NuVasive Reports Third Quarter 2018 Financial Results

SAN DIEGO, Oct. 30, 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 September 30, 2018.

Third Quarter 2018 Highlights

    --  Revenue increased 9.8% to $271.3 million, or 10.2% on a constant
        currency basis;
    --  GAAP operating profit margin of 6.6%; Non-GAAP operating profit margin
        of 15.6%;
    --  GAAP diluted earnings per share of $0.30; Non-GAAP diluted earnings per
        share of $0.56; and
    --  Company updates full-year 2018 guidance.

"Our third quarter results reflect accelerated year-over-year revenue growth of nearly 10%, supported by strong performances in both spinal hardware and surgical support business lines with overall U.S. case volumes up more than 7%," said Gregory T. Lucier, chairman and chief executive officer of NuVasive. "With the sense the overall U.S. spine market is trending healthier, we made strategic investments this quarter on the heels of this momentum in key R&D initiatives, additions to our commercial sales force and infrastructure upgrades to improve set fulfillment--all to support a strong start to 2019 and beyond."

The Company's financial results reflect continued improvement of its in-sourcing efforts at the West Carrollton, Ohio manufacturing facility, and the Company reiterated expectations that the facility will drive an additional 130 to 150 basis points in operating margins in 2019.

Lucier commented, "We made solid progress with our in-source manufacturing initiatives by bringing in additional SKUs during the third quarter with throughput ramping to higher volumes. This strategic investment is on track and will become a business advantage, both to drive a competitive cost position and to control the quality required to produce evermore complex implants."

NuVasive also recently made several key technology introductions and partnership announcements, including the unveiling of the NuVasive Pulse(TM) surgical automation platform, Spine Precision Partnership with Siemens Healthineers and signing of a strategic partnership with Biedermann Technologies to further enhance NuVasive's best-in-class complex spine deformity technologies. The Company also launched several new products to further reinvigorate its Biologics business line, which continues to recover at a faster-than-expected pace. The Company now anticipates its Biologic business will return to growth in the fourth quarter 2018.

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

Third Quarter 2018 Results

NuVasive reported third quarter 2018 total revenue of $271.3 million, a 9.8% increase compared to $247.1 million for the third quarter 2017. On a constant currency basis, third quarter 2018 total revenue increased 10.2% compared to the same period last year.

For the third quarter 2018, GAAP and non-GAAP gross profit was $197.1 million and $197.4 million, respectively, while GAAP and non-GAAP gross margin was 72.7% and 72.8%, respectively. These results compared to GAAP and non-GAAP gross profit of $181.5 million and $181.7 million, respectively, and both GAAP and non-GAAP gross margin of 73.5% for the third quarter 2017. Total GAAP and non-GAAP operating expenses were $179.2 million and $155.1 million, respectively, for the third quarter of 2018. These results compared to GAAP and non-GAAP operating expenses of $151.1 million and $138.4 million, respectively, for the third quarter 2017.

NuVasive reported GAAP net income of $15.9 million, or $0.30 per diluted share, for the third quarter 2018 compared to GAAP net income of $33.5 million, or $0.64 per diluted share, for the third quarter 2017. On a non-GAAP basis, NuVasive reported net income of $29.5 million, or $0.56 per diluted share, for the third quarter 2018 compared to net income of $26.6 million, or $0.51 per diluted share, for the third quarter 2017.

Annual Financial Guidance for 2018

The Company updated its full-year 2018 financial guidance by increasing its revenue guidance by $5 million to reflect a new range of $1,100 million to $1,110 million and reducing its non-GAAP operating margin guidance range to 15.0% - 15.5% as a result of accelerated investments in infrastructure and commercial sales force in anticipation of the overall spine market growth trending up to more historical averages.


                                                                                                                      
            
              2018 Guidance Range 
         1, 2



                                                                                                           
            
              Prior                                    
           
              Current



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



          
     Revenue                                                               
            $1,095 - $1,105                                 
            $1,095 - $1,105                                       
         $1,105 - $1,110                 
       $1,105 - $1,110


          
     
                 % Growth - Reported                                                  6.7% - 7.6%                                             6.7% - 7.6%                                                7.6% - 8.1%                        7.6% - 8.1%


          
     
              % Growth - Constant Currency 3                                                                                                                          6.3% - 7.3%                                                                          7.4% - 7.9%


          
     Operating margin                                                                   8.0% - 8.1%                                                               16.7%                                       5.4% - 5.9%                      15.0% - 15.5%




          
     Earnings per share                                                      
            $0.45 - $0.48                                   
            $2.37 - $2.40                                         
         $0.22 - $0.31                   
       $2.15 - $2.23


          
     EBITDA                                                                                               18.3%                                                                 25.9%                                      16.1% - 16.6%                     24.4% - 24.9%




          
     
              Tax Rate                                                                       ~33%                                                    ~21%                                                       ~18%                               ~21%





     
     1              Prior guidance reflects the range provided July 31, 2018. Current guidance reflects the range provided October 30,
                          2018.



     
     2              Amounts for 2017 have been recasted and presented based on our full retrospective method of adoption of ASC 606.
                        Commencing with the fourth quarter of 2017, amounts also reflect expenses associated with ongoing litigation with
                        a former Board member and his current employer related to various matters, including infringement of the Company
                                '
              s intellectual property.



     
     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 $1,105 million to $1,110 million
        reflecting reported growth of 7.6% to 8.1%, and growth in the range of
        5.7% to 6.2%, exclusive of the SafePassage acquisition;
    --  Non-GAAP diluted earnings per share in a range of $2.15 to $2.23
        compared with the prior expectation of $2.37 to $2.40;
    --  Non-GAAP operating profit margin in the range of 15.0% to 15.5%,
        compared with the prior expectation of 16.7%;
    --  Adjusted EBITDA margin in the range of 24.4% to 24.9%, compared with the
        prior expectation of 25.9%;
    --  Non-GAAP effective tax expense rate of approximately 21%;
    --  The Company expects currency to have a positive impact on revenue in
        2018 of approximately $2 million compared with the prior expectation of
        $3 million; and
    --  The Company expects to drive an adjusted EBITDA of approximately $269
        million to $276 million, compared with the prior expectation of
        approximately $283 million to $293 million.

The above guidance assumes a full-year benefit of U.S. tax reform, suspension of the medical device tax and the SafePassage acquisition.

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 
         1, 3
                                                                        Actuals
                                                                             1, 2



                                                                                                                                             Prior 
                4          Current
                                                                                                                                                                                 5



                            GAAP net income per share                               $
              
                1.48               
              
                $0.45 - $0.48                 
     
     $0.22 - $0.31


               Impact of change to diluted share count                                                       0.08



                            GAAP net income per share, adjusted to
                             diluted Non-GAAP share count                           $
              
                1.56               
              
                $0.45 - $0.48                 
     
     $0.22 - $0.31




             
     Business transition costs 6                                                                   0.08                                                                0.13                       0.15


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


               Non-cash interest expense on
                convertible notes                                                                            0.33                                                                0.32                       0.32


               Litigation related expenses and
                settlements 8                                                                                0.09                                                                0.60                       0.63


               Non-recurring consulting fees 9                                                                                                                                  0.13                       0.12


               Net loss on strategic investments                                                                                                                                0.17                       0.07


               Amortization of intangible assets 10                                                          0.89                                                                0.95                       0.95


               Purchase of in-process research and
                development 11                                                                                                                                                                            0.17


             
     Tax effect of adjustments 12                                                                (1.08)                                                             (0.40)                    (0.50)



                            Non-GAAP earnings per share                             $
              
                1.89               
              
                $2.37 - $2.40                 
     
     $2.15 - $2.23





               GAAP Weighted shares outstanding -basic                                                     50,874                                                              51,397                     51,396



               GAAP Weighted shares outstanding -
                diluted                                                                                    55,193                                                              52,131                     52,853



               Non-GAAP Weighted shares outstanding -
                diluted 13                                                                                 52,345                                                              52,131                     52,295





     
      
      1 
     
                Items may not foot due to rounding.


     
      
      2                Amounts for 2017 have been recasted and presented based on our full
                             retrospective method of adoption of ASC 606.   Commencing with the fourth
                             quarter of 2017, amounts also reflect expenses associated with ongoing
                             litigation with a former Board member and his current employer related to
                             various matters, including infringement of the Company
                '
                                s intellectual property.


     
      
      3                Prior guidance reflects the range provided July 31, 2018. Current guidance
                             reflects the range provided October 30, 2018.


     
      
      4                Effective tax expense rate of ~33% applied to GAAP earnings and ~21% applied
                             to Non-GAAP earnings.


     
      
      5                Effective tax expense rate of ~18% applied to GAAP earnings and ~21% 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                For 2017, amounts relate primarily to the Medtronic litigation matter.  For
                             2018, amounts relate primarily to the loss recorded in connection with the
                             settlement of the Madsen Medical, Inc. litigation matter.  Commencing with
                             the fourth quarter of 2017, amounts also reflect expenses associated with
                             ongoing litigation with a former Board member and his current employer
                             related to various matters, including infringement of the Company
                             '
                s intellectual property.


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



      
      10                For 2017, amortization excludes the amortization attributable to non-
                             controlling interest.  In January 2018, the Company completed the acquisition
                             of the non-controlling interest.



      
      11                Purchase of an in-process research and development asset which had no
                             future alternative use.



      
      12                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 ~18% on a GAAP basis and ~21% on a non-GAAP
                             basis.



      
      13                Adjusted non-GAAP diluted WASO excludes the impact of dilutive convertible
                             notes and warrants for which the Company is economically hedged through its
                             anti-dilutive bond hedge arrangements.


                                                                                           Reconciliation of Non-GAAP Operating Margin %




                                                                                                                                                2018 Guidance Range
                                                                                                                                                 2, 3



                            (in thousands, except %)                             2017                                                    Prior                            Current
                                                                           Actuals
                                                                                 1,
                                                                                  2



                         Non-GAAP Gross Margin % [A]                             73.9%                                                   72.6%                              72.3%


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



                    
              GAAP Gross Margin [B]                             73.9%                                                   72.5%                              72.2%




                         Non-GAAP Sales, Marketing &
                          Administrative Expense [C]                             52.5%                                                   50.6%                      51.5% - 52.0%


                     Non-recurring consulting fees 5                              0.0%                                                    0.6%                               0.6%



              GAAP Sales, Marketing & Administrative
                                         Expense [D]                             52.5%                                                   51.2%                      52.1% - 52.6%




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




                 Purchase of in-process research and
                                   development [F] 6                              0.0%                                                    0.0%                               0.8%


                     Litigation related expenses and
                                   settlements [G] 7                              0.5%                                                    2.9%                               3.0%


               Amortization of intangible assets [H]
                                                   8                               4.7%                                                    4.5%                               4.5%


                     Business transition costs [I] 9                              0.5%                                                    0.6%                               0.6%




                Non-GAAP Operating Margin % [A - C -
                                                  E]                             16.5%                                                   16.7%                      15.0% - 15.5%





                 GAAP Operating Margin % [B -D -E -F
                                           -G -H -I]                             10.9%                                                    8.0%                        5.4% - 5.9%






     
     1       Amounts for 2017 have been recasted and presented based on our full
                 retrospective method of adoption of ASC 606.   Commencing with the fourth
                 quarter of 2017, amounts also reflect expenses associated with ongoing
                 litigation with a former Board member and his current employer related to
                 various matters, including infringement of the Company
                '
                        s intellectual property.



     
     2 
     
       Items may not foot due to rounding.



     
     3       Prior guidance reflects the range provided July 31, 2018. Current guidance
                 reflects the range provided October 30, 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       Purchase of an in-process research and development asset which had no
                 future alternative use.



     
     7       For 2017, amounts relate primarily to the Medtronic litigation matter.
                 For 2018, amounts relate primarily to the loss recorded in connection
                 with the settlement of the Madsen Medical, Inc. litigation matter.
                 Commencing with the fourth quarter of 2017, amounts also reflect expenses
                 associated with ongoing litigation with a former Board member and his
                 current employer related to various matters, including infringement of
                 the Company
                '
                s intellectual property.



     
     8       For fiscal year 2017 amortization excludes the amortization attributable
                 to non-controlling interest. In January 2018, the Company completed the
                 acquisition of the non-controlling interest.



     
     9       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 %






                                                                                                                                          2018 Guidance Range 2, 3



                         (in thousands, except %)                          2017                                                     Prior                             Current
                                                                  Actuals 1, 2



                         Net Income /(Loss)                                 7.9%                                                     2.2%                         1.0% - 1.4%


            Interest (income) /expense, net                                 3.7%                                                     3.5%                                3.4%


          
     Provision for income taxes                                    (0.7%)                                                     1.1%                                0.2%


          
     Depreciation and amortization 4                                11.7%                                                    11.5%                               11.5%



          
     
                EBITDA                                            22.6%                                                    18.3%                       16.1% - 16.6%


            Non-cash stock based compensation                               2.2%                                                     2.6%                                2.8%


          
     Business transition costs 5                                     0.4%                                                     0.6%                                0.7%


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


            Litigation related expenses and
             settlements 7                                                  0.5%                                                     2.9%                                3.0%


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


            Purchase of in-process research and
             development 9                                                  0.0%                                                     0.0%                                0.8%


            Net loss on strategic investments                               0.0%                                                     0.8%                                0.3%



          
     
                Adjusted EBITDA                                   25.7%                                                    25.9%                       24.4% - 24.9%






     
     1                Amounts for 2017 have been recasted and presented based on our full
                          retrospective method of adoption of ASC 606.   Commencing with the fourth
                          quarter of 2017, amounts also reflect expenses associated with ongoing
                          litigation with a former Board member and his current employer related to
                          various matters, including infringement of the Company
                '
                           s intellectual property.



     
     2                Items may not foot due to rounding.



     
     3                Prior guidance reflects the range provided July 31, 2018. Current guidance
                          reflects the range provided October 30, 2018.



     
     4                For fiscal year 2017 amortization excludes the amortization attributable to non-
                          controlling interest. In January 2018, the Company completed the acquisition of
                          the 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                For 2017, amounts relate primarily to the Medtronic litigation matter.  For
                          2018, amounts relate primarily to the loss recorded in connection with the
                          settlement of the Madsen Medical, Inc. litigation matter.  Commencing with the
                          fourth quarter of 2017, amounts also reflect expenses associated with ongoing
                          litigation with a former Board member and his current employer related to
                          various matters, including infringement of the Company
                '
                           s intellectual property.



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



     
     9                Purchase of an in-process research and development asset which had no
                          future alternative use.

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, purchased in-process research and development, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation expenses and settlements, gains and losses from strategic investments, and non-cash interest expense (excluding debt issuance cost). Management also uses certain non-GAAP measures which are intended to exclude the impact of foreign exchange currency fluctuations. The measure constant currency utilizes 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, purchased in-process research and development, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation expenses and settlements, gains and losses on strategic investments, 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.

During the quarter ended June 30, 2018, the Company began excluding from its non-GAAP financial results certain litigation related expenses associated with ongoing litigation with a former Board member and his current employer related to various matters, including infringement of the Company's intellectual property. For consistency and comparability, the Company has re-casted non-GAAP financial results for each of the quarters ended December 31, 2017 and March 31, 2018 to exclude these litigation expenses in such periods, which were $0.4 million and $0.6 million, respectively.


                                       
              
                For the Three Months Ended September 30, 2018


                                   Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures


                                     
              
                (Unaudited - in thousands, except per share data)




                                                                        Gross                                                      Operating    Net Income  Diluted              Diluted WASO
                                                                                                                                     Profit                    EPS
                                                                                                                                                                                             6           Net
                                                            Profit                                                                                                                             Income to
                                                                                                                                                                                                Adjusted
                                                                                                                                                                                                EBITDA



          
     Reported GAAP                                                            $
              197,141                                     $
          17,971         $
        15,923                   $
         0.30 53,189 $
           15,923



                         % of revenue                                                               72.7                                                6.6
                                                                                                       %                                                 %



            Non-cash purchase accounting
             adjustments on acquisitions (1)                                                         270                                                270                  270                                                270


            Amortization of intangible assets                                                                                                       12,349               12,349


            Litigation related expenses and
             settlements 2                                                                                                                           1,333                1,333                                              1,333


            Business transition costs 3                                                                                                              1,443                1,443                                              1,443


            Purchase of in-process research
             and development 4                                                                                                                       8,913                8,913                                              8,913


            Non-cash interest expense on
             convertible notes                                                                                                                                           4,208


            Net gain on strategic investments                                                                                                                          (5,137)                                           (5,137)


            Tax effect of adjustments 5                                                                                                                                (9,798)


            Interest expense/(income), net                                                                                                                                                                                 8,905


          
     Income tax benefit                                                                                                                                                                                           (2,618)


            Depreciation and amortization                                                                                                                                                                                 32,258


            Non-cash stock based compensation                                                                                                                                                                             11,068



          
     Adjusted Non-GAAP                                                        $
              197,411                                     $
          42,279         $
        29,504                   $
         0.56 52,539 $
           72,358



                         % of revenue                                                               72.8                                               15.6                                                                   26.7
                                                                                                       %                                                 %                                                                     %






     
     1                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.



     
     2                Represents expenses associated with ongoing litigation with a former Board member and his current employer
                          related to various matters, including infringement of the Company
                '
                s intellectual
                          property.



     
     3                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.



     
     4                Purchase of an in-process research and development asset which had no future alternative use.



     
     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 ~18% on a GAAP basis and ~21% on a non-GAAP
                          basis.



     
     6                Adjusted non-GAAP diluted WASO excludes the impact of dilutive convertible notes and warrants for which the
                          Company is economically hedged through its anti-dilutive bond hedge arrangements.


                                        
              
                For the Nine Months Ended September 30, 2018


                                   Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures


                                     
              
                (Unaudited - in thousands, except per share data)




                                                                        Gross                                                      Operating             Net  Diluted EPS                  Diluted WASO           Net Loss to
                                                                                                                                     Profit                                                                         Adjusted
                                                                                                                                                                                                       7
                                                            Profit                                                                             Income                                                    EBITDA



          
     Reported GAAP                                                            $
              588,357                                      $
           28,312                $
            322                      $
              0.01 52,296    $
              322



                         % of revenue                                                               72.3                                                  3.5
                                                                                                       %                                                   %



            Non-cash purchase accounting
             adjustments on acquisitions (1)                                                       1,080                                                1,080                        1,080                                                         1,080


            Non-recurring consulting fees (2)                                                                                                          6,084                        6,084                                                         6,084


            Amortization of intangible assets                                                                                                         37,402                       37,402


            Litigation related expenses and
             settlements (3)                                                                                                                          31,302                       31,302                                                        31,302


            Business transition costs 4                                                                                                                7,694                        7,694                                                         7,694


            Purchase of in-process research
             and development 5                                                                                                                         8,913                        8,913                                                         8,913


            Non-cash interest expense on
             convertible notes                                                                                                                                                    12,460


            Net loss on strategic investments                                                                                                                                      3,867                                                         3,867


            Tax effect of adjustments 6                                                                                                                                         (28,682)


            Interest expense/(income), net                                                                                                                                                                                                     28,078


          
     Income tax benefit                                                                                                                                                                                                                (7,931)


            Depreciation and amortization                                                                                                                                                                                                      96,409


            Non-cash stock based compensation                                                                                                                                                                                                  22,062



          
     Adjusted Non-GAAP                                                        $
              589,437                                     $
           120,787             $
            80,442                      $
              1.54 52,079 $
             197,880



                         % of revenue                                                               72.5                                                 14.8                                                                                      24.3
                                                                                                       %                                                   %                                                                                        %






     
     1                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.



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



     
     3                Represents the loss recorded in connection with the settlement of the Madsen Medical, Inc. litigation matter, as
                          well as expenses associated with ongoing litigation with a former Board member and his current employer related
                          to various matters, including infringement of the Company
                '
                s intellectual property.



     
     4                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.



     
     5                Purchase of an in-process research and development asset which had no future alternative use.



     
     6                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 ~18% on a GAAP basis and ~21% on a non-GAAP basis.



     
     7                Adjusted non-GAAP diluted WASO excludes the impact of dilutive convertible notes and warrants for which the
                          Company is economically hedged through its anti-dilutive bond hedge arrangements.


                                       
              
                For the Three Months Ended September 30, 2017


                                   Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures


                                     
              
                (Unaudited - in thousands, except per share data)




                                                                        Gross                                                      Operating            Net  Diluted EPS               Diluted WASO  Net Income to
                                                                                                                                     Profit                                                             Adjusted
                                                                                                                                                                                                   6      EBITDA
                                                            Profit                                                                            Income



          
     Reported GAAP 1                                                          $
              181,544                                     $
           30,450             $
         33,528               $
              0.64 52,794 $
            33,528



                         % of revenue                                                               73.5                                                12.3
                                                                                                       %                                                  %



            Non-cash purchase accounting
             adjustments on acquisitions (2)                                                         136                                                 136                       136                                                  136


            Amortization of intangible assets
             (3)                                                                                                                                     11,630                    11,307


            Litigation related expenses and
             settlements                                                                                                                                750                       750                                                  750


            Business transition costs 4                                                                                                                 345                       345                                                  345


            Non-cash interest expense on
             convertible notes                                                                                                                                                 3,980


            Tax effect of adjustments 5                                                                                                                                     (23,413)


            Interest expense/(income), net                                                                                                                                                                                         8,819


          
     Income tax benefit                                                                                                                                                                                                  (11,604)


            Depreciation and amortization 3                                                                                                                                                                                       29,858


            Non-cash stock based compensation                                                                                                                                                                                      (427)



          
     Adjusted Non-GAAP                                                        $
              181,680                                     $
           43,311             $
         26,633               $
              0.51 51,751 $
            61,405



                         % of revenue                                                               73.5                                                17.5                                                                          24.9
                                                                                                       %                                                  %                                                                            %






     
     1                Reported GAAP figures for 2017 have been recasted and presented based on the full retrospective method of
                          adoption of ASC 606.



     
     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                When reconciling from reported GAAP net income, the adjustment for amortization of intangible assets excludes
                          the amortization associated with non-controlling interest. In January 2018, the Company completed the
                          acquisition of the non-controlling interest.



     
     4                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.



     
     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 ~7% benefit on a GAAP basis and ~34% on a non-GAAP basis.



     
     6                Adjusted non-GAAP diluted WASO excludes the impact of dilutive convertible notes and warrants for which the
                          Company is economically hedged through its anti-dilutive bond hedge arrangements.


                                        
              
                For the Nine Months Ended September 30, 2017


                                   Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures


                                     
              
                (Unaudited - in thousands, except per share data)




                                                                        Gross                                                      Operating             Net  Diluted EPS               Diluted WASO
                                                                                                                                     Profit                                                   6                Net
                                                            Profit                                                                             Income                                                Income to
                                                                                                                                                                                                      Adjusted
                                                                                                                                                                                                       EBITDA



          
     Reported GAAP 1                                                          $
              562,327                                      $
           82,078             $
         58,121                   $
        1.03 56,304  $
           58,121



                         % of revenue                                                               74.4                                                 10.9
                                                                                                       %                                                   %



            Non-cash purchase accounting
             adjustments on acquisitions (2)                                                         136                                                  136                       136                                                136


            Amortization of intangible assets
             (3)                                                                                                                                      35,040                    34,073


            Litigation related expenses and
             settlements                                                                                                                                 750                       750                                                750


            Business transition costs 4                                                                                                                1,769                     1,769                                              1,769


            Non-cash interest expense on
             convertible notes                                                                                                                                                 13,244


            Tax effect of adjustments 5                                                                                                                                      (38,203)


            Interest expense/(income), net                                                                                                                                                                                       28,425


          
     Income tax benefit                                                                                                                                                                                                  (3,543)


            Depreciation and amortization 3                                                                                                                                                                                      87,872


            Non-cash stock based compensation                                                                                                                                                                                    14,984



          
     Adjusted Non-GAAP                                                        $
              562,463                                     $
           119,773             $
         69,890                   $
        1.33 52,507 $
           188,514



                         % of revenue                                                               74.5                                                 15.9                                                                        25.0
                                                                                                       %                                                   %                                                                          %






     
     1                Reported GAAP figures for 2017 have been recasted and presented based on the full retrospective method of
                          adoption of ASC 606.



     
     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                When reconciling from reported GAAP net income, the adjustment for amortization of intangible assets excludes
                          the amortization associated with non-controlling interest. In January 2018, the Company completed the
                          acquisition of the non-controlling interest.



     
     4                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.



     
     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 ~7% benefit on a GAAP basis and ~34% on a non-GAAP basis.



     
     6                Adjusted non-GAAP diluted WASO excludes the impact of dilutive convertible notes and warrants for which the
                          Company is economically hedged through its anti-dilutive bond hedge arrangements.

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 third 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 November 27, 2018. In addition, a telephone replay of the call will be available until November 6, 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: 13683334.

About NuVasive

NuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurally integrated solutions designed to deliver reproducible and clinically-proven surgical outcomes. The Company's portfolio includes access instruments, implantable hardware, biologics, software systems for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative monitoring service offerings. With over $1 billion in revenues, NuVasive has an approximate 2,400 person workforce in more than 40 countries serving surgeons, hospitals and patients. 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 third quarter 2018, as well as projections for 2018 financial guidance and longer-term financial performance goals. The Company's results for the third 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, 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 September 30,                                              Nine Months Ended September 30,




     (unaudited)                                 2018                                        2017                                             2018                                      2017




     Revenue



     Product revenue                                  $
              242,030                                         $
              227,321                                     $
            728,232     $
            690,100



     Service revenue                                               29,271                                                      19,730                                                85,155                65,363




     Total revenue                                                271,301                                                     247,051                                               813,387               755,463


      Cost of revenue (excluding below
       amortization of intangible assets)



     Cost of products sold                                         54,741                                                      50,856                                               168,134               147,292



     Cost of services                                              19,419                                                      14,651                                                56,896                45,844




     Total cost of revenue                                         74,160                                                      65,507                                               225,030               193,136




     Gross profit                                                 197,141                                                     181,544                                               588,357               562,327



     Operating expenses:


      Sales, marketing and administrative                          141,211                                                     125,649                                               433,635               404,984



     Research and development                                      15,254                                                      12,720                                                44,601                37,706


      Amortization of intangible assets                             12,349                                                      11,630                                                37,402                35,040


      Purchase of in-process research and
       development                                                   8,913                                                                                                            8,913



     Litigation liability loss                                                                                                   750                                                27,800                   750



     Business transition costs                                      1,443                                                         345                                                 7,694                 1,769




     Total operating expenses                                     179,170                                                     151,094                                               560,045               480,249


      Interest and other expense, net:



     Interest income                                                  130                                                          79                                                   380                   355



     Interest expense                                             (9,035)                                                    (8,898)                                             (28,458)             (28,780)



     Other income (expense), net                                    4,239                                                       (139)                                              (7,843)                (382)



      Total interest and other expense, net                        (4,666)                                                    (8,958)                                             (35,921)             (28,807)


      Income (loss) before income taxes                             13,305                                                      21,492                                               (7,609)               53,271



     Income tax benefit                                             2,618                                                      11,604                                                 7,931                 3,543




     Consolidated net income                           $
              15,923                                          $
              33,096                                         $
            322      $
            56,814



      Add back net loss attributable to non-
       controlling interest                     
        $                                                              $
              (432)                           
            $                    $
            (1,307)



      Net income attributable to NuVasive, Inc.         $
              15,923                                          $
              33,528                                         $
            322      $
            58,121





      Net income per share attributable to
       NuVasive, Inc.:



     Basic                                               $
              0.31                                            $
              0.66                                        $
            0.01        $
            1.14




     Diluted                                             $
              0.30                                            $
              0.64                                        $
            0.01        $
            1.03



      Weighted average shares outstanding:



     Basic                                                         51,439                                                      50,747                                                51,341                50,799




     Diluted                                                       53,189                                                      52,794                                                52,296                56,304


                                                                   
         
                NuVasive, Inc.


                                                             
             
            Consolidated Balance Sheets


                                                  
     
                
             (in thousands, except par values and share amounts)




                                                    September 30, 2018                                                         December 31, 2017



         
              
                ASSETS                 (Unaudited)



     Current assets:



     Cash and cash equivalents                                                       $
              75,112                                            $
         72,803



     Restricted cash and investments                                                                                                                      3,901


      Accounts receivable, net of allowances of
       $16,883 and $13,026, respectively                                                         191,571                                                  200,220



     Inventory, net                                                                             271,347                                                  247,138



     Prepaid income taxes                                                                        18,215                                                   17,209


      Prepaid expenses and other current assets                                                   23,408                                                   18,792




     Total current assets                                                                       579,653                                                  560,063



     Property and equipment, net                                                                237,491                                                  215,326



     Intangible assets, net                                                                     262,945                                                  280,774



     Goodwill                                                                                   560,401                                                  536,926



     Deferred tax assets                                                                          4,939                                                    6,440



     Restricted cash and investments                                                              2,394                                                    1,494



     Other assets                                                                                27,577                                                   39,117




     Total assets                                                                 $
              1,675,400                                         $
         1,640,140



                         LIABILITIES AND EQUITY



     Current liabilities:


      Accounts payable and accrued liabilities                                       $
              100,912                                            $
         75,767


      Contingent consideration liabilities                                                         2,207                                                   18,952


      Accrued payroll and related expenses                                                        47,798                                                   55,618



     Litigation liabilities                                                                       8,316                                                    8,150



     Short-term borrowings                                                                        5,000



     Income tax liabilities                                                                       4,002                                                    2,908




     Total current liabilities                                                                  168,235                                                  161,395


      Long-term senior convertible notes                                                         597,518                                                  582,920


      Deferred and income tax liabilities, non-
       current                                                                                     6,200                                                   18,870



     Other long-term liabilities                                                                 99,826                                                   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 September 30, 2018
       and December 31, 2017, 56,566,654 and
       56,164,060 issued and outstanding at
       September 30, 2018 and December 31, 2017,
       respectively                                                                                   61                                                       60



     Additional paid-in capital                                                               1,380,519                                                1,363,549


      Accumulated other comprehensive loss                                                      (10,194)                                                 (6,933)



     Retained earnings                                                                            5,084                                                    4,762


      Treasury stock at cost; 5,114,438 shares
       and 5,001,886 shares at September 30, 2018
       and December 31, 2017, respectively                                                     (571,849)                                               (565,867)



      Total NuVasive, Inc. stockholders' equity                                                  803,621                                                  795,571



     Non-controlling interest                                                                                                                             3,845




     Total equity                                                                               803,621                                                  799,416




     Total liabilities and equity                                                 $
              1,675,400                                         $
         1,640,140


                                                                                    
       
                NuVasive, Inc.


                                                                               
       
         Consolidated Statements of Cash Flows


                                                                                 
        
          
                  (in thousands)




                                                                                                 Nine Months Ended September 30,




     (unaudited)                                                                                                           2018                 2017




     
                Operating activities:



     Consolidated net income                                                                                                       $
           322      $
         56,814


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



     Depreciation and amortization                                                                                                       96,409             88,922



     Purchase of in-process research and development                                                                                      8,913



     Amortization of non-cash interest                                                                                                   14,986             15,676



     Stock-based compensation                                                                                                            22,062             14,984



     Reserves on current assets                                                                                                          11,116              1,745



     Net loss on strategic investments                                                                                                    3,867



     Other non-cash adjustments                                                                                                          16,560             11,029



     Deferred income taxes                                                                                                              (9,938)           (4,277)


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



     Accounts receivable                                                                                                                  8,622           (12,448)



     Inventory                                                                                                                         (33,491)          (36,661)



     Contingent consideration liabilities                                                                                                 (300)          (11,200)



     Prepaid expenses and other current assets                                                                                          (1,047)               169



     Accounts payable and accrued liabilities                                                                                            21,700            (5,974)



     Accrued payroll and related expenses                                                                                               (9,566)               245



     Litigation liability                                                                                                                   166              1,000



     Income taxes                                                                                                                           108            (1,195)




     Net cash provided by operating activities                                                                                          150,489            118,829



     
                Investing activities:



     Acquisitions and investments                                                                                                      (52,555)          (62,371)



     Purchases of intangible assets                                                                                                     (7,682)           (2,270)



     Purchases of property and equipment                                                                                               (78,405)          (97,030)




     Net cash used in investing activities                                                                                            (138,642)         (161,671)



     
                Financing activities:



     Proceeds from the issuance of common stock                                                                                           5,563              5,517



     Purchase of treasury stock                                                                                                         (2,817)          (11,709)



     Payment of contingent consideration                                                                                               (18,700)          (18,800)



     Repurchases of convertible notes                                                                                                                    (63,317)



     Proceeds from revolving line of credit                                                                                              82,000             60,000



     Repayments on revolving line of credit                                                                                            (77,000)          (20,000)



     Other financing activities                                                                                                           (236)           (2,316)




     Net cash used in financing activities                                                                                             (11,190)          (50,625)



     Effect of exchange rate changes on cash                                                                                            (1,349)             1,967



      Decrease in cash, cash equivalents, restricted cash and investments                                                                  (692)          (91,500)


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



      Cash, cash equivalents, restricted cash and investments at end of period                                                   $
           77,506      $
         69,548

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SOURCE NuVasive, Inc.