NuVasive Announces First Quarter 2019 Financial Results

SAN DIEGO, May 1, 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 ended March 31, 2019.

First Quarter 2019 Highlights

    --  Revenue increased 5.5% to $274.8 million, or 6.4% on a constant currency
        basis;
    --  GAAP operating profit margin of 7.3%; Non-GAAP operating profit margin
        of 14.9%; and
    --  GAAP diluted earnings per share of $0.18; Non-GAAP diluted earnings per
        share of $0.53.

"In the first quarter 2019, NuVasive delivered a solid start to the year with focused execution across our U.S. Spinal Hardware, U.S. Surgical Support and International businesses," said Chris Barry, chief executive officer of NuVasive. "Coupled with these financial results, we continued to operate the business with rigor and discipline to drive profitability while strategically investing in key growth areas. This includes the recently launched X360 System for lateral single-position surgery integrated with Surgical Intelligence, further differentiation of our Advanced Materials Science portfolio and upcoming launch of the Pulse platform--all which enable our surgeon partners to provide better, more reproducible clinical outcomes for their patients through minimally invasive surgery."

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

First Quarter 2019 Results
NuVasive reported first quarter 2019 total revenue of $274.8 million, a 5.5% increase compared to $260.5 million for the first quarter 2018. On a constant currency basis, first quarter 2019 total revenue increased 6.4% compared to the same period last year.

For the first quarter 2019, both GAAP and non-GAAP gross profit was $200.3 million and GAAP and non-GAAP gross margin was 72.9%. These results compared to GAAP and non-GAAP gross profit of $186.7 million and $187.1 million, respectively, and GAAP and non-GAAP gross margin of 71.7% and 71.8%, respectively, for the first quarter 2018.

The Company reported GAAP net income of $9.4 million, or diluted earnings per share of $0.18, for the first quarter 2019 compared to a GAAP net loss of $(27.1) million, or diluted loss per share of $(0.53), for the first quarter 2018. On a non-GAAP basis, the Company reported net income of $27.6 million, or diluted earnings per share of $0.53 per share, for the first quarter 2019 compared to net income of $20.6 million, or diluted earnings per share of $0.40 per share, for the first quarter 2018.

Annual Financial Guidance for 2019
The Company reiterated its full-year 2019 guidance:


                                                   
         
             2019 Guidance Range (1)



                                                 
        
          Prior                                  
     
        Current



                                                              GAAP           
            
        Non-GAAP                       GAAP 
         
            Non-GAAP




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



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



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



     Operating margin                                        9.5% - 10.0%                                 15.0% - 15.5%                 9.0% - 9.5%       15.0% - 15.5%



     Earnings per share                               
         $1.00 - $1.10                              
       $2.20 - $2.30          
         $0.95 - $1.05   
        $2.20 - $2.30



     EBITDA margin                                          21.2% - 21.7%                                 25.2% - 25.7%               20.9% - 21.3%       25.2% - 25.7%



     
              Tax Rate                                             ~24%                                          ~23%                        ~22%                ~23%




     
     
     1 Prior
             guidance
             reflects
             the range
             provided
             February
             20, 2019.
             Current
             guidance
             reflects
             the range
             provided
             May 1,
             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.

    --  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%;
    --  Non-GAAP earnings per share in a range of $2.20 to $2.30;
    --  Non-GAAP operating profit margin of 15.0% to 15.5%;
    --  EBITDA margin of 25.2% to 25.7%; and
    --  Non-GAAP effective tax expense rate of approximately 23%.

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


                                                                                         2019 Guidance Range  1, 2



                                                       2018                        
       
              Prior (3)           
       
      Current 4

                                                    Actuals
                                                       (1)



                  GAAP net income per
                   share                              $0.24                          
       
                 $1.00 - 1.10 
       
       $0.95 - 1.05


     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 
       
       $0.95 - 1.05




     Business transition
      costs 5                                          0.22                                                                         0.10


     Non-cash purchase
      accounting adjustments
      on acquisitions 6                                0.02


     Non-cash interest
      expense on convertible
      notes                                            0.32                                                    0.30                  0.30


     Litigation related
      expenses and
      settlements 7                                    0.65                                                    0.20                  0.20


     Non-recurring
      consulting fees 8                                0.12


     Net loss on strategic
      investments                                      0.07


     Amortization of
      intangible assets                                0.97                                                    0.90                  0.95


     Purchase of in-process
      research and
      development 9                                    0.17


     European medical device
      regulation10                                     0.01                                                    0.10                  0.10


     Tax effect of
      adjustments11                                  (0.56)                                                 (0.30)               (0.40)


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





     GAAP Weighted shares
      outstanding -basic                             51,382                                                  52,017                51,999



     GAAP Weighted shares
      outstanding -diluted                           52,355                                                  52,938                52,991



     Non-GAAP Weighted
      shares outstanding -
      diluted 12                                     52,178                                                  52,714                52,718



     
      
      
      1 Items may not
                 foot due to
                 rounding.


     
      
      
      2 Prior guidance
                 reflects the
                 range provided
                 February 20,
                 2019. Current
                 guidance
                 reflects the
                 range provided
                 May 1, 2019.


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


     
      
      
      4 Effective tax
                 expense rate of
                 ~22% applied to
                 GAAP earnings
                 and ~23%
                 applied to Non-
                 GAAP earnings.


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



      
      
      11 The impact on
                 results from
                 taxes include
                 tax effecting
                 the adjustments
                 above at the
                 statutory rate
                 as well as
                 taking into
                 account
                 discrete items
                 and including
                 those discrete
                 items in the
                 annual
                 effective tax
                 rate
                 calculation.
                 The Company
                 also includes
                 those
                 adjustments
                 that would have
                 benefited the
                 tax rate in
                 lieu of the
                 above
                 adjustments as
                 part of the
                 Company's tax
                 filings. The
                 impact of the
                 changes to the
                 tax rate
                 results in an
                 annual rate of
                 ~43% benefit on
                 a GAAP basis
                 and ~18% on a
                 non-GAAP basis
                 in 2018.



      
      
      12 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 %




                                                                                2019 Guidance Range 1, 2



       (in thousands, except
                          %)              2018                            
       
               Prior          
     
          Current
                             Actuals (1)



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


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



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




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


               Non-recurring
            consulting fees4               0.6%                                                     0.0%               0.0%


          Litigation related
                   expenses5               0.6%                                                     0.7%               0.7%



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




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




          Litigation related
            settlements [F]6               2.5%                                                     0.0%               0.0%


             Amortization of
       intangible assets [G]               4.6%                                                     4.2%               4.3%


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


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


         Business transition
                 costs [J] 9               1.0%                                                     0.0%               0.4%




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





     GAAP Operating Margin %
           [B -D -E -F -G -H
                      -I -J]               4.9%                                             9.5% - 10.0%       9.0% - 9.5%




     
     
     (1) Items may not
                foot due to
                rounding.



     
     
     (2) Prior guidance
                reflects the
                range provided
                February 20,
                2019. Current
                guidance
                reflects the
                range provided
                May 1, 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    Represents 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 %




                                                                                             2019 Guidance Range1, 5



                  (in thousands, except %) 
     
     2018 Actuals 1, 2                         
     
           Prior (3)         
     
        Current4



                  Net Income                                  1.1%                                       4.6% - 5.0%       4.3% - 4.8%


     Interest income /expense,
      net                                                     3.4%                                              3.3%               3.3%


     Income tax benefit /
      (expense)                                             (0.3%)                                              1.5%               1.3%


     Depreciation and
      amortization                                           11.8%                                             11.7%              12.0%



                  EBITDA Margin                              16.0%                                     21.2% - 21.7%     20.9% - 21.3%


     Non-cash stock based
      compensation                                            2.3%                                              2.7%               2.6%


     Business transition costs6                               1.0%                                              0.0%               0.4%


     Non-cash purchase
      accounting adjustments on
      acquisitions7                                           0.1%                                              0.0%               0.0%


     Litigation related
      expenses and settlements
      8                                                       3.1%                                              0.7%               0.7%


     Non-recurring consulting
      fees 9                                                  0.6%                                              0.0%               0.0%


     In-process research and
      development10                                           0.8%                                              0.0%               0.0%


     European medical device
      regulation11                                            0.0%                                              0.6%               0.6%


     Net loss on strategic
      investments                                             0.3%                                              0.0%               0.0%


                  Adjusted EBITDA Margin                     24.3%                                     25.2% - 25.7%     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  Effective tax
                      expense rate of
                      ~22% applied to
                      GAAP earnings
                      and ~23%
                      applied to Non-
                      GAAP earnings.


      
       
       
       5  Prior guidance
                      reflects the
                      range provided
                      February 20,
                      2019. Current
                      guidance
                      reflects the
                      range provided
                      May 1, 2019.


      
       
       
       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  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.


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


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


     
       
       
       11  Represents 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 March 31, 2019


                                                                        
           
                Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                          
           
                (Unaudited - in thousands, except per share data)




                                         
              
          Gross    
     
             Operating         
              
                Net                         Diluted           Diluted     
     
               Net Income
                                                    Profit               Profit                              Income                               EPS            WASO 5               to Adjusted
                                                                                                                                                                                       EBITDA

                                                                                                                                                                                                                  ---

        Reported GAAP                                      $200,282                  $20,173                                 $9,386                        $0.18             52,480                                 $9,386


                     % of revenue                             72.9%                    7.3%

    ---


       Amortization of intangible assets                                          13,625                                 13,625



       Litigation related expenses and settlements(1)                              3,046                                  3,046                                                                                3,046



       Business transition costs(2)                                                3,833                                  3,833                                                                                3,833



       European medical device regulation(3)                                         332                                    332                                                                                  332



       Non-cash interest expense on convertible notes                                                                    4,319



       Tax effect of adjustments 4                                                                                     (6,933)



       Interest expense/(income), net                                                                                                                                                                        9,104



       Income tax expense                                                                                                                                                                                    1,317



       Depreciation and amortization                                                                                                                                                                        34,054



       Non-cash stock based compensation                                                                                                                                                                     5,717

    ---

        Adjusted Non-GAAP                                  $200,282                  $41,009                                $27,608                        $0.53             52,480                                $66,789

    ---                                                                                                                                                                                                           ---

                     % of revenue                             72.9%                   14.9%                                                                                                                     24.3%

    ---




       
       
       (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) Represents costs
                      specific to
                      updating our
                      quality system,
                      product
                      labeling, asset
                      write-offs and
                      product
                      remanufacturing
                      to comply with
                      European
                      medical device
                      regulation.


      
       
       
       4  Represents the
                      impact from tax
                      affecting the
                      adjustments
                      above at their
                      statutory tax
                      rate. As of May
                      1, 2019, the
                      Company
                      estimated an
                      annual tax rate
                      of ~22% on a
                      GAAP basis and
                      ~23% 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 Three Months Ended March 31, 2018


                                                                         
            
               Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                           
            
               (Unaudited - in thousands, except per share data)




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

                                                                                                                                                                                                                  ---

        Reported GAAP                                      $186,708                 $(18,222)                             $(27,132)                     $(0.53)            51,226                             $(27,132)


                     % of revenue                             71.7%                   (7.0%)

    ---

        Non-cash purchase
         accounting
         adjustments on
         acquisitions (1)                                       405                       405                                    405                                                                                 405



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



       Amortization of intangible assets                                           12,425                                 12,425


        Litigation related expenses and settlements (3)                             29,586                                 29,586                                                                              29,586



       Business transition costs 4                                                  2,253                                  2,253                                                                               2,253



       Non-cash interest expense on convertible notes                                                                     4,099



       Net loss on strategic investments                                                                                  9,004                                                                               9,004



       Tax effect of adjustments 5                                                                                     (16,109)



       Interest expense/(income), net                                                                                                                                                                        9,333



       Income tax benefit                                                                                                                                                                                 (10,126)



       Depreciation and amortization                                                                                                                                                                        32,090



       Non-cash stock based compensation                                                                                                                                                                     4,134

    ---

        Adjusted Non-GAAP                                  $187,113                   $32,531                                $20,615                        $0.40             51,742                               $55,631

    ---                                                                                                                                                                                                           ---

                     % of revenue                             71.8%                    12.5%                                                                                                                    21.4%

    ---




       
       
       (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  Represents the
                      impact from
                      tax affecting
                      the
                      adjustments
                      above at their
                      statutory tax
                      rate. As of
                      May 1, 2018,
                      the Company
                      estimated an
                      annual tax
                      rate of ~31%
                      on a GAAP
                      basis and ~23%
                      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 first quarter 2019. 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 May 31, 2019. In addition, a telephone replay of the call will be available until May 8, 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: 13689332.

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 first quarter 2019, as well as projections for 2019 financial guidance and longer-term financial performance goals. The Company's results for the first quarter 2019 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® platform), the Company's ability to effectually manage inventory as it continues to release new products, its ability to recruit and retain management and key personnel, and the other risks and uncertainties more fully described in the Company's news releases and periodic filings with the Securities and Exchange Commission. NuVasive's public filings with the Securities and Exchange Commission are available at www.sec.gov. NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.


                                              
       
                NuVasive, Inc.


                                         
        
         Consolidated Statements of Operations


                                 
              
       
              (in thousands, except per share data)




                                                                Three Months Ended March 31,




     (unaudited)                                                                       2019          2018




     Revenue



     Product revenue                                                               $243,823      $233,515



     Service revenue                                                                 30,953        27,007




     Total revenue                                                                  274,776       260,522


      Cost of revenue (excluding below
       amortization of intangible assets)



     Cost of products sold                                                           54,486        55,191



     Cost of services                                                                20,008        18,623




     Total cost of revenue                                                           74,494        73,814




     Gross profit                                                                   200,282       186,708



     Operating expenses:


      Sales, marketing and administrative                                            145,076       146,766



     Research and development                                                        17,575        14,491


      Amortization of intangible assets                                               13,625        12,425



     Litigation liability loss                                                                    28,995



     Business transition costs                                                        3,833         2,253




     Total operating expenses                                                       180,109       204,930


      Interest and other expense, net:



     Interest income                                                                    409           134



     Interest expense                                                               (9,513)      (9,467)



     Other (expense) income, net                                                      (366)      (9,703)



      Total interest and other expense, net                                          (9,470)     (19,036)


      Income (loss) before income taxes                                               10,703      (37,258)



     Income tax (expense) benefit                                                   (1,317)       10,126



      Consolidated net income (loss)                                                  $9,386     $(27,132)






     Net income (loss) per share:



     Basic                                                                            $0.18       $(0.53)




     Diluted                                                                          $0.18       $(0.53)



      Weighted average shares outstanding:



     Basic                                                                           51,675        51,226




     Diluted                                                                         52,480        51,226


                                                      
         
                NuVasive, Inc.


                                                  
          
            Consolidated Balance Sheets


                                 
              
           
             (in thousands, except par values and share amounts)




                                                     
         
                March 31, 2019                      
         
     December 31, 2018



         
              
                ASSETS                
         
                (unaudited)



     Current assets:



     Cash and cash equivalents                                                 $93,391                                          $117,840


      Accounts receivable, net of allowances of
       $16,125 and $16,171, respectively                                        194,358                                           196,487



     Inventory, net                                                            288,539                                           273,244



     Prepaid income taxes                                                       16,484                                            16,905


      Prepaid expenses and other current assets                                  13,555                                            13,733




     Total current assets                                                      606,327                                           618,209



     Property and equipment, net                                               247,533                                           238,841



     Intangible assets, net                                                    240,663                                           252,048



     Goodwill                                                                  561,235                                           561,366


      Operating lease right-of-use assets                                        61,400



     Deferred tax assets                                                         4,369                                             5,263



     Restricted cash and investments                                             2,395                                             2,395



     Other assets                                                               27,180                                            29,737




     Total assets                                                           $1,751,102                                        $1,707,859



                         LIABILITIES AND EQUITY



     Current liabilities:


      Accounts payable and accrued liabilities                                  $99,991                                          $105,877


      Contingent consideration liabilities                                        6,637                                             7,560


      Accrued payroll and related expenses                                       44,824                                            59,960



     Operating lease liabilities                                                 6,320



     Litigation liabilities                                                      2,045                                             1,415



     Income tax liabilities                                                      1,964                                             4,648




     Total current liabilities                                                 161,781                                           179,460



     Senior convertible notes                                                  607,607                                           602,526


      Deferred and income tax liabilities                                         5,641                                             4,964



     Operating lease liabilities                                                67,112



     Other long-term liabilities                                                68,955                                            86,384



     Commitments and contingencies



     Stockholders' equity:


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


      Common stock, $0.001 par value; 120,000,000
       shares authorized at March 31, 2019 and
       December 31, 2018, 57,119,047 and
       56,648,077 issued and outstanding at March
       31, 2019 and December 31, 2018,
       respectively                                                                  61                                                61



     Additional paid-in capital                                              1,402,797                                         1,397,829


      Accumulated other comprehensive loss                                      (9,122)                                          (8,628)



     Retained earnings                                                          26,627                                            17,241


      Treasury stock at cost; 5,262,478 shares
       and 5,116,496 shares at March 31, 2019 and
       December 31, 2018, respectively                                        (580,357)                                        (571,978)




     Total equity                                                              840,006                                           834,525




     Total liabilities and equity                                           $1,751,102                                        $1,707,859


                                                                   
         
                NuVasive, Inc.


                                                        
              
           Consolidated Statements of Cash Flows


                                                            
              
           
                  (in thousands)




                                                                                                      Three Months Ended March 31,




     (unaudited)                                                                                                             2019      2018




     
                Operating activities:



     Consolidated net income (loss)                                                                                        $9,386 $(27,132)


      Adjustments to reconcile net income (loss) to net cash provided by
       operating activities:



     Depreciation and amortization                                                                                         34,054    32,090



     Impairment of strategic investment                                                                                              9,003



     Amortization of non-cash interest                                                                                      5,210     4,925



     Stock-based compensation                                                                                               5,717     4,134



     Reserves on current assets                                                                                             3,785     4,080



     Other non-cash adjustments                                                                                             2,816     4,456



     Deferred income taxes                                                                                                  1,547  (12,671)


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



     Accounts receivable                                                                                                    1,620    16,933



     Inventory                                                                                                           (19,292) (12,126)



     Prepaid expenses and other current assets                                                                            (1,399)  (1,737)



     Accounts payable and accrued liabilities                                                                             (2,523)    1,579



     Accrued payroll and related expenses                                                                                (14,815) (18,493)



     Litigation liability                                                                                                     630    30,040



     Income taxes                                                                                                         (2,261)    1,294




     Net cash provided by operating activities                                                                             24,475    36,375



     
                Investing activities:



     Acquisitions and investments                                                                                                 (51,794)



     Purchases of intangible assets                                                                                       (6,827)  (2,657)



     Purchases of property and equipment                                                                                 (33,929) (29,109)




     Net cash used in investing activities                                                                               (40,756) (83,560)



     
                Financing activities:



     Proceeds from the issuance of common stock                                                                                        336



     Purchases of treasury stock                                                                                          (8,177)  (2,155)



     Payment of contingent consideration                                                                                  (1,435)  (8,900)



     Proceeds from revolving line of credit                                                                                         65,000



     Repayments on revolving line of credit                                                                                       (10,000)



     Other financing activities                                                                                             1,556     (141)




     Net cash (used in) provided by financing activities                                                                  (8,056)   44,140



     Effect of exchange rate changes on cash                                                                                (112)      982




     Decrease in cash, cash equivalents and restricted cash                                                              (24,449)  (2,063)


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



      Cash, cash equivalents and restricted cash at end of period                                                          $95,786   $76,135

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SOURCE NuVasive, Inc.