NuVasive Reports First Quarter 2016 Financial Results

SAN DIEGO, CA --(Marketwired - April 26, 2016) - NuVasive, Inc. (NASDAQ: NUVA), a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, announced today financial results for the quarter ended March 31, 2016.

First Quarter 2016 Highlights

• Revenue increased 11.8% to $215.1 million, or 12.3% on a constant currency basis;
• Non-GAAP operating profit margin up 150 basis points to 14.1%; GAAP operating profit margin of 5.7%;
• Non-GAAP diluted earnings per share of $0.31; GAAP diluted loss per share of $0.18;
• Free cash flow generation of $39.1 million;
• Completed acquisitions of Ellipse Technologies and Mega Surgical; and
• Enhanced capital structure with convertible notes issuance.

Gregory T. Lucier, Chairman and Chief Executive Officer of NuVasive, said, "NuVasive is off to a strong start to 2016 as we continue to drive innovation, growth and profitability. Our revenue performance was driven by the fifth consecutive quarter of increasing growth for our U.S. spinal hardware business which reached double-digits during the quarter, improved international growth as our targeted re-acceleration plans take hold, and the benefit of our newly acquired MAGEC® and PRECICE® technologies. At the same time, we delivered an impressive operating profit margin expansion of 150 basis points, reflecting our commitment to drive operational excellence."

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

First Quarter 2016 Results

NuVasive's financial results for the first quarter 2016 are inclusive of the completion of the acquisition of Ellipse Technologies, Inc. on February 11, 2016 and Mega Surgical on March 18, 2016. The Company's first quarter 2016 financial performance also was impacted by the issuance of $650 million in convertible senior notes on March 16, 2016, which provided enhanced financial flexibility with a more attractive debt structure and extended maturities to 2021. The Company used the net proceeds from the notes offering to put in place a bond hedge to raise the effective conversion price of the convertible notes due 2021 to $80.00 and for repurchases of existing convertible notes due 2017. During the three months ended March 31, 2016, the Company repurchased $277 million principal amount of its convertible notes due 2017.

NuVasive reported first quarter 2016 total revenue of $215.1 million, an 11.8% increase compared to $192.4 million for the first quarter 2015. On a constant currency basis, first quarter 2016 total revenue increased 12.3% compared to the same period last year.

For the first quarter 2016, GAAP and non-GAAP gross profit was $160.9 million and $165.8 million, respectively, while GAAP and non-GAAP gross margin was 74.8% and 77.1%, respectively. These results compared to GAAP and non-GAAP gross profit of $146.7 million and GAAP and non-GAAP gross margin of 76.3% for the first quarter 2015. Total GAAP and non-GAAP operating expenses were $148.6 million and $135.5 million, respectively, for the first quarter of 2016. These results compared to GAAP and non-GAAP operating expenses of $91.2 million and $122.5 million, respectively, for the first quarter 2015.

The Company reported a GAAP net loss of $8.9 million, or $0.18 per share, for the first quarter 2016 compared to a GAAP net income of $31.6 million, or $0.61 per share, for the first quarter 2015. This decrease was primarily the result of the new convertible notes issuance and repurchases of existing convertible notes during the first quarter 2016 and the net litigation gains during the first quarter of 2015.

On a non-GAAP basis, the Company reported net income of $16.0 million, or $0.31 per share, for the first quarter 2016 compared to net income of $15.1 million, or $0.30 per share, for the first quarter 2015.

Cash, cash equivalents and short and long-term marketable securities were approximately $331.0 million at March 31, 2016.

Annual Guidance for 2016

The Company provided the following updated projections to its full year 2016 guidance, which contemplates the impact of the Ellipse Technologies and Mega Surgical acquisitions, its new convertible notes issuance and existing convertible notes repurchases, as well as expected changes in foreign currency rates:

• Revenue of approximately $928.0 million, or approximately 14.4% growth compared to revenue of $811.1 million for 2015, which includes approximately $53 million of revenue contribution from Ellipse Technologies;
• Non-GAAP diluted earnings per share of approximately $1.48, an increase of approximately 12.7% compared to non-GAAP diluted earnings per share of $1.31 for 2015;
• Non-GAAP operating profit margin of approximately 15.8%, an increase of approximately 40 basis points compared to 15.4% for 2015;
• Adjusted EBITDA margin of approximately 25.4%, an increase of approximately 20 basis points compared to 25.2% for 2015; and
• Non-GAAP effective tax expense rate of approximately 41.0%.

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
								2016 Guidance
			2015 Actuals					Prior  1, 2			Current  1, 3
GAAP net income per share			$	1.26			$	1.02			$	0.20
Impact of change from basic to diluted share count				0.03				0.05				-
GAAP net income per share, adjusted to diluted Non-GAAP share count			$	1.30			$	1.07			$	0.20
	Loss on extinguishment of debt			-				-				0.34
	Non-cash interest expense on convertible notes			0.31				0.32				0.38
	Amortization of intangible assets			0.24				0.25				0.76
	One-time and acquisition related items 4			0.15				0.08				0.19
	Non-cash purchase accounting adjustments on acquisitions 5			-				-				0.29
	Leasehold related charges			0.07				-				-
	CEO transition related costs			0.07				-				-
	Litigation liability			(0.82	)			-				-
	Tax effect of adjustments 6			(0.01	)			(0.24	)			(0.69	)
Non-GAAP earnings per share			$	1.31			$	1.48			$	1.48
GAAP Weighted shares outstanding - basic				48,687				49,984				49,984
Non-GAAP Weighted shares outstanding - diluted 7				51,110				52,616				51,335

1		Prior guidance provided February 11, 2016. Current guidance reflects guidance provided April 26, 2016, as updated for the anticipated impact of the Ellipse Technologies and Mega Surgical acquisitions, the convertible notes issuance (and convertible notes repurchases), as well as expected changes in currency
2		Effective tax expense rate of ~42% applied to GAAP earnings and ~41% applied to Non-GAAP earnings
3		Effective tax expense rate of ~63% applied to GAAP earnings and ~41% applied to Non-GAAP earnings
4		Acquisition related items include expenses associated with M&A related activity and as incurred
5		Purchase accounting related items include items which are GAAP related fair value adjustments which are recognized at the time of acquistion and amortized over a reasonable period of time.
6		The impact on results from taxes include tax effecting the adjustments above at the statutory rate as well as taking into account discrete items and including those discrete items in the annual effective tax rate calculation. The Company also includes those adjustments that would have benefited the tax rate in lieu of the above adjustments as part of the Company's tax filings. The impact of the changes to the tax rate results in an annual estimated rate of ~41% on a non- GAAP basis.
7		Excludes the impact of share dilution of the convertible bond for which the Company has a hedge in place but is considered anti-dilutive under US GAAP in weighted average shares outstanding

Reconciliation of Non-GAAP Operating Margin %
				2016 Guidance
(in thousands, except %)		2015 Actuals		Prior 1		Current 1
Non-GAAP Gross Margin % [A]		76.0%		76.9%		77.4%
Non-cash purchase accounting adjustments on acquisitions 2		0.0%		0.0%		(1.6%)
GAAP Gross Margin [D]		76.0%		76.9%		75.8%
Non-GAAP Sales, Marketing & Administrative Expense [B]		56.4%		55.5%		56.0%
Leasehold related charges		0.5%		0.0%		0.0%
CEO transition related costs		0.4%		0.0%		0.0%
One-time and acquisition related items 3		0.8%		0.4%		1.1%
GAAP Sales, Marketing & Administrative Expense [E]		58.1%		55.9%		57.2%
Non-GAAP Research & Development Expense [C]		4.3%		5.6%		5.6%
One-time and acquisition related items 3		0.1%		0.0%		0.0%
GAAP Research & Development Expense [F]		4.4%		5.6%		5.6%
Litigation liability [G]		(5.2%)		0.0%		0.0%
Amortization of intangible assets [H]		1.5%		1.4%		4.2%
Non-GAAP Operating Margin % [A-B-C]		15.4%		15.8%		15.8%
GAAP Operating Margin % [D-E-F-G-H]		17.1%		13.8%		8.7%

1		Prior guidance provided February 11, 2016. Current guidance reflects guidance provided April 26, 2016, as updated for the anticipated impact of the Ellipse Technologies and Mega Surgical acquisitions, the convertible notes issuance (and convertible notes repurchases), as well as expected changes in currency
2		Purchase accounting related items include items which are GAAP related fair value adjustments which are recognized at the time of acquistion and amortized over a reasonable period of time.
3		Acquisition related items include expenses associated with M&A related activity and as incurred

Reconciliation of EBITDA %
					2016 Guidance
(in thousands, except %)			2015 Actuals		Prior  1		Current  1
Net Income / (Loss)			8.2%		6.1%		1.1%
	Interest (income) / expense, net		3.4%		3.5%		6.1%
	Provision for income taxes		5.8%		4.4%		1.7%
	Depreciation and amortization 2		8.1%		8.0%		10.9%
EBITDA			25.4%		21.9%		19.8%
	Non-cash stock based compensation		3.1%		3.0%		3.0%
	One-time and acquisition related items 3		0.9%		0.4%		1.1%
	Non-cash purchase accounting adjustments on acquisitions 4		0.0%		0.0%		1.6%
	Leasehold related charges 2		0.5%		0.0%		0.0%
	CEO transition related costs 5		0.4%		0.0%		0.0%
	Litigation liability		(5.2%)		0.0%		0.0%
Adjusted EBITDA			25.2%		25.4%		25.4%

1		Prior guidance provided February 11, 2016. Current guidance reflects guidance provided April 26, 2016, as updated for the anticipated impact of the Ellipse Technologies and Mega Surgical acquisitions, the convertible notes issuance (and convertible notes repurchases), as well as expected changes in currency
2		Included in leasehold related charges are accelerated depreciation as a result of early leasehold terminations, which thereby were excluded from the depreciation line
3		Acquisition related items include expenses associated with M&A related activity and as incurred
4		Purchase accounting related items include items which are GAAP related fair value adjustments which are recognized at the time of acquistion and amortized over a reasonable period of time.
5		Included in CEO related transition costs are $1.2m of stock based compensation charges, which thereby were excluded from the non-cash stock based compensation line

Reconciliation of Non-GAAP Information

Management uses certain non-GAAP financial measures such as non-GAAP earnings per share, non-GAAP net income, non-GAAP operating expenses and non-GAAP operating profit margin, which exclude amortization of intangible assets, purchase accounting related charges, leasehold related charges, integration related expenses associated with acquired businesses, one-time restructuring and acquisition related items, CEO transition related costs, certain litigation charges, non-cash interest expense and/or losses on convertible notes, and the impact from taxes related to these items, including those taxes that would have occurred in lieu of these items. Management also uses certain non-GAAP measures which are intended to exclude the impact of foreign exchange currency fluctuations. The measure constant currency is the use of 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, purchase accounting related changes, leasehold related charges, integration related expenses associated with acquired businesses, CEO transition related costs, certain litigation liabilities, acquisition related items 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.

Reconciliation of First Quarter 2016 Results
GAAP Net Loss per Share to Non-GAAP Earnings per Share
(in thousands, except per share data)			Adjustments				Earnings Per Share
GAAP net loss			$	(8,886	)		$	(0.18	)
GAAP impact of change from basic to diluted share count								0.01
GAAP net loss, adjusted to diluted Non-GAAP share count							$	(0.17	)
	Loss on extinguishment of debt			17,444
	Non-cash interest expense on convertible notes			4,310
	Amortization of intangible assets			7,549
	One-time and acquisition related items 1			5,257
	Non-cash purchase accounting adjustments on acquisitions 2			4,916
	Leasehold related charges			50
	Tax effect of adjustments 3			(14,595	)
Adjustments to GAAP net loss				24,931				0.49
Non-GAAP earnings			$	16,045			$	0.31
GAAP weighted shares outstanding - basic and diluted								49,617
Non-GAAP weighted shares outstanding - diluted 4								50,974

1		Acquisition related items include expenses associated with M&A related activity which are expensed as incurred.
2		Represents costs associated with non-cash purchase accounting adjustments, such as acquired inventory fair market value adjustments, which are amortized over the period in which underlying products are sold
3		The impact on results from taxes include tax effecting the adjustments above at the statutory rate as well as taking into account discrete items and including those discrete items in the annual effective tax rate calculation. The Company also includes those adjustments that would have benefited the tax rate in lieu of the above adjustments as part of the Company's tax filings. The impact of the changes to the tax rate results in an annual estimated rate of 40.6% on a non-GAAP basis. The result of these adjustments is a change in the quarterly effective tax rate from 29.8% to 40.6%
4		As non-GAAP results are net income, the non-GAAP weighted shares outstanding includes dilution related to the Company's options, employee stock purchase plan and restricted stock units in the amount of1,357k shares that are considered non-dilutive for the net loss under US GAAP

Reconciliation of First Quarter 2016 Results
GAAP net loss to Adjusted EBITDA
			Three months ended
(in thousands, except per share data)			March 31, 2016
GAAP net loss			$	(8,886	)
	Interest Expense/(Income), net 1			25,588
	Provision for income taxes			(3,962	)
	Depreciation and Amortization			20,894
EBITDA			$	33,634
	Non-cash stock based compensation			4,492
	Leasehold realted charges			50
	One-time and acquisition related items			5,257
	Non-cash purchase accounting related charges 2			4,916
Adjusted EBITDA			$	48,349
As a percentage of revenue				22.5	%

1		Included in Interest (income) / expense, net is loss on extinguishment of debt for $17.4 million.
2		Represents costs associated with non-cash purchase accounting adjustments, such as acquired inventory fair market value adjustments, which are amortized over the period in which underlying products are sold

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 2016. The dial-in numbers are 1-877-407-9039 for domestic callers and 1-201-689-8470 for international callers. A live webcast of the conference call will be available online from the Investor Relations page of the Company's website at www.nuvasive.com. After the live webcast, the call will remain available on NuVasive's website through May 26, 2016. In addition, a telephone replay of the call will be available until May 3, 2016. The replay dial-in numbers are 1-877-870-5176 for domestic callers and 1-858-384-5517 for international callers. Please use pin number: 13634226.

About NuVasive

NuVasive is a global medical device company focused on transforming spine surgery by empowering surgeons with technology to approach procedures in the least disruptive way possible and restore the vitality of life for those that suffer from debilitating spinal conditions. Through its minimally invasive, procedurally-integrated solutions, the Company is expanding the boundaries of modern healthcare with technologies and surgeon training designed to provide reproducible and clinically-proven surgical outcomes that are redefining the success factors of spine surgery like never before. Addressing a variety of pathologies up and down the spine, from complex spinal deformity to degenerative spinal conditions, NuVasive's highly differentiated solutions include access instruments, implantable hardware and increasingly expert software systems like its game-changing iGA™ surgical planning and reconciliation technology that centers on achieving the global alignment of the spine. NuVasive believes its integrated approach and expertise can fundamentally evolve spine care by delivering improved patient experiences, and better economics for healthcare systems. With $811 million in revenues as of the end of 2015, NuVasive has an approximate 1,600 person workforce in more than 40 countries around the world. For more information on the Company, please visit www.nuvasive.com.

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 2016, as well as projections for 2016 financial guidance and longer-term financial performance goals. The numbers for the first quarter 2016 are prior to the completion of review procedures by the Company's external auditors and are subject to adjustment. In addition, the Company's projections for 2016 financial guidance and longer-term financial performance goals represent current estimates, including initial estimates of the potential benefits, synergies and cost savings associated with acquisitions, which 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 that could cause actual growth and results to differ materially include, but are not limited to: the risk that NuVasive's revenue or earnings projections may turn out to be inaccurate because of the preliminary nature of the forecasts; the risk of further adjustment to financial results or future financial expectations; unanticipated difficulty in selling products, generating revenue or producing expected profitability; the risk that acquisitions will not be integrated successfully or that the benefits and synergies from the acquisition may not be fully realized or may take longer to realize than expected; and those 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. The forward-looking statements contained herein are based on the current expectations and assumptions of NuVasive and not on historical facts. 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)				2016				2015
Revenue				$	215,104			$	192,383
Cost of goods sold (excluding below amortization of intangible assets)					54,226				45,664
	Gross profit				160,878				146,719
Operating expenses:
	Sales, marketing and administrative				130,195				116,096
	Research and development				10,629				9,264
	Amortization of intangible assets				7,871				2,996
	Litigation liability (gain)				-				(42,575	)
	Business transition costs				(50	)			5,373
		Total operating expenses			148,645				91,154
Interest and other expense, net:
	Interest income				328				419
	Interest expense				(8,472	)			(7,126	)
	Loss on repurchases of convertible notes				(17,444	)			-
	Other income, net				50				424
		Total interest and other expense, net			(25,538	)			(6,283	)
		(Loss) income before income taxes			(13,305	)			49,282
Income tax benefit (expense)					3,962				(17,885	)
	Consolidated net (loss) income			$	(9,343	)		$	31,397
Add back net loss attributable to non-controlling interests				$	(457	)		$	(163	)
		Net (loss) income attributable to NuVasive, Inc.		$	(8,886	)		$	31,560

NuVasive, Inc.
Consolidated Balance Sheets
(in thousands, except par values and share amounts)
				March 31, 2016				December 31, 2015
ASSETS				(Unaudited)
Current assets:
	Cash and cash equivalents			$	270,105			$	192,339
	Short-term marketable securities				42,495				165,423
	Accounts receivable, net of allowances of $5,856 and $5,320, respectively				126,088				127,595
	Inventory, net				200,711				168,140
	Prepaid income taxes				44,921				40,540
	Prepaid expenses and other current assets				7,844				8,790
		Total current assets			692,164				702,827
Property and equipment, net					152,988				141,441
Long-term marketable securities					18,381				112,332
Intangible assets, net					266,089				85,076
Goodwill					404,307				154,281
Deferred tax assets					8,176				67,051
Restricted cash and investments					7,316				5,615
Other assets					19,698				17,404
		Total assets		$	1,569,119			$	1,286,027
LIABILITIES AND EQUITY
Current liabilities:
	Accounts payable and accrued liabilities			$	77,357			$	60,986
	Accrued payroll and related expenses				30,276				37,641
	Contingent liabilities				19,497				-
	Income tax liabilities				930				990
		Total current liabilities			128,060				99,617
Senior convertible notes					669,398				372,920
Deferred and income tax liabilities, non-current					11,496				8,602
Non-current litigation liabilities					88,310				88,261
Other long-term liabilities					20,170				14,425
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, 2016 and December 31, 2015, 53,418,900 and 52,616,471 issued and outstanding at March 31, 2016 and December 31, 2015, respectively				53				53
	Additional paid-in capital				961,206				989,387
	Accumulated other comprehensive loss				(9,079	)			(12,112	)
	Accumulated deficit				(129,533	)			(120,647	)
	Treasury stock at cost; 3,647,690 shares and 3,316,794 shares at March 31, 2016 and December 31, 2015, respectively				(177,814	)			(161,788	)
		Total NuVasive, Inc. stockholders' equity			644,833				694,893
Non-controlling interests					6,852				7,309
		Total equity		$	651,685			$	702,202
		Total liabilities and equity		$	1,569,119			$	1,286,027

NuVasive, Inc.
Consolidated Statements of Cash Flows
(in thousands)
						Three Months Ended March 31,
(unaudited)						2016				2015
Operating activities:
	Consolidated net (loss) income					$	(9,343	)		$	31,397
	Adjustments to reconcile net (loss) income to net cash provided by operating activities:
		Depreciation and amortization					21,224				16,051
		Loss on repurchases of convertible notes					17,444				-
		Amortization of non-cash interest					5,112				4,331
		Stock-based compensation					4,492				7,611
		Reserves on current assets					4,162				633
		Other non-cash adjustments					3,491				6,172
		Deferred income taxes					1,794				11,015
		Changes in operating assets and liabilities, net of effects from acquisitions:
			Accounts receivable				6,939				5,931
			Inventory				(9,449	)			(11,367	)
			Prepaid expenses and other current assets				1,303				444
			Accounts payable and accrued liabilities				10,040				17,428
			Accrued royalties				(19	)			(47,459	)
			Accrued payroll and related expenses				(9,219	)			(10,163	)
			Litigation liability				-				7,730
			Income taxes				9,421				(13,731	)
				Net cash provided by operating activities			57,392				26,023
Investing activities:
	Acquisition of Ellipse Technologies, net of cash acquired						(380,674	)			-
	Other acquisitions and investments						(8,079	)			(1,357	)
	Purchases of intangible assets						(1,027	)			(27,389	)
	Purchases of property and equipment						(18,279	)			(30,694	)
	Purchases of marketable securities						(36,096	)			(71,129	)
	Proceeds from sales of marketable securities						253,435				105,794
	Purchases of restricted investments						-				(32,616	)
				Net cash used in investing activities			(190,720	)			(57,391	)
Financing activities:
	Incremental tax benefits related to stock-based compensation awards						-				8,092
	Proceeds from the issuance of common stock						444				1,403
	Payment of contingent consideration						-				(514	)
	Purchase of treasury stock						(12,599	)			(30,944	)
	Proceeds from issuance of convertible debt, net of issuance costs						634,140				-
	Proceeds from sale of warrants						44,850				-
	Purchase of convertible note hedge						(111,150	)			-
	Repurchases of convertible notes						(343,835	)			-
	Proceeds from revolving line of credit						50,000				-
	Repayments on revolving line of credit						(50,000	)			-
	Other financing activities						(1,442	)			(45	)
				Net cash provided by (used in) financing activities			210,408				(22,008	)
	Effect of exchange rate changes on cash						686				(517	)
				Increase (decrease) in cash and cash equivalents			77,766				(53,893	)
Cash and cash equivalents at beginning of period							192,339				142,387
Cash and cash equivalents at end of period						$	270,105			$	88,494

Investor Contact:
Stacy Roughan
NuVasive, Inc.
1-858-909-1812
Email contact


Media Contact:
Michael Farrington
NuVasive, Inc.
1-858-909-1940
Email contact