NuVasive Reports Fourth Quarter And Full Year 2018 Financial Results

SAN DIEGO, Feb. 20, 2019 /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 and full year ended Dec. 31, 2018.

Fourth Quarter 2018 Highlights:

    --  Revenue increased 6.3% to $288.3 million, or 6.9% on a constant currency
        basis;
    --  GAAP operating profit margin of 9.0%; Non-GAAP operating profit margin
        of 16.0%; and
    --  GAAP diluted earnings per share of $0.23; Non-GAAP diluted earnings per
        share of $0.69.

Full Year 2018 Highlights:

    --  Revenue increased 7.3% to $1,101.7 million, or 7.1% on a constant
        currency basis;
    --  GAAP operating profit margin of 4.9%; Non-GAAP operating profit margin
        of 15.1%; and
    --  GAAP diluted earnings per share of $0.24; Non-GAAP diluted earnings per
        share of $2.23.

"NuVasive delivered strong year-over-year revenue growth of more than 7% in 2018, demonstrating the Company's ability to take share in a stable but relatively flat U.S. spine market. Additionally, we made significant progress at our West Carrollton manufacturing facility, exiting the year at 70% SKU rationalization. Collectively, these achievements serve to advance our mission to bring disruptive technology to surgeon partners to enable better, more predictable patient outcomes," said J. Christopher Barry, chief executive officer of NuVasive. "In 2019, NuVasive will focus on continuing to deliver above market revenue growth, while balancing operating leverage with reinvestment opportunities. We will demonstrate a disciplined approach toward funding key areas for long-term Company growth--furthering our product leadership in global implant systems, accelerating our Surgical Intelligence platform, and investing in surgeon training and education with an ongoing focus on globalization efforts."

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

Fourth Quarter 2018 Results

NuVasive reported fourth quarter 2018 total revenue of $288.3 million, a 6.3% increase on a reported basis and 6.9% increase on a constant currency basis, compared to $271.2 million for the fourth quarter 2017.

For the fourth quarter 2018, GAAP and non-GAAP gross profit was $202.2 million, and GAAP and non-GAAP gross margin was 70.1%. These results compared to GAAP and non-GAAP gross profit of $195.9 million and $196.3 million, respectively, and GAAP and non-GAAP gross margin of 72.2% and 72.4%, respectively for the fourth quarter 2017. Total GAAP and non-GAAP operating expenses for the fourth quarter 2018 were $176.3 million and $156.2 million, respectively. These results compared to GAAP and non-GAAP operating expenses of $166.5 million and $146.9 million, respectively, for the fourth quarter 2017.

The Company reported GAAP net income of $12.2 million, or $0.23 per share, for the fourth quarter 2018 compared to GAAP net income of $23.5 million, or $0.45 per share, for the fourth quarter 2017. On a non-GAAP basis, the Company reported net income of $36.1 million, or $0.69 per share, for the fourth quarter 2018 compared to net income of $29.1 million, or $0.56 per share, for the fourth quarter 2017.

Full Year 2018 Results

NuVasive reported full year 2018 total revenue of $1,101.7 million, a 7.3% increase on a reported basis and 7.1% increase on a constant currency basis, compared to $1,026.7 million for the full year 2017.

Total GAAP and non-GAAP gross profit for the full year 2018 was $790.6 million and $791.6 million, respectively, and GAAP and non-GAAP gross margin was 71.8% and 71.9%, respectively. These results compared to gross profit of $758.2 million and $758.8 million on a GAAP and non-GAAP basis, respectively, and a GAAP and non-GAAP gross margin of 73.9% for the full year 2017. Total GAAP and non-GAAP operating expenses for the full year 2018 were $736.4 million and $624.8 million, respectively. These results compared to GAAP and non-GAAP operating expenses of $646.8 million and $589.5 million, respectively, for the full year 2017.

The Company reported GAAP net income of $12.5 million, or $0.24 per share, for the full year 2018 compared to GAAP net income of $81.6 million, or $1.48 per share, for the full year 2017. On a non-GAAP basis, the Company reported net income of $116.6 million, or $2.23 per share, for the full year 2018 compared to net income of $99.0 million, or $1.89 per share, for the full year 2017.

Annual Financial Guidance for 2019
The Company estimates revenue for full year 2019 to be in the range of $1.14 billion to $1.16 billion, reflecting reported growth in the range of 3.5% to 5.5%. The Company expects currency to have a negative impact in 2019 of approximately $4 million. The Company estimates full year 2019 net income on a GAAP basis in the range of $1.00 to $1.10 per share and non-GAAP earnings per share in the range of $2.20 to $2.30.


                                2019 Guidance Range (1)



                                          GAAP          
     
     Non-GAAP



     Revenue                  
             $1.14B - $1.16B              
       $1.14B - $1.16B


                  %
                   Growth
                   -
                   Reported                 3.5% - 5.5%                     3.5% - 5.5%


                 %
                  Growth
                  -
                  Constant
                  Currency(2)                                                3.8% - 5.8%


      Operating
      margin                               9.5% - 10.0%                   15.0% - 15.5%


      Earnings
      per
      share                     
             $1.00 - $1.10                
       $2.20 - $2.30


      EBITDA
      margin                              21.2% - 21.7%                   25.2% - 25.7%


                Tax
                 Rate                              ~24%                            ~23%




     
     
     1 Guidance
             reflects
             the range
             provided
             on
             February
             20, 2019.



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

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


                                            2018 Actuals
                                                 (1)                    
              
                2019 Guidance Range
                                                                                                            1, 2, 3



                  GAAP diluted net income
                   per share                       $0.24                                                            
     
     $1.00 - 1.10


     Impact of change to
      diluted share count



                  GAAP net income per
                   share, adjusted to
                   diluted Non-GAAP share
                   count                           $0.24                                                            
     
     $1.00 - 1.10




     Business transition
      costs 4                                       0.22


     Non-cash purchase
      accounting adjustments
      on acquisitions 5                             0.02


     Non-cash interest
      expense on convertible
      notes                                         0.32                                                                        0.30


     Litigation related
      expenses and
      settlements 6                                 0.65                                                                        0.20


     Non-recurring
      consulting fees 7                             0.12


     Net loss on strategic
      investments                                   0.07


     Amortization of
      intangible assets                             0.97                                                                        0.90


     Purchase of in-process
      research and
      development 8                                 0.17


     European medical device
      regulation9                                   0.01                                                                        0.10


     Tax effect of
      adjustments10                               (0.56)                                                                     (0.30)


                  Non-GAAP earnings per
                   share                           $2.23                                                            
     
     $2.20 - 2.30





     GAAP Weighted shares
      outstanding -basic                          51,382                                                                      52,017



     GAAP Weighted shares
      outstanding -diluted                        52,355                                                                      52,938



     Non-GAAP Weighted
      shares outstanding -
      diluted 11                                  52,178                                                                      52,714



     
      
      
      1 Items may not
                 foot due to
                 rounding.


     
      
      
      2 Guidance
                 reflects the
                 range provided
                 on February 20,
                 2019.


     
      
      
      3 Effective tax
                 expense rate of
                 ~24% applied to
                 GAAP earnings
                 and ~23%
                 applied to Non-
                 GAAP earnings.


     
      
      
      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 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.


     
      
      
      6 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.


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


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


     
      
      
      9 Charges
                 represent the
                 costs specific
                 to updating our
                 quality system,
                 product
                 labeling, asset
                 write-offs and
                 product
                 remanufacturing
                 to comply with
                 European
                 medical device
                 regulation.



      
      
      10 The impact on
                 results from
                 taxes include
                 tax affecting
                 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 rate of
                 ~43% benefit on
                 a GAAP basis
                 and ~18% on a
                 non-GAAP basis
                 in 2018.



      
      
      11 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 %




       (in thousands, except
                          %)                                       2018                       2019
                                                      Actuals (1)        Guidance 1, 2



       Non-GAAP Gross Margin
                       % [A]                                       71.9%             72.5% - 73.0%


           Non-cash purchase
      accounting adjustments
         on acquisitions (3)                                      (0.1%)                      0.0%



       GAAP Gross Margin [B]                                       71.8%             72.5% - 73.0%




             Non-GAAP Sales,
                 Marketing &
      Administrative Expense
                         [C]                                       51.1%             51.0% - 52.0%


               Non-recurring
            consulting fees4                                        0.6%                      0.0%


          Litigation related
                   expenses5                                        0.6%                      0.7%



     GAAP Sales, Marketing &
      Administrative Expense
                         [D]                                       52.3%             51.7% - 52.7%




           GAAP and Non-GAAP
      Research & Development
                 Expense [E]                                        5.6%                      6.0%




          Litigation related
            settlements [F]6                                        2.5%                      0.0%


             Amortization of
       intangible assets [G]                                        4.6%                      4.2%


      Purchase of in-process
                research and
            development [H]7                                        0.8%                      0.0%


     European medical device
             regulation [I]8                                        0.0%                      0.6%


         Business transition
                 costs [J] 9                                        1.0%                      0.0%




          Non-GAAP Operating
        Margin % [A - C - E]                                       15.1%             15.0% - 15.5%





     GAAP Operating Margin %
           [B -D -E -F -G -H
                      -I -J]                                        4.9%              9.5% - 10.0%




     
     
     1 Items may not
             foot due to
             rounding.



     
     
     2 Guidance
             reflects the
             range provided
             on February 20,
             2019.



     
     
     3 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.



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



     
     
     5 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.



     
     
     6 Represents the
             loss recorded
             in connection
             with the
             settlement of
             the Madsen
             Medical, Inc.
             litigation
             matter.



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



     
     
     8 Charges
             represent the
             costs specific
             to updating our
             quality system,
             product
             labeling, asset
             write-offs and
             product
             remanufacturing
             to comply with
             European
             medical device
             regulation.



     
     
     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 Margin %




                  (in thousands, except %) 
     
            2018 Actuals 1, 2          
     
     2019 Guidance Range1, 3, 4



                  Net Income                                         1.1%                                   4.6% - 5.0%


     Interest income /
      expense, net                                                   3.4%                                          3.3%


     Income tax benefit /
      (expense)                                                    (0.3%)                                          1.5%


     Depreciation and
      amortization                                                  11.8%                                         11.7%



                  EBITDA Margin                                     16.0%                                 21.2% - 21.7%


     Non-cash stock based
      compensation                                                   2.3%                                          2.7%


     Business transition
      costs5                                                         1.0%                                          0.0%


     Non-cash purchase
      accounting adjustments
      on acquisitions6                                               0.1%                                          0.0%


     Litigation related
      expenses and
      settlements 7                                                  3.1%                                          0.7%


     Non-recurring
      consulting fees 8                                              0.6%                                          0.0%


     In-process research and
      development9                                                   0.8%                                          0.0%


     European medical device
      regulation10                                                   0.0%                                          0.6%


     Net loss on strategic
      investments                                                    0.3%                                          0.0%


                  Adjusted EBITDA Margin                            24.3%                                 25.2% - 25.7%



     
      
      
      1 Items may not
                 foot due to
                 rounding.


     
      
      
      2 Effective tax
                 expense rate of
                 ~43% benefit
                 applied to GAAP
                 earnings and
                 ~18% applied to
                 Non-GAAP
                 earnings.



      
      
       3 Effective tax
                 expense rate of
                 ~24% applied to
                 GAAP earnings
                 and ~23%
                 applied to Non-
                 GAAP earnings.


     
      
      
      4 Guidance
                 reflects the
                 range provided
                 on February 20,
                 2019.


     
      
      
      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 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.


     
      
      
      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.



      
      
      10 Charges
                 represent the
                 costs specific
                 to updating our
                 quality system,
                 product
                 labeling, asset
                 write-offs and
                 product
                 remanufacturing
                 to comply with
                 European
                 medical device
                 regulation.

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, certain European medical device regulation costs, 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, certain European medical device regulation costs, 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 Dec. 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 December 31, 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           Diluted     
        
           Net
                                                    Profit                   Profit                              Income                               EPS                  WASO 5                Income to
                                                                                                                                                                                                Adjusted
                                                                                                                                                                                                 EBITDA

                                                                                                                                                                                                                 ---

        Reported GAAP                                       $202,198                      $25,856                               $12,157                              $0.23             52,530                     $12,157


                     % of revenue                              70.1%                        9.0%

    ---


       Amortization of intangible assets                                               13,268                                13,268



       Litigation related expenses and settlements(1)                                   2,750                                 2,750                                                                           2,750



       Business transition costs(2)                                                     3,779                                 3,779                                                                           3,779



       European medical device regulation(3)                                              373                                   373                                                                             373



       Non-cash interest expense on convertible notes                                                                        4,262



       Net gain on strategic investments                                                                                      (30)                                                                           (30)



       Tax effect of adjustments 4                                                                                           (444)



       Interest expense/(income), net                                                                                                                                                                       9,193



       Income tax expense                                                                                                                                                                                   4,175



       Depreciation and amortization                                                                                                                                                                       33,356



       Non-cash stock based compensation                                                                                                                                                                    3,699

    ---

        Adjusted Non-GAAP                                   $202,198                      $46,026                               $36,115                              $0.69             52,471                     $69,452

    ---

                     % of revenue                              70.1%                       16.0%                                                                                                               24.1%

    ---




       
       
       1 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.


      
       
       
     2 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.


      
       
       
     3 Charges
                   represent the
                   costs specific
                   to updating our
                   quality system,
                   product
                   labeling, asset
                   write-offs and
                   product
                   remanufacturing
                   to comply with
                   European
                   medical device
                   regulation.


      
       
       
     4 The impact on
                   results from
                   taxes include
                   tax affecting
                   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 rate of
                   ~43% benefit on
                   a GAAP basis
                   and ~18% on a
                   non-GAAP
                   basis.


     
       
       
      5 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 Year Ended December 31, 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           Diluted     
        
           Net
                                                    Profit                   Profit                              Income                               EPS                  WASO 8                Income to
                                                                                                                                                                                                Adjusted
                                                                                                                                                                                                 EBITDA

                                                                                                                                                                                                                 ---

        Reported GAAP                                       $790,555                      $54,168                               $12,479                              $0.24             52,355                     $12,479


                     % of revenue                              71.8%                        4.9%

    ---

        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                                               50,670                                50,670


        Litigation related expenses and settlements (3)                                 34,052                                34,052                                                                          34,052



       Business transition costs4                                                      11,473                                11,473                                                                          11,473


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



       European medical device regulation6                                                373                                   373                                                                             373



       Non-cash interest expense on convertible notes                                                                       16,722



       Net loss on strategic investments                                                                                     3,837                                                                           3,837



       Tax effect of adjustments7                                                                                         (29,126)



       Interest expense/(income), net                                                                                                                                                                      37,271



       Income tax benefit                                                                                                                                                                                 (3,756)



       Depreciation and amortization                                                                                                                                                                      129,765



       Non-cash stock based compensation                                                                                                                                                                   25,761

    ---

        Adjusted Non-GAAP                                   $791,635                     $166,813                              $116,557                              $2.23             52,178                    $267,332

    ---

                     % of revenue                              71.9%                       15.1%                                                                                                               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 Charges
                   represent the
                   costs specific
                   to updating our
                   quality system,
                   product
                   labeling, asset
                   write-offs and
                   product
                   remanufacturing
                   to comply with
                   European
                   medical device
                   regulation.


     
       
       
      7 The impact on
                   results from
                   taxes include
                   tax affecting
                   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 rate of
                   ~43% benefit on
                   a GAAP basis
                   and ~18% on a
                   non-GAAP
                   basis.


      
       
       
     8 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 December 31, 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           Diluted     
        
           Net
                                                    Profit                   Profit                              Income                               EPS                  WASO 6                Income to
                                                                                                                                                                                                Adjusted
                                                                                                                                                                                                 EBITDA

                                                                                                                                                                                                                 ---

        Reported GAAP(1)                                    $195,917                      $29,408                               $23,477                              $0.45             51,857                     $23,477


                     % of revenue                              72.2%                       10.8%

    ---

        Non-cash purchase
         accounting
         adjustments on
         acquisitions (2)                                        404                          404                                   404                                                                             404



       Amortization of intangible assets (3)                                           12,999                                12,677



       Litigation related expenses and settlements                                      4,133                                 4,133                                                                           4,133



       Business transition costs 4                                                      2,518                                 2,518                                                                           2,518



       Non-cash interest expense on convertible notes                                                                        4,046



       Tax effect of adjustments 5                                                                                        (18,155)



       Interest expense/(income), net                                                                                                                                                                       9,156



       Income tax benefit                                                                                                                                                                                 (3,949)



       Depreciation and amortization(3)                                                                                                                                                                    32,055



       Non-cash stock based compensation                                                                                                                                                                    7,407

    ---

        Adjusted Non-GAAP                                   $196,321                      $49,462                               $29,100                              $0.56             51,857                     $75,201

    ---                                                                                                                                                                                                          ---

                     % of revenue                              72.4%                       18.2%                                                                                                               27.7%

    ---




       
       
       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 affecting
                   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 rate of
                   ~10% benefit
                   on a GAAP
                   basis and ~33%
                   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 Year Ended December 31, 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          Diluted     
        
           Net
                                                    Profit                   Profit                              Income                               EPS                  WASO6                Income to
                                                                                                                                                                                               Adjusted
                                                                                                                                                                                                EBITDA

                                                                                                                                                                                                                ---

        Reported GAAP(1)                                    $758,244                     $111,486                               $81,598                              $1.48            55,193                     $81,598


                     % of revenue                              73.9%                       10.9%

    ---

        Non-cash purchase
         accounting
         adjustments on
         acquisitions (2)                                        540                          540                                   540                                                                            540



       Amortization of intangible assets (3)                                           48,039                                46,750



       Litigation related expenses and settlements                                      4,883                                 4,883                                                                          4,883



       Business transition costs 4                                                      4,287                                 4,287                                                                          4,287



       Non-cash interest expense on convertible notes                                                                       17,290



       Tax effect of adjustments 5                                                                                        (56,357)



       Interest expense/(income), net                                                                                                                                                                     37,581



       Income tax benefit                                                                                                                                                                                (7,492)



       Depreciation and amortization(3)                                                                                                                                                                  119,927



       Non-cash stock based compensation                                                                                                                                                                  22,391

    ---

        Adjusted Non-GAAP                                   $758,784                     $169,235                               $98,991                              $1.89            52,345                    $263,715

    ---                                                                                                                                                                                                         ---

                     % of revenue                              73.9%                       16.5%                                                                                                              25.7%

    ---




       
       
       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 affecting
                   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 rate of
                   ~10% benefit
                   on a GAAP
                   basis and ~33%
                   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

The Company will hold a conference call today at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its fourth quarter and full year 2018 financial performance. 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 March 20, 2019. In addition, a telephone replay of the call will be available until Feb. 27, 2019. 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: 13686677.

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 more than $1 billion in revenues, NuVasive has approximately 2,600 employees and operates in more than 50 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 fourth quarter and full year 2018, as well as projections for 2019 financial guidance and longer-term financial performance goals. The Company's results for the fourth quarter and full year 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 2019 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                                Year Ended December 31,
                                               December 31,



                                                                      2018                                                    2017       2018        2017



                                             
           (Unaudited)                               
              (Unaudited)



     Revenue



     Product revenue                                             $258,226                                                $248,881   $986,458    $938,981



     Service revenue                                               30,101                                                  22,341    115,256      87,704




     Total revenue                                                288,327                                                 271,222  1,101,714   1,026,685


      Cost of revenue (excluding below
       amortization of intangible assets)



     Cost of products sold                                         66,375                                                  60,015    234,509     207,307



     Cost of services                                              19,754                                                  15,290     76,650      61,134




     Total cost of revenue                                         86,129                                                  75,305    311,159     268,441




     Gross profit                                                 202,198                                                 195,917    790,555     758,244



     Operating expenses:


         Sales, marketing and administrative                       142,201                                                 134,523    575,836     539,507


         Research and development                                   17,094                                                  12,719     61,695      50,425


         Amortization of intangible assets                          13,268                                                  12,999     50,670      48,039


         Purchase of in-process research
          and development                                                                                                             8,913


         Litigation liability loss                                                                                          3,750     27,800       4,500


         Business transition costs                                   3,779                                                   2,518     11,473       4,287




     Total operating expenses                                     176,342                                                 166,509    736,387     646,758


      Interest and other expense, net:



        Interest income                                               206                                                      85        586         440



        Interest expense                                          (9,399)                                                (9,241)  (37,857)   (38,021)


         Other (expense) income, net                                 (331)                                                (1,160)   (8,174)    (1,542)



      Total interest and other expense,
       net                                                         (9,524)                                               (10,316)  (45,445)   (39,123)



      Income before income taxes                                    16,332                                                  19,092      8,723      72,363


      Income tax benefit (expense)                                 (4,175)                                                  3,949      3,756       7,492




     Consolidated net income                                      $12,157                                                 $23,041    $12,479     $79,855



      Add back net loss attributable to
       non-controlling interests                                                                                           $(436)             $(1,743)



      Net income attributable to
       NuVasive, Inc.                                              $12,157                                                 $23,477    $12,479     $81,598



      Net income per share attributable
       to NuVasive, Inc.:



        Basic                                                       $0.24                                                   $0.46      $0.24       $1.60




        Diluted                                                     $0.23                                                   $0.45      $0.24       $1.48



      Weighted average shares
       outstanding:



        Basic                                                      51,504                                                  51,094     51,382      50,874




        Diluted                                                    52,530                                                  51,857     52,355      55,193


                                                     
       
                NuVasive, Inc.


                                                 
         
           Consolidated Balance Sheets


                              
              
             
           (in thousands, except par values and share amounts)




                                                       
         
                December 31,



                                                                                    2018                             2017



          
              
                ASSETS



     Current assets:



     Cash and cash equivalents                                                 $117,840                          $72,803



     Restricted cash and investments                                                                              3,901


      Accounts receivable, net of allowances of
       $16,171 and $13,026, respectively                                         196,487                          200,220



     Inventory, net                                                             273,244                          247,138



     Prepaid income taxes                                                        16,905                           17,209


      Prepaid expenses and other current assets                                   13,733                           18,792




     Total current assets                                                       618,209                          560,063



     Property and equipment, net                                                238,841                          215,326



     Intangible assets, net                                                     252,048                          280,774



     Goodwill                                                                   561,366                          536,926



     Deferred tax assets                                                          5,263                            6,440



     Restricted cash and investments                                              2,395                            1,494



     Other assets                                                                29,737                           39,117




     Total assets                                                            $1,707,859                       $1,640,140



                          LIABILITIES AND EQUITY



     Current liabilities:


      Accounts payable and accrued liabilities                                  $105,877                          $75,767


      Contingent consideration liabilities                                         7,560                           18,952


      Accrued payroll and related expenses                                        59,960                           55,618



     Litigation liabilities                                                       1,415                            8,150



     Income tax liabilities                                                       4,648                            2,908




     Total current liabilities                                                  179,460                          161,395


      Long-term senior convertible notes                                         602,526                          582,920


      Deferred and income tax liabilities, non-
       current                                                                     4,964                           18,870



     Other long-term liabilities                                                 86,384                           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 December 31, 2018 and
       December 31, 2017, 56,648,077 and
       56,164,060 issued and outstanding at
       December 31, 2018 and December 31, 2017,
       respectively                                                                   61                               60



     Additional paid-in capital                                               1,397,829                        1,363,549


      Accumulated other comprehensive loss                                       (8,628)                         (6,933)



     Retained earnings                                                           17,241                            4,762


      Treasury stock at cost; 5,116,496 shares and
       5,001,886  shares at December 31, 2018 and
       December 31, 2017, respectively                                         (571,978)                       (565,867)


      Total NuVasive, Inc. stockholders' equity                                  834,525                          795,571



     Non-controlling interests                                                                                    3,845



     Total equity                                                               834,525                          799,416




     Total liabilities and equity                                            $1,707,859                       $1,640,140


                                                             
              
                NuVasive, Inc.


                                                  
              
                Consolidated Statements of Cash Flows


                                                      
              
                
                  (in thousands)




                                                                                                           Year Ended December 31,



                                                                                                                              2018       2017




     
                Operating activities:



     Consolidated net income                                                                                              $12,479    $79,855


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



     Depreciation and amortization                                                                                        129,765    121,176



     Purchase of in-process research and development                                                                        8,913



     Deferred income taxes                                                                                               (11,396)  (12,838)



     Amortization of non-cash interest                                                                                     20,123     20,538



     Stock-based compensation                                                                                              25,673     22,391



     Net loss on strategic investments                                                                                      4,421



     Reserves on current assets                                                                                            14,834      5,622



     Other non-cash adjustments                                                                                            23,703     16,561


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



     Accounts receivable                                                                                                    4,562   (26,610)



     Inventory                                                                                                           (38,646)  (35,867)



     Prepaid expenses and other current assets                                                                            (1,280)  (12,681)



     Accounts payable and accrued liabilities                                                                              20,518    (5,558)



     Contingent consideration liabilities                                                                                   (300)  (11,200)



     Accrued payroll and related expenses                                                                                   2,595      3,975



     Litigation liability                                                                                                   1,165      8,150



     Income taxes                                                                                                           2,054      3,455




     Net cash provided by operating activities                                                                            219,183    176,969



     
                Investing activities:



     Other acquisitions and investments                                                                                  (55,266)  (62,370)



     Proceeds from other investments                                                                                        3,584



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



     Purchases of property and equipment                                                                                (101,921) (110,221)




     Net cash used in investing activities                                                                              (161,285) (174,861)



     
                Financing activities:



     Proceeds from the issuance of common stock                                                                             8,127      9,991



     Payment of contingent consideration                                                                                 (19,450)  (19,400)



     Purchase of treasury stock                                                                                           (2,928)  (11,860)



     Repurchases of convertible notes                                                                                              (63,317)



     Proceeds from revolving line of credit                                                                               100,000     60,000



     Repayments on revolving line of credit                                                                             (100,000)  (60,000)



     Other financing activities                                                                                             (327)   (2,442)




     Net cash used in financing activities                                                                               (14,578)  (87,028)



     Effect of exchange rate changes on cash                                                                              (1,283)     2,070



      Increase (decrease) in cash, cash equivalents and restricted cash                                                     42,037   (82,850)


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



      Cash, cash equivalents and restricted cash at end of period                                                         $120,235    $78,198

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SOURCE NuVasive, Inc.