NuVasive Announces Third Quarter 2019 Financial Results

SAN DIEGO, Oct. 30, 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 September 30, 2019.

Third Quarter 2019 Highlights

    --  Revenue increased 7.2% to $290.8 million, or 7.5% on a constant currency
        basis;
    --  GAAP operating profit margin of 10.5%; Non-GAAP operating profit margin
        of 15.7%;
    --  GAAP diluted earnings per share of $0.21; Non-GAAP diluted earnings per
        share of $0.59; and
    --  Company raises full-year 2019 financial guidance.

"In the third quarter 2019, NuVasive grew at multiples of market, with revenue increasing 7.2% driven by nearly double-digit organic growth within U.S. Hardware," said J. Christopher Barry, chief executive officer of NuVasive. "In addition to strong topline results, our margin expansion demonstrates the ability to improve profitability with continued commitment to driving operational excellence. Based on the Company's performance year to date, we are raising full-year 2019 financial guidance to reflect continued growth and confidence in the business."

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

Third Quarter 2019 Results
NuVasive reported third quarter 2019 total revenue of $290.8 million, a 7.2% increase compared to $271.3 million for the third quarter 2018. On a constant currency basis, third quarter 2019 total revenue increased 7.5% compared to the same period last year.

For the third quarter 2019, both GAAP and non-GAAP gross profit was $213.8 million and GAAP and non-GAAP gross margin was 73.5%. These results compared to GAAP and non-GAAP gross profit of $197.1 million and $197.4 million, respectively, and GAAP and non-GAAP gross margin of 72.7% and 72.8%, respectively, for the third quarter 2018.

The Company reported GAAP net income of $11.0 million, or diluted earnings per share of $0.21, for the third quarter 2019 compared to a GAAP net income of $15.9 million, or diluted earnings per share of $0.30, for the third quarter 2018. On a non-GAAP basis, the Company reported net income of $30.9 million, or diluted earnings per share of $0.59, for the third quarter 2019 compared to net income of $29.5 million, or diluted earnings per share of $0.56, for the third quarter 2018.

Annual Financial Guidance for 2019
The Company raised its full-year 2019 financial guidance as a result of strong financial performance to date.


                               
         
             2019 Guidance Range (1)



                             
        
          Prior                                  
     
        Current



                                          GAAP           
            
        Non-GAAP                       GAAP 
     
           Non-GAAP



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


                  % Growth -
                   Reported                3.4% - 5.4%                                   3.4% - 5.4%               5.1% - 5.8%        5.1% - 5.8%


                % Growth -
                 Constant
                 Currency
                 (2)                                                                     3.8% - 5.8%                                   5.6% - 6.3%


     Operating
      margin                               9.1% - 9.5%                                 15.3% - 15.7%               9.4% - 9.8%      15.5% - 15.9%


     Earnings
      per share                    
         $0.93 - $1.03                              
       $2.25 - $2.35        
         $0.95 - $1.00 
          $2.35- $2.40


     EBITDA
      margin                             21.2% - 21.5%                                 25.5% - 25.9%             20.6% - 21.0%      25.0% - 25.4%


                Tax Rate                          ~24%                                          ~23%                      ~26%               ~23%




     
     
     1 Prior
             guidance
             reflects
             the range
             provided
             July 30,
             2019.
             Current
             guidance
             reflects
             the range
             provided
             October
             30, 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 updates full-year 2019 revenue to approximately $1.16
        billion, compared with prior guidance of $1.14 billion to $1.16 billion,
        which now includes approximately $6 million in year-over-year currency
        headwinds compared with prior guidance of $5 million. This reflects
        reported growth in the range of 5.1% to 5.8%, compared with prior
        guidance of 3.4% to 5.4%. Revenue growth on a constant currency basis is
        in the range of 5.6% to 6.3%, compared with prior guidance of 3.8% to
        5.8%;
    --  Non-GAAP operating profit margin of 15.5% to 15.9%, compared with prior
        guidance of 15.3% to 15.7%;
    --  Non-GAAP diluted earnings per share in a range of $2.35 to $2.40,
        compared with prior guidance of $2.25 to $2.35;
    --  Adjusted EBITDA margin of 25.0% to 25.4%, compared with prior guidance
        of 25.5% to 25.9%; and
    --  Non-GAAP effective tax expense rate of approximately 23%.

Organizational Structure
NuVasive announced today a new organizational structure, effective January 1, 2020, to further build upon its success and advance the Company's five-year strategic plan.

"We are implementing organizational structure changes to bring together the commercial, product and technology teams under one function and to establish a new global operations function focused on supply chain and logistics," continued Barry. "This is a natural progression aligned with our recently announced five-year strategy and our purpose to transform surgery, advance care and change lives."

The new organizational structure combines customer-facing and innovation activities under a single function led by the Company's president, Matt Link. A new global operations function, including supply chain, distribution, manufacturing, quality assurance and real estate & facilities, will be led by Dale Wolf, NuVasive's current head of manufacturing.

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 Actuals (1)                                
             
             Prior (3)           
      
     Current 4



                  GAAP net income per
                   share                           $0.24                                     
          
                 $0.93 - 1.03  
      
      $0.95- 1.00


     Impact of change to
      diluted share count



                  GAAP net income per
                   share, adjusted to
                   diluted Non-GAAP
                   share count                     $0.24                                     
          
                 $0.93 - 1.03 
      
      $0.95 - 1.00




     Business transition
      costs 5                                       0.22                                                                  0.11                0.10


     Non-cash purchase
      accounting
      adjustments on
      acquisitions 6                                0.02


     Non-cash interest
      expense on
      convertible notes                             0.32                                                                  0.34                0.34


     Litigation related
      expenses and
      settlements 7                                 0.65                                                                  0.18                0.19


     Non-recurring
      consulting fees 8                             0.12


     Net loss on strategic
      investments                                   0.07                                                                                     0.09


     Amortization of
      intangible assets                             0.97                                                                  0.96                0.97


     Purchase of in-
      process research and
      development 9                                 0.17


     European medical
      device regulation 10                          0.01                                                                  0.11                0.09


     Tax effect of
      adjustments 11                              (0.56)                                                               (0.38)             (0.38)


                  Non-GAAP earnings per
                   share                           $2.23                                     
          
                 $2.25 - 2.35 
      
      $2.35 - 2.40





     GAAP Weighted shares
      outstanding -basic                          51,382                                                                51,954              51,959



     GAAP Weighted shares
      outstanding -diluted                        52,355                                                                52,898              52,948



     Non-GAAP Weighted
      shares outstanding -
      diluted 12                                  52,178                                                                52,586              52,578




     
     
     1  Items may not
              foot due to
              rounding.



     
     
     2  Prior guidance
              reflects the
              range provided
              July 30, 2019.
              Current
              guidance
              reflects the
              range provided
              October 30,
              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
              ~26% 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 Costs related 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 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.



     
     
     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 Actuals (1)  
     
              Prior           
     
         Current



                           
              
                Non-GAAP Gross Margin % [A]                                                    71.9%                72.5% - 73.0%     72.8% - 73.2%


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



                                              
              GAAP Gross Margin [B]                                                    71.8%                72.5% - 73.0%     72.8% - 73.2%




     
         
                Non-GAAP Sales, Marketing & Administrative Expense [C]                                                    51.1%                50.8% - 51.7%     50.9% - 51.7%


                                    
              Non-recurring consulting fees 4                                                     0.6%                         0.0%               0.0%


                                      
              Litigation related expenses 5                                                     0.6%                         0.8%               0.8%



                 
              GAAP Sales, Marketing & Administrative Expense [D]                                                    52.3%                51.6% - 52.5%     51.7% - 52.5%




       
         
                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%                         4.4%               4.4%


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


                           
              European medical device regulation [I] 8                                                     0.0%                         0.5%               0.4%


                                    
              Business transition costs [J] 9                                                     1.0%                         0.5%               0.5%




               
              
                Non-GAAP Operating Margin % [A - C - E]                                                    15.1%                15.3% - 15.7%     15.5% - 15.9%





            
              GAAP Operating Margin % [B - D - E - F - G - H - I - J]                                                     4.9%                  9.1% - 9.5%       9.4% - 9.8%




     
     
     1 Items may not
             foot due to
             rounding.



     
     
     2 Prior guidance
             reflects the
             range provided
             July 30, 2019.
             Current
             guidance
             reflects the
             range provided
             October 30,
             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 Costs related 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 Range 1, 5



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



                  Net Income                                  1.1%                                         4.3% - 4.7%       4.2% - 4.6%


     Interest income /
      expense, net                                            3.4%                                                3.3%               3.2%


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


     Depreciation and
      amortization                                           11.8%                                               11.9%              11.7%



                  EBITDA Margin                              16.0%                                       21.2% - 21.5%     20.6% - 21.0%


     Non-cash stock based
      compensation                                            2.3%                                                2.5%               2.3%


     Business transition
      costs 6                                                 1.0%                                                0.5%               0.4%


     Non-cash purchase
      accounting adjustments
      on acquisitions 7                                       0.1%                                                0.0%               0.0%


     Litigation related
      expenses and
      settlements 8                                           3.1%                                                0.8%               0.9%


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


     In-process research and
      development 10                                          0.8%                                                0.0%               0.0%


     European medical device
      regulation 11                                           0.0%                                                0.5%               0.4%


     Net loss on strategic
      investments                                             0.3%                                                0.0%               0.4%


                  Adjusted EBITDA Margin                     24.3%                                       25.5% - 25.9%     25.0% - 25.4%




     
     
     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
              ~26% applied to
              GAAP earnings
              and ~23%
              applied to Non-
              GAAP earnings.



     
     
     5  Prior guidance
              reflects the
              range provided
              July 30, 2019.
              Current
              guidance
              reflects the
              range provided
              October 30,
              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 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 GAAP to 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.


                                                                         
           
                For the Three Months Ended September 30, 2019


                                                                     
           
                Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                       
           
                (Unaudited - in thousands, except per share data)




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

                                                                                                                                                                                                               ---

        Reported GAAP                                       $213,807              $30,514                               $11,010                      $0.21             53,056                                   $11,010


                     % of revenue                              73.5%               10.5%

    ---


       Amortization of intangible assets                                       12,596                                12,596


        Litigation related expenses and settlements (1)                          1,899                                 1,899                                                                                 1,899



       Business transition costs (2)                                            (333)                                (333)                                                                                (333)



       European medical device regulation (3)                                     953                                   953                                                                                   953



       Non-cash interest expense on convertible notes                                                                4,432



       Net loss on strategic investments                                                                             4,767                                                                                 4,767



       Tax effect of adjustments 4                                                                                 (4,455)



       Interest expense/(income), net                                                                                                                                                                     9,034



       Income tax expense                                                                                                                                                                                 4,774



       Depreciation and amortization                                                                                                                                                                     33,631



       Non-cash stock based compensation                                                                                                                                                                  7,829

    ---

        Adjusted Non-GAAP                                   $213,807              $45,629                               $30,869                      $0.59             52,590                                   $73,564

    ---                                                                                                                                                                                                        ---

                     % of revenue                              73.5%               15.7%                                                                                                                     25.3%

    ---




     
     
     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
             October 30,
             2019, the
             Company
             estimated an
             annual tax rate
             of ~26% 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 Nine Months Ended September 30, 2019


                                                                     
           
                Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                       
           
                (Unaudited - in thousands, except per share data)




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

                                                                                                                                                                                                               ---

        Reported GAAP                                       $628,615              $80,884                               $35,358                      $0.67             52,667                                   $35,358


                     % of revenue                              73.3%                9.4%

    ---


       Amortization of intangible assets                                       38,498                                38,498


        Litigation related expenses and settlements (1)                          6,976                                 6,976                                                                                 6,976



       Business transition costs (2)                                            5,146                                 5,146                                                                                 5,146



       European medical device regulation (3)                                   2,685                                 2,685                                                                                 2,685



       Non-cash interest expense on convertible notes                                                               13,125



       Net loss on strategic investments                                                                             4,767                                                                                 4,767



       Tax effect of adjustments 4                                                                                (15,269)



       Interest expense/(income), net                                                                                                                                                                    27,461



       Income tax expense                                                                                                                                                                                12,012



       Depreciation and amortization                                                                                                                                                                    101,245



       Non-cash stock based compensation                                                                                                                                                                 20,447

    ---

        Adjusted Non-GAAP                                   $628,615             $134,189                               $91,286                      $1.74             52,512                                  $216,097

    ---

                     % of revenue                              73.3%               15.6%                                                                                                                     25.2%

    ---




     
     
     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
             October 30,
             2019, the
             Company
             estimated an
             annual tax rate
             of ~26% 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 September 30, 2018


                                                                       
           
                Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                         
           
                (Unaudited - in thousands, except per share data)




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

                                                                                                                                                                                                                 ---

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


                     % of revenue                                72.7%                6.6%

    ---

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



       Amortization of intangible assets                                         12,349                                12,349


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



       Business transition costs (3)                                              1,443                                 1,443                                                                                 1,443


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



       Non-cash interest expense on convertible notes                                                                  4,208



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



       Tax effect of adjustments 5                                                                                   (9,798)



       Interest expense/(income), net                                                                                                                                                                       8,905



       Income tax benefit                                                                                                                                                                                 (2,618)



       Depreciation and amortization                                                                                                                                                                       32,258



       Non-cash stock based compensation                                                                                                                                                                   11,068

    ---

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

    ---                                                                                                                                                                                                          ---

                     % of revenue                                72.8%               15.6%                                                                                                                     26.7%

    ---




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



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



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



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



     
     
     5 Represents the
             impact from
             tax affecting
             the
             adjustments
             above at their
             statutory tax
             rate. As of
             October 30,
             2018, the
             Company
             estimated an
             annual tax
             rate of ~18%
             on a GAAP
             basis and ~21%
             on a non-GAAP
             basis.



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


                                                                            
         
               For the Nine Months Ended September 30, 2018


                                                                        
         
               Reconciliation of GAAP to Non-GAAP Financial Measures


                                                                          
         
               (Unaudited - in thousands, except per share data)




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

                                                                                                                                                                                                                   ---

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


                     % of revenue                                72.3%             3.5%

    ---

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



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



       Amortization of intangible assets                                      37,402                               37,402


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



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


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



       Non-cash interest expense on convertible notes                                                             12,460



       Net loss on strategic investments                                                                           3,867                                                                                       3,867



       Tax effect of adjustments 6                                                                              (28,682)



       Interest expense/(income), net                                                                                                                                                                        28,078



       Income tax benefit                                                                                                                                                                                   (7,931)



       Depreciation and amortization                                                                                                                                                                         96,409



       Non-cash stock based compensation                                                                                                                                                                     22,062

    ---

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

    ---                                                                                                                                                                                                            ---

                     % of revenue                                72.5%            14.8%                                                                                                                          24.3%

    ---




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



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



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



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



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



     
     
     6 Represents the
             impact from
             tax affecting
             the
             adjustments
             above at their
             statutory tax
             rate. As of
             October 30,
             2018, the
             Company
             estimated an
             annual tax
             rate of ~18%
             on a GAAP
             basis and ~21%
             on a non-GAAP
             basis.



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

Investor Conference Call
NuVasive will hold a conference call today at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its financial performance for the third quarter 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 November 29, 2019. In addition, a telephone replay of the call will be available until November 6, 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: 13695343.

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 third quarter 2019, as well as projections for 2019 financial guidance and longer-term financial performance goals. The Company's results for the third 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 September 30,                                Nine Months Ended September 30,




     (unaudited)                                                       2019                                                            2018       2019        2018




     Revenue



     Product revenue                                               $260,173                                                        $242,030   $765,377    $728,232



     Service revenue                                                 30,662                                                          29,271     92,339      85,155




     Total revenue                                                  290,835                                                         271,301    857,716     813,387


      Cost of revenue (excluding below
       amortization of intangible assets)



     Cost of products sold                                           57,164                                                          54,741    169,263     168,134



     Cost of services                                                19,864                                                          19,419     59,838      56,896




     Total cost of revenue                                           77,028                                                          74,160    229,101     225,030




     Gross profit                                                   213,807                                                         197,141    628,615     588,357



     Operating expenses:


      Sales, marketing and administrative                            152,887                                                         141,211    450,816     433,635



     Research and development                                        18,143                                                          15,254     53,271      44,601


      Amortization of intangible assets                               12,596                                                          12,349     38,498      37,402


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



     Litigation liability loss                                                                                                                           27,800



     Business transition costs                                        (333)                                                          1,443      5,146       7,694




     Total operating expenses                                       183,293                                                         179,170    547,731     560,045


      Interest and other expense, net:



     Interest income                                                    620                                                             130      1,356         380



     Interest expense                                               (9,654)                                                        (9,035)  (28,817)   (28,458)



     Other (expense) income, net                                    (5,696)                                                          4,239    (6,053)    (7,843)



      Total interest and other expense, net                         (14,730)                                                        (4,666)  (33,514)   (35,921)


      Income (loss) before income taxes                               15,784                                                          13,305     47,370     (7,609)



     Income tax (expense) benefit                                   (4,774)                                                          2,618   (12,012)      7,931




     Consolidated net income                                        $11,010                                                         $15,923    $35,358        $322






     Net income per share:



     Basic                                                            $0.21                                                           $0.31      $0.68       $0.01




     Diluted                                                          $0.21                                                           $0.30      $0.67       $0.01



      Weighted average shares outstanding:



     Basic                                                           52,057                                                          51,439     51,901      51,341




     Diluted                                                         53,056                                                          53,189     52,667      52,296


                                                      
          
                NuVasive, Inc.


                                                  
          
              Consolidated Balance Sheets


                                     
              
       
              (in thousands, except par values and share amounts)




                                                    
          
                September 30, 2019                        
     
     December 31, 2018



         
              
                ASSETS                
          
                (Unaudited)



     Current assets:



     Cash and cash equivalents                                                      $163,399                                      $117,840


      Accounts receivable, net of allowances of
       $16,444 and $16,171, respectively                                              203,611                                       196,487



     Inventory, net                                                                  308,893                                       273,244



     Prepaid income taxes                                                             20,328                                        16,905


      Prepaid expenses and other current assets                                        14,610                                        13,733




     Total current assets                                                            710,841                                       618,209



     Property and equipment, net                                                     263,135                                       238,841



     Intangible assets, net                                                          214,492                                       252,048



     Goodwill                                                                        560,744                                       561,366


      Operating lease right-of-use assets                                              67,128



     Deferred tax assets                                                               4,023                                         5,263



     Restricted cash and investments                                                   2,395                                         2,395



     Other assets                                                                     17,094                                        29,737




     Total assets                                                                 $1,839,852                                    $1,707,859



                         LIABILITIES AND EQUITY



     Current liabilities:


      Accounts payable and accrued liabilities                                       $105,944                                      $105,877


      Contingent consideration liabilities                                              7,774                                         7,560


      Accrued payroll and related expenses                                             66,044                                        59,960



     Operating lease liabilities                                                       5,792



     Litigation liabilities                                                            2,065                                         1,415



     Income tax liabilities                                                            5,496                                         4,648




     Total current liabilities                                                       193,115                                       179,460



     Senior convertible notes                                                        617,992                                       602,526


      Deferred and income tax liabilities                                              13,491                                         4,964



     Operating lease liabilities                                                      72,713



     Other long-term liabilities                                                      65,927                                        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 September 30, 2019
       and December 31, 2018, 57,420,854 and
       56,648,077 issued and outstanding at
       September 30, 2019 and December 31, 2018,
       respectively                                                                        62                                            61



     Additional paid-in capital                                                    1,421,235                                     1,397,829


      Accumulated other comprehensive loss                                           (11,332)                                      (8,628)



     Retained earnings                                                                52,599                                        17,241


      Treasury stock at cost; 5,354,355 shares
       and 5,116,496 shares at September 30, 2019
       and December 31, 2018, respectively                                          (585,950)                                    (571,978)




     Total equity                                                                    876,614                                       834,525




     Total liabilities and equity                                                 $1,839,852                                    $1,707,859


                                                                       
         
                NuVasive, Inc.


                                                            
              
           Consolidated Statements of Cash Flows


                                                                
              
           
                  (in thousands)




                                                                                                      Nine Months Ended September 30,




     (unaudited)                                                                                                                2019       2018




     
                Operating activities:



     Consolidated net income                                                                                                 $35,358       $322


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



     Depreciation and amortization                                                                                           101,245     96,409



     Purchase of in-process research and development                                                                                     8,913



     Amortization of non-cash interest                                                                                        15,853     14,986



     Stock-based compensation                                                                                                 20,447     22,062



     Reserves on current assets                                                                                               11,539     11,116



     Net loss on strategic investments                                                                                         4,767      3,867



     Other non-cash adjustments                                                                                                8,733     16,560



     Deferred income taxes                                                                                                     9,810    (9,938)


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



     Accounts receivable                                                                                                     (8,645)     8,622



     Inventory                                                                                                              (45,571)  (33,491)



     Prepaid expenses and other current assets                                                                               (2,499)   (1,047)



     Accounts payable and accrued liabilities                                                                                  7,378     21,400



     Accrued payroll and related expenses                                                                                      4,108    (9,566)



     Litigation liability                                                                                                        650        166



     Income taxes                                                                                                            (2,588)       108




     Net cash provided by operating activities                                                                               160,585    150,489



     
                Investing activities:



     Acquisitions and investments                                                                                            (4,100)  (52,555)



     Purchases of intangible assets                                                                                          (7,501)   (7,682)



     Purchases of property and equipment                                                                                    (94,430)  (78,405)




     Net cash used in investing activities                                                                                 (106,031) (138,642)



     
                Financing activities:



     Proceeds from the issuance of common stock                                                                                3,888      5,563



     Purchases of treasury stock                                                                                            (13,343)   (2,817)



     Payment of contingent consideration                                                                                       (809)  (18,700)



     Proceeds from revolving line of credit                                                                                            100,000



     Repayments on revolving line of credit                                                                                           (95,000)



     Other financing activities                                                                                                2,283      (236)




     Net cash used in financing activities                                                                                   (7,981)  (11,190)



     Effect of exchange rate changes on cash                                                                                 (1,014)   (1,349)



      Increase (decrease) in cash, cash equivalents and restricted cash                                                        45,559      (692)


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



      Cash, cash equivalents and restricted cash at end of period                                                            $165,794    $77,506

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SOURCE NuVasive, Inc.