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NuVasive Reports First Quarter 2016 Financial Results

Company Delivers Double-Digit Revenue Growth of 11.8% and Profitability Expansion of 150 Basis Points

April 26, 2016 4:05 PM EDT

SAN DIEGO, CA  -- (Marketwired) -- 04/26/16 --

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      Prior    Current  
                                              Actuals    (1, 2)    (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    
                                                       ---------------------
                                               2015                 Current 
                  (in thousands, except %)   Actuals   Prior (1)     (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                Current  
                                             Actuals   Prior  (1)    (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            
                                                                            
                                                               Earnings Per 
(in thousands, except per share data)           Adjustments       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,     December 31, 
                                                   2016           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 RoughanNuVasive, Inc.1-858-909-1812Email contactMedia Contact:Michael FarringtonNuVasive, Inc.1-858-909-1940Email contact

Source: NuVasive, Inc.



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