NuVasive Announces First Quarter 2020 Financial Results

SAN DIEGO, May 6, 2020 /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, 2020.

First Quarter 2020 Highlights

    --  Revenue decreased -5.4% to $259.9 million, or -5.1% on a constant
        currency basis;
    --  GAAP operating margin of 10.9%; Non-GAAP operating margin of 16.9%; and
    --  GAAP diluted earnings per share of $0.10; Non-GAAP diluted earnings per
        share of $0.48.

"First and foremost, I want to recognize the healthcare professionals who are battling COVID-19 on the front lines and whose work is truly heroic during this global healthcare crisis," said J. Christopher Barry, chief executive officer of NuVasive. "Additionally, I am proud of the resiliency demonstrated by NuVasive employees, as the Company remains committed to supporting our surgeon partners and their patients during this time.

"NuVasive's first quarter performance was consistent with the preliminary revenue results provided in the business update shared last month," Barry continued. "The Company began the quarter positioned to build upon the financial momentum delivered last year, but faced a decline in elective procedure volumes due to the COVID-19 pandemic. However, with a strong cash position, dedicated team and innovative technology in our pipeline, we are confident in the long-term trajectory of the business and our purpose to transform surgery, advance care and change lives."

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

First Quarter 2020 Results
NuVasive reported first quarter 2020 total revenue of $259.9 million, a -5.4% decrease compared to $274.8 million for the first quarter 2019. On a constant currency basis, first quarter 2020 total revenue decreased -5.1% compared to the same period last year.

For the first quarter 2020, both GAAP and non-GAAP gross profit was $188.0 million and GAAP and non-GAAP gross margin was 72.3%. These results compared to GAAP and non-GAAP gross profit of $200.3 million and GAAP and non-GAAP gross margin of 72.9%, for the first quarter 2019.

The Company reported GAAP net income of $5.3 million, or diluted earnings per share of $0.10, for the first quarter 2020 compared to GAAP net income of $9.4 million, or diluted earnings per share of $0.18, for the first quarter 2019. On a non-GAAP basis, the Company reported net income of $25.4 million, or diluted earnings per share of $0.48, for the first quarter 2020 compared to non-GAAP net income of $27.6 million, or diluted earnings per share of $0.53, for the first quarter 2019.

Expense Control Measures and 2020 Financial Guidance
On April 14, 2020, NuVasive provided a business update related to COVID-19, including the following temporary actions to reduce operating expenses:

    --  Implementing compensation reductions for its board of directors and
        executive officers;
    --  Controlling discretionary spend across the organization; and
    --  Adjusting manufacturing capacity based on certain government directives
        and demand, while ensuring sufficient inventory levels to support
        current procedure volumes.

Additionally, on April 14, 2020, NuVasive withdrew its annual financial guidance for 2020. The COVID-19 pandemic has had a significant negative impact on elective procedure volumes. As visibility for spine surgery volumes for the remainder of the year is limited, and the Company is not able to predict when or how quickly elective surgery volumes will recover, the Company is not providing further financial guidance for 2020 at this time.

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 GAAP to Non-GAAP Information
Management uses certain non-GAAP financial measures such as non-GAAP diluted earnings per share, non-GAAP net income, non-GAAP operating expenses and non-GAAP operating 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 March 31, 2020


                                                                          
           
              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                                        $188,016                 $28,319                                 $5,298                    $0.10             53,727                                      $5,298


                   % of revenue                                 72.3%                  10.9%

    ---


       Amortization of intangible assets                                           12,649                                 12,649



       Litigation related expenses and settlements(1)                               3,103                                  3,103                                                                                 3,103



       Business transition costs(2)                                               (1,440)                               (1,440)                                                                              (1,440)



       European medical device regulation(3)                                        1,247                                  1,247                                                                                 1,247



       Non-cash interest expense on convertible notes                                                                     5,724



       Net loss on strategic investments                                                                                  1,411                                                                                 1,411



       Tax effect of adjustments4                                                                                       (2,562)



       Interest expense/(income), net                                                                                                                                                                         10,786



       Income tax expense                                                                                                                                                                                      4,827



       Depreciation and amortization                                                                                                                                                                          34,972



       Non-cash stock based compensation                                                                                                                                                                     (2,858)

    ---

        Adjusted Non-GAAP                                    $188,016                 $43,878                                $25,430                    $0.48             52,532                                     $57,346

    ---                                                                                                                                                                                                             ---

                   % of revenue                                 72.3%                  16.9%                                                                                                                      22.1%

    ---




     
     
     1 Represents
             expenses
             associated with
             certain ongoing
             litigation
             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
             6, 2020, the
             Company
             estimated an
             annual tax rate
             of ~27% on a
             GAAP basis and
             ~23% on a non-
             GAAP basis.



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


                                                                           
           
               For the Three Months Ended March 31, 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                                      $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 adjustments4                                                                                (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
                   certain ongoing
                   litigation
                   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 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 2020. The dial-in numbers are 1-877-407-9039 for domestic callers and 1-201-689-8470 for international callers. A live webcast of the conference call will be available online from the Investor Relations page of the Company's website at www.nuvasive.com. After the live webcast, the call will remain available on NuVasive's website through June 6, 2020. In addition, a telephone replay of the call will be available until May 13, 2020. 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: 13702256.

About NuVasive
NuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, with a mission to transform surgery, advance care and change lives. The Company's less invasive, procedurally integrated surgical solutions are designed to deliver reproducible and clinically proven outcomes. The Company's comprehensive procedural portfolio includes access, implants and fixation systems, biologics, software 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 revenue, NuVasive has approximately 2,800 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 2020. The Company's results for the first quarter 2020 are prior to the completion of review and audit procedures by the Company's external auditors and are subject to adjustment. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, the impact of the COVID-19 pandemic on the Company's business and financial results; the Company's ability to maintain operations to support its customers and patients in the near-term and to capitalize on future growth opportunities; risks associated with acceptance of the Company's surgical products and procedures by spine surgeons and hospitals, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive's products, the Company's ability to adequately 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)                                                                       2020         2019




     Revenue



     Product revenue                                                               $234,687     $243,823



     Service revenue                                                                 25,194       30,953




     Total revenue                                                                  259,881      274,776


      Cost of revenue (excluding below
       amortization of intangible assets)



     Cost of products sold                                                           51,645       54,486



     Cost of services                                                                20,220       20,008




     Total cost of revenue                                                           71,865       74,494




     Gross profit                                                                   188,016      200,282



     Operating expenses:


      Sales, marketing and administrative                                            130,231      145,076



     Research and development                                                        18,257       17,575


      Amortization of intangible assets                                               12,649       13,625



     Business transition costs                                                      (1,440)       3,833




     Total operating expenses                                                       159,697      180,109


      Interest and other expense, net:



     Interest income                                                                    731          409



     Interest expense                                                              (11,517)     (9,513)



     Other (expense) income, net                                                    (7,408)       (366)



      Total interest and other expense, net                                         (18,194)     (9,470)



     Income before income taxes                                                      10,125       10,703



     Income tax expense                                                             (4,827)     (1,317)




     Consolidated net income                                                         $5,298       $9,386




     Net income per share:



     Basic                                                                            $0.10        $0.18




     Diluted                                                                          $0.10        $0.18



      Weighted average shares outstanding:



     Basic                                                                           51,837       51,675




     Diluted                                                                         53,727       52,480


                                                      
         
                NuVasive, Inc.


                                                  
          
             Consolidated Balance Sheets


                                
              
            
             (in thousands, except par values and share amounts)




                                                     
         
                March 31, 2020                      
         
     December 31, 2019



         
              
                ASSETS                
         
                (Unaudited)



     Current assets:



     Cash and cash equivalents                                                $511,976                                          $213,034


      Accounts receivable, net of allowances of
       $17,386 and $17,019, respectively                                        186,826                                           211,532



     Inventory, net                                                            324,675                                           312,419



     Prepaid income taxes                                                       17,628                                            10,434


      Prepaid expenses and other current assets                                  17,294                                            16,917




     Total current assets                                                    1,058,399                                           764,336



     Property and equipment, net                                               280,058                                           266,318



     Intangible assets, net                                                    191,136                                           201,092



     Goodwill                                                                  559,299                                           561,064


      Operating lease right-of-use assets                                       107,304                                            66,932



     Deferred tax assets                                                         9,354                                             9,162



     Restricted cash and investments                                             1,494                                             1,494



     Other assets                                                               13,477                                            14,892




     Total assets                                                           $2,220,521                                        $1,885,290



                         LIABILITIES AND EQUITY



     Current liabilities:


      Accounts payable and accrued liabilities                                  $91,241                                           $97,160


      Contingent consideration liabilities                                       14,859                                            15,727


      Accrued payroll and related expenses                                       40,173                                            86,458



     Operating lease liabilities                                                 7,031                                             5,567



     Income tax liabilities                                                        151                                             2,005



     Senior convertible notes                                                  628,681




     Total current liabilities                                                 782,136                                           206,917


      Long-term senior convertible notes                                        361,633                                           623,298


      Deferred and income tax liabilities                                        23,905                                            14,655



     Operating lease liabilities                                               116,496                                            73,153



     Other long-term liabilities                                                50,152                                            52,060



     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, 2020 and
       December 31, 2019, 57,691,871 and
       57,524,658 issued and outstanding at March
       31, 2020 and December 31, 2019,
       respectively                                                                  62                                                62



     Additional paid-in capital                                              1,478,294                                         1,429,854


      Accumulated other comprehensive loss                                     (13,227)                                          (9,418)



     Retained earnings                                                          87,773                                            82,475


      Treasury stock at cost; 6,524,218 shares
       and 5,379,536 shares at March 31, 2020 and
       December 31, 2019, respectively                                        (666,703)                                        (587,766)




     Total equity                                                              886,199                                           915,207




     Total liabilities and equity                                           $2,220,521                                        $1,885,290


                                                                  
             
                NuVasive, Inc.


                                                      
              
               Consolidated Statements of Cash Flows


                                                          
              
               
                  (in thousands)




                                                                                                          Three Months Ended March 31,




     (unaudited)                                                                                                                 2020      2019




     
                Operating activities:



     Consolidated net income                                                                                                   $5,298    $9,386


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



     Depreciation and amortization                                                                                             34,972    34,054



     Amortization of non-cash interest                                                                                          7,143     5,210



     Stock-based compensation                                                                                                 (2,858)    5,717



     Reserves on current assets                                                                                                 5,232     3,785



     Net loss on strategic investments                                                                                          1,411



     Other non-cash adjustments                                                                                                 5,403     3,172



     Deferred income taxes                                                                                                      9,105     1,547


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



     Accounts receivable                                                                                                       22,409     1,620



     Inventory                                                                                                               (21,135) (19,292)



     Prepaid expenses and other current assets                                                                                (2,042)  (1,399)



     Accounts payable and accrued liabilities                                                                                 (5,271)  (2,249)



     Accrued payroll and related expenses                                                                                    (45,927) (14,815)



     Income taxes                                                                                                             (8,515)  (2,261)




     Net cash provided by operating activities                                                                                  5,225    24,475



     
                Investing activities:



     Purchases of intangible assets                                                                                           (2,490)  (6,827)



     Purchases of property and equipment                                                                                     (28,116) (33,929)




     Net cash used in investing activities                                                                                   (30,606) (40,756)



     
                Financing activities:



     Purchases of treasury stock                                                                                             (78,818)  (8,177)



     Payment of contingent consideration                                                                                        (346)  (1,435)


      Proceeds from issuance of convertible debt, net of issuance costs                                                        437,686



     Proceeds from sale of warrants                                                                                            47,070



     Purchase of convertible note hedge                                                                                      (78,300)



     Other financing activities                                                                                               (1,233)    1,556




     Net cash provided by (used in) financing activities                                                                      326,059   (8,056)



     Effect of exchange rate changes on cash                                                                                  (1,736)    (112)



      Increase (decrease) in cash, cash equivalents and restricted cash                                                        298,942  (24,449)


      Cash, cash equivalents and restricted cash at beginning of period                                                        214,528   120,235



      Cash, cash equivalents and restricted cash at end of period                                                             $513,470   $95,786

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SOURCE NuVasive, Inc.