XVIVO Perfusion
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XVIVO Perfusion (XVIVO) investor relations material

XVIVO Perfusion Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary27 Jan, 2026

Executive summary

  • Net sales for 2025 were SEK 812.2 million, with 3% organic growth (8% adjusted for heart trial revenue), and a record Q4 EBITDA margin of 25%, reflecting scalability and cost optimization.

  • Approximately 13,000 transplants were enabled in 2025, up by 1,000 from the previous year, demonstrating strong technology adoption.

  • Strategic investments and restructuring initiatives were implemented to support future growth, especially in the U.S. market and service segment.

  • The company ended the year with a strong financial position, positive operating cash flow, and continued investments in R&D and U.S. market expansion.

Financial highlights

  • Q4 net sales: SEK 226.1 million, with 10% organic growth (12% excluding heart trial revenue); full-year gross margin: 74%.

  • Q4 adjusted EBITDA: SEK 56.1 million (25% margin); full-year adjusted EBITDA: SEK 161.2 million (20% margin).

  • Q4 adjusted EBIT margin: 16%; full-year adjusted EBIT margin: 11%.

  • Q4 operating cash flow: SEK 87 million; year-end cash: SEK 280 million; SEK 120 million credit facility available.

  • Q4 gross margin: 73% (total), 85% (thoracic), 56% (abdominal), 25% (services).

Outlook and guidance

  • 2026 focus includes expanding U.S. sales force, partnerships, and service offerings, especially for EVLP and NRP, and commercializing heart technology in Europe.

  • Continued investment in U.S. commercial organization and strengthening European leadership in liver perfusion.

  • EBITDA margin for 2026 expected to be around 20%, not repeating Q4's 25% due to growth investments.

  • Regulatory milestones anticipated: U.S. heart study presentation in April, FDA submission in Q2, and potential EU heart approval post-April.

  • Long-term outlook highlights significant unmet demand for transplants and growth potential for machine perfusion.

Update on heart perfusion solution CE approval
Liver Assist US regulatory pathway update
Services business profitability outlook?
EU Heart Box approval post-US data
Liver U.S. 510(k) pathway strategy
2026 EBITDA margin vs. growth investment
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Q1 202624 Apr, 2026
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