NuVasive Announces First Quarter 2018 Financial Results

NuVasive Announces First Quarter 2018 Financial Results

SAN DIEGO, May 1, 2018 /PRNewswire/ -- NuVasive, Inc. (NASDAQ: NUVA), the leader in spine technology innovation, focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, today announced financial results for the quarter ended March 31, 2018.

First Quarter 2018 Highlights

    --  Revenue increased 4.6% to $260.5 million, or 3.4% on a constant currency
        basis;
    --  GAAP operating profit margin of (7.0%); Non-GAAP operating profit margin
        of 12.3%; and
    --  GAAP diluted loss per share of ($0.53); Non-GAAP diluted earnings per
        share increase of 5.4% to $0.39.

"In the first quarter 2018, NuVasive's International business continued its momentum of 20% growth year over year on a constant currency basis, with our core U.S. hardware business showing solid case volume growth," said Gregory T. Lucier, chairman and chief executive officer of NuVasive. "As we look forward to the remainder of the year, we expect our continued innovation--including the expansion of our lateral procedural solutions with the integration of Lateral Single-Position Surgery, further build out of our Advanced Materials Science portfolio and the initial launch of our Surgical Intelligence platform--to drive further differentiation of NuVasive technologies with surgeon partners. We also anticipate our Ohio manufacturing facility production ramping up in the second half of the year and we begin to realize the 400 basis point improvement in gross margins through this in-sourcing manufacturing effort."

A full reconciliation of non-GAAP to GAAP measures can be found in the tables of this news release.

First Quarter 2018 Results
NuVasive reported first quarter 2018 total revenue of $260.5 million, a 4.6% increase compared to $249.0 million for the first quarter 2017. On a constant currency basis, first quarter 2018 total revenue increased 3.4% compared to the same period last year.

For the first quarter 2018, GAAP and non-GAAP gross profit was $186.7 million and $187.1 million, respectively, and GAAP and non-GAAP gross margin was 71.7% and 71.8%, respectively. These results compared to both GAAP and non-GAAP gross profit of $187.6 million, and both GAAP and non-GAAP gross margin of 75.3% for the first quarter 2017.

The Company reported a GAAP net loss of ($27.1) million, or ($0.53) per share, for the first quarter 2018 compared to a GAAP net income of $12.4 million, or $0.22 per share, for the first quarter 2017. On a non-GAAP basis, the Company reported net income of $20.2 million, or $0.39 per share, for the first quarter 2018 compared to net income of $19.7 million, or $0.37 per share, for the first quarter 2017. The GAAP net loss for the quarter was driven primarily by an increase in litigation liability of $29.0 million related to the Company's previously disclosed lawsuit with a former sales agent, which has been ongoing since 2013.

During the quarter ended March 31, 2018, the Company obtained a favorable tax ruling with respect to its operations in Tennessee. The Company modified its local operations to obtain the ruling, which provides for tax exemptions for property, sales and use taxes specific to the state. With the Company's primary distribution facility based in Memphis, the Company expects this tax ruling to yield in excess of $100 million in tax savings over the next 15 years. The Company engaged a specialized tax consultant to assist with these efforts and the Company recorded a non-recurring, success-based fee of $6.1 million in its first quarter 2018 financials.

Annual Financial Guidance for 2018
The Company reiterated its full-year 2018 guidance, and assumes a full-year benefit of U.S. tax reform, suspension of the medical device tax and the recent acquisition of SafePassage.



                                                                                                                                      2018 Guidance Range (1)
                                                                                                                                      ----------------------

                                                                                                           Prior                                              Current
                                                                                                           -----                                              -------

       (in Million's; except %'s and EPS)                                                           GAAP                                Non-GAAP               GAAP            Non-GAAP
                                                                                                    ----                                --------               ----            --------

       Revenue                                                                                                $1,095                                 $1,105             $1,095              $1,105       $1,095         $1,105           $1,095            $1,105

         % Growth - Reported (2)                                                                                6.4%                                  7.3%              6.4%               7.3%        6.7%          7.6%            6.7%             7.6%

       % Growth - Constant Currency 2, 3                                                                                                                                5.9%               6.9%                                      5.7%             6.6%

       Operating margin                                                                                        13.0%                                 13.0%             17.6%              17.6%        9.6%          9.7%           17.6%            17.6%

       Earnings per share                                                                                      $1.56                                  $1.59              $2.44               $2.47        $0.71          $0.74            $2.44             $2.47

       EBITDA                                                                                                  23.4%                                 23.4%             26.9%              26.9%       19.5%         19.5%           26.9%            26.9%

       Tax Rate                                                                                                 ~19%                                 ~19%             ~24%              ~24%       ~31%         ~31%           ~23%             ~23%


     1 Prior guidance reflects the range provided February 26, 2018. Current guidance reflects the range provided May 1, 2018.

     2 2017 has been recasted and presented based on our full retrospective method of adoption of ASC 606.

     3 Constant currency is a measure that adjusts US GAAP revenue for the impact of currency over the same period in the prior year.

    --  Full-year 2018 revenue in the range of $1,095 million to $1,105 million
        reflecting organic growth in the range of 4.7% to 5.7% and reported
        growth of 6.7% to 7.6%, inclusive of the recent acquisition of
        SafePassage;
    --  Non-GAAP diluted earnings per share in a range of $2.44 to $2.47;
    --  Non-GAAP operating profit margin of approximately 17.6%;
    --  Adjusted EBITDA margin of approximately 26.9%;
    --  Non-GAAP effective tax expense rate of approximately 23%, compared with
        the prior expectation of approximately 24%;
    --  The Company now expects currency to have a positive impact in 2018 of
        approximately $10 million, compared with the prior expectation of
        approximately $5 million; and
    --  The Company continues to expect to drive at least 100 basis points in
        non-GAAP operating margin expansion and adjusted EBITDA of approximately
        $295 million to $305 million.

Supplementary Financial Information
For additional financial detail, please visit the Investor Relations section of the Company's website at www.nuvasive.com to access Supplementary Financial Information.



                                                                                                      Reconciliation of Full Year EPS Guidance

                                                                           2017                        2018 Guidance Range 2, 3
                                                          Actuals 1, 2
                                                          ------------

                                                                                     Prior 4                                 Current  5
                                                                                     -------                                 ----------

          GAAP net income per share                                       $1.48                                       $1.56                       $1.59     $0.71      $0.74

           Impact of change to diluted share
           count                                                           0.08                                        0.01                        0.01      0.01       0.01
                                                                           ----                                        ----                        ----      ----       ----

           GAAP net income per share, adjusted
           to diluted Non-GAAP share count                                $1.56                                       $1.57                       $1.60     $0.72      $0.75


          Business transition costs 6                                      0.08                                        0.04                        0.04      0.07       0.07

           Non-cash purchase accounting
           adjustments on acquisitions 7                                   0.01                                        0.02                        0.02      0.02       0.02

           Non-cash interest expense on
           convertible notes                                               0.33                                        0.32                        0.32      0.32       0.32

          Litigation liability 8                                           0.09                                           -                          -     0.55       0.55

          Non-recurring consulting fees 9                                     -                                          -                          -     0.12       0.12

          Impairment of strategic investment                                  -                                          -                          -     0.17       0.17

          Amortization of intangible assets 10                             0.89                                        0.88                        0.88      0.89       0.89

          Tax effect of adjustments 11                                   (1.07)                                     (0.39)                     (0.39)   (0.42)    (0.42)

          Non-GAAP earnings per share                                     $1.89                                       $2.44                       $2.47     $2.44      $2.47
                                                                          =====                                       =====                       =====     =====      =====


           GAAP Weighted shares outstanding -
           basic                                                         50,874                                      51,025                      51,025    51,025     51,025
                                                                         ======                                      ======                      ======    ======     ======

           GAAP Weighted shares outstanding -
           diluted                                                       55,193                                      52,647                      52,647    52,647     52,647
                                                                         ======                                      ======                      ======    ======     ======

           Non-GAAP Weighted shares
           outstanding - diluted 12                                      52,345                                      52,185                      52,185    52,185     52,185
                                                                         ======                                      ======                      ======    ======     ======


       1   2017 has been recasted and presented based on our full retrospective method of adoption of
           ASC 606.

     (2) Items may not foot due to rounding.

     (3)  Prior guidance reflects the range provided February 26, 2018. Current guidance reflects
           the range provided May 1, 2018.

       4   Effective tax expense rate of ~19% applied to GAAP earnings and ~24% applied to Non-GAAP
           earnings.

       5   Effective tax expense rate of ~31% applied to GAAP earnings and ~23% applied to Non-GAAP
           earnings.

       6   Costs related to acquisition, integration and business transition activities which include
           severance, relocation, consulting, leasehold exit costs, third party merger and
           acquisitions costs, contingent consideration fair value adjustments, and other costs
           directly associated with such activities.

       7   Represents costs associated with non-cash purchase accounting adjustments, such as
           acquired inventory fair market value adjustments, which are amortized over the period in
           which underlying products are sold.

       8   Related to the Medtronic litigation matter for fiscal year 2017 and for fiscal year 2018
           represents the estimated loss contingency for the Madsen Medical, Inc. litigation matter.

       9   Non-recurring consulting fees associated with the implementation of our state tax-
           planning strategy.

      10  2017 results exclude the amortization associated with non-controlling interest.

      11   The impact on results from taxes include tax effecting the adjustments above at the
           statutory rate as well as taking into account discrete items and including those discrete
           items in the annual effective tax rate calculation. The Company also includes those
           adjustments that would have benefited the tax rate in lieu of the above adjustments as
           part of the Company's tax filings. The impact of the changes to the tax rate results in
           an annual estimated rate of ~23% on a non-GAAP basis.

      12   Represents the exclusion of diluted shares associated with the Company's convertible debt
           and warrant which are economically hedged by the Company's bond hedge arrangement on the
           Senior Convertible Notes due 2021.



                                                         Reconciliation of Non-GAAP Operating Margin %


                                                                     2017 Actuals 1, 2                 2018 Guidance 2, 3
                                                                     -----------------                 ------------------

                         (in thousands, except %)                                            Prior                          Current
                                                                                              -----                          -------

                       Non-GAAP Gross Margin %[A]                                  73.9%                             74.0%            73.5%

                     Non-cash purchase accounting
                    adjustments on acquisitions 4                                 (0.1%)                            (0.1%)           (0.1%)
                                                                                   -----                              -----             -----

                            GAAP Gross Margin [B]                                  73.9%                             73.9%            73.4%


                      Non-GAAP Sales, Marketing &
                       Administrative Expense [C]                                  52.5%                             51.1%            50.6%

                   Non-recurring consulting fees5                                   0.0%                              0.0%             0.6%
                                                                                     ---                                ---               ---

           GAAP Sales, Marketing & Administrative
                                      Expense [D]                                  52.5%                             51.1%            51.2%


                  Non-GAAP Research & Development
                                      Expense [E]                                   4.9%                              5.3%             5.3%

                In-process research & development                                   0.0%                              0.0%             0.0%
                                                                                     ---                                ---               ---

              GAAP Research & Development Expense
                                              [F]                                   4.9%                              5.3%             5.3%


                       Litigation liability [G] 6                                   0.4%                              0.0%             2.6%

            Amortization of intangible assets [H]
                                                7                                    4.7%                              4.3%             4.3%

                  Business transition costs [I] 8                                   0.4%                              0.2%             0.4%


             Non-GAAP Operating Margin % [A - C -
                                               E]                                  16.4%                             17.6%            17.6%
                                                                                    ====                               ====              ====


              GAAP Operating Margin % [B -D -F -G
                                           -H -I]                                  10.9%                             13.0%             9.6%
                                                                                    ====                               ====               ===


       1   2017 has been recasted and presented based on our full
           retrospective method of adoption of ASC 606.

     (2) Items may not foot due to rounding.

     (3)  Prior guidance reflects the range provided February 26,
           2018. Current guidance reflects the range provided May
           1, 2018.

       4   Represents costs associated with non-cash purchase
           accounting adjustments, such as acquired inventory
           fair market value adjustments, which are amortized
           over the period in which underlying products are sold.

       5   Non-recurring consulting fees associated with the
           implementation of our state tax-planning strategy.

       6   Related to the Medtronic litigation matter for fiscal
           year 2017 and for fiscal year 2018 represents the
           estimated loss contingency for the Madsen Medical,
           Inc. litigation matter.

       7   2017 results exclude the amortization associated with
           non-controlling interest.

       8   Costs related to acquisition, integration and business
           transition activities which include severance,
           relocation, consulting, leasehold exit costs, third
           party merger and acquisitions costs, contingent
           consideration fair value adjustments, and other costs
           directly associated with such activities.



                                                              Reconciliation of EBITDA %



                                                                   2017 Actuals 1, 2            2018 Guidance 2, 3
                                                                   -----------------            ------------------

          (in thousands, except %)                                                       Prior                       Current
                                                                                          -----                       -------

          Net Income / (Loss)                                                     7.9%                         7.5%            3.4%

          Interest (income) / expense, net                                        3.7%                         3.6%            3.6%

          Provision for income taxes                                            (0.7%)                         1.7%            1.6%

          Depreciation and amortization 4                                        11.7%                        10.6%           10.9%
                                                                                  ----                          ----             ----

          EBITDA                                                                 22.6%                        23.4%           19.5%

          Non-cash stock based compensation                                       2.2%                         3.2%            3.0%

          Business transition costs 5                                             0.4%                         0.2%            0.3%

           Non-cash purchase accounting
           adjustments on acquisitions 6                                          0.1%                         0.1%            0.1%

          Litigation liability 7                                                  0.4%                         0.0%            2.6%

          Non-recurring consulting fees 8                                         0.0%                         0.0%            0.6%

          Impairment of strategic investment                                      0.0%                         0.0%            0.8%

          Adjusted EBITDA                                                        25.6%                        26.9%           26.9%
                                                                                  ====                          ====             ====


       1   2017 has been recasted and presented based on our
           full retrospective method of adoption of ASC 606.

     (2) Items may not foot due to rounding.

     (3)  Prior guidance reflects the range provided February
           26, 2018. Current guidance reflects the range
           provided May 1, 2018.

       4   2017 results exclude the amortization associated
           with non-controlling interest.

       5   Costs related to acquisition, integration and
           business transition activities which include
           severance, relocation, consulting, leasehold exit
           costs, third party merger and acquisitions costs,
           contingent consideration fair value adjustments,
           and other costs directly associated with such
           activities.

       6   Represents costs associated with non-cash purchase
           accounting adjustments, such as acquired inventory
           fair market value adjustments, which are amortized
           over the period in which underlying products are
           sold.

       7   Related to the Medtronic litigation matter for
           fiscal year 2017 and for fiscal year 2018
           represents the estimated loss contingency for the
           Madsen Medical, Inc. litigation matter.

       8   Non-recurring consulting fees associated with the
           implementation of our state tax-planning
           strategy.

Reconciliation of Non-GAAP Information
Reconciliation of Non-GAAP Information Management uses certain non-GAAP financial measures such as non-GAAP earnings per share, non-GAAP net income, non-GAAP operating expenses and non-GAAP operating profit margin, which exclude amortization of intangible assets, business transition costs, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation charges and non-cash interest expense (excluding debt issuance cost) and or losses on convertible notes. Management also uses certain non-GAAP measures which are intended to exclude the impact of foreign exchange currency fluctuations. The measure constant currency is the use of an exchange rate that eliminates fluctuations when calculating financial performance numbers. The Company also uses measures such as free cash flow, which represents cash flow from operations less cash used in the acquisition and disposition of capital. Additionally, the Company uses an adjusted EBITDA measure which represents earnings before interest, taxes, depreciation and amortization and excludes the impact of stock-based compensation, business transition costs, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation liabilities, and other significant one-time items. Management calculates the non-GAAP financial measures provided in this earnings release excluding these costs and uses these non-GAAP financial measures to enable it to further and more consistently analyze the period-to-period financial performance of its core business operations. Management believes that providing investors with these non-GAAP measures gives them additional information to enable them to assess, in the same way management assesses, the Company's current and future continuing operations. These non-GAAP measures are not in accordance with, or an alternative for, GAAP, and may be different from non-GAAP measures used by other companies. Set forth below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measure.



                  Reconciliation of First
                   Quarter 2018 Results

                 GAAP Net Loss to Adjusted
                          EBITDA


                                               Three months ended

         (in thousands, except per share data)   March 31, 2018
                                                 --------------

         GAAP net loss                                      $(27,132)

         Interest expense/(income), net                         9,333

         Provision for income taxes                          (10,126)

         Depreciation and amortization                         32,090
                                                               ------

         EBITDA                                                $4,165
                                                               ======

         Business transition costs(1)                           2,253

          Non-cash purchase accounting
          adjustments on acquisitions (2)                         405

         Litigation liability (3)                              28,995

         Non-recurring consulting fees 4                        6,084

         Impairment of strategic investment                     9,004

         Non-cash stock based compensation                      4,134
                                                                -----

         Adjusted EBITDA                                      $55,040
                                                              =======

         As a percentage of revenue                             21.1%


     (1) Costs related to
          acquisition, integration
          and business transition
          activities which include
          severance, relocation,
          consulting, leasehold
          exit costs, third party
          merger and acquisitions
          costs, contingent
          consideration fair value
          adjustments, and other
          costs directly associated
          with such activities.

     (2) Represents costs
          associated with non-cash
          purchase accounting
          adjustments, such as
          acquired inventory fair
          market value adjustments,
          which are amortized over
          the period in which
          underlying products are
          sold.

     (3) Represents the amount
          accrued as an estimated
          loss contingency in
          connection with the
          Madsen Medical, Inc.
          litigation matter.

       4  Non-recurring consulting
          fees associated with the
          implementation of our
          state tax-planning
          strategy.



            Reconciliation of First Quarter 2018 Results

             GAAP Net Loss per Share to Non-GAAP Earnings
                              per Share


                                                           Adjustments            Diluted Earnings Per
                                                                                         Share
                                                                     ----------- ---------------------

         (in thousands, except per share data)

         GAAP net loss                                                 $(27,132)                $(0.53)


         Business transition costs (1)                                     2,253

          Non-cash purchase accounting
          adjustments on acquisitions (2)                                    405

          Non-cash interest expense on
          convertible notes                                                4,099

         Litigation liability (3)                                         28,995

         Non-recurring consulting fees 4                                   6,084

         Impairment of strategic investment                                9,004

         Amortization of intangible assets                                12,425

         Tax effect of adjustments 5                                    (15,976)
                                                                         -------

         Adjustments to GAAP net loss                                     47,289

         Non-GAAP earnings                                               $20,157                   $0.39
                                                                         =======                   =====



          GAAP weighted shares outstanding -
          basic and diluted                                                                      51,226
                                                                                                 ======

          Non-GAAP weighted shares outstanding
          - diluted6                                                                             51,742
                                                                                                 ======


     (1) Costs related to acquisition, integration and
          business transition activities which include
          severance, relocation, consulting, leasehold
          exit costs, third party merger and acquisitions
          costs, contingent consideration fair value
          adjustments, and other costs directly
          associated with such activities.

     (2) Represents costs associated with non-cash
          purchase accounting adjustments, such as
          acquired inventory fair market value
          adjustments, which are amortized over the
          period in which underlying products are sold.

     (3) Represents the amount accrued as an estimated
          loss contingency in connection with the Madsen
          Medical, Inc. litigation matter.

       4  Non-recurring consulting fees associated with
          the implementation of our state tax-planning
          strategy.

       5  The impact on results from taxes include tax
          effecting the adjustments above at the statutory
          rate as well as taking into account discrete
          items and including those discrete items in the
          annual effective tax rate calculation. The
          Company also includes those adjustments that
          would have benefited the tax rate in lieu of the
          above adjustments as part of the Company's tax
          filings. The impact of the changes to the tax
          rate results in an annual estimated rate of ~23%
          on a non-GAAP basis.



       6  Represents the exclusion of diluted shares
          associated with the Company's convertible debt
          and warrant which are economically hedged by
          the Company's bond hedge arrangement on the
          Senior Convertible Notes due 2021.
     --- -----------------------------------------------

Investor Conference Call
NuVasive will hold a conference call today at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its financial performance for the first quarter 2018. The dial-in numbers are 1-877-407-9039 for domestic callers and 1-201-689-8470 for international callers. A live webcast of the conference call will be available online from the Investor Relations page of the Company's website at www.nuvasive.com. After the live webcast, the call will remain available on NuVasive's website through June 1, 2018. In addition, a telephone replay of the call will be available until May 8, 2018. The replay dial-in numbers are 1-844-512-2921 for domestic callers and 1-412-317-6671 for international callers. Please use pin number: 13678607.

About NuVasive
NuVasive, Inc. (NASDAQ: NUVA) is a world leader in minimally invasive, procedurally-integrated spine solutions. From complex spinal deformity to degenerative spinal conditions, NuVasive is transforming spine surgery with innovative technologies designed to deliver reproducible and clinically proven surgical outcomes. NuVasive's highly differentiated, procedurally-integrated solutions include access instruments, implantable hardware and software systems for surgical planning and reconciliation technology that centers on achieving the global alignment of the spine. With over $1 billion in revenues, NuVasive has an approximate 2,400 person workforce in more than 40 countries around the world. For more information, please visit
www.nuvasive.com.

Forward-Looking Statements
NuVasive cautions you that statements included in this news release or made on the investor conference call referenced herein that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive's results to differ materially from historical results or those expressed or implied by such forward looking statements. In addition, this news release contains selected financial results from the first quarter 2018, as well as projections for 2018 financial guidance and longer-term financial performance goals. The Company's results for the first quarter 2018 are prior to the completion of review and audit procedures by the Company's external auditors and are subject to adjustment. In addition, the Company's projections for 2018 financial guidance and longer-term financial performance goals represent initial estimates, and are subject to the risk of being inaccurate because of the preliminary nature of the forecasts, the risk of further adjustment, or unanticipated difficulty in selling products or generating expected profitability. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, risks associated with acceptance of the Company's surgical products and procedures by spine surgeons, spine surgeons, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive's products (including the iGA(TM) platform), the Company's ability to effectually manage inventory as it continues to release new products, its ability to recruit and retain management and key personnel, and the other risks and uncertainties more fully described in the Company's news releases and periodic filings with the Securities and Exchange Commission. NuVasive's public filings with the Securities and Exchange Commission are available at www.sec.gov. NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.


                                        NuVasive, Inc.

                             Consolidated Statements of Operations

                             (in thousands, except per share data)


                                      Three Months Ended March 31,
                                      ----------------------------

    (unaudited)                                                 2018     2017
                                                                ----     ----

    Revenue

    Product revenue                                         $233,515 $224,955

    Service revenue                                           27,007   24,058
                                                              ------   ------

    Total revenue                                            260,522  249,013

    Cost of revenue
     (excluding below
     amortization of
     intangible assets)

    Cost of products sold                                     55,191   45,901

    Cost of services                                          18,623   15,542
                                                              ------   ------

    Total cost of revenue                                     73,814   61,443
                                                              ------   ------

    Gross profit                                             186,708  187,570

    Operating expenses:

    Sales, marketing and
     administrative                                          146,766  140,368

    Research and development                                  14,491   12,414

    Amortization of
     intangible assets                                        12,425   12,061

    Litigation liability
     loss                                                     28,995        -

    Business transition
     costs                                                     2,253       55
                                                               -----      ---

    Total operating expenses                                 204,930  164,898

    Interest and other
     expense, net:

    Interest income                                              134      137

    Interest expense                                         (9,467) (9,799)

    Other (expense) income,
     net                                                     (9,703)     258
                                                              ------      ---

    Total interest and other
     expense, net                                           (19,036) (9,404)

    (Loss) income before
     income taxes                                           (37,258)  13,268

    Income tax benefit
     (expense)                                                10,126  (1,285)
                                                              ------   ------

    Consolidated net (loss)
     income                                                $(27,132) $11,983
                                                            ========  =======

    Add back net loss
     attributable to non-
     controlling interest                               $          -  $(443)
                                                        ============   =====

    Net (loss) income
     attributable to
     NuVasive, Inc.                                        $(27,132) $12,426
                                                            ========  =======


    Net (loss) income per
     share attributable to
     NuVasive, Inc.:

    Basic                                                    $(0.53)   $0.25
                                                              ======    =====

    Diluted                                                  $(0.53)   $0.22
                                                              ======    =====

    Weighted average shares
     outstanding:

    Basic                                                     51,226   50,566
                                                              ======   ======

    Diluted                                                   51,226   57,786
                                                              ======   ======


                                                                  NuVasive, Inc.

                                                            Consolidated Balance Sheets

                                                (in thousands, except par values and share amounts)


                                                                  March 31, 2018                    December 31, 2017
                                                                  --------------                    -----------------

                              ASSETS                               (Unaudited)

    Current assets:

    Cash and cash equivalents                                                        $73,741                             $72,803

    Restricted cash and investments                                                        -                              3,901

    Accounts receivable, net of allowances of
     $14,734 and $13,026, respectively                                               188,107                             200,220

    Inventory, net                                                                   257,982                             247,138

    Prepaid income taxes                                                              16,877                              17,209

    Prepaid expenses and other current assets                                         21,102                              18,792
                                                                                      ------                              ------

    Total current assets                                                             557,809                             560,063

    Property and equipment, net                                                      227,573                             215,326

    Intangible assets, net                                                           287,600                             280,774

    Goodwill                                                                         563,046                             536,926

    Deferred tax assets                                                                5,277                               6,440

    Restricted cash and investments                                                    2,394                               1,494

    Other assets                                                                      27,433                              39,117
                                                                                      ------                              ------

    Total assets                                                                  $1,671,132                          $1,640,140
                                                                                  ==========                          ==========

                      LIABILITIES AND EQUITY

    Current liabilities:

    Accounts payable and accrued liabilities                                         $83,136                             $75,767

    Contingent consideration liabilities                                              11,670                              18,952

    Accrued payroll and related expenses                                              39,369                              55,618

    Litigation liabilities                                                            38,190                               8,150

    Short-term borrowings                                                             55,000                                   -

    Income tax liabilities                                                             3,899                               2,908
                                                                                       -----                               -----

    Total current liabilities                                                        231,264                             161,395

    Long-term senior convertible notes                                               587,716                             582,920

    Deferred and income tax liabilities, non-
     current                                                                           4,900                              18,870

    Other long-term liabilities                                                       84,856                              77,539

    Commitments and contingencies

    Stockholders' equity:

    Preferred stock, $0.001 par value;
     5,000,000 shares authorized, none
     outstanding                                                                           -                                  -

    Common stock, $0.001 par value; 120,000,000
     shares authorized at March 31, 2018 and
     December 31, 2017, 56,335,550 and
     56,164,060 issued and outstanding at March
     31, 2018 and December 31, 2017,
     respectively                                                                         60                                  60

    Additional paid-in capital                                                     1,358,759                           1,363,549

    Accumulated other comprehensive loss                                             (4,353)                            (6,933)

    (Accumulated deficit) retained earnings                                         (22,370)                              4,762

    Treasury stock at cost; 5,077,543 shares
     and 5,001,886 shares at March 31, 2018 and
     December 31, 2017, respectively                                               (569,700)                          (565,867)
                                                                                    --------                            --------

    Total NuVasive, Inc. stockholders' equity                                        762,396                             795,571

    Non-controlling interest                                                               -                              3,845

    Total equity                                                                     762,396                             799,416
                                                                                     =======                             =======

    Total liabilities and equity                                                  $1,671,132                          $1,640,140
                                                                                  ==========                          ==========


                                                                               NuVasive, Inc.

                                                                   Consolidated Statements of Cash Flows

                                                                               (in thousands)


                                                                                            Three Months Ended March 31,
                                                                                            ----------------------------

    (unaudited)                                                                                                      2018      2017
                                                                                                                     ----      ----

    Operating activities:

    Consolidated net (loss) income                                                                              $(27,132)  $11,983

    Adjustments to reconcile net income to net cash provided by
     operating activities:

    Depreciation and amortization                                                                                  32,090    29,510

    Impairment of strategic investment                                                                              9,003         -

    Amortization of non-cash interest                                                                               4,925     5,369

    Stock-based compensation                                                                                        4,134     7,017

    Reserves on current assets                                                                                      4,080   (1,998)

    Other non-cash adjustments                                                                                      4,456     3,013

    Deferred income taxes                                                                                        (12,671)    1,440

    Changes in operating assets and liabilities, net of effects from
     acquisitions:

    Accounts receivable                                                                                            16,933     1,719

    Inventory                                                                                                    (12,126) (13,800)

    Prepaid expenses and other current assets                                                                     (1,737)  (2,614)

    Accounts payable and accrued liabilities                                                                        1,579       550

    Accrued payroll and related expenses                                                                         (18,493) (12,721)

    Litigation liability                                                                                           30,040         -

    Income taxes                                                                                                    1,294   (1,298)
                                                                                                                    -----    ------

    Net cash provided by operating activities                                                                      36,375    28,170

    Investing activities:

    Acquisitions and investments                                                                                 (51,794)  (2,500)

    Purchases of intangible assets                                                                                (2,657)  (1,249)

    Purchases of property and equipment                                                                          (29,109) (34,545)
                                                                                                                  -------   -------

    Net cash used in investing activities                                                                        (83,560) (38,294)

    Financing activities:

    Proceeds from the issuance of common stock                                                                        336       410

    Purchase of treasury stock                                                                                    (2,155) (10,356)

    Payment of contingent consideration                                                                           (8,900)        -

    Proceeds from revolving line of credit                                                                         65,000         -

    Repayments on revolving line of credit                                                                       (10,000)        -

    Other financing activities                                                                                      (141)    (181)
                                                                                                                     ----      ----

    Net cash provided by (used in) financing activities                                                            44,140  (10,127)

    Effect of exchange rate changes on cash                                                                           982       758
                                                                                                                      ---       ---

    Decrease in cash, cash equivalents and restricted cash                                                        (2,063) (19,493)

    Cash, cash equivalents and restricted cash at beginning of period                                              78,198   161,048
                                                                                                                   ------   -------

    Cash, cash equivalents and restricted cash at end of period                                                   $76,135  $141,555
                                                                                                                  =======  ========


CONTACT: Investors, Suzanne Hatcher, NuVasive, Inc., 858-458-2240, ir@nuvasive.com or Media, Troy Anderson, NuVasive, Inc., 858-320-5243, media@nuvasive.com

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SOURCE NuVasive, Inc.