equity 
is not remeasured and subsequent settlement is accounted for within equity. 

Goodwill is initially measured at cost (being the excess of the aggregate of the consideration transferred 
and the amount recognised for non-controlling interests) and any previous interest held, over the net identifiable 
assets acquired and liabilities assumed. If the fair value of the net assets acquired is in excess of the aggregate 
consideration transferred, the Company re-assesses whether it has correctly identified all of the assets acquired 
and all of the liabilities assumed and reviews the procedures used to measure the amounts to be recognised at 
the acquisition date. If the reassessment still results in an excess of the fair value of net assets acquired over the 
aggregate consideration transferred, then the gain is recognised in profit or loss. 

After initial recognition, goodwill is measured at cost less any accumulated impairment losses. For the 

purpose of impairment testing, goodwill acquired in a business combination is, from the acquisition date, 
allocated to each of the Company’s cash-generating units that are expected to benefit from the combination, 
irrespective of whether other assets or liabilities of the acquiree are assigned to those units. 

Where goodwill has been allocated to a cash-generating unit (CGU) and part of the operation within that 
unit is disposed of, the goodwill associated with the disposed operation is included in the carrying amount of the 
operation when determining the gain or loss on disposal of the operation. Goodwill disposed in these 
circumstances is measured based on the relative values of the disposed operation and the portion of the cash 
generating unit retained. 

Foreign currencies. The financial statements of all LivaNova entities are measured using the currency of 

the primary economic environment in which the entity operates (functional currency). The U.S. dollar (US$) is 
the functional currency of the Company and presentation currency of LivaNova financial statements. Foreign 
currency transactions are translated into functional currency using the exchange rates prevailing at the dates of 
the transactions or valuation where items are remeasured. Foreign exchange gains and losses resulting from the 
settlement of such transactions and from the translation at year-end  exchange rates of monetary assets and 
liabilities denominated in foreign currencies are recognised in the Consolidated Statements of Income (Loss), 
except when deferred in other comprehensive income as qualifying cash flow hedges. 

99

 
 
 
 
Foreign currency differences arising from translation are recognised in the income statement, except for 
available-for-sale equity investments which are recognised in other comprehensive income, unless regarding an 
impairment, in which case foreign currency differences that have been recognised in other comprehensive 
income are reclassified to the income statement. 

All exchange differences are presented as part of Foreign exchange on the Consolidated Statements of 

Income (Loss). 

The British pound (GBP) exchange rate to the US dollar used in preparing the Company financial 

statements was as follows. 

Transitional period 25 April 2015 to 31 December 2015 
Fiscal year ended 24 April 2015 

Weighted average 
rate GBP 

  Closing rate GBP 

0.650364   
0.625882   

0.678578  
0.661401  

Foreign operations. The assets and liabilities of foreign operations, including goodwill and fair value 
adjustments arising on acquisitions are translated to U.S. dollars at exchange rates at the reporting date. The 
income and expenses of foreign operations are translated to U.S. dollars at exchange rates at the dates of 
transactions. Foreign currency differences arising on translation of foreign operations into U.S. dollars are 
recognised in other comprehensive income (loss). 

Current versus non-current classification. The Company presents assets and liabilities in the statement of 

financial position based on current/non-current classification. An asset is current when it is: 

•   Expected to be realised or intended to be sold or consumed in the normal operating cycle 
•   Held primarily for the purpose of trading 
•   Expected to be realised within twelve months after the reporting period, or 
•   A Cash or cash equivalent unless restricted from being exchanged or used to settle a liability for at 

least twelve months after the reporting period 

All other assets are classified as non-current. 

A liability is current when: 

It is expected to be settled in the normal operating cycle 
It is held primarily for the purpose of trading 
It is due to be settled within twelve months after the reporting period, or 

•  
•  
•  
•   There is no unconditional right to defer the settlement of the liability for at least twelve months 

after the reporting period 

The Company classifies all other liabilities as non-current. 

Deferred tax assets and liabilities are classified as non-current assets and liabilities. 

Financial Instruments 

100

 
 
 
 
 
 
 
Foreign currency differences arising from translation are recognised in the income statement, except for 

available-for-sale equity investments which are recognised in other comprehensive income, unless regarding an 

impairment, in which case foreign currency differences that have been recognised in other comprehensive 

income are reclassified to the income statement. 

All exchange differences are presented as part of Foreign exchange on the Consolidated Statements of 

Income (Loss). 

statements was as follows. 

The British pound (GBP) exchange rate to the US dollar used in preparing the Company financial 

Transitional period 25 April 2015 to 31 December 2015 

Fiscal year ended 24 April 2015 

Weighted average 

rate GBP 

  Closing rate GBP 

0.650364   

0.625882   

0.678578  

0.661401  

Foreign operations. The assets and liabilities of foreign operations, including goodwill and fair value 

adjustments arising on acquisitions are translated to U.S. dollars at exchange rates at the reporting date. The 

income and expenses of foreign operations are translated to U.S. dollars at exchange rates at the dates of 

transactions. Foreign currency differences arising on translation of foreign operations into U.S. dollars are 

recognised in other comprehensive income (loss). 

Current versus non-current classification. The Company presents assets and liabilities in the statement of 

financial position based on current/non-current classification. An asset is current when it is: 

•   Expected to be realised or intended to be sold or consumed in the normal operating cycle 

•   Held primarily for the purpose of trading 

•   Expected to be realised within twelve months after the reporting period, or 

•   A Cash or cash equivalent unless restricted from being exchanged or used to settle a liability for at 

least twelve months after the reporting period 

All other assets are classified as non-current. 

A liability is current when: 

It is expected to be settled in the normal operating cycle 

It is held primarily for the purpose of trading 

•  

•  

•  

It is due to be settled within twelve months after the reporting period, or 

•   There is no unconditional right to defer the settlement of the liability for at least twelve months 

after the reporting period 

The Company classifies all other liabilities as non-current. 

Deferred tax assets and liabilities are classified as non-current assets and liabilities. 

Financial Instruments 

A financial instrument is any contract that gives rise to a financial asset of one entity and a financial 
liability or equity instrument of another entity. Financial assets and financial liabilities are offset with the net 
amount reported in the consolidated statement of financial position only if there is a current enforceable legal 
right to offset the recognised amounts and intent to settle on a net basis, or to realise the assets and settle the 
liabilities simultaneously. 

(a)  Financial assets 

Initial recognition and measurement. Financial assets are classified, at initial recognition, as financial assets 
at fair value through profit or loss, loans and receivables, held-to-maturity investments, AFS financial assets, or 
as derivatives designated as hedging instruments in an effective hedge, as appropriate. The Company 
determines the classification of its financial assets at initial recognition. All financial assets are recognised 
initially at fair value plus, in the case of assets not at fair value through profit or loss, transaction costs that are 
attributable to the acquisition of the financial asset. Purchases or sales of financial assets that require delivery of 
assets within a time frame established by regulation or convention in the marketplace (regular way trades) are 
recognised on the trade date, i.e., the date on which the Company commits to purchase or sell the asset. 

Impairment of financial assets. The Company assesses, at each reporting date, whether there is any 
objective evidence that a financial asset or a group of financial assets is impaired. An impairment exists if one 
or more events that has occurred since the initial recognition of the asset (an incurred ‘loss event’), has an 
impact on the estimated future cash flows of the financial asset or the group of financial assets that can be 
reliably estimated. Evidence of impairment may include indications that the debtors or a group of debtors is 
experiencing significant financial difficulty, default or delinquency in interest or principal payments, the 
probability that they will enter bankruptcy or other financial reorganisation. Evidence of impairment may also 
include cases where observable data indicate that there is a measurable decrease in the estimated future cash 
flows, such as changes in arrears or economic conditions that correlate with defaults. 

The subsequent measurement and impairment of financial assets depends on their classification as 

described below: 

Financial assets at fair value through profit or loss.  Financial assets at fair value through profit or loss 
include financial assets held for trading and financial assets designated upon initial recognition at fair value 
through profit or loss. Financial assets are classified as held-for trading if they are acquired for the purpose of 
selling or repurchasing in the near term. This category includes derivative financial instruments entered into by 
the Company that are not designated as hedging instruments in hedge relationships as defined by IAS 39.  We 
use freestanding derivative forward contracts to offset exposure to the variability of the value associated with 
assets and liabilities denominated in a foreign currency. These derivatives are not designated as hedges, and 
therefore changes in the value of these forward contracts are recognised in income statement, thereby offsetting 
the current net income (loss) effect of the related change in value of foreign currency denominated assets and 
liabilities. The Company has not designated any financial assets as at fair value through profit or loss. 

101

 
 
 
 
 
 
 
 
 
Loans and receivables. Loans and receivables are non-derivative financial assets with fixed or determinable 

payments that are not quoted in an active market. After initial measurement, such financial assets are 
subsequently measured at amortised cost using the effective interest rate (EIR) method, less impairment. 
Amortised cost is calculated by taking into account any discount or premium on acquisition and fees or costs 
that are an integral part of the EIR. The EIR amortisation is included in finance income in the statement of profit 
or loss. The  receivable balance consists of trade receivables from direct customers and distributors and loans 
issued. We maintain an allowance for doubtful accounts for potential credit losses based on our estimates of the 
ability of customers to make required payments, historical credit experience, existing economic conditions and 
expected future trends. We write off uncollectible accounts against the allowance when all reasonable collection 
efforts have been exhausted. Loans, together with the associated allowance are written off when there is no 
realistic prospect of future recovery and all collateral has been realised or has been transferred to the Company. 
The losses arising from impairment are recognised in the statement of profit or loss in cost of sales or other 
operating expenses for receivables. Refer to “Note 14 Trade Receivables and Allowance for Bad Debt" for 
further information. 

Available-for-sale (AFS) financial investments. The Company has certain investments in equity and other 

securities of unquoted companies that are in varied stages of development. The investments in these companies 
are classified as available-for-sale and are valued based on non-market observable information.  The valuation 
requires management to make certain assumptions about the model inputs, including forecast cash flows, the 
discount rate, credit risk and volatility. The probabilities of the various estimates within the range can be 
reasonably assessed and are used in management’s estimate of fair value for these unquoted equity investments. 
After initial measurement, available-for-sale financial investments are subsequently measured at fair value with 
unrealised gains or losses recognised as other comprehensive income (loss)  in the available-for-sale reserve 
until the investment is derecognised, at which time, the cumulative gain or loss is recognised in other operating 
income, or the investment is determined to be impaired, at which time, the cumulative loss is reclassified to the 
statement of profit or loss and removed from the available-for-sale reserve. If it is not possible to determine the 
fair value in the absence of a market value or company plans from which the value in use can be determined 
using valuation techniques, they are carried at cost and written down for any impairment. These investments are 
included in non-current “Financial assets” on the consolidated balance sheet. 

For available-for-sale financial investments, the Company assesses at each reporting date whether there is 
objective evidence that an investment or a group of investments is impaired. In the case of equity investments 
classified as available-for-sale, objective evidence would include a significant or prolonged decline in the fair 
value of the investment below its cost. ‘Significant’ is evaluated against the original cost of the investment and 
‘prolonged’ against the period in which the fair value has been below its original cost. Where there is evidence 
of impairment, the cumulative loss - measured as the difference between the acquisition cost and the current fair 
value, less any impairment loss on that investment previously recognised in the statement of profit or loss is 
removed from other comprehensive income and recognised in the Consolidated Statements of Income (Loss). 
Impairment losses on equity investments are not reversed through profit or loss; increases in their fair value 
after impairments are recognised in other comprehensive income. The determination of what is ‘significant’ or 
‘prolonged’ requires judgement. In making this judgement, the Company evaluates, among other factors, the 
duration or extent to which the fair value of an investment is less than its cost. 

Derecognition. A financial asset (or, where applicable, a part of a financial asset or part of a group of 

similar financial assets) is derecognised when: 

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Loans and receivables. Loans and receivables are non-derivative financial assets with fixed or determinable 

•   The rights to receive cash flows from the asset have expired, or 

payments that are not quoted in an active market. After initial measurement, such financial assets are 

subsequently measured at amortised cost using the effective interest rate (EIR) method, less impairment. 

Amortised cost is calculated by taking into account any discount or premium on acquisition and fees or costs 

that are an integral part of the EIR. The EIR amortisation is included in finance income in the statement of profit 

or loss. The  receivable balance consists of trade receivables from direct customers and distributors and loans 

issued. We maintain an allowance for doubtful accounts for potential credit losses based on our estimates of the 

ability of customers to make required payments, historical credit experience, existing economic conditions and 

expected future trends. We write off uncollectible accounts against the allowance when all reasonable collection 

efforts have been exhausted. Loans, together with the associated allowance are written off when there is no 

realistic prospect of future recovery and all collateral has been realised or has been transferred to the Company. 

The losses arising from impairment are recognised in the statement of profit or loss in cost of sales or other 

operating expenses for receivables. Refer to “Note 14 Trade Receivables and Allowance for Bad Debt" for 

further information. 

Available-for-sale (AFS) financial investments. The Company has certain investments in equity and other 

securities of unquoted companies that are in varied stages of development. The investments in these companies 

are classified as available-for-sale and are valued based on non-market observable information.  The valuation 

requires management to make certain assumptions about the model inputs, including forecast cash flows, the 

discount rate, credit risk and volatility. The probabilities of the various estimates within the range can be 

reasonably assessed and are used in management’s estimate of fair value for these unquoted equity investments. 

After initial measurement, available-for-sale financial investments are subsequently measured at fair value with 

unrealised gains or losses recognised as other comprehensive income (loss)  in the available-for-sale reserve 

until the investment is derecognised, at which time, the cumulative gain or loss is recognised in other operating 

income, or the investment is determined to be impaired, at which time, the cumulative loss is reclassified to the 

statement of profit or loss and removed from the available-for-sale reserve. If it is not possible to determine the 

fair value in the absence of a market value or company plans from which the value in use can be determined 

using valuation techniques, they are carried at cost and written down for any impairment. These investments are 

included in non-current “Financial assets” on the consolidated balance sheet. 

For available-for-sale financial investments, the Company assesses at each reporting date whether there is 

objective evidence that an investment or a group of investments is impaired. In the case of equity investments 

classified as available-for-sale, objective evidence would include a significant or prolonged decline in the fair 

value of the investment below its cost. ‘Significant’ is evaluated against the original cost of the investment and 

‘prolonged’ against the period in which the fair value has been below its original cost. Where there is evidence 

of impairment, the cumulative loss - measured as the difference between the acquisition cost and the current fair 

value, less any impairment loss on that investment previously recognised in the statement of profit or loss is 

removed from other comprehensive income and recognised in the Consolidated Statements of Income (Loss). 

Impairment losses on equity investments are not reversed through profit or loss; increases in their fair value 

after impairments are recognised in other comprehensive income. The determination of what is ‘significant’ or 

‘prolonged’ requires judgement. In making this judgement, the Company evaluates, among other factors, the 

duration or extent to which the fair value of an investment is less than its cost. 

Derecognition. A financial asset (or, where applicable, a part of a financial asset or part of a group of 

similar financial assets) is derecognised when: 

•   The Company has transferred its rights to receive cash flows from the asset or has assumed an 
obligation to pay the received cash flows in full without material delay to a third party under a 
‘pass-through arrangement, and either (a) the Company has transferred substantially all the risks 
and rewards of the asset, or (b) the Company has neither transferred nor retained substantially all 
the risks and rewards of the asset, but has transferred control of the asset. 

When the Company has transferred its rights to receive cash flows from an asset or has entered into a pass-

through arrangement, it evaluates if and, to what extent, it has retained the risks and rewards of ownership. 
When it has neither transferred nor retained substantially all of the risks and rewards of the asset nor transferred 
control of it, the asset is recognised to the extent of its continuing involvement in it. In that case, the Company 
also recognises an associated liability. The transferred asset and the associated liability are measured on a basis 
that reflects the rights and obligations that the Company has retained. 

Continuing involvement that takes the form of a guarantee over the transferred asset is measured at the 
lower of the original carrying amount of the asset and the maximum amount of consideration that the Company 
could be required to repay. 

The Company enters into sale of trade receivables through factoring transactions. The trade receivables that 

are sold without recourse are derecognised only if such sale transfers substantially all risks and rewards 
associated with owning the receivables, as required by IAS 39. In other cases of non-recourse sales or with-
recourse sales, the receivables continue to be recognised within current assets in the consolidated balance sheet, 
and the advances received for such receivables are recorded as a financial liability. Refer to "Note 14. Trade 
Receivables and Allowance for Bad Debt" for a detailed description. 

(b)  Financial liabilities 

Initial recognition and measurement. Financial liabilities are classified, at initial recognition, as financial 

liabilities at fair value through profit or loss, loans and borrowings (bank debt), payables, or as derivatives 
designated as hedging instruments in an effective hedge, as appropriate. All financial liabilities are recognised 
initially at fair value and, in the case of loans, borrowings and payables, net of directly attributable transaction 
costs. The Company’s financial liabilities include trade and other payables, loans and bank debt including bank 
overdrafts, and derivative financial instruments. 

The measurement of financial liabilities depends on their classification, as follows: 

Financial liabilities at fair value through profit or loss. Financial liabilities at fair value through profit or 
loss include financial liabilities held-for-trading and financial liabilities designated upon initial recognition as at 
fair value through profit or loss. Financial liabilities are classified as held-for-trading if they are acquired for the 
purpose of selling in the near term. This category includes derivative financial instruments entered into by the 
Company that are not designated as hedging instruments in hedge relationships as defined by IAS 39.  Gains or 
losses on liabilities held-for-trading are recognised in the Consolidated Statements of Income (Loss). Financial 
liabilities designated upon initial recognition at fair value through profit or loss are designated at the initial date 
of recognition, and only if the criteria in IAS 39 are satisfied. The Company has not designated any financial 
liabilities as at fair value through profit or loss. 

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Loans and borrowings (bank debt). After initial recognition, interest bearing loans and borrowings are 

subsequently measured at amortised cost using the effective interest rate method. Gains and losses are 
recognised in the statement of income (loss) when the liabilities are derecognised, as well as through the 
effective interest rate method (EIR) amortisation process. Amortised cost is calculated by taking into account 
any discount or premium on acquisition and fees or costs that are an integral part of the EIR. The EIR 
amortisation is included in finance costs in the Consolidated Statements of Income (Loss). 

Financial guarantee contracts. Financial guarantee contracts issued by the Company are those contracts 
that require a payment to be made to reimburse the holder for a loss it incurs, because the specified debtor fails 
to make a payment when due, in accordance with the terms of a debt instrument. Financial guarantee contracts 
are recognised initially as a liability at fair value, and then adjusted for transaction costs that are directly 
attributable to the issuance of the guarantee. Subsequently, the liability is measured at the higher of the best 
estimate of the expenditure required to settle the present obligation at the reporting date and the amount 
recognised less cumulative amortisation. 

Derecognition. A financial liability is derecognised when the obligation under the liability is discharged, 

canceled or expires. When an existing financial liability is replaced by another from the same lender on 
substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or 
modification is treated as a derecognition of the original liability and the recognition of a new liability. The 
difference in the respective carrying amounts is recognised in the statement of income (loss). 

Derivative financial instruments and hedge accounting. We use currency exchange rate derivative contracts 
and interest rate derivative instruments to manage the impact of currency exchange and interest rate changes on 
the statement of income (loss) and the statement of cash flows. Derivatives are initially recognised at fair value 
on the date a derivative contract is entered into and are subsequently re-measured at fair value. The method of 
recognising the resulting gain or loss depends on whether the derivative is designated as a hedging instrument, 
and if so, the nature of the item being hedged.  We evaluate hedge effectiveness at inception and on an ongoing 
basis. If a derivative is no longer expected to be highly effective, hedge accounting is discontinued. Hedge 
ineffectiveness, if any, is recorded in the statement of income (loss). Cash flows from derivative contracts are 
reported as operating activities in the consolidated statements of cash flows. 

When a hedging instrument expires, is sold or is terminated, or when a hedge no longer meets the criteria 

for hedge accounting, any cumulative gain or loss existing in equity at that time remains in equity and is 
recognised when the forecast transaction is ultimately recognised in the Consolidated Statements of Income 
(Loss). When a forecast transaction is no longer expected to occur, the cumulative gain or loss that was reported 
in equity is immediately reclassified to profit or loss. 

104

 
 
Loans and borrowings (bank debt). After initial recognition, interest bearing loans and borrowings are 

subsequently measured at amortised cost using the effective interest rate method. Gains and losses are 

recognised in the statement of income (loss) when the liabilities are derecognised, as well as through the 

effective interest rate method (EIR) amortisation process. Amortised cost is calculated by taking into account 

any discount or premium on acquisition and fees or costs that are an integral part of the EIR. The EIR 

amortisation is included in finance costs in the Consolidated Statements of Income (Loss). 

Financial guarantee contracts. Financial guarantee contracts issued by the Company are those contracts 

that require a payment to be made to reimburse the holder for a loss it incurs, because the specified debtor fails 

to make a payment when due, in accordance with the terms of a debt instrument. Financial guarantee contracts 

are recognised initially as a liability at fair value, and then adjusted for transaction costs that are directly 

attributable to the issuance of the guarantee. Subsequently, the liability is measured at the higher of the best 

estimate of the expenditure required to settle the present obligation at the reporting date and the amount 

recognised less cumulative amortisation. 

Derecognition. A financial liability is derecognised when the obligation under the liability is discharged, 

canceled or expires. When an existing financial liability is replaced by another from the same lender on 

substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or 

modification is treated as a derecognition of the original liability and the recognition of a new liability. The 

difference in the respective carrying amounts is recognised in the statement of income (loss). 

Derivative financial instruments and hedge accounting. We use currency exchange rate derivative contracts 

and interest rate derivative instruments to manage the impact of currency exchange and interest rate changes on 

the statement of income (loss) and the statement of cash flows. Derivatives are initially recognised at fair value 

on the date a derivative contract is entered into and are subsequently re-measured at fair value. The method of 

recognising the resulting gain or loss depends on whether the derivative is designated as a hedging instrument, 

and if so, the nature of the item being hedged.  We evaluate hedge effectiveness at inception and on an ongoing 

basis. If a derivative is no longer expected to be highly effective, hedge accounting is discontinued. Hedge 

ineffectiveness, if any, is recorded in the statement of income (loss). Cash flows from derivative contracts are 

reported as operating activities in the consolidated statements of cash flows. 

When a hedging instrument expires, is sold or is terminated, or when a hedge no longer meets the criteria 

for hedge accounting, any cumulative gain or loss existing in equity at that time remains in equity and is 

recognised when the forecast transaction is ultimately recognised in the Consolidated Statements of Income 

(Loss). When a forecast transaction is no longer expected to occur, the cumulative gain or loss that was reported 

in equity is immediately reclassified to profit or loss. 

In order to minimize income statement and cash flow volatility resulting from currency exchange rate 
changes, we enter into derivative instruments, principally forward currency exchange rate contracts. These 
contracts are designed to hedge anticipated foreign currency transactions and changes in the value of specific 
assets and liabilities and of some revenue. At inception of the forward contract, the derivative is designated as 
either a freestanding derivative or a cash flow hedge. For derivative instruments that are designated and qualify 
as a cash flow hedge, the effective portion of the gain or loss on the derivative instrument is reported as a 
component of accumulated other comprehensive income (loss) and reclassed into the Consolidated Statements 
of Income (Loss) to offset exchange differences originated by the hedged item or to adjust the value of 
operating income (expense). We do not enter into currency exchange rate derivative contracts for speculative 
purposes. 

We use interest rate derivative instruments designated as cash flow hedges to manage the exposure to 
interest rate movements and to reduce the risk of the increase of borrowing costs, by converting floating-rate 
debt into fixed-rate debt. Under these agreements, we agree to exchange, at specified intervals, the difference 
between fixed and floating interest amounts, calculated by reference to agreed-upon notional principal amounts. 
The interest rate swaps are structured to mirror the payment terms of the underlying loan. The fair value of the 
interest rate swaps is reported in the consolidated balance sheets financial assets or liabilities (current or non-
current) depending upon the gain or loss position of the contract and the maturity of the future cash flows of the 
fair value of each contract. The effective portion of the gain or loss on these derivatives is reported as a 
component of accumulated other comprehensive income (loss). The non-effective portion is reported in interest 
expense in the consolidated statements of income loss. 

Cash and Cash Equivalents. Cash and cash equivalents include all cash balances and highly liquid 

investments with an original maturity of three months or less, consisting of demand deposit accounts and money 
market mutual funds, and are carried on the consolidated balance sheets at cost, which approximate their fair 
value. We carried $41.1 million, $28.3 million and $30.2 million in money market mutual funds at 31 December 
2015, 24 April 2015 and 26 April 2014, respectively. 

Borrowing costs. General and specific borrowing costs that are directly attributable to the acquisition, 
construction or production of a qualifying asset are capitalised during the period of time that is required to 
complete and prepare the asset for its intended use or sale. Qualifying assets are assets that necessarily take a 
substantial period of time to get ready for their intended use or sale. Investment income earned on the temporary 
investment of specific borrowings pending their expenditure on qualifying assets, is deducted from the 
borrowing costs eligible for capitalisation. Other borrowing costs are expensed in the period in which they are 
incurred. 

Non-monetary assets 

Property, Plant and Equipment (“PP&E”). PP&E is carried at cost, less accumulated depreciation and any 

accumulated impairment losses. Maintenance and repairs, and minor replacements are charged to expense as 
incurred, while significant renewals and improvements are capitalized. We compute depreciation using the 
straight-line method over estimated useful lives. Where an item of PP&E comprises several parts with different 
useful lives, each part is recognised as a separate item and depreciated over its useful life. Useful life and 
residual value of PP&E are reviewed at each period-end. As necessary, the occurrence of changes to the useful 
life or residual value is recognised prospectively as a change in accounting estimates. 

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Leasehold improvements are depreciated over the shorter of the useful life of an asset or the lease term. 
Capital improvements to the building are added as building components and depreciated over the useful life of 
the improvement or the building, whichever is less. 

The estimated useful lives for all classes of depreciable PP&E except for land and capital investment in 

process as of 31 December 2015 are as follow: 

Building and building improvements 
Equipment, furniture, fixtures 
Other 

Lives in years 
up to 45 
up to 16 
up to 10 

Where there are any internal or external indications that the value of an item of PP&E may be impaired, the 

recoverable amount of the group of cash generating units (CGUs) to which it belongs is calculated. If the 
recoverable amount is less than the carrying amount of the group of CGUs, a provision for impairment is 
recorded. PP&E is reviewed for impairment annually on 1st of October. 

Intangible Assets. Intangible assets shown on the consolidated balance sheet are finite-lived assets. 
Developed technology rights consist primarily of existing technology and technical capabilities acquired from 
Sorin in the Mergers, that were recorded at their respective fair values as of the acquisition date. These include 
patents, related know-how and licensed patent rights, that represent assets expected to generate future economic 
benefits. Trademarks and trade names include Sorin trade names acquired as part of the Mergers. Customer 
relationships consist of relationships with hospitals and cardiac surgeons in the countries where we operate. 
Other intangible assets consist of favorable leases acquired from Sorin in the Mergers. We amortize our 
intangible assets over their useful lives using the straight-line method. 

Amortization expense for developed technology is recorded in cost of sales and research and development 
costs over the period the product is expected to be marketed. Amortization expense for trade names, customer 
relationships and other is recorded in Selling, general and administrative expense on the Consolidated 
Statements of Income (Loss). Amortization expense for software is recorded in Cost of sales, Research and 
development and Selling, general and administrative expense on the Consolidated Statements of Income (Loss). 
We evaluate our intangible assets each reporting period to determine whether events and circumstances indicate 
either a different useful life or impairment. If we change our estimate of the useful life of an asset, we amortize 
the carrying amount over the revised remaining useful life. 

The Company does not have internally generated intangible assets. 

Impairment of Intangible Assets and Goodwill.  The Company assesses at each reporting date whether there 
is an indication that an asset may be impaired. If any indication exists, or when annual impairment testing for an 
asset is required, the Company estimates the asset’s recoverable amount. An asset’s recoverable amount is the 
higher of an asset’s CGU’s fair value less costs of disposal and its value in use. It is determined for an individual 
asset, unless the asset does not generate cash inflows that are largely independent of those from other assets or 
groups of assets. Where the carrying amount of an asset or CGU exceeds its recoverable amount, the asset is 
considered impaired and is written down to its recoverable amount. 

106

 
 
 
Leasehold improvements are depreciated over the shorter of the useful life of an asset or the lease term. 

Usually, the Company applies the fair value less costs of disposal method for its impairment assessment. In 

Capital improvements to the building are added as building components and depreciated over the useful life of 

the improvement or the building, whichever is less. 

The estimated useful lives for all classes of depreciable PP&E except for land and capital investment in 

process as of 31 December 2015 are as follow: 

Building and building improvements 

Equipment, furniture, fixtures 

Other 

Lives in years 

up to 45 

up to 16 

up to 10 

Where there are any internal or external indications that the value of an item of PP&E may be impaired, the 

recoverable amount of the group of cash generating units (CGUs) to which it belongs is calculated. If the 

recoverable amount is less than the carrying amount of the group of CGUs, a provision for impairment is 

recorded. PP&E is reviewed for impairment annually on 1st of October. 

Intangible Assets. Intangible assets shown on the consolidated balance sheet are finite-lived assets. 

Developed technology rights consist primarily of existing technology and technical capabilities acquired from 

Sorin in the Mergers, that were recorded at their respective fair values as of the acquisition date. These include 

patents, related know-how and licensed patent rights, that represent assets expected to generate future economic 

benefits. Trademarks and trade names include Sorin trade names acquired as part of the Mergers. Customer 

relationships consist of relationships with hospitals and cardiac surgeons in the countries where we operate. 

Other intangible assets consist of favorable leases acquired from Sorin in the Mergers. We amortize our 

intangible assets over their useful lives using the straight-line method. 

Amortization expense for developed technology is recorded in cost of sales and research and development 

costs over the period the product is expected to be marketed. Amortization expense for trade names, customer 

relationships and other is recorded in Selling, general and administrative expense on the Consolidated 

Statements of Income (Loss). Amortization expense for software is recorded in Cost of sales, Research and 

development and Selling, general and administrative expense on the Consolidated Statements of Income (Loss). 

We evaluate our intangible assets each reporting period to determine whether events and circumstances indicate 

either a different useful life or impairment. If we change our estimate of the useful life of an asset, we amortize 

the carrying amount over the revised remaining useful life. 

The Company does not have internally generated intangible assets. 

Impairment of Intangible Assets and Goodwill.  The Company assesses at each reporting date whether there 

is an indication that an asset may be impaired. If any indication exists, or when annual impairment testing for an 

asset is required, the Company estimates the asset’s recoverable amount. An asset’s recoverable amount is the 

higher of an asset’s CGU’s fair value less costs of disposal and its value in use. It is determined for an individual 

asset, unless the asset does not generate cash inflows that are largely independent of those from other assets or 

groups of assets. Where the carrying amount of an asset or CGU exceeds its recoverable amount, the asset is 

considered impaired and is written down to its recoverable amount. 

most cases no directly observable market inputs are available to measure the fair value less costs of disposal. 
Therefore, an estimate is derived indirectly and is based on net present value techniques, utilizing post-tax cash 
flows and discount rates. Fair value less costs of disposal reflects estimates of assumptions that market 
participants would be expected to use when pricing the asset or CGU, and for this purpose management 
considers the range of economic conditions that are expected to exist over the remaining useful life of the asset. 
The estimates used in calculating the net present values are highly sensitive and depend on assumptions specific 
to the nature of the Company’s activities with regard to: 

•  

amount and timing of projected future cash flows; 

•   outcome of R&D activities (compound efficacy, results of clinical trials, etc.); 

•  

amount and timing of projected costs to develop R&D into commercially viable products;  

•   probability of obtaining regulatory approval; 

•  

•  

•  

long-term sales forecasts; 

timing of the entry of generic competition; 

selected tax rate; 

•   behavior of competitors (launch of competing products, marketing initiatives, etc.); and 

•  

selected discount rate. 

Generally, for intangible assets with a definite useful life, the Company uses cash flow projections for the 

whole useful life of these assets with a terminal value based on cash flow projections usually in line with or 
lower than inflation rates for later periods. Probability-weighted scenarios are typically used. 

Discount rates used are based on the Company’s estimated weighted average cost of capital adjusted for 

specific country and currency risks associated with cash flow projections as an approximation of the weighted 
average cost of capital of a comparable market participant. Due to the above factors, actual cash flows and 
values could vary significantly from forecasted future cash flows and related values derived using discounting 
techniques. 

Goodwill is tested for impairment annually as at 1 October and when circumstances indicate that the 
carrying value may be impaired. Impairment is determined for goodwill by assessing the recoverable amount of 
each CGU (or group of CGUs) to which the goodwill relates. Where the recoverable amount of the cash-
generating unit is less than their carrying amount, an impairment loss is recognised. Impairment losses relating 
to goodwill cannot be reversed in future periods. 

Research and Development (“R&D”). 

Research costs are recognised as an expense for the period in which they are incurred. Development costs 

are recognised as an intangible asset if the following can be demonstrated: 

•  

•  

the technical feasibility of completing the intangible asset so that it will be available for use or sale; 

the Company’s intention to complete the intangible asset and use or sell it; 

107

 
 
 
 
 
 
•  

the Company's ability to use or sell the intangible asset; 

•   how the intangible asset will generate probable future economic benefits; 

•  

•  

the availability of technical, financial and other resources to complete the intangible asset; and 

the reliable measurement of development expenditures. 

Due to the risks and uncertainties concerning whether the products will be commercially successful, the 

above criteria are considered as not being fulfilled for LivaNova development projects. Consequently, 
development costs are recognised as an expense. In case of projects where the confidence of management to 
respect all the conditions required by the development capitalisation criteria is high, costs will be capitalized as 
required by the standard. 

R&D includes costs of basic research activities as well as engineering and technical effort required to 
develop a new product or make significant improvement to an existing product or manufacturing process. R&D 
costs also include regulatory and clinical study expenses, including post-market clinical studies. Amortization of 
intangible assets not associated with a marketable product is recorded in R&D. 

Inventories.  We state our inventories at the lower of cost and net realizable value. Cost is determined using 
the first-in first-out (“FIFO”) method. Our calculation of cost includes the acquisition cost of raw materials and 
components, direct labor and overhead. We reduce the carrying value of inventories for those items that are 
potentially excess, obsolete or slow moving based on changes in customer demand, technology developments or 
other economic factors. 

Revenue Recognition 

Product Revenue. We sell our products through a direct sales force and independent distributors. We 
recognise revenue when significant risks and benefits associated with the products’ ownership are transferred, 
and the amount of revenues can be reliably determined. We estimate expected sales returns based on historical 
data and record a reduction of sales with a return reserve. We record state and local sales taxes net, that is, we 
exclude sales tax from revenue. 

Service Revenue. Services largely consist of technical assistance services provided to hospitals for the 
installation maintenance and support in the operation of heart lung machines, and autotransfusion systems. 
Service related revenue is recognised on the basis of progress of the services, when services are rendered, when 
collectability is probable and when the revenue amount can be reliably measured. 

License Revenue. We record upfront payments received under license agreements as deferred revenue on 

the consolidated balance sheet and recognise license revenue over the period of the license agreement. 

U.S. Medical Device Excise Tax (“MDET”). Section 4191 of the Internal Revenue Code enacted by the 

Health Care and Education Reconciliation Act of 2010, in conjunction with the Patient Protection and 
Affordable Care Act, established a 2.3% excise tax on medical devices sold domestically beginning on 1 
January 2013 and is suspended from 1 January 2016 through 31 December 2017. We include the cost of MDET 
in cost of sales on the Consolidated Statements of Income (Loss). 

108

 
 
•  

the Company's ability to use or sell the intangible asset; 

•   how the intangible asset will generate probable future economic benefits; 

the availability of technical, financial and other resources to complete the intangible asset; and 

•  

•  

the reliable measurement of development expenditures. 

Due to the risks and uncertainties concerning whether the products will be commercially successful, the 

above criteria are considered as not being fulfilled for LivaNova development projects. Consequently, 

development costs are recognised as an expense. In case of projects where the confidence of management to 

respect all the conditions required by the development capitalisation criteria is high, costs will be capitalized as 

required by the standard. 

R&D includes costs of basic research activities as well as engineering and technical effort required to 

develop a new product or make significant improvement to an existing product or manufacturing process. R&D 

costs also include regulatory and clinical study expenses, including post-market clinical studies. Amortization of 

intangible assets not associated with a marketable product is recorded in R&D. 

Inventories.  We state our inventories at the lower of cost and net realizable value. Cost is determined using 

the first-in first-out (“FIFO”) method. Our calculation of cost includes the acquisition cost of raw materials and 

components, direct labor and overhead. We reduce the carrying value of inventories for those items that are 

potentially excess, obsolete or slow moving based on changes in customer demand, technology developments or 

other economic factors. 

Revenue Recognition 

Product Revenue. We sell our products through a direct sales force and independent distributors. We 

recognise revenue when significant risks and benefits associated with the products’ ownership are transferred, 

and the amount of revenues can be reliably determined. We estimate expected sales returns based on historical 

data and record a reduction of sales with a return reserve. We record state and local sales taxes net, that is, we 

exclude sales tax from revenue. 

Service Revenue. Services largely consist of technical assistance services provided to hospitals for the 

installation maintenance and support in the operation of heart lung machines, and autotransfusion systems. 

Service related revenue is recognised on the basis of progress of the services, when services are rendered, when 

collectability is probable and when the revenue amount can be reliably measured. 

License Revenue. We record upfront payments received under license agreements as deferred revenue on 

the consolidated balance sheet and recognise license revenue over the period of the license agreement. 

U.S. Medical Device Excise Tax (“MDET”). Section 4191 of the Internal Revenue Code enacted by the 

Health Care and Education Reconciliation Act of 2010, in conjunction with the Patient Protection and 

Affordable Care Act, established a 2.3% excise tax on medical devices sold domestically beginning on 1 

January 2013 and is suspended from 1 January 2016 through 31 December 2017. We include the cost of MDET 

in cost of sales on the Consolidated Statements of Income (Loss). 

Italian Medical Device Payback. The Italian Parliament introduced new rules for entities that supply goods 

and services to the Italian National Healthcare System. The new healthcare law is expected to impact the 
business and financial reporting of companies operating in the medical technology sector that sell medical 
devices in Italy. A key provision of the law is a ‘payback’ measure, requiring companies selling medical devices 
in Italy to make payments to the Italian state if medical device expenditures exceed regional maximum ceilings. 
Companies are required to make payments equal to a percentage of expenditures exceeding maximum regional 
caps. There is considerable uncertainty about how the law will operate and what the exact timeline is for 
finalization. Our current assessment of the Italian Medical Device Payback involves significant judgement 
regarding the expected scope and actual implementation terms of the measure as the latter have not been 
clarified to date by Italian authorities. We account for the estimated cost of the Italian Medical Device Payback 
as a deduction from revenue. 

Defined Benefit Pension Plans and Other Post-Employment Benefits. The Company sponsors various 
retirement benefit plans, including defined benefit pension plans (pension benefits), defined contribution 
savings plans and termination indemnity plans, covering substantially all U.S. employees and employees 
outside the United States.  The cost of providing benefits under the defined benefit plans is determined 
separately for each plan using the projected unit credit method. 

Re-measurements, comprising of actuarial gains and losses, the effect of the asset ceiling (excluding 
amounts included in net interest on the net defined benefit liability) and the return on plan assets (excluding 
amounts included in net interest on the net defined benefit liability), are recognised immediately in the 
consolidated balance sheet with a corresponding debit or credit to retained earnings through OCI in the period 
in which they occur. Re-measurements are not reclassified to profit or loss in subsequent periods. 

Past service costs are recognised in profit or loss on the earlier of: 

•   The date of the plan amendment or curtailment,  and 

•   The date on which the Company recognises related restructuring costs 

Net interest is calculated by applying the discount rate to the net defined benefit liability or asset. The 
Company recognises the following changes in the net defined benefit obligation under ‘Cost of sales’ and 
‘Selling, general and administrative’ expenses in the Consolidated Statements of Income (Loss) (by function): 

•   Service costs comprising current service costs, past-service costs, gains and losses on curtailments and 

nonroutine settlements 

•   Net interest expense or income 

Provision for severance indemnity (TFR) is mandatory for Italian companies and is considered: 

•  

•  

a defined benefit plan with respect to amounts vested up to 31 December 2006 and amounts vesting 
from 1 January 2007 for employees who have chosen to maintain the TFR at the company, for 
companies with 50 or fewer employees; 

a defined contribution plan with respect to amounts vesting as from 1 January 2007 for employees who 
have opted for supplementary pensions or who have chosen to maintain the TFR at the company, for 
companies with more than 50 employees. 

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As a defined benefit plan, the TFR is measured using the unit credit projection method based on actuarial 
assumptions (demographic assumptions: mortality, turnover, disability of the population included in the above 
plan; financial assumptions: discount rate, benefit growth rate, capitalization rate). The increase in the present 
value of the TFR is included in personnel expense, with the exception of the revaluation of the net liability, 
which is recorded among items of other comprehensive income. The cost of TFR accrued through 31 December 
2006 no longer includes the component related to future salary increases. Payments of TFR, as a defined 
contribution plan, are also included in personnel expense, and until they are settled financially, they have a 
balancing entry in the statement of financial position in the form of current payables. 

Share-Based Compensation 

We grant share-based incentive awards to directors, officers, key employees and consultants during each 

fiscal year. We measure the cost of employee services received in exchange for an award of equity instruments 
based on the grant date fair market value of the award. The cost of equity-settled transactions is recognised in 
employee benefits expense, together with a corresponding increase in equity (in “Additional paid-in-capital” 
prior to the Mergers and after the Mergers expense in "Retained earnings") over the period in which the service 
and the performance conditions are fulfilled (the vesting period). The cumulative expense recognised for equity-
settled transactions at each reporting date until the vesting date reflects the extent to which the vesting period 
has expired and the Company’s best estimate of the number of equity instruments that will ultimately vest. We 
issue new shares upon share option exercise, share appreciation right (“SAR”) exercise, the award of restricted 
share and at our election, on vesting of a restricted share unit. The social security contributions on employee 
share-based payment awards is accrued over the service period. 

The following share-based incentive awards are offered by the Company: 

•   Share Appreciation Rights. A share appreciation right (“SAR”) confers upon an employee the 
contractual right to receive an amount of cash, share, or a combination of both that equals the 
appreciation in the Company’s common share from an award’s grant date to the exercise date. SARs 
may be exercised at the employee’s discretion during the exercise period and do not give the employee 
an ownership right in the underlying share. The SARs may be settled in LivaNova shares and/or cash, 
as determined by LivaNova and as set forth in the individual award agreements. SARs do not involve 
payment of an exercise price. We use the Black-Scholes option pricing methodology to calculate the 
grant date fair market value of SARs. We determine the expected volatility on historical volatility. 

•   Share Options. Options granted under the Share Plans are service-based and typically vest annually 

over four years, or cliff-vest in one year, following their date of grant, as required under the applicable 
agreement establishing the award, and have maximum terms of 10 years. Share option grant prices are 
set equal to the closing price of our ordinary shares on the day of the grant. When the share options are 
exercised, LivaNova issues new shares. There are no post-vesting restrictions on the shares issued. We 
use the Black-Scholes option pricing methodology to calculate the grant date fair market value of share 
option awards. We determine expected volatility based on the historic volatility of our share price over 
a period equal to the expected term of the option. 

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As a defined benefit plan, the TFR is measured using the unit credit projection method based on actuarial 

assumptions (demographic assumptions: mortality, turnover, disability of the population included in the above 

plan; financial assumptions: discount rate, benefit growth rate, capitalization rate). The increase in the present 

value of the TFR is included in personnel expense, with the exception of the revaluation of the net liability, 

which is recorded among items of other comprehensive income. The cost of TFR accrued through 31 December 

2006 no longer includes the component related to future salary increases. Payments of TFR, as a defined 

contribution plan, are also included in personnel expense, and until they are settled financially, they have a 

balancing entry in the statement of financial position in the form of current payables. 

Share-Based Compensation 

We grant share-based incentive awards to directors, officers, key employees and consultants during each 

fiscal year. We measure the cost of employee services received in exchange for an award of equity instruments 

based on the grant date fair market value of the award. The cost of equity-settled transactions is recognised in 

employee benefits expense, together with a corresponding increase in equity (in “Additional paid-in-capital” 

and the performance conditions are fulfilled (the vesting period). The cumulative expense recognised for equity-

settled transactions at each reporting date until the vesting date reflects the extent to which the vesting period 

has expired and the Company’s best estimate of the number of equity instruments that will ultimately vest. We 

issue new shares upon share option exercise, share appreciation right (“SAR”) exercise, the award of restricted 

share and at our election, on vesting of a restricted share unit. The social security contributions on employee 

share-based payment awards is accrued over the service period. 

The following share-based incentive awards are offered by the Company: 

•   Share Appreciation Rights. A share appreciation right (“SAR”) confers upon an employee the 

contractual right to receive an amount of cash, share, or a combination of both that equals the 

appreciation in the Company’s common share from an award’s grant date to the exercise date. SARs 

may be exercised at the employee’s discretion during the exercise period and do not give the employee 

an ownership right in the underlying share. The SARs may be settled in LivaNova shares and/or cash, 

as determined by LivaNova and as set forth in the individual award agreements. SARs do not involve 

•   Restricted Share and Restricted Share Units. We grant restricted share and restricted share units at no 
purchase cost to the grantee, which typically vest over four years or cliff-vest in one or three years. 
Unvested restricted share entitles the grantees to dividends, if any, and voting rights for their respective 
shares. Sale or transfer of the share and share units are restricted until they are vested.  We issue new 
shares for our restricted share and restricted share unit awards. We have the right to elect to pay the 
cash value of vested restricted share units in lieu of the issuance of new shares. Under our share-based 
compensation plans we repurchase a portion of these shares from our employees to permit our 
employees to meet their minimum statutory tax withholding requirements on vesting of their restricted 
share. 

•   Service-Based Restricted Share and Restricted Share Units. The fair market value of service-based 
restricted share and restricted share units are determined using the market closing price on the grant 
date, and compensation is expensed ratably over the vesting period. Calculation of compensation for 
restricted share awards requires estimation of employee turnover and forfeiture rates. 

prior to the Mergers and after the Mergers expense in "Retained earnings") over the period in which the service 

•   Market and Performance-Based Restricted Share and Performance-Based Restricted Share 

Units. We may grant restricted share and restricted share units subject to market or performance 
conditions that vest based on the satisfaction of the conditions of the award. The fair market values of 
market condition-based awards are determined using the Monte Carlo simulation method. The Monte 
Carlo simulation method is subject to variability as several factors utilized must be estimated, 
including the derived service period, which is estimated based on our judgement of likely future 
performance and our share price volatility. The fair value of performance-based awards is determined 
using the market closing price on the grant date. Derived service periods and the periods charged with 
compensation expense for performance-based awards are estimated based on our judgement of likely 
future performance and may be adjusted in future periods depending on actual performance. 

Income Taxes. The tax expense for the period comprises current and deferred tax. Current and deferred tax 

is recognised in profit or loss, except to the extent that it relates to items recognised in other comprehensive 
income or directly in equity. In this case, the tax is also recognised in other comprehensive income or directly in 
equity, respectively. 

payment of an exercise price. We use the Black-Scholes option pricing methodology to calculate the 

The income tax expense or credit for the period is the tax payable on the current period’s taxable income 

grant date fair market value of SARs. We determine the expected volatility on historical volatility. 

•   Share Options. Options granted under the Share Plans are service-based and typically vest annually 

based on the applicable income tax rate for each jurisdiction, adjusted by changes in deferred tax assets and 
liabilities attributable to temporary differences and to unused tax losses. 

over four years, or cliff-vest in one year, following their date of grant, as required under the applicable 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at 

agreement establishing the award, and have maximum terms of 10 years. Share option grant prices are 

set equal to the closing price of our ordinary shares on the day of the grant. When the share options are 

exercised, LivaNova issues new shares. There are no post-vesting restrictions on the shares issued. We 

use the Black-Scholes option pricing methodology to calculate the grant date fair market value of share 

option awards. We determine expected volatility based on the historic volatility of our share price over 

a period equal to the expected term of the option. 

the end of the reporting period in the countries where the company’s subsidiaries and associates operate and 
generate taxable income. The Company is subject to taxation on earnings in several countries under various tax 
regulations. Calculation of taxes on a global scale requires the use of estimates and assumptions developed 
based on the information available at the balance sheet date. Management establishes provisions where 
appropriate on the basis of amounts expected to be paid to the tax authorities. 

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Deferred taxes are recognised by the liability method for temporary differences between the carrying 
amount of assets and liabilities in the consolidated balance sheet and their tax base. They are measured at the 
tax rates that are expected to apply to the period when the asset is realized or the liability is settled, based on tax 
rates (and tax laws) that have been enacted or substantively enacted at the balance sheet date. Adjustments to 
deferred taxes resulting from changes in tax rates are recognised in profit or loss. However, when the deferred 
tax relates to items recognised in equity, the adjustment is also recognised in equity. A deferred tax asset is 
recognised for all deductible temporary differences to the extent that it is probable that taxable profit will be 
available against which the deductible temporary difference can be utilized. At each period-end, the Company 
reviews the recoverable value of deferred tax assets of tax entities holding significant loss carryforwards. This 
value is based, by tax entity, on the strategy for recoverability of the tax loss carryforwards. Deferred taxes are 
charged or credited directly to equity when the tax relates to items that are recognised directly in equity, such as 
gains and losses on cash flow hedges and actuarial gains and losses on defined benefit plan obligations. 
Deferred tax assets and liabilities are set off when they are levied on the same taxable entity (legal entity or tax 
group) by the same taxation authority and the entity has a legally enforceable right of set off. Deferred taxes are 
recognised for all temporary differences associated with investments in subsidiaries and associates, except to the 
extent that the Company is able to control the timing of the reversal of the temporary difference and it is 
probable that the temporary difference will not reverse in the foreseeable future. Deferred tax balances are not 
discounted. 

Leases. We account for leases that transfer substantially all risks and rewards incident to the ownership of 
property as an acquisition of an asset and the incurrence of an obligation, and we account for all other leases as 
operating leases. Certain of our leases provide for tenant improvement allowances that have been recorded as 
deferred rent and amortized, using the straight-line method, over the life of the lease as a reduction to rent 
expense. In addition, scheduled rent increases and rent holidays are recognised on a straight-line basis over the 
term of the lease. 

Equity. Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new 

shares or options are shown in equity as a deduction, net of tax, from the proceeds. 

Where any group company purchases the Company’s equity instruments, for example as the result of a 

share buy-back or a share-based payment plan, the consideration paid, including any directly attributable 
incremental costs (net of income taxes) is deducted from equity attributable to the owners of LivaNova as 
treasury share until the shares are cancelled or reissued. Where such ordinary shares are subsequently reissued, 
any consideration received, net of any directly attributable incremental transaction costs and the related income 
tax effects, is included in equity attributable to the owners of LivaNova. 

Provisions and warranties. Provisions for legal claims, service warranties and make good obligations are 

recognised when the Company has a present legal or constructive obligation as a result of past events, it is 
probable that an outflow of resources will be required to settle the obligation and the amount can be reliably 
estimated. Provisions are not recognised for future operating losses. Where there are a number of similar 
obligations, the likelihood that an outflow will be required in settlement is determined by considering the class 
of obligations as a whole. A provision is recognised even if the likelihood of an outflow with respect to any one 
item included in the same class of obligations may be small. 

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Deferred taxes are recognised by the liability method for temporary differences between the carrying 

amount of assets and liabilities in the consolidated balance sheet and their tax base. They are measured at the 

tax rates that are expected to apply to the period when the asset is realized or the liability is settled, based on tax 

rates (and tax laws) that have been enacted or substantively enacted at the balance sheet date. Adjustments to 

deferred taxes resulting from changes in tax rates are recognised in profit or loss. However, when the deferred 

tax relates to items recognised in equity, the adjustment is also recognised in equity. A deferred tax asset is 

recognised for all deductible temporary differences to the extent that it is probable that taxable profit will be 

available against which the deductible temporary difference can be utilized. At each period-end, the Company 

reviews the recoverable value of deferred tax assets of tax entities holding significant loss carryforwards. This 

value is based, by tax entity, on the strategy for recoverability of the tax loss carryforwards. Deferred taxes are 

charged or credited directly to equity when the tax relates to items that are recognised directly in equity, such as 

gains and losses on cash flow hedges and actuarial gains and losses on defined benefit plan obligations. 

Deferred tax assets and liabilities are set off when they are levied on the same taxable entity (legal entity or tax 

group) by the same taxation authority and the entity has a legally enforceable right of set off. Deferred taxes are 

recognised for all temporary differences associated with investments in subsidiaries and associates, except to the 

extent that the Company is able to control the timing of the reversal of the temporary difference and it is 

probable that the temporary difference will not reverse in the foreseeable future. Deferred tax balances are not 

discounted. 

Leases. We account for leases that transfer substantially all risks and rewards incident to the ownership of 

property as an acquisition of an asset and the incurrence of an obligation, and we account for all other leases as 

operating leases. Certain of our leases provide for tenant improvement allowances that have been recorded as 

deferred rent and amortized, using the straight-line method, over the life of the lease as a reduction to rent 

expense. In addition, scheduled rent increases and rent holidays are recognised on a straight-line basis over the 

term of the lease. 

Equity. Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new 

shares or options are shown in equity as a deduction, net of tax, from the proceeds. 

Where any group company purchases the Company’s equity instruments, for example as the result of a 

share buy-back or a share-based payment plan, the consideration paid, including any directly attributable 

incremental costs (net of income taxes) is deducted from equity attributable to the owners of LivaNova as 

treasury share until the shares are cancelled or reissued. Where such ordinary shares are subsequently reissued, 

any consideration received, net of any directly attributable incremental transaction costs and the related income 

tax effects, is included in equity attributable to the owners of LivaNova. 

Provisions and warranties. Provisions for legal claims, service warranties and make good obligations are 

recognised when the Company has a present legal or constructive obligation as a result of past events, it is 

probable that an outflow of resources will be required to settle the obligation and the amount can be reliably 

estimated. Provisions are not recognised for future operating losses. Where there are a number of similar 

obligations, the likelihood that an outflow will be required in settlement is determined by considering the class 

of obligations as a whole. A provision is recognised even if the likelihood of an outflow with respect to any one 

item included in the same class of obligations may be small. 

Provisions are measured at the present value of management’s best estimate of the expenditure required to 
settle the present obligation at the end of the reporting period. The discount rate used to determine the present 
value is a pre-tax rate that reflects current market assessments of the time value of money and the risks specific 
to the liability. The increase in the provision due to the passage of time is recognised as interest expense. 

The Company offers a warranty on various products. The Company estimates the costs that may be 

incurred under warranties and records a liability in the amount of such costs at the time the product is sold. The 
amount of the reserve recorded is equal to the net costs to repair or otherwise satisfy the claim. The warranty 
obligation is included in accrued liabilities on the consolidated balance sheet. Warranty expense is recorded to 
Cost of sales in the Consolidated Statements of Income (Loss). 

Contingencies. The Company is subject to product liability claims, government investigations and other 

legal proceedings in the ordinary course of business. Legal fees and other expenses related to litigation are 
expensed as incurred and included in Selling, general and administrative expenses in the Consolidated 
Statements of Income (Loss). Contingent accruals are recorded when the Company determines that a loss is 
both probable and reasonably estimable. Due to the fact that legal proceedings and other contingencies are 
inherently unpredictable, our assessments involve significant judgement regarding future events. 

Earnings Per Share.   Basic earnings (loss) per share (EPS) is calculated by dividing the profit (loss) for the 

year attributable to ordinary equity holders of the parent by the weighted average number of ordinary shares 
outstanding during the year. Diluted EPS is calculated by dividing the net profit attributable to ordinary equity 
holders of the parent by the weighted average number of ordinary shares outstanding during the year plus the 
weighted average number of ordinary shares that would be issued on conversion of all the dilutive potential 
ordinary shares into ordinary shares. Refer to “Note 25. Earnings per Share” for additional information. 

Segments. Prior to the Mergers we had one operating and reportable segment. Upon completion of the 
Mergers, we reorganized our reporting structure and aligned our segments and the underlying divisions and 
businesses. We currently function in three operating segments; the historical Cyberonics operations are included 
in the Neuromodulation segment, and the historical Sorin businesses are included in the Cardiac Surgery and the 
Cardiac Rhythm Management segments. 

The Company’s chief operating decision maker (“CODM”) is the Chief Executive Officer (“CEO”) 
supported as necessary by the remaining members of the executive leadership team which includes the Chief 
Finance Officer, Presidents, and Senior Vice Presidents of the Company. The CODM assesses performance and 
allocates resources at the business unit level which includes Neuromodulation, Cardiac Rhythm Management, 
and Cardiac Surgery. Refer to “Note 26. Geographic and Segment Information” for additional information. 

Critical Estimates and Judgements. The preparation of our consolidated financial statements in conformity 

with IFRS requires management to make estimates and judgements that affect the amounts reported in such 
financial statements and accompanying notes. These estimates and judgements are based on management’s best 
knowledge of current events and actions we may undertake in the future. Actual results could differ materially 
from those estimates. Application of the following accounting policies requires certain judgements and 
estimates that have the potential for the most significant impact on our consolidated financial statements: 

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•  

Impairment of non-financial assets.  An impairment exists when the carrying value of an asset or cash 
generating unit (CGU) exceeds its recoverable amount, which is the higher of its fair value less costs of 
disposal and its value in use. The fair value less costs of disposal calculation is based on available data 
from binding sales transactions, conducted at arm’s length for similar assets or observable market 
prices less incremental costs for disposing of the asset. The value in use calculation is based on a 
discounted cash flow (DCF) model. The cash flows are derived from the budgets and do not include 
restructuring activities that the Company is not yet committed to or significant future investments that 
will enhance the asset’s performance of the CGU being tested. The recoverable amount is most 
sensitive to the discount rate used for the DCF model as well as the expected future cash-inflows and 
the growth rate used for extrapolation purposes. 

•   Commitments and Contingencies. A number of LivaNova subsidiaries are involved in various 
government investigations and legal proceedings (product liability, commercial, employment, 
environmental claims, etc.) arising out of the normal conduct of their businesses. For more 
information, see ‘‘Note 24. Commitments and Contingencies.’’ We record accruals for contingencies 
when it is probable that a liability has been incurred and the amount can be reliably estimated. These 
accruals are adjusted periodically as assessments change or additional information becomes available. 
Expected legal defense costs are accrued when the amount can be reliably estimated. Provisions 
relating to estimated future expenditure for liabilities do not usually reflect any insurance or other 
claims or recoveries, since these are only recognized as assets when the amount is reasonably 
estimable and collection is virtually certain. 

•   Retirement and Other Post-Employment Benefit Plans. We sponsor pension and other post-

employment benefit plans in various forms that cover a significant portion of our current and former 
associates. For post-employment plans with defined benefit obligations, we are required to make 
significant assumptions and estimates about future events in calculating the expense and the present 
value of the liability related to these plans. These include assumptions about the interest rates we apply 
to estimate future defined benefit obligations and net periodic pension expense as well as rates of 
future pension increases. In addition, our actuarial consultants provide our management with historical 
statistical information, such as withdrawal and mortality rates in connection with these estimates. 
Assumptions and estimates used by the Company may differ materially from the actual results we 
experience due to changing market and economic conditions, higher or lower withdrawal rates, and 
longer or shorter life spans of participants among other factors. For more information on obligations 
under retirement and other post-employment benefit plans and underlying actuarial assumptions, see 
‘‘Note 22. Employee Retirement Plans.’’ 

•   Research & Development. Internal Research & Development costs are fully charged to the 

consolidated income statement in the period in which they are incurred. We consider that regulatory 
and other uncertainties inherent in the development of new products preclude the capitalization of 
internal development expenses as an intangible asset usually until marketing approval from the 
regulatory authority is obtained in a relevant market. 

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•  

Impairment of non-financial assets.  An impairment exists when the carrying value of an asset or cash 

•   Taxes. We prepare and file our tax returns based on an interpretation of tax laws and regulations, and 

generating unit (CGU) exceeds its recoverable amount, which is the higher of its fair value less costs of 

disposal and its value in use. The fair value less costs of disposal calculation is based on available data 

from binding sales transactions, conducted at arm’s length for similar assets or observable market 

prices less incremental costs for disposing of the asset. The value in use calculation is based on a 

discounted cash flow (DCF) model. The cash flows are derived from the budgets and do not include 

restructuring activities that the Company is not yet committed to or significant future investments that 

will enhance the asset’s performance of the CGU being tested. The recoverable amount is most 

sensitive to the discount rate used for the DCF model as well as the expected future cash-inflows and 

the growth rate used for extrapolation purposes. 

•   Commitments and Contingencies. A number of LivaNova subsidiaries are involved in various 

government investigations and legal proceedings (product liability, commercial, employment, 

environmental claims, etc.) arising out of the normal conduct of their businesses. For more 

information, see ‘‘Note 24. Commitments and Contingencies.’’ We record accruals for contingencies 

when it is probable that a liability has been incurred and the amount can be reliably estimated. These 

accruals are adjusted periodically as assessments change or additional information becomes available. 

Expected legal defense costs are accrued when the amount can be reliably estimated. Provisions 

relating to estimated future expenditure for liabilities do not usually reflect any insurance or other 

claims or recoveries, since these are only recognized as assets when the amount is reasonably 

estimable and collection is virtually certain. 

•   Retirement and Other Post-Employment Benefit Plans. We sponsor pension and other post-

employment benefit plans in various forms that cover a significant portion of our current and former 

associates. For post-employment plans with defined benefit obligations, we are required to make 

significant assumptions and estimates about future events in calculating the expense and the present 

value of the liability related to these plans. These include assumptions about the interest rates we apply 

to estimate future defined benefit obligations and net periodic pension expense as well as rates of 

future pension increases. In addition, our actuarial consultants provide our management with historical 

statistical information, such as withdrawal and mortality rates in connection with these estimates. 

Assumptions and estimates used by the Company may differ materially from the actual results we 

experience due to changing market and economic conditions, higher or lower withdrawal rates, and 

longer or shorter life spans of participants among other factors. For more information on obligations 

under retirement and other post-employment benefit plans and underlying actuarial assumptions, see 

‘‘Note 22. Employee Retirement Plans.’’ 

•   Research & Development. Internal Research & Development costs are fully charged to the 

consolidated income statement in the period in which they are incurred. We consider that regulatory 

and other uncertainties inherent in the development of new products preclude the capitalization of 

internal development expenses as an intangible asset usually until marketing approval from the 

regulatory authority is obtained in a relevant market. 

record estimates based on these judgements and interpretations. Our tax returns are subject to 
examination by the competent taxing authorities, which may result in an assessment being made 
requiring payments of additional tax, interest or penalties. Inherent uncertainties exist in our estimates 
of our tax positions. We believe that our estimated amounts for current and deferred tax assets or 
liabilities, including any amounts related to any uncertain tax positions, are appropriate based on 
currently known facts and circumstances. 

•  

Impairment of available-for-sale financial (AFS). The fair value of financial instruments classified as 
available-for-sale that are not traded in an active market is determined using valuation techniques. The 
Company uses its judgement to select a variety of methods and make assumptions that are mainly 
based on market conditions existing at the end of each reporting period. During the transitional period 
25 April 2015 to 31 December 2015 the Company made a significant judgement about the impairment 
of an investment in Cerbomed GmbH, see "Note 12. Financial Assets."  To determine if an available-
for-sale financial asset is impaired, the Company evaluates the duration and extent to which the fair 
value of the asset is less than its cost, and the financial health of and short-term business outlook for 
the investee (including factors such as industry performance, changes in technology and operational 
and financing cash flows). 

•   Share-based payments. Estimating fair value for share-based payment transactions requires 

determination of the most appropriate valuation model, which depends on the terms and conditions of 
the grant. This estimate also requires determination of the most appropriate inputs to the valuation 
model including the expected life of the share option or appreciation right, volatility and dividend yield 
and making assumptions about them. 

•   Exceptional items. Exceptional items are expense or income items recorded in a period which have 
been determined by management as being material by their size or incidence and are presented 
separately within the results of the group. The determination of which items are disclosed as 
exceptional items will affect the presentation of profit measures and requires a degree of judgement. 
Details relating to exceptional items reported during the period are set out in "Note 30. Exceptional 
items". 

Note 3.  First-time Adoption of IFRS 

These financial statements, for the transitional period ended 31 December 2015, are the first the Company has 

prepared in accordance with IFRS. For periods up to the transitional period ended 31 December 2015, the Company 
prepared its financial statements in accordance with U.S. generally accepted accounting principles (Local GAAP). 

Accordingly, the Company has prepared financial statements that comply with IFRS applicable as at 31 December 

2015, together with the comparative period data for the year ended 24 April 2015, as described in the summary of 
significant accounting policies. In preparing the financial statements, the Company’s opening balance sheet was prepared 
as at 26 April 2014, the Company’s date of transition to IFRS. This note explains the principal adjustments made by the 
Company in restating its Local GAAP financial statements, including the consolidated balance sheet as at 26 April 2014 
and 24 April 2015. 

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Exemptions applied. IFRS 1 allows first-time adopters certain exemptions from the retrospective application of certain 

requirements under IFRS. The Company has applied the following exemptions: 

•  

IFRS 2 Share-based Payment has not been applied to equity instruments in share-based compensation transactions 
that were granted on or before 7 November 2002, nor has it been applied to equity instruments granted after 7 
November 2002 that vested before 26 April 2014. 

•   Property, plant and equipment were carried in the balance sheet prepared in accordance with Local GAAP on the 
basis of carrying value on 26 April 2014. The Company has elected to regard those values as deemed cost at the 
date of transition to IFRS since they were broadly comparable to fair value. 

•   The Company has applied the transitional provision in IFRIC 4 Determining whether an Arrangement Contains a 

Lease and has assessed all arrangements based upon the conditions in place as at the date of transition. 

•  

IFRS 3 Business combinations has not been applied to either acquisitions of subsidiaries that are considered 
businesses under IFRS, or acquisitions of interest in associates and joint ventures that occurred before 26 April 
2014. Use of this exemption means that the local GAAP carrying amounts of assets and liabilities, that are 
required to be recognised under IFRS, is their deemed cost at the date of acquisition. After the date of the 
acquisition, measurement is in accordance with IFRS. Assets and liabilities that do not qualify for recognition 
under IFRS are excluded from the opening IFRS balance sheet. The Company did not recognise or exclude any 
previously recognised amounts as a result of IFRS recognition requirements. 

Estimates. The estimates at 26 April 2014 and at 24 April 2015 are consistent with those made for the same dates in 

accordance with Local GAAP (after adjustments to reflect any differences in accounting policies). 

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Exemptions applied. IFRS 1 allows first-time adopters certain exemptions from the retrospective application of certain 

Group reconciliation of equity as at 26 April 2014 (date of transition to IFRS) 

requirements under IFRS. The Company has applied the following exemptions: 

•  

IFRS 2 Share-based Payment has not been applied to equity instruments in share-based compensation transactions 

that were granted on or before 7 November 2002, nor has it been applied to equity instruments granted after 7 

November 2002 that vested before 26 April 2014. 

•   Property, plant and equipment were carried in the balance sheet prepared in accordance with Local GAAP on the 

basis of carrying value on 26 April 2014. The Company has elected to regard those values as deemed cost at the 

date of transition to IFRS since they were broadly comparable to fair value. 

•   The Company has applied the transitional provision in IFRIC 4 Determining whether an Arrangement Contains a 

Lease and has assessed all arrangements based upon the conditions in place as at the date of transition. 

•  

IFRS 3 Business combinations has not been applied to either acquisitions of subsidiaries that are considered 

businesses under IFRS, or acquisitions of interest in associates and joint ventures that occurred before 26 April 

2014. Use of this exemption means that the local GAAP carrying amounts of assets and liabilities, that are 

required to be recognised under IFRS, is their deemed cost at the date of acquisition. After the date of the 

acquisition, measurement is in accordance with IFRS. Assets and liabilities that do not qualify for recognition 

under IFRS are excluded from the opening IFRS balance sheet. The Company did not recognise or exclude any 

previously recognised amounts as a result of IFRS recognition requirements. 

Estimates. The estimates at 26 April 2014 and at 24 April 2015 are consistent with those made for the same dates in 

accordance with Local GAAP (after adjustments to reflect any differences in accounting policies). 

(in thousands) 

ASSETS 
Non-current assets 
Property, plant and equipment 
Intangible assets 
Financial assets 
Deferred tax assets 
Other assets 

Total non-current assets 
Current assets 
Inventories 
Trade receivables 
Other receivables 
Other financial assets 
Deferred tax assets, net 
Tax assets 
Cash and cash equivalents 

Total current assets 
Total assets 

LIABILITIES AND EQUITY 
Equity 
Share capital 
APIC/Share premium 
Treasury shares 
Accumulated other comprehensive income (loss) 
Retained earnings 

Total equity 
Non-current liabilities 
Other liabilities 
Provision for employee severance indemnities and 
other employee benefit provisions 
Total non-current liabilities 
Current liabilities 
Trade payables 
Other payables 
Provisions 
Tax payable 

Total current liabilities 
Total liabilities 
Total liabilities and equity 

Notes 

Local GAAP 

Adjustments 

IFRS as at 
26 April 2014 

39,535    $ 
11,655    
15,944    
5,771    
856    
73,761    

17,630    
50,674    
3,690    
25,029    
17,208    
2,900    
103,299    
220,430    
294,191    $ 

318    
426,867    
(188,519 )  
455    
19,979    
259,100    $ 

4,711    

482 
5,193    

7,570    
16,957    
4,769    
602    
29,898    
35,091    
294,191    $ 

(2,007)   $ 
2,007   
—   
28,413   
—   
28,413   

—   
—   
—   
—   
(17,208)  
—   
—   
(17,208)  
11,205    $ 

—   
13,336   
—   
—   
(5,391)  
7,945    $ 

—   

3,260
3,260   

—   
—   
—   
—   
—   
3,260   
11,205    $ 

37,528 
13,662 
15,944 
34,184 
856 
102,174 

17,630 
50,674 
3,690 
25,029 
— 
2,900 
103,299 
203,222 
305,396 

318 
440,203 
(188,519) 
455 
14,588 
267,045 

4,711 

3,742
8,453 

7,570 
16,957 
4,769 
602 
29,898 
38,351 
305,396 

$ 

A 
A 

B,C 

B 

D 

$ 

C,D,E 

$ 

E 

$ 

117

 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
Group reconciliation of equity as at 24 April 2015 

(in thousands) 

ASSETS 
Non-current assets 
Property, plant and equipment 
Intangible assets 
Financial assets 
Deferred tax assets 
Other assets 

Total non-current assets 
Current assets 
Inventories 
Trade receivables 
Other receivables 
Other financial assets 
Deferred tax assets, net 
Tax assets 
Cash and cash equivalents 

Total current assets 
Total assets 

LIABILITIES AND EQUITY 
Equity 
Share capital 
APIC/Share premium 
Treasury shares 
Accumulated other comprehensive income (loss) 
Retained earnings 

Total equity 
Non-current liabilities 
Other liabilities 
Provision for employee severance indemnities and 
other employee benefit provisions 
Total non-current liabilities 
Current liabilities 

Trade payables 

Other payables 

Provisions 

Tax payable 

Total current liabilities 

Total liabilities 

Total liabilities and equity 

Notes 

Local GAAP 

Adjustments 

IFRS as at 24 
April 2015 

$ 

A 
A 

B,C 

B 

D 

$ 

C,D,E 

$ 

E 

$ 

118

40,287    $ 
10,168    
17,127    
6,078    
1,563    
75,223    

23,963    
50,569    
4,812    
27,020    
7,199    
2,971    
124,187    
240,721    
315,944    $ 

321    
445,362    
(243,535 )  
(3,401 )  
77,827    
276,574    $ 

6,610    

1,311 
7,921    

7,251    
13,781    
8,334    
2,083    
31,449    
39,370    
315,944    $ 

(1,911)   $ 
1,911   
—   
14,584   
—   
14,584   

—   
—   
—   
—   
(7,199)  
—   
—   
(7,199)  
7,385    $ 

—   
11,072   
—   
—   
(6,236)  
4,836    $ 

—   

2,549
2,549   

—   
—   
—   
—   
—   
2,549   
7,385    $ 

38,376 
12,079 
17,127 
20,662 
1,563 
89,807 

23,963 
50,569 
4,812 
27,020 
— 
2,971 
124,187 
233,522 
323,329 

321 
456,434 
(243,535) 
(3,401) 
71,591 
281,410 

6,610 

3,860
10,470 

7,251 
13,781 
8,334 
2,083 
31,449 
41,919 
323,329 

 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
Group reconciliation of equity as at 24 April 2015 

Notes 

Local GAAP 

Adjustments 

IFRS as at 24 

April 2015 

Property, plant and equipment 

$ 

40,287    $ 

(1,911)   $ 

(in thousands) 

ASSETS 

Non-current assets 

Intangible assets 

Financial assets 

Deferred tax assets 

Other assets 

Current assets 

Inventories 

Trade receivables 

Other receivables 

Total non-current assets 

Other financial assets 

Deferred tax assets, net 

Tax assets 

Cash and cash equivalents 

Total current assets 

Total assets 

LIABILITIES AND EQUITY 

Equity 

Share capital 

APIC/Share premium 

Treasury shares 

Retained earnings 

Total equity 

Non-current liabilities 

Other liabilities 

Trade payables 

Other payables 

Provisions 

Tax payable 

Total current liabilities 

Total liabilities 

Total liabilities and equity 

A 

A 

B,C 

B 

D 

E 

124,187    

240,721    

315,944    $ 

$ 

10,168    

17,127    

6,078    

1,563    

75,223    

23,963    

50,569    

4,812    

27,020    

7,199    

2,971    

321    

445,362    

(243,535 )  

(3,401 )  

77,827    

6,610    

1,311 

7,921    

7,251    

13,781    

8,334    

2,083    

31,449    

39,370    

$ 

315,944    $ 

1,911   

—   

14,584   

—   

14,584   

—   

—   

—   

—   

—   

—   

(7,199)  

(7,199)  

7,385    $ 

11,072   

—   

—   

—   

(6,236)  

4,836    $ 

—   

2,549

2,549   

—   

—   

—   

—   

—   

2,549   

7,385    $ 

38,376 

12,079 

17,127 

20,662 

1,563 

89,807 

23,963 

50,569 

4,812 

27,020 

— 

2,971 

124,187 

233,522 

323,329 

321 

456,434 

(243,535) 

(3,401) 

71,591 

281,410 

6,610 

3,860

10,470 

7,251 

13,781 

8,334 

2,083 

31,449 

41,919 

323,329 

Accumulated other comprehensive income (loss) 

C,D,E 

$ 

276,574    $ 

Provision for employee severance indemnities and 

other employee benefit provisions 

Total non-current liabilities 

Current liabilities 

Group reconciliation of total comprehensive income for the fiscal year ended 24 April 2015 

(in thousands) 

Revenue 
Cost of sales 

Gross profit 

Operating expenses: 

Selling, general and administrative 
Research and development 
Merger related expenses 

Total operating expenses 

Operating profit 

Interest income 
Interest expense 
Foreign exchange 

Profit before tax 
Income tax expense 

Profit attributable to owners of the parent 

Other comprehensive income 

Notes 

Local GAAP 

  Adjustments 

26 April 2014 to 
24 April 2015 

D 

D,E 
D 

C,E 

$ 

$ 

$ 

$ 

$ 

291,558   $ 
27,311    
264,247   $ 

123,619    
43,284    
8,692    
175,595   $ 
88,652    
184    
(21 )   
479    
89,294   $ 
31,446    
57,848   $ 

—   
29   
(29)   $ 

(288)   
165   
—   
(123)   $ 
94   
—   
—   
—   
94   $ 
939   
(845)   $ 

291,558 
27,340 
264,218 

123,331 
43,449 
8,692 
175,472 
88,746 
184 
(21) 
479 
89,388 
32,385 
57,003 

(in thousands) 

Notes 

Local GAAP 

Adjustments 

26 April 2014 to 
24 April 2015 

Profit attributable to the owners of the parent 

Items of other comprehensive income that will 
subsequently be reclassified to profit or loss 
Foreign currency translation differences 

Total items of other comprehensive income that 
will subsequently be reclassified to profit or loss 
Total other comprehensive (loss), net of taxes 

Total comprehensive income for the period, net of 
taxes attributable to the owners of the parent 

C, D, 
E 

57,848 

(845)   

57,003

(3,856 )   

(3,856 )   

(3,856 )   

—   

—
—   

(3,856) 

(3,856) 

(3,856) 

53,992 

(845)   

53,147

Notes to the reconciliation of equity as at 26 April 2014 and 24 April 2015 and total comprehensive income for the 

fiscal year ended 24 April 2015: 

A: Under Local GAAP, the Company classified the software development costs within “Property, plant and 
equipment”. Under IFRS the software costs meet the definition of an intangible asset. Accordingly, the Company’s 
capitalized software development costs have been reclassified from “Property, plant and equipment” to “Intangible assets” 
at the transition date to IFRS and as at 24 April 2015, respectively. 

B: Under Local GAAP, the Company classified deferred taxes as current or noncurrent based on the nature of the 
related asset or liability giving rise to the temporary difference, except for tax losses and credit carryforwards, which are 
based on the expected timing of realization. Accordingly, the Company reclassified deferred income tax assets included in 
current “Deferred tax assets” to “Non-current Deferred tax assets” at the transition date to IFRS and as at 24 April 2015 to 
conform with the requirements of IFRS. 

119

 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
C: Under Local GAAP, deferred tax assets for share-based payment awards that will result in a deduction are 
calculated based on the cumulative costs recognised and trued up or down upon realization of the tax benefit. If the tax 
benefit exceeds the deferred tax asset, the excess (“windfall benefit”) is credited directly to equity. Any shortfall of the tax 
benefit below the deferred tax asset is charged to equity to the extent of prior windfall benefits, and to tax expense 
thereafter. Under IFRS, deferred tax assets are calculated based on the estimated tax deduction determined at each 
reporting date under applicable tax law (e.g., intrinsic value). If the tax deduction exceeds cumulative compensation cost, 
deferred tax based on the excess is credited to equity. If the tax deduction is less than or equal to cumulative compensation 
cost, deferred taxes are recorded in income. Therefore, the Company recorded the adjustments relating to the tax effect 
recognised on the share-based payment arrangements as a deferred tax asset with an offsetting entry to equity at the 
transition date to IFRS and as at 24 April 2015. 

D: Under Local GAAP, the Company attributed compensation costs over the vesting period by utilizing the “straight-

line” method to account for share-based payment awards subject to graded vesting based on a service condition. The use of 
the “straight-line” method resulted in less compensation cost being recognised in earlier years. Accordingly, the Company 
recorded an adjustment to “Additional paid-in capital/Share premium” with an offsetting entry to retained earnings at the 
transition date to IFRS and as at 24 April 2015. 

E: Under Local GAAP, a liability for social security contributions on employee share-based payment awards is 
recognised on the date of the event triggering the measurement and payment of the tax to the taxing authority (generally 
the exercise date). Under IFRS, the Company follows the method to accrue the liability based on the consumption of 
services received from employees. The Company recorded an adjustment to current “Provision for employee severance 
indemnities” and non-current “Other employee benefit provisions” with an offsetting entry to retained earnings at 
the transition date to IFRS and as at 24 April 2015. 

The transition from Local GAAP to IFRS has not had a material impact on the statement of cash flows. 

Note 4. Financial Risk Management 

Management of financial risk 

Increasing market fluctuations may result in significant earnings and cash flow volatility risk for LivaNova. The 

Company’s operating business as well as its investment and financing activities are affected particularly by changes in 
foreign exchange rates, interest rates and concentration of procurement suppliers. In order to optimize the allocation of the 
financial resources across the LivaNova segments and entities, as well as to achieve its aims, LivaNova identifies, analyzes 
and manages the associated market risks. The Company seeks to manage and control these risks primarily through its 
regular operating and financing activities, and uses derivative financial instruments when deemed appropriate. 

   The Company’s CFO oversees the management of these risks. The CFO is supported by a senior financial 
management team that advises on financial risks and the appropriate financial risk governance framework for the 
Company. The senior financial management team provides assurance to the Company’s senior management that the 
Company’s financial risk activities are governed by appropriate policies and procedures and that financial risks are 
identified, measured and managed in accordance with group policies and group risk appetite. All derivative activities for 
risk management purposes are carried out by specialist teams that have the appropriate skills, experience and supervision. 
It is the Company’s policy that no trading in derivatives for speculative purposes may be undertaken. Intercompany 
financing or investments of operating units are preferably carried out in their functional currency or on a hedged basis. The 
Board of Directors reviews and agrees policies for managing each of these risks. 

Liquidity risk 

Liquidity risk results from the Company’s inability to meet its financial liabilities. LivaNova follows a deliberated 
financing policy that is aimed towards a balanced financing portfolio, a diversified maturity profile and a comfortable 
liquidity cushion. LivaNova mitigates liquidity risk by the implementation of an effective working capital and centralized 

120

 
 
 
C: Under Local GAAP, deferred tax assets for share-based payment awards that will result in a deduction are 

calculated based on the cumulative costs recognised and trued up or down upon realization of the tax benefit. If the tax 

benefit exceeds the deferred tax asset, the excess (“windfall benefit”) is credited directly to equity. Any shortfall of the tax 

thereafter. Under IFRS, deferred tax assets are calculated based on the estimated tax deduction determined at each 

reporting date under applicable tax law (e.g., intrinsic value). If the tax deduction exceeds cumulative compensation cost, 

deferred tax based on the excess is credited to equity. If the tax deduction is less than or equal to cumulative compensation 

cost, deferred taxes are recorded in income. Therefore, the Company recorded the adjustments relating to the tax effect 

recognised on the share-based payment arrangements as a deferred tax asset with an offsetting entry to equity at the 

transition date to IFRS and as at 24 April 2015. 

D: Under Local GAAP, the Company attributed compensation costs over the vesting period by utilizing the “straight-

line” method to account for share-based payment awards subject to graded vesting based on a service condition. The use of 

the “straight-line” method resulted in less compensation cost being recognised in earlier years. Accordingly, the Company 

recorded an adjustment to “Additional paid-in capital/Share premium” with an offsetting entry to retained earnings at the 

transition date to IFRS and as at 24 April 2015. 

E: Under Local GAAP, a liability for social security contributions on employee share-based payment awards is 

recognised on the date of the event triggering the measurement and payment of the tax to the taxing authority (generally 

the exercise date). Under IFRS, the Company follows the method to accrue the liability based on the consumption of 

services received from employees. The Company recorded an adjustment to current “Provision for employee severance 

indemnities” and non-current “Other employee benefit provisions” with an offsetting entry to retained earnings at 

the transition date to IFRS and as at 24 April 2015. 

The transition from Local GAAP to IFRS has not had a material impact on the statement of cash flows. 

Note 4. Financial Risk Management 

Management of financial risk 

Increasing market fluctuations may result in significant earnings and cash flow volatility risk for LivaNova. The 

Company’s operating business as well as its investment and financing activities are affected particularly by changes in 

foreign exchange rates, interest rates and concentration of procurement suppliers. In order to optimize the allocation of the 

financial resources across the LivaNova segments and entities, as well as to achieve its aims, LivaNova identifies, analyzes 

and manages the associated market risks. The Company seeks to manage and control these risks primarily through its 

regular operating and financing activities, and uses derivative financial instruments when deemed appropriate. 

   The Company’s CFO oversees the management of these risks. The CFO is supported by a senior financial 

management team that advises on financial risks and the appropriate financial risk governance framework for the 

Company. The senior financial management team provides assurance to the Company’s senior management that the 

Company’s financial risk activities are governed by appropriate policies and procedures and that financial risks are 

identified, measured and managed in accordance with group policies and group risk appetite. All derivative activities for 

risk management purposes are carried out by specialist teams that have the appropriate skills, experience and supervision. 

It is the Company’s policy that no trading in derivatives for speculative purposes may be undertaken. Intercompany 

financing or investments of operating units are preferably carried out in their functional currency or on a hedged basis. The 

Board of Directors reviews and agrees policies for managing each of these risks. 

Liquidity risk 

Liquidity risk results from the Company’s inability to meet its financial liabilities. LivaNova follows a deliberated 

financing policy that is aimed towards a balanced financing portfolio, a diversified maturity profile and a comfortable 

liquidity cushion. LivaNova mitigates liquidity risk by the implementation of an effective working capital and centralized 

benefit below the deferred tax asset is charged to equity to the extent of prior windfall benefits, and to tax expense 

The following tables reflect the undiscounted cash outflows related to settlement and repayments, of the Company's 

cash management and arranged credit facilities with highly rated financial institutions. In addition, LivaNova constantly 
monitors funding options available in the capital markets, as well as trends in the availability and costs of such funding, 
with a view to maintaining financial flexibility and limiting repayment risks. 

financial liabilities at a balance sheet date. The disclosed expected undiscounted net cash outflows from derivative 
financial liabilities are determined based on each particular settlement date of an instrument and based on the earliest date 
on which LivaNova could be required to pay. Cash outflows for financial liabilities (including interest) without fixed 
amount or timing are based on the conditions existing at respective balance sheet date. 

Contractual undiscounted cash outflows was as follows (in thousands): 

31 December 2015 

DUE 
WITHIN 1 
YEAR 

1-2 YEARS 

2-5 YEARS 

OVER 5 
YEARS 

TOTAL 

Non-derivative financial 
instruments 

Trade payables 
Public grants 
Financial liabilities 
Other liabilities 

Total 
Financial derivative 
liabilities 
- on exchange risk 
- on rate risk 

Total 

$ 

Non-derivative financial 
instruments 

$ 

106,258  $ 

—  $ 

— 
21,243 
— 
127,501 

3,918 
20,853 
— 
24,771 

—  $ 
— 
60,908 
— 
60,908 

—  $ 
— 
10,030 
— 
10,030 

1,107 
708 
1,815  $ 

— 
865 
865  $ 

— 
918 
918  $ 

— 
10 
10  $ 

106,258 
3,918 
113,034 
— 
223,210 

1,107 
2,501 
3,608 

24 April 2015 

DUE 
WITHIN 1 
YEAR 

1-2 YEARS 

2-5 YEARS 

OVER 5 
YEARS 

TOTAL 

Trade payables 

Total 

$ 

$ 

7,251  $ 
7,251  $ 

—  $ 
—  $ 

—  $ 
—  $ 

—  $ 
—  $ 

7,251 
7,251 

26 April 2014 

DUE 
WITHIN 1 
YEAR

1-2 YEARS 

2-5 YEARS 

OVER 5 
YEARS 

TOTAL 

Non-derivative financial 
instruments 

Trade payables 

Total 

$ 

$ 

7,570  $ 
7,570  $ 

—  $ 
—  $ 

121

—  $ 
—  $ 

—  $ 
—  $ 

7,570 
7,570 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign Currency Exchange Rate Risk 

Foreign exchange risk is the risk that reported financial performance of the fair value of future cash flows of a 

financial instrument will fluctuate because of changes in foreign exchange rates. LivaNova operates in many countries and 
currencies and therefore currency fluctuations may impact LivaNova’s financial results. In the ordinary course of business 
LivaNova is exposed to foreign currency exchange rate fluctuations, particularly between the U. S. dollar, Euro, Pound 
Sterling and Japanese Yen.  LivaNova is exposed to currency risk in the following areas: 

•   Transaction exposures, related to anticipated sales and purchases and on-balance-sheet receivables/ payables 

resulting from such transactions 

•   Translation exposure of foreign-currency intercompany and external debt 

•   Translation exposure of net income in foreign entities 

•   Translation exposure of foreign-currency denominated equity invested in consolidated companies 

It is LivaNova’s policy to reduce the potential year on year volatility caused by foreign-currency movements on its net 
earnings by hedging the anticipated net exposure of foreign currencies resulting from foreign-currency sales and purchases. 
Intercompany financing or investments of operating units are preferably carried out in their functional currency or on a 
hedged basis. Additionally, foreign currency exchange rate exposure is partly balanced by purchasing of goods, 
commodities and services in the respective currencies, as well as production activities in the local markets. LivaNova’s 
operating units are prohibited from borrowing or investing in foreign currencies on a speculative basis. The target is to 
keep up to 15 months of consolidated  EBITDA,  denominated in material currencies, hedged against USD, LivaNova’s 
reporting currency. At 31 December 2015, cash flow hedge is carried out for FX net risk positions denominated in Japanese 
Yen and in Pound Sterling. 

Based on our exposure to foreign currency exchange rate risk, a sensitivity analysis indicates that if the U.S. dollar had 

uniformly weakened or strengthened by 10% against the Pound Sterling and the Japanese Yen, in the transitional period 
ended at 31 December 2015, the effect on our unrealised income or expense for our derivatives outstanding at 31 
December 2015 would have been approximately $2.3 million. We did not engage in derivative contracts prior to the 
Mergers. 

Any gains and losses on the fair value of derivative contracts would generally be offset by gains and losses on the 

underlying transactions. These offsetting gains and losses are not reflected in the above analysis. 

With regard to financial instruments denominated in currencies other than the currency of account of the companies 
holding them, the currencies involving the greatest exposure are the U. S. dollar, Euro, Pound Sterling and Japanese Yen as 
indicated below (in thousands): 

122

 
 
 
Foreign Currency Exchange Rate Risk 

Foreign exchange risk is the risk that reported financial performance of the fair value of future cash flows of a 

financial instrument will fluctuate because of changes in foreign exchange rates. LivaNova operates in many countries and 

currencies and therefore currency fluctuations may impact LivaNova’s financial results. In the ordinary course of business 

LivaNova is exposed to foreign currency exchange rate fluctuations, particularly between the U. S. dollar, Euro, Pound 

Sterling and Japanese Yen.  LivaNova is exposed to currency risk in the following areas: 

•   Transaction exposures, related to anticipated sales and purchases and on-balance-sheet receivables/ payables 

resulting from such transactions 

•   Translation exposure of foreign-currency intercompany and external debt 

•   Translation exposure of net income in foreign entities 

•   Translation exposure of foreign-currency denominated equity invested in consolidated companies 

It is LivaNova’s policy to reduce the potential year on year volatility caused by foreign-currency movements on its net 

earnings by hedging the anticipated net exposure of foreign currencies resulting from foreign-currency sales and purchases. 

Intercompany financing or investments of operating units are preferably carried out in their functional currency or on a 

hedged basis. Additionally, foreign currency exchange rate exposure is partly balanced by purchasing of goods, 

commodities and services in the respective currencies, as well as production activities in the local markets. LivaNova’s 

operating units are prohibited from borrowing or investing in foreign currencies on a speculative basis. The target is to 

keep up to 15 months of consolidated  EBITDA,  denominated in material currencies, hedged against USD, LivaNova’s 

reporting currency. At 31 December 2015, cash flow hedge is carried out for FX net risk positions denominated in Japanese 

Yen and in Pound Sterling. 

Based on our exposure to foreign currency exchange rate risk, a sensitivity analysis indicates that if the U.S. dollar had 

uniformly weakened or strengthened by 10% against the Pound Sterling and the Japanese Yen, in the transitional period 

ended at 31 December 2015, the effect on our unrealised income or expense for our derivatives outstanding at 31 

December 2015 would have been approximately $2.3 million. We did not engage in derivative contracts prior to the 

Mergers. 

Any gains and losses on the fair value of derivative contracts would generally be offset by gains and losses on the 

underlying transactions. These offsetting gains and losses are not reflected in the above analysis. 

With regard to financial instruments denominated in currencies other than the currency of account of the companies 

holding them, the currencies involving the greatest exposure are the U. S. dollar, Euro, Pound Sterling and Japanese Yen as 

indicated below (in thousands): 

Assets 
Cash and cash equivalents denominated in 
foreign currency 
Trade receivables and other assets 
denominated in foreign currency 
Financial assets denominated in foreign 
currency 
Other assets denominated in foreign currency 

Total assets 

Liabilities 
Trade payables denominated in foreign 
currency 
Financial liabilities denominated in foreign 
currency 
Other liabilities denominated in foreign 
currency 
Total liabilities 

Net exposure 

Financial derivative liabilities 
- not for hedging (1) 
- for hedging 

Total 

EUR 

USD 

31 December 2015 
GBP 
JPY 

OTHER 

TOTAL 

$ 

85

$ 

4,264

$ 

806

$ 

3,247

$ 

809

$ 

9,211

372

31,450

1,182

1,027

8,537

42,568

—
— 
457 

—
— 
35,714 

—
— 
1,988 

—
— 
4,274 

—
— 
9,346 

—
— 
51,779 

128 

36,175 

1,097 

4,522 

1,108 

43,030

—  

—  
128 

329 

— 
— 
— 

213  

—  

—  

28

241

—  
36,388 

—  
1,097 

—  
4,522 

—
1,136 

—
43,271 

(674) 

891 

(248) 

8,210 

8,508 

— 
— 
— 

(147) 
— 

(147) 

(567) 
— 

(567) 

603 
— 
603 

(111) 
— 

(111) 

Total net exposure 

$ 

—  $ 

—  $ 

147  $ 

567  $ 

(603) $ 

111 

(1) for hedging transactions that do not meet the requirements for hedge accounting 

EUR 

USD 

24 April 2015 
JPY 

GBP 

OTHER 

TOTAL 

Assets 
Cash and cash equivalents 
denominated in foreign currency 
Trade receivables and other assets 
denominated in foreign currency 
Total assets 

Liabilities 
Trade payables denominated in 
foreign currency 
Total liabilities 

$ 

—

$ 

1,958

$ 

—

$ 

634

$ 

1,054

$ 

3,646

5,370
5,370 

3,603
5,561 

—  
— 

40  
40 

—
— 

—  
— 

1,914
2,548 

1,279
2,333 

12,166
15,812 

105
105 

84
84 

229
229 

Total net exposure 

$ 

5,370  $ 

5,521  $ 

—  $ 

2,443  $ 

2,249  $ 

15,583 

123

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EUR 

USD 

26 April 2014 
JPY 

GBP 

OTHER 

TOTAL 

Assets 
Cash and cash equivalents 
denominated in foreign currency 
Trade receivables and other assets 
denominated in foreign currency 
Total assets 

Liabilities 
Trade payables denominated in 
foreign currency 
Total liabilities 

$ 

—

$ 

1,710

$ 

—

$ 

774

$ 

1,248

3,732

3,335
3,335 

6,496
8,206 

—  
— 

137  
137 

—
— 

—  
— 

1,480
2,254 

1,379
2,627 

12,690
16,422 

111
111 

130
130 

378
378 

Total net exposure 

$ 

3,335  $ 

8,069  $ 

—  $ 

2,143  $ 

2,497  $ 

16,044 

Interest Rate Risk 

The Company’s main interest rate risk arises from long-term debt with variable rates, which expose the Company to 
cash flow interest rate risk. LivaNova’s policy is to hedge, case by case, medium-long term loans from a floating to a fixed 
rate, to avoid the impact on net earnings of any potential increase of interest rates. During the transitional period ended 31 
December 2015, the Company’s debt at variable rates was mainly denominated in Euro and in U.S. dollar. 

As at 31 December 2015, as a consequence of the pre-payment of the $20 million Term Loan with Unicredit New 

York, LivaNova Group has no outstanding financing denominated in USD. 

We manage a portion of our interest rate risk with contracts that swap floating-rate interest payments for fixed rate 

interest payments. 

As at 31 December 2015, the Company had outstanding derivative contracts to hedge against the risk of interest rate 

fluctuations in a notional amount of $99.6 million, equal to about 57% of consolidated financial liabilities at 31 December 
2015. There were no hedging activities prior to the Mergers. 

At 31 December 2015, if interest rates on Euro-denominated debt had been 10 basis points higher or lower with all 
other variables held constant, the calculated post-tax profit for the period would have been approximately $85 thousand 
lower or higher, mainly as a result of higher or lower interest expense on floating rate debt; other components of equity 
would have been $219 thousand lower or $223 thousand higher mainly as a result of a decrease or increase in the fair value 
of fixed rate interest rate swaps (derivatives designated for hedge accounting). 

The following assumptions were used for the sensitivity analysis as at 31 December 2015: 

Interest-bearing assets: change of +0.25% - 0.05% in short-term rates at 31 December; 

•  
•   Unhedged financial liabilities: change of +0.50% - 0.05% in the rate curve at 31 December relative to euro 

rates; 

•   Hedged financial liabilities: change of +0.50% - 0.05% in the rate curve at 31 December relative to euro and 

US dollar rates.  

Credit Risk 

 Our trade receivables represent potential concentrations of credit risk. This risk is limited due to the large number of 
customers and their dispersion across a number of geographic areas, as well as our efforts to control our exposure to credit 
risk by monitoring our receivables, the use of credit approvals and credit limits and entering into the factoring agreements. 
Refer to "Note 14. Trade Receivables and Allowance for Bad Debt" for more details. In addition, we have historically had 

124

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
—

— 

—  

— 

Assets 

Cash and cash equivalents 

denominated in foreign currency 

Trade receivables and other assets 

denominated in foreign currency 

Total assets 

Liabilities 

Trade payables denominated in 

foreign currency 

Total liabilities 

Interest Rate Risk 

—  

— 

137  

137 

111

111 

130

130 

378

378 

Total net exposure 

$ 

3,335  $ 

8,069  $ 

—  $ 

2,143  $ 

2,497  $ 

16,044 

The Company’s main interest rate risk arises from long-term debt with variable rates, which expose the Company to 

cash flow interest rate risk. LivaNova’s policy is to hedge, case by case, medium-long term loans from a floating to a fixed 

rate, to avoid the impact on net earnings of any potential increase of interest rates. During the transitional period ended 31 

December 2015, the Company’s debt at variable rates was mainly denominated in Euro and in U.S. dollar. 

As at 31 December 2015, as a consequence of the pre-payment of the $20 million Term Loan with Unicredit New 

York, LivaNova Group has no outstanding financing denominated in USD. 

We manage a portion of our interest rate risk with contracts that swap floating-rate interest payments for fixed rate 

interest payments. 

As at 31 December 2015, the Company had outstanding derivative contracts to hedge against the risk of interest rate 

fluctuations in a notional amount of $99.6 million, equal to about 57% of consolidated financial liabilities at 31 December 

2015. There were no hedging activities prior to the Mergers. 

At 31 December 2015, if interest rates on Euro-denominated debt had been 10 basis points higher or lower with all 

other variables held constant, the calculated post-tax profit for the period would have been approximately $85 thousand 

lower or higher, mainly as a result of higher or lower interest expense on floating rate debt; other components of equity 

would have been $219 thousand lower or $223 thousand higher mainly as a result of a decrease or increase in the fair value 

of fixed rate interest rate swaps (derivatives designated for hedge accounting). 

The following assumptions were used for the sensitivity analysis as at 31 December 2015: 

•  

Interest-bearing assets: change of +0.25% - 0.05% in short-term rates at 31 December; 

•   Unhedged financial liabilities: change of +0.50% - 0.05% in the rate curve at 31 December relative to euro 

•   Hedged financial liabilities: change of +0.50% - 0.05% in the rate curve at 31 December relative to euro and 

rates; 

US dollar rates.  

Credit Risk 

 Our trade receivables represent potential concentrations of credit risk. This risk is limited due to the large number of 

customers and their dispersion across a number of geographic areas, as well as our efforts to control our exposure to credit 

risk by monitoring our receivables, the use of credit approvals and credit limits and entering into the factoring agreements. 

Refer to "Note 14. Trade Receivables and Allowance for Bad Debt" for more details. In addition, we have historically had 

EUR 

USD 

JPY 

GBP 

OTHER 

TOTAL 

26 April 2014 

$ 

—

$ 

1,710

$ 

—

$ 

774

$ 

1,248

3,732

3,335

3,335 

6,496

8,206 

1,480

2,254 

1,379

2,627 

12,690

16,422 

strong collections and minimal write-offs. While we believe that our reserves for credit losses are adequate, essentially all 
of our trade receivables are concentrated in the hospital and healthcare sectors worldwide, and accordingly, we are exposed 
to their respective business, economic and country-specific variables. Although we do not currently foresee a concentrated 
credit risk associated with these receivables, repayment is dependent on the financial stability of these industry sectors and 
the respective countries’ national economies and healthcare systems. 

The maximum theoretical credit risk exposure for LivaNova is an aggregate carrying amount of financial assets at 

each reporting period date (in thousands): 

Financial assets 
Other assets 
Trade receivables 
Other receivables 
Other financial assets 
Cash and cash equivalents 
Guarantees 

Total 

31 December 2015 

24 April 2015 

26 April 2014 

  $ 

 $ 

19,829    $ 
1,381   
249,075   
15,230   
8,533   
112,613   
42,051   
448,712   $ 

17,127    $ 
—   
50,569   
248   
27,020   
124,187   
—   

219,151    $ 

15,944 
— 
50,674 
248 
25,029 
103,299 
— 
195,194 

The risk related to bank accounts, financial assets and assets for financial derivatives is limited since all bank and 

financial counterparties have a high rating. 

The guarantees issued by LivaNova are primarily due to regulatory requirements (security issued to credit institutions 
to back guarantees issued by them for competitive bidding procedures and guarantees to the tax administration for the VAT 
tax consolidation scheme), and thus, the related risk is remote as also seen on a historical basis. 

Since LivaNova operates in the medical technology sector, there is not a significant risk of customer insolvency, a 
significant portion of which is related to government agencies, but they are subject to the risk related to cash requirements 
due to the high level of trade receivables owing to average collection periods (D.S.O. - days of sales outstanding) and the 
ageing of these receivables. 

Credit risk is managed on a group basis. For banks and financial institutions, only independently rated parties with a 

minimum rating of ‘A’  (or equivalent) are accepted. 

For customers, if there is no independent rating, risk control assesses the credit quality of the customer, taking into 
account its financial position, past experience and other factors. Individual risk limits are set based on internal or external 
information in accordance with limits set by the Company’s Treasury Group. The compliance with and authorization of 
credit limits by customers is regularly monitored by line management. Additionally, the Company established a Bad Debt 
Policy, which provides the methodology to be used to calculate an addition to the provision for uncollectible receivables 
for past-due receivables for each LivaNova company and the ageing of each receivable. 

Changes in provisions for uncollectible receivables are explained in "Note 14. Trade Receivables and Allowance for 

Bad Debt." 

For the purposes of disclosing the credit risk to which LivaNova is exposed, below is a breakdown of trade receivables 

by due dates (ageing). 

125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

Trade receivables 

Performing 
Less than 30 days past due 
31-120 days past due 
121-365 days past due 
366-730 days past due 
Over 730 days past due 

Total 

  31 December 2015 

24 April 2015 

26 April 2014 

 $ 

 $ 

184,022    $ 
24,282   
19,429   
12,656   
6,600   
2,086   
249,075    $ 

44,091    $ 
3,920   
1,273   
13   
1,272   
—   
50,569    $ 

44,545 
5,375 
506 
173 
75 
— 
50,674 

Trade receivables that are past due were $65.1 million, $6.5 million and $6.1 million at 31 December 2015, 24 April 
2015 and 26 April 2014, respectively. Of this amount 24.6%, 29.9% and 19.0%, at 31 December 2015, 24 April 2015 and 
26 April 2014, respectively, are receivables from certain government hospitals that pay their suppliers in 1-2 years on 
average, and the remaining are receivables from private customers, clinics and distributors, most of which have agreed to 
repayment plans through the renegotiation of payment terms. 

   Trade receivables that are not past due and not written down were $184.0 million, $44.1 million and $45.5 million at 

31 December 2015, 24 April 2015 and 26 April 2014, respectively. Of this amount, 13.1%, 23.2% and 29.1%, at 31 
December 2015, 24 April 2015 and 26 April 2014, respectively, were the receivables from government as indicated in the 
following table: 

31 December 2015 

TOTAL    PERFORMING   

PAST DUE   

24 April 2015 
TOTAL    PERFORMING   

PAST DUE   

26 April 2014 
TOTAL    PERFORMING   

PAST DUE 

BY 
SECTOR     

Public 

Private 

Total 

  $ 

  $ 

39,484   $ 
209,591  
249,075   $ 

24,106   $ 
159,916  
184,022   $ 

15,378   $  12,155   $ 
49,675  
65,053   $  50,569   $ 

38,414  

10,219   $ 
33,872  
44,091   $ 

1,936   $  14,143   $ 
4,542  
6,478   $  50,674   $ 

36,531  

12,978   $ 
31,567  
44,545   $ 

1,165 
4,964 
6,129 

Concentrations of risk by region are provided below in order to further assess the risk related to the LivaNova’s trade 

receivables: 

BY REGION 

Italy 

Spain 

France 

Germany 

Rest of Europe 

31 December 2015 

24 April 2015 

26 April 2014 

D.S.O.  TOTAL  PERFORMING 

PAST 
DUE 

D.S.O.  TOTAL  PERFORMING 

PAST 
DUE  D.S.O.  TOTAL  PERFORMING 

PAST 
DUE 

118 $  25,536 $ 
165 
62 
17 
70 

16,996 
22,645 
3,927 
23,039 

15,875  $  9,661 
8,044 
8,952  
2,564 
20,081  
3,336  
591 
7,047 
15,992  

99 $ 
134 
64 
27 
39 

780  $ 

1,153  
805  
731  
5,282  

462 $ 
568 
568 
616 
5,017 

318 $  105 $ 
585 
237 
115 
265 

153 
52 
37 
31 

679 $ 

1,200 
870 
624 
4,495 

431 $ 
561 
725 
476 
4,020 

248 
639 
145 
148 
475 

North America 

46 

65,347 

54,548  

10,799 

55  35,511  

31,753 

3,758 

54 

33,687 

30,038 

3,649 

Japan 

Rest of world 

Total 

10,891 
80,694 

61 
143 
73 $  249,075 $ 

— 
10,891  
54,347  
26,347 
184,022  $  65,053 

942  
5,365  

135 
112 
61 $ 50,569  $ 

— 
942 
4,165 
1,200 
44,091 $  6,478 

811 
8,308 

128 
91 
57 $  50,674 $ 

— 
811 
7,483 
825 
44,545 $  6,129 

Revenues are derived from a large number of customers with no customers being individually material. 

The average collection period increased from 61 days at 24 April 2015 to 73 days at 31 December 2015. 

126

 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

Trade receivables 

Performing 

Less than 30 days past due 

31-120 days past due 

121-365 days past due 

366-730 days past due 

Over 730 days past due 

Total 

  31 December 2015 

24 April 2015 

26 April 2014 

 $ 

184,022    $ 

44,091    $ 

24,282   

19,429   

12,656   

6,600   

2,086   

3,920   

1,273   

13   

1,272   

—   

44,545 

5,375 

506 

173 

75 

— 

 $ 

249,075    $ 

50,569    $ 

50,674 

Trade receivables that are past due were $65.1 million, $6.5 million and $6.1 million at 31 December 2015, 24 April 

2015 and 26 April 2014, respectively. Of this amount 24.6%, 29.9% and 19.0%, at 31 December 2015, 24 April 2015 and 

26 April 2014, respectively, are receivables from certain government hospitals that pay their suppliers in 1-2 years on 

average, and the remaining are receivables from private customers, clinics and distributors, most of which have agreed to 

repayment plans through the renegotiation of payment terms. 

   Trade receivables that are not past due and not written down were $184.0 million, $44.1 million and $45.5 million at 

31 December 2015, 24 April 2015 and 26 April 2014, respectively. Of this amount, 13.1%, 23.2% and 29.1%, at 31 

December 2015, 24 April 2015 and 26 April 2014, respectively, were the receivables from government as indicated in the 

following table: 

BY 

SECTOR     

receivables: 

31 December 2015 

24 April 2015 

26 April 2014 

TOTAL    PERFORMING   

PAST DUE   

TOTAL    PERFORMING   

PAST DUE   

TOTAL    PERFORMING   

PAST DUE 

Public 

Private 

Total 

  $ 

39,484   $ 

24,106   $ 

15,378   $  12,155   $ 

209,591  

159,916  

49,675  

38,414  

  $ 

249,075   $ 

184,022   $ 

65,053   $  50,569   $ 

10,219   $ 

33,872  

44,091   $ 

1,936   $  14,143   $ 

4,542  

36,531  

6,478   $  50,674   $ 

12,978   $ 

31,567  

44,545   $ 

1,165 

4,964 

6,129 

Concentrations of risk by region are provided below in order to further assess the risk related to the LivaNova’s trade 

31 December 2015 

24 April 2015 

26 April 2014 

D.S.O.  TOTAL  PERFORMING 

D.S.O.  TOTAL  PERFORMING 

DUE  D.S.O.  TOTAL  PERFORMING 

PAST 

DUE 

PAST 

PAST 

DUE 

248 

639 

145 

148 

475 

561 

725 

476 

4,020 

BY REGION 

Italy 

Spain 

France 

Germany 

Rest of Europe 

North America 

Rest of world 

Japan 

Total 

165 

62 

17 

70 

46 

61 

143 

16,996 

22,645 

3,927 

23,039 

65,347 

10,891 

80,694 

The D.S.O. (days of sales outstanding), or average collection period, is calculated as the ratio of total receivables at the 

end of the period to revenues generated in the 12 preceding months. 

D.S.O. = (Trade receivables/Revenues) * 365 

For comparability the revenue amounts include VAT. 

For the purposes of the disclosure of credit risk, there were no past-due balances of a significant amount related to 

other assets, other receivables and financial assets. 

Capital management 

LivaNova maintains a sufficient amount of capital to meet its development needs, fund the business units' operations 

and ensure the Company continues to be a going concern. The equilibrium of sources of funding, which is also aimed at 
minimising overall capital costs, is achieved by balancing risk capital contributed on a permanent basis by shareholders, 
and debt capital, which is in turn diversified and structured with several due dates and in many currencies. To this end, 
changes in debt levels in relation to both equity and operating profit, and the generation of cash by the business units are 
constantly kept under control. 

Note 5. Fair Value Measurements 

We follow the guidance on fair value measurements and disclosures with respect to assets and liabilities 
that are measured at fair value on both a recurring and non-recurring basis. Under this guidance, fair value is 
defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction 
between market participants as of the measurement date. The guidance also establishes a hierarchy for inputs 
used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable 
inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market 
participants would use in valuing the asset or liability, based on market data obtained from sources independent 
of us. Unobservable inputs are inputs that reflect our assumptions about the factors market participants would 
use in valuing the asset or liability developed based upon the best information available in the circumstances. 
The categorization of financial assets and financial liabilities within the valuation hierarchy is based upon the 
lowest level of input that is significant to the fair value measurement. The hierarchy is broken down into three 
levels defined as follows: 

•   Level 1 - Inputs are quoted prices in active markets for identical assets or liabilities 

•   Level 2 - Inputs include quoted prices for similar assets or liabilities in active markets, quoted prices 
for identical or similar assets or liabilities in markets that are not active and inputs (other than quoted 
prices) that are observable for the asset or liability, either directly or indirectly 

118 $  25,536 $ 

15,875  $  9,661 

99 $ 

780  $ 

462 $ 

318 $  105 $ 

679 $ 

431 $ 

•   Level 3 - Inputs are unobservable for the asset or liability 

8,952  

20,081  

3,336  

15,992  

8,044 

2,564 

591 

7,047 

134 

1,153  

64 

27 

39 

805  

731  

5,282  

568 

568 

616 

5,017 

585 

237 

115 

265 

153 

1,200 

52 

37 

31 

870 

624 

4,495 

No assets or liabilities are classified as Level 1. Financial assets and liabilities that are classified as Level 2 
include derivative instruments, primarily forward and option currency contracts and interest rate swaps contracts, 
which are valued using standard calculations and models that use readily observable market data as their basis. 

54,548  

10,799 

55  35,511  

31,753 

3,758 

54 

33,687 

30,038 

3,649 

Level  3  includes  a  contingent  payment  recognised  as  a  result  of  acquisition  of  Cellplex  Pty  Ltd.    and 

10,891  

54,347  

— 

26,347 

135 

112 

942  

5,365  

942 

— 

4,165 

1,200 

128 

91 

811 

8,308 

811 

7,483 

— 

825 

73 $  249,075 $ 

184,022  $  65,053 

61 $ 50,569  $ 

44,091 $  6,478 

57 $  50,674 $ 

44,545 $  6,129 

investments in non-listed companies classified as AFS. 

Assets and Liabilities That Are Measured at Fair Value on a Recurring Basis 

The following table provides information by level for assets and liabilities that are measured at fair value on 

Revenues are derived from a large number of customers with no customers being individually material. 

a recurring basis for the transitional period 25 April 2015 to 31 December 2015 (in thousands): 

The average collection period increased from 61 days at 24 April 2015 to 73 days at 31 December 2015. 

127

 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

31 December 
2015 

Level 1 

Level 2 

Level 3 

Assets: 
Available-for-sale investments 
Derivative Assets - for hedging 
(exchange rates) 
Total assets 

 $ 

  $ 

Liabilities: 
Derivative Liabilities - for hedging 
(interest rates) 
Derivative Liabilities - not for 
hedging (interest rates) 
Derivative Liabilities - not for 
hedging (exchange rates) 
Earnout for contingent payments(1)  

  $ 

Total Liabilities 

  $ 

15,847   $ 

839
16,686   $ 

—   $ 

—
—   $ 

—   $ 

839
839   $ 

2,876

 $ 

—

 $ 

2,876

 $ 

24

1,547
3,457   
7,904   $ 

—

—
—   
—   $ 

24

1,547

—   
4,447   $ 

15,487 

— 
15,487 

—

— 

— 
3,457  
3,457 

(1) This contingent payment arose as a result of the acquisition of Cellplex Pty Ltd. in September 2015 and was valued using 
the Black Scholes method at the date of the Mergers. 

  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

24 April 2015 

Level 1 

Level 2 

Level 3 

Assets: 
Available-for-sale investments 

Total assets 

 $ 

  $ 

17,127   $ 
17,127   $ 

—   $ 
—   $ 

—   $ 
—   $ 

17,127 
17,127 

  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

26 April 2014 

Level 1 

Level 2 

Level 3 

 $ 

  $ 

15,944   $ 
15,944   $ 

—   $ 
—   $ 

—   $ 
—   $ 

15,944 
15,944 

Assets: 
Available-for-sale investments 

Total assets 

Level 2 

To measure the fair value of its derivative transactions (transactions to hedge exchange risk and interest rate 

risk), we calculate the mark-to-market of each transaction using prices quoted in active markets (e.g. the spot 
exchange rate of a currency for forward exchange transactions) and observable market inputs processed for the 
measurement (e.g. the fair value of an interest rate swap using the interest rate curve), or the measurement of an 
exchange rate option (with the processing of listed prices and observable variables such as volatility). 

For all level 2 valuations, we use the information provided by a third-party as a source for obtaining quoted 
observable prices and to process market variables. In particular, we use the following techniques to calculate the 
fair value of derivatives: 

128

 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

31 December 

2015 

Level 1 

Level 2 

Level 3 

Available-for-sale investments 

 $ 

15,847   $ 

Derivative Assets - for hedging 

839

  $ 

16,686   $ 

Assets: 

(exchange rates) 

Total assets 

Liabilities: 

Derivative Liabilities - for hedging 

(interest rates) 

Derivative Liabilities - not for 

hedging (interest rates) 

Derivative Liabilities - not for 

hedging (exchange rates) 

Earnout for contingent payments(1)  

Total Liabilities 

  $ 

24

1,547

3,457   

7,904   $ 

—   $ 

—

—   $ 

—

—

—   

—   $ 

—   $ 

839

839   $ 

24

1,547

—   

4,447   $ 

15,487 

— 

15,487 

—

— 

— 

3,457  

3,457 

  $ 

2,876

 $ 

—

 $ 

2,876

 $ 

(1) This contingent payment arose as a result of the acquisition of Cellplex Pty Ltd. in September 2015 and was valued using 

the Black Scholes method at the date of the Mergers. 

  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

24 April 2015 

Level 1 

Level 2 

Level 3 

Available-for-sale investments 

Assets: 

Total assets 

 $ 

  $ 

17,127   $ 

17,127   $ 

—   $ 

—   $ 

—   $ 

—   $ 

17,127 

17,127 

  Fair Value as at    Fair Value Measurements Using Inputs Considered as: 

26 April 2014 

Level 1 

Level 2 

Level 3 

Available-for-sale investments 

 $ 

  $ 

15,944   $ 

15,944   $ 

—   $ 

—   $ 

—   $ 

—   $ 

15,944 

15,944 

Assets: 

Total assets 

Level 2 

To measure the fair value of its derivative transactions (transactions to hedge exchange risk and interest rate 

risk), we calculate the mark-to-market of each transaction using prices quoted in active markets (e.g. the spot 

exchange rate of a currency for forward exchange transactions) and observable market inputs processed for the 

measurement (e.g. the fair value of an interest rate swap using the interest rate curve), or the measurement of an 

exchange rate option (with the processing of listed prices and observable variables such as volatility). 

For all level 2 valuations, we use the information provided by a third-party as a source for obtaining quoted 

observable prices and to process market variables. In particular, we use the following techniques to calculate the 

fair value of derivatives: 

•   For forward exchange rate transactions, fair value is calculated using the forward market exchange rate 

on the reporting date for each contract. The difference calculated between this amount and the 
contractual forward rate is discounted (present value) to the same reporting date; 

•   For interest rate swaps, the fair value is calculated taking into account the present value of interest 
flows calculated on the notional amount of each contract using the forward interest rate curve 
applicable on the reporting date. 

The derivative valuation models incorporate the credit quality of counterparties, adjustments for 

counterparties’ credit risk and the Company’s own non-performance risk. 

Level 3 

AFS financial assets consist of investments in equity shares and convertible preferred shares of privately 

held companies for which there are no quoted market prices. During the transitional period 25 April 2015 to 31 
December 2015 it was determined that the fair value of the investment in Cerbomed GmbH was below its 
carrying value and that the carrying values of this investment was not expected to be recoverable within a 
reasonable period of time. As a result, an impairment charge of $5.1 million was recognised during the 
transitional period ended 31 December 2015. No impairment was recorded in the fiscal year ended 24 April 
2015. The fair value of the other investments in equity shares approximated their carrying value as at 31 
December 2015, 24 April 2015 and 26 April 2014.  These investments fall within Level 3 of the fair value 
hierarchy due to the use of significant unobservable inputs to determine fair value as the investments are 
privately held entities without quoted market prices. To determine the fair value of these investments 
management used all pertinent financial information available related to the entities including valuation reports 
prepared by third parties. 

In September 2015 as a result of acquisition of Cellplex Pty Ltd., a contingent payment was recorded and 

valued using the Black-Scholes model at the acquisition date. 

Transfers 

 We review the 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 within the fair value hierarchy. 
Our policy is to recognise transfers into and out of levels within the fair value hierarchy at the end of the fiscal 
quarter in which the actual event or change in circumstances that caused the transfer occurs. There were no 
transfers between Level 1, Level 2 or Level 3 during the periods ended 31 December 2015, and 24 April 2015. 
When a determination is made to classify an asset or liability within Level 3, the determination is based upon 
the significance of the unobservable inputs to the overall fair value. 

Assets and Liabilities that are Measured at Fair Value on a Non-recurring Basis 

Non-financial assets such as investments in shares that are accounted for using the cost or equity method, 

goodwill, intangible assets and property, plant and equipment are measured at fair value when there is an 
indicator of impairment and recorded at fair value only when impairment is recognised.  The fair values of these 
non-financial assets are based on our own judgements about the assumptions that market participants would use 
in pricing the asset and on observable market data, when available.  We classify these measurements as Level 3 
within the fair value hierarchy. 

129

 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
 
 
We recorded goodwill of $764.7 million on the date of the Mergers. Due to the proximity of the merger 

date to the year end, we have not identified any indicators of impairment. 

During the transitional period 25 April 2015 to 31 December 2015, we fully impaired finite-lived intangible 

assets primarily related to R&D projects, such as our rechargeable battery technology, that no longer factored 
into our future product plans, for a loss of $1.7 million. During the fiscal year ended 24 April 2015, we fully 
impaired certain neurological signal feedback and processing technology that no longer factored into our 
product plans and recognised an impairment loss of $0.4 million.  We estimated the fair value of the intangible 
assets utilizing a discounted future cash flow analysis, which we classified as a Level 3 within the fair value 
hierarchy. Refer to “Note 10. Goodwill and Intangible Assets” for further details. 

During the fiscal year ended 24 April 2015, we recognised an impairment loss of $0.8 million for certain 

obsolete manufacturing equipment and software primarily related to the Centro project redesign. We estimated 
the fair value of the property, plant and equipment utilizing a discounted future cash flow analysis, which we 
classified as a Level 3 within the fair value hierarchy. 

Financial Instruments Not Measured at Fair Value 

The carrying values of our cash and cash equivalents, accounts receivable, accounts payable and accrued 

liabilities approximate their fair values due to the short-term nature of these items. 

The balance of our investments in short-term securities as at 31 December 2015 consisted of commercial 
paper carried at amortized cost which approximates its fair value. The balances as at 24 April 2015 and 26 April 
2014 consisted of a certificate of deposit and commercial paper that are considered held-to-maturity debt 
securities and carried at amortized cost, which approximate fair value.  Refer to “Note 12. Financial Assets” for 
further details. 

The carrying value of our long and short-term debt as at 31 December 2015 was $174.3 million which we 
believe approximates fair value. We did not have any debt outstanding as at 24 April 2015 and 26 April 2014. 

Note 6. Financial Instruments 

The Company uses several instruments to fund its operating activities including short and long-term debt 

from credit institutions and other lenders, short-term bank loans and advances against trade receivables sold 
under factoring agreements. The Company’s other financial instruments consist of trade payables and 
receivables resulting from operating activities, investments in other companies, assets and liabilities for 
financial derivatives (primarily interest rate swaps and forward foreign currency contracts) and other 
receivables and payables other than those related to staff, tax authorities and welfare agencies. 

Classification of financial instruments 

With regard to classification of financial instruments on the basis of the types as specified in IAS 39, the 

following should be noted: 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate exchange 

risk on imports and exports are classified under “Hedging derivatives” when they meet the 
requirements for being recognised as hedge accounting instruments, and under “Financial 
assets/liabilities at fair value through profit or loss” when these requirements are not met. 

130

 
 
We recorded goodwill of $764.7 million on the date of the Mergers. Due to the proximity of the merger 

date to the year end, we have not identified any indicators of impairment. 

During the transitional period 25 April 2015 to 31 December 2015, we fully impaired finite-lived intangible 

assets primarily related to R&D projects, such as our rechargeable battery technology, that no longer factored 

into our future product plans, for a loss of $1.7 million. During the fiscal year ended 24 April 2015, we fully 

impaired certain neurological signal feedback and processing technology that no longer factored into our 

product plans and recognised an impairment loss of $0.4 million.  We estimated the fair value of the intangible 

assets utilizing a discounted future cash flow analysis, which we classified as a Level 3 within the fair value 

hierarchy. Refer to “Note 10. Goodwill and Intangible Assets” for further details. 

During the fiscal year ended 24 April 2015, we recognised an impairment loss of $0.8 million for certain 

obsolete manufacturing equipment and software primarily related to the Centro project redesign. We estimated 

the fair value of the property, plant and equipment utilizing a discounted future cash flow analysis, which we 

classified as a Level 3 within the fair value hierarchy. 

Financial Instruments Not Measured at Fair Value 

The carrying values of our cash and cash equivalents, accounts receivable, accounts payable and accrued 

liabilities approximate their fair values due to the short-term nature of these items. 

The balance of our investments in short-term securities as at 31 December 2015 consisted of commercial 

paper carried at amortized cost which approximates its fair value. The balances as at 24 April 2015 and 26 April 

2014 consisted of a certificate of deposit and commercial paper that are considered held-to-maturity debt 

securities and carried at amortized cost, which approximate fair value.  Refer to “Note 12. Financial Assets” for 

further details. 

The carrying value of our long and short-term debt as at 31 December 2015 was $174.3 million which we 

believe approximates fair value. We did not have any debt outstanding as at 24 April 2015 and 26 April 2014. 

Note 6. Financial Instruments 

The Company uses several instruments to fund its operating activities including short and long-term debt 

from credit institutions and other lenders, short-term bank loans and advances against trade receivables sold 

under factoring agreements. The Company’s other financial instruments consist of trade payables and 

receivables resulting from operating activities, investments in other companies, assets and liabilities for 

financial derivatives (primarily interest rate swaps and forward foreign currency contracts) and other 

receivables and payables other than those related to staff, tax authorities and welfare agencies. 

Classification of financial instruments 

following should be noted: 

With regard to classification of financial instruments on the basis of the types as specified in IAS 39, the 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate exchange 

risk on imports and exports are classified under “Hedging derivatives” when they meet the 

requirements for being recognised as hedge accounting instruments, and under “Financial 

assets/liabilities at fair value through profit or loss” when these requirements are not met. 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate  interest 
rate risk are classified under “Hedging derivatives” when they meet the requirements for being 
recognised as hedge accounting instruments, and under “Financial assets/liabilities at fair value 
through profit or loss” when these requirements are not met.  

•   Trade receivables also include those sold to third parties under factoring agreements that do not meet 
the conditions of IAS 39 for their derecognition from the financial statements. To reflect these sales, 
payables are recorded for advances received that fall into the category of “Financial liabilities at 
amortised cost”. 

Classification of financial instruments at 31 December 2015 

CLASSIFICATION 

CARRYING AMOUNT 

FINANCIAL 
ASSETS/LIAB
ILITIES AT 
FAIR VALUE 
THROUGH 
PROFIT OR 
LOSS 

RECEIVABLES 
AND LOANS 

FINANCIAL 
ASSETS HELD 
TO 
MATURITY 

AVAILABLE-
FOR-SALE 
FINANCIAL 
ASSETS 

FINANCIAL 
LIABILITIES 
AT 
AMORTISED 
COST 

HEDGING 
DERIVATIVES 

TOTAL 

CURRENT 
PORTION 

NON-
CURRENT 
PORTION 

FAIR VALUE 

Assets 
Financial assets  $ 

Other assets 

Trade 
receivables 
Other 
receivables 
Other financial 
assets 
Cash and cash 
equivalents 

Total financial 
assets 

$ 

Liabilities 

Financial 
liabilities 
Other liabilities 

$ 

Trade payables 

Other payables 

Financial 
derivative 
liabilities 
Other financial 
liabilities 

Total financial 
liabilities 

— $ 
— 

2,205 $ 
1,463 

1,777 $ 
— 

15,847 $ 
— 

— $ 
— 

— $  19,829 $ 
— 

1,463 

— $ 
— 

19,829 $  19,829 
1,463 
1,463 

—

—

—

—

249,075

24,183

9,271

112,613

—

—

—

—

—

—

—

—

—

—

—

—

—

249,075

249,075

—

249,075

—

—

—

24,183

24,183

9,271

9,271

—

—

24,183

9,271

112,613

112,613

—

112,613

—

$  398,810

$ 

1,777

$ 

15,847

$ 

—

$ 

—

$  416,434

$  395,142

$ 

21,292

$  416,434

$ 

—
— 

—
— 

1,571

—

$ 

—
— 

$ 

—
— 

$ 

—
— 

$ 

113,034
7,047 

—
— 

$  113,034
7,047 

$ 

$ 

21,243
— 

91,791
7,047 

$  114,116
7,047 

—
— 

—

—

—
— 

—

—

—
— 

—

—

106,258
45,865 

—
— 

106,258
45,865 

106,258
45,865 

—
— 

106,258
45,865 

—

2,037

3,608

1,815

1,793

3,608

62,487

—

62,487

62,487

—

62,487

$ 

1,571

$ 

—

$ 

—

$ 

—

$ 

334,691

$ 

2,037

$  338,299

$  237,668

$  100,631

$  339,381

131

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classification of financial instruments at 24 April 2015 

CLASSIFICATION 

CARRYING AMOUNT 

FINANCIAL 
ASSETS/LIAB
ILITIES AT 
FAIR VALUE 
THROUGH 
PROFIT OR 
LOSS 

RECEIVABLES 
AND LOANS 

FINANCIAL 
ASSETS HELD 
TO 
MATURITY 

AVAILABLE-
FOR-SALE 
FINANCIAL 
ASSETS 

FINANCIAL 
LIABILITIES 
AT 
AMORTISED 
COST 

HEDGING 
DERIVATIVES 

TOTAL 

CURRENT 
PORTION 

NON-
CURRENT 
PORTION 

FAIR VALUE 

Assets 
Financial assets  $ 

Other assets 

Trade 
receivables 
Other 
receivables 
Other financial 
assets 
Cash and cash 
equivalents 

Total financial 
assets 

$ 

Liabilities 

Trade payables  $ 

Other payables 

Total financial 
liabilities 

$ 

— $ 
— 

— $ 

1,563 

— $ 
— 

17,127 $ 
— 

— $ 
— 

— $  17,127 $ 
— 

1,563 

— $ 
— 

17,127 $  17,127 
1,563 
1,563 

—

—

—

—

50,569

4,510

27,020

124,187

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

50,569

50,569

4,510

4,510

27,020

27,020

—

—

—

50,569

4,510

27,020

—

124,187

124,187

—

124,187

—

$  207,849

$ 

—

$ 

17,127

$ 

—

$ 

—

$  224,976

$  206,286

$ 

18,690

$  224,976

— $ 
— 

— $ 
— 

— $ 
— 

— $ 
— 

7,251 $ 
13,331 

— $ 
— 

7,251 $ 
13,331 

7,251 $ 
13,331 

— $ 
— 

7,251 
13,331 

—

$ 

—

$ 

—

$ 

—

$ 

20,582

$ 

—

$  20,582

$ 

20,582

$ 

—

$  20,582

132

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classification of financial instruments at 24 April 2015 

CLASSIFICATION 

CARRYING AMOUNT 

FINANCIAL 

ASSETS/LIAB

ILITIES AT 

FAIR VALUE 

THROUGH 

PROFIT OR 

RECEIVABLES 

TO 

LOSS 

AND LOANS 

MATURITY 

FINANCIAL 

ASSETS HELD 

AVAILABLE-

FOR-SALE 

FINANCIAL 

ASSETS 

FINANCIAL 

LIABILITIES 

AT 

AMORTISED 

HEDGING 

COST 

DERIVATIVES 

TOTAL 

CURRENT 

PORTION 

NON-

CURRENT 

PORTION 

FAIR VALUE 

— $ 

— $ 

17,127 $ 

— $ 

— 

— $  17,127 $ 

— 

1,563 

— $ 

17,127 $  17,127 

— 

1,563 

1,563 

— $ 

— 

—

—

—

—

1,563 

50,569

4,510

27,020

124,187

— 

—

—

—

—

— 

—

—

—

—

—

—

—

—

—

—

—

—

50,569

50,569

4,510

4,510

27,020

27,020

—

—

—

50,569

4,510

27,020

124,187

124,187

—

124,187

$ 

—

$  207,849

$ 

—

$ 

17,127

$ 

—

$ 

—

$  224,976

$  206,286

$ 

18,690

$  224,976

— $ 

— 

— $ 

— 

— $ 

— 

— $ 

— 

7,251 $ 

13,331 

— $ 

7,251 $ 

7,251 $ 

— 

13,331 

13,331 

— $ 

7,251 

— 

13,331 

$ 

—

$ 

—

$ 

—

$ 

—

$ 

20,582

$ 

—

$  20,582

$ 

20,582

$ 

—

$  20,582

Assets 

Financial assets  $ 

Other assets 

Trade 

receivables 

Other 

receivables 

Other financial 

assets 

Cash and cash 

equivalents 

Total financial 

assets 

Liabilities 

Trade payables  $ 

Other payables 

Total financial 

liabilities 

Classification of financial instruments at 26 April 2014 

CLASSIFICATION 

CARRYING AMOUNT 

FINANCIAL 
ASSETS/LIAB
ILITIES AT 
FAIR VALUE 
THROUGH 
PROFIT OR 
LOSS 

RECEIVABLES 
AND LOANS 

FINANCIAL 
ASSETS HELD 
TO 
MATURITY 

AVAILABLE-
FOR-SALE 
FINANCIAL 
ASSETS 

FINANCIAL 
LIABILITIES 
AT 
AMORTISED 
COST 

HEDGING 
DERIVATIVE
S 

TOTAL 

CURRENT 
PORTION 

NON-
CURRENT 
PORTION 

FAIR VALUE 

Assets 

Financial assets  $ 

Other assets 

Trade 
receivables 

Other 
receivables 
Other financial 
assets 
Cash and cash 
equivalents 

Total financial 
assets 

$ 

Liabilities 

Trade payables  $ 

Other payables 

Total financial 
liabilities 

$ 

— $ 
— 

— $ 
856 

— $ 
— 

15,944 $ 
— 

— $ 
— 

— $ 
— 

15,944 $ 
856 

— $ 
— 

15,944 $  15,944 
856 

856 

—

—

—

—

50,674

3,629

25,029

103,299

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

50,674

50,674

3,629

3,629

25,029

25,029

—

—

—

50,674

3,629

25,029

103,299

103,299

—

103,299

—

$  183,487

$ 

—

$ 

15,944

$ 

—

$ 

—

$  199,431

$  182,631

$ 

16,800

$  199,431

— $ 
— 

— $ 
— 

— $ 
— 

— $ 
— 

7,570 $ 
11,460 

— $ 
— 

7,570 $ 
11,460 

7,570 $ 
11,460 

— $ 
— 

7,570 
11,460 

—

$ 

—

$ 

—

$ 

—

$ 

19,030

$ 

—

$ 

19,030

$ 

19,030

$ 

—

$  19,030

Note 7. Business Combinations 

On 19 October 2015, and pursuant to the terms of the Merger Agreement, Sorin merged with and into 
LivaNova, with LivaNova continuing as the surviving company, immediately followed by the merger of Merger 
Sub with and into Cyberonics, with Cyberonics continuing as the surviving company and as a wholly owned 
subsidiary of LivaNova. Following the completion of the Mergers, LivaNova became the holding company of 
the combined businesses of Cyberonics and Sorin, and LivaNova’s ordinary shares were listed under the ticker 
symbol “LIVN”, on NASDAQ and admitted for listing on the standard segment of the U.K. Financial 
Authority’s Official List and to trading on the LSE. As a result of the Mergers on 19 October 2015, LivaNova 
issued approximately 48.8 million ordinary shares. 

On 19 October 2015, each ordinary share of Sorin was converted into the right to receive 0.0472 ordinary 
shares of LivaNova, (“Sorin Exchange Ratio”), and each share of common shares of Cyberonics was converted 
into the right to receive one ordinary share of LivaNova. The fair value of the shares issued as total 
consideration of the Mergers is based on Cyberonics' closing share price of $69.95 per share on 16 October 
2015, the last business day prior to the close of the Mergers. Based on the number of outstanding shares of 
Sorin and Cyberonics as of 19 October 2015, former Sorin and Cyberonics shareholders held approximately 46 
percent and 54 percent, respectively, of LivaNova's ordinary shares after giving effect to the Mergers. 

133

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Based on the relative voting rights of Cyberonics and Sorin shareholders immediately following completion 

of the Mergers and the premium paid by Cyberonics for Sorin ordinary shares, and after taking into 
consideration all relevant facts, Cyberonics was considered to be the acquirer for accounting purposes. 
LivaNova accounted for the acquisition of Sorin as a business combination using the acquisition method of 
accounting. Under the acquisition method of accounting, the tangible and identifiable intangible assets acquired 
and liabilities assumed are recorded based on their fair values at the acquisition date with the excess over the 
fair value of consideration recognised as goodwill. 

The purchase price allocation presented below is based on a preliminary acquisition valuation and includes 

the use of estimates based on information that was available to management at the time these audited 
consolidated financial statements were prepared.  Management is in the process of finalizing appraisals and 
estimates that may result in a change in the valuation of assets acquired, liabilities assumed, goodwill 
recognised and the related impact on deferred taxes and cumulative translation adjustments. These changes may 
have a material impact on the results of operations and financial position. As management finalizes the 
valuation of assets acquired and liabilities assumed, additional purchase price adjustments may be recorded 
during the measurement period. Fair value estimates are based on a complex series of judgements about future 
events and uncertainties and rely heavily on estimates and assumptions. The judgements used to determine the 
estimated fair value assigned to each class of assets acquired and liabilities assumed can materially impact the 
results of operations. 

The following table summarises the fair value of consideration transferred and preliminary fair values of 

Sorin’s assets acquired and liabilities assumed: 

134

 
 
Based on the relative voting rights of Cyberonics and Sorin shareholders immediately following completion 

of the Mergers and the premium paid by Cyberonics for Sorin ordinary shares, and after taking into 

consideration all relevant facts, Cyberonics was considered to be the acquirer for accounting purposes. 

LivaNova accounted for the acquisition of Sorin as a business combination using the acquisition method of 

accounting. Under the acquisition method of accounting, the tangible and identifiable intangible assets acquired 

and liabilities assumed are recorded based on their fair values at the acquisition date with the excess over the 

fair value of consideration recognised as goodwill. 

The purchase price allocation presented below is based on a preliminary acquisition valuation and includes 

the use of estimates based on information that was available to management at the time these audited 

consolidated financial statements were prepared.  Management is in the process of finalizing appraisals and 

estimates that may result in a change in the valuation of assets acquired, liabilities assumed, goodwill 

recognised and the related impact on deferred taxes and cumulative translation adjustments. These changes may 

have a material impact on the results of operations and financial position. As management finalizes the 

valuation of assets acquired and liabilities assumed, additional purchase price adjustments may be recorded 

during the measurement period. Fair value estimates are based on a complex series of judgements about future 

events and uncertainties and rely heavily on estimates and assumptions. The judgements used to determine the 

estimated fair value assigned to each class of assets acquired and liabilities assumed can materially impact the 

results of operations. 

The following table summarises the fair value of consideration transferred and preliminary fair values of 

Sorin’s assets acquired and liabilities assumed: 

(in thousands) 
Consideration transferred: 
Fair value of common shares issued to Sorin shareholders (1) 
Fair value of common shares issued to Sorin share award holders (2) 
Fair value of LivaNova share appreciation rights issued to Sorin share appreciation rights holders (3) 

Total fair value of consideration transferred 

Estimated fair value of assets acquired and liabilities assumed: 
Cash and cash equivalents 
Accounts receivable 
Inventories 
Other current assets 
Property, plant and equipment 
Intangible assets 
Equity investments 
Other assets 
Deferred tax assets 

Total assets acquired 

Short-term debt 
Other current liabilities 
Long-term debt 
Deferred tax liabilities 
Other long-term liabilities 

Total liabilities assumed 
Goodwill 

(1)  To record the fair value of LivaNova ordinary shares issued to Sorin shareholders (in thousands except for ratio): 

Total Sorin shares outstanding as of 16 October 2015 
Sorin Exchange Ratio 
Shares of LivaNova issued 
Value per share of Cyberonics as of 16 October 2015 
Fair value of ordinary shares transferred to Sorin shareholders 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 
 $ 

1,577,603 
9,231 
2,249 
1,589,083 

12,495 
224,466 
233,832 
60,674 
192,503 
703,865 
67,059 
7,483 
135,517 
1,637,894 

110,601 
237,855 
128,458 
278,940 
57,674 
814,304 
764,717 

477,824 
0.0472 
22,553 
69.95 
1,577,603 

$
$

(2)  Each Sorin share award (other than a Sorin share appreciation right) granted prior to the Sorin merger was accelerated, 

vested and was converted into the right to receive LivaNova ordinary shares based on the Sorin Exchange Ratio. The 
total fair value of the replacement awards is $25.2 million, including $9.2 million attributable to pre-combination 
services and allocated to consideration transferred to acquire Sorin. Of the remaining $16.0 million, $8.3 million was 
recognised immediately in the post-combination period and $7.7 million will be recognised over the post-combination 
service period to 28 February 2017 due to the service period requirements of the awards. Refer to “Note 21. Share-
Based Incentive Plans” for further discussion of treatment of equity awards. 

The consideration transferred in the Mergers was measured using the fair-value-based measure of the share awards as 
of the closing date. For purposes of calculating the consideration transferred, the fair-value-based measure of the Sorin 
share awards was determined to be the opening market price of LivaNova’s ordinary shares of $69.39 on 19 October 
2015. 

135

 
 
 
 
   
   
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
(3)  As of 16 October 2015 there were 3,815,824 Sorin share appreciation rights. Each Sorin share appreciation right 

granted prior to the Sorin merger effective was accelerated, vested and was converted into the right to receive 0.0472 
LivaNova share appreciation right based on the Sorin Exchange Ratio. The total fair value of the replacement share 
appreciation rights is $3.8 million, including $2.2 million attributable to pre-combination services and allocated to 
consideration transferred to acquire Sorin. The remaining $1.6 million was recognised immediately in the post-
combination period. Refer to “Note 21. Share-Based Incentive Plans” for further discussion of treatment of equity 
awards. 

Based upon a preliminary acquisition valuation, LivaNova acquired $464.0 million of customer-related 

intangible assets, $211.1 million of developed technology intangible assets, $13.6 million related to the Sorin 
trade name and $15.1 million related to software, with weighted average estimated useful lives of 17, 14, 4 and 
3 years, respectively. Other long-term liabilities include $2.7 million of unfavorable leases with weighted 
average remaining lives of 5 years. 

Goodwill has been allocated to Cardiac Surgery, Cardiac Rhythm Management and Neuromodulation 

operating segments. Goodwill is calculated as the excess of the consideration transferred over the net assets 
recognised and represents growth opportunities and expected cost synergies of the combined company. The 
Mergers are expected to provide both short-term and long-term revenue enhancements and cost savings and 
synergy opportunities, increase the diversity of LivaNova’s business mix, and accelerate the entry into three 
emerging market opportunities in the areas of heart failure, sleep apnea and less invasive mitral valves. The 
Mergers are also expected to allow LivaNova to utilize and integrate certain Sorin technologies into its existing 
and future product lines for epilepsy. LivaNova expects all of its operating segments to benefit, directly or 
indirectly, from the synergies arising from the business combination. As a result, as at 31 December 2015, the 
Company has provisionally assigned the goodwill arising from the Sorin acquisition to all three operating 
segments. This assignment was made by taking into consideration market participant rates of return for each 
acquired operating segment (Cardiac Surgery and Cardiac Rhythm Management) in order to assess the 
respective fair values. The remaining goodwill, allocated to Neuromodulation, which is the accounting 
acquirer’s existing business unit, is supported by the synergies deriving from the Mergers. Goodwill recognised 
as a result of the acquisition is not deductible for tax purposes. 

The fair value of accounts receivable and other current assets is $285.1 million and includes trade 

receivables with a fair value of $224.5 million. The gross amount of trade receivables is $243.9 million. 
However, none of the trade receivables have been impaired and it is expected that the contractual amounts can 
be collected. 

Contingent liabilities assumed includes $9.2 million related to uncertain tax positions. Contingent liabilities 

also include $3.4 million for contingent payments at fair value related to two acquisitions completed by Sorin 
prior to the closing of the Mergers. The contingent payments for one acquisition are based on achievement of 
sales targets by the acquiree through 30 June 2018 and the contingent payments for the second acquisition are 
based on sales of cardiopulmonary disposable products and heart lung machines through 2019 of the acquiree. 

136

 
 
(3)  As of 16 October 2015 there were 3,815,824 Sorin share appreciation rights. Each Sorin share appreciation right 

granted prior to the Sorin merger effective was accelerated, vested and was converted into the right to receive 0.0472 

LivaNova share appreciation right based on the Sorin Exchange Ratio. The total fair value of the replacement share 

appreciation rights is $3.8 million, including $2.2 million attributable to pre-combination services and allocated to 

consideration transferred to acquire Sorin. The remaining $1.6 million was recognised immediately in the post-

combination period. Refer to “Note 21. Share-Based Incentive Plans” for further discussion of treatment of equity 

awards. 

Based upon a preliminary acquisition valuation, LivaNova acquired $464.0 million of customer-related 

intangible assets, $211.1 million of developed technology intangible assets, $13.6 million related to the Sorin 

trade name and $15.1 million related to software, with weighted average estimated useful lives of 17, 14, 4 and 

3 years, respectively. Other long-term liabilities include $2.7 million of unfavorable leases with weighted 

average remaining lives of 5 years. 

Goodwill has been allocated to Cardiac Surgery, Cardiac Rhythm Management and Neuromodulation 

operating segments. Goodwill is calculated as the excess of the consideration transferred over the net assets 

recognised and represents growth opportunities and expected cost synergies of the combined company. The 

Mergers are expected to provide both short-term and long-term revenue enhancements and cost savings and 

synergy opportunities, increase the diversity of LivaNova’s business mix, and accelerate the entry into three 

emerging market opportunities in the areas of heart failure, sleep apnea and less invasive mitral valves. The 

Mergers are also expected to allow LivaNova to utilize and integrate certain Sorin technologies into its existing 

and future product lines for epilepsy. LivaNova expects all of its operating segments to benefit, directly or 

indirectly, from the synergies arising from the business combination. As a result, as at 31 December 2015, the 

Company has provisionally assigned the goodwill arising from the Sorin acquisition to all three operating 

segments. This assignment was made by taking into consideration market participant rates of return for each 

acquired operating segment (Cardiac Surgery and Cardiac Rhythm Management) in order to assess the 

respective fair values. The remaining goodwill, allocated to Neuromodulation, which is the accounting 

acquirer’s existing business unit, is supported by the synergies deriving from the Mergers. Goodwill recognised 

as a result of the acquisition is not deductible for tax purposes. 

The fair value of accounts receivable and other current assets is $285.1 million and includes trade 

receivables with a fair value of $224.5 million. The gross amount of trade receivables is $243.9 million. 

However, none of the trade receivables have been impaired and it is expected that the contractual amounts can 

be collected. 

Contingent liabilities assumed includes $9.2 million related to uncertain tax positions. Contingent liabilities 

also include $3.4 million for contingent payments at fair value related to two acquisitions completed by Sorin 

prior to the closing of the Mergers. The contingent payments for one acquisition are based on achievement of 

sales targets by the acquiree through 30 June 2018 and the contingent payments for the second acquisition are 

based on sales of cardiopulmonary disposable products and heart lung machines through 2019 of the acquiree. 

LivaNova’s consolidated financial statements for the transitional period 25 April 2015 to 31 December 
2015 include Sorin’s results of operations from the acquisition date through 31 December  2015. Revenue and 
operating loss attributable to Sorin during this period were $200.1 million and $5.9 million, respectively.  In 
relation to the Mergers, we incurred $42.1 million of transaction costs and $13.7 million of integration costs 
during the transitional period 25 April to 31 December 2015. The transaction costs primarily relate to advisory, 
legal and accounting fees and are included in the merger-related expenses line item in the consolidated 
statement of income (loss). The integration costs are included as a separate line item on the consolidated 
statement of income (loss). 

Pro forma results of operations (unaudited) 

The following unaudited pro forma information presents the results of the Company as if the Mergers were 
consummated on 26 April 2014, and had been included in our consolidated statements of income (loss) for the 
transitional period 25 April 2015 to 31 December 2015 and the fiscal year ended 24 April 2015: 

(in thousands, except per share data) 

Revenue 
Net Income 
Basic and diluted net income per share 

Transitional Period 25 
April 2015 to 

31 December  2015 
(unaudited) 

Fiscal Year Ended 
24 April 2015 

(unaudited) 

 $ 

 $ 

837,241   
(30,515)   
(0.93)   

$ 

$ 

1,236,477 
11,947 
0.45 

The unaudited pro forma combined results of operations for the transitional period 25 April 2015 to 31 
December 2015 and the fiscal year ended 24 April 2015 have been prepared by adjusting the historical results of 
Cyberonics to include the historical results of Sorin. The unaudited pro forma information for the fiscal year 
ended 24 April 2015 is based on the accounts of Cyberonics presented on the fiscal year ending 24 April 2015 
and of Sorin presented on the twelve months ended 30 June 2015. There were no material intervening events 
that occurred involving either company between 24 April 2015 and 30 June 2015. The unaudited pro forma 
information for the transitional period from 25 April 2015 to 31 December 2015 is based on the accounts of 
LivaNova from 25 April 2015 through 31 December 2015 (which consists of legacy Cyberonics operations 
through 18 October 2015 and combined Cyberonics and Sorin operations thereafter) and the accounts of Sorin 
from 25 April 2015 through the 18 October 2015. 

The unaudited pro forma information reflects adjustments that are expected to have a continuing impact on 
our results operations and are directly attributable to the Mergers. The unaudited pro forma results include, but 
are not limited to, the incremental depreciation expense associated with the step-up fair value adjustments to 
property, plant and equipment of $1.6 million for the transitional period 25 April 2015 to 31 December 2015, 
$3.2 million for the fiscal year ended 24 April 2015 and the incremental intangible asset amortization to be 
incurred based on the preliminary values of each identifiable intangible asset of $13.8 million for the 
transitional period 25 April 2015 to 31 December 2015 and $26.2 million for the fiscal year ended 24 April 
2015. 

137

 
 
 
 
 
 
 
 
 
As a result of the Mergers, LivaNova recorded a $56.8 million step-up of inventory and recognised an 
incremental cost of sales expense of $20.8 million from 19 October 2015 to 31 December 2015 associated with 
amortization of the step-up in inventory. The unaudited pro forma results include an adjustment to eliminate the 
$20.8 million in expense from the transitional period 25 April 2015 to 31 December 2015 and reflect 
amortization expense of $56.8 million in the results of the fiscal year ended 24 April 2015 because the expected 
inventory usage period is less than 12 months. 

 The statutory tax rate was applied to unaudited pro forma adjustments, as appropriate, to each adjustment 

based on the jurisdiction in which the adjustment was expected to occur. 

The pro forma net loss for the transitional period 25 April 2015 to 31 December 2015 includes the 
following non-recurring items directly attributable to the merger: $48.8 million of merger-related transaction 
expenses and $19.3 million of non-cash share-based compensation charges. The pro forma net loss for the fiscal 
year ended 24 April 2105 includes non-recurring merger-related transaction expenses directly attributable to the 
Mergers of $35.9 million. 

This supplemental pro forma information has been prepared for comparative purposes and does not purport 

to be indicative of what would have occurred had the acquisition been made on 26 April 2014, and it is not 
indicative of any future results. 

Note 8. 2015 Restructuring Plans 

We initiated several restructuring plans after the consummation of the Mergers in October 2015. LivaNova 

incurred restructuring expenses triggered by the Mergers and on plans following efforts to eliminate duplicate 
corporate expenses and also on plans intended to leverage economies of scale and streamline distributions, 
logistics and office functions in order to reduce overall costs. The restructuring provision is based on the 
information available at the closing of the period and is subject to periodic review. 

The restructuring plan’s liabilities for the transitional period 25 April 2015 to 31 December 2015 are as 

follows (in thousands): 

Employee 
severance and 
other termination 
costs 

Supply chain 
contract 
termination costs 

Beginning liability balance 
Charges 
Cash payments 
Currency translation gains (losses) 

 $ 

Ending liability balance 

  $ 

—   $ 
4,720   
—   
—   
4,720   $ 

—   $ 
—   
—   
—   
—   $ 

Total 

— 
4,720 
— 
— 
4,720 

138

 
 
 
 
 
 
 
 
 
As a result of the Mergers, LivaNova recorded a $56.8 million step-up of inventory and recognised an 

incremental cost of sales expense of $20.8 million from 19 October 2015 to 31 December 2015 associated with 

amortization of the step-up in inventory. The unaudited pro forma results include an adjustment to eliminate the 

$20.8 million in expense from the transitional period 25 April 2015 to 31 December 2015 and reflect 

amortization expense of $56.8 million in the results of the fiscal year ended 24 April 2015 because the expected 

inventory usage period is less than 12 months. 

 The statutory tax rate was applied to unaudited pro forma adjustments, as appropriate, to each adjustment 

based on the jurisdiction in which the adjustment was expected to occur. 

The pro forma net loss for the transitional period 25 April 2015 to 31 December 2015 includes the 

following non-recurring items directly attributable to the merger: $48.8 million of merger-related transaction 

expenses and $19.3 million of non-cash share-based compensation charges. The pro forma net loss for the fiscal 

year ended 24 April 2105 includes non-recurring merger-related transaction expenses directly attributable to the 

Mergers of $35.9 million. 

This supplemental pro forma information has been prepared for comparative purposes and does not purport 

to be indicative of what would have occurred had the acquisition been made on 26 April 2014, and it is not 

indicative of any future results. 

Note 8. 2015 Restructuring Plans 

We initiated several restructuring plans after the consummation of the Mergers in October 2015. LivaNova 

incurred restructuring expenses triggered by the Mergers and on plans following efforts to eliminate duplicate 

corporate expenses and also on plans intended to leverage economies of scale and streamline distributions, 

logistics and office functions in order to reduce overall costs. The restructuring provision is based on the 

information available at the closing of the period and is subject to periodic review. 

The restructuring plan’s liabilities for the transitional period 25 April 2015 to 31 December 2015 are as 

follows (in thousands): 

Employee 

severance and 

other termination 

Supply chain 

contract 

costs 

termination costs 

Total 

Beginning liability balance 

 $ 

Charges 

Cash payments 

Currency translation gains (losses) 

Ending liability balance 

  $ 

—   $ 

4,720   

—   

—   

4,720   $ 

—   $ 

—   

—   

—   

—   $ 

— 

4,720 

— 

— 

4,720 

Note 9. Property, Plant and Equipment 

At 26 April 2014 
Gross amount 
Accumulated depreciation 
and impairment 
Net amount 

At 24 April 2015 
Gross amount 
Accumulated depreciation 
and impairment 
Net amount 

At 31 December 2015 

Gross amount 
Accumulated depreciation 
and impairment 
Net amount 

Building and 
building 
improvements   

Equipment, 
other, furniture, 
fixtures 

Capital 
investment in 
process 

Land 

Total 

 $ 

1,644   $ 

26,839   $ 

27,237   $ 

6,926   $ 

62,646 

—
1,644   

(5,180)   
21,659   

(19,938)   
7,299   

—
6,926   

(25,118) 
37,528 

1,644   

28,048   

28,788   

6,695   

65,175 

—
1,644   

(6,084)   
21,964   

(20,715)   
8,073   

—
6,695   

(26,799) 
38,376 

15,662   

82,014   

123,799   

42,210   

263,685 

—
15,662   $ 

(7,346)   
74,668   $ 

 $ 

(27,348)   
96,451   $ 

—
42,210   $ 

(34,694) 
228,991 

Changes during the year in the net amount of each category of property, plant and equipment are indicated below: 

Building and 
building 
improvements   

Equipment, 
other, furniture, 
fixtures 

Capital 
investment in 
process 

Land 

Total 

Net amount at 26 April 2014 

 $ 

Purchases 
Increases for internal work 
Disposals 
Impairment 
Depreciation 
Reclassifications 
Other changes 

Net amount at 24 April 2015 

Purchases 
IFRS 3 business combinations 
Disposals 
Impairment 
Depreciation 
Currency translation gains/losses 
Reclassifications 
Other changes 

Net amount at 31 December 2015 

 $ 

1,644    $ 
—   
—   
—   
—   
—   
—   
—   
1,644   

—   
14,391   
—   

(373)  
—   
—   
15,662    $ 

21,659    $ 
1,315   
—   
—   
—   
(923)  
—   
(87)  
21,964   

437   
54,284   
(44)  
—   
(1,356)  
(2,030)  
1,413   
—   
74,668    $ 

139

7,299    $ 
4,509   
—   
(640)  
—   
(3,012)  
—   
(83)  
8,073   

3,970   
93,511   
(584)  
—   
(7,472)  
(4,691)  
3,644   
—   
96,451    $ 

6,926    $ 
115   
—   
—   
(346)  
—   
—   
—   
6,695   

11,650   
30,317   
(226)  
—   
—   
(1,169)  
(5,057)  
—   
42,210    $ 

37,528 
5,939 
— 
(640) 
(346) 
(3,935) 
— 
(170) 
38,376 

16,057 
192,503 
(854) 
— 
(8,828) 
(8,263) 
— 
— 
228,991 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
   
   
   
 
 
 
  
 
  
 
 
 
 
 
A building in Cantù, Italy with a net book value of $1.2 million as at 31 December 2015 was provided as collateral to 

secure a long-term loan taken out by Sorin Group Italia S.r.l. Refer to “Note 24. Commitments and Contingencies” for 
further information. As part of the acquisition, we acquired Sorin’s PP&E with a carrying value of $192.5 million equal to 
their fair value. 

Note 10. Goodwill and Intangible Assets 

At 26 April 2014 

Gross amount 

Accumulated amortisation 
and impairment 

Net amount 

At 24 April 2015 

Gross amount 

Accumulated amortisation 
and impairment 

Net amount 

At 31 December 2015 

Gross amount 

Accumulated amortisation 
and impairment 

Net amount 

Goodwill     

Developed 
technology   

Customer 
relationships   

Trademarks 
and trade 
names 

Other 
intangible 
assets 

  Software   

Total 

  $ 

—      $ 

13,964    $ 

—   $ 

—   $ 

1,148   $ 

9,843   $ 

24,955 

—
—     

(3,229)   
10,735   

—     

13,204   

—
—     

(3,713)   
9,491   

—
—   

—   

—
—   

—
—   

—   

—
—   

(228)  
920  

(7,836)  
2,007  

(11,293) 
13,662 

1,023  

10,537  

24,764 

(347)  
676  

(8,625)  
1,912  

(12,685) 
12,079 

746,860     

213,873   

444,472   

13,030   

11  

25,821  

697,207 

—

(6,493)   
  $  746,860      $  207,380    $ 

(5,291)   
439,181   $ 

(660)   
12,370   $ 

(10,225)  

—
(22,669) 
11   $  15,596   $  674,538 

During the transitional period 25 April  2015 to 31 December 2015 we purchased a patent license for $1.0 million 
related to the integration of conditionally safe MR technologies with our leads. This patent license has an amortization 
period of 15 years. In connection with the Mergers and based upon the preliminary acquisition valuation, we acquired 
certain finite-lived intangible assets which included $464.0 million of customer relationships, $211.1 million of developed 
technology, $13.6 million of trade names and $15.1 million of software. In addition, in connection with the Mergers, we 
recorded $764.7 million of goodwill. 

The changes in the net carrying value of each class of intangible assets during the year are indicated below: 

140

 
 
 
 
 
 
   
     
  
  
  
  
   
 
 
   
 
 
 
 
 
 
   
     
  
  
  
   
   
   
     
  
  
  
   
   
 
 
 
   
 
 
 
 
 
 
   
     
  
  
  
   
   
   
     
  
  
  
   
   
 
 
 
   
 
 
A building in Cantù, Italy with a net book value of $1.2 million as at 31 December 2015 was provided as collateral to 

secure a long-term loan taken out by Sorin Group Italia S.r.l. Refer to “Note 24. Commitments and Contingencies” for 

further information. As part of the acquisition, we acquired Sorin’s PP&E with a carrying value of $192.5 million equal to 

  Goodwill     

Developed 
technology   

Customer 
relationships   

Trademarks 
and trade 
names 

Other 
intangible 
assets 

  Software   

Total 

their fair value. 

Note 10. Goodwill and Intangible Assets 

At 26 April 2014 

Gross amount 

Accumulated amortisation 

and impairment 

Net amount 

At 24 April 2015 

Gross amount 

Accumulated amortisation 

and impairment 

Net amount 

At 31 December 2015 

Gross amount 

Accumulated amortisation 

and impairment 

Net amount 

Developed 

Customer 

and trade 

intangible 

Trademarks 

Other 

Goodwill     

technology   

relationships   

names 

assets 

  Software   

Total 

  $ 

—      $ 

13,964    $ 

—   $ 

—   $ 

1,148   $ 

9,843   $ 

24,955 

—

—     

(3,229)   

10,735   

—     

13,204   

—

—     

(3,713)   

9,491   

—

—   

—   

—

—   

—

—   

—   

—

—   

(228)  

920  

(7,836)  

2,007  

(11,293) 

13,662 

1,023  

10,537  

24,764 

(347)  

676  

(8,625)  

1,912  

(12,685) 

12,079 

746,860     

213,873   

444,472   

13,030   

11  

25,821  

697,207 

—

(6,493)   

(5,291)   

(660)   

—

(10,225)  

(22,669) 

  $  746,860      $  207,380    $ 

439,181   $ 

12,370   $ 

11   $  15,596   $  674,538 

During the transitional period 25 April  2015 to 31 December 2015 we purchased a patent license for $1.0 million 

related to the integration of conditionally safe MR technologies with our leads. This patent license has an amortization 

period of 15 years. In connection with the Mergers and based upon the preliminary acquisition valuation, we acquired 

certain finite-lived intangible assets which included $464.0 million of customer relationships, $211.1 million of developed 

technology, $13.6 million of trade names and $15.1 million of software. In addition, in connection with the Mergers, we 

recorded $764.7 million of goodwill. 

The changes in the net carrying value of each class of intangible assets during the year are indicated below: 

Net amount at 26 April 
2014 

 $ 

Purchases 

Increases for internal work 

Disposals 

Amortisation 

Impairment 

Reclassifications 

Other changes 

Net amount at 24 April 
2015 

Purchases 

Increases for internal work 

    $ 

—
—    
—    
—    
—    
—    
—    
—    

—
—    
—    

  $ 

10,735
—  
—  
—  
(876)  
(368)  
—  
—  

9,491
1,000  
—  

  $ 

— 
—  
—  
—  
—  
—  
—  
—  

—
—  
—  

  $ 

—
—  
—  
—  
—  
—  
—  
—  

—
—  
—  

IFRS 3 business 
combinations 
Disposals 

Amortisation 

Impairment 

Currency translation 
gains/losses 
Reclassifications 

Other changes 

Net amount at 31 
December 2015 

764,717

211,102

—    
—    
—    

(17,857)    
—    
—    

(155)  
(3,660)  
(1,088)  

(9,310)  
—  
—  

463,996
—  
(5,317)  
—  

(19,498)  
—  
—  

13,619
—  
(661)  
—  

(588)  
—  
—  

920
—  
—  
—  
(163)  
(81)  
—  
—  

676
—  
—  

12
—    
(75)  
(601)  

(1)  
—  
—  

2,007

  $ 

694   
—   
—   
(789)  
—   
—   
—   

1,912

229   
—   

13,662
694 
— 
— 

(1,828) 

(449) 
— 
— 

12,079
1,229 
— 

15,136

703,865

(155) 

(11,313) 

(1,689) 

(29,478) 
— 
— 

(1,600)  
—   

(81)  
—   
—   

 $  746,860

    $ 

207,380

  $ 

439,181 

  $ 

12,370

  $ 

11

  $  15,596 

  $  674,538

During the transitional period 25 April 2015 to 31 December 2015, we fully impaired finite-lived intangible assets 
primarily related to R&D projects, such as our rechargeable battery technology, that no longer factored into our future 
product plans, for a loss of $1.7 million. The impairment losses were charged to R&D expense in the consolidated 
statement of income (loss). 

Amortisation costs charged to the consolidated statement of income (loss) totaled $11.3 million and $1.8 million for 

the transitional period 25 April 2015 to 31 December 2015 and for the fiscal year ended 24 April 2015, respectively. 

The amortisation periods for our finite-lived intangible assets as at 31 December 2015 was as follows: 

Developed technology 
Customer relationships 
Trademarks and trade names 
Other intangible assets 
Software 

Minimum Life 
in years 

Maximum life 
in years 

5   
16   
4   
5   
1   

18 
18 
4 
5 
10 

Note 11. Investments in Associates, Joint Ventures and Subsidiaries 

Equity investments in associates and joint ventures measured at equity. In connection with the Mergers, 
refer to “Note 7. Business Combinations”, we acquired equity investments which are accounted for under the 
equity method. 

141

 
 
 
 
 
 
   
     
  
  
  
  
   
 
 
   
 
 
 
 
 
 
   
     
  
  
  
   
   
   
     
  
  
  
   
   
 
 
 
   
 
 
 
 
 
 
   
     
  
  
  
   
   
   
     
  
  
  
   
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prior to the Mergers, Cyberonics did not have any investments accounted for under the equity method. The 

table below lists the investments in associates and joint ventures and the balance as at 31 December 2015 (in 
thousands except percentage ownership): 

La Bouscarre S.C.I. 
LMTB - Laser und Medizin Technologie 
Gmbh 
MD START S.A. 
MD START I K.G. 
Enopace Biomedical Ltd. 
Cardiosolutions Inc. 
Caisson Interventional LLC (1) 
Highlife S.A.S. (1) 
MicroPort Sorin CRM (Shanghai) Co. Ltd. 
Respicardia Inc.  (2) 

Total 

  Nature of relationship  % Ownership  31 December 2015 
16 

Associate 

50.0  $ 

Associate 

Associate 
Associate 
Associate 
Associate 
Associate 
Associate 
Joint venture 
Associate 

22.5
20.9 
23.4 
31.8 
35.3 
43.7 
38.0 
49.0 
19.7 

$ 

3
— 
— 
— 
— 
13,712 
8,363 
8,959 
30,586 
61,639 

(1)  We have outstanding loans to Caisson Interventional LLC and to Highlife S.A.S for $3.6 million included in non-

current financial assets on the consolidated balance sheet.   

(2)  Although the Company holds less than 20% of the ownership interest and voting control of Respicardia Inc., the 

Company has the ability to exercise significant influence through both its shareholding and its nominated director's 
active participation on the Respicardia Inc. Board of Directors. 

Summarized financial information for all individually not material associates and joint ventures not 

adjusted for the percentage of ownership held by the Company, is presented below: 

(in thousands) 

MD START S.A. 
MD START I K.G. 
Enopace Biomedical Ltd. 
Cardiosolutions Inc. 
Caisson Interventional LLC 
Highlife S.A.S. 
MicroPort Sorin CRM (Shanghai) Co. 
Ltd. 
Respicardia Inc. 

 $ 
 $ 
 $ 
 $ 
 $ 
 $ 

 $ 

 $ 

Revenue 

Net Profit 
(Loss) 

  Total Assets 

Equity 

3   $ 
—   $ 
—   $ 
—   $ 
—   $ 
—   $ 

(237)   $ 
(364)   $ 
(4,600)   $ 
(2,124)   $ 
(7,883)   $ 
(4,283)   $ 

9   $ 
3,767   $ 
315   $ 
1,080   $ 
3,308   $ 
906   $ 

2,121

 $ 
514   $ 

(7,375)   $ 

(10,516)   $ 

10,326
 $ 
14,681   $ 

6  
3,744  
(7,422 ) 
(1,494 ) 
434  
(1,314 ) 

9,311 
3,049  

The summarised financial information of the associates and  joint ventures include adjustments made by the 

Company when using the equity method, such as fair value adjustments made at the time of acquisition and 
adjustments for differences in accounting policies. Therefore, the Company has presented the above disclosures 
on this basis. 

142

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
table below lists the investments in associates and joint ventures and the balance as at 31 December 2015 (in 

thousands except percentage ownership): 

  Nature of relationship  % Ownership  31 December 2015 

LMTB - Laser und Medizin Technologie 

La Bouscarre S.C.I. 

Gmbh 

MD START S.A. 

MD START I K.G. 

Enopace Biomedical Ltd. 

Cardiosolutions Inc. 

Caisson Interventional LLC (1) 

Highlife S.A.S. (1) 

MicroPort Sorin CRM (Shanghai) Co. Ltd. 

Respicardia Inc.  (2) 

Total 

Associate 

Associate 

Associate 

Associate 

Associate 

Associate 

Associate 

Associate 

Joint venture 

Associate 

50.0  $ 

22.5

20.9 

23.4 

31.8 

35.3 

43.7 

38.0 

49.0 

19.7 

$ 

16 

3

— 

— 

— 

— 

13,712 

8,363 

8,959 

30,586 

61,639 

(1)  We have outstanding loans to Caisson Interventional LLC and to Highlife S.A.S for $3.6 million included in non-

current financial assets on the consolidated balance sheet.   

(2)  Although the Company holds less than 20% of the ownership interest and voting control of Respicardia Inc., the 

Company has the ability to exercise significant influence through both its shareholding and its nominated director's 

active participation on the Respicardia Inc. Board of Directors. 

Summarized financial information for all individually not material associates and joint ventures not 

adjusted for the percentage of ownership held by the Company, is presented below: 

(in thousands) 

MD START S.A. 

MD START I K.G. 

Enopace Biomedical Ltd. 

Cardiosolutions Inc. 

Caisson Interventional LLC 

Highlife S.A.S. 

MicroPort Sorin CRM (Shanghai) Co. 

Ltd. 

Respicardia Inc. 

Revenue 

  Total Assets 

Equity 

Net Profit 

(Loss) 

3   $ 

—   $ 

—   $ 

—   $ 

—   $ 

—   $ 

(237)   $ 

(364)   $ 

(4,600)   $ 

(2,124)   $ 

(7,883)   $ 

(4,283)   $ 

9   $ 

3,767   $ 

315   $ 

1,080   $ 

3,308   $ 

906   $ 

2,121

 $ 

514   $ 

(7,375)   $ 

(10,516)   $ 

10,326

 $ 

14,681   $ 

6  

3,744  

(7,422 ) 

(1,494 ) 

434  

(1,314 ) 

9,311 

3,049  

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

The summarised financial information of the associates and  joint ventures include adjustments made by the 

Company when using the equity method, such as fair value adjustments made at the time of acquisition and 

adjustments for differences in accounting policies. Therefore, the Company has presented the above disclosures 

on this basis. 

Prior to the Mergers, Cyberonics did not have any investments accounted for under the equity method. The 

Refer to "Note 27. Related Parties" for details of transactions and balances between the Company and its 

associates and joint ventures. The associates and joint ventures had no contingent liabilities or capital 
commitments as at 31 December 2015. The Company has no contingent liabilities relating to its interests in the 
associates and joint ventures. 

Principal subsidiaries. The Company had the following subsidiaries as at 31 December 2015: 

REG. OFFICE 

CURRENCY 

% CONSOLIDATED 
GROUP  
OWNERSHIP 

LivaNova Plc (Italian Branch) 

Alcard Indústria Mecânica Ltda 

Caisson Interventional LLC 

California Medical Laboratories (CalMed) Inc. 

Cardiosolutions Inc. 

Cellplex PTY LTD 

Cyberonics Europe BV / BA 

Cyberonics France SARL 

Cyberonics Holdings LLC 

Cyberonics Inc. 

Cyberonics Latam SRL 

Cyberonics Netherlands CV 

Cyberonics Spain SL 

Enopace Biomedical Ltd 

Highlife SAS 

Imthera Medical, Inc 

La Bouscare S.C.I. 

LivaNova Canada Corp 

Livn Irishco 2 UC 

Livn Irishco Unlimited Company 

Livn Luxco Sarl 

Livn Luxco 2 Sarl 

Livn UK Holdco Limited 

Livn UK Limited 2 Co 

Livn UK Limited 3 Co 

Livn US Holdco, Inc. 

Livn US Lp 

Livn US 1, LLC 

Livn US 3 LLC 

LMTB - Laser - und Medizin - Technologie Gmbh 

MD Start I KG 

MD Start SA 

MicroPort Sorin CRM (Shanghai) Co. Ltd 

Reced Indústria Mecânica Ltda 

Respicardia, Inc 

Sobedia Energia 

Sorin CP Holding S.r.l. 

Sorin CRM Holding SAS 

Sorin CRM SAS 

EUR 

BRL 

USD 

USD 

USD 

AUD 

EUR 

EUR 

USD 

USD 

CRC 

EUR 

EUR 

USD 

EUR 

USD 

EUR 

CAD 

EUR 

EUR 

EUR 

EUR 

EUR 

EUR 

EUR 

USD 

USD 

USD 

USD 

EUR 

EUR 

CHF 

CNY 

BRL 

USD 

EUR 

EUR 

EUR 

EUR 

  Italy 
  Brazil 
  USA 
  USA 
  USA 
  Australia 
  Belgium 
  France 
  USA 
  USA 
  Costa Rica 
  Netherlands 
  Spain 
  Israel 
  France 
  USA 
  France 
  Canada 
  Ireland 
  Ireland 
  Luxembourg 
  Luxembourg 
  United Kingdom 
  United Kingdom 
  United Kingdom 
  USA 
  USA 
  USA 
  USA 
  Germany 
  Germany 
  Suisse 
  China 
  Brazil 
  USA 
  Italy 
  Italy 
  France 
  France 

143

100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
Sorin CRM USA 

SorinCardio - Comercialização e Distribuição de 
Equipamentos Medicos, Lda 
Sorin Group Asia Pte Ltd 

Sorin Group Australia PTY Limited 

Sorin Group Austria GmbH 

Sorin Group Belgium SA 

Sorin Group Colombia Sas 

Sorin Group Czech Republic 

Sorin Group Deutschland GmbH 

Sorin Group DR, S.r.l. 

Sorin Group Espana S.L. 

Sorin Group Finland OY 

Sorin Group France SAS 

Sorin Group India Private Limited 

Sorin Group International SA 

Sorin Group Italia S.r.l. 

Sorin Group Japan K.K 

Sorin Group Nederland 

Sorin Group Norway AS 

Sorin Group Polska Sp. Z.o.o. 

Sorin Group Rus LLC 

Sorin Group Scandinavia AB 

Sorin Group UK Limited 

Sorin Group USA Inc. 

Sorin Medical Devices (Suzhou) Co. Ltd 

Sorin Medical (Shanghai) Co. Ltd 

Sorin Site Management S.r.l. 

  USA 

  Portugal 
  Asia 
  Australia 
  Austria 
  Belgium 
  Colombia 
  Czech Republic 
  Germany 
  Dominican Republic 
  Spain 
  Finland 
  France 
  India 
  Suisse 
  Italy 
  Japan 
  Netherlands 
  Norway 
  Poland 
  Russia 
  Scandinavia 
  United Kingdom 
  USA 
  China 
  China 
  Italy 

USD 

EUR 

USD 

AUD 

EUR 

EUR 

COP 

EUR 

EUR 

USD 

EUR 

EUR 

EUR 

INR 

EUR 

EUR 

JPY 

EUR 

NOK 

PLN 

RUB 

EUR 

EUR 

USD 

CNY 

CNY 

EUR 

100 

100
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 
100 

All subsidiary undertakings are included in the consolidation. The proportion of the voting rights in the 

subsidiary undertakings held directly by the parent company do not differ from the proportion of ordinary 
shares held. The parent company does not have any shareholdings in the preference shares of subsidiary 
undertakings included in the group. 

Note 12. Financial Assets 

Non-current financial assets. 

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

Investments in preferred shares of private 
companies 
Financial receivables due from associated 
companies 
Corporate owned life insurance policies 
Other 

  $ 

Total non-current financial assets 

  $ 

15,847

 $ 

2,041
1,777   
164   
19,829   $ 

17,127

  $ 

15,944 

—
—   
—   
17,127    $ 

—
— 
— 
15,944  

144

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sorin CRM USA 

SorinCardio - Comercialização e Distribuição de 

Equipamentos Medicos, Lda 

Sorin Group Asia Pte Ltd 

Sorin Group Australia PTY Limited 

Sorin Group Austria GmbH 

Sorin Group Belgium SA 

Sorin Group Colombia Sas 

Sorin Group Czech Republic 

Sorin Group Deutschland GmbH 

Sorin Group DR, S.r.l. 

Sorin Group Espana S.L. 

Sorin Group Finland OY 

Sorin Group France SAS 

Sorin Group India Private Limited 

Sorin Group International SA 

Sorin Group Italia S.r.l. 

Sorin Group Japan K.K 

Sorin Group Nederland 

Sorin Group Norway AS 

Sorin Group Polska Sp. Z.o.o. 

Sorin Group Rus LLC 

Sorin Group Scandinavia AB 

Sorin Group UK Limited 

Sorin Group USA Inc. 

Sorin Medical Devices (Suzhou) Co. Ltd 

Sorin Medical (Shanghai) Co. Ltd 

Sorin Site Management S.r.l. 

  Czech Republic 

  Germany 

  Dominican Republic 

  USA 

  Portugal 

  Asia 

  Australia 

  Austria 

  Belgium 

  Colombia 

  Spain 

  Finland 

  France 

  India 

  Suisse 

  Italy 

  Japan 

  Netherlands 

  Norway 

  Poland 

  Russia 

  Scandinavia 

  United Kingdom 

  USA 

  China 

  China 

  Italy 

USD 

EUR 

USD 

AUD 

EUR 

EUR 

COP 

EUR 

EUR 

USD 

EUR 

EUR 

EUR 

INR 

EUR 

EUR 

JPY 

EUR 

NOK 

PLN 

RUB 

EUR 

EUR 

USD 

CNY 

CNY 

EUR 

undertakings included in the group. 

Note 12. Financial Assets 

Non-current financial assets. 

Investments in preferred shares of private 

Financial receivables due from associated 

Corporate owned life insurance policies 

companies 

companies 

Other 

All subsidiary undertakings are included in the consolidation. The proportion of the voting rights in the 

subsidiary undertakings held directly by the parent company do not differ from the proportion of ordinary 

shares held. The parent company does not have any shareholdings in the preference shares of subsidiary 

100 

100

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

—

— 

— 

 Our non-current financial assets in the consolidated balance sheets include investments in equity 

instruments in privately held companies classified as available-for-sale. 

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

ImThera Medical, Inc. - convertible 
preferred shares and warrants (1) 
Cerbomed GmbH - convertible 
preferred shares (2) 
Rainbow Medical Ltd.(3) 

  $ 

12,000

$ 

12,000

  $ 

12,000

—
3,847   
15,847   $ 

5,127

—   
17,127    $ 

3,944
— 
15,944 

  $ 

(1)  ImThera Medical, Inc. is a U.S. company developing a neurostimulation device system for the treatment of obstructive 

sleep apnea. 

(2)  Cerbomed GmbH is a European company developing a transcutaneous vagus nerve stimulation device for the treatment 

of epilepsy. During the transitional period 25 April 2015 to 31 December 2015, the Company recorded an impairment 
of $5.1 million against the investment in Cerbomed. Refer to “Note 5. Fair Value Measurements” for more details. 
 Rainbow Medical Ltd. is an Israeli company that seeds and grows companies developing medical devices in a diverse 
range of medical fields. 

(3) 

Current financial assets. 

(in thousands) 
Certificates of deposits (1) 
Commercial paper 
Financial receivables vs associated 
companies 
Other 

  $ 

Total current financial assets 

  $ 

31 December 2015 

24 April 2015 

26 April 2014 

—   $ 
6,997   

1,632

642   
9,271   $ 

20,023    $ 
6,997   

—
—   
27,020    $ 

20,031 
4,998 

—
— 
25,029 

(1)  During the transitional period 25 April 2015 to 31 December 2015, our six-month CD matured, was re-invested in a 

three-month CD and was classified with cash equivalents in the consolidated balance sheets. 

Certificates of deposits and commercial paper are held-to-maturity investments with maturity of three 

and four months. 

Note 13. Inventories 

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

Inventories consisted of the following (in thousands): 

  $ 

15,847

 $ 

17,127

  $ 

15,944 

2,041

1,777   

164   

—

—   

—   

Raw materials 
Work-in-process 
Finished goods 

31 December 2015 

24 April 2015 

26 April 2014 

  $ 

  $ 

52,482   $ 
44,369   
115,597   
212,448   $ 

11,118    $ 
5,653   
7,192   
23,963    $ 

7,290 
4,438 
5,902 
17,630 

Total non-current financial assets 

  $ 

19,829   $ 

17,127    $ 

15,944  

145

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Inventories are reported net of the provision for obsolescence which totaled $3.6 million, $2.3 million and 
$1.1 million as at 31 December 2015, 24 April 2015 and 26 April 2014, respectively.  As part of the acquisition, 
we acquired Sorin’s inventory with a carrying value of $233.8 million. Sorin’s inventory was recorded at fair 
value, which was measured considering any provision for obsolescence previously recognised by Sorin. 

The write-down of inventories to net of the provision for obsolescence was $0.8 million for the fiscal year 

ended 24 April 2015, respectively. There were no write-down of inventories to net of the provision for 
obsolescence for the transitional period 25 April 2015 to 31 December 2015. There were no reversal of the 
provision for obsolescence during the transitional period 25 April 2015 to 31 December 2015 and the fiscal year 
ended 24 April 2015. 

Note 14. Trade Receivables and Allowance for Bad Debt 

Trade receivables, net, consisted of the following (in thousands): 

31 December 2015 

24 April 2015 

26 April 2014 

Trade receivables from third parties 

  $ 

Allowance for bad debt 

  $ 

250,728

 $ 

(1,653)   
249,075   $ 

51,233

  $ 
(664)   
50,569    $ 

51,359

(685) 
50,674 

Our customers consist of hospitals, other healthcare institutions, distributors, organized purchase groups and 
government and private entities. Actual collection periods for trade receivables vary significantly as a function of the 
nature of the customer (e.g. government or private) and its geographic location. We acquired carrying value of $224.5 
million of trade receivables from Sorin in the Mergers. As part of the acquisition accounting, trade receivables were 
recorded at fair value, which was measured considering any allowance for bad debt previously recognised by Sorin. 

Trade receivables are reported net of the allowance for bad debt provision, the changes in which are provided 

below (in thousands): 

Beginning of  period 

Additions to provision 
Utilisation 
Release of provisions 
Reclassifications 
Currency translation gains/losses 

End of period 

  31 December 2015   

24 April 2015 

 $ 

 $ 

(664)   $ 

(1,337)   
—   
347   
—   
1   
(1,653)   $ 

(685) 
(101) 
— 
105 
— 
17 
(664) 

Actual collection periods for trade receivables vary significantly due to the nature of a customer (e.g. 
government or private) and its geographic location. LivaNova utilizes non-recourse and with-recourse factoring 
arrangements as a part of its funding policy. Prior to the date of the Mergers, LivaNova had no factoring 
arrangements. 

Factoring agreements 

146

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Inventories are reported net of the provision for obsolescence which totaled $3.6 million, $2.3 million and 

$1.1 million as at 31 December 2015, 24 April 2015 and 26 April 2014, respectively.  As part of the acquisition, 

we acquired Sorin’s inventory with a carrying value of $233.8 million. Sorin’s inventory was recorded at fair 

value, which was measured considering any provision for obsolescence previously recognised by Sorin. 

The write-down of inventories to net of the provision for obsolescence was $0.8 million for the fiscal year 

ended 24 April 2015, respectively. There were no write-down of inventories to net of the provision for 

obsolescence for the transitional period 25 April 2015 to 31 December 2015. There were no reversal of the 

provision for obsolescence during the transitional period 25 April 2015 to 31 December 2015 and the fiscal year 

ended 24 April 2015. 

Note 14. Trade Receivables and Allowance for Bad Debt 

Trade receivables, net, consisted of the following (in thousands): 

Trade receivables from third parties 

  $ 

Allowance for bad debt 

250,728

 $ 

(1,653)   

249,075   $ 

  $ 

51,233

  $ 

(664)   

50,569    $ 

51,359

(685) 

50,674 

Our customers consist of hospitals, other healthcare institutions, distributors, organized purchase groups and 

government and private entities. Actual collection periods for trade receivables vary significantly as a function of the 

nature of the customer (e.g. government or private) and its geographic location. We acquired carrying value of $224.5 

recorded at fair value, which was measured considering any allowance for bad debt previously recognised by Sorin. 

Trade receivables are reported net of the allowance for bad debt provision, the changes in which are provided 

below (in thousands): 

  31 December 2015   

24 April 2015 

 $ 

(664)   $ 

(1,337)   

—   

347   

—   

1   

(685) 

(101) 

— 

105 

— 

17 

(664) 

Beginning of  period 

Additions to provision 

Utilisation 

Release of provisions 

Reclassifications 

Currency translation gains/losses 

End of period 

arrangements. 

Factoring agreements 

At 31 December 2015 LivaNova had the factoring agreements with the following third parties that qualify for 

derecognition: 

•  

Ifitalia (BNP Paribas Group) for the non-recourse sale of receivables from Italian customers 

•   Mediofactoring for the non-recourse sale of receivables from French customers 

•   Unicredit Factoring for the non-recourse sale of receivables from Italian customers 

•   BNP Paribas Fortis Factor for the non-recourse sale of receivables from Belgian customers 

•   Banca Farmafactoring for the non-recourse sale of receivables from Italian government customers. 

At 31 December 2015 the total outstanding amount of trade receivables sold with non-recourse to factoring 

companies was $23.3 million.  The total amount of loss recognized on derecognition of trade receivables was less 
than $0.1 million at 31 December 2015. 

At 31 December 2015 LivaNova had the factoring agreements with the following third parties that do not qualify 

for derecognition: 

31 December 2015 

24 April 2015 

26 April 2014 

•  

Ifitalia (BNP Paribas Group) for the with-recourse sale of receivables from Italian customers 

•   Unicredit Factoring for the with-recourse sale of receivables from Italian customers. 

At 31 December 2015 trade receivables included an amount of $1.2 million for trade receivables sold, on a with 

recourse basis, through factoring agreements. Payables were recorded for advances in the same amount as a 
balancing item to these sales. 

Below is a summary of trade receivables sold: 

million of trade receivables from Sorin in the Mergers. As part of the acquisition accounting, trade receivables were 

(in thousands) 

31 December 2015 

Trade receivables sold with recourse: 
Recorded in financial statements: 
Sold to Ifitalia/BNP Paribas 
Sold to UniCredit Factoring 

Trade receivables sold with non-recourse: 

Sold to Ifitalia/BNP Paribas 
Sold to UniCredit Factoring 
Sold to Mediofactoring 
Sold to Banca Farmafactoring 

 $ 

  $ 

20  
1,198 

6,310 
10,671 
1,817 
4,478 
24,494  

 $ 

(1,653)   $ 

Below is a summary of other receivables: 

Actual collection periods for trade receivables vary significantly due to the nature of a customer (e.g. 

government or private) and its geographic location. LivaNova utilizes non-recourse and with-recourse factoring 

arrangements as a part of its funding policy. Prior to the date of the Mergers, LivaNova had no factoring 

(in thousands) 

Prepaid assets 
Other receivables 
Guarantee deposits 

Total 

  31 December 2015 

24 April 2015 

26 April 2014 

 $ 

 $ 

19,036   $ 
2,832   
2,437   
24,305   $ 

3,503   $ 
1,309   
—   
4,812   $ 

3,365 
325 
— 
3,690 

147

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
 
 
 
 
 
 
 
 
 
Note 15. Derivative Financial Instruments 

We enter into derivative instruments, principally foreign exchange forward and interest rate swaps contracts for 

the purpose of hedging the risk of fluctuations in foreign exchange and interest rates. For additional details refer to 
our accounting policy “Derivatives” included within “Note 2. Basis of Preparation, Use of Accounting Estimates and 
Significant Accounting Policies” accompanying the consolidated financial statements. 

Freestanding derivative forward contracts 

Freestanding derivative forward contracts are used to offset the exposure to the change in value of our foreign 
currency denominated financial  intercompany transactions (current accounts and loans), certain long-term loans and 
certain revenue transactions. The gross notional amount of these contracts not designated as hedging instruments, 
outstanding at 31 December 2015 was $254.4 million. We did not engage in freestanding derivative forward contracts 
prior to the Mergers. 

The amount and location of the gains (losses) in the consolidated statements of income (loss) related to 
derivative instruments, not designated as hedging instruments, for the transitional period 25 April 2015 to 31 
December 2015 are as follows: 

(in thousands) 

Derivatives Not Designated as Hedging 
Instruments 
Foreign currency exchange rate contracts 

Location 

Transitional  Period 25 April 
2015 to 31 December 2015 

Foreign exchange 

$ 

(12,813) 

Foreign currency exchange differences include the losses, realised and unrealised, related to the forward 
contracts, not qualifying for hedge accounting, put in place since the date of the Mergers, for the hedging of the 
following: 

•  

intercompany financial accounts and loans not denominated in U.S. dollars, recording a loss for $5.1 

million; 

•  

short and long-term loans denominated in Euro, recording a loss for the amount of $7.9 million, of which 

$4.8 million relates to a foreign exchange derivative arrangement on the EIB long-term loan. Such derivative 
arrangements have been discontinued in January 2016; 

•  

revenues denominated in British pounds and Japanese yen for the period from date of the Mergers to 31 

December 2015, recording a gain for $0.2 million. 

The Foreign currency exchange losses on the above mentioned  forward contracts are mainly due to the 

revaluation of the U.S. dollar  against the euro and other currencies. 

Forward foreign exchange contracts 

148

 
 
Note 15. Derivative Financial Instruments 

We enter into derivative instruments, principally foreign exchange forward and interest rate swaps contracts for 

the purpose of hedging the risk of fluctuations in foreign exchange and interest rates. For additional details refer to 

our accounting policy “Derivatives” included within “Note 2. Basis of Preparation, Use of Accounting Estimates and 

Significant Accounting Policies” accompanying the consolidated financial statements. 

Freestanding derivative forward contracts 

Freestanding derivative forward contracts are used to offset the exposure to the change in value of our foreign 

currency denominated financial  intercompany transactions (current accounts and loans), certain long-term loans and 

certain revenue transactions. The gross notional amount of these contracts not designated as hedging instruments, 

outstanding at 31 December 2015 was $254.4 million. We did not engage in freestanding derivative forward contracts 

prior to the Mergers. 

The amount and location of the gains (losses) in the consolidated statements of income (loss) related to 

derivative instruments, not designated as hedging instruments, for the transitional period 25 April 2015 to 31 

December 2015 are as follows: 

(in thousands) 

Instruments 

Derivatives Not Designated as Hedging 

Location 

Transitional  Period 25 April 

2015 to 31 December 2015 

Foreign currency exchange differences include the losses, realised and unrealised, related to the forward 

contracts, not qualifying for hedge accounting, put in place since the date of the Mergers, for the hedging of the 

•  

intercompany financial accounts and loans not denominated in U.S. dollars, recording a loss for $5.1 

following: 

million; 

•  

short and long-term loans denominated in Euro, recording a loss for the amount of $7.9 million, of which 

$4.8 million relates to a foreign exchange derivative arrangement on the EIB long-term loan. Such derivative 

arrangements have been discontinued in January 2016; 

•  

revenues denominated in British pounds and Japanese yen for the period from date of the Mergers to 31 

December 2015, recording a gain for $0.2 million. 

The Foreign currency exchange losses on the above mentioned  forward contracts are mainly due to the 

revaluation of the U.S. dollar  against the euro and other currencies. 

Forward foreign exchange contracts 

Due to the global nature of our operations, we are exposed to foreign currency exchange rate fluctuations. We 
generally utilize foreign exchange forward contracts that are designed to hedge the variability of material cash flows 
associated with forecasted revenue and costs denominated in a currency different from the functional currency of the 
transaction that will take place in the future.  In most cases, these derivative instruments are designated as cash flow 
hedges and are carried at fair value.  The effective portion of the gain or loss on these derivative contracts is reported 
as a component of accumulated other comprehensive income (loss). The effective portion of the gain or loss on the 
derivative instrument is reclassified into earnings and is included in the line item "Foreign exchange" in the 
consolidated statements of income (loss), depending on the underlying transaction that is being hedged, in the same 
period or periods during which the hedged transaction affects earnings. There was no hedge ineffectiveness at 31 
December 2015.  No components of the hedge contracts were excluded in the measurement of hedge ineffectiveness 
and no hedges were derecognised or discontinued during the transitional period 25 April 2015 to 31 December 2015. 
The fair value of all cash flow foreign exchange hedging forward contracts, related to revenue denominated in British 
pounds  and Japanese yen of year 2016 is reported in accrued liabilities line item in the consolidated balance sheets. 

  The gross notional amount of foreign currency exchange contracts designated as cash flow hedges outstanding 
at 31 December 2015 was $66.9 million, related to forward contracts of respectively British pounds 8.5 million and 
Japanese yen 6.4 billion, maturing at various dates through December 2016. The contracts have average maturities 
from 6 to 12 months and are regularly renewed to provide a continuing coverage throughout the year. There was no 
hedge ineffectiveness at 31 December 2015. We did not engage in hedging activities prior to the Mergers. 

Foreign currency exchange rate contracts 

Foreign exchange 

$ 

(12,813) 

Interest rate swaps 

In July 2014, Sorin entered into a European Investment Bank (“EIB”) long-term loan agreement with floating-
rate interest payments. To minimize the impact of changes in interest rates on its interest payments under the EIB 
loan, on 30 June 2014 and 7 July 2014 Sorin entered into interest rate swap agreements to swap floating-rate interest 
payments for fixed-rate interest payments on a notional amount of Euro 80.0 million, for the amount of Euro 60.0 
million effective on 30 June 2014 and for the amount of Euro 20.0 million effective on 7 July 2014. The outstanding 
notional amount at 31 December 2015 is Euro 73.3 million (equivalent to $79.6 million). The interest rate swap 
agreements mature in June 2021 and have periodic interest settlements. The interest rate swap agreements were 
designated as a cash flow hedge of the variability of interest payments under the EIB long-term loan agreement due 
to changes in the floating interest rates by converting from Euribor 3 month floating-rate to a fixed-rate loan. 

In April 2013 Sorin entered into a Unicredit AG New York branch (“Unicredit NY”) long-term agreement with 

floating-rate interest payments, refer to “Note 17. Financial Liabilities” for further discussion. To minimize the 
impact of changes in interest rates on its interest payments under the Unicredit NY loan, on July 2013 Sorin entered 
into an interest rate swap agreement to swap floating-rate interest payments for fixed-rate interest payments on a 
notional amount of $20.0 million, effective in 12 July 2013. Initially the interest rate swap agreement matured in 
April 2016 and had periodic interest settlements. We repaid the Unicredit NY loan in December 2015. At 31 
December 2015 due to the prepayment of the underlying hedged loan, this interest rate swap is not treated as a 
hedging instrument. This interest swap will mature on 12 April 2016 and its fair value, inclusive of accrued interest, 
at 31 December 2015 of $24,000 is accounted in the consolidated statement of income (loss). 

The swaps fixed rates were structured to mirror the payment terms of the loan. The effective portion of the gain 
or loss on these derivatives is reported as a component of accumulated other comprehensive income. On interest rate 
swap contracts we had an effective portion equivalent at $83,000 in after-tax net unrealised gains, and an ineffective 
portion for the amount of $25,000 reported in the line item interest expense in consolidated statement of income 
(loss). 

149

 
 
 
 
As of 31 December 2015, we had $0.8 million in after-tax net unrealised gains associated with the cash flow 

hedging instruments recorded in accumulated other comprehensive income. The Company expects that $0.8 
million of after-tax net unrealised gains as at 31 December 2015 will be reclassified into the line item interest 
expense, net in the consolidated statements of income (loss) over the next 12 months. 

If, at any time, the swap is determined to be ineffective, in whole or in part, due to changes in the interest rate 

swap or underlying the debt agreement, the fair value of the portion of the swap determined to be ineffective will be 
recognised as a gain or loss in the consolidated statement of income (loss) for the applicable period. If the hedging 
instrument matures or is canceled, the amounts previously recorded in the statement of accumulated other 
comprehensive income are posted to the statement income (loss) statement. 

We did not engage in interest rate swap contracts prior to the Mergers. 

Presentation in Financial Statements 

The amount of gains (losses) and location of the gains (losses) in the consolidated statements of income (loss) and 
accumulated other comprehensive income (“OCI”) related to foreign currency exchange rate contract and interest rate 
swap derivative instruments designated as cash flow hedges for the transitional period 25 April 2015 to 31 December 
2015 are as follows: 

(in thousands) 

Derivatives in Cash Flow Hedging 
Relationships 
Foreign currency exchange 

rate contracts 
Interest rate swap contracts 

Total 

Gross Gains 
Recognised in OCI 

on Effective Portion of 
Derivative 

Effective Portion of Gains (Losses) on 
Derivative Reclassified from: 

Amount 

Location 

Amount 

$ 

$ 

1,150

  Foreign exchange 

124    Interest expense 

1,274     

 $ 

 $ 

1,150

124 
1,274 

The following tables summarize the location and fair value amounts of derivative instruments reported in the 

consolidated balance sheets as at 31 December 2015. The fair value amounts are presented on a gross basis and are 
segregated between derivatives that are designated and qualify as hedging instruments and those that are not, and are 
further segregated by type of contract within those two categories. 

150

 
 
 
 
 
 
 
 
As of 31 December 2015, we had $0.8 million in after-tax net unrealised gains associated with the cash flow 

hedging instruments recorded in accumulated other comprehensive income. The Company expects that $0.8 

million of after-tax net unrealised gains as at 31 December 2015 will be reclassified into the line item interest 

expense, net in the consolidated statements of income (loss) over the next 12 months. 

If, at any time, the swap is determined to be ineffective, in whole or in part, due to changes in the interest rate 

swap or underlying the debt agreement, the fair value of the portion of the swap determined to be ineffective will be 

recognised as a gain or loss in the consolidated statement of income (loss) for the applicable period. If the hedging 

instrument matures or is canceled, the amounts previously recorded in the statement of accumulated other 

comprehensive income are posted to the statement income (loss) statement. 

We did not engage in interest rate swap contracts prior to the Mergers. 

Presentation in Financial Statements 

The amount of gains (losses) and location of the gains (losses) in the consolidated statements of income (loss) and 

accumulated other comprehensive income (“OCI”) related to foreign currency exchange rate contract and interest rate 

swap derivative instruments designated as cash flow hedges for the transitional period 25 April 2015 to 31 December 

2015 are as follows: 

(in thousands) 

Derivatives in Cash Flow Hedging 

Relationships 

Foreign currency exchange 

rate contracts 

Interest rate swap contracts 

Total 

$ 

$ 

Gross Gains 

Recognised in OCI 

on Effective Portion of 

Derivative 

Amount 

Effective Portion of Gains (Losses) on 

Derivative Reclassified from: 

Location 

Amount 

1,150

  Foreign exchange 

124    Interest expense 

1,274     

 $ 

 $ 

1,150

124 

1,274 

The following tables summarize the location and fair value amounts of derivative instruments reported in the 

consolidated balance sheets as at 31 December 2015. The fair value amounts are presented on a gross basis and are 

segregated between derivatives that are designated and qualify as hedging instruments and those that are not, and are 

further segregated by type of contract within those two categories. 

(in thousands) 

Asset Derivatives 

Liability Derivatives 

  Fair Value 

  Balance Sheet Location    Fair Value 

 $ 

1,083

Derivatives designated as hedging 
instruments 

Interest rate contracts 

Interest rate contracts 

Foreign currency exchange rate 
contracts 
Total derivatives designated as 
hedging instruments 
Derivatives not designated as 
hedging instruments 

Interest rate contracts 

Foreign currency exchange rate 
contracts 
Total derivatives not designated as 
hedging instruments 
Total derivatives 

Balance Sheet 
Location 
Current financial 
assets 
Non-current financial 
assets 
Current financial 
assets 

Current financial 
assets 
Current financial 
assets 

 $ 

—

—

—

—

—

—

Current financial 
derivative liabilities 
Non-current financial 
derivative liabilities 
Current financial 
derivative liabilities 

Current financial 
derivative liabilities 
Current financial 
derivative liabilities 

—
—     

 $ 

 $ 

1,793

(839) 

2,037

24

1,547

1,571
3,608 

Note 16.  Shareholders' Equity 

Common share of Cyberonics and ordinary shares of LivaNova. Prior to the Mergers, shares of Cyberonics common 

shares were registered pursuant to Section 12(b) of the Exchange Act and listed on NASDAQ under the ticker symbol 
“CYBX,” and Sorin Ordinary Shares were listed on the Mercato Telematico Azionario organized and managed by Borsa 
Italiana S.p.A. (the “Italian Stock Exchange”). Shares of Cyberonics common shares and the Sorin ordinary shares were 
suspended from trading on NASDAQ and the Italian Stock Exchange, respectively, prior to the open of trading on 19 
October 2015. NASDAQ filed a Form 25 on Cyberonics’ behalf to provide notice to the SEC regarding the withdrawal of 
shares of Cyberonics common shares from listing and to terminate the registration of such shares under Section 12(b) of 
the Exchange Act. 

Following the completion of the Mergers, LivaNova became the holding company of the combined businesses of 
Cyberonics and Sorin, and LivaNova’s ordinary shares were listed on NASDAQ and listed on the Official List of the 
U.K.’s Financial Conduct Authority and admitted to trading on the Main Market of the London Stock Exchange under the 
ticker symbol “LIVN.” 

LivaNova is incorporated in England and Wales as a public company limited by shares. The principal legislation under 

which LivaNova operates is the Companies Act 2006, and regulations made thereunder. LivaNova ordinary shares were 
registered under the Securities Act, pursuant to the Registration Statement on Form S-4 (File No. 333-203510), as 
amended, filed with the SEC by LivaNova and declared effective on 19 August 2015. 

The Company’s authorised share capital is as following: 

151

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
(in number of shares) 

Authorised share capital, ordinary shares of £1 each, 
unlimited shares authorized 
Issued - fully paid 
Outstanding 

Common shares $0.01 each, cancelled 19 October 2015 
Issued - fully paid 
Outstanding 

31 December 
2015 

24 April 2015 

26 April 2014 

48,868,305     
48,868,305     

32,054,236   
25,996,102   

31,819,678 
26,745,713 

Preferred shares. LivaNova is not authorised to issue preferred shares and no Cyberonics’ preferred shares were 

outstanding at the consummation of the Mergers on 19 October 2015. 

Share repurchase plans prior to the Mergers. Common shares were repurchased on the open market pursuant to the 
Cyberonics’ Board of Directors-approved repurchase plans during the year ended 24 April 2015 and prior. In January 2013, 
December 2013 and November 2014, the Cyberonics Board of Directors authorized repurchase programs of its common 
shares of up to one million shares under each program. However, on 27 February 2015, the Cyberonics treasury share 
purchase plan under Rule 10b5-1 under the Exchange Act terminated, and Cyberonics stopped repurchasing its shares of 
common share. During the fiscal year ended 24 April 2015, pursuant to the approved plans, Cyberonics repurchased 
875,121 shares of its common share at an average price of $55.94. 

Group reconstruction reserve. Group reconstruction reserve represents the excess of value attributed to the shares 
issued during the Mergers over the nominal value of those shares and relates to LivaNova ordinary shares and replacement 
share appreciation rights issued in the Mergers in exchange for Cyberonics and Sorin equity shares. See "Note 7. Business 
Combinations" for discussion of the Mergers. 

Comprehensive income. 

The table below presents the change in each component of accumulated other comprehensive income (loss), net of tax 

and the reclassifications out of accumulated other comprehensive income into net earnings. 

Taxes were not provided for foreign currency translation adjustments for the transitional period ended 31 December 

2015 as translation adjustment related to earnings that are intended to be reinvested in the countries where earned. 

For Cyberonics historical fiscal years ended 24 April 2015, no reclassifications were transferred out of other 

comprehensive income and all changes in comprehensive income were related to foreign currency translation adjustments. 

152

 
 
 
 
 
   
   
   
   
 
 
   
   
 
   
   
 
 
 
 
Authorised share capital, ordinary shares of £1 each, 

(in number of shares) 

unlimited shares authorized 

Issued - fully paid 

Outstanding 

Common shares $0.01 each, cancelled 19 October 2015 

Issued - fully paid 

Outstanding 

31 December 

2015 

24 April 2015 

26 April 2014 

48,868,305     

48,868,305     

32,054,236   

25,996,102   

31,819,678 

26,745,713 

Preferred shares. LivaNova is not authorised to issue preferred shares and no Cyberonics’ preferred shares were 

outstanding at the consummation of the Mergers on 19 October 2015. 

Share repurchase plans prior to the Mergers. Common shares were repurchased on the open market pursuant to the 

Cyberonics’ Board of Directors-approved repurchase plans during the year ended 24 April 2015 and prior. In January 2013, 

December 2013 and November 2014, the Cyberonics Board of Directors authorized repurchase programs of its common 

shares of up to one million shares under each program. However, on 27 February 2015, the Cyberonics treasury share 

purchase plan under Rule 10b5-1 under the Exchange Act terminated, and Cyberonics stopped repurchasing its shares of 

common share. During the fiscal year ended 24 April 2015, pursuant to the approved plans, Cyberonics repurchased 

875,121 shares of its common share at an average price of $55.94. 

Group reconstruction reserve. Group reconstruction reserve represents the excess of value attributed to the shares 

issued during the Mergers over the nominal value of those shares and relates to LivaNova ordinary shares and replacement 

share appreciation rights issued in the Mergers in exchange for Cyberonics and Sorin equity shares. See "Note 7. Business 

Combinations" for discussion of the Mergers. 

Comprehensive income. 

The table below presents the change in each component of accumulated other comprehensive income (loss), net of tax 

and the reclassifications out of accumulated other comprehensive income into net earnings. 

Taxes were not provided for foreign currency translation adjustments for the transitional period ended 31 December 

2015 as translation adjustment related to earnings that are intended to be reinvested in the countries where earned. 

For Cyberonics historical fiscal years ended 24 April 2015, no reclassifications were transferred out of other 

comprehensive income and all changes in comprehensive income were related to foreign currency translation adjustments. 

Change in 
unrealised gain 
(loss) on 
derivatives 

Foreign 
currency 
translation 
adjustments 

Revaluation of 
net liability 
(asset) for 
defined benefits   

  $ 

—   $ 

—
—   

1,274

(386)   

455   $ 

(3,856)   

(3,401)   

(51,716)   
—   

—   $ 

—
—   

(180)   
50   

Total 

455 

(3,856) 

(3,401) 

(50,622) 

(336) 

888

(51,716)   

(130)   

(50,958) 

—
—   

—

—
—   

—

—
—   

—

—
— 

—

  $ 

888
888   $ 

(51,716)   

(55,117)   $ 

(130)   

(130)   $ 

(50,958) 

(54,359) 

Beginning Balance - 26 April 2014 
Other comprehensive income (loss) before 
reclassifications, before tax 
Beginning Balance - 25 April 2015 
Other comprehensive income (loss) before 
reclassifications, before tax 
Tax benefit (expense) 

Other comprehensive income (loss) before 
reclassifications, net of tax 
Reclassification of (gain)/loss from 
accumulated other comprehensive income, 
before tax 
Tax effect 

Reclassification of (gain)/loss from 
accumulated other comprehensive income, 
after tax
Net current-period other comprehensive 
income (loss), net of tax 
Ending Balance - 31 December 2015 

Note 17. Financial Liabilities 

In connection with the Mergers, LivaNova acquired all of the outstanding debt of Sorin. As of the Mergers 

date, Sorin had $203.0 million aggregate principal amount due to various financial and non-financial institutions 
(collectively, the “Sorin Loans”). We recorded an aggregate foreign exchange adjustment of $5.7 million to 
decrease the carrying value of the total long-term Sorin Loans since the date of the Mergers. Additionally, we 
made principal payments of $32.0 million post-merger to reduce long-term debt to $113.0 million. 

The outstanding principal amount of long-term debt at 31 December 2015 and as of the date of the Mergers, 

19 October 2015, consisted of the following (in thousands, except interest rates): 

153

 
 
 
 
 
   
   
   
   
 
 
   
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Principal 
Amount at 
31 December 
2015 

Principal 
Amount at 
19 October 
2015 

Maturity 

 $ 

99,426   $ 
—   
8,851   
2,621   
—   

1,192

944

113,490    June 2021 
20,000    October 2017 
10,283    December 2019 
2,914    October 2019 
1,686    January 2020 

1,316

987

March 2020 - June 
2033 
September 2021-
2026 

113,034   

150,676     

21,243
91,791   $ 

22,218
128,458     

 $ 

Effective 
Interest Rate 

1.15%
1.89%
0.50% - 3.35% 
2.58%
1.35%

0.00% - 3.42% 

1.05% - 1.55% 

European Investment Bank 
Unicredit AG New York 
Banca del Mezzogiorno 
Bpifrance  (ex-Oséo) 
Banca Regionale Europea 

Novalia SA  (Vallonie) 

Mediocredito Italiano 

Total long-term facilities 
Less current portion of long-term 
debt 
Total long-term debt 

We recorded an aggregate foreign exchange adjustment of $2.2 million to decrease the carrying value of the 

short-term facilities since the date of the Mergers.  Subsequent to the Mergers, our net short-term facility debt 
has exceeded our repayments by $11.1 million. 

The outstanding principal amount of short-term debt as of 31 December 2015, and as of the date of the 

Mergers, 19 October 2015, consisted of the following (in thousands, except interest rates): 

Intesa San Paolo Bank 
BNL BNP Paribas 
Unicredit Banca 
BNP Paribas (Brazil) 
French Government 
Other short-term facilities 

Total short-term facilities 
Current portion of long-term debt 

Total current debt 
Total debt 

Principal 
Amount at 
31 December 
2015 

Principal 
Amount at 
October 19, 
2015 

  Effective 
Interest 
Rate 

0.25%
0.27%
0.45%
15.95%

 $ 

 $ 

 $ 
 $ 

20,630   
18,459   
15,201   
2,225   
2,030   
2,725   
61,270   $ 
21,243   
82,513   $ 
174,304   $ 

—   
20,428   
17,024   
4,400   
2,121     
8,342     
52,315     
22,218     
74,533     
202,991     

There was no outstanding debt in the historic Cyberonics consolidated balance sheet as of 24 April 2015 or 

25 April 2014. 

154

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
European Investment Bank 

 $ 

99,426   $ 

113,490    June 2021 

Principal 

Amount at 

Principal 

Amount at 

31 December 

19 October 

2015 

2015 

Maturity 

Effective 

Interest Rate 

—   

8,851   

2,621   

—   

1,192

944

20,000    October 2017 

10,283    December 2019 

2,914    October 2019 

1,686    January 2020 

March 2020 - June 

1,316

2033 

September 2021-

987

2026 

113,034   

150,676     

21,243

22,218

0.50% - 3.35% 

1.15%

1.89%

2.58%

1.35%

0.00% - 3.42% 

1.05% - 1.55% 

Unicredit AG New York 

Banca del Mezzogiorno 

Bpifrance  (ex-Oséo) 

Banca Regionale Europea 

Novalia SA  (Vallonie) 

Mediocredito Italiano 

Total long-term facilities 

Less current portion of long-term 

debt 

Total long-term debt 

 $ 

91,791   $ 

128,458     

We recorded an aggregate foreign exchange adjustment of $2.2 million to decrease the carrying value of the 

short-term facilities since the date of the Mergers.  Subsequent to the Mergers, our net short-term facility debt 

has exceeded our repayments by $11.1 million. 

The outstanding principal amount of short-term debt as of 31 December 2015, and as of the date of the 

Mergers, 19 October 2015, consisted of the following (in thousands, except interest rates): 

Principal 

Amount at 

Principal 

Amount at 

31 December 

October 19, 

2015 

2015 

  Effective 

Interest 

Rate 

0.25%

0.27%

0.45%

15.95%

 $ 

 $ 

 $ 

 $ 

20,630   

18,459   

15,201   

2,225   

2,030   

2,725   

61,270   $ 

21,243   

82,513   $ 

—   

20,428   

17,024   

4,400   

2,121     

8,342     

52,315     

22,218     

74,533     

174,304   $ 

202,991     

Intesa San Paolo Bank 

BNL BNP Paribas 

Unicredit Banca 

BNP Paribas (Brazil) 

French Government 

Other short-term facilities 

Total short-term facilities 

Current portion of long-term debt 

Total current debt 

Total debt 

25 April 2014. 

There was no outstanding debt in the historic Cyberonics consolidated balance sheet as of 24 April 2015 or 

The European Investment Bank (“EIB”) loan was provided to Sorin to support research and development 

projects in Italy and France related to the development of new products or improvements in Sorin’s products in 
Cardiac Surgery, Cardiac Rhythm Management and new therapeutic solutions aimed at treating heart failure and 
mitral valve regurgitation. The loan was issued in July 2014, has a seven-year term with interest paid in 
quarterly installments. The loan is guaranteed by Sorin Group Italia S.r.l. and Sorin CRM SAS, subsidiaries of 
LivaNova. In December 2015, we paid our scheduled semi-annual $9.0 million principal payment. 

The EIB loan is subject to the various terms and conditions: 

•  

•  

certain financial ratios calculated based on the Sorin consolidated financial statements; 

subordination clauses, based on which the loan cannot be subordinated to other loans, with the 

exception of loans given preference deriving from legal obligations;  

•   negative pledge clauses that place limits on the issue of collateral; 

•   other customary clauses for loans of this type, including limits on LivaNova’s asset disposals. 

In April 2013, Sorin entered into a long-term loan agreement for $50.0 million with UniCredit (Unicredit 
Banca and  Unicredit AG New York branch ) consisting of a term loan totaling $20.0 million and a revolving 
facility of $30 million. 

In December 2014 the credit facility was renegotiated with the cancellation of the revolving facility, the 
decrease of the interest margin of the term loan and the extension of its maturity by 18 months from April 2016 
to October 2017. In December 2015, we pre-paid this $20.0 million loan at par, without penalty. 

In 2005 Sorin entered in two long-term loans that were to mature in 2020, with Banca Regionale Europea. 

These loans were pre-paid at the outstanding principal amount of $1.6 million in November 2015 by 
LivaNova’s subsidiaries, Sorin Group Italia S.r.l. and Sorin Site Management S.r.l. 

In January 2015, Sorin Group Italia S.r.l. was provided with loans specified to support research and 
development projects as a part of the Large Strategic Project program of the Italian Ministry of Education, 
Universities and Research (“MIUR”). One loan is subsidized by Cassa DepositiePrestiti at a fixed rate of 0.50% 
and a second loan, an ordinary bank loan, is provided by GE Capital Interbanca at a floating rate of 6-month 
Euribor plus a spread of 3.3%. At 31 December 2015, $8.9 million was outstanding on both of these loans. Both 
loans have an amortized repayment plan with final maturity on 31 December 2019. In December 2015, we paid 
our scheduled semi-annual payment of $1.1 million. 

In 2012, Sorin entered into a long-term loan agreement for a total of €3.0 million with Bpifrance (formerly 
Oséo), a French government company that provides financial support for innovation and development projects. 
The loan is repayable in installments with final maturity on 31 October 2019. At 31 December 2015, $2.6 
million was outstanding on this loan. In October 2015, we paid our scheduled $0.2 million quarterly payment. 

In 2014, through an acquisition of the cannulae business, Sorin assumed mortgages due to Mediocredito 

Italiano totaling €1.0 million. At 31 December 2015, $0.9 million was outstanding. The loans are secured by a 
mortgage on a building located at Cantù manufacturing site in Italy. 

Prior to the Mergers, Sorin Group Belgium received loans from Novalia SA, a finance company in the 

Wallonia Region in Belgium, to support several R&D projects. At 31 December 2015, $1.2 million was 
outstanding. 

155

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In December 2015, we utilized our uncommitted revolving credit facilities for certain short-term loans and 

entered into a $20.6 million short-term loan with Intesa San Paolo Bank, a $18.5 million short-term loan with 
BNL/BNP Paribas after repaying $19.5 million, a $15.2 million loan with UniCredit Banca after repaying $16.3 
million, and a $2.2 million loan with BNP Paribas (Brazil) after repaying $4.3 million. During this period, we 
also reduced other short-term facilities by $5.3 million. These facilities are used for general corporate purposes. 

Note 18. Other Non-Current Liabilities 

(in thousands) 
Unfavorable operating leases 

Other 

Total 

31 December 2015 

24 April 2015 

26 April 2014 

  $ 

  $ 

2,513   $ 
4,534   
7,047   $ 

—    $ 
—   
—    $ 

— 
— 
— 

The unfavorable operating leases were acquired in the Mergers at 19 October 2015. 

Note 19. Provisions 

The provisions in the table below are expected to result in payments within the next year.  In addition, the 

Restructuring reserve is expected to accrue activity over the next three years. 

Current provisions 

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

Advances received on customer receivables 
Contractual warranty reserve 
Restructuring reserve 
Merger related expense 
Clinical study costs 
Other 

Total 

Non-Current provisions 

$ 

$ 

1,218   $ 
2,119   
4,720   
1,506   
2,004   
1,313   
12,880   $ 

—   $ 
—   
—   
4,101   
974   
3,259   
8,334   $ 

—  
— 
— 
— 
1,227 
3,542 
4,769  

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

Liability for uncertain tax provisions 
Other 

Total 

  $ 

 $ 

13,048   $ 
3,937   
16,985   $ 

5,782    $ 
828   
6,610   $ 

4,257 
454 
4,711 

Recorded with other non-current provisions is a contingent liability totaling $3.4 million incurred during 

the Mergers. Refer for details to "Note 7. Business Combinations." 

Warranties. We offer a warranty on various products. We estimate the costs that may be incurred under the 

warranties and record a liability in the amount of such costs at the time the product is sold. The amount of the 
reserve recorded is equal to the cost to satisfy the claim. We include the costs associated with claims, if any, in 
cost of sales in the consolidated statements of income (loss). We acquired $2.1 million in warranty obligation 
from Sorin as part of the Mergers. 

156

 
 
 
 
 
 
 
 
 
 
 
 
 
 
In December 2015, we utilized our uncommitted revolving credit facilities for certain short-term loans and 

Restructuring reserve. Refer to Note 8. 2015 Restructuring Plans for more details. 

entered into a $20.6 million short-term loan with Intesa San Paolo Bank, a $18.5 million short-term loan with 

BNL/BNP Paribas after repaying $19.5 million, a $15.2 million loan with UniCredit Banca after repaying $16.3 

million, and a $2.2 million loan with BNP Paribas (Brazil) after repaying $4.3 million. During this period, we 

also reduced other short-term facilities by $5.3 million. These facilities are used for general corporate purposes. 

Note 18. Other Non-Current Liabilities 

(in thousands) 

Unfavorable operating leases 

Other 

Total 

31 December 2015 

24 April 2015 

26 April 2014 

  $ 

  $ 

2,513   $ 

4,534   

7,047   $ 

—    $ 

—   

—    $ 

— 

— 

— 

The unfavorable operating leases were acquired in the Mergers at 19 October 2015. 

The provisions in the table below are expected to result in payments within the next year.  In addition, the 

Restructuring reserve is expected to accrue activity over the next three years. 

Note 19. Provisions 

Current provisions 

(in thousands) 

Contractual warranty reserve 

Restructuring reserve 

Merger related expense 

Clinical study costs 

Other 

Total 

Other 

Total 

Advances received on customer receivables 

$ 

1,218   $ 

2,119   

4,720   

1,506   

2,004   

1,313   

12,880   $ 

—   $ 

—   

—   

4,101   

974   

3,259   

8,334   $ 

—  

— 

— 

— 

1,227 

3,542 

4,769  

4,257 

454 

4,711 

Non-Current provisions 

$ 

(in thousands) 

31 December 2015 

24 April 2015 

26 April 2014 

Liability for uncertain tax provisions 

  $ 

13,048   $ 

3,937   

16,985   $ 

5,782    $ 

828   

6,610   $ 

 $ 

Recorded with other non-current provisions is a contingent liability totaling $3.4 million incurred during 

the Mergers. Refer for details to "Note 7. Business Combinations." 

Warranties. We offer a warranty on various products. We estimate the costs that may be incurred under the 

warranties and record a liability in the amount of such costs at the time the product is sold. The amount of the 

reserve recorded is equal to the cost to satisfy the claim. We include the costs associated with claims, if any, in 

cost of sales in the consolidated statements of income (loss). We acquired $2.1 million in warranty obligation 

from Sorin as part of the Mergers. 

The changes in the carrying value of current provisions during the year are indicated below (in thousands): 

Restructuring 
reserve 

Warranties 
reserve 

Other 
reserves 

Total 

26 April 2014 

 $ 

Additions to provision 
Utilisation 
Release of provisions 
Reclassifications 

24 April 2015 

IFRS 3 Business Combination 
Additions to provision 
Utilisation 
Release of provisions 
Currency translation gains/losses 

31 December 2015 

 $ 

—   $ 
—   
—   
—   
—   
—   
4,320   
4,609   
(3,608)   
(400)   
(201)   
4,720   $ 

—   $ 
—   
—   
—   
—   
—   
2,069   
141   
(57)   
—   
(34)   
2,119   $ 

4,769   $ 
6,378   
(2,813)   
—   
—   
8,334   
5,646   
3,448   
(11,194)   
—   
(193)   
6,041   $ 

4,769 
6,378 
(2,813) 
— 
— 
8,334 
12,035 
8,198 
(14,859) 
(400) 
(428) 
12,880 

The changes in the carrying value of non-current provisions during the year are indicated below (in thousands): 

31 December 2015 

24 April 2015 

26 April 2014 

26 April 2014 

 $ 

Additions to provision 
Utilisation 
Release of provisions 
Reclassifications 

24 April 2015 

IFRS 3 Business Combination 
Additions to provision 
Utilisation 
Currency translation gains/losses 

31 December 2015 

Uncertain tax 
positions reserve 

Other reserves 

Total 

4,257   $ 
1,525   
—   
—   
—   
5,782   
9,158   
—   
(1,523)   
(369)   
13,048   

454   $ 
374   
—   
—   
—   
828   
3,839   
152   
(828)   
(54)   
3,937   

4,711 
1,899  
—  
—  
—  
6,610  
12,997  
152  
(2,351 ) 
(423 ) 
16,985  

157

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 20. Other Payables 

(in thousands) 

  31 December 2015 

24 April 2015 

26 April 2014 

Accrued expenses- employee-related 
charges 
Other accrued expenses 
Other current liabilities 

Other amounts due to health and social 
security institution 

Amounts due to employees 
Current advances from customers 
Deferred income 

Total 

  $ 

  $ 

44,580

 $ 
30,602   
10,941   

9,649
5,585   
3,330   $ 
992   
105,679   $ 

13,781

  $ 

16,957

—   
—   

—
—   
—    $ 
—   
13,781    $ 

— 
— 

—
— 
— 
— 
16,957 

Note 21.  Share-Based Incentive Plans 

Share-Based Incentive Plans 

Sorin awards exchanged for LivaNova awards 

Prior to the Mergers, the Sorin Board of Directors adopted the Long-Term Incentive 2012-2014 (the “2012-

2014 Plan), 2013-2015 (the “2013-2015 Plan”) and 2014-2016 (the “2014-2016 Plan”) share grant plans in 
April 2012, April 2013 and April 2014, respectively. The share grant plans authorised the issuance of stock 
appreciation rights (2014-2016 Plan only), performance share units and restricted share units. The awards under 
these share grant plans were converted into LivaNova awards pursuant to the terms of the Transaction 
Agreement as described below and were accounted for as equity settled.  Refer to “Note 1. Nature of 
Operations” for additional details related to the Mergers. 

Pursuant to the Transaction Agreement, 3,815,824 share appreciation rights outstanding (2014-2016 Plan) 
and 3,365,931 restricted share units (2013-2015 and 2014-2016 Plans) and performance share units (2012-2014 
Plan) that were unvested immediately prior to the Mergers were accelerated and vested upon the close of the 
Mergers and were converted into 180,076 LivaNova share appreciation rights and 158,716 LivaNova ordinary 
shares, respectively, in a manner designed to preserve the intrinsic value of such awards. The accelerated 
vesting and share conversion constituted a modification under the authoritative guidance for accounting for 
share-based compensation. The modification resulted in $8.8 million of incremental costs on the date of 
acquisition. 

158

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

  31 December 2015 

24 April 2015 

26 April 2014 

Accrued expenses- employee-related 

  $ 

13,781

  $ 

16,957

44,580

 $ 

30,602   

10,941   

9,649

5,585   

3,330   $ 

992   

—   

—   

—

—   

—    $ 

—   

— 

— 

—

— 

— 

— 

  $ 

105,679   $ 

13,781    $ 

16,957 

Note 20. Other Payables 

charges 

Other accrued expenses 

Other current liabilities 

Other amounts due to health and social 

security institution 

Amounts due to employees 

Current advances from customers 

Deferred income 

Total 

Note 21.  Share-Based Incentive Plans 

Share-Based Incentive Plans 

Sorin awards exchanged for LivaNova awards 

Prior to the Mergers, the Sorin Board of Directors adopted the Long-Term Incentive 2012-2014 (the “2012-

2014 Plan), 2013-2015 (the “2013-2015 Plan”) and 2014-2016 (the “2014-2016 Plan”) share grant plans in 

April 2012, April 2013 and April 2014, respectively. The share grant plans authorised the issuance of stock 

appreciation rights (2014-2016 Plan only), performance share units and restricted share units. The awards under 

these share grant plans were converted into LivaNova awards pursuant to the terms of the Transaction 

Agreement as described below and were accounted for as equity settled.  Refer to “Note 1. Nature of 

Operations” for additional details related to the Mergers. 

Pursuant to the Transaction Agreement, 3,815,824 share appreciation rights outstanding (2014-2016 Plan) 

Plan) that were unvested immediately prior to the Mergers were accelerated and vested upon the close of the 

Mergers and were converted into 180,076 LivaNova share appreciation rights and 158,716 LivaNova ordinary 

shares, respectively, in a manner designed to preserve the intrinsic value of such awards. The accelerated 

vesting and share conversion constituted a modification under the authoritative guidance for accounting for 

share-based compensation. The modification resulted in $8.8 million of incremental costs on the date of 

acquisition. 

In addition, pursuant to the Transaction Agreement, 2,617,490 unvested performance share units granted 
under the 2014-2016 Plan and 2013-2015 Plan which were held by Sorin employees upon close of the Mergers 
were converted into 123,456 LivaNova ordinary shares in a manner designed to preserve the intrinsic value of 
such awards.  For awards not yet earned based on performance achieved as of the date of the Mergers, a service 
requirement was added to the remaining awards and the performance conditions were removed, resulting in a 
modification to the award (see below for further details). A portion of the service awards vested on the date of 
the Mergers and of the remaining awards, 50% were paid on 26 February 2016 and 50% will be paid on 26 
February 2017, in each case subject to continued employment. The awards will continue to be governed in 
accordance with the terms and conditions as were applicable immediately prior to the completion of the 
Mergers, with the exception of the modified terms pursuant to the Transaction Agreement. The modifications 
made to the performance share units granted under the 2014-2016 Plan and 2013-2015 Plan constituted 
modifications under the authoritative guidance for accounting for share compensation. The modification 
resulted in $8.6 million incremental costs of which $0.9 million was recognised on the acquisition date and the 
remaining $7.7 million will be recognised over the remaining service period of the award. We recognised $1.4 
million share-based compensation expense related to these modifications from the date of the acquisition 
through the period ended 31 December 2015. 

Further, pursuant to the Transaction Agreement, 1,721,530 deferred bonus shares held by Sorin employees 
that were outstanding immediately prior to the Mergers were accelerated and became vested upon the close of 
the Mergers, and were converted to 81,251 LivaNova ordinary shares in a manner designed to preserve the 
intrinsic value of such awards. The accelerated vesting and share conversion constituted a modification under 
the authoritative guidance for accounting for share-based compensation. This guidance requires the Company to 
revalue the award upon the transaction close and allocate the revised fair value between consideration paid and 
post-combination expense based on the ratio of service performed through the transaction date over the total 
service period of the award. The revised fair value allocated to post-combination services resulted in $0.3 
million of incremental costs which was recognised on the acquisition date. 

Cyberonics awards exchanged for LivaNova awards 

and 3,365,931 restricted share units (2013-2015 and 2014-2016 Plans) and performance share units (2012-2014 

Prior to the Mergers, Cyberonics issued share options and restricted share awards under its Amended and 

Restated New Employee Equity Inducement Plan and 2009 Stock Plan. All of the awards under these plans 
were accounted for as equity settled and were accelerated and vested as a result of the Mergers. Cyberonics 
share options (except as described below) and restricted shares were converted into 813,794 LivaNova share 
options and 209,043 LivaNova ordinary shares, respectively, in a manner designed to preserve the intrinsic 
value of such awards. The share options will continue to become exercisable in accordance with the terms and 
conditions as were applicable immediately prior to the completion of the Mergers. Additionally, 146,105 
Cyberonics share options held by executive officers that were outstanding immediately prior to the Mergers 
were settled in cash in the amount of $5.0 million. 

159

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LivaNova awards 

On 16 October 2015, the sole shareholder of LivaNova approved the adoption of the Company’s 2015 

Incentive Award Plan (the “2015 Plan”), which was previously approved by the Board of Directors of the 
Company on 14 September 2015 subject to such shareholder approval. The Plan was adopted in order to 
facilitate the grant of cash and equity incentives to non-employee directors, employees (including our named 
executive officers) and consultants of the Company and certain of our affiliates and to enable the Company and 
certain of our affiliates to obtain and retain services of these individuals. The Plan became effective as of 19 
October 2015. Incentive awards may be granted under the 2015 Plan in the form of share options, share 
appreciation rights, restricted share, restricted share units, other share and cash-based awards and dividend 
equivalents. As of 31 December 2015, there were approximately 8,047,364 shares available for future grants 
under the 2015 Plan. 

Share-Based Compensation 

 Amounts of share-based compensation recognised in the consolidated statement of income (loss), 
including the modification expense related to the Mergers, by expense category are as follows (in thousands): 

Transitional Period 25 
April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

Cost of sales 

Selling, general and administrative 
Research and development 
Merger-related expense 

Total share-based compensation expense 

 $ 

 $ 

278   $ 
13,588   
511   
13,010   
27,387   $ 

588 
8,780  
3,189  
—  
12,557 

Amounts of share-based compensation expense recognised in the consolidated statement of income (loss), 

including the modification expense related to the Mergers, by type of arrangement are as follows, (in 
thousands): 

Service-based share option awards 
Service-based share appreciation rights 

 $ 

Service-based restricted and restricted share unit awards   

Performance-based restricted share and restricted share 
unit awards 
Other Awards 

Total share-based compensation expense 

 $ 

Transitional Period 25 
April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

6,988   $ 
2,747   

5,672

11,724

256   
27,387   $ 

4,600 
—  

6,453 

1,504 
—  
12,557 

The expense for the transitional period 25 April 2015 to 31 December 2015 and for the fiscal year ended 24 

April 2015 related to awards that were accounted for as equity settled. 

160

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LivaNova awards 

Share Options and Share Appreciation Rights 

On 16 October 2015, the sole shareholder of LivaNova approved the adoption of the Company’s 2015 

Incentive Award Plan (the “2015 Plan”), which was previously approved by the Board of Directors of the 

Company on 14 September 2015 subject to such shareholder approval. The Plan was adopted in order to 

facilitate the grant of cash and equity incentives to non-employee directors, employees (including our named 

executive officers) and consultants of the Company and certain of our affiliates and to enable the Company and 

certain of our affiliates to obtain and retain services of these individuals. The Plan became effective as of 19 

October 2015. Incentive awards may be granted under the 2015 Plan in the form of share options, share 

appreciation rights, restricted share, restricted share units, other share and cash-based awards and dividend 

equivalents. As of 31 December 2015, there were approximately 8,047,364 shares available for future grants 

under the 2015 Plan. 

Share-Based Compensation 

 Amounts of share-based compensation recognised in the consolidated statement of income (loss), 

including the modification expense related to the Mergers, by expense category are as follows (in thousands): 

Transitional Period 25 

April 2015 to 31 

December 2015 

Fiscal Year Ended 24 

April 2015 

Cost of sales 

Selling, general and administrative 

Research and development 

Merger-related expense 

Total share-based compensation expense 

Amounts of share-based compensation expense recognised in the consolidated statement of income (loss), 

including the modification expense related to the Mergers, by type of arrangement are as follows, (in 

thousands): 

Transitional Period 25 

April 2015 to 31 

December 2015 

Fiscal Year Ended 24 

April 2015 

 $ 

 $ 

 $ 

278   $ 

13,588   

511   

13,010   

27,387   $ 

6,988   $ 

2,747   

5,672

11,724

256   

27,387   $ 

588 

8,780  

3,189  

—  

12,557 

4,600 

—  

6,453 

1,504 

—  

12,557 

Service-based share option awards 

Service-based share appreciation rights 

Service-based restricted and restricted share unit awards   

Performance-based restricted share and restricted share 

unit awards 

Other Awards 

Total share-based compensation expense 

 $ 

The expense for the transitional period 25 April 2015 to 31 December 2015 and for the fiscal year ended 24 

April 2015 related to awards that were accounted for as equity settled. 

We use the Black-Scholes option pricing methodology to calculate the grant date fair market value of share 
option awards and share appreciation rights. The following table lists the assumptions we utilized as inputs to 
the Black-Scholes model: 

Weighted average share price 
Exercise price 
Dividend Yield (1) 
Risk-free interest rate - based on grant date (2) 
Expected option term - in years per group of 
employees/consultants (3) 
Expected volatility at grant date (4) 

(1) We do not plan to pay dividends. 

 $ 

Transitional Period 25 
April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

69.39 
51.34-69.39  

  $ 

— 

1.2% - 1.4%  

57.29 
53.90-57.39 
—  
1.60 - 1.98% 

4 - 5  

34% 

4.88 - 6.56 

31.67% - 41.09% 

(2) We use yield rates on U.S. Treasury securities for a period that approximated the expected term of the award to estimate 

the risk-free interest rate. 

(3) We estimated the expected term of the awards granted using historic data of actual time elapsed between the date of 
grant and the exercise or forfeiture of options or SARs for employees. For consultants, the expected term is the 
remaining time until expiration of the option or SAR. 

(4) Refer to “Note 2. Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies-Share-based 

Compensation” for further information regarding expected volatility. 

The following tables detail the activity for service-based share option awards and share appreciation rights, 

including awards assumed or issued as a result of the Mergers: 

Options and SARs 

Outstanding - at beginning of period 
Granted 
Assumed in Merger 
Exercised 
Forfeited 
Cashed-out in Merger 
Expired 

Outstanding - end of year 

Fully vested and exercisable - end of year 
Fully vested and expected to vest - end of year (1) 

For the Transitional Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 April 
2015 

Number of 
Optioned 
Shares 
1,125,738   
677,560   
180,076   
(199,655)   
(45,553)   
(146,105)   
(2,500)   

1,589,561   

935,586   
1,571,191   

Wtd. Avg. 
Exercise 
Price 

Number of 
Optioned 
Shares 

Wtd. Avg. 
Exercise 
Price 

41.33   
69.39   
51.34   
34.11   
61.27   
31.67   
28.21   
55.56   
45.90   
55.40   

1,012,387   $ 
273,445   
—   
(127,379)   
(32,355)   
—   
(360)  

1,125,738   

509,136   
1,095,446   

35.25 
57.29 
— 
26.89 
42.44 
— 
51.90 
41.33 
30.15 
40.98 

161

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Factors in expected future forfeitures. 

The weighted average remaining contractual life for the share options and SARs outstanding at 31 

December 2015 and 24 April 2015 is 4.70 years and 6.97 years, respectively. 

The aggregate intrinsic value of the options and SARs outstanding at 31 December 2015 and 24 April 2015 
is $12.7 million and $24.3 million, respectively. The aggregate intrinsic value of options and SARs is based on 
the difference between the fair market value of the underlying share at the end of the period using the market 
closing share price, and exercise price for in-the-money awards. 

The range of exercise prices for options and SARs outstanding at 31 December 2015 and 24 April 2015 are 

categorized in exercise price ranges as follows: 

Outstanding Options 

31 December 2015 

24 April 2015 

$10-20 

$21-30 

$31-40 

$41-50 

$51-60 

$61-70 

Total 

94,021   
90,368   
20,481   
91,887   
633,329   
659,475   
1,589,561   

131,652  
244,092  
35,623  
183,798  
525,073  
5,500  
1,125,738  

Transitional  Period 25 
April 2015 to 
31 December 2015 

Fiscal Year Ended 

24 April 2015 

Weighted average grant date fair value  of share option 
awards and SARs during the fiscal year  (1) 
Weighted average share price of share option exercises 
during the period 
Aggregate intrinsic value of share option and SAR 
exercises during the fiscal year (in thousands) 

 $ 

 $ 

21.05

 $ 

34.97

5,464

 $ 

18.64

26.89 

3,973

(1) Including weighted average Mergers date fair value of SARs assumed in the Mergers. 

Restricted Share and Restricted Share Units Awards 

162

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Factors in expected future forfeitures. 

The weighted average remaining contractual life for the share options and SARs outstanding at 31 

December 2015 and 24 April 2015 is 4.70 years and 6.97 years, respectively. 

The aggregate intrinsic value of the options and SARs outstanding at 31 December 2015 and 24 April 2015 

is $12.7 million and $24.3 million, respectively. The aggregate intrinsic value of options and SARs is based on 

the difference between the fair market value of the underlying share at the end of the period using the market 

closing share price, and exercise price for in-the-money awards. 

The range of exercise prices for options and SARs outstanding at 31 December 2015 and 24 April 2015 are 

categorized in exercise price ranges as follows: 

Outstanding Options 

31 December 2015 

24 April 2015 

$10-20 

$21-30 

$31-40 

$41-50 

$51-60 

$61-70 

Total 

94,021   

90,368   

20,481   

91,887   

633,329   

659,475   

1,589,561   

21.05

 $ 

34.97

5,464

 $ 

131,652  

244,092  

35,623  

183,798  

525,073  

5,500  

1,125,738  

18.64

26.89 

3,973

Transitional  Period 25 

April 2015 to 

31 December 2015 

Fiscal Year Ended 

24 April 2015 

Weighted average grant date fair value  of share option 

awards and SARs during the fiscal year  (1) 

Weighted average share price of share option exercises 

during the period 

Aggregate intrinsic value of share option and SAR 

exercises during the fiscal year (in thousands) 

 $ 

 $ 

(1) Including weighted average Mergers date fair value of SARs assumed in the Mergers. 

Restricted Share and Restricted Share Units Awards 

The following tables detail the activity for service-based restricted share and restricted share unit awards, 
including activity from restricted share units assumed or issued as a result of the Mergers: 

For the Transitional Period 25 April 2015 
to 31 December 2015 

Fiscal Year Ended 24 April 2015 

  Number of Shares   

Wtd. Avg. Grant 
Date Fair Value 

  Number of Shares   

Wtd. Avg. Grant 
Date Fair Value 

Non-vested shares at 
beginning of period 
Granted 
Conversion of shares 
Vested 
 Forfeited 

Non-vested shares at 
end of year 

279,818
 $ 
99,870   
213,038   
(378,322)   
(10,831)   

203,573

 $ 

50.70
57.55   
69.39   
54.92   
54.65   

63.57

348,725 
 $ 
102,652    
 -   
(158,257 )   
(13,302 )   

279,818 

 $ 

40.65 
56.85 
 - 
33.27 
42.25 

50.70 

Transitional  Period 
25 April 2015 to 
31 December 2015 

Fiscal Year Ended 

24 April 2015 

Weighted average grant date fair value of service-based share 
grants issued during the fiscal year 
Aggregate fair value of service-based share grants that vested 
during the year (in thousands) 

 $ 

 $ 

57.55

 $ 

24,384

 $ 

56.85

9,194

The following tables detail the activity for performance-based and market-based restricted share and 

restricted share unit awards: 

For the Transitional Period 25 
April 2015 to 31 December 2015   

Fiscal Year Ended 24 
April 2015 

Non-vested shares at beginning of period 

Granted 
Conversion of shares 
Vested 
 Forfeited 

Non-vested shares at end of year 

155,288     $ 
—    
150,285    
(245,466)   
(60,107)   
—     $ 

Number of 
Shares 

Wtd. Avg. 
Grant Date 
Fair Value 

Number 
of Shares 

Wtd. Avg. 
Grant Date 
Fair Value 
25.54  
57.39 
— 
22.65 
— 
31.76  

333,641   $ 

31.76    
—   
15,837   
69.39   
—   
55.93    (194,190)   
—   
33.82   
—    

155,288   $ 

Transitional  Period 25 
April 2015 to 
31 December 2015 

Fiscal Year Ended 

24 April 2015 

Weighted average grant date fair value of performance-
based share grants issued during the fiscal year 

Aggregate fair value of performance-based share grants 
that vested during the year (in thousands) 

 $ 

 $ 

—

 $ 

9,648

 $ 

57.39

10,519

163

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 22.  Employee Retirement Plans 

We sponsor various retirement plans, including defined benefit pension plans (pension benefits), an 
employee retirement savings plan and a deferred compensation plan, covering U.S. employees and many 
employees outside the U.S. The expense related to these plans was $3.5 million for the transitional period 25 
April 2015 to 31 December 2015. 

As at 31 December 2015 the net underfunded status of our benefit plans was $31.0 million. 

Defined Benefit Plan. 

Prior to the Mergers, we did not sponsor any defined benefit pension plans. 

As a result of the Mergers, we assumed several defined benefit pension plans which include plans in the 
U.S., Italy, Germany, Japan and France. In the U.S., we maintain a frozen cash balance retirement plan that is a 
contributory, defined benefit plan designed to provide the benefit in terms of a stated account balance dependent 
on the employer's promised interest-crediting rate. In Italy and France we maintain a severance pay defined 
benefit plan that obligates the employer to pay severance pay  in  case of resignation, dismissal or retirement. In 
other jurisdictions we sponsor non-contributory, defined benefit plans designated to provide a guaranteed 
minimum retirement benefits to eligible employees. 

Risks Related to Defined-benefit Plans 

The defined benefit plans expose the Company to various demographic and economic risks such as 

longevity risk, investment risks, currency and interest rate risk and in some cases inflation risk. The latter plans 
a role in the assumed wage increase and in some smaller plans where indexation is mandatory. Pension fund 
Trustees are responsible for and have full discretion over the investment strategy of the plan assets. In general 
Trustees manage pension fund risks by diversifying the investments of plan assets and by (partially) matching 
interest rate risk of liabilities. 

The Company has an active de-risking strategy in which it constantly looks for opportunities to reduce the 
risks associated with its defined benefit plans. The plans are governed by Trustees who have a legal obligation 
to evenly balance the interests of all stakeholders and operate under the local regulatory framework. 

164

 
 
 
Note 22.  Employee Retirement Plans 

We sponsor various retirement plans, including defined benefit pension plans (pension benefits), an 

employee retirement savings plan and a deferred compensation plan, covering U.S. employees and many 

employees outside the U.S. The expense related to these plans was $3.5 million for the transitional period 25 

April 2015 to 31 December 2015. 

Defined Benefit Plan. 

As at 31 December 2015 the net underfunded status of our benefit plans was $31.0 million. 

Prior to the Mergers, we did not sponsor any defined benefit pension plans. 

As a result of the Mergers, we assumed several defined benefit pension plans which include plans in the 

U.S., Italy, Germany, Japan and France. In the U.S., we maintain a frozen cash balance retirement plan that is a 

contributory, defined benefit plan designed to provide the benefit in terms of a stated account balance dependent 

on the employer's promised interest-crediting rate. In Italy and France we maintain a severance pay defined 

benefit plan that obligates the employer to pay severance pay  in  case of resignation, dismissal or retirement. In 

other jurisdictions we sponsor non-contributory, defined benefit plans designated to provide a guaranteed 

minimum retirement benefits to eligible employees. 

Risks Related to Defined-benefit Plans 

The defined benefit plans expose the Company to various demographic and economic risks such as 

longevity risk, investment risks, currency and interest rate risk and in some cases inflation risk. The latter plans 

a role in the assumed wage increase and in some smaller plans where indexation is mandatory. Pension fund 

Trustees are responsible for and have full discretion over the investment strategy of the plan assets. In general 

Trustees manage pension fund risks by diversifying the investments of plan assets and by (partially) matching 

interest rate risk of liabilities. 

The Company has an active de-risking strategy in which it constantly looks for opportunities to reduce the 

risks associated with its defined benefit plans. The plans are governed by Trustees who have a legal obligation 

to evenly balance the interests of all stakeholders and operate under the local regulatory framework. 

The change in benefit obligations and funded status of our U.S. and non-U.S. pension benefits as of and for the 
transitional period 25 April 2015 to 31 December 2015 are as follows: 

(in thousands) 

Accumulated benefit obligation at end of year: 
Change in projected benefit obligation: 
Projected benefit obligation at beginning of year 
Service cost 
Interest cost 
Benefits obligations assumed in the Mergers 
Employee contributions 
Plan curtailments and settlements 
Actuarial (gain) loss 
Benefits paid 
Foreign currency exchange rate changes and other 

Projected benefit obligation at end of year 

Change in plan assets: 
Fair value of plan assets at beginning of year 
Actual return on plan assets 
Plan assets acquired in the Mergers 
Employer contributions 
Employee contributions 
Plan settlements 
Benefits paid 
Foreign currency exchange rate changes 

Fair value of plan assets at end of year 

Funded status at end of year: 
Fair value of plan assets 
Benefit obligations 

Underfunded status of the plans 
Recognised liability 

Amounts recognised on the consolidated balance 
sheets consist of: 

Non-current assets 
Current liabilities 
Non-current liabilities 

Recognised liability 

U.S. Pension 
Benefits 

Non-U.S. Pension 
Benefits 

Total Pension 
Benefits 

 $ 

  $ 

 $ 

  $ 

  $ 

  $ 
  $ 

  $ 

  $ 

—   $ 
—   
86   
10,378   
—   
(59)  
(40)  
(147)  
—   
10,218    $ 

—   $ 
(33)  
6,097   
—   
—   
(59)  
(147)  
—   
5,858    $ 

5,858    $ 
10,218   
4,360    $ 
4,360    $ 

—    $ 
—   
4,360   
4,360    $ 

—    $ 
155   
117   
29,082   
—   
—   
193   
(232)  
—   
29,315   

—    $ 
6   
2,676   
83   
—   
—   
(5)  
—   
2,760    $ 

2,760    $ 
29,315   
26,555    $ 
26,555    $ 

—    $ 
—   
26,555   
26,555    $ 

— 
155 
203 
39,460 
— 
(59) 
153 
(379) 
— 
39,533 

— 
(27) 
8,773 
83 
— 
(59) 
(152) 
— 
8,618 

8,618 
39,533 
30,915 
30,915 

— 
— 
30,915 
30,915 

Major actuarial assumptions used in determining the benefit obligations and net periodic benefit (income) 
cost for our significant benefit plans are presented in the following table as weighted averages as at 31 December 
2015. 

165

 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
   
   
   
 
   
   
   
 
 
Actuarial assumptions used to determine benefit 
obligation 
Discount rate 
Rate of compensation increase 

Actuarial assumptions used to determine net 
periodic benefit cost 
Discount rate 
Expected return on plan assets 
Rate of compensation increase 

  U.S. Pension Benefits 

Non-U.S. Pension 
Benefits 

3.79%  
N/A   

3.64%  
5.00%  
N/A   

0.48% - 2.00% 
2.50% - 3.89% 

— 
0.48% - 2.00% 
0.48% - 2.00% 

To determine the discount rate for our U.S. benefit plan, we used the Citigroup Above-median yield curve. 
For the discount rate used to determine the other non-U.S. benefit plans we consider local market expectations 
of long-term returns. The resulting discount rates are consistent with the duration of plan liabilities. 

The expected long-term rate of return on plan assets assumptions are determined using a building block 

approach, considering historical averages and real returns of each asset class. In certain countries, where 
historical returns are not meaningful, consideration is given to local market expectations of long-term returns. 

Retirement Benefit Plan Investment Strategy 

In the U.S., we have an account that holds the defined benefit frozen balance pension plan assets. The 
Qualified Plan Committee (the “Plan Committee”) sets investment guidelines for U.S. pension plans with the 
assistance of an external consultant. The plan assets in the U.S. are invested in accordance with sound 
investment practices that emphasize long-term fundamentals.  The investment objectives for the plan assets in 
the U.S. are to achieve a positive rate of return that would be expected to close the current funding deficit and 
so enable us to terminate the frozen pension plan at a reasonable cost. These guidelines are established based on 
market conditions, risk tolerance, funding requirements and expected benefit payments. The Plan Committee 
also oversees the investment allocation process, selects the investment managers, and monitors asset 
performance. The investment portfolio contains a diversified portfolio of fixed income and equity index funds. 
Securities are also diversified in terms of domestic and international securities, short- and long-term securities, 
growth and value styles, large cap and small cap stocks. 

Outside the U.S., pension plan assets are typically managed by decentralized fiduciary committees. There is 

a significant variation in policy asset allocation from country to country. Local regulations, local funding rules, 
and local financial and tax considerations are part of the funding and investment allocation process in each 
country. Pension plan assets outside of the U.S. were $2.8 million as of 31 December 2015 and were not 
material. 

Our pension plan target allocations as of 31 December 2015, by asset category, are as follows: 

166

 
 
 
 
   
   
 
 
   
   
 
 
 
Actuarial assumptions used to determine benefit 

obligation 

Discount rate 

Rate of compensation increase 

Actuarial assumptions used to determine net 

periodic benefit cost 

Discount rate 

Expected return on plan assets 

Rate of compensation increase 

  U.S. Pension Benefits 

Non-U.S. Pension 

Benefits 

3.79%  

N/A   

3.64%  

5.00%  

N/A   

0.48% - 2.00% 

2.50% - 3.89% 

— 

0.48% - 2.00% 

0.48% - 2.00% 

To determine the discount rate for our U.S. benefit plan, we used the Citigroup Above-median yield curve. 

For the discount rate used to determine the other non-U.S. benefit plans we consider local market expectations 

of long-term returns. The resulting discount rates are consistent with the duration of plan liabilities. 

The expected long-term rate of return on plan assets assumptions are determined using a building block 

approach, considering historical averages and real returns of each asset class. In certain countries, where 

historical returns are not meaningful, consideration is given to local market expectations of long-term returns. 

Retirement Benefit Plan Investment Strategy 

In the U.S., we have an account that holds the defined benefit frozen balance pension plan assets. The 

Qualified Plan Committee (the “Plan Committee”) sets investment guidelines for U.S. pension plans with the 

assistance of an external consultant. The plan assets in the U.S. are invested in accordance with sound 

investment practices that emphasize long-term fundamentals.  The investment objectives for the plan assets in 

the U.S. are to achieve a positive rate of return that would be expected to close the current funding deficit and 

so enable us to terminate the frozen pension plan at a reasonable cost. These guidelines are established based on 

market conditions, risk tolerance, funding requirements and expected benefit payments. The Plan Committee 

also oversees the investment allocation process, selects the investment managers, and monitors asset 

performance. The investment portfolio contains a diversified portfolio of fixed income and equity index funds. 

Securities are also diversified in terms of domestic and international securities, short- and long-term securities, 

growth and value styles, large cap and small cap stocks. 

Outside the U.S., pension plan assets are typically managed by decentralized fiduciary committees. There is 

a significant variation in policy asset allocation from country to country. Local regulations, local funding rules, 

and local financial and tax considerations are part of the funding and investment allocation process in each 

country. Pension plan assets outside of the U.S. were $2.8 million as of 31 December 2015 and were not 

material. 

Our pension plan target allocations as of 31 December 2015, by asset category, are as follows: 

Equity Securities 
Debt Securities 
Other 

Retirement Benefit Fair Values 

U.S. Pension 
Benefits 

30%
69%
1%

100%

The following is a description of the valuation methodologies used for retirement benefit plan assets 

measured at fair value: 

Equity Mutual Funds: Valued based on the year-end net asset values of the investment vehicles. The net asset 
values of the investment vehicles are based on the fair values of the underlying investments of the partnerships 
valued at the closing price reported in the active markets in which the individual security is traded. Equity mutual 
funds have a daily reported net asset value and we classify these investments as Level 2. 

Fixed Income Mutual Funds: Valued based on the year-end net asset values of the investment vehicles. The 
net  asset  values  of  the  investment  vehicles  are  based  on  the  fair  values  of  the  underlying  investments  of  the 
partnerships valued based on inputs other than quoted prices that are observable. 

Money Markets: Valued based on quoted prices in active markets for identical assets. 

U.S. Pension Benefits 

The following tables provide information by level for the retirement benefit plan assets that are measured at 
fair  value,  as  defined  by  IFRS.  Refer  to  “Note  2.  Basis  of  Preparation,  Use  of  Accounting  Estimates  and 
Significant Accounting Policies” for discussion of the fair value measurement terms of Levels 1, 2, and 3. 

  Fair Value as at 

  Fair Value Measurement Using Inputs Considered as 

(in thousands) 

  31 December 2015 

Level 1 

Level 2 

Level 3 

Equity mutual funds 
Fixed income mutual funds 
Money market funds 

 $ 

 $ 

1,727   $ 
4,058   
73   
5,858   $ 

—   $ 
—   
73   
73   $ 

1,727   $ 
4,058   
—   
5,785   $ 

— 
— 
— 
— 

Retirement Benefit Funding Plan 

We have the policy to make the minimum required contribution to fund the U.S. pension plan as determined 

by MAP - 21 and the Highway and Transportation Funding Act of 2014 (“HAFTA”). 

During the transitional period 25 April 2015 to 31 December 2015, we did not make a material contribution 
to the U.S. pension plan or to the non-U.S. pension plan. The weighted average duration of the defined benefit 
plans is 8.6 years and about 10 years for U.S. plans and Non-U.S. plans respectively. We anticipate that we will 
make contributions to the U.S. pension plan of approximately $0.6 million during fiscal year 2016. Contributions 
to the non-U.S. pension plans in fiscal year 2016 are not expected to be material. 

167

 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefit payments, including amounts to be paid from our assets, and reflecting expected future service, as 

appropriate, are expected to be paid as follows: 

(in thousands) 

2016 
2017 
2018 
2019 
2020 
Thereafter 

Sensitivity analysis 

$ 
$ 
$ 
$ 
$ 
$ 

U.S. Plans 

  Non-U.S. Plans 
1,244  
816  
1,018  
804  
902  
24,535  

481    $ 
741    $ 
908    $ 
635    $ 
1,050    $ 
6,404    $ 

The sensitivity analysis below indicates the main impact of an increase or decrease in the discount rate used 

to measures 2015 defined benefits obligations. 

Discount rate 
Interest rate 

Increase +0.50% 

(5.25)% 
(6.95)% 
Increase +10%  

Decrease -0.50%  

5.73% 
6.95% 
Decrease -10% 

Employee turnover rate 

(0.18)% 

(0.08)% 

   The above sensitivity analysis are based on a change in an assumption while holding all other 

assumptions constant. In practice, this is unlikely to occur, and changes in some of the assumptions may be 
correlated. When calculating the sensitivity of the defined benefit obligation to significant actuarial assumptions 
the same method (present value of the defined benefit obligation calculated with the projected until credit 
method at the end of the reporting period) has been applied as when calculating the defined benefit liability 
recognised in the consolidated balance sheets. 

    The Employee Retirement Savings Plan. We sponsor the Cyberonics, Inc. Employee Retirement Savings 

Plan (the “Savings Plan”), which qualifies under Section 401(k) of the IRC. We match 50% of employees’ 
contributions up to 6% of eligible compensation, subject to a five-year vesting period that starts on the date of 
employment. We incurred expenses for these contributions of approximately $1.5 million and $1.8 million for 
the transitional period 25 April 2015 to 31 December 2015 and fiscal year ended 24 April 2015,  respectively. 

    The Deferred Compensation Plan.  We sponsor  the Cyberonics, Inc. Non-Qualified Deferred 

Compensation Plan (the “Deferred Compensation Plan”) to a group consisting of certain members of middle 
and senior management. The Deferred Compensation Plan provides an opportunity for the group to defer up to 
50% of their annual base salary and commissions and 100% of their bonus or performance-based compensation 
until the earlier of (i) termination of employment or (ii) an elected distribution date. In addition, effective 1 
January 2014, we agreed to match 50% of the contributions of non-officer members of the group up to 6% of 
eligible compensation, subject to a five-year vesting period that starts on the date of employment.  Employee 
deductions result in a liability; refer to “Note 11. Other Long-Term Liabilities.” We incurred expenses for this 
plan, based on the company match, of approximately $62,000, $76,000 and $22,000 for the transitional period 
25 April 2015 to 31 December 2015 and the fiscal year ended 24 April 2015, respectively. 

168

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefit payments, including amounts to be paid from our assets, and reflecting expected future service, as 

    Severance Indemnity. In Italy, upon termination of employment for any reason, employers are required to 

appropriate, are expected to be paid as follows: 

(in thousands) 

2016 

2017 

2018 

2019 

2020 

Thereafter 

Sensitivity analysis 

Discount rate 

Interest rate 

Employee turnover rate 

U.S. Plans 

  Non-U.S. Plans 

481    $ 

741    $ 

908    $ 

635    $ 

1,050    $ 

6,404    $ 

1,244  

816  

1,018  

804  

902  

24,535  

$ 

$ 

$ 

$ 

$ 

$ 

pay a termination indemnity (Trattamento di fine Rapporto or “TFR”) to all employees as required by Italian 
legislation. The TFR serves as a backup in the event of redundancy or as an additional pension benefit after 
retirement. The TFR is considered a defined contribution plan with respect to amounts vesting after January 1, 
2007 for employees who have opted for a supplementary pensions system or who have chosen to maintain the 
TFR at the company, for companies with more than 50 employees. A similar termination indemnity is required 
in France. In France the Indemnités de Fin de Carrière consists in a termination indemnity which must be paid 
by the employer to an employee in case of retirement, based on a number of monthly gross salary depending by 
seniority, type of contract and employee level. We have incurred expenses related to the Italian TFR and France 
severance indemnity of approximately $1.5 million and $0.1 million, respectively, for the transitional period 25 
April 2015 to 31 December 2015. 

Note 23.  Income Taxes 

Income tax expense (benefit) consists of the following (in thousands): 

Increase +0.50% 

Decrease -0.50%  

(5.25)% 

(6.95)% 

(0.18)% 

5.73% 

6.95% 

(0.08)% 

Increase +10%  

Decrease -10% 

Current tax 

Deferred tax 

Transitional  Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

  $ 

 $ 

28,481   $ 
(35,021)   

(6,540)   $ 

21,744 
10,641  
32,385 

The following is a reconciliation of the statutory income tax rate to our effective income tax rate expressed 

as a percentage of income before income taxes: 

The sensitivity analysis below indicates the main impact of an increase or decrease in the discount rate used 

to measures 2015 defined benefits obligations. 

Statutory tax rate at U.S. Rate 
Statutory tax rate at U.K. Rate 
Change in tax Rate (1) 
Change in unrecognized deferred tax assets 
Reduced tax benefit due to non-deductible transaction costs (2) 

State and local tax provision, net of federal benefit (3) 
Foreign tax rate differential 
Notional interest deduction 
U.S. Subpart F 
Research and development tax credits 

Equity compensation 
Reserve for uncertain tax positions 
Domestic manufacturing deduction 
Other, net 

Effective tax rate 

169

Transitional  Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

—% 

20.0 
(8.2)   
(5.4)   

(13.2)   
— 
27.1 
7.6 
(4.8)   
3.8 
(14.0)   
— 
1.9 
1.1 
15.9% 

35.0%
— 
— 
— 
— 
2.7 
1.5 
— 
— 
(2.1) 
1.0 
(1.5) 
(2.9) 
2.5 
36.2%

   The above sensitivity analysis are based on a change in an assumption while holding all other 

assumptions constant. In practice, this is unlikely to occur, and changes in some of the assumptions may be 

correlated. When calculating the sensitivity of the defined benefit obligation to significant actuarial assumptions 

the same method (present value of the defined benefit obligation calculated with the projected until credit 

method at the end of the reporting period) has been applied as when calculating the defined benefit liability 

recognised in the consolidated balance sheets. 

    The Employee Retirement Savings Plan. We sponsor the Cyberonics, Inc. Employee Retirement Savings 

Plan (the “Savings Plan”), which qualifies under Section 401(k) of the IRC. We match 50% of employees’ 

contributions up to 6% of eligible compensation, subject to a five-year vesting period that starts on the date of 

employment. We incurred expenses for these contributions of approximately $1.5 million and $1.8 million for 

the transitional period 25 April 2015 to 31 December 2015 and fiscal year ended 24 April 2015,  respectively. 

    The Deferred Compensation Plan.  We sponsor  the Cyberonics, Inc. Non-Qualified Deferred 

Compensation Plan (the “Deferred Compensation Plan”) to a group consisting of certain members of middle 

and senior management. The Deferred Compensation Plan provides an opportunity for the group to defer up to 

50% of their annual base salary and commissions and 100% of their bonus or performance-based compensation 

until the earlier of (i) termination of employment or (ii) an elected distribution date. In addition, effective 1 

January 2014, we agreed to match 50% of the contributions of non-officer members of the group up to 6% of 

eligible compensation, subject to a five-year vesting period that starts on the date of employment.  Employee 

deductions result in a liability; refer to “Note 11. Other Long-Term Liabilities.” We incurred expenses for this 

plan, based on the company match, of approximately $62,000, $76,000 and $22,000 for the transitional period 

25 April 2015 to 31 December 2015 and the fiscal year ended 24 April 2015, respectively. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1)  The Italian budget law for 2016 was published in the Official Gazette on 30 December 2015. For Fiscal Year 2017 

onward, the law provides a reduction of the applicable corporate income tax rate from 27.5% to 24% resulting in an 
adjustment to deferred taxes and a corresponding increase to tax expense of approximately $3.4 million. 

(2)  Included in this adjustment is the reversal of the deferred tax asset established during the fiscal year ended 24 April 

2015 and the quarter ended 24 July 2015, based on the assumption that these otherwise non-deductible transaction costs 
would be deductible if the business combination was not consummated. Because the transaction was ultimately 
consummated, the deferred tax asset was reversed as a non-deductible transaction cost in the amount of $2.3 million. 

(3)  State and local tax provision is included in other lines for the transitional period ended 31 December 2015.  

The change in net deferred taxes recognized in the balance sheet can be analyzed as follows (in thousands): 

Transitional Period 25 
April 2015 to 31 December 
2015 

Fiscal Year Ended 24 April 
2015 

At the beginning of the period 
Deferred taxes recognized in equity 
Deferred tax income (expense) for the period, net 
Effect of business combination (a) 

At the end of the period 

 $ 

 $ 

20,662    $ 
9,685   
35,021   
(134,981)   

(69,613 )   $ 

34,184  
(2,881) 
(10,641) 
— 
20,662  

(a) The increase in assets and liabilities recognized in an acquisition can be attributed for the most part to the Mergers (see 
"Note 7. Business Combinations" for more details). 

Deferred income tax assets and liabilities on a gross basis are summarized as follows (in thousands): 

  31 December 2015    24 April 2015 

26 April 2014 

Deferred tax assets: 
Net operating loss carryforwards 
Tax credit carryforwards 
Deferred compensation 
Accruals and reserves 
Depreciation and amortisation 
Inventory 
Other 

Deferred tax assets 
Deferred tax liabilities: 
Basis differences in subsidiaries 
Property and equipment and intangible assets 

Other 

Deferred tax liabilities: 

Total deferred tax assets (liabilities), net 
Reported in the consolidated balance sheet: 
Deferred tax assets, net 
Deferred tax liability, net 

Net deferred tax asset (liability) 

 $ 

 $ 

 $ 

 $ 

170

81,058     $ 
17,143   
6,583   
21,635   
16,796   
19,001   
5,626   
167,842   

(13,555)  
(223,715)  

(185)  

(237,455)  

(69,613 )   $ 

165,729     $ 
(235,342)  

(69,613 )   $ 

1,906     $ 
1,720   
7,812   
8,837   
—   
384   
919   
21,578   

—   
(916)  
—   
(916)  
20,662     $ 

20,662     $ 
—   
20,662     $ 

3,534  
11,128 
7,886 
12,029 
— 
94 
1,146 
35,817 

— 
(1,633) 
— 
(1,633) 
34,184  

34,184  
— 
34,184  

 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
  
   
   
 
 
 
 
  
   
   
 
 
(1)  The Italian budget law for 2016 was published in the Official Gazette on 30 December 2015. For Fiscal Year 2017 

onward, the law provides a reduction of the applicable corporate income tax rate from 27.5% to 24% resulting in an 

adjustment to deferred taxes and a corresponding increase to tax expense of approximately $3.4 million. 

(2)  Included in this adjustment is the reversal of the deferred tax asset established during the fiscal year ended 24 April 

2015 and the quarter ended 24 July 2015, based on the assumption that these otherwise non-deductible transaction costs 

would be deductible if the business combination was not consummated. Because the transaction was ultimately 

consummated, the deferred tax asset was reversed as a non-deductible transaction cost in the amount of $2.3 million. 

(3)  State and local tax provision is included in other lines for the transitional period ended 31 December 2015.  

The change in net deferred taxes recognized in the balance sheet can be analyzed as follows (in thousands): 

Transitional Period 25 

April 2015 to 31 December 

Fiscal Year Ended 24 April 

2015 

2015 

At the beginning of the period 

Deferred taxes recognized in equity 

Deferred tax income (expense) for the period, net 

Effect of business combination (a) 

At the end of the period 

 $ 

 $ 

20,662    $ 

9,685   

35,021   

(134,981)   

(69,613 )   $ 

(a) The increase in assets and liabilities recognized in an acquisition can be attributed for the most part to the Mergers (see 

"Note 7. Business Combinations" for more details). 

During the transitional period 25 April 2015 to 31 December 2015 we have recorded $14.0 million of 
foreign tax credits in the United States. We have $0.6 million in Canadian research and development credits, 
$2.1 million of U.S. State tax credits and $1.2 million of other U.S. credits.  Lastly, we have 3.9 million Euros 
of French refundable research and development credits recognised as a deferred tax benefits in our balance 
sheet. We have net operating losses (“NOL”) and carryforwards of the following amounts:  

Region 

Europe 
U.S. Federal 
U.S. State 
Far East 

  Gross Amount   

Gross Amount 
with No 
Expiration 

With 
Expiration 

Starting 
Expiration 
Year 

  $ 

200,751   $ 
164,226    
141,083    
6,899    

186,122   $ 
—   
—   
4,795   

14,630   
164,226   
141,083   
2,104   

2016 
2020 
2016 
2017 

As a result of the business combination, the historic net operating losses of Sorin U.S. are limited by IRC 

section 382. Before considering the adjustments for net unrealised and realised built in-gains, the annual 
limitation is approximately $12.5 million, which is sufficient to absorb the U.S. net operating losses prior to 
their expiration. 

A significant portion of the net deferred tax liability included above relates to the tax effect of the step-up in 

value of the assets acquired in the combination with Sorin.  Refer to “Note 7. Business Combinations” for 
additional information. 

Deferred income tax assets and liabilities on a gross basis are summarized as follows (in thousands): 

Deferred tax assets have not been recognized with respect of the following items in gross amounts (in 

  31 December 2015    24 April 2015 

26 April 2014 

 $ 

81,058     $ 

1,906     $ 

thousands): 

Tax loss carryforwards 
Other 

31 December 2015 

  24 April 2015 

  26 April 2014 

 $ 

  $ 

150,949    $ 
8,598   
159,547    $ 

5,653    $ 
3,444   
9,097    $ 

7,077  
1,169 
8,246  

Included in the table above are primarily tax loss carryforwards for which a tax benefit was not recorded 
due to the inability to utilize such losses.  In addition, the items included in the other category relate to certain 
tax credits and capital losses that a tax benefit was not recorded. 

As of the transaction close date, there were several investments in subsidiaries where the book basis was 
greater than the tax basis, whereby a deferred tax liability was recognised as part of the purchase accounting. 
The deferred tax liability recognised as part of the purchase accounting related to these subsidiaries was 
approximately $17 million. No further provision has been made for income taxes on undistributed earnings of 
foreign subsidiaries as of 31 December 2015 because it is our intention to indefinitely reinvest undistributed 
earnings of our foreign subsidiaries. In the event of the distribution of those earnings in the form of dividends, a 
sale of the subsidiaries, or certain other transactions, we may be liable for income taxes.  There should be no 
material tax liability on future distributions as most jurisdictions with undistributed earnings have various 
participation exemptions / no withholding tax.  As at 31 December 2015, it was not practicable to determine the 
amount of the income tax liability related to those investments. 

171

34,184  

(2,881) 

(10,641) 

— 

20,662  

3,534  

11,128 

7,886 

12,029 

— 

94 

1,146 

35,817 

(1,633) 

— 

— 

(1,633) 

34,184  

34,184  

— 

34,184  

Deferred tax assets: 

Net operating loss carryforwards 

Tax credit carryforwards 

Deferred compensation 

Accruals and reserves 

Depreciation and amortisation 

Inventory 

Other 

Deferred tax assets 

Deferred tax liabilities: 

Basis differences in subsidiaries 

Property and equipment and intangible assets 

Other 

Deferred tax liabilities: 

17,143   

6,583   

21,635   

16,796   

19,001   

5,626   

167,842   

(13,555)  

(223,715)  

(185)  

(237,455)  

1,720   

7,812   

8,837   

—   

384   

919   

21,578   

—   

(916)  

—   

(916)  

Total deferred tax assets (liabilities), net 

Reported in the consolidated balance sheet: 

Deferred tax assets, net 

Deferred tax liability, net 

Net deferred tax asset (liability) 

 $ 

 $ 

 $ 

(69,613 )   $ 

20,662     $ 

165,729     $ 

(235,342)  

(69,613 )   $ 

20,662     $ 

—   

20,662     $ 

 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
  
   
   
 
 
 
 
  
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Tax authorities may disagree with certain positions we have taken and assess additional taxes. We regularly 

assess the likely outcomes of our tax positions in order to determine the appropriateness of our reserves for 
uncertain tax positions. However, there can be no assurance that we will accurately predict the outcome of these 
audits and the actual outcome of an audit could have a material impact on our consolidated results of income, 
financial position or cash flows. If all of our unrecognised tax benefits as 31 December 2015 were recognised, 
$20.2 million would impact our effective tax rate. The liability for uncertain tax positions reserve in the balance 
sheet is $13.0 million, however the remaining amount up to the $20.2 million is included as an offset to the 
deferred tax asset account. We are unable to estimate the amount of change in the majority of our unrecognised 
tax benefits over the next 12 months; however, approximately $0.9 million will be resolved over the next 12 
months due to the expected completion of an audit. Refer to “Note 16. Commitments and Contingencies” for 
additional information regarding the status of current tax litigation. 

During fiscal year ended 24 April 2015, based upon our review and rework of certain prior-year R&D tax 
credits, we believe that the credits are more likely than not to be sustained upon examination and as a result we 
released the reserve against these R&D tax credits. 

We record accrued interest and penalties related to unrecognised tax benefits in interest expense and 

operating expense, respectively. 

The major jurisdictions where we are subject to income tax examinations are as follows: 

Jurisdiction 
U.S. - federal and state 
Italy 
Germany 
England and Wales 
Canada 
France 

Earliest year open 

1992 
2010 
2010 
2012 
2011 
2010 

Note 24.  Commitments and Contingencies 

Litigation and Regulatory Proceedings 

FDA Warning Letter.  On 31 December 2015, LivaNova received a Warning Letter dated 29 December 
2015 from the FDA alleging certain violations of FDA regulations applicable to medical device manufacturers 
at the Company’s Munich, Germany and Arvada, Colorado facilities. 

The FDA inspected the Company’s Munich facility from 24 August 2015 to 27 August 2015 and its Arvada 
facility from 24 August 2015 to 1 September 2015. On 27 August 2015, the FDA issued a Form 483 identifying 
two observed non-conformities with certain regulatory requirements at the Munich facility. The Company did 
not receive a Form 483 in connection with the FDA’s inspection of the Arvada facility. Following the receipt of 
the Form 483, the Company provided written responses to the FDA describing corrective and preventive actions 
that were underway or to be taken to address the FDA’s observations at the Munich facility. The Warning Letter 
responded in part to LivaNova’s responses and identified other alleged violations not previously included in the 
Form 483. 

172

 
 
 
Tax authorities may disagree with certain positions we have taken and assess additional taxes. We regularly 

The Warning Letter further stated that the Company’s 3T Heater Cooler devices and other devices 

assess the likely outcomes of our tax positions in order to determine the appropriateness of our reserves for 

uncertain tax positions. However, there can be no assurance that we will accurately predict the outcome of these 

audits and the actual outcome of an audit could have a material impact on our consolidated results of income, 

financial position or cash flows. If all of our unrecognised tax benefits as 31 December 2015 were recognised, 

$20.2 million would impact our effective tax rate. The liability for uncertain tax positions reserve in the balance 

sheet is $13.0 million, however the remaining amount up to the $20.2 million is included as an offset to the 

deferred tax asset account. We are unable to estimate the amount of change in the majority of our unrecognised 

tax benefits over the next 12 months; however, approximately $0.9 million will be resolved over the next 12 

months due to the expected completion of an audit. Refer to “Note 16. Commitments and Contingencies” for 

additional information regarding the status of current tax litigation. 

During fiscal year ended 24 April 2015, based upon our review and rework of certain prior-year R&D tax 

credits, we believe that the credits are more likely than not to be sustained upon examination and as a result we 

released the reserve against these R&D tax credits. 

We record accrued interest and penalties related to unrecognised tax benefits in interest expense and 

operating expense, respectively. 

The major jurisdictions where we are subject to income tax examinations are as follows: 

Jurisdiction 

Earliest year open 

U.S. - federal and state 

Italy 

Germany 

Canada 

France 

England and Wales 

1992 

2010 

2010 

2012 

2011 

2010 

Note 24.  Commitments and Contingencies 

Litigation and Regulatory Proceedings 

FDA Warning Letter.  On 31 December 2015, LivaNova received a Warning Letter dated 29 December 

2015 from the FDA alleging certain violations of FDA regulations applicable to medical device manufacturers 

at the Company’s Munich, Germany and Arvada, Colorado facilities. 

The FDA inspected the Company’s Munich facility from 24 August 2015 to 27 August 2015 and its Arvada 

facility from 24 August 2015 to 1 September 2015. On 27 August 2015, the FDA issued a Form 483 identifying 

two observed non-conformities with certain regulatory requirements at the Munich facility. The Company did 

not receive a Form 483 in connection with the FDA’s inspection of the Arvada facility. Following the receipt of 

the Form 483, the Company provided written responses to the FDA describing corrective and preventive actions 

that were underway or to be taken to address the FDA’s observations at the Munich facility. The Warning Letter 

responded in part to LivaNova’s responses and identified other alleged violations not previously included in the 

Form 483. 

manufactured by the Company’s Munich facility are subject to refusal of admission into the United States until 
resolution of the issues set forth by the FDA in the Warning Letter. The FDA has informed the Company that the 
import alert is limited to the 3T Heater Cooler devices, but that the agency reserves the right to expand the 
scope of the import alert if future circumstances warrant such action. The Warning Letter did not request that 
existing users cease using the 3T Heater Cooler device, and manufacturing and shipment of all of the 
Company’s products other than the 3T Heater Cooler remain unaffected by the import limitation. To help clarify 
these issues for current customers, the Company issued an informational Customer Letter in January 2016, and 
that same month agreed with the FDA on a process for shipping 3T Heater Cooler devices to existing U.S. users 
pursuant to a certificate of medical necessity program. 

Lastly, the Warning Letter states that premarket approval applications for Class III devices to which certain 

Quality System regulation deviations identified in the Warning Letter are reasonably related will not be 
approved until the violations have been corrected. However, the Warning Letter only specifically names the 
Munich and Arvada facilities in this restriction, which do not manufacture or design devices subject to 
premarket approval. 

The Company is continuing to work diligently to remediate the FDA’s inspectional observations for the 

Munich facility as well as the additional issues identified in the Warning Letter. The Company takes these 
matters seriously and intends to respond timely and fully to the FDA’s requests. 

The Warning Letter had no impact on the Company’s financial statements during 2015. The Company 
currently believes that less than 1% of 2016 consolidated sales could be impacted by this Warning Letter and 
that the FDA’s concerns can be resolved without a material impact on the Company’s financial results. 

Baker, Miller et al v. LivaNova PLC.  On 12 February 2016, LivaNova was alerted that a class action 
complaint had been filed in the U.S. District Court for the Middle District of Pennsylvania with respect to the 
Company’s 3T Heater Cooler devices, naming as evidence, in part, the Warning Letter issued by the FDA in 
December 2015. The named plaintiffs to the complaint are two individuals who underwent open heart surgeries 
at WellSpan York Hospital and Penn State Milton S. Hershey Medical Center in 2015, and the complaint alleges 
that: (i) patients were exposed to a harmful form of bacteria, known as nontubercuous mycobacterium 
(“NTM”), from LivaNova’s 3T Heater Cooler devices; and (ii) LivaNova knew or should have known that 
design or manufacturing defects in 3T Heater Cooler devices can lead to NTM bacterial colonization, regardless 
of the cleaning and disinfection procedures used (and recommended by the Company). Named plaintiffs seek to 
certify a class of plaintiffs consisting of all Pennsylvania residents who underwent open heart surgery at 
WellSpan York Hospital and Penn State Milton S. Hershey Medical Center between 2011 and 2015 and who are 
currently asymptomatic for NTM infection (approximately 3,600 patients). 

The putative class action, which has not been certified, seeks: (i) declaratory relief finding the 3T Heater 
Cooler devices are defective and unsafe for intended uses; (ii) medical monitoring; (iii) general damages; and 
(iv) attorneys’ fees. On 21 March 2016 the plaintiffs filed a First Amended Complaint adding Sorin Group 
Deutschland GmbH and Sorin Group USA, Inc. as defendants. 

173

 
 
 
 
 
At LivaNova, patient safety is of the utmost importance, and significant resources are dedicated to the 
delivery of safe, high-quality products. The Company intends to vigorously defend against these claims. Given 
the early stage of this matter, we cannot, however, give any assurances that additional legal proceedings making 
the same or similar allegations will not be filed against LivaNova PLC or one of its subsidiaries, nor that the 
resolution of the complaint and any related litigation in connection therewith will not have a material adverse 
effect on the Company’s business, results of operations, financial condition and/or liquidity. 

SNIA Litigation.  Sorin S.p.A. was created as a result of a spin-off (the “Sorin spin-off”) from SNIA S.p.A. 

(“SNIA”). The Sorin spin-off, which spun off SNIA’s medical technology division, became effective on 2 
January 2004. Pursuant to the Italian Civil Code, in a spin-off transaction, the parent and the spun-off company 
can be held jointly liable for certain indebtedness or liabilities of the pre-spin-off company in two scenarios: 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “debt” (debiti) of the pre-spin-off company that existed at the 
time of the spin-off. This joint liability is secondary in nature and, consequently, arises only when such 
indebtedness is not satisfied by the company owing such indebtedness. We estimate that at the time of the spin-
off, the value of the residual shareholders’ equity received was approximately €573 million. 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “liabilities” (elementi del passivo) whose allocation between the 
parties to the spin-off cannot be determined based on the spin-off plan. 

For purposes of the Italian Civil Code, Sorin believes and has argued that the term “debt” (debiti) is 

generally understood to refer to indebtedness as reflected on a debtor’s balance sheet for accounting purposes in 
accordance with the European Union directive pursuant to which these provisions of the Italian Civil Code were 
enacted, which translates “debiti” as “obligations.” The European Union directive uses “obligations” to refer to 
indebtedness owed to creditors and the term “liabilities” to refer to general liabilities. In connection with the 
Sorin spin-off, the assets and liabilities of SNIA’s medical technology division were allocated to Sorin, and the 
remaining assets and liabilities of SNIA, including those related to the Caffaro chemical operations (as 
described below), were allocated to SNIA. 

174

 
 
At LivaNova, patient safety is of the utmost importance, and significant resources are dedicated to the 

delivery of safe, high-quality products. The Company intends to vigorously defend against these claims. Given 

the early stage of this matter, we cannot, however, give any assurances that additional legal proceedings making 

the same or similar allegations will not be filed against LivaNova PLC or one of its subsidiaries, nor that the 

resolution of the complaint and any related litigation in connection therewith will not have a material adverse 

effect on the Company’s business, results of operations, financial condition and/or liquidity. 

SNIA Litigation.  Sorin S.p.A. was created as a result of a spin-off (the “Sorin spin-off”) from SNIA S.p.A. 

(“SNIA”). The Sorin spin-off, which spun off SNIA’s medical technology division, became effective on 2 

January 2004. Pursuant to the Italian Civil Code, in a spin-off transaction, the parent and the spun-off company 

can be held jointly liable for certain indebtedness or liabilities of the pre-spin-off company in two scenarios: 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “debt” (debiti) of the pre-spin-off company that existed at the 

time of the spin-off. This joint liability is secondary in nature and, consequently, arises only when such 

indebtedness is not satisfied by the company owing such indebtedness. We estimate that at the time of the spin-

off, the value of the residual shareholders’ equity received was approximately €573 million. 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “liabilities” (elementi del passivo) whose allocation between the 

parties to the spin-off cannot be determined based on the spin-off plan. 

For purposes of the Italian Civil Code, Sorin believes and has argued that the term “debt” (debiti) is 

generally understood to refer to indebtedness as reflected on a debtor’s balance sheet for accounting purposes in 

accordance with the European Union directive pursuant to which these provisions of the Italian Civil Code were 

enacted, which translates “debiti” as “obligations.” The European Union directive uses “obligations” to refer to 

indebtedness owed to creditors and the term “liabilities” to refer to general liabilities. In connection with the 

Sorin spin-off, the assets and liabilities of SNIA’s medical technology division were allocated to Sorin, and the 

remaining assets and liabilities of SNIA, including those related to the Caffaro chemical operations (as 

described below), were allocated to SNIA. 

Between 1906 and 2010, SNIA’s subsidiaries Caffaro Chimica S.r.l. and Caffaro S.r.l. and their 
predecessors (the “SNIA Subsidiaries”), conducted certain chemical operations (the Caffaro Chemical 
Operations”), at sites in Torviscosa, Brescia and Colleferro, Italy (the “Caffaro Chemical Sites”). These 
activities allegedly resulted in substantial and widely dispersed contamination of soil, water and ground water 
caused by a variety of hazardous substances released at the Caffaro Chemical Sites. In 2009 and 2010, SNIA 
and the SNIA Subsidiaries filed for insolvency. In connection with SNIA’s Italian insolvency proceedings, the 
Italian Ministry of the Environment and the Protection of Land and Sea (the “Italian Ministry of the 
Environment”), sought compensation from SNIA in an aggregate amount of €3.4 billion for remediation costs 
relating to the environmental damage at the Caffaro Chemical Sites allegedly caused by the Caffaro Chemical 
Operations. The amount, which was based on certain clean-up activities and precautionary measures set forth in 
three technical reports prepared by ISPRA, the technical agency of the Ministry of Environment. Similar 
activities and precautionary measures have also been requested to the SNIA Subsidiaries by the Ministry of 
Environment and other competent authorities in the context of the administrative proceeding for the remediation 
of the Caffaro Chemical Sites. However, these administrative acts have been the invalidated in part by courts in 
Friuli Venezia Giulia (for the site of Torviscosa) and Brescia, which deemed them based on fact-finding.  The 
administrative proceeding regarding the Torviscosa site is also currently subject to a criminal investigation by 
the Public Prosecutor of Udine.  In addition, partial final remediation plans have been approved and 
implemented for the Colleferro site. These plans provide remediation activities significantly different, and 
entailing much lower expenses, from those included in the ISPRA’s technical reports which ground the request 
for compensation of the abovementioned amount. Notwithstanding the above, that amount, remains in dispute, 
and no final remediation plan has been approved for the other site. 

In September 2011, the Bankruptcy Court of Udine, and in July 2014, the Bankruptcy Court of Milan each 

held that the Italian Ministry of the Environment and other Italian government agencies were not creditors of 
SNIA and the SNIA Subsidiaries in connection with the agencies’ claims against them in the context of their 
Italian insolvency proceedings. LivaNova (as the successor to Sorin in the litigation) believes these findings are 
influential but not binding in other Italian courts, including civil courts. The Italian Ministry of the Environment 
and the other Italian government agencies have appealed both decisions, but in January 2016, the Court of 
Udine rejected the appeal (with a decision which has been challenged before the Italian Supreme Court), while 
the appeal before the Court of Milan is currently pending. LivaNova (as the successor to Sorin in the litigation) 
believes these findings are influential but not binding in other Italian courts, including civil courts. 

In January 2012, SNIA filed a civil action against Sorin in the Civil Court of Milan on the basis of the 
Italian Civil Code’s provisions for potential joint liability of a parent and a spun-off company in the context of a 
spin-off, as described above, seeking to determine Sorin’s joint liability with SNIA for damages allegedly 
related to the Caffaro chemical operations (as described below). SNIA’s civil action against Sorin also named 
the Italian Ministry of the Environment and other Italian government agencies, as defendants, in order to have 
them bound to a potential ruling. The Italian Ministry of the Environment, together with the Italian Ministry of 
Economy and Finance and certain additional Italian government agencies that also sought compensation from 
SNIA for the alleged environmental damages, subsequently counterclaimed against Sorin, seeking to have Sorin 
found jointly liable to them with SNIA, on the same basis. SNIA and these government agencies asked the court 
to find inapplicable to the Sorin spin-off the Italian Civil Code’s caps on potential joint liability of parties to a 
spin-off, which limit such joint liability to the actual value of the shareholders’ equity received, on the basis that 
the Sorin spin-off was planned prior to the date such caps were enacted under the Italian Civil Code, and despite 

175

 
 
 
 
the fact that the Sorin spin-off became effective after such date. Sorin sought to contest SNIA’s claims against 
Sorin, in their entirety, due to: 

•  

the Italian bankruptcy courts’ previous findings that the Italian Ministry of the Environment and other 

Italian government agencies were not creditors of SNIA and the SNIA subsidiaries in connection with the 
agencies’ claims against them; 

•   Sorin’s belief that the alleged liabilities related to the Caffaro chemical operations did not constitute 
indebtedness of SNIA at the time of the Sorin spin-off, and thus that Sorin should not be held liable under the 
Italian Civil Code’s provisions relating to joint liability for indebtedness in the context of spin-offs, as described 
above; and 

•  

the allocation to SNIA of the assets and liabilities related to the Caffaro chemical operations in 
connection with the Sorin spin-off, and Sorin’s belief that Sorin should therefore not be liable under the Italian 
Civil Code’s provisions relating to joint liability in the context of spin-offs for liabilities of indeterminate 
allocation, as described above. 

A hearing to submit final claims (precisazione delle conclusioni) in connection with SNIA’s civil action 
was held in September 2015 and parties have since filed final defense briefs. A favourable decision pertaining to 
the case was delivered in judgement No. 4101/2016 of 1 April 2016 (the "Decision"). In its Decision the Court 
of Milan dismissed the legal actions of SNIA s.p.a. in Amministrazione Straordinaria (SNIA) and of the Italian 
Public Administration (the Public Administration) against Sorin (now LivaNova PLC), further requiring the 
Public Administration to pay Sorin Euro 300,000, as legal fees (of which Euro 50,000 jointly with SNIA). 
Neither of the losing parties has yet filed an appeal in this case. 

LivaNova (as successor to Sorin in the litigation) continues to believe that the risk of material loss relating 
to the SNIA litigation is not probable as a result of the reasons and recent court decisions described above. We 
also believe that the amount of potential losses relating to the SNIA litigation is in any event not estimable 
given that the underlying damages and related remediation costs (and which party would be responsible for 
what portion or time period related to which) remain in dispute and that no final decision on a remediation plan 
has been approved. As a result, LivaNova has not made any accrual in connection with the SNIA litigation. 

Pursuant to European Union, United Kingdom and Italian cross-border merger regulations applicable to the 

Mergers, legacy Sorin’s liabilities, including any potential liabilities arising from the claims against Sorin 
relating to the SNIA litigation, are assumed by LivaNova as successor to Sorin. Although LivaNova believes the 
claims against Sorin in connection with the SNIA litigation are without merit and continues to contest them 
vigorously, there can be no assurance as to the outcome. A finding, during any appeal or novel proceedings, that 
Sorin or LivaNova is liable for the environmental damage at the Caffaro chemical sites could have a material 
adverse effect on the financial position, results of operations and/or cash flows of LivaNova. 

176

 
 
the fact that the Sorin spin-off became effective after such date. Sorin sought to contest SNIA’s claims against 

Environmental Remediation Order.  On 28 July 2015, Sorin and other direct and indirect shareholders of 

Sorin, in their entirety, due to: 

agencies’ claims against them; 

•  

the Italian bankruptcy courts’ previous findings that the Italian Ministry of the Environment and other 

Italian government agencies were not creditors of SNIA and the SNIA subsidiaries in connection with the 

•   Sorin’s belief that the alleged liabilities related to the Caffaro chemical operations did not constitute 

indebtedness of SNIA at the time of the Sorin spin-off, and thus that Sorin should not be held liable under the 

Italian Civil Code’s provisions relating to joint liability for indebtedness in the context of spin-offs, as described 

above; and 

•  

the allocation to SNIA of the assets and liabilities related to the Caffaro chemical operations in 

connection with the Sorin spin-off, and Sorin’s belief that Sorin should therefore not be liable under the Italian 

Civil Code’s provisions relating to joint liability in the context of spin-offs for liabilities of indeterminate 

allocation, as described above. 

A hearing to submit final claims (precisazione delle conclusioni) in connection with SNIA’s civil action 

was held in September 2015 and parties have since filed final defense briefs. A favourable decision pertaining to 

the case was delivered in judgement No. 4101/2016 of 1 April 2016 (the "Decision"). In its Decision the Court 

of Milan dismissed the legal actions of SNIA s.p.a. in Amministrazione Straordinaria (SNIA) and of the Italian 

Public Administration (the Public Administration) against Sorin (now LivaNova PLC), further requiring the 

Public Administration to pay Sorin Euro 300,000, as legal fees (of which Euro 50,000 jointly with SNIA). 

Neither of the losing parties has yet filed an appeal in this case. 

LivaNova (as successor to Sorin in the litigation) continues to believe that the risk of material loss relating 

to the SNIA litigation is not probable as a result of the reasons and recent court decisions described above. We 

also believe that the amount of potential losses relating to the SNIA litigation is in any event not estimable 

given that the underlying damages and related remediation costs (and which party would be responsible for 

what portion or time period related to which) remain in dispute and that no final decision on a remediation plan 

has been approved. As a result, LivaNova has not made any accrual in connection with the SNIA litigation. 

Pursuant to European Union, United Kingdom and Italian cross-border merger regulations applicable to the 

Mergers, legacy Sorin’s liabilities, including any potential liabilities arising from the claims against Sorin 

relating to the SNIA litigation, are assumed by LivaNova as successor to Sorin. Although LivaNova believes the 

claims against Sorin in connection with the SNIA litigation are without merit and continues to contest them 

vigorously, there can be no assurance as to the outcome. A finding, during any appeal or novel proceedings, that 

Sorin or LivaNova is liable for the environmental damage at the Caffaro chemical sites could have a material 

adverse effect on the financial position, results of operations and/or cash flows of LivaNova. 

SNIA received an administrative order from the Italian Ministry of the Environment (the “Environmental 
Remediation Order”), directing them to promptly commence environmental remediation efforts at the Caffaro 
chemical sites (as described above). LivaNova believes that the Environmental Remediation Order is without 
merit. LivaNova (as successor to Sorin) believes that it should not be liable for damages relating to the Caffaro 
chemical operations pursuant to the Italian statute on which the Environmental Remediation Order relies 
because the statute does not apply to activities occurring prior to 2006, the date on which the statute was 
enacted, and Sorin was spun off from SNIA in 2004. Additionally, LivaNova believes that Sorin should not be 
subject to the Environmental Remediation Order because Italian environmental regulations only permit such an 
order to be imposed on an “operator” of a remediation site, and Sorin had never been identified in any legal 
proceeding as an operator at any of the Caffaro chemical sites, has not conducted activities of any kind at any of 
the Caffaro chemical sites and had not caused any environmental damage at any of the Caffaro chemical sites. 

Accordingly, LivaNova (as successor to Sorin) alongside other parties, challenged the Environmental 
Remediation Order before the Administrative Court of Lazio in Rome (TAR). A hearing was held on February 
3, 2016. 

On March 21, 2016 the TAR issued several judgements, annulling the Environmental remediation Order, 
one for each of the addressees of the Environmental Remediation Order, including LivaNova. Those judgements 
were based on the fact that (i) the Order lacks any detailed analysis of the causal link between the alleged 
damage and the activities of the Company, which is a pre-condition to imposition of the measures proposed in 
the Order, (ii) the situation of the Caffaro site does not require urgent safety measures, because no new pollution 
events have occurred and no additional information/evidence of a situation of contamination exists and (iii) the 
Order was not enacted using the correct legal basis, and in any event the Ministry failed to verify the legal 
elements that could have led to a conclusion of  legal responsibility of the addressees of the Order. 

The TAR decision described above may be appealed by the Ministry before the Council of State (within 60 

days from the notification of the TAR’s judgement, or six months if the judgement has not been notified.) 

Andrew Hagerty v. Cyberonics, Inc. On 5 December 2013, the United States District Court for the District 

of Massachusetts unsealed a qui tam action filed by former employee Andrew Hagerty against Cyberonics 
under the False Claims Act (the “False Claims Act”) and the false claims statutes of 28 different states and the 
District of Columbia (United States of America et al ex rel. Andrew Hagerty v. Cyberonics, Inc. Civil Action No. 
1:13-cv-10214-FDS). The False Claims Act prohibits the submission of a false claim or the making of a false 
record or statement to secure reimbursement from, or limit reimbursement to, a government-sponsored program. 
A “qui tam” action is a lawsuit brought by a private individual, known as a relator, purporting to act on behalf of 
the government. The action is filed under seal, and the government, after reviewing and investigating the 
allegations, may elect to participate, or intervene, in the lawsuit. Typically, following the government’s election, 
the qui tam action is unsealed. 

Previously, in August 2012, Mr. Hagerty filed a related lawsuit in the same court and then voluntarily 
dismissed that lawsuit immediately prior to filing this qui tam action. In addition to his claims for wrongful and 
retaliatory discharge stated in the first lawsuit, the qui tam lawsuit alleges that Cyberonics violated the False 
Claims Act and various state false claims statutes while marketing its VNS Therapy System, and seeks an 
unspecified amount consisting of treble damages, civil penalties, and attorneys’ fees and expenses. 

177

 
 
 
 
In October 2013, the United States Department of Justice declined to intervene in the qui tam action, but 
reserved the right to do so in the future. In December 2013, the district court unsealed the action. In April 2014, 
Cyberonics filed a motion to dismiss the qui tam complaint, alleging a number of deficiencies in the lawsuit. In 
May 2014, the relator filed a First Amended Complaint. Cyberonics filed another motion to dismiss in June 
2014, and the parties completed their briefing on the motion in July 2014. On 6 April 2015, the district court 
dismissed all claims filed by Andrew Hagerty under the False Claims Act, but did not dismiss the claims for 
wrongful and retaliatory discharge. On 28 July 2015, Cyberonics filed its answer to the surviving claims in Mr. 
Hagerty’s first Amended Complaint and asserted its demand for arbitration pursuant to Mr. Hagerty’s 
employment documents. 

In August 2015, Mr. Hagerty filed a Motion Seeking Leave to file a Second Amended Complaint 

responding to certain deficiencies noted by the court when dismissing claims in his First Amended Complaint 
alleging that Cyberonics submitted, or caused the submission of false claims under the False Claims Act. On 4 
September 2015, Cyberonics filed our Brief in Opposition to Hagerty’s Motion for Leave to file a Second 
Amended Complaint.  Mr. Hagerty filed a Reply Brief in support of his Motion for Leave to file a Second 
Amended Complaint on 11 September 2015.  On 16 September 2015, the Court heard oral arguments on (a) Mr. 
Hagerty’s motion seeking to amend his complaint, and (b) Cyberonics’ pending motion demanding arbitration 
on the claims relating to wrongful and retaliatory discharge.  On 17 November 2015, the court (1) denied Mr. 
Hagerty’s Motion for Leave to File a Second Amended Complaint (accordingly, the previously dismissed claims 
remain dismissed); (2) granted Cyberonics’ Motion to Compel Arbitration of the two remaining claims (for 
retaliatory discharge under the False Claims Act and for wrongful termination/retaliation under Massachusetts 
law); and (3) stayed the pending case (in order to consolidate all issues for appeal pending resolution of the 
arbitration). On or about 22 February 2016, Mr. Hagerty dismissed, without prejudice, his individual claims that 
were ordered to arbitration.  Subsequently, on or about 21 March 2016, Mr. Hagerty filed an appeal of the 
previously dismissed FCA claims with the U.S. First Circuit Court of Appeals.  The appeal is pending. 

We believe that our commercial practices were and are in compliance with applicable legal standards, and 

we will continue to defend this case vigorously. We make no assurance as to the resources that will be needed to 
respond to these matters or the final outcome, and we cannot estimate a range of potential loss or damages. 

Tax Litigation. In a tax audit report notified on October 30, 2009, the Regional Internal Revenue Office of 
Lombardy (the “Internal Revenue Office”) informed Sorin Group Italia S.r.l. that, among several issues, it was 
disallowing in part (for a total of €102.6 million) a tax-deductible write down of the investment in the U.S. 
company, Cobe Cardiovascular Inc., which Sorin Group Italia S.r.l. recognised in 2002 and deducted in five 
equal installments, beginning in 2002. In December 2009, the Internal Revenue Office issued notices of 
assessment for 2002, 2003 and 2004. The assessments for 2002 and 2003 were automatically voided for lack of 
merit. In December 2010 and October 2011, the Internal Revenue Office issued notices of assessment for 2005 
and 2006 respectively. The Company challenged all three notices of assessment (for 2004, 2005 and 2006) 
before the relevant Provincial Tax Courts. 

178

 
 
In October 2013, the United States Department of Justice declined to intervene in the qui tam action, but 

The preliminary challenges filed for 2004, 2005 and 2006 were heard and all denied at the first 

reserved the right to do so in the future. In December 2013, the district court unsealed the action. In April 2014, 

Cyberonics filed a motion to dismiss the qui tam complaint, alleging a number of deficiencies in the lawsuit. In 

May 2014, the relator filed a First Amended Complaint. Cyberonics filed another motion to dismiss in June 

2014, and the parties completed their briefing on the motion in July 2014. On 6 April 2015, the district court 

dismissed all claims filed by Andrew Hagerty under the False Claims Act, but did not dismiss the claims for 

wrongful and retaliatory discharge. On 28 July 2015, Cyberonics filed its answer to the surviving claims in Mr. 

Hagerty’s first Amended Complaint and asserted its demand for arbitration pursuant to Mr. Hagerty’s 

employment documents. 

In August 2015, Mr. Hagerty filed a Motion Seeking Leave to file a Second Amended Complaint 

responding to certain deficiencies noted by the court when dismissing claims in his First Amended Complaint 

alleging that Cyberonics submitted, or caused the submission of false claims under the False Claims Act. On 4 

September 2015, Cyberonics filed our Brief in Opposition to Hagerty’s Motion for Leave to file a Second 

Amended Complaint.  Mr. Hagerty filed a Reply Brief in support of his Motion for Leave to file a Second 

Amended Complaint on 11 September 2015.  On 16 September 2015, the Court heard oral arguments on (a) Mr. 

Hagerty’s motion seeking to amend his complaint, and (b) Cyberonics’ pending motion demanding arbitration 

on the claims relating to wrongful and retaliatory discharge.  On 17 November 2015, the court (1) denied Mr. 

Hagerty’s Motion for Leave to File a Second Amended Complaint (accordingly, the previously dismissed claims 

remain dismissed); (2) granted Cyberonics’ Motion to Compel Arbitration of the two remaining claims (for 

retaliatory discharge under the False Claims Act and for wrongful termination/retaliation under Massachusetts 

law); and (3) stayed the pending case (in order to consolidate all issues for appeal pending resolution of the 

arbitration). On or about 22 February 2016, Mr. Hagerty dismissed, without prejudice, his individual claims that 

were ordered to arbitration.  Subsequently, on or about 21 March 2016, Mr. Hagerty filed an appeal of the 

previously dismissed FCA claims with the U.S. First Circuit Court of Appeals.  The appeal is pending. 

We believe that our commercial practices were and are in compliance with applicable legal standards, and 

we will continue to defend this case vigorously. We make no assurance as to the resources that will be needed to 

respond to these matters or the final outcome, and we cannot estimate a range of potential loss or damages. 

Tax Litigation. In a tax audit report notified on October 30, 2009, the Regional Internal Revenue Office of 

Lombardy (the “Internal Revenue Office”) informed Sorin Group Italia S.r.l. that, among several issues, it was 

disallowing in part (for a total of €102.6 million) a tax-deductible write down of the investment in the U.S. 

company, Cobe Cardiovascular Inc., which Sorin Group Italia S.r.l. recognised in 2002 and deducted in five 

equal installments, beginning in 2002. In December 2009, the Internal Revenue Office issued notices of 

assessment for 2002, 2003 and 2004. The assessments for 2002 and 2003 were automatically voided for lack of 

merit. In December 2010 and October 2011, the Internal Revenue Office issued notices of assessment for 2005 

and 2006 respectively. The Company challenged all three notices of assessment (for 2004, 2005 and 2006) 

before the relevant Provincial Tax Courts. 

jurisdictional level, and subsequently, the Company filed an appeal against the decisions in the belief that all the 
decisions are incorrect in their reasoning and radically flawed. The appeal submitted against the first-level 
decision for 2005 was rejected. The second-level decision (relating to the 2005 notice of assessment) was 
appealed to the Italian Supreme Court (Corte di Cassazione), where LivaNova will argue that the assessment 
should be deemed null and void and illegitimate because of a false application of regulations. This litigation is 
still pending before the Italian Supreme Court. 

In November 2012, the Internal Revenue Office served a notice of assessment for 2007 and, in July 2013, 

served a notice of assessment for 2008, wherein the Internal Revenue Office claimed an increase in taxable 
income due to a reduction (similar to the previous notices of assessment for 2004, 2005 and 2006) of the losses 
reported by Sorin Group Italia S.r.l. for the 2002, 2003 and 2004 tax periods and utilized in 2007 and 2008. 
Both notices of assessment were challenged within the statutory deadline. The Provincial Tax Court of Milan 
suspended the decision until the litigation regarding years 2004, 2005 and 2006 are defined. 

 The total amount of losses in dispute is €62.6 million. At the time of Cyberonics-Sorin merger, LivaNova 
carefully reassessed its exposure, on this complex tax litigation, taking into account the recent general adverse 
trend to taxpayers on litigations with Italian tax authorities. Although the Company’s defensive arguments are 
strong, the negative Court trend experienced so far by Sorin (four consecutive negative judgements received to 
date) as well as the fact of the ultimate outcome being dependent on the last possible Court level, i.e. the Italian 
Supreme Court, which is entitled to resolve only on procedural and legal aspects of the case but not on its 
substance, led LivaNova to recognise a risk provision of $18.3 million. 

Other Litigation. Additionally, we are the subject of various pending or threatened legal actions and 
proceedings that arise in the ordinary course of our business. These matters are subject to many uncertainties 
and outcomes that are not predictable and that 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 our consolidated net income, financial position or cash flows. 

Lease Agreements 

We have operating leases for facilities and equipment. Rent expense from all operating leases amounted 

to approximately $5.2 million and $0.8 million for the transitional period 25 April 2015 to 31 December 2015 
and fiscal year ended 24 April 2015, respectively. 

Future minimum lease payments for operating leases as of 31 December 2015 are as follows (in 

thousands): 

No later than 1 year 
Later than 1 year and no later than 5 years 
Later than 5 years 

Present value of minimum lease payments 

  $ 

  $ 

17,798 
53,568  
29,300  
100,666 

179

 
 
 
 
 
 
Other commitments and contingencies. Certain potential commitments of LivaNova related to the funding 

of equity method investments are such that LivaNova invests in minority shares of companies with assets still in 
development that often require milestone and/or royalty payments to a third party, contingent upon the 
occurrence of certain future events. Milestone payments may be required, and are contingent upon the 
successful achievement of an important point in the development life cycle of a product or upon certain pre-
designated levels of achievement in clinical trials. A number of these arrangements give LivaNova the 
discretion to unilaterally make the decision to stop development of a product or cease progress of a clinical trial, 
which would allow LivaNova to avoid making the contingent payments. Although LivaNova is unlikely to 
cease development if a device successfully achieves clinical testing objectives, these are not considered 
contractual obligations because of the contingent nature of these payments and LivaNova’s ability to avoid them 
if LivaNova decided to pursue a different path of development. 

In the normal course of business, LivaNova periodically enters into agreements that require it to indemnify 
customers or suppliers for specific risks, such as claims for injury or property damage arising out of LivaNova’s 
products or the negligence of LivaNova’s personnel or claims alleging that its products infringe third-party 
patents or other intellectual property. LivaNova’s maximum exposure under these indemnification provisions 
cannot be estimated, and LivaNova has not accrued any liabilities within LivaNova’s consolidated financial 
statements, with the exceptions of those which will probably require the use of financial resources in an amount 
that can be estimated reliably. 

Note 25.  Earnings Per Share 

Basic earnings per share (EPS) is calculated by dividing the profit for the year attributable to owners of the 

parent by the weighted average number of ordinary shares outstanding during the year. Diluted EPS is 
calculated by dividing the net profit attributable to attributable to owners of the parent by the weighted average 
number of ordinary shares outstanding during the year plus the weighted average number of ordinary shares that 
would be issued on conversion of all the dilutive potential ordinary shares into ordinary shares. 

The following table sets forth the computation of basic and diluted net earnings per share of common shares, (in 
thousands except per share data): 

Transitional  Period 25 
April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

Numerator: 
Profit (loss) attributable to owners of the parent 

  $ 

(29,116)   $ 

57,003 

Denominator: 
Basic weighted average shares outstanding 

Add effects of share options (1) (2) 

Diluted weighted average shares outstanding 

Basic earnings per share 
Diluted earnings per share 

 $ 
 $ 

32,741,357   
—   
32,741,357   
(0.89)   $ 
(0.89)   $ 

26,391,064  
234,657  
26,625,721  
2.16 
2.14 

(1)  Excluded from the computation of diluted EPS for the transitional period 25 April 2015 to 31 December 2015 were 

outstanding options to purchase 220,536 ordinary shares because to include them would be anti-dilutive due to the net 
loss during the period. 

180

 
 
 
 
 
   
   
 
   
   
   
   
 
 
 
Other commitments and contingencies. Certain potential commitments of LivaNova related to the funding 

of equity method investments are such that LivaNova invests in minority shares of companies with assets still in 

development that often require milestone and/or royalty payments to a third party, contingent upon the 

occurrence of certain future events. Milestone payments may be required, and are contingent upon the 

successful achievement of an important point in the development life cycle of a product or upon certain pre-

designated levels of achievement in clinical trials. A number of these arrangements give LivaNova the 

discretion to unilaterally make the decision to stop development of a product or cease progress of a clinical trial, 

which would allow LivaNova to avoid making the contingent payments. Although LivaNova is unlikely to 

cease development if a device successfully achieves clinical testing objectives, these are not considered 

contractual obligations because of the contingent nature of these payments and LivaNova’s ability to avoid them 

if LivaNova decided to pursue a different path of development. 

In the normal course of business, LivaNova periodically enters into agreements that require it to indemnify 

customers or suppliers for specific risks, such as claims for injury or property damage arising out of LivaNova’s 

products or the negligence of LivaNova’s personnel or claims alleging that its products infringe third-party 

patents or other intellectual property. LivaNova’s maximum exposure under these indemnification provisions 

cannot be estimated, and LivaNova has not accrued any liabilities within LivaNova’s consolidated financial 

statements, with the exceptions of those which will probably require the use of financial resources in an amount 

that can be estimated reliably. 

Note 25.  Earnings Per Share 

Basic earnings per share (EPS) is calculated by dividing the profit for the year attributable to owners of the 

parent by the weighted average number of ordinary shares outstanding during the year. Diluted EPS is 

calculated by dividing the net profit attributable to attributable to owners of the parent by the weighted average 

number of ordinary shares outstanding during the year plus the weighted average number of ordinary shares that 

would be issued on conversion of all the dilutive potential ordinary shares into ordinary shares. 

The following table sets forth the computation of basic and diluted net earnings per share of common shares, (in 

thousands except per share data): 

Transitional  Period 25 

April 2015 to 31 

December 2015 

Fiscal Year Ended 24 

April 2015 

Numerator: 

Profit (loss) attributable to owners of the parent 

  $ 

(29,116)   $ 

57,003 

Denominator: 

Basic weighted average shares outstanding 

Add effects of share options (1) (2) 

Diluted weighted average shares outstanding 

Basic earnings per share 

Diluted earnings per share 

 $ 

 $ 

32,741,357   

—   

32,741,357   

(0.89)   $ 

(0.89)   $ 

26,391,064  

234,657  

26,625,721  

2.16 

2.14 

(1)  Excluded from the computation of diluted EPS for the transitional period 25 April 2015 to 31 December 2015 were 

outstanding options to purchase 220,536 ordinary shares because to include them would be anti-dilutive due to the net 

loss during the period. 

(2)  Excluded from the computation of diluted EPS for the year ended 24 April 2015 were outstanding options to purchase 
56,547 common shares, because to include them would have been anti-dilutive due to the option exercise price 
exceeding the average market price of our common share during the period. 

Note 26.  Geographic and Segment Information 

We identify operating segments based on the way we manage, evaluate and internally report our business 

activities for purposes of allocating resources and assessing performance. 

Upon completion of the Mergers, we reorganized our reporting structure and aligned our segments and the 
underlying divisions and businesses. The historical Cyberonics operations are included in the Neuromodulation 
segment and the historical Sorin businesses are included in the Cardiac Surgery and the Cardiac Rhythm 
Management segments. This change had no impact on our consolidated results for prior periods presented. 

The Cardiac Surgery segment generates its revenue from the development, production and sale of 
cardiovascular surgery products. Cardiac Surgery products include oxygenators, heart-lung machines, 
autotransfusion, mechanical heart valves and tissue heart valves.  The Cardiac Rhythm Management segment 
generates its revenue from the development, manufacturing and marketing of products for the diagnosis, 
treatment, and management of heart rhythm disorders and heart failure. Cardiac Rhythm Management products 
include high-voltage defibrillators CRT-D and low-voltage pacemakers. The Neuromodulation segment 
generates its revenue from the design, development and marketing of neuromodulation therapy for the treatment 
of drug-resistant epilepsy and treatment resistant depression. Neuromodulation product include the VNS 
Therapy System, which consists of an implantable pulse generator, a lead that connects the generator to the 
vagus nerve, surgical equipment to assist with the implant procedure, equipment to enable the treating physician 
to set the pulse generator stimulation parameters for the patient, instruction manuals and magnets to suspend or 
induce stimulation manually. 

Corporate expenses include shared services for finance, legal, human resources and information 

technology, together with corporate business development (“New Ventures”). New Ventures is focused on new 
growth platforms and identification of other opportunities for expansion. 

Revenue and income (loss) before merger, integration and restructuring expenses by reportable segment are 

as follows (in thousands): 

Revenue 

Cardiac Surgery 
Cardiac Rhythm Management 
Neuromodulation 
Corporate 

Total Revenue 

Transitional Period 
25 April 2015 to
31 December 2015 

Fiscal Year Ended 

24 April 2015 

 $ 

 $ 

147,635   $ 
52,470   
214,761   
841   
415,707   $ 

— 
—  
291,558  
—  
291,558 

181

 
 
 
 
 
   
   
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Income (loss) before merger, integration, restructuring 
expenses and impairment of AFS assets: 

Transitional Period 
25 April 2015 to 
31 December 2015 

Fiscal Year Ended 
24 April 2015 

Cardiac Surgery 
Cardiac Rhythm Management 
Neuromodulation 
Corporate 

 $ 

Total reportable segments’ income (loss) before merger, 
integration, restructuring expenses and impairment of AFS 
assets:
Merger-related expenses 
Integration expenses 
Restructuring expenses 

7,441   $ 
(13,293)   
87,845   
(38,592)   

43,401

(42,098)   
(13,689)   
(11,323)   

Operating Profit (Loss) 

 $ 

(23,709)   $ 

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

— 
—  
97,438  
—  

97,438 

(8,692 ) 
—  
—  
88,746 

Total Assets 
Cardiac Surgery 
Cardiac Rhythm Management 
Neuromodulation 
Corporate 

Total 

  31 December 2015 
 $ 

1,459,978   $ 
422,859   
540,041   
112,301   
2,535,179   $ 

24 April 2015 

26 April 2014 

—   $ 
—    
323,329    
—    
323,329   $ 

—  
— 
305,396 
— 
305,396  

 $ 

The following tables present the depreciation and amortization expense and capital expenditures by 

reportable segment (in thousands): 

Depreciation and amortization expense 

Cardiac Surgery 
Cardiac Rhythm Management 
Neuromodulation 
Corporate 

Total 

Capital expenditures 

Cardiac Surgery 
Cardiac Rhythm Management 
Neuromodulation 
Corporate 

Total 

182

Transitional Period 
25 April 2015 to 
31 December 2015 

Fiscal Year 
Ended 
24 April 2015 

$ 

$ 

11,247    $ 
4,292   
4,103   
858   
20,500    $ 

— 
— 
6,807 
— 
6,807 

Transitional Period 
25 April 2015 to 
31 December 2015 

Fiscal Year 
Ended 
24 April 2015 

$ 

$ 

10,402    $ 
4,954   
1,418   
512   
17,286    $ 

— 
— 
6,687 
— 
6,687 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
Income (loss) before merger, integration, restructuring 

expenses and impairment of AFS assets: 

Transitional Period 

25 April 2015 to 

31 December 2015 

Fiscal Year Ended 

24 April 2015 

 $ 

Total reportable segments’ income (loss) before merger, 

integration, restructuring expenses and impairment of AFS 

7,441   $ 

(13,293)   

87,845   

(38,592)   

43,401

(42,098)   

(13,689)   

(11,323)   

 $ 

(23,709)   $ 

  31 December 2015 

24 April 2015 

26 April 2014 

 $ 

 $ 

1,459,978   $ 

422,859   

540,041   

112,301   

2,535,179   $ 

—   $ 

—    

323,329    

—    

323,329   $ 

—  

— 

— 

305,396 

305,396  

The following tables present the depreciation and amortization expense and capital expenditures by 

Cardiac Surgery 

Cardiac Rhythm Management 

Neuromodulation 

Corporate 

assets:

Merger-related expenses 

Integration expenses 

Restructuring expenses 

Operating Profit (Loss) 

Total Assets 

Cardiac Surgery 

Cardiac Rhythm Management 

Neuromodulation 

Corporate 

Total 

reportable segment (in thousands): 

Depreciation and amortization expense 

Cardiac Surgery 

Cardiac Rhythm Management 

Neuromodulation 

Corporate 

Total 

Capital expenditures 

Cardiac Surgery 

Cardiac Rhythm Management 

Neuromodulation 

Corporate 

Total 

Transitional Period 

Fiscal Year 

25 April 2015 to 

Ended 

31 December 2015 

24 April 2015 

$ 

$ 

$ 

$ 

11,247    $ 

4,292   

4,103   

858   

20,500    $ 

10,402    $ 

4,954   

1,418   

512   

17,286    $ 

Transitional Period 

Fiscal Year 

25 April 2015 to 

Ended 

31 December 2015 

24 April 2015 

— 

—  

—  

97,438  

97,438 

(8,692 ) 

—  

—  

88,746 

— 

— 

6,807 

— 

6,807 

— 

— 

6,687 

— 

6,687 

Revenue of our reportable segments include end-customer revenues from the sale of products they each 

develop and manufacture or distribute. The segment income represents operating income before merger, 
integration and restructuring expenses. This measurement is included in the reporting package for the CODM, 
and used by the CODM in evaluating performance and allocating resources. 

The segment’s assets included in management evaluations are those used by the segment in the 
performance of its ordinary activities, or those assets that may be reasonably allocated to the segment as a 
function of its ordinary activities. These include the following financial statement items: property, plant and 
equipment; intangible assets; goodwill; investments in associates measured at net equity; investments in other 
companies; and inventories. 

Geographic Information 

We operate under three geographic regions: United States, Europe, and Rest of World. Accordingly, the 

geographic information for the prior years has been restated to present these regions. 

Net sales to external customers by geography are determined based on the country the products are shipped 

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

from and are as follows (in thousands): 

United States 
Europe (1) (2) 
Rest of World 

Total 

Transitional  Period 25 
April 2015 to 31 December 
2015 

Fiscal Year Ended 24 April 
2015 

  $ 

  $ 

232,261   $ 
105,322   
78,124   
415,707   $ 

235,712 
41,484  
14,362  
291,558 

(1)  Net sales to external customers includes $14.3 million in the United Kingdom for the transitional period ended 31 

December 2015. Prior to the Mergers, we were domiciled in the United States. 

(2)  Includes those countries in Europe where LivaNova has a direct sales presence.  Countries where sales are made 

through distributors are included in Rest of World. 

No single customer represented over 10 percent of our consolidated revenue in the transitional period 25 

April 2015 to 31 December 2015 and the fiscal year ended 24 April 2015. 

Property, plant, and equipment, net by geography are as follows (in thousands): 

United States 
Europe (1) 
Rest of World 

Total 

31 December 2015 

24 April 2015 

26 April 2014 

  $ 

  $ 

54,935    $ 
136,357   
37,699   
228,991    $ 

26,577    $ 
519   
11,280   
38,376    $ 

27,397  
857 
9,274 
37,528  

(1)  Property, plant, and equipment, net includes $2.4 million  in the United Kingdom for the period ended 31 December 

2015. Prior to the Mergers, we were domiciled in the United States. 

183

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 27. Related Parties 

Interests in subsidiaries are set out in “Note 11. Investments in associates, joint ventures and subsidiaries”. 

Transactions between the Company and its subsidiaries, which are related parties, have been eliminated on 
consolidation and are not disclosed in this note. 

In the normal course of business the Company issues loans, purchases and sells goods and services from or 
to various related parties in which the Company typically holds a 50% or less equity interest and has significant 
influence. These transactions are generally conducted with terms comparable to transactions with third parties. 

Prior to the Mergers the Company did not carry any transactions with related parties. The following 

receivable balances arose from sale and financing transactions with associates (in thousands): 

Balance Sheet 

Financial assets - non-current: 
Caisson Interventional LLC 

Trade receivables - current: 
Microport Sorin 
Cardiosolution Inc 

Other financial assets - current: 
Highlife SAS 

  31 December 2015 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

2,041 
2,041 

1,204 
10  
1,214 

1,632 
1,632 

The following sales and financing transactions were entered into with associates during the transitional 

period (in thousands): 

Income Statement 

Revenue: 
Microport Sorin 

Financial income: 
Highlife SAS 

Transitional  Period 25 
April 2015 to 31 
December 2015 

 $ 

 $ 

565  

3  

Total compensation in respect of key management, who are defined as the Board of Directors and certain 

members of senior management, is considered to be a related party transaction. 

The total compensation in respect of key management was as follows (in thousands): 

184

 
 
   
 
   
 
 
   
 
 
 
   
   
Note 27. Related Parties 

Interests in subsidiaries are set out in “Note 11. Investments in associates, joint ventures and subsidiaries”. 

Transactions between the Company and its subsidiaries, which are related parties, have been eliminated on 

consolidation and are not disclosed in this note. 

In the normal course of business the Company issues loans, purchases and sells goods and services from or 

to various related parties in which the Company typically holds a 50% or less equity interest and has significant 

influence. These transactions are generally conducted with terms comparable to transactions with third parties. 

Prior to the Mergers the Company did not carry any transactions with related parties. The following 

receivable balances arose from sale and financing transactions with associates (in thousands): 

Salaries and short term benefits 
Post-employment benefits 
Termination benefits 
Share-based compensation 

Transitional  Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

 $ 

 $ 

4,076   $ 
112   
3,589   
5,952   
13,729   $ 

3,455 
40  
—  
4,567  
8,062 

  31 December 2015 

There were no other material related party transactions in the period. 

Note 28. Consolidated Statements of Income (Loss) - Expenses by Nature 

Balance Sheet 

Financial assets - non-current: 

Caisson Interventional LLC 

Trade receivables - current: 

Microport Sorin 

Cardiosolution Inc 

Other financial assets - current: 

Highlife SAS 

period (in thousands): 

Income Statement 

Revenue: 

Microport Sorin 

Financial income: 

Highlife SAS 

The following sales and financing transactions were entered into with associates during the transitional 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

 $ 

2,041 

2,041 

1,204 

10  

1,214 

1,632 

1,632 

Transitional  Period 25 

April 2015 to 31 

December 2015 

565  

3  

(in thousands) 

Revenue 

Other revenues and income 
Change in inventories of work-in-process, semi-finished and 
finished goods 
Increase in fixed assets for internal work 
Cost of raw materials and other materials 
Cost of services used 
Personnel expense 
Other operating costs 
Amortisation, depreciation and write-downs 
Additions to provisions 
Interest expense 
Interest income 
Impairment of AFS assets 
Foreign exchange 
Share of profit (loss) from equity method investments 

Profit (loss) before tax 
Income tax expense (benefit) 

Transitional  Period 
24 April 2015 31 
December 2015 

Fiscal Year Ended  24 
April 2015 

 $ 

415,707   $ 

291,558 

1,945   

(39,450)   
1,623   
(53,808)   
(56,821)   
(166,662)   
(92,729)   
(22,864)   
(5,588)   
(1,509)   
392   
(5,062)   
(7,522)   
(3,308)   

(35,656)   
(6,540)   

—  

6,333 
—  
(24,175 ) 
(51,608 ) 
(114,495 ) 
(11,609 ) 
(7,258 ) 
—  
(21 ) 
184  
—  
479  
—  
89,388  
32,385  
57,003 

Total compensation in respect of key management, who are defined as the Board of Directors and certain 

members of senior management, is considered to be a related party transaction. 

The total compensation in respect of key management was as follows (in thousands): 

Profit (loss) attributable to owners of the parent 

 $ 

(29,116)   $ 

Note 29. Employee and Key Management Compensation Costs 

Employee costs 

185

 
 
   
 
   
 
 
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

Wages and salaries 
Share-based payments (1) 
Other employee costs 

Transitional  Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

 $ 

 $ 

126,841   $ 
19,264   
20,557   
166,662   $ 

68,926 
11,762  
33,807  
114,495 

(1) Represents share-based payments included in personnel expense. Refer to Note 21. "Share-Based Incentive 
Plans" for total share-based compensation expense. 

Details of Directors' remuneration are included in pages 61 to 84 of the Directors' remuneration report, 

which forms part of these financial statements. 

Employee numbers 

The average monthly employee numbers on a full-time equivalent basis, excluding employees of associated 

and joint venture undertakings and including executive directors were 4,660, 661 and 652 for the period 19 
October 2015 to 31 December 2015 (transitional period subsequent to the Mergers), for the period 25 April 
2015 to 18 October 2015 (transitional period prior to the Mergers) and the fiscal year ended 24 April 2015, 
respectively. 

Note 30. Exceptional Items 

The following exceptional items are included within operating profit (loss) (in thousands): 

Merger related expenses 
Integration expenses 
Restructuring expenses 
Impairment of AFS assets 

Total exceptional items 

Transitional  Period 25 
April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

 $ 

 $ 

42,098   $ 
13,689   
11,323   
5,062   
72,172   $ 

8,692 
—  
—  
—  
8,692 

Merger Expenses. Merger expenses consisted of expenses directly related to the Mergers, such as 

professional fees for legal services, accounting services, due diligence, a fairness opinion and the preparation of 
registration and regulatory filings in the United States and Europe, as well as investment banking fees. Refer to 
"Note 7. Business Combinations" for more details. 

Integration Expenses. Integration expenses consisted primarily of consultation with regard to our systems 
integration, organization structure integration, finance, synergy and tax planning, the transition to U.S. GAAP 
for Sorin activity, our London Stock Exchange listing and certain re-branding efforts. 

186

 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 

Wages and salaries 

Share-based payments (1) 

Other employee costs 

Transitional  Period 

25 April 2015 to 31 

December 2015 

Fiscal Year Ended 24 

April 2015 

 $ 

 $ 

126,841   $ 

19,264   

20,557   

166,662   $ 

68,926 

11,762  

33,807  

114,495 

(1) Represents share-based payments included in personnel expense. Refer to Note 21. "Share-Based Incentive 

Plans" for total share-based compensation expense. 

Details of Directors' remuneration are included in pages 61 to 84 of the Directors' remuneration report, 

which forms part of these financial statements. 

Employee numbers 

The average monthly employee numbers on a full-time equivalent basis, excluding employees of associated 

and joint venture undertakings and including executive directors were 4,660, 661 and 652 for the period 19 

October 2015 to 31 December 2015 (transitional period subsequent to the Mergers), for the period 25 April 

2015 to 18 October 2015 (transitional period prior to the Mergers) and the fiscal year ended 24 April 2015, 

The following exceptional items are included within operating profit (loss) (in thousands): 

Transitional  Period 25 

April 2015 to 31 

December 2015 

Fiscal Year Ended 24 

April 2015 

 $ 

 $ 

42,098   $ 

13,689   

11,323   

5,062   

72,172   $ 

8,692 

—  

—  

—  

8,692 

respectively. 

Note 30. Exceptional Items 

Merger related expenses 

Integration expenses 

Restructuring expenses 

Impairment of AFS assets 

Total exceptional items 

Merger Expenses. Merger expenses consisted of expenses directly related to the Mergers, such as 

professional fees for legal services, accounting services, due diligence, a fairness opinion and the preparation of 

registration and regulatory filings in the United States and Europe, as well as investment banking fees. Refer to 

"Note 7. Business Combinations" for more details. 

Integration Expenses. Integration expenses consisted primarily of consultation with regard to our systems 

integration, organization structure integration, finance, synergy and tax planning, the transition to U.S. GAAP 

for Sorin activity, our London Stock Exchange listing and certain re-branding efforts. 

Restructuring Expenses. After the consummation of the Mergers between Cyberonics with Sorin in October 

2015, we initiated several restructuring plans  to combine our business operations. We identify costs incurred 
and liabilities assumed for the restructuring plans. The restructuring plans are intended to leverage economies of 
scale, eliminate duplicate corporate expenses, streamline distributions and logistics and office functions in order 
to reduce overall costs. 

Impairment of AFS assets. During the transitional period 25 April 2015 to 31 December 2015 an 

impairment of $5.1 million in equity investment in Cerbomed GmbH was recorded. Refer for details to "Note 5. 
Fair Value Measurements". 

Note 31. Auditors' Remuneration 

(in thousands) 

LivaNova auditors 

Fees payable to the Company’s auditor and its associates for 
the audit of parent company and consolidated financial 
statements 

Fees payable to the Company’s auditor and its associates 
for other services: 

The audit of the Company’s subsidiaries 

Total audit fees payable to the Company’s auditor 

Taxation compliance services 
Taxation advisory services 
Other non-audit services 

Total fees payable to the Company’s auditor 

Note 32. New Accounting Pronouncements 

Transitional  Period 
25 April 2015 to 31 
December 2015 

Fiscal Year Ended 24 
April 2015 

 $ 

 $ 

 $ 

 $ 

2,172

 $ 

1,034

1,613   
3,785   $ 

—   $ 
66   
410   
4,261   $ 

—  
1,034 

220 
—  
215  
1,469 

The standards and interpretations that are issued, but not yet effective, up to the date of issuance of the 

Company’s financial statements are disclosed below. The Company intends to adopt these standards, if 
applicable, when they become effective. 

IFRS 9 Financial Instruments. In July 2014, the IASB issued the final version of IFRS 9 Financial 
Instruments that replaces IAS 39 Financial Instruments: Recognition and Measurement and all previous 
versions of IFRS 9. IFRS 9 brings together all three aspects of the accounting for financial instruments project: 
classification and measurement, impairment and hedge accounting. IFRS 9 is effective for annual periods 
beginning on or after 1 January 2018, with early application permitted. Except for hedge accounting, 
retrospective application is required but providing comparative information is not compulsory. For hedge 
accounting, the requirements are generally applied prospectively, with some limited exceptions. The Company 
plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 
standard will have on its financial statements and related disclosures. 

IFRS 15 Revenue from Contracts with Customers. IFRS 15 was issued in May 2014 and establishes a five-

step model to account for revenue arising from contracts with customers. Under IFRS 15, revenue is recognised 
at an amount that reflects the consideration to which an entity expects to be entitled in exchange for transferring 

187

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
   
   
 
 
goods or services to a customer. The new revenue standard will supersede all current revenue recognition 
requirements under IFRS. Either a full retrospective application or a modified retrospective application is 
required for annual periods beginning on or after 1 January 2018. Early adoption is permitted. The Company 
plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 
standard will have on its financial statements and related disclosures. 

IFRS 16 Leases. In January 2016, the IASB issued final accounting guidance on leases which provides a 
new model for lease accounting in which all leases, other than short-term and small-ticket-item leases, will be 
accounted for by the recognition on the balance sheet of a right-to-use asset and a lease liability, and the 
subsequent amortization of the right-to-use asset over the lease term. IFRS 16 will be effective for annual 
periods beginning on or after 1 January 2019. Early application is permitted, provided the new revenue 
standard, IFRS 15 Revenue from Contracts with Customers, has been applied, or is applied at the same date as 
IFRS 16. The Company is evaluating the effect this standard will have on its financial statements and related 
disclosures. 

The Company does not expect to adopt IFRS 9 or IFRS 15 before 1 January 2018 and has not yet 

determined its date of adoption for IFRS 16. The Company has not yet completed its evaluation of the effect of 
adoption of these standards. The EU has not yet adopted IFRS 9, IFRS 15 or IFRS 16 and consequently these 
standards are not yet available for early adoption to the Company. 

There are no other standards and interpretations in issue but not yet adopted that the management anticipate 

will have a material effect on the reported income or net assets of the Company. 

Note 33. Events after the Reporting Period 

Restructuring Plan 

On March 10, 2016, the Company announced a reorganization plan for its Cardiac Rhythm Management 
Business Unit intended to strengthen its operational effectiveness and efficiency in response to changes in the 
global marketplace. The Company estimates that, net of new positions created, the reorganization plan will 
result in a reduction of around 140 in the workforce, primarily based at the Company's facility in Clamart, 
France. The plan also contemplates the closure of the Company's research and development facility in Meylan, 
France, and the consolidation of the Business Unit's research and development capabilities into the Clamart 
facility. In addition, the research and development team of the Company's New Ventures organization will be 
combined with those of the Cardiac Rhythm Management Business Unit. Although terms are not likely to be 
finalized until the second quarter of 2016, the Company believes that the reduction in force should be 
accomplished primarily through voluntary separation packages. The Company estimates that these actions will 
result in total pre-tax charges of approximately $16 million to $21 million in 2016, relating to non-recurring 
cash employee-related costs, including costs for severance and other employee-related assistance and other exit 
costs associated with the plan. 

188

 
 
goods or services to a customer. The new revenue standard will supersede all current revenue recognition 

Capital Reduction 

Subsequent to the year end,  the majority of the merger relief reserve as at 31 December 2015 was 
capitalised by way of a bonus share issue, which gave rise to an increase in the company's share premium 
account. Having previously obtained shareholder approval on 16 October 2015, and following the approval of 
the High Court of Justice, Chancery Division on 6 April 2016, the share premium of the Company in the 
amount of $2,587 million was cancelled. The purpose of the cancellation of the share premium account was to 
create distributable reserves in the books of account of the Company to be used for any corporate purpose of the 
Company for which realised profits are required. 

requirements under IFRS. Either a full retrospective application or a modified retrospective application is 

required for annual periods beginning on or after 1 January 2018. Early adoption is permitted. The Company 

plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 

standard will have on its financial statements and related disclosures. 

IFRS 16 Leases. In January 2016, the IASB issued final accounting guidance on leases which provides a 

new model for lease accounting in which all leases, other than short-term and small-ticket-item leases, will be 

accounted for by the recognition on the balance sheet of a right-to-use asset and a lease liability, and the 

subsequent amortization of the right-to-use asset over the lease term. IFRS 16 will be effective for annual 

periods beginning on or after 1 January 2019. Early application is permitted, provided the new revenue 

standard, IFRS 15 Revenue from Contracts with Customers, has been applied, or is applied at the same date as 

IFRS 16. The Company is evaluating the effect this standard will have on its financial statements and related 

disclosures. 

The Company does not expect to adopt IFRS 9 or IFRS 15 before 1 January 2018 and has not yet 

determined its date of adoption for IFRS 16. The Company has not yet completed its evaluation of the effect of 

adoption of these standards. The EU has not yet adopted IFRS 9, IFRS 15 or IFRS 16 and consequently these 

standards are not yet available for early adoption to the Company. 

There are no other standards and interpretations in issue but not yet adopted that the management anticipate 

will have a material effect on the reported income or net assets of the Company. 

Note 33. Events after the Reporting Period 

Restructuring Plan 

On March 10, 2016, the Company announced a reorganization plan for its Cardiac Rhythm Management 

Business Unit intended to strengthen its operational effectiveness and efficiency in response to changes in the 

global marketplace. The Company estimates that, net of new positions created, the reorganization plan will 

result in a reduction of around 140 in the workforce, primarily based at the Company's facility in Clamart, 

France. The plan also contemplates the closure of the Company's research and development facility in Meylan, 

France, and the consolidation of the Business Unit's research and development capabilities into the Clamart 

facility. In addition, the research and development team of the Company's New Ventures organization will be 

combined with those of the Cardiac Rhythm Management Business Unit. Although terms are not likely to be 

finalized until the second quarter of 2016, the Company believes that the reduction in force should be 

accomplished primarily through voluntary separation packages. The Company estimates that these actions will 

result in total pre-tax charges of approximately $16 million to $21 million in 2016, relating to non-recurring 

cash employee-related costs, including costs for severance and other employee-related assistance and other exit 

costs associated with the plan. 

189

 
 
 
 
 
Table of Contents 

COMPANY STATEMENT OF INCOME (LOSS) 
COMPANY STATEMENT OF COMPREHENSIVE INCOME (LOSS) 
COMPANY BALANCE SHEET 
COMPANY STATEMENT OF CHANGES IN EQUITY 
COMPANY STATEMENT OF CASH FLOWS 
Note 1.  Nature of Operations 
Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 
Note 3.  Financial Risk Management 
Note 4. Fair Value Measurements 
Note 5. Financial Instruments 
Note 6. Plant Property and Equipment 
Note 7. Intangibles Assets 
Note 8. Investments in Subsidiaries 
Note 9. Other Financial Assets 
Note 10. Trade Receivables and Allowance for Bad Debt 
Note 11. Derivative Financial Instruments 
Note 12. Equity 
Note 13. Financial Liabilities 
Note 14. Other Payables 
Note 15. Share-based Incentives Plans 
Note 16. Employee Retirement Plans 
Note 17. Income Taxes 
Note 18. Commitments and Contingencies 
Note 19. Related Parties 
Note 20. Statement of Income (Loss) - Expenses by Nature 
Note 21. Employee Compensation Costs 
Note 22. Exceptional Items 
Note 23. Auditors' Remuneration 
Note 24. New Accounting Pronouncements 
Note 25. Events After Reporting Period 

  191 
  192 
  193 
  195 
  196 
  197 
  198 
  208 
  212 
  214 
  215 
  216 
  217 
  220 
  220 
  221 
  223 
  224 
  226 
  226 
  231 
  233 
  234 
  241 
  243 
  243 
  244 
  244 
  244 
  245 

190

 
 
 
 
LIVANOVA PLC 

COMPANY STATEMENT OF INCOME (LOSS) 

(In thousands) 

Revenue 
Net operating expenses 

Operating loss before exceptional items 

Exceptional items 

Operating loss 
Interest income 
Interest expense 
Foreign exchange 

Loss before tax 

Income tax expense (benefit) 

Loss for the period 

  Notes  

20   $ 

22  

  $ 

From Inception to 31 
December 2015 

1,764 
(8,932) 

(7,168) 
(4,106) 

(11,274) 
199 
(1,807) 
(6,867) 

(19,749) 
4,629 
(24,378) 

Table of Contents 

COMPANY STATEMENT OF INCOME (LOSS) 

COMPANY STATEMENT OF COMPREHENSIVE INCOME (LOSS) 

COMPANY BALANCE SHEET 

COMPANY STATEMENT OF CHANGES IN EQUITY 

COMPANY STATEMENT OF CASH FLOWS 

Note 1.  Nature of Operations 

Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 

Note 10. Trade Receivables and Allowance for Bad Debt 

Note 11. Derivative Financial Instruments 

Note 3.  Financial Risk Management 

Note 4. Fair Value Measurements 

Note 5. Financial Instruments 

Note 6. Plant Property and Equipment 

Note 7. Intangibles Assets 

Note 8. Investments in Subsidiaries 

Note 9. Other Financial Assets 

Note 12. Equity 

Note 13. Financial Liabilities 

Note 14. Other Payables 

Note 15. Share-based Incentives Plans 

Note 16. Employee Retirement Plans 

Note 17. Income Taxes 

Note 18. Commitments and Contingencies 

Note 19. Related Parties 

Note 21. Employee Compensation Costs 

Note 22. Exceptional Items 

Note 23. Auditors' Remuneration 

Note 24. New Accounting Pronouncements 

Note 25. Events After Reporting Period 

Note 20. Statement of Income (Loss) - Expenses by Nature 

  191 

  192 

  193 

  195 

  196 

  197 

  198 

  208 

  212 

  214 

  215 

  216 

  217 

  220 

  220 

  221 

  223 

  224 

  226 

  226 

  231 

  233 

  234 

  241 

  243 

  243 

  244 

  244 

  244 

  245 

See accompanying notes to the Company financial statements 

191

 
 
 
 
 
 
 
 
 
   
 
   
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
LIVANOVA PLC 

COMPANY STATEMENT OF 

COMPREHENSIVE INCOME (LOSS) 

(In thousands) 

Loss for the period 
Items of other comprehensive income (loss) that will subsequently be 
reclassified under profit: 
Cash flow hedges for interest rate fluctuations 
Tax impact 
Foreign currency translation differences 

  Notes   

 $ 

11   

Total items of other comprehensive income (loss) that will subsequently 
be reclassified under profit 

Items of other comprehensive income (loss) that will not subsequently be 
reclassified under profit: 
Remeasurements of net liability (asset) for defined benefits 
Tax impact 

16   

Total items of other comprehensive income (loss) that will not 
subsequently be reclassified under profit 
Total other comprehensive income (loss), net of taxes 

Total comprehensive income (loss) for the period, net of taxes 

 $ 

From Inception to 31 
December 2015 

(24,378) 

124 
(41) 
(22,665) 

(22,582) 

(8) 
3 

(5) 

(22,587) 

(46,965) 

See accompanying notes to the Company financial statements 

192

 
 
 
 
   
   
   
 
   
 
  
 
 
   
   
   
 
 
   
   
   
   
 
   
 
   
 
   
 
   
 
 
 
LIVANOVA PLC 

COMPANY STATEMENT OF 

COMPREHENSIVE INCOME (LOSS) 

(In thousands) 

From Inception to 31 

December 2015 

  Notes   

 $ 

Loss for the period 

reclassified under profit: 

Items of other comprehensive income (loss) that will subsequently be 

Cash flow hedges for interest rate fluctuations 

11   

Tax impact 

Foreign currency translation differences 

Total items of other comprehensive income (loss) that will subsequently 

be reclassified under profit 

Items of other comprehensive income (loss) that will not subsequently be 

reclassified under profit: 

Remeasurements of net liability (asset) for defined benefits 

16   

Tax impact 

Total items of other comprehensive income (loss) that will not 

subsequently be reclassified under profit 

Total other comprehensive income (loss), net of taxes 

Total comprehensive income (loss) for the period, net of taxes 

 $ 

(24,378) 

124 

(41) 

(22,665) 

(22,582) 

(8) 

3 

(5) 

(22,587) 

(46,965) 

LIVANOVA PLC 

COMPANY BALANCE SHEET 

 (In thousands) 

  Notes  

31 December 2015 

ASSETS 
Non-current Assets 

Property, plant and equipment 
Intangible Assets 
Investments in subsidiaries 
Deferred tax assets 
Other Assets 

Total non-current Assets 

Trade receivables 
Other receivables 
Other financial assets 
Tax assets 
Cash and cash equivalents 

Total current assets 
Total assets 
LIABILITIES AND EQUITY 
Equity 

Share capital 
Merger relief reserve 
Share premium 
Accumulated other comprehensive income (loss) 
Retained earnings (deficit) 

Total equity 
Non-current liabilities 

Financial derivative liabilities 
Financial liabilities 
Provision for employee severance indemnities and other employee benefit   

Total non-current liabilities 
Current liabilities 
Trade payables 
Other payables 
Financial derivative liabilities 
Other financial liabilities 
Tax payable 

Total current liabilities 
Total liabilities and equity 

6   $ 
7   
8   
17   

 $ 

10   

9   

 $ 
 $ 

12   $ 
12   
12   
12   
12   

 $ 

11   $ 
13   
16   

 $ 

14   
11   
13   
17   

 $ 
 $ 

434 
1,086 
3,476,708 
5,088 
4,288 
3,487,604 
3,847 
14,495 
88,054 
8,098 
10,102 
124,596 
3,612,200 

75,444 
2,649,592 
1,673 
(22,587) 
(22,614) 
2,681,508 

1,786 
192,375 
285 
194,446 

10,186 
9,471 
1,798 
709,961 
4,830 
736,246 
3,612,200 

See accompanying notes to the Company financial statements 

See accompanying notes to the Company financial statements 

193

 
 
 
 
   
   
   
 
   
 
  
 
 
   
   
   
 
 
   
   
   
   
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
  
 
  
 
  
 
 
  
 
  
 
  
  
   
   
   
 
 
 
 
 
  
   
 
 
  
 
   
   
 
 
 
 
  
  
 
 
The financial statements were approved by the Board of Directors and were signed on its behalf on 

29 April 2016 by: 

André-Michel Ballester 

Chief Executive Officer & Director 

See accompanying notes to the Company financial statements 

194

 
 
 
 
 
 
The financial statements were approved by the Board of Directors and were signed on its behalf on 

LIVANOVA PLC 

COMPANY STATEMENT OF CHANGES IN EQUITY 

(In thousands) 

  Ordinary Shares 

Number 
of 
Shares   

Share 
Capital   

Merger 
Relief 
Reserve 

  Notes   

Share 
Premium 

  Accumulated 
Other 
Comprehensive 
Income (Loss) 

Retained 
Earnings 
(Deficit) 

Total 
Equity 

29 April 2016 by: 

André-Michel Ballester 

Chief Executive Officer & Director 

Opening balance at 20 February 
2015 
Issuance of LivaNova (ex Sand 
HoldCo) ordinary shares 
Cancellation of LivaNova (ex Sand 
HoldCo) ordinary shares 

Issuance of LivaNova ordinary shares 

Share-based compensation plans 

Total transactions with owners, 
recognised directly in 

Loss for the period 

Other comprehensive loss 

Total comprehensive income (loss) for 
the period 

Balance at 31 December 2015 

—

  $  —

  $ 

—

  $ 

—

  $ 

—

  $ 

—

  $ 

12

50

75

— 

— 

—

(50)  
12
12    48,719  
149  
16   

(75)  

— 
75,218   2,649,592   
—   

226  

  48,868

75,444

—  
—  

12   

  2,649,592 
—   
—   

—  
—  

— 
—   
1,673   

1,673 
—   
—   

—

75

—
—  
1,764  

(75) 
2,724,810 
3,663 

— 

— 
—   
—   

— 
—   
(22,587 )  

1,764
(24,378)  
—  

2,728,473

(24,378) 

(22,587) 

—
  48,868   $  75,444   $ 2,649,592   $ 

— 

— 
1,673   $ 

(22,587 )  
(22,587)   $ 

(24,378)  
(46,965) 
(22,614)   $ 2,681,508 

See accompanying notes to the Company financial statements 

See accompanying notes to the Company financial statements 

195

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
  
 
 
 
 
 
 
 
   
 
 
 
LIVANOVA PLC 

COMPANY STATEMENT OF CASH FLOWS 

 (In thousands) 

Cash Flows From Operating Activities: 

Loss for the period 

Non-cash items included in net income (loss): 

Depreciation and amortization 
Share-based compensation 
Deferred income tax expense 
Unrealised loss in foreign currency transactions 
Other non-cash items 

Changes in operating assets and liabilities: 

Accounts receivable, net 
Other current and non-current assets 
Current and non-current liabilities 

Net cash used in by operating activities 

Cash Flow From Investing Activities: 

Purchase of property, plant and equipment 
Purchase of intangible assets 
Cash obtained in the Merger 

Net cash provided by investing activities 

Cash Flows From Financing Activities: 

Repayment of long-term debt obligations 
Proceeds from exercise of options for shares 
Short-term borrowings 

Net cash used in financing activities 

Effect of exchange rate changes on cash and cash equivalents 

Net increase in cash and cash equivalents 
Cash and cash equivalents at beginning of period 

Cash and cash equivalents at end of period 

Supplementary Disclosures of Cash Flow Information: 

Cash paid for interest 

  Notes   

From Inception to 31 
December 2015 

  $ 

(24,378) 

6,7  
16   

  $ 

132 
1,764 
13,908 
2,248 
233 

(1,339) 
(6,279) 
(13,053) 

(26,764) 

(92) 
(227) 
2,917 
2,598 

(9,048) 
1,741 
41,701 
34,394 
(126) 
10,102 
— 
10,102 

384 

See accompanying notes to the Company financial statements 

196

 
 
 
 
 
   
   
  
   
   
 
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
   
   
   
   
   
 
 
 
COMPANY STATEMENT OF CASH FLOWS 

LIVANOVA PLC 

 (In thousands) 

  Notes   

From Inception to 31 

December 2015 

  $ 

(24,378) 

6,7  

16   

Cash Flows From Operating Activities: 

Loss for the period 

Non-cash items included in net income (loss): 

Depreciation and amortization 

Share-based compensation 

Deferred income tax expense 

Unrealised loss in foreign currency transactions 

Other non-cash items 

Changes in operating assets and liabilities: 

Accounts receivable, net 

Other current and non-current assets 

Current and non-current liabilities 

Net cash used in by operating activities 

Cash Flow From Investing Activities: 

Purchase of property, plant and equipment 

Purchase of intangible assets 

Cash obtained in the Merger 

Net cash provided by investing activities 

Cash Flows From Financing Activities: 

Repayment of long-term debt obligations 

Proceeds from exercise of options for shares 

Short-term borrowings 

Net cash used in financing activities 

Effect of exchange rate changes on cash and cash equivalents 

Net increase in cash and cash equivalents 

Cash and cash equivalents at beginning of period 

Cash and cash equivalents at end of period 

Supplementary Disclosures of Cash Flow Information: 

Cash paid for interest 

  $ 

See accompanying notes to the Company financial statements 

132 

1,764 

13,908 

2,248 

233 

(1,339) 

(6,279) 

(13,053) 

(26,764) 

(92) 

(227) 

2,917 

2,598 

(9,048) 

1,741 

41,701 

34,394 

(126) 

10,102 

— 

10,102 

384 

Note 1.  Nature of Operations 

Company information. LivaNova PLC (the “Company”, “LivaNova”, “we”, or “our”) is a public limited 
company incorporated in the United Kingdom under the Companies Act 2006 (Registration number 09451374). 
The Company is domiciled in the United Kingdom and its registered address is 5 Merchant Square, North 
Wharf Road, London, W2 1AY, United Kingdom. 

The principal legislation under which LivaNova operates is the Companies Act 2006, and regulations made 

thereunder. The LivaNova Shares are admitted to listing on the Official List pursuant to Chapter 14 of the 
Listing Rules, which sets out the requirements for standard listings. LivaNova complies with Listing Principles 
1 and 2 as set out in Chapter 7 of the Listing Rules, as required by the Financial Conduct Authority. 

Background. LivaNova was incorporated in England and Wales on 20 February 2015  (the "Inception date") 

for the purpose of facilitating the business combination of Cyberonics, Inc., a Delaware corporation 
(“Cyberonics”) and Sorin S.p.A., a joint stock company organized under the laws of Italy (“Sorin”). As a result 
of the business combination, LivaNova became the holding company of the combined businesses of Cyberonics 
and Sorin. This business combination (the "Mergers") became effective on 19 October 2015, at which time 
LivaNova’s ordinary shares were listed for trading on the NASDAQ Global Market (“NASDAQ”) and on the 
London Stock Exchange (the “LSE”) as a standard listing under the trading symbol “LIVN”. 

As part of the Mergers Sorin undertook a cross-border legal entity merger with LivaNova (the “Sorin 
merger”) under which LivaNova was the surviving ultimate holding company. The Company elected to apply 
predecessor accounting to this common control business combination and as a result of the Sorin merger the 
assets and liabilities of Sorin were transferred to LivaNova and recorded in the Company’s books using the 
predecessor book values in the amount of $903.0 million as at the date of the transfer. All shares of Sorin were 
cancelled and LivaNova issued 22,673 thousands shares to the Sorin shareholders. As a result of the Sorin 
merger a merger relief reserve was recorded in the amount of $867.9 million. 

Immediately following the Sorin merger, each issued and outstanding Cyberonics common shares was 
converted into LivaNova ordinary shares. As a result of the share conversion LivaNova issued 26,046 thousands 
shares to the Cyberonics shareholders in exchange for Cyberonics shares. The investment in Cyberonics was 
recorded at cost, being the fair value of consideration transferred which is calculated by reference to the fair 
value of Cyberonics’s closing share price of $69.95 per share on 16 October 2015, the last business day prior to 
the date of the share exchange. As a result of the share exchange transaction the Company recognised a merger 
reserve in the amount of $1,781.7 million equal to the difference between the fair value of the increase in the 
investment carrying value and the aggregate nominal value of the shares issued. Since the shares issued by 
LivaNova as part of the Cyberonics merger were issued with nominal value equal to fair value on that basis the 
shares were not issued at a premium, therefore, no share premium was recognised. 

In respect of both of these share issues, the Company took merger relief in line with the Companies Act 

2006 and recognised a merger relief reserve instead of share premium. 

197

 
 
 
 
 
   
   
  
   
   
 
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
   
   
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
   
   
   
   
   
 
 
 
 
 
Description of the business. Headquartered in London, United Kingdom (“U.K.”), LivaNova, is a global 
medical device company focused on the development and delivery of important therapeutic solutions for the 
benefit of patients, healthcare professionals, and healthcare systems throughout the world. Working closely with 
medical professionals throughout the world in the field of Cardiac Surgery, Neuromodulation and Cardiac 
Rhythm Management, we design, develop, manufacture and sell innovative therapeutic solutions that are 
consistent with our mission to improve our patients’ quality of life, increase the skills and capabilities of 
healthcare professionals and minimize healthcare costs. 

Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 

Basis of Preparation. These separate financial statements of LivaNova have been prepared on a going 
concern basis, in accordance with the Companies Act 2006 as applicable to companies using International 
Financial Reporting Standards (IFRS) as adopted by the European Union and interpretations issued by the IFRS 
Interpretations Committee (IFRIC). 

The financial statements have been prepared on a historical cost basis, except for derivative financial 
instruments and share based payments awards that have been measured at fair value. The financial statements 
are presented in United States (U.S.) dollars and all values are rounded to the nearest thousand, except when 
otherwise indicated. 

Fiscal Year-End.  The period presented is from the Inception date to 31 December 2015. 

Investments. Investments in subsidiaries, associates and joint ventures are accounted for at cost less any 

provision for impairment. 

Foreign currencies. The U.S. dollar (US$) is the functional currency of the Company and presentation 
currency of LivaNova separate financial statements. Foreign currency transactions are translated into functional 
currency using the exchange rates prevailing at the dates of the transactions or valuation where items are 
remeasured. Foreign exchange gains and losses resulting from the settlement of such transactions and from the 
translation at year-end  exchange rates of monetary assets and liabilities denominated in foreign currencies are 
recognised in the statement of income (loss), except when deferred in other comprehensive income (loss) as 
qualifying cash flow hedges. 

Foreign currency differences arising from translation are recognised in the income statement, except for 

available-for-sale equity investments which are recognised in other comprehensive income (loss), unless 
regarding an impairment in which case foreign currency differences that have been recognised in other 
comprehensive income (loss) are reclassified to the income statement. 

The British pound (GBP) exchange rate to the U.S. dollar used in preparing the Company financial 

statements was as follows: 

For the period from inception to 31 December 2015 

Weighted average rate 
GBP 

Closing rate GBP 

0.650364   

0.678578  

All exchange differences are presented as part of "Foreign exchange" on the statement of income (loss). 

Financial Instruments 

198

 
 
 
 
 
 
 
Description of the business. Headquartered in London, United Kingdom (“U.K.”), LivaNova, is a global 

medical device company focused on the development and delivery of important therapeutic solutions for the 

benefit of patients, healthcare professionals, and healthcare systems throughout the world. Working closely with 

medical professionals throughout the world in the field of Cardiac Surgery, Neuromodulation and Cardiac 

Rhythm Management, we design, develop, manufacture and sell innovative therapeutic solutions that are 

consistent with our mission to improve our patients’ quality of life, increase the skills and capabilities of 

healthcare professionals and minimize healthcare costs. 

Note 2.  Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies 

Basis of Preparation. These separate financial statements of LivaNova have been prepared on a going 

concern basis, in accordance with the Companies Act 2006 as applicable to companies using International 

Financial Reporting Standards (IFRS) as adopted by the European Union and interpretations issued by the IFRS 

Interpretations Committee (IFRIC). 

The financial statements have been prepared on a historical cost basis, except for derivative financial 

instruments and share based payments awards that have been measured at fair value. The financial statements 

are presented in United States (U.S.) dollars and all values are rounded to the nearest thousand, except when 

otherwise indicated. 

provision for impairment. 

Fiscal Year-End.  The period presented is from the Inception date to 31 December 2015. 

Investments. Investments in subsidiaries, associates and joint ventures are accounted for at cost less any 

Foreign currencies. The U.S. dollar (US$) is the functional currency of the Company and presentation 

currency of LivaNova separate financial statements. Foreign currency transactions are translated into functional 

currency using the exchange rates prevailing at the dates of the transactions or valuation where items are 

remeasured. Foreign exchange gains and losses resulting from the settlement of such transactions and from the 

translation at year-end  exchange rates of monetary assets and liabilities denominated in foreign currencies are 

recognised in the statement of income (loss), except when deferred in other comprehensive income (loss) as 

qualifying cash flow hedges. 

Foreign currency differences arising from translation are recognised in the income statement, except for 

available-for-sale equity investments which are recognised in other comprehensive income (loss), unless 

regarding an impairment in which case foreign currency differences that have been recognised in other 

comprehensive income (loss) are reclassified to the income statement. 

The British pound (GBP) exchange rate to the U.S. dollar used in preparing the Company financial 

statements was as follows: 

For the period from inception to 31 December 2015 

Weighted average rate 

GBP 

Closing rate GBP 

0.650364   

0.678578  

All exchange differences are presented as part of "Foreign exchange" on the statement of income (loss). 

Financial Instruments 

A financial instrument is any contract that gives rise to a financial asset of one entity and a financial 
liability or equity instrument of another entity. Financial assets and financial liabilities are offset with the net 
amount reported in the statement of financial position only if there is a current enforceable legal right to offset 
the recognised amounts and an intent to settle on a net basis, or to realise the assets and settle the liabilities 
simultaneously. 

(a)  Financial assets 

Initial recognition and measurement. Financial assets are classified, at initial recognition, as financial assets 

at fair value through profit or loss, loans and receivables, held-to-maturity investments, Available-for-sale 
(AFS) financial assets, or as derivatives designated as hedging instruments in an effective hedge, as appropriate. 
The Company determines the classification of its financial assets at initial recognition. All financial assets are 
recognised initially at fair value plus, in the case of assets not at fair value through profit or loss, transaction 
costs that are attributable to the acquisition of the financial asset. Purchases or sales of financial assets that 
require delivery of assets within a time frame established by regulation or convention in the marketplace 
(regular way trades) are recognised on the trade date, i.e., the date on which the Company commits to purchase 
or sell the asset. 

Impairment of financial assets. The Company assesses, at each reporting date, whether there is any 
objective evidence that a financial asset or a group of financial assets is impaired. An impairment exists if one 
or more events that has occurred since the initial recognition of the asset (an incurred ‘loss event’), has an 
impact on the estimated future cash flows of the financial asset or the group of financial assets that can be 
reliably estimated. Evidence of impairment may include indications that the debtors or a group of debtors is 
experiencing significant financial difficulty, default or delinquency in interest or principal payments, the 
probability that they will enter bankruptcy or other financial reorganisation and where observable data indicate 
that there is a measurable decrease in the estimated future cash flows, such as changes in arrears or economic 
conditions that correlate with defaults. 

The subsequent measurement and impairment of financial assets depends on their classification as 

described below: 

Financial assets at fair value through profit or loss.  Financial assets at fair value through profit or loss 
include financial assets held for trading and financial assets designated upon initial recognition at fair value 
through profit or loss. Financial assets are classified as held-for trading if they are acquired for the purpose of 
selling or repurchasing in the near term. This category includes derivative financial instruments entered into by 
the Company that are not designated as hedging instruments in hedge relationships as defined by IAS 39.  We 
use freestanding derivative forward contracts to offset exposure to the variability of the value associated with 
assets and liabilities denominated in a foreign currency. These derivatives are not designated as hedges, and 
therefore changes in the value of these forward contracts are recognised in income statement, thereby offsetting 
the current net income (loss) effect of the related change in value of foreign currency denominated assets and 
liabilities. The Company has not designated any financial assets as at fair value through profit or loss. 

199

 
 
 
 
 
 
 
 
 
 
Loans and receivables. Loans and receivables are non-derivative financial assets with fixed or determinable 

payments that are not quoted in an active market. After initial measurement, such financial assets are 
subsequently measured at amortised cost using the effective interest rate (EIR) method, less impairment. 
Amortised cost is calculated by taking into account any discount or premium on acquisition and fees or costs 
that are an integral part of the EIR. The EIR amortisation is included in finance income in the statement of profit 
or loss. The receivables balance consists of trade receivables from subsidiaries and third party customers. We 
maintain an allowance for doubtful accounts for potential credit losses based on our estimates of the ability of 
customers to make required payments, historical credit experience, existing economic conditions and expected 
future trends. We write off uncollectible accounts against the allowance when all reasonable collection efforts 
have been exhausted. Loans, together with the associated allowance are written off when there is no realistic 
prospect of future recovery and all collateral has been realised or has been transferred to the Company. The 
losses arising from impairment are recognised in the statement of income or loss in net operating expenses. 
Refer to “Note 10. Trade Receivables and Allowance for Bad Debt" for further information. 

Available-for-sale (AFS) financial investments. AFS financial assets are non-derivatives that are either 
designated in this category or not classified in any of the other categories. The Company does not have financial 
instruments classified as AFS. 

Derecognition. A financial asset (or, where applicable, a part of a financial asset or part of a group of 

similar financial assets) is derecognised when: 

•   The rights to receive cash flows from the asset have expired, or 

•   The Company has transferred its rights to receive cash flows from the asset or has assumed an 
obligation to pay the received cash flows in full without material delay to a third party under a 
‘pass-through arrangement, and either (a) the Company has transferred substantially all the risks 
and rewards of the asset, or (b) the Company has neither transferred nor retained substantially all 
the risks and rewards of the asset, but has transferred control of the asset. 

When the Company has transferred its rights to receive cash flows from an asset or has entered into a pass-

through arrangement, it evaluates if and, to what extent, it has retained the risks and rewards of ownership. 
When it has neither transferred nor retained substantially all of the risks and rewards of the asset nor transferred 
control of it, the asset is recognised to the extent of its continuing involvement in it. In that case, the Company 
also recognises an associated liability. The transferred asset and the associated liability are measured on a basis 
that reflects the rights and obligations that the Company has retained. 

Continuing involvement that takes the form of a guarantee over the transferred asset is measured at the 
lower of the original carrying amount of the asset and the maximum amount of consideration that the Company 
could be required to repay. 

(b)  Financial liabilities 

Initial recognition and measurement. Financial liabilities are classified, at initial recognition, as financial 

liabilities at fair value through profit or loss, loans and borrowings (bank debt), payables, or as derivatives 
designated as hedging instruments in an effective hedge, as appropriate. All financial liabilities are recognised 
initially at fair value and, in the case of loans and borrowings and payables, net of directly attributable 

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Loans and receivables. Loans and receivables are non-derivative financial assets with fixed or determinable 

payments that are not quoted in an active market. After initial measurement, such financial assets are 

subsequently measured at amortised cost using the effective interest rate (EIR) method, less impairment. 

Amortised cost is calculated by taking into account any discount or premium on acquisition and fees or costs 

that are an integral part of the EIR. The EIR amortisation is included in finance income in the statement of profit 

or loss. The receivables balance consists of trade receivables from subsidiaries and third party customers. We 

maintain an allowance for doubtful accounts for potential credit losses based on our estimates of the ability of 

customers to make required payments, historical credit experience, existing economic conditions and expected 

future trends. We write off uncollectible accounts against the allowance when all reasonable collection efforts 

have been exhausted. Loans, together with the associated allowance are written off when there is no realistic 

prospect of future recovery and all collateral has been realised or has been transferred to the Company. The 

losses arising from impairment are recognised in the statement of income or loss in net operating expenses. 

Refer to “Note 10. Trade Receivables and Allowance for Bad Debt" for further information. 

Available-for-sale (AFS) financial investments. AFS financial assets are non-derivatives that are either 

designated in this category or not classified in any of the other categories. The Company does not have financial 

instruments classified as AFS. 

Derecognition. A financial asset (or, where applicable, a part of a financial asset or part of a group of 

similar financial assets) is derecognised when: 

•   The rights to receive cash flows from the asset have expired, or 

obligation to pay the received cash flows in full without material delay to a third party under a 

‘pass-through arrangement, and either (a) the Company has transferred substantially all the risks 

and rewards of the asset, or (b) the Company has neither transferred nor retained substantially all 

the risks and rewards of the asset, but has transferred control of the asset. 

When the Company has transferred its rights to receive cash flows from an asset or has entered into a pass-

through arrangement, it evaluates if and, to what extent, it has retained the risks and rewards of ownership. 

When it has neither transferred nor retained substantially all of the risks and rewards of the asset nor transferred 

control of it, the asset is recognised to the extent of its continuing involvement in it. In that case, the Company 

also recognises an associated liability. The transferred asset and the associated liability are measured on a basis 

that reflects the rights and obligations that the Company has retained. 

Continuing involvement that takes the form of a guarantee over the transferred asset is measured at the 

lower of the original carrying amount of the asset and the maximum amount of consideration that the Company 

could be required to repay. 

(b)  Financial liabilities 

Initial recognition and measurement. Financial liabilities are classified, at initial recognition, as financial 

liabilities at fair value through profit or loss, loans and borrowings (bank debt), payables, or as derivatives 

designated as hedging instruments in an effective hedge, as appropriate. All financial liabilities are recognised 

initially at fair value and, in the case of loans and borrowings and payables, net of directly attributable 

transaction costs. The Company’s financial liabilities include trade and other payables, loans and bank debt 
including bank overdrafts, and derivative financial instruments. 

The measurement of financial liabilities depends on their classification, as follows: 

Financial liabilities at fair value through profit or loss. Financial liabilities at fair value through profit or 
loss include financial liabilities held-for-trading and financial liabilities designated upon initial recognition as at 
fair value through profit or loss. Financial liabilities are classified as held-for-trading if they are acquired for the 
purpose of selling in the near term. This category includes derivative financial instruments entered into by the 
Company that are not designated as hedging instruments in hedge relationships as defined by IAS 39.  Gains or 
losses on liabilities held-for-trading are recognised in the statement of income or loss. Financial liabilities 
designated upon initial recognition at fair value through profit or loss are designated at the initial date of 
recognition, and only if the criteria in IAS 39 are satisfied. The Company has not designated any financial 
liabilities as at fair value through profit or loss. 

Loans and borrowings (bank debt). After initial recognition, interest bearing loans and borrowings are 

subsequently measured at amortised cost using the effective interest rate method. Gains and losses are 
recognised in the statement of income or loss when the liabilities are derecognised as well as through the 
effective interest rate method (EIR) amortisation process. Amortised cost is calculated by taking into account 
any discount or premium on acquisition and fees or costs that are an integral part of the EIR. The EIR 
amortisation is included in finance costs in the statement of profit or loss. 

•   The Company has transferred its rights to receive cash flows from the asset or has assumed an 

Financial guarantee contracts. Financial guarantee contracts issued by the Company are those contracts 

that require a payment to be made to reimburse the holder for a loss it incurs because the specified debtor fails 
to make a payment when due in accordance with the terms of a debt instrument. Financial guarantee contracts 
are recognised initially as a liability at fair value, adjusted for transaction costs that are directly attributable to 
the issuance of the guarantee. Subsequently, the liability is measured at the higher of the best estimate of the 
expenditure required to settle the present obligation at the reporting date and the amount recognised less 
cumulative amortisation. 

Derecognition. A financial liability is derecognised when the obligation under the liability is discharged or 

cancelled or expires. When an existing financial liability is replaced by another from the same lender on 
substantially different terms, or the terms of an existing liability are substantially modified, such an exchange or 
modification is treated as a derecognition of the original liability and the recognition of a new liability. The 
difference in the respective carrying amounts is recognised in the statement of income or loss. 

Derivative financial instruments and hedge accounting. We use currency exchange rate derivative contracts 
and interest rate derivative instruments, to manage the impact of currency exchange and interest rate changes on 
income statement and cash flows. Derivatives are initially recognised at fair value on the date a derivative 
contract is entered into and are subsequently re-measured at fair value. The method of recognising the resulting 
gain or loss depends on whether the derivative is designated as a hedging instrument, and if so, the nature of the 
item being hedged.  We evaluate hedge effectiveness at inception and on an ongoing basis. If a derivative is no 
longer expected to be highly effective, hedge accounting is discontinued. Hedge ineffectiveness, if any, is 
recorded in income statement. Cash flows from derivative contracts are reported as operating activities in the 
statements of cash flows. 

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When a hedging instrument expires or is sold or terminated, or when a hedge no longer meets the criteria 

for hedge accounting, any cumulative gain or loss existing in equity at that time remains in equity and is 
recognised when the forecast transaction is ultimately recognised in profit or loss. When a forecast transaction is 
no longer expected to occur, the cumulative gain or loss that was reported in equity is immediately reclassified 
to profit or loss. 

In order to minimize income statement and cash flow volatility resulting from currency exchange rate 
changes, we enter into derivative instruments, principally forward currency exchange rate contracts. These 
contracts are designed to hedge anticipated foreign currency transactions and changes in the value of specific 
assets and liabilities and of some revenue. At inception of the forward contract, the derivative is designated as 
either a freestanding derivative or a cash flow hedge. For derivative instruments that are designated and qualify 
as a cash flow hedge, the effective portion of the gain or loss on the derivative instrument is reported as a 
component of accumulated other comprehensive income (loss) and reclassed into income statement to offset 
exchange differences originated by the hedged item or to adjust the value of operating income (expense). We do 
not enter into currency exchange rate derivative contracts for speculative purposes. 

We use interest rate derivative instruments designated as cash flow hedges to manage the exposure to 
interest rate movements and to reduce the risk of increase of borrowing costs by converting floating-rate debt 
into fixed-rate debt. Under these agreements, we agree to exchange, at specified intervals, the difference 
between fixed and floating interest amounts calculated by reference to agreed-upon notional principal amounts. 
The interest rate swaps are structured to mirror the payment terms of the underlying loan. The fair value of the 
interest rate swaps is reported in the balance sheets financial assets or liabilities (current or non-current) 
depending upon the gain or loss position of the contract and the maturity of the future cash flows of the fair 
value of each contract. The effective portion of the gain or loss on these derivatives is reported as a component 
of accumulated other comprehensive income (loss). The non-effective portion is reported in interest expense in 
income statement. 

Cash and Cash Equivalents. Cash and cash equivalents include all cash balances highly liquid investments 

with an original maturity of three months or less, consisting of demand deposit accounts and money market 
mutual funds, and are carried in the balance sheet at cost, which approximate their fair value. 

Borrowing costs. General and specific borrowing costs that are directly attributable to the acquisition, 
construction or production of a qualifying asset are capitalised during the period of time that is required to 
complete and prepare the asset for its intended use or sale. Qualifying assets are assets that necessarily take a 
substantial period of time to get ready for their intended use or sale. Investment income earned on the temporary 
investment of specific borrowings pending their expenditure on qualifying assets is deducted from the 
borrowing costs eligible for capitalisation. Other borrowing costs are expensed in the period in which they are 
incurred. 

Property, Plant and Equipment (“PP&E”). PP&E is carried at cost, less accumulated depreciation and any 

accumulated impairment losses. Maintenance and repairs, and minor replacements are charged to expense as 
incurred, while significant renewals and improvements are capitalised. We compute depreciation using the 
straight-line method over estimated useful lives. Where an item of PP&E comprises several parts with different 
useful lives, each part is recognised as a separate item and depreciated over its useful life. Useful life and 
residual value of PP&E are reviewed at each period-end. As necessary, the occurrence of changes to the useful 
life or residual value is recognised prospectively as a change in accounting estimates. 

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When a hedging instrument expires or is sold or terminated, or when a hedge no longer meets the criteria 

for hedge accounting, any cumulative gain or loss existing in equity at that time remains in equity and is 

recognised when the forecast transaction is ultimately recognised in profit or loss. When a forecast transaction is 

no longer expected to occur, the cumulative gain or loss that was reported in equity is immediately reclassified 

to profit or loss. 

In order to minimize income statement and cash flow volatility resulting from currency exchange rate 

changes, we enter into derivative instruments, principally forward currency exchange rate contracts. These 

contracts are designed to hedge anticipated foreign currency transactions and changes in the value of specific 

assets and liabilities and of some revenue. At inception of the forward contract, the derivative is designated as 

either a freestanding derivative or a cash flow hedge. For derivative instruments that are designated and qualify 

as a cash flow hedge, the effective portion of the gain or loss on the derivative instrument is reported as a 

component of accumulated other comprehensive income (loss) and reclassed into income statement to offset 

exchange differences originated by the hedged item or to adjust the value of operating income (expense). We do 

not enter into currency exchange rate derivative contracts for speculative purposes. 

We use interest rate derivative instruments designated as cash flow hedges to manage the exposure to 

interest rate movements and to reduce the risk of increase of borrowing costs by converting floating-rate debt 

into fixed-rate debt. Under these agreements, we agree to exchange, at specified intervals, the difference 

between fixed and floating interest amounts calculated by reference to agreed-upon notional principal amounts. 

The interest rate swaps are structured to mirror the payment terms of the underlying loan. The fair value of the 

interest rate swaps is reported in the balance sheets financial assets or liabilities (current or non-current) 

depending upon the gain or loss position of the contract and the maturity of the future cash flows of the fair 

value of each contract. The effective portion of the gain or loss on these derivatives is reported as a component 

of accumulated other comprehensive income (loss). The non-effective portion is reported in interest expense in 

income statement. 

Cash and Cash Equivalents. Cash and cash equivalents include all cash balances highly liquid investments 

with an original maturity of three months or less, consisting of demand deposit accounts and money market 

mutual funds, and are carried in the balance sheet at cost, which approximate their fair value. 

Borrowing costs. General and specific borrowing costs that are directly attributable to the acquisition, 

construction or production of a qualifying asset are capitalised during the period of time that is required to 

complete and prepare the asset for its intended use or sale. Qualifying assets are assets that necessarily take a 

substantial period of time to get ready for their intended use or sale. Investment income earned on the temporary 

investment of specific borrowings pending their expenditure on qualifying assets is deducted from the 

borrowing costs eligible for capitalisation. Other borrowing costs are expensed in the period in which they are 

incurred. 

Property, Plant and Equipment (“PP&E”). PP&E is carried at cost, less accumulated depreciation and any 

accumulated impairment losses. Maintenance and repairs, and minor replacements are charged to expense as 

incurred, while significant renewals and improvements are capitalised. We compute depreciation using the 

straight-line method over estimated useful lives. Where an item of PP&E comprises several parts with different 

useful lives, each part is recognised as a separate item and depreciated over its useful life. Useful life and 

residual value of PP&E are reviewed at each period-end. As necessary, the occurrence of changes to the useful 

life or residual value is recognised prospectively as a change in accounting estimates. 

Leasehold improvements are depreciated over the shorter of the useful life of an asset or the lease term. 
Capital improvements to the building are added as building components and depreciated over the useful life of 
the improvement or the building, whichever is less. 

The estimated useful lives for our depreciable PP&E as of 31 December 2015 are as follow: 

Building and building improvements 
Equipment, furniture, fixtures 

Lives in years 
up to 10 
up to 8 

Where there are any internal or external indications that the value of an item of PP&E may be impaired, the 

recoverable amount of the group of cash generating units (CGUs) to which it belongs is calculated. If the 
recoverable amount is less than the carrying amount of the group of CGUs, a provision for impairment is 
recorded. PP&E is reviewed for impairment annually on 1st of October. 

Intangible Assets. Intangible assets shown on the balance sheet are finite-lived assets that are carried at cost 

less accumulated amortisation. We amortise our intangible assets over their useful lives using the straight-line 
method. We evaluate our intangible assets each reporting period to determine whether events and circumstances 
indicate either a different useful life or impairment. If we change our estimate of the useful life of an asset, we 
amortize the carrying amount over the revised remaining useful life. 

Impairment of Intangible Assets.  The Company assesses at each reporting date whether there is an 

indication that an asset may be impaired. If any indication exists, or when annual impairment testing for an asset 
is required, the Company estimates the asset’s recoverable amount. An asset’s recoverable amount is the higher 
of an asset’s CGU’s fair value less costs of disposal and its value in use. Where the carrying amount of an asset 
or CGU exceeds its recoverable amount, the asset is considered impaired and is written down to its recoverable 
amount. 

Revenue. Revenue largely consists of intercompany re-charges, services and management fees. Revenue is 
measured at the fair value of the consideration received or receivable. The Company recognises revenue when 
the amount of revenue can be reliably measured, it is probable that future economic benefits will flow to the 
entity and specific criteria have been met. 

Defined Benefit Pension Plans and Other Post-Employment Benefits. The Company sponsors various 
retirement benefit plans, including defined benefit pension plans (pension benefits), defined contribution 
savings plans and termination indemnity plans. The cost of providing benefits under the defined benefit plans is 
determined separately for each plan using the projected unit credit method. 

Re-measurements, comprising of actuarial gains and losses, the effect of the asset ceiling (excluding 
amounts included in net interest on the net defined benefit liability) and the return on plan assets (excluding 
amounts included in net interest on the net defined benefit liability), are recognised immediately in the balance 
sheet with a corresponding debit or credit to retained earnings through OCI in the period in which they occur. 
Re-measurements are not reclassified to profit or loss in subsequent periods. 

Past service costs are recognised in profit or loss on the earlier of: 
•   The date of the plan amendment or curtailment,  and 

•   The date on which the Company recognises related restructuring costs 

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Net interest is calculated by applying the discount rate to the net defined benefit liability or asset. The 
Company recognises the following changes in the net defined benefit obligation under ‘Net operating expenses’ 
in the statement of income (loss): 

•   Service costs comprising current service costs, past-service costs, gains and losses on curtailments and 

non-routine settlements 

•   Net interest expense or income 

Provision for severance indemnity (TFR) is mandatory for Italian companies and is considered: 

•  

•  

a defined benefit plan with respect to amounts vested up to 31 December 2006 and amounts vesting as 
from 1 January 2007 for employees who have chosen to maintain the TFR at the company, for 
companies with 50 or fewer employees; 

a defined contribution plan with respect to amounts vesting as from 1 January 2007 for employees who 
have opted for supplementary pensions or who have chosen to maintain the TFR at the company, for 
companies with more than 50 employees. 

As a defined benefit plan, the TFR is measured using the unit credit projection method based on actuarial 

assumptions (financial assumptions: discount rate, benefit growth rate). The increase in the present value of the 
TFR is included in net operating expenses, with the exception of the revaluation of the net liability, which is 
recorded among items of other comprehensive income. The cost of TFR accrued up to 31 December 2006 no 
longer includes a component related to future salary increases. Payments of TFR, as a defined contribution plan, 
are also included in personnel expense, and until they are settled financially, they have a balancing entry in the 
statement of financial position in the form of current payables. 

Share-Based Compensation 

We grant share-based incentive awards to directors, officers, key employees and consultants during each 

fiscal year. We measure the cost of employee services received in exchange for an award of equity instruments 
based on the grant date fair market value of the award. The cost of equity-settled transactions is recognised in 
employee benefits expense, together with a corresponding increase in equity (“Retained earnings (deficit)”) 
over the period in which the service and the performance conditions are fulfilled (the vesting period). The 
cumulative expense recognised for equity-settled transactions at each reporting date until the vesting date 
reflects the extent to which the vesting period has expired and the Company’s best estimate of the number of 
equity instruments that will ultimately vest. We issue new shares upon share option exercise, share appreciation 
right (“SAR”) exercise, the award of restricted share and at our election, on vesting of a restricted share unit. 
The social security contributions on employee share-based payment awards is accrued over the service period. 

The following share-based incentive awards are offered by the Company: 

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Net interest is calculated by applying the discount rate to the net defined benefit liability or asset. The 

Company recognises the following changes in the net defined benefit obligation under ‘Net operating expenses’ 

•   Service costs comprising current service costs, past-service costs, gains and losses on curtailments and 

in the statement of income (loss): 

non-routine settlements 

•   Net interest expense or income 

Provision for severance indemnity (TFR) is mandatory for Italian companies and is considered: 

•  

a defined benefit plan with respect to amounts vested up to 31 December 2006 and amounts vesting as 

from 1 January 2007 for employees who have chosen to maintain the TFR at the company, for 

companies with 50 or fewer employees; 

•  

a defined contribution plan with respect to amounts vesting as from 1 January 2007 for employees who 

have opted for supplementary pensions or who have chosen to maintain the TFR at the company, for 

companies with more than 50 employees. 

As a defined benefit plan, the TFR is measured using the unit credit projection method based on actuarial 

assumptions (financial assumptions: discount rate, benefit growth rate). The increase in the present value of the 

TFR is included in net operating expenses, with the exception of the revaluation of the net liability, which is 

recorded among items of other comprehensive income. The cost of TFR accrued up to 31 December 2006 no 

longer includes a component related to future salary increases. Payments of TFR, as a defined contribution plan, 

are also included in personnel expense, and until they are settled financially, they have a balancing entry in the 

statement of financial position in the form of current payables. 

Share-Based Compensation 

We grant share-based incentive awards to directors, officers, key employees and consultants during each 

fiscal year. We measure the cost of employee services received in exchange for an award of equity instruments 

based on the grant date fair market value of the award. The cost of equity-settled transactions is recognised in 

employee benefits expense, together with a corresponding increase in equity (“Retained earnings (deficit)”) 

over the period in which the service and the performance conditions are fulfilled (the vesting period). The 

cumulative expense recognised for equity-settled transactions at each reporting date until the vesting date 

reflects the extent to which the vesting period has expired and the Company’s best estimate of the number of 

equity instruments that will ultimately vest. We issue new shares upon share option exercise, share appreciation 

right (“SAR”) exercise, the award of restricted share and at our election, on vesting of a restricted share unit. 

The social security contributions on employee share-based payment awards is accrued over the service period. 

The following share-based incentive awards are offered by the Company: 

•   Share Appreciation Rights. A share appreciation right (“SAR”) confers upon an employee the 
contractual right to receive an amount of cash, share, or a combination of both that equals the 
appreciation in the Company’s common share from an award’s grant date to the exercise date. SARs 
may be exercised at the employee’s discretion during the exercise period and do not give the employee 
an ownership right in the underlying share. The SARs may be settled in LivaNova shares and/or cash, 
as determined by LivaNova and as set forth in the individual award agreements. SARs do not involve 
payment of an exercise price. We use the Black-Scholes option pricing methodology to calculate the 
grant date fair market value of SARs. We determine the expected volatility on historical volatility. 

•   Share Options. Options granted under the Share Plans are service-based and typically vest annually 

over four years, or cliff-vest in one year, following their date of grant, as required under the applicable 
agreement establishing the award, and have maximum terms of 10 years. Share option grant prices are 
set equal to the closing price of our ordinary shares on the day of the grant. When the share options are 
exercised LivaNova issues new shares. There are no post-vesting restrictions on the shares issued. We 
use the Black-Scholes option pricing methodology to calculate the grant date fair market value of share 
option awards. We determine expected volatility based on the historic volatility of our share price over 
a period equal to the expected term of the option. 

•   Restricted Share and Restricted Share Units. We grant restricted share and restricted share units at no 
purchase cost to the grantee, which typically vest over four years or cliff-vest in one or three years. 
Unvested restricted share entitles the grantees to dividends, if any, and voting rights for their respective 
shares. Sale or transfer of the share and share units are restricted until they are vested.  We issue new 
shares for our restricted share and restricted share unit awards. We have the right to elect to pay the 
cash value of vested restricted share units in lieu of the issuance of new shares. Under our share-based 
compensation plans we repurchase a portion of these shares from our employees to permit our 
employees to meet their minimum statutory tax withholding requirements on vesting of their restricted 
share. 

•   Service-Based Restricted Share and Restricted Share Units. The fair market value of service-based 
restricted share and restricted share units are determined using the market closing price on the grant 
date, and compensation is expensed ratably over the vesting period. Calculation of compensation for 
restricted share awards requires estimation of employee turnover and forfeiture rates. 

•   Market and Performance-Based Restricted Share and Performance-Based Restricted Share 

Units. We may grant restricted share and restricted share units subject to market or performance 
conditions that vest based on the satisfaction of the conditions of the award. The fair market values of 
market condition-based awards are determined using the Monte Carlo simulation method. The Monte 
Carlo simulation method is subject to variability as several factors utilised must be estimated, 
including the derived service period, which is estimated based on our judgement of likely future 
performance and our share price volatility. The fair value of performance-based awards is determined 
using the market closing price on the grant date. Derived service periods and the periods charged with 
compensation expense for performance-based awards are estimated based on our judgement of likely 
future performance and may be adjusted in future periods depending on actual performance. 

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Income Taxes. The tax expense for the period comprises current and deferred tax. Current and deferred tax 

is recognised in profit or loss, except to the extent that it relates to items recognised in other comprehensive 
income or directly in equity. In this case, the tax is also recognised in other comprehensive income or directly in 
equity, respectively. 

The income tax expense or credit for the period is the tax payable on the current period’s taxable income 

based on the applicable income tax rate adjusted by changes in deferred tax assets and liabilities attributable to 
temporary differences and to unused tax losses. 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at 
the end of the reporting period. Management establishes provisions where appropriate on the basis of amounts 
expected to be paid to the tax authorities. 

Deferred taxes are recognised by the liability method for temporary differences between the carrying 
amount of assets and liabilities in the balance sheet and their tax base. They are measured at the tax rates that 
are expected to apply to the period when the asset is realized or the liability is settled, based on tax rates (and 
tax laws) that have been enacted or substantively enacted at the balance sheet date. Adjustments to deferred 
taxes resulting from changes in tax rates are recognised in profit or loss. However, when the deferred tax relates 
to items recognised in equity, the adjustment is also recognised in equity. A deferred tax asset is recognised for 
all deductible temporary differences to the extent that it is probable that taxable profit will be available against 
which the deductible temporary difference can be utilized. At each period-end, the Company reviews the 
recoverable value of deferred tax assets of tax entities holding significant loss carryforwards. This value is 
based on the strategy for recoverability of the tax loss carryforwards. Deferred taxes are charged or credited 
directly to equity when the tax relates to items that are recognised directly in equity, such as gains and losses on 
cash flow hedges and actuarial gains and losses on defined benefit plan obligations. Deferred tax assets and 
liabilities are set off when they are levied by the same taxation authority and the entity has a legally enforceable 
right of set off. Deferred taxes are recognised for all temporary differences associated with investments in 
subsidiaries and associates, except to the extent that the Company is able to control the timing of the reversal of 
the temporary difference and it is probable that the temporary difference will not reverse in the foreseeable 
future. Deferred tax balances are not discounted. 

Leases. We account for leases that transfer substantially all benefits and risks incident to the ownership of 
property as an acquisition of an asset and the incurrence of an obligation, and we account for all other leases as 
operating leases. Certain of our leases provide for tenant improvement allowances that have been recorded as 
deferred rent and amortized, using the straight-line method, over the life of the lease as a reduction to rent 
expense. In addition, scheduled rent increases and rent holidays are recognised on a straight-line basis over the 
term of the lease. 

Equity. Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new 

shares or options are shown in equity as a deduction, net of tax, from the proceeds. 

Contingencies. The Company is subject to product liability claims, government investigations and other 

legal proceedings in the ordinary course of business. Legal fees and other expenses related to litigation are 
expensed as incurred and included in Selling, general and administrative expenses in the Statement of Income 
(Loss). Contingent accruals are recorded when the Company determines that a loss is both probable and 
reasonably estimable. Due to the fact that legal proceedings and other contingencies are inherently 
unpredictable, our assessments involve significant judgement regarding future events. 

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Income Taxes. The tax expense for the period comprises current and deferred tax. Current and deferred tax 

Critical Estimates and Judgements. The preparation of our financial statements in conformity with IFRS 

is recognised in profit or loss, except to the extent that it relates to items recognised in other comprehensive 

income or directly in equity. In this case, the tax is also recognised in other comprehensive income or directly in 

equity, respectively. 

The income tax expense or credit for the period is the tax payable on the current period’s taxable income 

based on the applicable income tax rate adjusted by changes in deferred tax assets and liabilities attributable to 

temporary differences and to unused tax losses. 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at 

the end of the reporting period. Management establishes provisions where appropriate on the basis of amounts 

expected to be paid to the tax authorities. 

Deferred taxes are recognised by the liability method for temporary differences between the carrying 

amount of assets and liabilities in the balance sheet and their tax base. They are measured at the tax rates that 

are expected to apply to the period when the asset is realized or the liability is settled, based on tax rates (and 

tax laws) that have been enacted or substantively enacted at the balance sheet date. Adjustments to deferred 

taxes resulting from changes in tax rates are recognised in profit or loss. However, when the deferred tax relates 

to items recognised in equity, the adjustment is also recognised in equity. A deferred tax asset is recognised for 

all deductible temporary differences to the extent that it is probable that taxable profit will be available against 

which the deductible temporary difference can be utilized. At each period-end, the Company reviews the 

recoverable value of deferred tax assets of tax entities holding significant loss carryforwards. This value is 

based on the strategy for recoverability of the tax loss carryforwards. Deferred taxes are charged or credited 

directly to equity when the tax relates to items that are recognised directly in equity, such as gains and losses on 

cash flow hedges and actuarial gains and losses on defined benefit plan obligations. Deferred tax assets and 

liabilities are set off when they are levied by the same taxation authority and the entity has a legally enforceable 

right of set off. Deferred taxes are recognised for all temporary differences associated with investments in 

subsidiaries and associates, except to the extent that the Company is able to control the timing of the reversal of 

the temporary difference and it is probable that the temporary difference will not reverse in the foreseeable 

future. Deferred tax balances are not discounted. 

Leases. We account for leases that transfer substantially all benefits and risks incident to the ownership of 

property as an acquisition of an asset and the incurrence of an obligation, and we account for all other leases as 

operating leases. Certain of our leases provide for tenant improvement allowances that have been recorded as 

deferred rent and amortized, using the straight-line method, over the life of the lease as a reduction to rent 

expense. In addition, scheduled rent increases and rent holidays are recognised on a straight-line basis over the 

term of the lease. 

Equity. Ordinary shares are classified as equity. Incremental costs directly attributable to the issue of new 

shares or options are shown in equity as a deduction, net of tax, from the proceeds. 

Contingencies. The Company is subject to product liability claims, government investigations and other 

legal proceedings in the ordinary course of business. Legal fees and other expenses related to litigation are 

expensed as incurred and included in Selling, general and administrative expenses in the Statement of Income 

(Loss). Contingent accruals are recorded when the Company determines that a loss is both probable and 

reasonably estimable. Due to the fact that legal proceedings and other contingencies are inherently 

unpredictable, our assessments involve significant judgement regarding future events. 

requires management to make estimates and judgements that affect the amounts reported in such financial 
statements and accompanying notes. These estimates and judgements are based on management’s best 
knowledge of current events and actions we may undertake in the future. Actual results could differ materially 
from those estimates. Application of the following accounting policies requires certain judgements and 
estimates that have the potential for the most significant impact on our financial statements: 

•   Commitments and Contingencies. We record accruals for contingencies when it is probable that a 
liability has been incurred and the amount can be reliably estimated. These accruals are adjusted 
periodically as assessments change or additional information becomes available. Expected legal 
defense costs are accrued when the amount can be reliably estimated. Provisions relating to estimated 
future expenditure for liabilities do not usually reflect any insurance or other claims or recoveries, 
since these are only recognized as assets when the amount is reasonably estimable and collection is 
virtually certain. 

•   Retirement and Other Post-Employment Benefit Plans. We sponsor pension and other post-

employment benefit plans in various forms that cover a significant portion of our current and former 
associates. For post-employment plans with defined benefit obligations, we are required to make 
significant assumptions and estimates about future events in calculating the expense and the present 
value of the liability related to these plans. These include assumptions about the interest rates we apply 
to estimate future defined benefit obligations and net periodic pension expense as well as rates of 
future pension increases. In addition, our actuaries provide management with historical statistical 
information such as withdrawal and mortality rates in connection with these estimates. Assumptions 
and estimates used by the Company may differ materially from the actual results we experience due to 
changing market and economic conditions, higher or lower withdrawal rates, and longer or shorter life 
spans of participants among other factors. For more information on obligations under retirement and 
other post-employment benefit plans and underlying actuarial assumptions, see ‘‘Note 16. Employee 
Retirement Plans’’. 

•   Taxes. We prepare and file our tax returns based on an interpretation of tax laws and regulations, and 

record estimates based on these judgements and interpretations. Our tax returns are subject to 
examination by the competent taxing authorities, which may result in an assessment being made 
requiring payments of additional tax, interest or penalties. Inherent uncertainties exist in our estimates 
of our tax positions. We believe that our estimated amounts for current and deferred tax assets or 
liabilities, including any amounts related to any uncertain tax positions, are appropriate based on 
currently known facts and circumstances. 

•   Share-based payments. Estimating fair value for share-based payment transactions requires 

determination of the most appropriate valuation model, which depends on the terms and conditions of 
the grant. This estimate also requires determination of the most appropriate inputs to the valuation 
model including the expected life of the share option or appreciation right, volatility and dividend yield 
and making assumptions about them. 

207

 
 
 
 
•   Exceptional items. Exceptional items are expense or income items recorded in a period which have 
been determined by management as being material and non-recurring in nature and are presented 
separately within the results of the Company. The determination of which items are disclosed as 
exceptional items will affect the presentation of profit measures and requires a degree of judgement. 
Details relating to exceptional items reported during the period are set out in “Note 22. Exceptional 
items”. 

Note 3. Financial Risk Management 

Management of financial risk 

Increasing market fluctuations may result in significant earnings and cash flow volatility risk for the 
Company. The Company’s operating business as well as its investment and financing activities are affected 
particularly by changes in foreign exchange rates, interest rates and concentration of procurement suppliers. The 
Company seeks to manage and control these risks primarily through its regular operating and financing 
activities, and uses derivative financial instruments when deemed appropriate. 

   The Company’s CFO oversees the management of these risks. The CFO is supported by a senior financial 

management team that advises on financial risks and the appropriate financial risk governance framework for 
the Company. The senior financial management team provides assurance to the Company’s senior management 
that the Company’s financial risk activities are governed by appropriate policies and procedures and that 
financial risks are identified, measured and managed in accordance with group policies and group risk appetite. 
All derivative activities for risk management purposes are carried out by specialist teams that have the 
appropriate skills, experience and supervision. It is the Company’s policy that no trading in derivatives for 
speculative purposes may be undertaken. Intercompany financing or investments of operating units are 
preferably carried out in their functional currency or on a hedged basis. The Board of Directors reviews and 
agrees policies for managing each of these risks. 

Liquidity risk 

Liquidity risk results from the Company’s inability to meet its financial liabilities. The Company follows a 
deliberated financing policy that is aimed towards a balanced financing portfolio, a diversified maturity profile 
and a comfortable liquidity cushion. The Company mitigates liquidity risk by the implementation of an effective 
working capital and centralised cash management and arranged credit facilities with highly rated financial 
institutions. In addition, the Company constantly monitors funding options available in the capital markets, as 
well as trends in the availability and costs of such funding, with a view to maintaining financial flexibility and 
limiting repayment risks. 

The following tables reflect the undiscounted cash outflows related to settlement and repayments, of the 

Company's financial liabilities at a balance sheet date. The disclosed expected undiscounted net cash outflows 
from derivative financial liabilities are determined based on each particular settlement date of an instrument and 
based on the earliest date on which the Company could be required to pay. Cash outflows for financial liabilities 
(including interest) without fixed amount or timing are based on the conditions existing at respective balance 
sheet date. 

208

 
 
been determined by management as being material and non-recurring in nature and are presented 

separately within the results of the Company. The determination of which items are disclosed as 

exceptional items will affect the presentation of profit measures and requires a degree of judgement. 

Details relating to exceptional items reported during the period are set out in “Note 22. Exceptional 

items”. 

Note 3. Financial Risk Management 

Management of financial risk 

Increasing market fluctuations may result in significant earnings and cash flow volatility risk for the 

Company. The Company’s operating business as well as its investment and financing activities are affected 

particularly by changes in foreign exchange rates, interest rates and concentration of procurement suppliers. The 

Company seeks to manage and control these risks primarily through its regular operating and financing 

activities, and uses derivative financial instruments when deemed appropriate. 

   The Company’s CFO oversees the management of these risks. The CFO is supported by a senior financial 

management team that advises on financial risks and the appropriate financial risk governance framework for 

the Company. The senior financial management team provides assurance to the Company’s senior management 

that the Company’s financial risk activities are governed by appropriate policies and procedures and that 

financial risks are identified, measured and managed in accordance with group policies and group risk appetite. 

All derivative activities for risk management purposes are carried out by specialist teams that have the 

appropriate skills, experience and supervision. It is the Company’s policy that no trading in derivatives for 

speculative purposes may be undertaken. Intercompany financing or investments of operating units are 

preferably carried out in their functional currency or on a hedged basis. The Board of Directors reviews and 

agrees policies for managing each of these risks. 

Liquidity risk 

Liquidity risk results from the Company’s inability to meet its financial liabilities. The Company follows a 

deliberated financing policy that is aimed towards a balanced financing portfolio, a diversified maturity profile 

and a comfortable liquidity cushion. The Company mitigates liquidity risk by the implementation of an effective 

working capital and centralised cash management and arranged credit facilities with highly rated financial 

institutions. In addition, the Company constantly monitors funding options available in the capital markets, as 

well as trends in the availability and costs of such funding, with a view to maintaining financial flexibility and 

limiting repayment risks. 

The following tables reflect the undiscounted cash outflows related to settlement and repayments, of the 

Company's financial liabilities at a balance sheet date. The disclosed expected undiscounted net cash outflows 

from derivative financial liabilities are determined based on each particular settlement date of an instrument and 

based on the earliest date on which the Company could be required to pay. Cash outflows for financial liabilities 

sheet date. 

•   Exceptional items. Exceptional items are expense or income items recorded in a period which have 

Contractual undiscounted cash outflows at 31 December 2015 (in thousands): 

DUE WITHIN 
1 YEAR 

1-2 YEARS 

2-5 YEARS 

OVER 5 
YEARS 

TOTAL 

Non-derivative 
financial instruments   
Trade payables 
$ 
Financial liabilities 
Other liabilities 

Total 
Financial derivative 
liabilities 
- on exchange risk 
- on rate risk 

Total 

$ 

$ 

$ 

10,186  $ 
709,961 
— 

720,147  $ 

708  $ 

1,090 
1,798  $ 

—   $ 

18,070 
4,423 
22,493   $ 

—   $ 
858 
858   $ 

—  $ 

54,245 
— 
54,245  $ 

—  $ 
918 
918  $ 

—  $ 

120,060 
— 

120,060  $ 

—  $ 
10 
10  $ 

10,186  
902,336 
4,423 
916,945  

708  
2,876 
3,584  

Foreign Currency Exchange Rate Risk 

Foreign exchange risk is the risk that reported financial performance of the fair value of future cash flows 
of a financial instrument will fluctuate because of changes in foreign exchange rates. The Company operates in 
many countries and currencies and therefore currency fluctuations may impact the Company’s financial results. 
In the ordinary course of business the Company is exposed to foreign currency exchange rate fluctuations, 
particularly between the U. S. dollar, the Euro, Pound Sterling and Japanese Yen.  The Company is exposed to 
currency risk in the following areas: 

•   Transaction exposures, related to anticipated sales and purchases and on-balance-sheet receivables/ 

payables resulting from such transactions 

•   Translation exposure of foreign-currency intercompany and external debt 

•   Translation exposure of foreign-currency denominated equity invested in the Company's subsidiaries 

It is the Company’s policy to reduce the potential year on year volatility caused by foreign-currency 
movements on its net earnings by hedging the anticipated net exposure of foreign currencies resulting from 
foreign-currency sales and purchases. The Company is prohibited from borrowing or investing in foreign 
currencies on a speculative basis. 

Based on an exposure to foreign currency exchange rate risk, a sensitivity analysis indicates that if the U.S. 

dollar had uniformly weakened or strengthened by 10% against the Pound Sterling and the Euro the effect on 
our unrealised income or expense for our derivatives outstanding at 31 December 2015 would have been 
approximately $2.3 million. 

Any gains and losses on the fair value of derivative contracts would generally be offset by gains and losses 

(including interest) without fixed amount or timing are based on the conditions existing at respective balance 

on the underlying transactions. These offsetting gains and losses are not reflected in the above analysis. 

With regard to financial instruments denominated in currencies other than the currency of account of the 
companies holding them, the currencies involving the greatest exposure are the U. S. dollar, the Euro, Pound 
Sterling and Japanese Yen as indicated below (in thousands): 

209

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Assets 
Cash and cash equivalents 
in foreign currency 

$ 

Financial assets in foreign 
currency 
Other assets in foreign 
currency 
Total assets 

Liabilities 
Trade payables in foreign 
currency 
Financial liabilities in 
foreign currency 
Other liabilities in foreign 
currency 
Total liabilities 

EUR 

USD 

31 December 2015 
GBP 
JPY 

OTHER 

TOTAL 

84

$ 

3,179

$ 

806

1,287

$ 

362 

$ 

5,718

—

372
456 

9,626

4,745

—

10,387

24,758

(100) 
12,705 

—
5,551 

353
1,640 

—
10,749 

625
31,101 

125

1,248

423,752

101,938

—
423,877 

— 
103,186 

—

—

—
— 

643

649

2,665

4,418

67,393

597,501

2,361
7,422 

—
68,042 

2,361
602,527 

Net exposure 

$ 

(423,421) $ 

(90,481) $ 

5,551 

(5,782) $ 

(57,293 ) $ 

(571,426) 

Financial derivative 
liabilities 
- not for hedging (1) 

$ 

Total 

—  $ 
— 

—  $ 
— 

(147) 

(147) 

(567) $ 

(567) 

603   $ 
603 

(111) 

(111) 

—  $ 
Total net exposure 
(1) for hedging transactions that do not meet the requirements for hedge accounting 

(147) $ 

—  $ 

$ 

(567) $ 

603   $ 

(111) 

Interest Rate Risk 

The Company’s main interest rate risk arises from long-term debt with variable rates, which expose the 

Company to cash flow interest rate risk. The Company decides, case by case, to hedge interest rate risk on 
medium-long term loans bearing floating interest rates, from a floating rate to a fixed rate, against a potential 
increase of interest rates which would negatively impact LivaNova net earnings. 

During the period from inception to 31 December 2015 the Company’s debt held with banks at variable 

interest rate was denominated only in Euro. The Company manages a portion of its interest rate risk with 
contracts that swap floating-rate interest payments for fixed rate interest payments. 

As at 31 December 2015, the Company had outstanding derivative contracts to hedge against the risk of 
interest rate fluctuations for a notional amount of $79.6 million, equal to about 52% of financial liabilities at 31 
December 2015. 

210

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Assets 

Cash and cash equivalents 

in foreign currency 

$ 

Financial assets in foreign 

currency 

Other assets in foreign 

currency 

Total assets 

Liabilities 

currency 

Trade payables in foreign 

Financial liabilities in 

foreign currency 

Other liabilities in foreign 

currency 

Total liabilities 

Financial derivative 

liabilities 

- not for hedging (1) 

Total 

Total net exposure 

$ 

$ 

Interest Rate Risk 

EUR 

USD 

JPY 

GBP 

OTHER 

TOTAL 

31 December 2015 

84

$ 

3,179

$ 

806

1,287

$ 

362 

$ 

5,718

—

372

456 

9,626

4,745

—

10,387

24,758

(100) 

12,705 

—

5,551 

353

1,640 

—

10,749 

625

31,101 

125

1,248

643

649

2,665

423,752

101,938

4,418

67,393

597,501

—

— 

423,877 

103,186 

2,361

7,422 

—

68,042 

2,361

602,527 

—

—

—

— 

Net exposure 

$ 

(423,421) $ 

(90,481) $ 

5,551 

(5,782) $ 

(57,293 ) $ 

(571,426) 

—  $ 

— 

—  $ 

—  $ 

— 

—  $ 

(147) 

(147) 

(567) $ 

(567) 

603   $ 

603 

(111) 

(111) 

(147) $ 

(567) $ 

603   $ 

(111) 

(1) for hedging transactions that do not meet the requirements for hedge accounting 

The Company’s main interest rate risk arises from long-term debt with variable rates, which expose the 

Company to cash flow interest rate risk. The Company decides, case by case, to hedge interest rate risk on 

medium-long term loans bearing floating interest rates, from a floating rate to a fixed rate, against a potential 

increase of interest rates which would negatively impact LivaNova net earnings. 

During the period from inception to 31 December 2015 the Company’s debt held with banks at variable 

interest rate was denominated only in Euro. The Company manages a portion of its interest rate risk with 

contracts that swap floating-rate interest payments for fixed rate interest payments. 

As at 31 December 2015, the Company had outstanding derivative contracts to hedge against the risk of 

interest rate fluctuations for a notional amount of $79.6 million, equal to about 52% of financial liabilities at 31 

December 2015. 

At 31 December 2015, if interest rates on Euro-denominated bank debt had been 10 basis points higher/ 
lower with all other variables held constant, the calculated post-tax profit for the period would have been US 
$74 thousand lower/ higher, mainly as a result of higher/ lower interest expense on floating rate debt; other 
components of equity would have been US $219 thousand lower and US $223 thousand higher mainly as a 
result of decrease/ increase in the fair value of fixed rate interest rate swaps (derivatives designated for hedge 
accounting). 

The following assumptions were used for the sensitivity analysis as at 31 December 2015: 

Interest-bearing assets: change of +0.25% -0.05% in short-term rates at 31 December; 

•  
•   Unhedged financial liabilities: change of +0.5% - 0.05% in the rate curve at 31 December relative to 

euro and not euro denominated rates; 

•   Hedged financial liabilities: change of +0.5% - 0.05% in the rate curve at 31 December relative to 

euro rate. 

Credit Risk 

Credit risk is the risk that a counterparty will not meet its obligations under a financial instrument or 

customer contract, leading to a financial loss. The Company is exposed to credit risk from its operating 
activities and from its financing activities, including deposits with banks and financial institutions, foreign 
exchange transactions and other financial instruments. 

 The Company's trade receivables balances due from the subsidiaries and third parties represent potential 

concentrations of credit risk. Refer to "Note 10. Trade Receivables and Allowance for Bad Debt" for more 
details. Although we do not currently foresee a concentrated credit risk associated with these receivables, 
repayment is dependent on the financial stability of a respective subsidiary. 

The maximum theoretical credit risk exposure for the Company is an aggregate carrying amount of 

financial assets at each reporting period date (in thousands): 

Other assets 
Trade receivables 
Other receivables 
Other financial assets 
Cash and cash equivalents 
Guarantees 

Total 

31 December 2015 

4,288  
3,847 
12,207 
88,054 
10,102 
11,427 
129,925  

  $ 

 $ 

The risk related to bank accounts, financial assets and assets for financial derivatives is limited since all 

bank and financial counterparties have a high rating. 

The guarantees issued by the Company are primarily due to regulatory requirements (security issued to 
credit institutions to back guarantees issued by them for competitive bidding procedures), and thus, the related 
risk is remote as also seen on a historical basis. 

211

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For banks and financial institutions, only independently rated parties with a minimum rating of ‘A’ (or 

equivalent) are accepted. 

For external customers, if there is no independent rating, risk control assesses the credit quality of the 
customer, taking into account its financial position, past experience and other factors. Individual risk limits are 
set based on internal or external information in accordance with limits set by the Company’s Treasury Group. 
The compliance with and authorisation of credit limits by customers is regularly monitored by line 
management. Additionally, the Company established a Bad Debt Policy, which provides the methodology to be 
used to calculate an addition to the provision for uncollectible receivables for past-due receivables for each 
LivaNova company and the ageing of each receivable. 

Capital management 

The Company maintains a sufficient amount of capital to meet its development needs, fund its subsidiaries' 

operations and ensure the Company continues to be a going concern. The equilibrium of sources of funding, 
which is also aimed at minimising overall capital costs, is achieved by balancing risk capital contributed on a 
permanent basis by shareholders, and debt capital, which is in turn diversified and structured with several due 
dates and in many currencies. To this end, changes in debt levels in relation to both equity and operating profit, 
and the generation of cash by the business units are constantly kept under control. 

Note 4. Fair Value Measurements 

We follow the guidance on fair value measurements and disclosures with respect to assets and liabilities 
that are measured at fair value on both a recurring and nonrecurring basis. Under this guidance, fair value is 
defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction 
between market participants as of the measurement date. The guidance also establishes a hierarchy for inputs 
used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable 
inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market 
participants would use in valuing the asset or liability, based on market data obtained from sources independent 
of us. Unobservable inputs are inputs that reflect our assumptions about the factors market participants would 
use in valuing the asset or liability developed based upon the best information available in the circumstances. 
The categorization of financial assets and financial liabilities within the valuation hierarchy is based upon the 
lowest level of input that is significant to the fair value measurement. The hierarchy is broken down into three 
levels defined as follows: 

•   Level 1 - Inputs are quoted prices in active markets for identical assets or liabilities. 

•   Level 2 - Inputs include quoted prices for similar assets or liabilities in active markets, quoted prices 
for identical or similar assets or liabilities in markets that are not active, and inputs (other than quoted 
prices) that are observable for the asset or liability, either directly or indirectly 

•   Level 3 - Inputs are unobservable for the asset or liability 

No assets or liabilities are classified as Level 1. Financial assets and liabilities that are classified as Level 2 
include derivative instruments, primarily forward and option currency contracts and interest rate swaps contracts, 
which are valued using standard calculations and models that use readily observable market data as their basis. 

Assets and Liabilities That Are Measured at Fair Value on a Recurring Basis 

212

 
 
 
For banks and financial institutions, only independently rated parties with a minimum rating of ‘A’ (or 

The following table provides information by level for assets and liabilities that are measured at fair value on 

equivalent) are accepted. 

a recurring basis as at 31 December 2015 (in thousands): 

For external customers, if there is no independent rating, risk control assesses the credit quality of the 

customer, taking into account its financial position, past experience and other factors. Individual risk limits are 

set based on internal or external information in accordance with limits set by the Company’s Treasury Group. 

The compliance with and authorisation of credit limits by customers is regularly monitored by line 

management. Additionally, the Company established a Bad Debt Policy, which provides the methodology to be 

used to calculate an addition to the provision for uncollectible receivables for past-due receivables for each 

LivaNova company and the ageing of each receivable. 

Capital management 

The Company maintains a sufficient amount of capital to meet its development needs, fund its subsidiaries' 

operations and ensure the Company continues to be a going concern. The equilibrium of sources of funding, 

which is also aimed at minimising overall capital costs, is achieved by balancing risk capital contributed on a 

permanent basis by shareholders, and debt capital, which is in turn diversified and structured with several due 

dates and in many currencies. To this end, changes in debt levels in relation to both equity and operating profit, 

and the generation of cash by the business units are constantly kept under control. 

Note 4. Fair Value Measurements 

We follow the guidance on fair value measurements and disclosures with respect to assets and liabilities 

that are measured at fair value on both a recurring and nonrecurring basis. Under this guidance, fair value is 

defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction 

between market participants as of the measurement date. The guidance also establishes a hierarchy for inputs 

used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable 

inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market 

participants would use in valuing the asset or liability, based on market data obtained from sources independent 

of us. Unobservable inputs are inputs that reflect our assumptions about the factors market participants would 

use in valuing the asset or liability developed based upon the best information available in the circumstances. 

The categorization of financial assets and financial liabilities within the valuation hierarchy is based upon the 

lowest level of input that is significant to the fair value measurement. The hierarchy is broken down into three 

levels defined as follows: 

•   Level 1 - Inputs are quoted prices in active markets for identical assets or liabilities. 

•   Level 2 - Inputs include quoted prices for similar assets or liabilities in active markets, quoted prices 

for identical or similar assets or liabilities in markets that are not active, and inputs (other than quoted 

prices) that are observable for the asset or liability, either directly or indirectly 

•   Level 3 - Inputs are unobservable for the asset or liability 

No assets or liabilities are classified as Level 1. Financial assets and liabilities that are classified as Level 2 

include derivative instruments, primarily forward and option currency contracts and interest rate swaps contracts, 

which are valued using standard calculations and models that use readily observable market data as their basis. 

Assets and Liabilities That Are Measured at Fair Value on a Recurring Basis 

Fair Value as of    Fair Value Measurements Using Inputs Considered 
31 December 
2015 

Level 1 

Level 2 

Level 3 

Liabilities: 
Derivative Liabilities - for 
hedging (interest rates) 
Derivative Liabilities - not for 
hedging (exchange rates) 
Total Liabilities 

$ 

$ 

Level 2 

2,876

 $ 

708
3,584   $ 

—

 $ 

—
—   $ 

2,876

 $ 

708
3,584   $ 

—

—
— 

To measure the fair value of derivative transactions, we calculate the mark-to-market of each transaction 

using prices quoted in active markets (e.g., the spot exchange rate of a currency for forward exchange 
transactions) and observable market inputs processed for the measurement (e.g., the fair value of an interest rate 
swap using the interest rate curve), or the measurement of an exchange rate option (with the processing of listed 
prices and observable variables such as volatility). 

For all level 2 valuations, we use the information provided by a third-party as a source for obtaining quoted 
observable prices and to process market variables. In particular, we use the following techniques to calculate the 
fair value of derivatives: 

- For forward exchange rate transactions, fair value is calculated using the forward market exchange rate on 

the reporting date for each contract: the difference calculated between this amount and the contractual forward 
rate is discounted (present value) to the same reporting date; 

- For interest rate swaps, the fair value is calculated taking into account the present value of interest flows 

calculated on the notional amount of each contract using the forward interest rate curve applicable on the 
reporting date. 

Transfers 

 We review the 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 within the fair value hierarchy. 
Our policy is to recognise transfers into and out of levels within the fair value hierarchy at the end of the fiscal 
quarter in which the actual event or change in circumstances that caused the transfer occurs. There were no 
transfers between Level 1, Level 2, or Level 3 during the periods from Inception to 31 December 2015. When a 
determination is made to classify an asset or liability within Level 3, the determination is based upon the 
significance of the unobservable inputs to the overall fair value. 

Assets and Liabilities that are measured at Fair Value on a Non-recurring Basis 

213

 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
Non-financial assets such as investments in subsidiaries, that are accounted for using the cost method 
intangible assets, and property, plant, and equipment are measured at fair value when there is an indicator of 
impairment and recorded at fair value only when impairment is recognised. The fair values of these non-
financial assets are based on our own judgements about the assumptions that market participants would use in 
pricing the asset and on observable market data, when available. We classify these measurements as Level 3 
within the fair value hierarchy. 

Financial Instruments Not Measured at Fair Value 

The carrying values of the Company's cash and cash equivalents, accounts receivable, accounts payable and 

accrued liabilities approximate their fair values due to the short-term nature of these items. 

The carrying value of our long and short-term debt, as of 31 December 2015 was $902.3 million which we 

believe approximates fair value. 

Note 5. Financial Instruments 

The Company uses several instruments to fund its operating activities including: short and long-term debt 

from credit institutions and other lenders, short-term bank loans and loans from LivaNova subsidiaries. The 
Company’s other financial instruments consist of trade payables and receivables resulting from operating 
activities, assets and liabilities for financial derivatives (primarily interest rate swaps and forward foreign 
currency contracts) and other receivables and payables other than those related to staff, tax authorities and 
welfare agencies. 

Classification of financial instruments 

With regard to classification of financial instruments on the basis of the types as specified in IAS 39, the 

following should be noted: 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate exchange 

risk on imports and exports are classified under “Hedging derivatives” when they meet the 
requirements for being recognised as hedge accounting instruments and under “Financial 
assets/liabilities at fair value through profit or loss” when these requirements are not met. 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate  interest 
rate risk are classified under “Hedging derivatives” when they meet the requirements for being 
recognised as hedge accounting instrument and under “Financial assets/liabilities at fair value 
through profit or loss” when these requirements are not met.  

214

 
 
Non-financial assets such as investments in subsidiaries, that are accounted for using the cost method 

intangible assets, and property, plant, and equipment are measured at fair value when there is an indicator of 

impairment and recorded at fair value only when impairment is recognised. The fair values of these non-

financial assets are based on our own judgements about the assumptions that market participants would use in 

pricing the asset and on observable market data, when available. We classify these measurements as Level 3 

within the fair value hierarchy. 

Financial Instruments Not Measured at Fair Value 

The carrying values of the Company's cash and cash equivalents, accounts receivable, accounts payable and 

accrued liabilities approximate their fair values due to the short-term nature of these items. 

The carrying value of our long and short-term debt, as of 31 December 2015 was $902.3 million which we 

believe approximates fair value. 

Note 5. Financial Instruments 

The Company uses several instruments to fund its operating activities including: short and long-term debt 

from credit institutions and other lenders, short-term bank loans and loans from LivaNova subsidiaries. The 

Company’s other financial instruments consist of trade payables and receivables resulting from operating 

activities, assets and liabilities for financial derivatives (primarily interest rate swaps and forward foreign 

currency contracts) and other receivables and payables other than those related to staff, tax authorities and 

welfare agencies. 

Classification of financial instruments 

following should be noted: 

With regard to classification of financial instruments on the basis of the types as specified in IAS 39, the 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate exchange 

risk on imports and exports are classified under “Hedging derivatives” when they meet the 

requirements for being recognised as hedge accounting instruments and under “Financial 

assets/liabilities at fair value through profit or loss” when these requirements are not met. 

•   Assets and liabilities for financial derivatives related to contracts entered into to mitigate  interest 

rate risk are classified under “Hedging derivatives” when they meet the requirements for being 

recognised as hedge accounting instrument and under “Financial assets/liabilities at fair value 

through profit or loss” when these requirements are not met.  

Classification of financial instruments at 31 December 2015 

CLASSIFICATION 

CARRYING AMOUNT 

FINANCIAL 
ASSETS/LIABILIT
IES AT FAIR 
VALUE 
THROUGH 
PROFIT OR LOSS 

RECEIVABLES 
AND LOANS 

FINANCIAL 
LIABILITIES AT 
AMORTISED 
COST 

HEDGING 
DERIVATIVES 

TOTAL 

CURRENT 
PORTION 

NON-CURRENT 
PORTION 

FAIR VALUE 

Assets 
Financial assets 

$ 

— $ 

— $ 

— $ 

— $ 

— $ 

— $ 

— $ 

— 

—

—

—

—

3,847

18,783

88,054

10,102

—

—

—

—

—

—

—

—

3,847

3,847

—

3,847

18,783

14,495

4,288

18,783

88,054

88,054

10,102

10,102

—

—

88,054

10,102

$ 

—

$ 

120,786

$ 

—

$ 

—

$ 

120,786

$ 

116,498

$ 

4,288

$ 

120,786

Trade receivables 

Other receivables 

Other financial 
assets 
Cash and cash 
equivalents 

Total financial 
assets 

Liabilities 

Financial liabilities  $ 

—

$ 

—

$ 

210,438

$ 

—

$ 

210,438

$ 

18,063

$ 

192,375

$ 

210,852

Trade payables 

Other payables 

Financial 
derivative 
liabilities 
Other financial 
liabilities 

Total financial 
liabilities 

—
— 

708

—

—
— 

—

—

10,186
4,423 

—
— 

10,186
4,423 

10,186
4,423 

—
— 

10,186
4,423 

—

2,876

3,584

1,798

1,786

3,584

691,898

—

691,898

691,898

—

691,898

$ 

708

$ 

—

$ 

916,945

$ 

2,876

$ 

920,529

$ 

726,368

$ 

194,161

$ 

920,943

Note 6. Property, Plant and Equipment 

At 31 December 2015 

Gross amount 
Accumulated depreciation 
and impairment 
Net amount 

Building and 
building 
improvements 

Equipment, other, 
furniture, fixtures 

Total 

 $ 

 $ 

267   $ 

(68)   
199   $ 

2,994   $ 

(2,759)   
235   $ 

3,261 

(2,827) 
434 

215

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
 
Changes during the year in the net amount of each category of property, plant and equipment are indicated 

below: 

Building and 
building 
improvements 

Equipment, other, 
furniture, fixtures 

Total 

Net amount at Inception 

 $ 

Purchases 
Acquisitions 
Depreciation 
Currency translation gains/losses 

Net amount at 31 December 2015 

 $ 

—    $ 
90   
117   
(3)  
(5)  
199    $ 

—    $ 
2   
260   
(16)  
(11)  
235    $ 

— 
92 
377 
(19) 
(16) 
434 

Note 7. Intangible Assets 

At 31 December 2015 

Gross amount 
Accumulated amortisation 
and impairment 
Net amount 

Patents 

Trademarks 
and trade 
names 

Software 

Total 

  $ 

7,230   $ 

1,302   $ 

5,224    $ 

13,756 

(7,230)   
—   $ 
The changes in the net carrying value of each class of intangible assets during the year are indicated below: 

(4,167)  
1,057    $ 

(1,273)   
29   $ 

  $ 

(12,670) 
1,086 

Patents 

 $ 

Inception 

Purchases 
Acquisitions 
Amortisation 
Currency translation gains/losses 

Net amount at 31 December 2015 

 $ 

Trademarks 
and trade 
names 

Software 

Total 

—    $ 
—   
—   
—   
—   
—    $ 

—    $ 
—   
34   
(3)  
(2)  
29    $ 

—    $ 
227   
982   
(110)  
(42)  
1,057    $ 

— 
227 
1,016 
(113) 
(44) 
1,086 

Amortisation costs charged to the statement of income (loss) totaled $0.1 million and was recorded within 

net operating expenses for the period from inception to 31 December 2015. 

The amortisation periods for our finite-lived intangible assets as of 31 December 2015: 

Trademarks and trade names 
Software 

216

Minimum 
Life in 
years

Maximum 
life in 
years

4   
3   

4 
5 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
  
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Changes during the year in the net amount of each category of property, plant and equipment are indicated 

below: 

Building and 

building 

improvements 

Equipment, other, 

furniture, fixtures 

Total 

Net amount at Inception 

 $ 

Purchases 

Acquisitions 

Depreciation 

Currency translation gains/losses 

Net amount at 31 December 2015 

 $ 

—    $ 

90   

117   

(3)  

(5)  

199    $ 

—    $ 

2   

260   

(16)  

(11)  

235    $ 

— 

92 

377 

(19) 

(16) 

434 

Note 7. Intangible Assets 

At 31 December 2015 

Gross amount 

Accumulated amortisation 

and impairment 

Net amount 

Patents 

Software 

Total 

Trademarks 

and trade 

names 

7,230   $ 

1,302   $ 

5,224    $ 

13,756 

(7,230)   

—   $ 

(1,273)   

29   $ 

(4,167)  

1,057    $ 

(12,670) 

1,086 

The changes in the net carrying value of each class of intangible assets during the year are indicated below: 

Inception 

Purchases 

Acquisitions 

Amortisation 

Currency translation gains/losses 

Net amount at 31 December 2015 

 $ 

Patents 

Software 

Total 

Trademarks 

and trade 

names 

—    $ 

—   

—   

—   

—   

—    $ 

—    $ 

—   

34   

(3)  

(2)  

—    $ 

227   

982   

(110)  

(42)  

29    $ 

1,057    $ 

— 

227 

1,016 

(113) 

(44) 

1,086 

Amortisation costs charged to the statement of income (loss) totaled $0.1 million and was recorded within 

net operating expenses for the period from inception to 31 December 2015. 

  $ 

  $ 

 $ 

Note 8. Investments in Subsidiaries 

(in thousands) 

Beginning balance at Inception date 

Additions 
Disposals 
Impairment 

Net amount at 31 December 2015 

(in thousands) 

Gross amount 
Accumulated impairment 

Net book value 

Cost 

— 
3,476,708 
— 
— 
3,476,708 

$ 

$ 

31 December 2015 

$ 

$ 

3,476,708 
— 
3,476,708 

The detail of investments in subsidiary undertakings as at 31 December 2015 is shown as follows (in 

thousands): 

Sorin CRM SAS 
Sorin Group International SA 
Sorin Group Nederland NV 
Sorin Group USA Inc. 
LivaNova Canada Corp. 
LIVN UK Holdco Ltd 
LIVN US 1 LLC (US FINCO) 
LIVN Luxco Sarl 
LIVN Irishco 1 UC 
Sorin Group Italia Srl 
Sorin Site Management Srl 

  % Ownership 

31 December 
2015 

100.00   $ 
100.00   
100.00   
100.00   
100.00   
49.00   
100.00   
100.00   
100.00   
90.37   
86.42   

 $ 

264,441  
6,312 
61,287 
886,268 
111,013 
217,878 
147,330 
3,000 
1,000,000 
761,605 
17,574 
3,476,708  

The amortisation periods for our finite-lived intangible assets as of 31 December 2015: 

The Company had the following directly and indirectly owned subsidiaries as of 31 December 2015: 

During the Mergers in October 2015 the Company issued its shares to the Cyberonics and Sorin 

shareholders in exchange for Cyberonics shares and Sorin net assets. For further details of these transactions 
refer to discussion in "Note 1. Nature of Operations.” 

Trademarks and trade names 

Software 

Minimum 

Maximum 

Life in 

years

life in 

years

4   

3   

4 

5 

LivaNova PLC (Italian Branch) 

Alcard Indústria Mecânica Ltda 

REG. OFFICE 

FUNCTIONAL 
CURRENCY 

  Italy 

  Brazil 

EUR 

BRL 

217

% 
CONSOLIDATED 
GROUP  
OWNERSHIP 

NAME 

% OWNERSHIP 

100   

  Sorin Group 
Italia SRL 

100

100

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
  
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
Caisson Interventional LLC 

California Medical Laboratories (CalMed) Inc. 

Cardiosolutions Inc. 

  USA 

  USA 

  USA 

USD 

USD 

USD 

100

100

100

  Sorin Group 
USA Inc. 
  Sorin Group 
USA Inc. 
  Sorin Group 
USA Inc. 
  Sorin Group 

Cellplex PTY LTD 

  Australia 

AUD 

100

Australia PTY 
LTD 

Cyberonics Europe BV / BA 

Cyberonics France SARL 

Cyberonics Holdings LLC 

Cyberonics Inc. 

Cyberonics Latam SRL 

  Belgium 

  France 
  USA 

  USA 

  Costa Rica 

EUR 

EUR 

USD 

USD 

CRC 

Cyberonics Netherlands CV 

  Netherlands 

EUR 

Cyberonics Spain SL 

Enopace Biomedical Ltd 

Highlife SAS 

Imthera Medical, Inc 

La Bouscare S.C.I. 

LivaNova Canada Corp 

Livn Irishco 2 UC 

Livn Irishco Unlimited Company 

Livn Luxco Sarl 

Livn Luxco 2 Sarl 

Livn UK Holdco Limited 

Livn UK Limited 2 Co 

Livn UK Limited 3 Co 

Livn US Holdco, Inc. 

Livn US Lp 

Livn US 1, LLC 

Livn US 3 LLC 

  Spain 

  Israel 

  France 
  USA 

  France 
  Canada 

  Ireland 
  Ireland 
  Luxembourg 

EUR 

USD 

EUR 

USD 

EUR 

CAD 

EUR 

EUR 

EUR 

  Luxembourg 

EUR 

  United Kingdom  EUR 

  United Kingdom  EUR 

  United Kingdom  EUR 
USD 
  USA 

  USA 

  USA 

  USA 

USD 

USD 

USD 

LMTB - Laser - und Medizin - Technologie Gmbh 

  Germany 

EUR 

218

100

  Cyberonics 
Spain SL 
  Cyberonics 

100
Europe BVBA 
100  Cyberonics Inc. 
  LIVN US 

Holdco Inc. 
  Cyberonics 
Spain SL 
  Cyberonics 

100

100

100

Holdings LLC 
Cyberonics Inc 

  CYBX 

100

Netherlands CV 

100

Sorin CRM SAS 

  Sorin CRM 

Holdings SAS 

100
100   

  Sorin Group 
100
France SAS 
100  Livanova PLC 
  LIVN UK 
Holdco Ltd 

100
100   
100  Livanova PLC 
  LIVN UK 
Holdco Ltd 

100

  LIVN UK 2 CO. 

Ltd 
Livanova PLC 
  Livn US 1 LLC 
(US FINCO) 

100

100

100
Livn US LP 
100  Livn US LP 

Livn UK LTD 3 
Co. 

100  Livn US 3 LLC 
Sorin Group 
USA Inc. 
100  Livanova PLC 
  Sorin Group 
USA Inc. 

100

  SORIN GROUP 
DEUTSCHLAN
D GMBH 

100

44

100

35

100

100

100
100 

100

100

1
99 

100

32

38

50
100 

100

100 

100

51
49 

100

100
56 

44
17 

83
100 

100

23

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
Caisson Interventional LLC 

California Medical Laboratories (CalMed) Inc. 

Cardiosolutions Inc. 

Cellplex PTY LTD 

  Australia 

AUD 

Cyberonics Netherlands CV 

  Netherlands 

EUR 

Cyberonics Europe BV / BA 

Cyberonics France SARL 

Cyberonics Holdings LLC 

Cyberonics Inc. 

Cyberonics Latam SRL 

Cyberonics Spain SL 

Enopace Biomedical Ltd 

Highlife SAS 

Imthera Medical, Inc 

La Bouscare S.C.I. 

LivaNova Canada Corp 

Livn Irishco 2 UC 

Livn Irishco Unlimited Company 

Livn Luxco Sarl 

Livn Luxco 2 Sarl 

Livn UK Holdco Limited 

Livn UK Limited 2 Co 

Livn UK Limited 3 Co 

Livn US Holdco, Inc. 

Livn US Lp 

Livn US 1, LLC 

Livn US 3 LLC 

  USA 

  USA 

  USA 

  Belgium 

  France 

  USA 

  USA 

  Costa Rica 

  Spain 

  Israel 

  France 

  USA 

  France 

  Canada 

  Ireland 

  Ireland 

  Luxembourg 

  Luxembourg 

EUR 

  United Kingdom  EUR 

  United Kingdom  EUR 

  United Kingdom  EUR 

  USA 

  USA 

  USA 

  USA 

USD 

USD 

USD 

EUR 

EUR 

USD 

USD 

CRC 

EUR 

USD 

EUR 

USD 

EUR 

CAD 

EUR 

EUR 

EUR 

USD 

USD 

USD 

USD 

LMTB - Laser - und Medizin - Technologie Gmbh 

  Germany 

EUR 

  Sorin Group 

100

USA Inc. 

  Sorin Group 

100

USA Inc. 

  Sorin Group 

100

USA Inc. 

  Sorin Group 

Australia PTY 

100

LTD 

  Cyberonics 

100

Spain SL 

  Cyberonics 

100

Europe BVBA 

100  Cyberonics Inc. 

  LIVN US 

100

Holdco Inc. 

  Cyberonics 

100

Spain SL 

  Cyberonics 

100

Holdings LLC 

Cyberonics Inc 

  CYBX 

100

Netherlands CV 

100

Sorin CRM SAS 

  Sorin CRM 

100

Holdings SAS 

100   

  Sorin Group 

France SAS 

100

100  Livanova PLC 

  LIVN UK 

Holdco Ltd 

100

100   

100  Livanova PLC 

  LIVN UK 

Holdco Ltd 

100

  LIVN UK 2 CO. 

100

Ltd 

Livanova PLC 

  Livn US 1 LLC 

100

(US FINCO) 

100

Livn US LP 

100  Livn US LP 

Livn UK LTD 3 

Co. 

100  Livn US 3 LLC 

Sorin Group 

USA Inc. 

100  Livanova PLC 

  Sorin Group 

100

USA Inc. 

  SORIN GROUP 

DEUTSCHLAN

100

D GMBH 

44

100

35

100

100

100

100 

100

100

1

99 

100

32

38

50

100 

100

100 

100

51

49 

100

100

56 

44

17 

83

100 

100

23

MD Start I KG 

MD Start SA 

MicroPort Sorin CRM (Shanghai) Co. Ltd 

Reced Indústria Mecânica Ltda 

Respicardia, Inc 

Sobedia Energia 

Sorin CP Holding S.r.l. 

Sorin CRM Holding SAS 

Sorin CRM SAS 

Sorin CRM USA 

  Germany 

  Suisse 

  China 

  Brazil 

  USA 

  Italy 

  Italy 

  France 
  France 

  USA 

SorinCardio - Comercialização e Distribuição de 
Equipamentos Medicos, Lda 

  Portugal 

Sorin Group Asia Pte Ltd 

  Asia 

EUR 

CHF 

CNY 

BRL 

USD 

EUR 

EUR 

EUR 

EUR 

USD 

EUR 

USD 

Sorin Group Australia PTY Limited 

  Australia 

AUD 

Sorin Group Austria GmbH 

Sorin Group Belgium SA 

Sorin Group Colombia Sas 

  Austria 

  Belgium 

  Colombia 

EUR 

EUR 

COP 

Sorin Group Czech Republic 

  Czech Republic  EUR 

Sorin Group Deutschland GmbH 

Sorin Group DR, S.r.l. 

Sorin Group Espana S.L. 

Sorin Group Finland OY 

Sorin Group France SAS 

Sorin Group India Private Limited 

Sorin Group International SA 

Sorin Group Italia S.r.l. 

  Germany 
Dominican 
Republic 

  Spain 

  Finland 

  France 

  India 
  Suisse 

  Italy 

EUR 

USD 

EUR 

EUR 

EUR 

INR 

EUR 

EUR 

219

  SORIN GROUP 
DEUTSCHLAN
D GMBH 

100

  SORIN GROUP 
ITALIA SRL 

100

100

100

SORIN CRM 
HOLDING SAS 
  SORIN GROUP 
ITALIA SRL 
  SORIN CRM 

100

SAS 

100

  SORIN GROUP 
ITALIA SRL 
SORIN SITE 
MANAGEMEN
T SRL 

100

  SORIN GROUP 
ITALIA SRL 
  SORIN CRM 

SAS 

100
100  Livanova PLC 
  Sorin Group 
USA Inc. 
  SORIN CRM 

100

100

SAS 

  SORIN GROUP 
ITALIA SRL 

100

  LivaNova 

100

Nederland NV 

  LivaNova 

100

Nederland NV 

  LivaNova 

100

100

100

100

Nederland NV 
  SORIN GROUP 
ITALIA SRL 
  SORIN GROUP 
ITALIA SRL 
  SORIN GROUP 
ITALIA SRL 
  SORIN CRM 

100

SAS 

100

  LivaNova 

Nederland NV 
SORIN CRM 
SAS 

100

  SORIN GROUP 
ITALIA SRL 
  SORIN CRM 

100

SAS 

  LivaNova 

100
Nederland NV 
100  Livanova PLC 
  Livanova PLC - 
Italian Branch 
Sorin Site 
Management 
SRL 

100

Sorin CRM SAS 

22

21

49

100

20

50

25

100

100
100 

100

100

100

100

100

100

100

100

100

100

57

43

100

100

100
100 

90

7

3

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
Sorin Group Japan K.K 

Sorin Group Nederland 

Sorin Group Norway AS 

Sorin Group Polska Sp. Z.o.o. 

Sorin Group Rus LLC 

Sorin Group Scandinavia AB 

Sorin Group UK Limited 

Sorin Group USA Inc. 

Sorin Medical Devices (Suzhou) Co. Ltd 

Sorin Medical (Shanghai) Co. Ltd 

  Japan 
  Netherlands 

  Norway 

  Poland 

  Russia 

JPY 

EUR 

NOK 

PLN 

RUB 

  Scandinavia 

EUR 

  United Kingdom  EUR 
USD 
  USA 

  China 

  China 

CNY 

CNY 

  LivaNova 

Nederland NV 

100
100   

  SORIN GROUP 
SCANDINAVI
A AB 
  LivaNova 

Nederland NV 
  SORIN GROUP 
ITALIA SRL 
  SORIN GROUP 
ITALIA SRL 

100

100

100

100

  LivaNova 

100
Nederland NV 
100  Livanova PLC 
  SORIN CP 

100

HOLDING SRL 

  SORIN CP 

100

HOLDING SRL 

LIVANOVA 
PLC - ITALIAN 
BRANCH 

SORIN GROUP 
ITALIA SRL 

100

100

100

100

100

100
100 

100

100

86

14

Sorin Site Management S.r.l. 

  Italy 

EUR 

100

Note 9. Other Financial Assets 

 Our current financial assets in the balance sheet include receivables from subsidiaries. These represent 

loans and current receivable balances due from LivaNova with our subsidiaries and are repayable on demand. 

(in thousands) 

Financial receivables due from subsidiaries 
Other 

Note 10. Trade Receivables and Allowance for Bad Debt 

Trade receivables consisted of the following (in thousands): 

Trade receivables due from third parties 
Trade receivables due from LivaNova subsidiaries 
Allowance for bad debt 

31 December 2015 

88,600 
(546) 
88,054 

31 December 2015 

257 
3,840 
(250) 
3,847 

  $ 

  $ 

  $ 

  $ 

220

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sorin Group Japan K.K 

Sorin Group Nederland 

Sorin Group Norway AS 

Sorin Group Polska Sp. Z.o.o. 

Sorin Group Rus LLC 

Sorin Group Scandinavia AB 

Sorin Group UK Limited 

Sorin Group USA Inc. 

Sorin Medical Devices (Suzhou) Co. Ltd 

Sorin Medical (Shanghai) Co. Ltd 

  Japan 

  Netherlands 

  Norway 

  Poland 

  Russia 

  USA 

  China 

  China 

JPY 

EUR 

NOK 

PLN 

RUB 

USD 

CNY 

CNY 

  Scandinavia 

EUR 

  United Kingdom  EUR 

Sorin Site Management S.r.l. 

  Italy 

EUR 

  LivaNova 

100

Nederland NV 

100   

  SORIN GROUP 

SCANDINAVI

100

A AB 

  LivaNova 

100

Nederland NV 

  SORIN GROUP 

100

ITALIA SRL 

  SORIN GROUP 

100

ITALIA SRL 

  LivaNova 

100

Nederland NV 

100  Livanova PLC 

  SORIN CP 

100

HOLDING SRL 

  SORIN CP 

100

HOLDING SRL 

LIVANOVA 

PLC - ITALIAN 

100

BRANCH 

SORIN GROUP 

ITALIA SRL 

  $ 

  $ 

  $ 

  $ 

100

100

100

100

100

100

100 

100

100

86

14

257 

3,840 

(250) 

3,847 

Note 9. Other Financial Assets 

 Our current financial assets in the balance sheet include receivables from subsidiaries. These represent 

loans and current receivable balances due from LivaNova with our subsidiaries and are repayable on demand. 

(in thousands) 

Other 

Financial receivables due from subsidiaries 

31 December 2015 

88,600 

(546) 

88,054 

Note 10. Trade Receivables and Allowance for Bad Debt 

Trade receivables consisted of the following (in thousands): 

Trade receivables due from third parties 

Trade receivables due from LivaNova subsidiaries 

Allowance for bad debt 

Trade receivables are reported net of the allowance for bad debt provision, the changes in which are 

provided below (in thousands): 

Beginning at inception date 

Additions 
Currency translation gains/losses 

End of period 

31 December 2015 

— 
261 
(11) 
250 

  $ 

 $ 

Note 11. Derivative Financial Instruments 

We enter into derivative instruments, principally foreign exchange forward and interest rate swaps contracts 

for the purpose of hedging the risk of fluctuations in foreign exchange and interest rates. For additional details 
refer to our accounting policy “Derivatives” included within “Note 2. Basis of Preparation, Use of Accounting 
Estimates and Significant Accounting Policies”. 

Freestanding derivative forward contracts 

Freestanding derivative forward contracts are used to offset the exposure to the change in value of our 
foreign currency denominated financial intercompany transactions (current accounts and loans) of certain long-
term loans and the hedging of net revenues denominated in JPY and GBP of LivaNova subsidiaries. The gross 
notional amount of these contracts not designated as hedging instruments, outstanding at 31 December 2015 
was $321.3 million. 

The amount and location of the gains (losses) in the statements of income (loss) related to derivative 
instruments, not designated as hedging instruments, for the period from inception to 31 December 2015 are as 
follows: 

(in thousands) 

Derivatives Not Designated as 
Hedging Instruments 
Foreign currency exchange rate 
contracts 

Location 

From Inception to 31 December 
2015 

Foreign exchange 

$ 

(11,974) 

Foreign currency exchange differences include the losses, realised and unrealised, related to the forward 

contracts, not qualifying for hedge accounting, put in place, for the hedging of the following: 

•  

intercompany financial accounts and loans not denominated in U.S. dollars, recording a loss for $5.1 

31 December 2015 

million; 

•  

short and long-term loans denominated in Euro, recording a loss for the amount of $7.9 million, of 

which $4.8 million relates to a foreign exchange derivative arrangement on the EIB long-term loan. Such 
derivative arrangements have been discontinued in January 2016; 

•  

 revenues denominated in British pounds and Japanese yen for the period from date of the Mergers to 

31 December 2015, recording a gain for $1.1 million. 

The foreign currency exchange losses on the above mentioned forward contracts are mainly due to the 

revaluation of the U.S. dollar against the euro and other currencies. 

221

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Interest rate swaps 

As discussed in "Note 13. Financial Liabilities" upon successful completion of the Mergers, the Company 
assumed the long-term loan from a European Investment Bank (“EIB”) that bears floating-rate interest rate. To 
minimize the impact of changes in interest rates on its interest payments under the EIB loan, the Company 
entered into interest rate swap agreements to swap floating-rate interest payments for fixed-rate interest 
payments. The outstanding notional amount at 31 December 2015 is Euro 73.3 million (equivalent to $79.6 
million). The interest rate swap agreements mature in June 2021 and have periodic interest settlements. The 
interest rate swap agreements were designated as a cash flow hedge of the variability of interest payments under 
the EIB long-term loan agreement due to changes in the floating interest rates by converting from Euribor 3 
month floating-rate to a fixed-rate loan. 

The swaps fixed rates were structured to mirror the payment terms of the loan. The effective portion of the 

gain or loss on these derivatives is reported as a component of accumulated other comprehensive income. On 
interest rate swap contracts we the Company had an effective portion equivalent at $83,000 in after-tax net 
unrealised gains, and an ineffective portion for the amount of $25,000 reported in the line item interest expense 
in statement of income (loss). 

Presentation in Financial Statements 

The amount of gains (losses) and location of the gains (losses) in the statements of income and accumulated 

other comprehensive income (“OCI”) related to interest rate swap derivative instruments designated as cash 
flow hedges for the period from inception to 31 December 2015 are as follows: 

(in thousands) 

Derivatives in Cash Flow Hedging 
Relationships 
Interest rate swap contracts 

Total 

Gross Gains 
Recognised in OCI 

on Effective Portion of 
Derivative 

Effective Portion of Gains (Losses) on 
Derivative Reclassified from: 

Amount 

Location 
124    Interest expense 
124     

Amount 

 $ 

 $ 

124 
124 

$ 

$ 

The following tables summarize the location and fair value amounts of derivative instruments reported in 
the Company's balance sheet as of 31 December 2015. The fair value amounts are presented on a gross basis 
and are segregated between derivatives that are designated and qualify as hedging instruments and those that are 
not, and are further segregated by type of contract within those two categories. 

222

 
 
 
 
 
Interest rate swaps 

(in thousands) 

Liability Derivatives 

As discussed in "Note 13. Financial Liabilities" upon successful completion of the Mergers, the Company 

assumed the long-term loan from a European Investment Bank (“EIB”) that bears floating-rate interest rate. To 

minimize the impact of changes in interest rates on its interest payments under the EIB loan, the Company 

entered into interest rate swap agreements to swap floating-rate interest payments for fixed-rate interest 

payments. The outstanding notional amount at 31 December 2015 is Euro 73.3 million (equivalent to $79.6 

million). The interest rate swap agreements mature in June 2021 and have periodic interest settlements. The 

interest rate swap agreements were designated as a cash flow hedge of the variability of interest payments under 

the EIB long-term loan agreement due to changes in the floating interest rates by converting from Euribor 3 

month floating-rate to a fixed-rate loan. 

The swaps fixed rates were structured to mirror the payment terms of the loan. The effective portion of the 

gain or loss on these derivatives is reported as a component of accumulated other comprehensive income. On 

interest rate swap contracts we the Company had an effective portion equivalent at $83,000 in after-tax net 

unrealised gains, and an ineffective portion for the amount of $25,000 reported in the line item interest expense 

in statement of income (loss). 

Presentation in Financial Statements 

The amount of gains (losses) and location of the gains (losses) in the statements of income and accumulated 

other comprehensive income (“OCI”) related to interest rate swap derivative instruments designated as cash 

flow hedges for the period from inception to 31 December 2015 are as follows: 

Gross Gains 

Recognised in OCI 

(in thousands) 

Derivatives in Cash Flow Hedging 

Relationships 

Interest rate swap contracts 

Total 

$ 

$ 

on Effective Portion of 

Effective Portion of Gains (Losses) on 

Derivative 

Derivative Reclassified from: 

Amount 

Location 

Amount 

124    Interest expense 

124     

 $ 

 $ 

124 

124 

The following tables summarize the location and fair value amounts of derivative instruments reported in 

the Company's balance sheet as of 31 December 2015. The fair value amounts are presented on a gross basis 

and are segregated between derivatives that are designated and qualify as hedging instruments and those that are 

not, and are further segregated by type of contract within those two categories. 

Derivatives designated as hedging instruments 

Interest rate contracts 

Interest  rate contracts 

Total derivatives designated as hedging instruments 
Derivatives not designated as hedging instruments 

Foreign currency exchange rate contracts 

Foreign currency exchange rate contracts 

Total derivatives not designated as hedging instruments 
Total derivatives 

Note 12. Equity 

Share capital. 

The Company's authorised share capital is as follows: 

Balance Sheet 
Location 

Non-current financial 
derivative liabilities 
Current financial 
derivative liabilities 

 $ 

Current financial 
derivative liabilities 
Current financial 
derivative liabilities 

 $ 

Fair Value 

1,786

1,090 
2,876  

1,547 

(839 ) 
708  
3,584 

(in number of shares) 

  31 December 2015 

Authorised share capital, ordinary shares of £1 each, unlimited shares authorized 
Issued - fully paid 
Outstanding 

48,868,305  
48,868,305  

Merger relief reserve.  On 19 October 2015 pursuant to the Mergers the merger relief reserve of US 

$2,649.6 million was recorded in respect of the excess of Sorin and Cyberonics mergers with and into the 
Company. Further information relating to the Mergers is detailed in “Note 1. Nature of Operations”. 

223

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
 
 
 
 
 
   
 
   
   
 
 
Comprehensive income. 

The table below presents the change in each component of accumulated other comprehensive income 
(loss), net of tax and the reclassifications out of accumulated other comprehensive income into net earnings. 

Change in 
unrealised 
gain (loss) on 
derivatives 

Foreign 
currency 
translation 
adjustments 

Revaluation of 
net liability 
(asset) for 
defined 
b

fit

Total 

Balance from Inception 

$ 

— 

 $ 

— 

 $ 

— 

 $ 

— 

Reclassification of (gain)/loss from 
accumulated other comprehensive 
income, before tax 
Tax effect 

Reclassification of (gain)/loss from 
accumulated other comprehensive 
income, after tax
Net current-period other comprehensive 
income (loss), net of tax 
Ending Balance - 31 December 2015 

$ 

Note 13. Financial Liabilities 

124

(41)   

(22,665)   
—   

(8)   
3   

(22,549) 

(38) 

83

(22,665)   

(5)   

(22,587) 

—
83    $ 

—

—

—

(22,665 )   $ 

(5 )   $ 

(22,587 ) 

The outstanding principal amount of long-term debt at 31 December 2015 consisted of the following (in 

thousands, except interest rates): 

Principal Amount at 
31 December 2015 

Maturity 

Effective Interest 
Rate 

European Investment Bank 
Loans payable to LivaNova 
subsidiaries 
Total long-term facilities 
Less current portion of long-term 
debt 
Total long-term debt 

 $ 

 $ 

99,426    June 2021 

1.15%

111,012
210,438     

18,063
192,375     

The outstanding principal amount of short-term debt as of 31 December 2015 consisted of the following (in 

thousands, except interest rates): 

224

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
  
 
   
 
 
   
   
   
Comprehensive income. 

The table below presents the change in each component of accumulated other comprehensive income 

(loss), net of tax and the reclassifications out of accumulated other comprehensive income into net earnings. 

Change in 

unrealised 

gain (loss) on 

derivatives 

Foreign 

currency 

translation 

adjustments 

Revaluation of 

net liability 

(asset) for 

defined 

b

fit

Total 

Balance from Inception 

$ 

— 

 $ 

— 

 $ 

— 

 $ 

— 

Reclassification of (gain)/loss from 

accumulated other comprehensive 

income, before tax 

Tax effect 

Reclassification of (gain)/loss from 

accumulated other comprehensive 

income, after tax

Net current-period other comprehensive 

income (loss), net of tax 

Ending Balance - 31 December 2015 

$ 

Note 13. Financial Liabilities 

thousands, except interest rates): 

124

(41)   

(22,665)   

—   

(8)   

3   

(22,549) 

(38) 

83

—

(22,665)   

(5)   

(22,587) 

—

—

—

83    $ 

(22,665 )   $ 

(5 )   $ 

(22,587 ) 

The outstanding principal amount of long-term debt at 31 December 2015 consisted of the following (in 

European Investment Bank 

 $ 

99,426    June 2021 

1.15%

Principal Amount at 

31 December 2015 

Maturity 

Effective Interest 

Rate 

Loans payable to LivaNova 

subsidiaries 

Total long-term facilities 

Less current portion of long-term 

debt 

Total long-term debt 

 $ 

111,012

210,438     

18,063

192,375     

The outstanding principal amount of short-term debt as of 31 December 2015 consisted of the following (in 

thousands, except interest rates): 

Intesa San Paolo Bank 
BNL  BNP Paribas 
Unicredit Banca 
Other short-term facilities 
Loans payable to LivaNova subsidiaries 

Total short-term facilities 
Current portion of long-term debt 
Total current debt 

Principal Amount at 
31 December 2015 

Effective Interest 
Rate 

0.25%
0.27%
0.45%

 $ 

 $ 

20,630   
18,459   
15,201   
146     
637,462     
691,898     
18,063     
709,961     

During the Mergers the Company assumed the loan from the European Investment Bank (“EIB”) loan that 

was previously provided to Sorin to support research and development projects in Italy and France related to the 
development of new products or improvements in Sorin’s products in cardiac surgery, cardiac rhythm 
management and new therapeutic solutions aimed at treating heart failure and mitral valve regurgitation. The 
loan was originally issued in July 2014, has a seven-year term with interest paid in quarterly installments. The 
loan is guaranteed by Sorin Group Italia S.r.l. and Sorin CRM SAS, subsidiaries of LivaNova. In December 
2015, we paid our scheduled semi-annual $9.0 million principal payment. 

The EIB loan is subject to the various terms and conditions: 

•  

•  

certain financial ratios calculated based on the LivaNova Consolidated financial statements; 

subordination clauses, based on which the loan cannot be subordinated to other loans, with the 

exception of loans given preference deriving from legal obligations;  

•   negative pledge clauses that place limits on the issue of collateral; 

•   other customary clauses for loans of this type, including limits on LivaNova’s asset disposals. 

LivaNova PLC, in the management of LivaNova centralized treasury and acting as in-house bank of the 
Group, receives excess cash and deposit from subsidiaries which generate cash. The amount of the short-term 
intercompany deposits received, together with the current accounts balance in favor of its subsidiaries, 
amounted US $214 million at 31 December 2015. 

In December 2015 LivaNova PLC has issued a promissory note in favor of  LIVN UK Holdco, of the 
amount  of US $111 million for the settlement of the purchase price of LivaNova Canada Corp. ; the promissory 
note  bears a fixed interest rate of 0.56% p.a. and has a maturity of more than 12 months with an expiry date on 
31 December 2016. 

In December 2015 LivaNova PLC has issued a promissory note to Sorin Group Italia srl, for Euro 390 
million (US $423.5 million at 31 December 2015), for the settlement of the purchase price of Sorin Group USA 
Inc.; the promissory note bears a fixed interest rate of 1.5% p.a. and has a maturity of 12 months with an expiry 
date on 15 December 2016. 

The total amount of the loans payable to LivaNova subsidiaries is US$ 748.5 million at 31 December 2015. 

225

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
  
 
   
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
Note 14. Other Payables 

(in thousands) 

Accrued expenses- employee-related charges 
Other accrued expenses 
Other current liabilities with subsidiaries 
Other current liabilities 
Other amounts due to health and social security institution 
Amounts due to employees 
Deferred income 

Total 

Note 15.  Share-Based Incentive Plans 

Share-Based Incentive Plans 

Sorin awards exchanged for LivaNova awards 

31 December 2015 

1,605 
2,219 
3,860 
563 
186 
1,037 
1 
9,471 

  $ 

  $ 

Prior to the Mergers, the Sorin Board of Directors adopted the Long-Term Incentive 2012-2014 (the “2012-

2014 Plan), 2013-2015 (the “2013-2015 Plan”) and 2014-2016 (the “2014-2016 Plan”) share grant plans in 
April 2012, April 2013 and April 2014, respectively. The share grant plans authorised the issuance of share 
appreciation rights (2014-2016 Plan only), performance share units and restricted share units. The awards under 
these share grant plans were converted into LivaNova awards pursuant to the terms of the Mergers as described 
below and were accounted for as equity settled.  Refer to “Note 1. Nature of Operations” for details related to 
the Mergers. 

Pursuant to the Mergers, 3,815,824 share appreciation rights outstanding (2014-2016 Plan) and 3,365,931 
restricted share units (2013-2015 and 2014-2016 Plans) and performance share units (2012-2014 Plan) that were 
unvested immediately prior to the Mergers were accelerated and vested upon the close of the Mergers and were 
converted into 180,076 LivaNova share appreciation rights and 158,716 LivaNova ordinary shares, respectively, 
in a manner designed to preserve the intrinsic value of such awards. 

226

 
 
 
 
 
 
 
 
 
 
Note 14. Other Payables 

(in thousands) 

Accrued expenses- employee-related charges 

Other accrued expenses 

Other current liabilities with subsidiaries 

Other current liabilities 

Other amounts due to health and social security institution 

Amounts due to employees 

Deferred income 

Total 

Note 15.  Share-Based Incentive Plans 

Share-Based Incentive Plans 

Sorin awards exchanged for LivaNova awards 

31 December 2015 

1,605 

2,219 

3,860 

563 

186 

1,037 

1 

9,471 

  $ 

  $ 

Prior to the Mergers, the Sorin Board of Directors adopted the Long-Term Incentive 2012-2014 (the “2012-

2014 Plan), 2013-2015 (the “2013-2015 Plan”) and 2014-2016 (the “2014-2016 Plan”) share grant plans in 

April 2012, April 2013 and April 2014, respectively. The share grant plans authorised the issuance of share 

appreciation rights (2014-2016 Plan only), performance share units and restricted share units. The awards under 

these share grant plans were converted into LivaNova awards pursuant to the terms of the Mergers as described 

below and were accounted for as equity settled.  Refer to “Note 1. Nature of Operations” for details related to 

the Mergers. 

Pursuant to the Mergers, 3,815,824 share appreciation rights outstanding (2014-2016 Plan) and 3,365,931 

restricted share units (2013-2015 and 2014-2016 Plans) and performance share units (2012-2014 Plan) that were 

unvested immediately prior to the Mergers were accelerated and vested upon the close of the Mergers and were 

converted into 180,076 LivaNova share appreciation rights and 158,716 LivaNova ordinary shares, respectively, 

in a manner designed to preserve the intrinsic value of such awards. 

In addition, pursuant to the Mergers, 2,617,490 unvested performance share units granted under the 2014-

2016 Plan and 2013-2015 Plan which were held by Sorin employees upon close of the Mergers were converted 
into 123,456 LivaNova ordinary shares in a manner designed to preserve the intrinsic value of such awards.  For 
awards not yet earned based on performance achieved as of the date of the Mergers, a service requirement was 
added to the remaining awards and the performance conditions were removed, resulting in a modification to the 
award (see below for further details). A portion of the service awards vested on the date of the Mergers and of 
the remaining awards, 50% were paid on 26 February 2016 and 50% will be paid on 26 February 2017, in each 
case subject to continued employment. The awards will continue to be governed in accordance with the terms 
and conditions as were applicable immediately prior to the completion of the Mergers, with the exception of the 
modified terms pursuant to the Mergers. The modifications made to the performance share units granted under 
the 2014-2016 Plan and 2013-2015 Plan constituted modifications under the authoritative guidance for 
accounting for share compensation. The modification resulted in $8.6 million incremental costs of which $0.9 
million was recognised on the acquisition date and the remaining $7.7 million will be recognised over the 
remaining service period of the award. The Company recognised $1.4 million share-based compensation 
expense related to these modifications from the date of the acquisition through the period ended 31 December 
2015. 

Further, pursuant to the Mergers, 1,721,530 deferred bonus shares held by Sorin employees that were 

outstanding immediately prior to the Mergers were accelerated and became vested upon the close of the 
Mergers, and were converted to 81,251 LivaNova ordinary shares in a manner designed to preserve the intrinsic 
value of such awards. The accelerated vesting and share conversion constituted a modification under the 
authoritative guidance for accounting for share-based compensation. This guidance requires the Company to 
revalue the award upon the transaction close and allocate the revised fair value between consideration paid and 
post-combination expense based on the ratio of service performed through the transaction date over the total 
service period of the award. The revised fair value allocated to post-combination services resulted in $0.3 
million of incremental costs which was recognised on the acquisition date. 

Cyberonics awards exchanged for LivaNova awards 

Prior to the Mergers, Cyberonics issued share options and restricted share awards under its Amended and 

Restated New Employee Equity Inducement Plan and 2009 Share Plan. All of the awards under these plans 
were accounted for as equity settled and were accelerated and vested as a result of the Mergers. Cyberonics 
share options (except as described below) and restricted shares were converted into 813,794 LivaNova share 
options and 209,043 LivaNova ordinary shares, respectively, in a manner designed to preserve the intrinsic 
value of such awards. The share options will continue to become exercisable in accordance with the terms and 
conditions as were applicable immediately prior to the completion of the Mergers. Additionally, 146,105 
Cyberonics share options held by executive officers that were outstanding immediately prior to the Mergers 
were settled in cash in the amount of $5.0 million. 

227

 
 
 
 
 
 
 
 
 
 
 
 
LivaNova awards 

On 16 October 2015, the sole shareholder of LivaNova approved the adoption of the Company’s 2015 

Incentive Award Plan (the “2015 Plan”), which was previously approved by the Board of Directors of the 
Company on 14 September 2015 subject to such shareholder approval. The Plan was adopted in order to 
facilitate the grant of cash and equity incentives to non-employee directors, employees (including our named 
executive officers) and consultants of the Company and certain of our affiliates and to enable the Company and 
certain of our affiliates to obtain and retain services of these individuals. The Plan became effective as of 19 
October 2015. Incentive awards may be granted under the 2015 Plan in the form of share options, share 
appreciation rights, restricted share, restricted share units, other share and cash-based awards and dividend 
equivalents. As of 31 December 2015, there were approximately 8,047,364 shares available for future grants 
under the 2015 Plan. 

Share-Based Compensation 

 Amounts of share-based compensation recognised in the statement of income (loss) by expense category 

are as follows (in thousands): 

Net operating expenses 
Total share-based compensation expense 

From Inception to 31 
December 2015 

 $ 
 $ 

1,764 
1,764 

Amounts of share-based compensation expense recognised in the statement of income (loss) by type of 

arrangement are as follows, (in thousands): 

Service-based share appreciation rights 
Service-based restricted and restricted share unit awards 

Total share-based compensation expense 

From Inception to 31 
December 2015 

523 
1,241 
1,764 

 $ 

  $ 

The expense for the period from inception to 31 December 2015 related to awards was accounted for as 

equity settled. 

228

 
 
 
 
 
 
 
 
Incentive Award Plan (the “2015 Plan”), which was previously approved by the Board of Directors of the 

Company on 14 September 2015 subject to such shareholder approval. The Plan was adopted in order to 

facilitate the grant of cash and equity incentives to non-employee directors, employees (including our named 

executive officers) and consultants of the Company and certain of our affiliates and to enable the Company and 

certain of our affiliates to obtain and retain services of these individuals. The Plan became effective as of 19 

October 2015. Incentive awards may be granted under the 2015 Plan in the form of share options, share 

appreciation rights, restricted share, restricted share units, other share and cash-based awards and dividend 

equivalents. As of 31 December 2015, there were approximately 8,047,364 shares available for future grants 

under the 2015 Plan. 

Share-Based Compensation 

are as follows (in thousands): 

Net operating expenses 

Total share-based compensation expense 

arrangement are as follows, (in thousands): 

From Inception to 31 

December 2015 

From Inception to 31 

December 2015 

1,764 

1,764 

523 

1,241 

1,764 

 $ 

 $ 

 $ 

  $ 

Service-based share appreciation rights 

Service-based restricted and restricted share unit awards 

Total share-based compensation expense 

The expense for the period from inception to 31 December 2015 related to awards was accounted for as 

equity settled. 

LivaNova awards 

Share Options and Share Appreciation Rights 

On 16 October 2015, the sole shareholder of LivaNova approved the adoption of the Company’s 2015 

We use the Black-Scholes option pricing methodology to calculate the grant date fair market value of share 

option awards and share appreciation rights. The following table lists the assumptions we utilised as inputs to 
the Black-Scholes model: 

 Amounts of share-based compensation recognised in the statement of income (loss) by expense category 

Expected volatility at grant date (4) 

Weighted average share price 
Exercise price 
Dividend Yield (1) 
Risk-free interest rate - based on grant date (2) 
Expected option term - in years per group of employees/consultants (3) 

 $ 

From Inception to 31 
December 2015 

69.39 
51.34 - 69.39 
— 
1.2% - 1.4% 

4 - 5 

34%

Amounts of share-based compensation expense recognised in the statement of income (loss) by type of 

Compensation” for further information regarding expected volatility. 

(1) We do not plan to pay dividends. 

(2) We use yield rates on U.S. Treasury securities for a period that approximated the expected term of the award to estimate 

the risk-free interest rate. 

(3) We estimated the expected term of the awards granted using historic data of actual time elapsed between the date of 
grant and the exercise or forfeiture of options or SARs for employees. For consultants, the expected term is the 
remaining time until expiration of the option or SAR. 

(4) Refer to “Note 2. Basis of Preparation, Use of Accounting Estimates and Significant Accounting Policies-Share-based 

The following tables detail the activity for service-based share option awards and share appreciation rights, 

including awards assumed or issued as a result of the Mergers: 

Options and SARs 

Outstanding - at beginning of period 
Granted 
Assumed in Merger 
Exercised 
Forfeited 
Cashed-out in Merger 
Expired 

Outstanding - end of year 

Fully vested and exercisable - end of year 
Fully vested and expected to vest - end of year (1) 

(1)Factors in expected future forfeitures. 

From Inception to 31 December 2015 

Number of 
Optioned Shares 

Wtd. Avg. Exercise 
Price 

—   $ 
677,560   
1,305,814   
(199,655)   
(45,553)   
(146,105)   
(2,500)   
1,589,561   $ 
935,586   
1,571,191   $ 

— 
69.39 
51.34 
34.11 
61.27 
31.67 
28.21 
55.56 
45.90 
55.40 

The weighted average remaining contractual life for the share options and SARs outstanding at 31 

December 2015 is 4.70 years. 

229

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The aggregate intrinsic value of the options and SARs outstanding at 31 December 2015 is $12.7 million. 
The aggregate intrinsic value of options and SARs is based on the difference between the fair market value of 
the underlying share at the end of the period using the market closing share price, and exercise price for in-the-
money awards. 

The range of exercise prices for options and SARs outstanding at 31 December 2015 are categorised in 

exercise price ranges as follows: 

Outstanding Options 

31 December 2015 

$10-20 
$21-30 
$31-40 
$41-50 
$51-60 
$61-70 

Total 

Weighted average grant date fair value  of share option awards and SARs during the 
fiscal year  (1) 

 $ 

Weighted average price of share option exercises during the period 

Aggregate intrinsic value of share option and SAR exercises during the fiscal year 
(in thousands) 

 $ 

(1) Including weighted average Mergers date fair value of SARs assumed in the Mergers. 

94,021 
90,368 
20,481 
91,887 
633,329 
659,475 
1,589,561 

From Inception to 

31 December 2015 

21.05

34.97

5,464

Restricted Share and Restricted Share Units Awards 

The following tables detail the activity for service-based restricted share and restricted share unit awards, 

including activity from restricted share units assumed or issued as a result of the Mergers: 

Non-vested shares at the beginning of period 
Granted 
Assumed in Merger 
Vested 
Forfeited 

Non-vested at end of year 

From Inception to 31 December 2015 

Number of Shares 

Wtd. Avg. Grant Date 
Fair Value 

—   $ 
99,870   
492,856   
(378,322)   
(10,831)   
203,573   

—  
57.55 
69.39 
54.92 
54.65 
63.57 

230

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The aggregate intrinsic value of the options and SARs outstanding at 31 December 2015 is $12.7 million. 

The aggregate intrinsic value of options and SARs is based on the difference between the fair market value of 

the underlying share at the end of the period using the market closing share price, and exercise price for in-the-

money awards. 

exercise price ranges as follows: 

The range of exercise prices for options and SARs outstanding at 31 December 2015 are categorised in 

Outstanding Options 

31 December 2015 

$10-20 

$21-30 

$31-40 

$41-50 

$51-60 

$61-70 

Total 

Weighted average grant date fair value  of share option awards and SARs during the 

fiscal year  (1) 

(in thousands) 

Weighted average price of share option exercises during the period 

Aggregate intrinsic value of share option and SAR exercises during the fiscal year 

(1) Including weighted average Mergers date fair value of SARs assumed in the Mergers. 

Restricted Share and Restricted Share Units Awards 

 $ 

 $ 

The following tables detail the activity for service-based restricted share and restricted share unit awards, 

including activity from restricted share units assumed or issued as a result of the Mergers: 

Non-vested shares at the beginning of period 

Assumed in Merger 

Granted 

Vested 

Forfeited 

Non-vested at end of year 

From Inception to 31 December 2015 

Number of Shares 

Wtd. Avg. Grant Date 

Fair Value 

—   $ 

99,870   

492,856   

(378,322)   

(10,831)   

203,573   

—  

57.55 

69.39 

54.92 

54.65 

63.57 

94,021 

90,368 

20,481 

91,887 

633,329 

659,475 

1,589,561 

21.05

34.97

5,464

From Inception to 

31 December 2015 

Weighted average grant date fair value of service-based share grants issued during 
the fiscal year 
Aggregate fair value of service-based share grants that vested during the year (in 
thousands) 

 $ 

 $ 

57.55

24,384

The following tables detail the activity for performance-based and market-based restricted share and 

restricted share unit awards: 

From Inception to 

31 December 2015 

Non-vested shares at at beginning of period 

Granted 
Conversion of shares 
Vested 
 Forfeited 

Non-vested shares at end of year 

From Inception to 31 December 2015 

  Number of Shares 

Wtd. Avg. Grant Date 
Fair Value 

—    $ 
—   
305,573   
(245,466)   
(60,107)   
—    $ 

— 
—  
69.39  
55  
33.82  
— 

(in thousands) 

From Inception to 

31 December 2015 

Weighted average grant date fair value of performance-based share grants issued 
during the fiscal year 
Aggregate fair value of performance-based share grants that vested during the year 

 $ 

 $ 

—
9,648 

Note 16. Employee Retirement Plans 

We sponsor various retirement plans, including defined benefit pension plans (pension benefits), an 
employee retirement savings plan, and a deferred compensation plan. The expense related to these plans 
was $0.1 million for the period from inception to 31 December 2015. 

As of 31 December 2015 the net underfunded status of our benefit plans was $0.3 million. 

Defined Benefit Plan. 

Risks Related to Defined-Benefit Plans 

The defined benefit plans expose the Company to various demographic and economic risks such as 

longevity risk, investment risks, currency and interest rate risk and in some cases inflation risk. The latter plays 
a role in the assumed wage increase and in some smaller plans where indexation is mandatory. 

231

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The change in benefit obligations as of and for the period from inception to 31 December 2015 are as 

follows: 

(in thousands) 

Accumulated benefit obligation at end of year: 

Change in projected benefit obligation: 

Projected benefit obligation at beginning of year 

Service cost 

Interest cost 

Benefits obligations assumed in the Mergers 

Employee contributions 

Plan curtailments and settlements 

Actuarial (gain) loss 

Benefits paid 

Foreign currency exchange rate changes and other 

Projected benefit obligation at end of year 

Pension Benefits 

— 
—  
1  
291  
—  
—  
8  

(15 ) 

(12 ) 
273 

 $ 

  $ 

Major actuarial assumptions used in determining the benefit obligations and net periodic benefit (income) 
cost for our significant benefit plans are presented in the following table as weighted averages as of 31 December 
2015. 

Actuarial assumptions used to determine benefit obligation 

Discount rate 
Rate of compensation increase 

Actuarial assumptions used to determine net periodic benefit cost 

Discount rate 
Rate of compensation increase 

Pension Benefits 

2%
3%

2%
3%

    Severance Indemnity. In Italy, upon termination of employment for any reason, employers are required to 

pay a termination indemnity (Trattamento di fine Rapporto or “TFR”) to all employees as required by Italian 
legislation. The TFR serves as a backup in the event of redundancy or as an additional pension benefit after 
retirement. The TFR is considered a defined contribution plan with respect to amounts vesting after January 1, 
2007 for employees who have opted for a supplementary pensions system or who have chosen to maintain the 
TFR at the company, for companies with more than 50 employees. We have incurred expenses related to the 
Italian TFR severance indemnity of approximately $1.5 million for the period from inceptions to 31 December 
2015. 

232

 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
follows: 

(in thousands) 

Accumulated benefit obligation at end of year: 

Change in projected benefit obligation: 

Projected benefit obligation at beginning of year 

Service cost 

Interest cost 

Benefits obligations assumed in the Mergers 

Employee contributions 

Plan curtailments and settlements 

Actuarial (gain) loss 

Benefits paid 

Foreign currency exchange rate changes and other 

Projected benefit obligation at end of year 

 $ 

  $ 

291  

— 

—  

1  

—  

—  

8  

(15 ) 

(12 ) 

273 

2%

3%

2%

3%

Major actuarial assumptions used in determining the benefit obligations and net periodic benefit (income) 

cost for our significant benefit plans are presented in the following table as weighted averages as of 31 December 

2015. 

Actuarial assumptions used to determine benefit obligation 

Discount rate 

Rate of compensation increase 

Discount rate 

Rate of compensation increase 

Actuarial assumptions used to determine net periodic benefit cost 

    Severance Indemnity. In Italy, upon termination of employment for any reason, employers are required to 

pay a termination indemnity (Trattamento di fine Rapporto or “TFR”) to all employees as required by Italian 

legislation. The TFR serves as a backup in the event of redundancy or as an additional pension benefit after 

retirement. The TFR is considered a defined contribution plan with respect to amounts vesting after January 1, 

2007 for employees who have opted for a supplementary pensions system or who have chosen to maintain the 

TFR at the company, for companies with more than 50 employees. We have incurred expenses related to the 

Italian TFR severance indemnity of approximately $1.5 million for the period from inceptions to 31 December 

2015. 

The change in benefit obligations as of and for the period from inception to 31 December 2015 are as 

Note 17.  Income Taxes 

Pension Benefits 

Income tax expense (benefit) consists of the following: 

(in thousands) 

Current tax 
Deferred tax 

From Inception to 31 
December 2015 

  $ 

 $ 

(9,279) 
13,908  
4,629 

The following is a reconciliation of the statutory income tax rate to our effective income tax rate expressed 

as a percentage of income before income taxes: 

Statutory tax rate at U.K. Rate 

Effect of Reduction in Italian Tax Rate 

Permanent differences 

Adjustment to Italian branch NOL deferred tax asset resulting from the merger 

Adjustment to Italian branch NOL deferred tax asset from the Italian tax litigation 

Pension Benefits 

Italian branch tax rate differential 

Other, net 

Effective tax rate 

Deferred income tax assets and liabilities are summarized as follows: 

(in thousands) 

Deferred tax assets: 
Net operating loss carryforwards 
Accruals and reserves 
Depreciation & amortisation 
Other 

Total deferred tax assets 

Deferred tax assets have not been recognized with respect of the following items: 

(in thousands) 

Tax loss carryforwards 
Other 

233

From Inception to 31 
December 2015 

20.0%

(6.10) 

(0.33) 

(29.10) 

(18.73) 
9.95 
0.87 

(23.44) % 

31 December 2015 

2,625 
1,337  
113  
1,013  
5,088 

31 December 2015 

16,862 
(36,726 ) 

(19,864) 

 $ 

 $ 

 $ 

  $ 

 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
Note 18.  Commitments and Contingencies 

Litigation and Regulatory Proceedings 

FDA Warning Letter.  On 31 December 2015, LivaNova received a Warning Letter dated 29 December 
2015 from the FDA alleging certain violations of FDA regulations applicable to medical device manufacturers 
at the Company’s Munich, Germany and Arvada, Colorado facilities. 

The FDA inspected the Company’s Munich facility from 24 August 2015 to 27 August 2015 and its Arvada 
facility from 24 August 2015 to 1 September 2015. On 27 August 2015, the FDA issued a Form 483 identifying 
two observed non-conformities with certain regulatory requirements at the Munich facility. The Company did 
not receive a Form 483 in connection with the FDA’s inspection of the Arvada facility. Following the receipt of 
the Form 483, the Company provided written responses to the FDA describing corrective and preventive actions 
that were underway or to be taken to address the FDA’s observations at the Munich facility. The Warning Letter 
responded in part to LivaNova’s responses and identified other alleged violations not previously included in the 
Form 483. 

The Warning Letter further stated that the Company’s 3T Heater Cooler devices and other devices 

manufactured by the Company’s Munich facility are subject to refusal of admission into the United States until 
resolution of the issues set forth by the FDA in the Warning Letter. The FDA has informed the Company that the 
import alert is limited to the 3T Heater Cooler devices, but that the agency reserves the right to expand the 
scope of the import alert if future circumstances warrant such action. The Warning Letter did not request that 
existing users cease using the 3T Heater Cooler device, and manufacturing and shipment of all of the 
Company’s products other than the 3T Heater Cooler remain unaffected by the import limitation. To help clarify 
these issues for current customers, the Company issued an informational Customer Letter in January 2016, and 
that same month agreed with the FDA on a process for shipping 3T Heater Cooler devices to existing U.S. users 
pursuant to a certificate of medical necessity program. 

Lastly, the Warning Letter states that premarket approval applications for Class III devices to which certain 

Quality System regulation deviations identified in the Warning Letter are reasonably related will not be 
approved until the violations have been corrected. However, the Warning Letter only specifically names the 
Munich and Arvada facilities in this restriction, which do not manufacture or design devices subject to 
premarket approval. 

The Company is continuing to work diligently to remediate the FDA’s inspectional observations for the 

Munich facility as well as the additional issues identified in the Warning Letter. The Company takes these 
matters seriously and intends to respond timely and fully to the FDA’s requests. 

The Warning Letter had no impact on the Company’s financial statements during 2015. The Company 
currently believes that less than 1% of 2016 sales could be impacted by this Warning Letter and that the FDA’s 
concerns can be resolved without a material impact on the Company’s financial results. 

234

 
 
Note 18.  Commitments and Contingencies 

Litigation and Regulatory Proceedings 

FDA Warning Letter.  On 31 December 2015, LivaNova received a Warning Letter dated 29 December 

2015 from the FDA alleging certain violations of FDA regulations applicable to medical device manufacturers 

at the Company’s Munich, Germany and Arvada, Colorado facilities. 

The FDA inspected the Company’s Munich facility from 24 August 2015 to 27 August 2015 and its Arvada 

facility from 24 August 2015 to 1 September 2015. On 27 August 2015, the FDA issued a Form 483 identifying 

two observed non-conformities with certain regulatory requirements at the Munich facility. The Company did 

not receive a Form 483 in connection with the FDA’s inspection of the Arvada facility. Following the receipt of 

the Form 483, the Company provided written responses to the FDA describing corrective and preventive actions 

that were underway or to be taken to address the FDA’s observations at the Munich facility. The Warning Letter 

responded in part to LivaNova’s responses and identified other alleged violations not previously included in the 

Form 483. 

The Warning Letter further stated that the Company’s 3T Heater Cooler devices and other devices 

manufactured by the Company’s Munich facility are subject to refusal of admission into the United States until 

resolution of the issues set forth by the FDA in the Warning Letter. The FDA has informed the Company that the 

import alert is limited to the 3T Heater Cooler devices, but that the agency reserves the right to expand the 

scope of the import alert if future circumstances warrant such action. The Warning Letter did not request that 

existing users cease using the 3T Heater Cooler device, and manufacturing and shipment of all of the 

Company’s products other than the 3T Heater Cooler remain unaffected by the import limitation. To help clarify 

these issues for current customers, the Company issued an informational Customer Letter in January 2016, and 

that same month agreed with the FDA on a process for shipping 3T Heater Cooler devices to existing U.S. users 

pursuant to a certificate of medical necessity program. 

Lastly, the Warning Letter states that premarket approval applications for Class III devices to which certain 

Quality System regulation deviations identified in the Warning Letter are reasonably related will not be 

approved until the violations have been corrected. However, the Warning Letter only specifically names the 

Munich and Arvada facilities in this restriction, which do not manufacture or design devices subject to 

premarket approval. 

The Company is continuing to work diligently to remediate the FDA’s inspectional observations for the 

Munich facility as well as the additional issues identified in the Warning Letter. The Company takes these 

matters seriously and intends to respond timely and fully to the FDA’s requests. 

The Warning Letter had no impact on the Company’s financial statements during 2015. The Company 

currently believes that less than 1% of 2016 sales could be impacted by this Warning Letter and that the FDA’s 

concerns can be resolved without a material impact on the Company’s financial results. 

Baker, Miller et al v. LivaNova PLC.  On 12 February 2016, LivaNova was alerted that a class action 
complaint had been filed in the U.S. District Court for the Middle District of Pennsylvania with respect to the 
Company’s 3T Heater Cooler devices, naming as evidence, in part, the Warning Letter issued by the FDA in 
December 2015. The named plaintiffs to the complaint are two individuals who underwent open heart surgeries 
at WellSpan York Hospital and Penn State Milton S. Hershey Medical Center in 2015, and the complaint alleges 
that: (i) patients were exposed to a harmful form of bacteria, known as nontubercuous mycobacterium 
(“NTM”), from LivaNova’s 3T Heater Cooler devices; and (ii) LivaNova knew or should have known that 
design or manufacturing defects in 3T Heater Cooler devices can lead to NTM bacterial colonization, regardless 
of the cleaning and disinfection procedures used (and recommended by the Company). Named plaintiffs seek to 
certify a class of plaintiffs consisting of all Pennsylvania residents who underwent open heart surgery at 
WellSpan York Hospital and Penn State Milton S. Hershey Medical Center between 2011 and 2015 and who are 
currently asymptomatic for NTM infection (approximately 3,600 patients). 

The putative class action, which has not been certified, seeks: (i) declaratory relief finding the 3T Heater 
Cooler devices are defective and unsafe for intended uses; (ii) medical monitoring; (iii) general damages; and 
(iv) attorneys’ fees. On 21 March 2016, the plaintiffs filed a First Amended Complaint adding Sorin Group 
Deutschland GmbH and Sorin Group USA, Inc. as defendants. 

At LivaNova, patient safety is of the utmost importance, and significant resources are dedicated to the 
delivery of safe, high-quality products. The Company intends to vigorously defend against these claims. Given 
the early stage of this matter, we cannot, however, give any assurances that additional legal proceedings making 
the same or similar allegations will not be filed against LivaNova PLC or one of its subsidiaries, nor that the 
resolution of the complaint and any related litigation in connection therewith will not have a material adverse 
effect on the Company’s business, results of operations, financial condition and/or liquidity. 

SNIA Litigation.  Sorin S.p.A. was created as a result of a spin-off (the “Sorin spin-off”) from SNIA S.p.A. 
(“SNIA”). The Sorin spin-off, which spun off SNIA’s medical technology division, became effective on January 
2, 2004. Pursuant to the Italian Civil Code, in a spin-off transaction, the parent and the spun-off company can be 
held jointly liable for certain indebtedness or liabilities of the pre-spin-off company in two scenarios: 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “debt” (debiti) of the pre-spin-off company that existed at the 
time of the spin-off. This joint liability is secondary in nature and, consequently, arises only when such 
indebtedness is not satisfied by the company owing such indebtedness. We estimate that at the time of the spin-
off, the value of the residual shareholders’ equity received was approximately €573 million. 

•   The parent and the spun-off company can be held jointly liable, up to the actual value of the 

shareholders’ equity conveyed or received, for “liabilities” (elementi del passivo) whose allocation between the 
parties to the spin-off cannot be determined based on the spin-off plan. 

For purposes of the Italian Civil Code, Sorin believes and has argued that the term “debt” (debiti) is 

generally understood to refer to indebtedness as reflected on a debtor’s balance sheet for accounting purposes in 
accordance with the European Union directive pursuant to which these provisions of the Italian Civil Code were 
enacted, which translates “debiti” as “obligations.” The European Union directive uses “obligations” to refer to 
indebtedness owed to creditors and the term “liabilities” to refer to general liabilities. In connection with the 
Sorin spin-off, the assets and liabilities of SNIA’s medical technology division were allocated to Sorin, and the 

235

 
 
 
 
remaining assets and liabilities of SNIA, including those related to the Caffaro chemical operations (as 
described below), were allocated to SNIA. 

Between 1906 and 2010, SNIA’s subsidiaries Caffaro Chimica S.r.l. and Caffaro S.r.l. and their 
predecessors (the “SNIA Subsidiaries”), conducted certain chemical operations (the Caffaro Chemical 
Operations”), at sites in Torviscosa, Brescia and Colleferro, Italy (the “Caffaro Chemical Sites”). These 
activities allegedly resulted in substantial and widely dispersed contamination of soil, water and ground water 
caused by a variety of hazardous substances released at the Caffaro Chemical Sites. In 2009 and 2010, SNIA 
and the SNIA Subsidiaries filed for insolvency. In connection with SNIA’s Italian insolvency proceedings, the 
Italian Ministry of the Environment and the Protection of Land and Sea (the “Italian Ministry of the 
Environment”), sought compensation from SNIA in an aggregate amount of €3.4 billion for remediation costs 
relating to the environmental damage at the Caffaro Chemical Sites allegedly caused by the Caffaro Chemical 
Operations. The amount, which was based on certain clean-up activities and precautionary measures set forth in 
three technical reports prepared by ISPRA, the technical agency of the Ministry of Environment. Similar 
activities and precautionary measures have also been requested to the SNIA Subsidiaries by the Ministry of 
Environment and other competent authorities in the context of the administrative proceeding for the remediation 
of the Caffaro Chemical Sites. However, these administrative acts have been the invalidated in part by courts in 
Friuli Venezia Giulia (for the site of Torviscosa) and Brescia, which deemed them based on fact-finding.  The 
administrative proceeding regarding the Torviscosa site is also currently subject to a criminal investigation by 
the Public Prosecutor of Udine.  In addition, partial final remediation plans have been approved and 
implemented for the Colleferro site. These plans provide remediation activities significantly different, and 
entailing much lower expenses, from those included in the ISPRA’s technical reports which ground the request 
for compensation of the above mentioned amount. Notwithstanding the above, that amount, remains in dispute, 
and no final remediation plan has been approved for the other site. 

In September 2011, the Bankruptcy Court of Udine, and in July 2014, the Bankruptcy Court of Milan each 

held that the Italian Ministry of the Environment and other Italian government agencies were not creditors of 
SNIA and the SNIA Subsidiaries in connection with the agencies’ claims against them in the context of their 
Italian insolvency proceedings. LivaNova (as the successor to Sorin in the litigation) believes these findings are 
influential but not binding in other Italian courts, including civil courts. The Italian Ministry of the Environment 
and the other Italian government agencies have appealed both decisions, but in January 2016, the Court of 
Udine rejected the appeal (with a decision which has been challenged before the Italian Supreme Court), while 
the appeal before the Court of Milan is currently pending. LivaNova (as the successor to Sorin in the litigation) 
believes these findings are influential but not binding in other Italian courts, including civil courts. 

In January 2012, SNIA filed a civil action against Sorin in the Civil Court of Milan on the basis of the 
Italian Civil Code’s provisions for potential joint liability of a parent and a spun-off company in the context of a 
spin-off, as described above, seeking to determine Sorin’s joint liability with SNIA for damages allegedly 
related to the Caffaro chemical operations (as described below). SNIA’s civil action against Sorin also named 
the Italian Ministry of the Environment and other Italian government agencies, as defendants, in order to have 
them bound to a potential ruling. The Italian Ministry of the Environment, together with the Italian Ministry of 
Economy and Finance and certain additional Italian government agencies that also sought compensation from 
SNIA for the alleged environmental damages, subsequently counterclaimed against Sorin, seeking to have Sorin 
found jointly liable to them with SNIA, on the same basis. SNIA and these government agencies asked the court 
to find inapplicable to the Sorin spin-off the Italian Civil Code’s caps on potential joint liability of parties to a 

236

 
 
remaining assets and liabilities of SNIA, including those related to the Caffaro chemical operations (as 

described below), were allocated to SNIA. 

Between 1906 and 2010, SNIA’s subsidiaries Caffaro Chimica S.r.l. and Caffaro S.r.l. and their 

predecessors (the “SNIA Subsidiaries”), conducted certain chemical operations (the Caffaro Chemical 

Operations”), at sites in Torviscosa, Brescia and Colleferro, Italy (the “Caffaro Chemical Sites”). These 

activities allegedly resulted in substantial and widely dispersed contamination of soil, water and ground water 

caused by a variety of hazardous substances released at the Caffaro Chemical Sites. In 2009 and 2010, SNIA 

and the SNIA Subsidiaries filed for insolvency. In connection with SNIA’s Italian insolvency proceedings, the 

Italian Ministry of the Environment and the Protection of Land and Sea (the “Italian Ministry of the 

Environment”), sought compensation from SNIA in an aggregate amount of €3.4 billion for remediation costs 

relating to the environmental damage at the Caffaro Chemical Sites allegedly caused by the Caffaro Chemical 

Operations. The amount, which was based on certain clean-up activities and precautionary measures set forth in 

three technical reports prepared by ISPRA, the technical agency of the Ministry of Environment. Similar 

activities and precautionary measures have also been requested to the SNIA Subsidiaries by the Ministry of 

Environment and other competent authorities in the context of the administrative proceeding for the remediation 

of the Caffaro Chemical Sites. However, these administrative acts have been the invalidated in part by courts in 

Friuli Venezia Giulia (for the site of Torviscosa) and Brescia, which deemed them based on fact-finding.  The 

administrative proceeding regarding the Torviscosa site is also currently subject to a criminal investigation by 

the Public Prosecutor of Udine.  In addition, partial final remediation plans have been approved and 

implemented for the Colleferro site. These plans provide remediation activities significantly different, and 

entailing much lower expenses, from those included in the ISPRA’s technical reports which ground the request 

for compensation of the above mentioned amount. Notwithstanding the above, that amount, remains in dispute, 

and no final remediation plan has been approved for the other site. 

In September 2011, the Bankruptcy Court of Udine, and in July 2014, the Bankruptcy Court of Milan each 

held that the Italian Ministry of the Environment and other Italian government agencies were not creditors of 

SNIA and the SNIA Subsidiaries in connection with the agencies’ claims against them in the context of their 

Italian insolvency proceedings. LivaNova (as the successor to Sorin in the litigation) believes these findings are 

influential but not binding in other Italian courts, including civil courts. The Italian Ministry of the Environment 

and the other Italian government agencies have appealed both decisions, but in January 2016, the Court of 

Udine rejected the appeal (with a decision which has been challenged before the Italian Supreme Court), while 

the appeal before the Court of Milan is currently pending. LivaNova (as the successor to Sorin in the litigation) 

believes these findings are influential but not binding in other Italian courts, including civil courts. 

In January 2012, SNIA filed a civil action against Sorin in the Civil Court of Milan on the basis of the 

Italian Civil Code’s provisions for potential joint liability of a parent and a spun-off company in the context of a 

spin-off, as described above, seeking to determine Sorin’s joint liability with SNIA for damages allegedly 

related to the Caffaro chemical operations (as described below). SNIA’s civil action against Sorin also named 

the Italian Ministry of the Environment and other Italian government agencies, as defendants, in order to have 

them bound to a potential ruling. The Italian Ministry of the Environment, together with the Italian Ministry of 

Economy and Finance and certain additional Italian government agencies that also sought compensation from 

SNIA for the alleged environmental damages, subsequently counterclaimed against Sorin, seeking to have Sorin 

found jointly liable to them with SNIA, on the same basis. SNIA and these government agencies asked the court 

to find inapplicable to the Sorin spin-off the Italian Civil Code’s caps on potential joint liability of parties to a 

spin-off, which limit such joint liability to the actual value of the shareholders’ equity received, on the basis that 
the Sorin spin-off was planned prior to the date such caps were enacted under the Italian Civil Code, and despite 
the fact that the Sorin spin-off became effective after such date. Sorin sought to contest SNIA’s claims against 
Sorin, in their entirety, due to: 

•  

the Italian bankruptcy courts’ previous findings that the Italian Ministry of the Environment and other 

Italian government agencies were not creditors of SNIA and the SNIA subsidiaries in connection with the 
agencies’ claims against them; 

•   Sorin’s belief that the alleged liabilities related to the Caffaro chemical operations did not constitute 
indebtedness of SNIA at the time of the Sorin spin-off, and thus that Sorin should not be held liable under the 
Italian Civil Code’s provisions relating to joint liability for indebtedness in the context of spin-offs, as described 
above; and 

•  

the allocation to SNIA of the assets and liabilities related to the Caffaro chemical operations in 
connection with the Sorin spin-off, and Sorin’s belief that Sorin should therefore not be liable under the Italian 
Civil Code’s provisions relating to joint liability in the context of spin-offs for liabilities of indeterminate 
allocation, as described above. 

A hearing to submit final claims (precisazione delle conclusioni) in connection with SNIA’s civil action 
was held in September 2015 and parties have since filed final defense briefs. A favorable decision pertaining to 
the case was delivered in judgement No. 4101/2016 of 1 April 2016 (the "Decision"). In its Decision the Court 
of Milan dismissed the legal actions of SNIA s.p.a. in Amministrazione Straordinaria (SNIA) and of the Italian 
Public Administration (the Public Administration) against Sorin (now LivaNova PLC), further requiring the 
Public Administration to pay Sorin Euro 300,000, as legal fees (of which Euro 50,000 jointly with SNIA). 
Neither of the losing parties has yet filed an appeal in this case. 

LivaNova (as successor to Sorin in the litigation) continues to believe that the risk of material loss relating 
to the SNIA litigation is not probable as a result of the reasons and recent court decisions described above. We 
also believe that the amount of potential losses relating to the SNIA litigation is in any event not estimable 
given that the underlying damages and related remediation costs (and which party would be responsible for 
what portion of time period related to which) remain in dispute and that no final decision on a remediation plan 
has been approved. As a result, LivaNova has not made any accrual in connection with the SNIA litigation. 

Pursuant to European Union, United Kingdom and Italian cross-border merger regulations applicable to the 

Mergers, legacy Sorin’s liabilities, including any potential liabilities arising from the claims against Sorin 
relating to the SNIA litigation, are assumed by LivaNova as successor to Sorin. Although LivaNova believes the 
claims against Sorin in connection with the SNIA litigation are without merit and continues to contest them 
vigorously, there can be no assurance as to the outcome. A finding, during any appeal or novel proceedings, that 
Sorin or LivaNova is liable for the environmental damage at the Caffaro chemical sites could have a material 
adverse effect on the financial position, results of operations and/or cash flows of LivaNova. 

237

 
 
 
 
Environmental Remediation Order.  On 28 July 2015, Sorin and other direct and indirect shareholders of 

SNIA received an administrative order from the Italian Ministry of the Environment (the “Environmental 
Remediation Order”), directing them to promptly commence environmental remediation efforts at the Caffaro 
chemical sites (as described above). LivaNova believes that the Environmental Remediation Order is without 
merit. LivaNova (as successor to Sorin) believes that it should not be liable for damages relating to the Caffaro 
chemical operations pursuant to the Italian statute on which the Environmental Remediation Order relies 
because the statute does not apply to activities occurring prior to 2006, the date on which the statute was 
enacted, and Sorin was spun off from SNIA in 2004. Additionally, LivaNova believes that Sorin should not be 
subject to the Environmental Remediation Order because Italian environmental regulations only permit such an 
order to be imposed on an “operator” of a remediation site, and Sorin had never been identified in any legal 
proceeding as an operator at any of the Caffaro chemical sites, has not conducted activities of any kind at any of 
the Caffaro chemical sites and had not caused any environmental damage at any of the Caffaro chemical sites. 

Accordingly, LivaNova (as successor to Sorin) alongside other parties, challenged the Environmental 
Remediation Order before the Administrative Court of Lazio in Rome (TAR). A hearing was held on February 
3, 2016. 

On March 21, 2016 the TAR issued several judgements, annulling the Environmental remediation Order, 
one for each of the addressees of the Environmental Remediation Order, including LivaNova. Those judgements 
were based on the fact that (i) the Order lacks any detailed analysis of the causal link between the alleged 
damage and the activities of the Company, which is a pre-condition to imposition of the measures proposed in 
the Order, (ii) the situation of the Caffaro site does not require urgent safety measures, because no new pollution 
events have occurred and no additional information/evidence of a situation of contamination exists and (iii) the 
Order was not enacted using the correct legal basis, and in any event the Ministry failed to verify the legal 
elements that could have led to a conclusion of  legal responsibility of the addressees of the Order. 

The TAR decision described above may be appealed by the Ministry before the Council of State (within 60 

days from the notification of the TAR’s judgement, or six months if the judgement has not been notified.) 

Andrew Hagerty v. Cyberonics, Inc. On 5 December 2013, the United States District Court for the District 

of Massachusetts unsealed a qui tam action filed by former employee Andrew Hagerty against Cyberonics 
under the False Claims Act (the “False Claims Act”) and the false claims statutes of 28 different states and the 
District of Columbia (United States of America et al ex rel. Andrew Hagerty v. Cyberonics, Inc. Civil Action No. 
1:13-cv-10214-FDS). The False Claims Act prohibits the submission of a false claim or the making of a false 
record or statement to secure reimbursement from, or limit reimbursement to, a government-sponsored program. 
A “qui tam” action is a lawsuit brought by a private individual, known as a relator, purporting to act on behalf of 
the government. The action is filed under seal, and the government, after reviewing and investigating the 
allegations, may elect to participate, or intervene, in the lawsuit. Typically, following the government’s election, 
the qui tam action is unsealed. 

Previously, in August 2012, Mr. Hagerty filed a related lawsuit in the same court and then voluntarily 
dismissed that lawsuit immediately prior to filing this qui tam action. In addition to his claims for wrongful and 
retaliatory discharge stated in the first lawsuit, the qui tam lawsuit alleges that Cyberonics violated the False 
Claims Act and various state false claims statutes while marketing its VNS Therapy System, and seeks an 
unspecified amount consisting of treble damages, civil penalties, and attorneys’ fees and expenses. 

238

 
 
Environmental Remediation Order.  On 28 July 2015, Sorin and other direct and indirect shareholders of 

SNIA received an administrative order from the Italian Ministry of the Environment (the “Environmental 

Remediation Order”), directing them to promptly commence environmental remediation efforts at the Caffaro 

chemical sites (as described above). LivaNova believes that the Environmental Remediation Order is without 

merit. LivaNova (as successor to Sorin) believes that it should not be liable for damages relating to the Caffaro 

chemical operations pursuant to the Italian statute on which the Environmental Remediation Order relies 

because the statute does not apply to activities occurring prior to 2006, the date on which the statute was 

enacted, and Sorin was spun off from SNIA in 2004. Additionally, LivaNova believes that Sorin should not be 

subject to the Environmental Remediation Order because Italian environmental regulations only permit such an 

order to be imposed on an “operator” of a remediation site, and Sorin had never been identified in any legal 

proceeding as an operator at any of the Caffaro chemical sites, has not conducted activities of any kind at any of 

the Caffaro chemical sites and had not caused any environmental damage at any of the Caffaro chemical sites. 

Accordingly, LivaNova (as successor to Sorin) alongside other parties, challenged the Environmental 

Remediation Order before the Administrative Court of Lazio in Rome (TAR). A hearing was held on February 

3, 2016. 

On March 21, 2016 the TAR issued several judgements, annulling the Environmental remediation Order, 

one for each of the addressees of the Environmental Remediation Order, including LivaNova. Those judgements 

were based on the fact that (i) the Order lacks any detailed analysis of the causal link between the alleged 

damage and the activities of the Company, which is a pre-condition to imposition of the measures proposed in 

the Order, (ii) the situation of the Caffaro site does not require urgent safety measures, because no new pollution 

events have occurred and no additional information/evidence of a situation of contamination exists and (iii) the 

Order was not enacted using the correct legal basis, and in any event the Ministry failed to verify the legal 

elements that could have led to a conclusion of  legal responsibility of the addressees of the Order. 

The TAR decision described above may be appealed by the Ministry before the Council of State (within 60 

days from the notification of the TAR’s judgement, or six months if the judgement has not been notified.) 

Andrew Hagerty v. Cyberonics, Inc. On 5 December 2013, the United States District Court for the District 

of Massachusetts unsealed a qui tam action filed by former employee Andrew Hagerty against Cyberonics 

under the False Claims Act (the “False Claims Act”) and the false claims statutes of 28 different states and the 

District of Columbia (United States of America et al ex rel. Andrew Hagerty v. Cyberonics, Inc. Civil Action No. 

1:13-cv-10214-FDS). The False Claims Act prohibits the submission of a false claim or the making of a false 

record or statement to secure reimbursement from, or limit reimbursement to, a government-sponsored program. 

A “qui tam” action is a lawsuit brought by a private individual, known as a relator, purporting to act on behalf of 

the government. The action is filed under seal, and the government, after reviewing and investigating the 

allegations, may elect to participate, or intervene, in the lawsuit. Typically, following the government’s election, 

the qui tam action is unsealed. 

Previously, in August 2012, Mr. Hagerty filed a related lawsuit in the same court and then voluntarily 

dismissed that lawsuit immediately prior to filing this qui tam action. In addition to his claims for wrongful and 

retaliatory discharge stated in the first lawsuit, the qui tam lawsuit alleges that Cyberonics violated the False 

Claims Act and various state false claims statutes while marketing its VNS Therapy System, and seeks an 

unspecified amount consisting of treble damages, civil penalties, and attorneys’ fees and expenses. 

In October 2013, the United States Department of Justice declined to intervene in the qui tam action, but 
reserved the right to do so in the future. In December 2013, the district court unsealed the action. In April 2014, 
Cyberonics filed a motion to dismiss the qui tam complaint, alleging a number of deficiencies in the lawsuit. In 
May 2014, the relator filed a First Amended Complaint. Cyberonics filed another motion to dismiss in June 
2014, and the parties completed their briefing on the motion in July 2014. On 6 April 2015, the district court 
dismissed all claims filed by Andrew Hagerty under the False Claims Act, but did not dismiss the claims for 
wrongful and retaliatory discharge. On 28 July 2015, Cyberonics filed its answer to the surviving claims in Mr. 
Hagerty’s first Amended Complaint and asserted its demand for arbitration pursuant to Mr. Hagerty’s 
employment documents. 

In August 2015, Mr. Hagerty filed a Motion Seeking Leave to file a Second Amended Complaint 

responding to certain deficiencies noted by the court when dismissing claims in his First Amended Complaint 
alleging that Cyberonics submitted, or caused the submission of false claims under the False Claims Act. On 4 
September 2015, Cyberonics filed our Brief in Opposition to Hagerty’s Motion for Leave to file a Second 
Amended Complaint.  Mr. Hagerty filed a Reply Brief in support of his Motion for Leave to file a Second 
Amended Complaint on 11 September 2015.  On 16 September 2015, the Court heard oral arguments on (a) Mr. 
Hagerty’s motion seeking to amend his complaint, and (b) Cyberonics’ pending motion demanding arbitration 
on the claims relating to wrongful and retaliatory discharge.  On 17 November 2015, the court (1) denied Mr. 
Hagerty’s Motion for Leave to File a Second Amended Complaint (accordingly, the previously dismissed claims 
remain dismissed); (2) granted Cyberonics’ Motion to Compel Arbitration of the two remaining claims (for 
retaliatory discharge under the False Claims Act and for wrongful termination/retaliation under Massachusetts 
law); and (3) stayed the pending case (in order to consolidate all issues for appeal pending resolution of the 
arbitration). On or about 22 February 2016, Mr. Hagerty dismissed, without prejudice, his individual claims that 
were ordered to arbitration.  Subsequently, on or about 21 March 2016, Mr. Hagerty filed an appeal of the 
previously dismissed FCA claims with the U.S. First Circuit Court of Appeals.  The appeal is pending. 

We believe that our commercial practices were and are in compliance with applicable legal standards, and 

we will continue to defend this case vigorously. We make no assurance as to the resources that will be needed to 
respond to these matters or the final outcome, and we cannot estimate a range of potential loss or damages. 

Tax Litigation. In a tax audit report notified on 30 October 2009, the Regional Internal Revenue Office of 
Lombardy (the “Internal Revenue Office”) informed Sorin Group Italia S.r.l. that, among several issues, it was 
disallowing in part (for a total of €102.6 million) a tax-deductible write down of the investment in the U.S. 
company, Cobe Cardiovascular Inc., which Sorin Group Italia S.r.l. recognised in 2002 and deducted in five 
equal installments, beginning in 2002. In December 2009, the Internal Revenue Office issued notices of 
assessment for 2002, 2003 and 2004. The assessments for 2002 and 2003 were automatically voided for lack of 
merit. In December 2010 and October 2011, the Internal Revenue Office issued notices of assessment for 2005 
and 2006 respectively. The Company challenged all three notices of assessment (for 2004, 2005 and 2006) 
before the relevant Provincial Tax Courts. 

239

 
 
 
 
The preliminary challenges filed for 2004, 2005 and 2006 were heard and all denied at the first 

jurisdictional level, and subsequently, the Company filed an appeal against the decisions in the belief that all the 
decisions are incorrect in their reasoning and radically flawed. The appeal submitted against the first-level 
decision for 2005 was rejected. The second-level decision (relating to the 2005 notice of assessment) was 
appealed to the Italian Supreme Court (Corte di Cassazione), where LivaNova will argue that the assessment 
should be deemed null and void and illegitimate because of a false application of regulations. This litigation is 
still pending before the Italian Supreme Court. 

In November 2012, the Internal Revenue Office served a notice of assessment for 2007 and, in July 2013, 

served a notice of assessment for 2008, wherein the Internal Revenue Office claimed an increase in taxable 
income due to a reduction (similar to the previous notices of assessment for 2004, 2005 and 2006) of the losses 
reported by Sorin Group Italia S.r.l. for the 2002, 2003 and 2004 tax periods and utilized in 2007 and 2008. 
Both notices of assessment were challenged within the statutory deadline. The Provincial Tax Court of Milan 
suspended the decision until the litigation regarding years 2004, 2005 and 2006 are defined. 

 The total amount of losses in dispute is €62.6 million. At the time of Cyberonics-Sorin merger, LivaNova 
carefully reassessed its exposure, on this complex tax litigation, taking into account the recent general adverse 
trend to taxpayers on litigations with Italian tax authorities. Although the Company’s defensive arguments are 
strong, the negative Court trend experienced so far by Sorin (four consecutive negative judgements received to 
date) as well as the fact of the ultimate outcome being dependent on the last possible Court level, i.e. the Italian 
Supreme Court, which is entitled to resolve only on procedural and legal aspects of the case but not on its 
substance, led LivaNova to recognise a risk provision of $18.3 million. 

Other Litigation. Additionally, we are the subject of various pending or threatened legal actions and 
proceedings that arise in the ordinary course of our business. These matters are subject to many uncertainties 
and outcomes that are not predictable and that 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 our net income, financial position or cash flows. 

Lease Agreements 

We have operating leases for facilities and equipment. Rent expense from all operating leases amounted 

to approximately $0.5 million from inception to 31 December 2015. 

Future minimum lease payments for operating leases as of 31 December 2015 are as follows (in 

thousands): 

No later than 1 year 
Later than 1 year and no later than 5 years 
Later than 5 years 

Present value of minimum lease payments 

  $ 

  $ 

1,366 
1,770  
—  
3,136 

240

 
 
 
 
jurisdictional level, and subsequently, the Company filed an appeal against the decisions in the belief that all the 

decisions are incorrect in their reasoning and radically flawed. The appeal submitted against the first-level 

decision for 2005 was rejected. The second-level decision (relating to the 2005 notice of assessment) was 

appealed to the Italian Supreme Court (Corte di Cassazione), where LivaNova will argue that the assessment 

should be deemed null and void and illegitimate because of a false application of regulations. This litigation is 

still pending before the Italian Supreme Court. 

In November 2012, the Internal Revenue Office served a notice of assessment for 2007 and, in July 2013, 

served a notice of assessment for 2008, wherein the Internal Revenue Office claimed an increase in taxable 

income due to a reduction (similar to the previous notices of assessment for 2004, 2005 and 2006) of the losses 

reported by Sorin Group Italia S.r.l. for the 2002, 2003 and 2004 tax periods and utilized in 2007 and 2008. 

Both notices of assessment were challenged within the statutory deadline. The Provincial Tax Court of Milan 

suspended the decision until the litigation regarding years 2004, 2005 and 2006 are defined. 

 The total amount of losses in dispute is €62.6 million. At the time of Cyberonics-Sorin merger, LivaNova 

carefully reassessed its exposure, on this complex tax litigation, taking into account the recent general adverse 

trend to taxpayers on litigations with Italian tax authorities. Although the Company’s defensive arguments are 

strong, the negative Court trend experienced so far by Sorin (four consecutive negative judgements received to 

date) as well as the fact of the ultimate outcome being dependent on the last possible Court level, i.e. the Italian 

Supreme Court, which is entitled to resolve only on procedural and legal aspects of the case but not on its 

substance, led LivaNova to recognise a risk provision of $18.3 million. 

Other Litigation. Additionally, we are the subject of various pending or threatened legal actions and 

proceedings that arise in the ordinary course of our business. These matters are subject to many uncertainties 

and outcomes that are not predictable and that 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 our net income, financial position or cash flows. 

Lease Agreements 

We have operating leases for facilities and equipment. Rent expense from all operating leases amounted 

to approximately $0.5 million from inception to 31 December 2015. 

thousands): 

No later than 1 year 

Later than 1 year and no later than 5 years 

Later than 5 years 

Present value of minimum lease payments 

  $ 

  $ 

1,366 

1,770  

—  

3,136 

The preliminary challenges filed for 2004, 2005 and 2006 were heard and all denied at the first 

Other commitments and contingencies. Certain potential commitments of LivaNova related to the funding 

of equity method investments are such that LivaNova invests in minority shares of companies with assets still in 
development that often require milestone and/or royalty payments to a third party, contingent upon the 
occurrence of certain future events. Milestone payments may be required, and are contingent upon the 
successful achievement of an important point in the development life cycle of a product or upon certain pre-
designated levels of achievement in clinical trials. A number of these arrangements give LivaNova the 
discretion to unilaterally make the decision to stop development of a product or cease progress of a clinical trial, 
which would allow LivaNova to avoid making the contingent payments. Although LivaNova is unlikely to 
cease development if a device successfully achieves clinical testing objectives, these are not considered 
contractual obligations because of the contingent nature of these payments and LivaNova’s ability to avoid them 
if LivaNova decided to pursue a different path of development. 

In the normal course of business, LivaNova periodically enters into agreements that require it to indemnify 
customers or suppliers for specific risks, such as claims for injury or property damage arising out of LivaNova’s 
products or the negligence of LivaNova’s personnel or claims alleging that its products infringe third-party 
patents or other intellectual property. LivaNova’s maximum exposure under these indemnification provisions 
cannot be estimated, and LivaNova has not accrued any liabilities within LivaNova’s financial statements, with 
the exceptions of those which will probably require the use of financial resources in an amount that can be 
estimated reliably. 

Note 19. Related Parties 

Interests in subsidiaries are set out in “Note 8. Investments In subsidiaries”. In the normal course of 
business the Company issues loans, purchases and sells services from/ to various related parties in which the 
Company typically holds a 50% or less equity interest and has significant influence. These transactions are 
generally conducted with terms comparable to transactions with third parties. 

The Company provided LivaNova group companies with support and assistance for human resource 

development, financial management, legal, tax and corporate assistance. 

Payment for the services rendered is made in arrears each month, and interest rates are at arm’s length. 

The following transactions arose from sale and financing transactions with the Company’s subsidiaries (in 

Future minimum lease payments for operating leases as of 31 December 2015 are as follows (in 

thousands): 

Revenue 
Selling, general and administrative 
Interest income 
Interest expense 

Subsidiaries 

From Inception to 
31 December 

% of Total 

 $ 

1,758 
1,609 
196 
897 

99.7  %
(14.3 )%
98.5  %
49.6  %

The following balances arose from sale and financing transactions with the Company’s subsidiaries (in 

thousand): 

241

 
 
 
 
 
 
 
 
 
 
 
 
 
Assets 
Other assets - non-current 
Other financial assets - current 
Trade receivables - current 
Other receivables - current 

Liabilities 
Financial liabilities - current 
Trade payables - current 
Other payables - current 
Financial liabilities - non-current 

Subsidiaries 

  31 December 2015 

% of Total 

 $ 

 $ 

3,011 
88,600 
3,840 
11,471 

637,462 
1,718 
3,860 
111,012 

70.2%
100.6%
99.8%
79.1%

89.8%
16.9%
40.8%
57.7%

Total compensation in respect of key management, who are defined as the Board of Directors and certain 

members of senior management, is considered to be a related party transaction. 

The total compensation, including amounts recharged from other Group companies, in respect of LivaNova 

PLC key management was as follows (in thousands): 

Salaries and short-term benefits 
Post-employment benefits 
Termination benefits 
Share-based compensation 

From Inception to 31 
December 2015 

 $ 

 $ 

1,473 
80  
1,452  
1,962  
4,967 

242

 
 
 
 
 
   
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
Assets 

Other assets - non-current 

Other financial assets - current 

Trade receivables - current 

Other receivables - current 

Liabilities 

Financial liabilities - current 

Trade payables - current 

Other payables - current 

Financial liabilities - non-current 

Salaries and short-term benefits 

Post-employment benefits 

Termination benefits 

Share-based compensation 

Total compensation in respect of key management, who are defined as the Board of Directors and certain 

members of senior management, is considered to be a related party transaction. 

The total compensation, including amounts recharged from other Group companies, in respect of LivaNova 

PLC key management was as follows (in thousands): 

Subsidiaries 

  31 December 2015 

% of Total 

Note 20. Statement of Income (Loss) - Expenses by Nature 

 $ 

 $ 

3,011 

88,600 

3,840 

11,471 

637,462 

1,718 

3,860 

111,012 

70.2%

100.6%

99.8%

79.1%

89.8%

16.9%

40.8%

57.7%

(in thousands) 

Revenue 

Other income 
Cost of raw materials and other materials 
Cost of services used 
Personnel expense 
Amortisation, depreciation and write-downs 
Interest expense 
Interest income 
Foreign exchange 

Profit (loss) before taxes 
Income tax expense (benefit) 

Loss for the period 

From Inception to 31 

December 2015 

Employee costs 

Note 21. Employee and Key Management Compensation Costs 

 $ 

 $ 

1,473 

80  

1,452  

1,962  

4,967 

Wages and salaries 
Shared-based payments 
Other employee costs 

From Inception to 31 
December 2015 

 $ 

 $ 

1,764 

28  
(45 ) 
(9,363 ) 
(3,527 ) 
(131 ) 
(1,807 ) 
199  
(6,867 ) 

(19,749 ) 
4,629  
(24,378) 

From Inception to 31 
December 2015 

 $ 

 $ 

1,344 
1,764  
419  
3,527 

Details of Directors' remuneration are included in pages 61 to 84 of the Directors' remuneration report, 

which forms part of these financial statements. 

Employee numbers 

The average monthly employee numbers on a full-time equivalent basis, including executive directors were 

35 for the period from inception to 31 December 2015. 

243

 
 
 
 
 
   
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 22. Exceptional Items 

The following exceptional items are included within operating profit: 

Integration expenses 
Restructuring expenses 

From Inception to 31 
December 2015 

 $ 

 $ 

2,650 
1,456  
4,106 

Integration Expenses. Integration expenses consisted primarily of consultation with regard to: our systems 
integration, organization structure integration, finance, synergy and tax planning, our London Stock Exchange 
listing and certain re-branding efforts. 

Restructuring Expenses. After the consummation of the Mergers between Cyberonics with Sorin in October 

2015, we initiated several restructuring plans to combine our business operations. We identify costs incurred 
and liabilities assumed for the Restructuring Plans. The Restructuring Plans are intended to leverage economies 
of scale, eliminate duplicate corporate expenses, streamline distributions and logistics and office functions in 
order to reduce overall costs. 

Note 23. Auditors' Remuneration 

(in thousands) 

From Inception to 31 
December 2015 

LivaNova auditors 
Fees payable to the Company's auditor and its associates for the audit of parent company 
financial statements 
Total audit fees payable to the Company’s auditor 

 $ 

 $ 

75
75 

Note 24. New Accounting Pronouncements 

The standards and interpretations that are issued, but not yet effective, up to the date of issuance of the 

Company’s financial statements are disclosed below. The Company intends to adopt these standards, if 
applicable, when they become effective. 

IFRS 9 Financial Instruments. In July 2014, the IASB issued the final version of IFRS 9 Financial 
Instruments that replaces IAS 39 Financial Instruments: Recognition and Measurement and all previous 
versions of IFRS 9. IFRS 9 brings together all three aspects of the accounting for financial instruments project: 
classification and measurement, impairment and hedge accounting. IFRS 9 is effective for annual periods 
beginning on or after 1 January 2018, with early application permitted. Except for hedge accounting, 
retrospective application is required but providing comparative information is not compulsory. For hedge 
accounting, the requirements are generally applied prospectively, with some limited exceptions. The Company 
plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 
standard will have on its financial statements and related disclosures. 

244

 
 
 
 
 
 
 
 
   
 
 
Note 22. Exceptional Items 

The following exceptional items are included within operating profit: 

Integration expenses 

Restructuring expenses 

From Inception to 31 

December 2015 

2,650 

1,456  

4,106 

Integration Expenses. Integration expenses consisted primarily of consultation with regard to: our systems 

integration, organization structure integration, finance, synergy and tax planning, our London Stock Exchange 

listing and certain re-branding efforts. 

Restructuring Expenses. After the consummation of the Mergers between Cyberonics with Sorin in October 

2015, we initiated several restructuring plans to combine our business operations. We identify costs incurred 

and liabilities assumed for the Restructuring Plans. The Restructuring Plans are intended to leverage economies 

of scale, eliminate duplicate corporate expenses, streamline distributions and logistics and office functions in 

order to reduce overall costs. 

Note 23. Auditors' Remuneration 

(in thousands) 

LivaNova auditors 

financial statements 

Fees payable to the Company's auditor and its associates for the audit of parent company 

Total audit fees payable to the Company’s auditor 

 $ 

 $ 

 $ 

 $ 

Note 24. New Accounting Pronouncements 

The standards and interpretations that are issued, but not yet effective, up to the date of issuance of the 

Company’s financial statements are disclosed below. The Company intends to adopt these standards, if 

applicable, when they become effective. 

IFRS 9 Financial Instruments. In July 2014, the IASB issued the final version of IFRS 9 Financial 

Instruments that replaces IAS 39 Financial Instruments: Recognition and Measurement and all previous 

versions of IFRS 9. IFRS 9 brings together all three aspects of the accounting for financial instruments project: 

classification and measurement, impairment and hedge accounting. IFRS 9 is effective for annual periods 

beginning on or after 1 January 2018, with early application permitted. Except for hedge accounting, 

retrospective application is required but providing comparative information is not compulsory. For hedge 

accounting, the requirements are generally applied prospectively, with some limited exceptions. The Company 

plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 

standard will have on its financial statements and related disclosures. 

IFRS 15 Revenue from Contracts with Customers. IFRS 15 was issued in May 2014 and establishes a five-

step model to account for revenue arising from contracts with customers. Under IFRS 15, revenue is recognised 
at an amount that reflects the consideration to which an entity expects to be entitled in exchange for transferring 
goods or services to a customer. The new revenue standard will supersede all current revenue recognition 
requirements under IFRS. Either a full retrospective application or a modified retrospective application is 
required for annual periods beginning on or after 1 January 2018. Early adoption is permitted. The Company 
plans to adopt the new standard on the required effective date. The Company is evaluating the effect this 
standard will have on its financial statements and related disclosures. 

IFRS 16 Leases. In January 2016, the IASB issued final accounting guidance on leases which provides a 
new model for lease accounting in which all leases, other than short-term and small-ticket-item leases, will be 
accounted for by the recognition on the balance sheet of a right-to-use asset and a lease liability, and the 
subsequent amortization of the right-to-use asset over the lease term. IFRS 16 will be effective for annual 
periods beginning on or after 1 January 2019. Early application is permitted, provided the new revenue 
standard, IFRS 15 Revenue from Contracts with Customers, has been applied, or is applied at the same date as 
IFRS 16. The Company is evaluating the effect this standard will have on its financial statements and related 
disclosures. 

The Company does not expect to adopt IFRS 9 or IFRS 15 before 1 January 2018 and has not yet 

determined its date of adoption for IFRS 16. The Company has not yet completed its evaluation of the effect of 
adoption of these standards. The EU has not yet adopted IFRS 9, IFRS 15 or IFRS 16 and consequently these 
standards are not yet available for early adoption to the Company. 

From Inception to 31 

December 2015 

There are no other standards and interpretations in issue but not yet adopted that the management anticipate 

will have a material effect on the reported income or net assets of the Company. 

75

75 

Note 25. Events After Reporting Period 

Reorganisation Plan 

On March 10, 2016, the Company announced a reorganization plan for its Cardiac Rhythm Management 
Business Unit intended to strengthen its operational effectiveness and efficiency in response to changes in the 
global marketplace. The Company estimates that, net of new positions created, the reorganization plan will 
result in a reduction of around 140 in the workforce, primarily based at the Company's facility in Clamart, 
France. The plan also contemplates the closure of the Company's research and development facility in Meylan, 
France, and the consolidation of the Business Unit's research and development capabilities into the Clamart 
facility. In addition, the research and development team of the Company's New Ventures organization will be 
combined with those of the Cardiac Rhythm Management Business Unit. Although terms are not likely to be 
finalized until the second quarter of 2016, the Company believes that the reduction in force should be 
accomplished primarily through voluntary separation packages. The Company estimates that these actions will 
result in total pre-tax charges of approximately $16 million to $21 million in 2016, relating to non-recurring 
cash employee-related costs, including costs for severance and other employee-related assistance and other exit 
costs associated with the plan. 

245

 
 
 
 
 
 
 
 
   
 
 
 
 
 
Capital (Reduction) 

Subsequent to the year end,  the majority of the merger relief reserve as at 31 December 2015 was 
capitalised by way of a bonus share issue, which gave rise to an increase in the company's share premium 
account. Having previously obtained shareholder approval on 16 October 2015, and following the approval of 
the High Court of Justice, Chancery Division on 6 April 2016, the share premium of the Company in the 
amount of $2,587 million was cancelled. The purpose of the cancellation of the share premium account was to 
create distributable reserves in the books of account of the Company to be used for any corporate purpose of the 
Company for which realised profits are required. 

246

 
 
 
Capital (Reduction) 

Subsequent to the year end,  the majority of the merger relief reserve as at 31 December 2015 was 

capitalised by way of a bonus share issue, which gave rise to an increase in the company's share premium 

the High Court of Justice, Chancery Division on 6 April 2016, the share premium of the Company in the 

amount of $2,587 million was cancelled. The purpose of the cancellation of the share premium account was to 

create distributable reserves in the books of account of the Company to be used for any corporate purpose of the 

Company for which realised profits are required. 

account. Having previously obtained shareholder approval on 16 October 2015, and following the approval of 

“ART” . . . . . . . . . . . . . . . . . . . . . . . . .

autonomic regulation therapy;

GLOSSARY AND DEFINITIONS

The following definitions apply throughout this UK Annual Report (other than in the Financial Statements) unless the context 
requires otherwise:

“Affordable Care Act”. . . . . . . . . . . .

the US Patient Protection and Affordable Care Act, as amended by the Health 
Care and Educational Reconciliation Act;

“Auditor” . . . . . . . . . . . . . . . . . . . . . .

PricewaterhouseCoopers LLP, the Company’s independent UK statutory auditor;

“Board”  . . . . . . . . . . . . . . . . . . . . . . .

the Company’s board of directors;

“Business Units”  . . . . . . . . . . . . . . . .

LivaNova’s  three  principal  business  units,  Neuromodulation,  Cardiac  Surgery 
and CRM;

“Caisson” . . . . . . . . . . . . . . . . . . . . . .

Caisson Interventional LLC;

“CEO” . . . . . . . . . . . . . . . . . . . . . . . . .

Chief Executive Officer;

“CE Mark”  . . . . . . . . . . . . . . . . . . . . .

certification  demonstrating  minimum  standards  of  performance,  safety  and 
quality  (i.e.,  the  essential  requirements)  set  out  in  the  EU  Medical  Devices 
Directives (Council Directive 93/42/EEC on Medical Devices and Council Directive 
90/385/EEC on Active Implantable Medical Devices); 

“Cerbomed”. . . . . . . . . . . . . . . . . . . .

Cerbomed GmbH;

“CFO” . . . . . . . . . . . . . . . . . . . . . . . . .

Chief Financial Officer;

“CMS”  . . . . . . . . . . . . . . . . . . . . . . . .

the Centers for Medicare and Medicaid Services;

“Code” . . . . . . . . . . . . . . . . . . . . . . . .

the US Internal Revenue Code;

“Company”  . . . . . . . . . . . . . . . . . . . .

LivaNova PLC, a company incorporated in England and Wales;

“Companies Act”. . . . . . . . . . . . . . . .

the Companies Act 2006 of England and Wales;

“COSO Framework”  . . . . . . . . . . . . .

the framework developed by the Committee of Sponsoring Organizations of the 
Treadway Commission in the US;

“CRM”  . . . . . . . . . . . . . . . . . . . . . . . .

cardiac rhythm management;

“CRT-Ds”. . . . . . . . . . . . . . . . . . . . . . .

cardiac resynchronisation therapy devices; 

“CSA” . . . . . . . . . . . . . . . . . . . . . . . . .

central sleep apnea;

“Cyberonics” . . . . . . . . . . . . . . . . . . .

Cyberonics. Inc., a Delaware corporation, including (whether the context requires) 
its subsidiaries and subsidiary undertakings;

“Cyberonics Compensation 

Committee”. . . . . . . . . . . . . . . . .

the compensation committee of the board of directors of Cyberonics; 

“Cyberonics FY 2015” . . . . . . . . . . . .

the financial year for Cyberonics ended 24 April 2015;

“Cyberonics Merger”  . . . . . . . . . . . .

the merger of Merger Sub with and into Cyberonics, with Cyberonics continuing 
as the surviving company and a wholly-owned subsidiary of the Company;

“DAB”. . . . . . . . . . . . . . . . . . . . . . . . .

the  Departmental  Appeals  Board  of  the  US  Department  of  Health  and 
Human Services;

“DTRs” . . . . . . . . . . . . . . . . . . . . . . . .

the disclosure rules and transparency rules of the FCA;

247

 
 
 
“EBT” . . . . . . . . . . . . . . . . . . . . . . . . .

LivaNova PLC Employee Benefit Trust; 

“EEA” . . . . . . . . . . . . . . . . . . . . . . . . .

the European Economic Area;

“EIB”. . . . . . . . . . . . . . . . . . . . . . . . . .

European Investment Bank;

“EU” . . . . . . . . . . . . . . . . . . . . . . . . . .

the European Union;

“Exchange Act” . . . . . . . . . . . . . . . . .

the US Securities Exchange Act of 1934 (as amended);

“FCA” . . . . . . . . . . . . . . . . . . . . . . . . .

the UK Financial Conduct Authority;

“FCPA” . . . . . . . . . . . . . . . . . . . . . . . .

the US Foreign Corrupt Practices Act of 1977;

“FSCAs” . . . . . . . . . . . . . . . . . . . . . . .

field safety corrective actions;

“ICDs”. . . . . . . . . . . . . . . . . . . . . . . . .

implantable cardioverter defibrillators;

“IDE”  . . . . . . . . . . . . . . . . . . . . . . . . .

investigational device exemption;

“IFRS” . . . . . . . . . . . . . . . . . . . . . . . . .

International Financial Reporting Standards, as adopted by the EU;

“ImThera”  . . . . . . . . . . . . . . . . . . . . .

ImThera Medical, Inc.;

“IRBs” . . . . . . . . . . . . . . . . . . . . . . . . .

institutional review boards;

“ISO”  . . . . . . . . . . . . . . . . . . . . . . . . .

the International Standards Organisation;

“Italian Stock Exchange”  . . . . . . . . .

the Mercato Telematico Azionario organised and managed by Borsa Italiana S.p.A.;

“Highlife”. . . . . . . . . . . . . . . . . . . . . .

Highlife S.A.S.;

“HIPAA” . . . . . . . . . . . . . . . . . . . . . . .

the US Health Insurance Portability and Accountability Act of 1996;

“HITECH” . . . . . . . . . . . . . . . . . . . . . .

the US Health Information Technology and Clinical Health Act;

“Incentive Award Plan”  . . . . . . . . . .

the LivaNova PLC 2015 Incentive Award Plan;

“IRS”. . . . . . . . . . . . . . . . . . . . . . . . . .

the US Internal Revenue Service;

“KPI”. . . . . . . . . . . . . . . . . . . . . . . . . .

key performance indicator;

“Legacy Sorin Plans”. . . . . . . . . . . . .

the legacy Sorin share plans;

“LivaNova”  . . . . . . . . . . . . . . . . . . . .

the  Company  and  its  subsidiaries  and  subsidiary  undertakings,  including 
(where  the  context  so  requires)  Cyberonics  and  Sorin  prior  to  the  Mergers 
becoming effective;

“LSE”  . . . . . . . . . . . . . . . . . . . . . . . . .

the London Stock Exchange plc;

“MDET”  . . . . . . . . . . . . . . . . . . . . . . . medical device excise tax;

“Medical Devices Regulation” . . . . .

proposed  replacement  for  the  Medical  Devices  Directive  and  the  Active 
Implantable  Medical  Devices  Directive  as  part  of  revision  of  the  EU  regulatory 
framework for medical devices; 

“Merger Agreement” . . . . . . . . . . . .

the definitive transaction agreement entered into by the Company, Cyberonics, 
Sorin and Merger Sub, dated 23 March 2015;

“Merger Sub”  . . . . . . . . . . . . . . . . . .

Cypher Merger Sub, Inc., a Delaware corporation;

“Mergers”  . . . . . . . . . . . . . . . . . . . . .

the Sorin Merger and the Cyberonics Merger;

248

“MRI” . . . . . . . . . . . . . . . . . . . . . . . . . magnetic resonance imaging;

“MHLW”. . . . . . . . . . . . . . . . . . . . . . .

the Ministry of Health, Labour and Welfare of Japan;

“NASDAQ”. . . . . . . . . . . . . . . . . . . . .

the NASDAQ Global Market;

“NASDAQ Rules”. . . . . . . . . . . . . . . .

NASDAQ Stock Market Rules;

“New Ventures”  . . . . . . . . . . . . . . . .

LivaNova’s New Ventures group;

“NTM”  . . . . . . . . . . . . . . . . . . . . . . . .

nontuberculous mycobacterium;

“Official List” . . . . . . . . . . . . . . . . . . .

the official list of listed securities maintained by the FCA; 

“Ordinary Shares” . . . . . . . . . . . . . . .

ordinary shares of £1.00 each in the capital of the Company;

“OSA”. . . . . . . . . . . . . . . . . . . . . . . . .

obstructive sleep apnea;

“PAC” . . . . . . . . . . . . . . . . . . . . . . . . .

political action committee; 

“PAL”  . . . . . . . . . . . . . . . . . . . . . . . . .

the Pharmaceutical Affairs Law of Japan;

“Pearl Meyer” . . . . . . . . . . . . . . . . . .

Pearl Meyer & Partners, LLC, an independent compensation consultant with an 
international scope;

“PMA”  . . . . . . . . . . . . . . . . . . . . . . . .

pre-market approval;

“PMDA” . . . . . . . . . . . . . . . . . . . . . . .

the Pharmaceutical and Medical Devices Agency of Japan;

“PRT”  . . . . . . . . . . . . . . . . . . . . . . . . .

phospholipid reduction treatment;

“QSR” . . . . . . . . . . . . . . . . . . . . . . . . .

the US FDA’s Quality System Regulation under section 520 of the US FDCA;

“Restructuring Plan” . . . . . . . . . . . . .

the restructuring plan initiated by LivaNova after consummation of the Mergers 
in October 2015;

“R&D”. . . . . . . . . . . . . . . . . . . . . . . . .

research and development;

“RSUs” . . . . . . . . . . . . . . . . . . . . . . . .

restricted stock units;

“SARs” . . . . . . . . . . . . . . . . . . . . . . . .

stock appreciation rights; 

“SEC” . . . . . . . . . . . . . . . . . . . . . . . . .

the US Securities and Exchange Commission; 

“Section 4985 Excise Tax”. . . . . . . . .

the tax imposed under section 4985 of the Code; 

“Section 7874”. . . . . . . . . . . . . . . . . .

section 7874 of the Code; 

“Section 7874 Percentage” . . . . . . . .

the per cent. ownership requirements imposed by Section 7874 under which a 
company may be considered to be a corporation foreign to the US; 

“SG&A”  . . . . . . . . . . . . . . . . . . . . . . .

selling, general and administrative;

“Sorin” . . . . . . . . . . . . . . . . . . . . . . . .

Sorin S.p.A., a joint stock company organised under the laws of Italy, including 
(where the context so requires), its subsidiaries and subsidiary undertakings;

“Sorin Merger” . . . . . . . . . . . . . . . . .

the merger of Sorin with and into the Company, with the Company continuing 
as the surviving company;

“Transitional Period”. . . . . . . . . . . . .

the results from operations for Cyberonics for the period 25 April 2015 to 31 
December 2015 and the results of operations for Sorin for the period 19 October 
2015 to 31 December 2015;

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“TRD” . . . . . . . . . . . . . . . . . . . . . . . . .

treatment resistant depression;

“UK Bribery Act” . . . . . . . . . . . . . . . .

the UK Bribery Act of 2010;

“UK Corporate Governance Code”  .

the UK Corporate Governance Code published by the Financial Reporting Council;

“US” . . . . . . . . . . . . . . . . . . . . . . . . . .

the United States of America;

“US Anti-Kickback Statute”  . . . . . . .

the US federal Anti-Kickback Statute;

“US False Claims Act” . . . . . . . . . . . .

the US federal False Claims Act; 

“US FDA” . . . . . . . . . . . . . . . . . . . . . .

the US Food and Drug Administration;

“US FDCA” . . . . . . . . . . . . . . . . . . . . .

the US federal Food, Drug and Cosmetic Act;

“US GAAP”. . . . . . . . . . . . . . . . . . . . .

the accounting principles generally accepted in the US; 

“VNS” . . . . . . . . . . . . . . . . . . . . . . . . .

vagus nerve stimulation; and

“$”  . . . . . . . . . . . . . . . . . . . . . . . . . . .

US dollars.

250