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      NuVasive Announces First Quarter 2022 Financial Results

      NuVasive Logo

      News provided by

      NuVasive, Inc.

      May 04, 2022, 16:05 ET

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      –  Strong year-over-year net sales growth, driven by new product introductions and International sales –
      –  Company raises lower end of full-year 2022 financial guidance range –

      SAN DIEGO, May 4, 2022 /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, 2022.

      First Quarter 2022

      • Net sales were $290.8 million, a 7.2% increase as reported and a 9.1% increase on a constant currency basis, compared to the prior year period;
      • GAAP operating margin of 4.1%; Non-GAAP operating margin of 11.7%; and
      • GAAP diluted earnings per share of $0.35; Non-GAAP diluted earnings per share of $0.54.

      "I am pleased with our results during the first quarter, which exceeded our expectations," said Chris Barry, chief executive officer of NuVasive. "Despite COVID-19 and macro-economic pressure in the first half of the quarter, our performance reflects the strong health of our business and positions us well for continued growth. Looking ahead to the remainder of the year, we expect our novel technology to drive further differentiation with our surgeon partners. Led by the X360 and C360 systems—including the Simplify Cervical Disc—and the Pulse platform, we are committed to executing on our near- and long-term strategic plan to drive value for our stakeholders."

      First Quarter 2022 Results
      NuVasive reported total net sales of $290.8 million, a 7.2% increase as reported and a 9.1% increase on a constant currency basis, compared to $271.2 million in the prior year period. First quarter 2022 total net sales were driven by higher procedure volume in the U.S., and strong international performance.

      For the first quarter of 2022, GAAP gross profit was $211.7 million, compared to $199.4 million in the prior year period. GAAP gross margin was 72.8%, compared to 73.5% in the prior year period. On a non-GAAP basis, gross profit was $212.2 million, compared to $199.6 million in the prior year period. Non-GAAP gross margin was 73.0%, compared to 73.6% in the prior year period.

      The Company reported GAAP net income of $19.2 million, or diluted earnings per share of $0.35, compared to a GAAP net loss of ($7.5) million, or diluted loss per share of ($0.15) in the prior year period. On a non-GAAP basis, the Company reported net income of $28.2 million, or diluted earnings per share of $0.54, compared to non-GAAP net income of $19.0 million, or diluted earnings per share of $0.37 in the prior year period.

      Cash and cash equivalents were $205.3 million as of March 31, 2022.

      Updated Annual Financial Guidance for 2022

      The Company updated its financial guidance for the full year 2022 based on the current business outlook to raise the lower end of its guidance range for net sales growth:


      Prior guidance range **

      Current guidance range **

      GAAP

      Non-GAAP

      GAAP

      Non-GAAP

      Net sales growth (reported)*

      5.0%-8.0%

      5.0%-8.0%

      6.0%-8.0%

      6.0%-8.0%

           Net sales growth (constant currency)*


      6.0%-9.0%


      7.5%-9.5%

      Operating margin

      6.7%-8.2%

      13.0%-14.5%

      6.3%-7.8%

      13.0%-14.5%

      Diluted earnings per share

      $0.71-$1.01

      $2.05-$2.35

      $1.05-$1.35***

      $2.15-$2.45


      * Reflects expectations for net sales growth in 2022 compared to 2021. Net sales growth on a constant currency basis excludes year over year currency fluctuations, which the Company currently expects to create a negative impact of approximately 150 basis points in 2022.

      ** Prior guidance reflects the range provided February 23, 2022. Current guidance reflects the range provided May 4, 2022.

      *** Reflects updated expectations for the impact on diluted EPS of applying the if-converted method to the Company's convertible notes. Additionally, includes the impact of net unrealized foreign currency exchange gains incurred as of March 31, 2022, and does not assume future net unrealized gains or losses related to foreign currency exchange rates.

      A full reconciliation of GAAP to non-GAAP financial measures can be found in the tables of this press release and on the Investor Relations section of our website.

      Conference Call and Webcast
      The Company will hold a conference call on Wednesday, May 4, 2022, at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its financial performance for the first quarter of 2022. 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 and supplemental financial information of our first quarter 2022 financial results will be available on the Investor Relations page of our website at www.nuvasive.com. An audio replay of the call will be available until May 11, 2022. 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: 13728729. In addition, the webcast will be archived on NuVasive's website. 

      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 surgical access instruments, spinal implants, fixation systems, biologics, software for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative neuromonitoring technology and service offerings. With more than $1 billion in net sales, NuVasive operates in more than 50 countries serving surgeons, hospitals, and patients. For more information, please visit www.nuvasive.com.

      Reconciliation of GAAP to Non-GAAP Information
      Management uses certain non-GAAP financial measures such as non-GAAP gross profit, non-GAAP gross margin, non-GAAP operating expenses, non-GAAP operating margin, non-GAAP net income (loss), and non-GAAP diluted earnings (loss) per share. These non-GAAP financial measures exclude amortization of intangible assets, business transition costs, purchased in-process research and development, one-time restructuring charges, non-cash purchase accounting adjustments, inventory charges associated with product withdrawals, certain foreign currency impacts and related items in connection with acquisitions, investments and divestitures, certain litigation expenses and settlements, certain European medical device regulation costs, gains and losses from strategic investments, gains and losses from changes in fair value of derivatives, non-cash interest expense (excluding debt issuance cost) and other significant one-time items. 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 charges, non-cash purchase accounting adjustments, inventory charges associated with product withdrawals, certain foreign currency impacts and related items in connection with acquisitions, investments and divestitures, certain litigation expenses and settlements, certain European medical device regulation costs, gains and losses on strategic investments, gains and losses from changes in fair value of derivatives 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 in the financial tables accompanying this press release are reconciliations of the non-GAAP financial measures to the most directly comparable GAAP financial measure.

      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 2022, as well as projections for 2022 financial guidance and expectations regarding longer-term financial performance. The Company's results for the first quarter of 2022 are prior to the completion of review and audit procedures by the Company's external auditors and are subject to adjustment. In addition, the Company's projections for 2022 financial guidance and expectations regarding longer-term financial performance represent initial estimates, and are subject to the risk of being inaccurate because of the preliminary nature of the forecasts, the risk of further adjustment, or unanticipated difficulty in selling products or generating expected profitability. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, 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)


      2022


      2021

      Net sales:





      Products


      $            265,973


      $            245,451

      Services


      24,789


      25,798

      Total net sales


      290,762


      271,249

      Cost of sales (excluding below amortization of intangible assets):





      Products


      57,183


      53,302

      Services


      21,914


      18,509

      Total cost of sales


      79,097


      71,811

      Gross profit


      211,665


      199,438

      Operating expenses:





      Selling, general and administrative


      160,281


      145,954

      Research and development


      23,358


      22,224

      Amortization of intangible assets


      13,032


      13,337

      Business transition costs


      3,060


      5,584

      Total operating expenses


      199,731


      187,099

      Interest and other income (expense), net:





      Interest income


      43


      87

      Interest expense


      (4,379)


      (8,030)

      Other income (expense), net


      16,244


      (12,526)

      Total interest and other income (expense), net


      11,908


      (20,469)

      Income (loss) before income taxes


      23,842


      (8,130)

      Income tax (expense) benefit


      (4,641)


      620

      Consolidated net income (loss)


      $              19,201


      $              (7,510)






      Net income (loss) per share:





      Basic


      $                  0.37


      $                (0.15)

      Diluted


      $                  0.35


      $                (0.15)

      Weighted average shares outstanding:





      Basic


      51,829


      51,379

      Diluted


      62,579


      51,379

      NuVasive, Inc. 

      Consolidated Balance Sheets 

      (in thousands, except par value data) 








      March 31, 2022


      December 31, 2021

      ASSETS


      (Unaudited)



      Current assets:





      Cash and cash equivalents


      $                       205,312


      $                      246,091

      Accounts receivable, net of allowances of $20,707 and $21,064, respectively


      231,425


      214,398

      Inventory, net


      324,403


      315,845

      Prepaid income taxes


      5,536


      5,425

      Prepaid expenses and other current assets


      25,538


      20,665

      Total current assets


      792,214


      802,424

      Property and equipment, net


      313,689


      303,664

      Intangible assets, net


      233,301


      242,675

      Goodwill


      636,703


      633,467

      Operating lease right-of-use assets


      100,656


      102,987

      Deferred tax assets


      61,294


      48,003

      Restricted cash and investments


      1,494


      1,494

      Other assets


      21,150


      19,361

      Total assets


      $                    2,160,501


      $                   2,154,075

      LIABILITIES AND EQUITY





      Current liabilities:





      Accounts payable and accrued liabilities


      $                       115,674


      $                      115,614

      Contingent consideration liabilities


      66,054


      7,986

      Accrued payroll and related expenses


      55,848


      66,596

      Operating lease liabilities


      10,043


      9,867

      Income tax liabilities


      1,110


      828

      Total current liabilities


      248,729


      200,891

      Long-term senior convertible notes


      886,793


      884,984

      Deferred tax liabilities


      12,807


      3,049

      Operating lease liabilities


      109,093


      111,592

      Contingent consideration liabilities


      73,762


      139,824

      Other long-term liabilities


      17,396


      18,528

      Commitments and contingencies





      Stockholders' equity:





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


      —


      —

      Common stock, $0.001 par value; 150,000 shares authorized at March 31, 2022 and
      December 31, 2021; 58,747 shares issued and 51,949 outstanding at March 31, 2022;
      58,469 shares issued and 51,769 outstanding at December 31, 2021


      63


      63

      Additional paid-in capital


      1,441,783


      1,434,976

      Accumulated other comprehensive loss


      (11,741)


      (7,792)

      Retained earnings


      64,909


      45,708

      Treasury stock at cost; 6,798 shares and 6,700 shares at March 31, 2022 and
      December 31, 2021, respectively


      (683,093)


      (677,748)

      Total equity


      811,921


      795,207

      Total liabilities and equity


      $                    2,160,501


      $                   2,154,075

      NuVasive, Inc. 

      Consolidated Statements of Cash Flows 

      (in thousands) 








      Three Months Ended March 31,

      (unaudited)


      2022


      2021

      Operating activities:





      Consolidated net income (loss)


      $                    19,201


      $                    (7,510)

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





      Depreciation and amortization


      36,801


      36,432

      Deferred income taxes


      (3,891)


      (3,535)

      Amortization of non-cash interest


      1,963


      2,660

      Stock-based compensation


      6,807


      7,709

      Net (gain) loss from foreign currency adjustments


      (15,988)


      12,547

      Reserves on current assets


      (1,864)


      4,002

      Other non-cash adjustments


      1,365


      6,397

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





      Accounts receivable


      (17,216)


      (1,544)

      Inventory


      (3,215)


      (12,464)

      Prepaid expenses and other current assets


      805


      (2,057)

      Accounts payable and accrued liabilities


      (7,956)


      (5,663)

      Accrued payroll and related expenses


      (10,491)


      (4,271)

      Income taxes


      218


      (1,064)

      Net cash provided by operating activities


      6,539


      31,639

      Investing activities:





      Acquisition of Simplify Medical, net of cash acquired


      —


      (149,408)

      Purchases of intangible assets


      —


      (1,200)

      Purchases of property and equipment


      (33,223)


      (25,070)

      Proceeds from sales of marketable securities


      —


      127,023

      Proceeds from maturities of marketable securities


      —


      46,000

      Other investing activities


      (947)


      —

      Net cash used in investing activities


      (34,170)


      (2,655)

      Financing activities:





      Payment of contingent consideration


      (6,839)


      (3)

      Purchases of treasury stock


      (5,345)


      (55)

      Payments upon settlement of senior convertible notes


      —


      (649,426)

      Other financing activities


      (521)


      (341)

      Net cash used in financing activities


      (12,705)


      (649,825)

      Effect of exchange rate changes on cash


      (443)


      (2,171)

      Decrease in cash, cash equivalents and restricted cash


      (40,779)


      (623,012)

      Cash, cash equivalents and restricted cash at beginning of period


      247,585


      858,363

      Cash, cash equivalents and restricted cash at end of period


      $                  206,806


      $                  235,351


      For the Three Months Ended March 31, 2022


      Reconciliation of GAAP to Non-GAAP Financial Measures


      (Unaudited - in thousands, except per share data)











      Gross Profit

      Operating
      Profit

      Net Income

      Diluted
      EPS7

      Diluted
      WASO7

      Net Income
      to Adjusted EBITDA


      Reported GAAP

      $      211,665

      $        11,934

      $        19,201

      $        0.35

      62,579

      $                    19,201


      % of net sales

      72.8%

      4.1%






      Non-cash purchase accounting adjustments on acquisitions1

      557

      557

      557



      557


      Amortization of intangible assets


      13,032

      13,032





      Litigation related expenses and settlements2


      3,201

      3,201



      3,201


      Business transition costs3


      3,060

      3,060



      3,060


      European medical device regulation4


      2,191

      2,191



      2,191


      Non-cash acquisition-related foreign currency impacts5



      (9,318)



      (9,318)


      Tax effect of adjustments6



      (3,768)





      Interest expense/(income), net






      4,336


      Income tax expense






      4,641


      Depreciation and amortization






      36,801


      Non-cash stock-based compensation






      6,807


      Adjusted Non-GAAP

      $      212,222

      $        33,975

      $        28,156

      $        0.54

      52,410

      $                    71,477


      % of net sales

      73.0%

      11.7%




      24.6%









      1

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

      2

      Represents expenses associated with certain ongoing litigation matters, including infringement of the Company's intellectual property.

      3

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

      4

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

      5

      Represents non-cash adjustments to acquisition-related intercompany balances and contingent consideration liabilities held in a foreign currency.

      6

      Represents the impact from tax affecting the adjustments above at their statutory tax rate.

      7

      GAAP diluted EPS includes the dilutive impact of applying the if-converted method to the Company's convertible notes. 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, 2021


      Reconciliation of GAAP to Non-GAAP Financial Measures


      (Unaudited - in thousands, except per share data)











      Gross
      Profit

      Operating
      Profit

      Net (Loss)
      Income

      Diluted
      EPS7

      Diluted
      WASO7

      Net (Loss) to
      Adjusted EBITDA


      Reported GAAP

      $      199,438

      $        12,339

      $         (7,510)

      $      (0.15)

      51,379

      $                    (7,510)


      % of net sales

      73.5%

      4.5%






      Non-cash purchase accounting adjustments on acquisitions1

      186

      186

      186



      186


      Amortization of intangible assets


      13,337

      13,337





      Litigation related expenses and settlements2


      1,961

      1,961



      1,961


      Business transition costs3


      5,584

      5,584



      5,584


      European medical device regulation4


      1,875

      1,875



      1,875


      Non-cash acquisition-related foreign currency impacts5



      9,848



      9,848


      Tax effect of adjustments6



      (6,251)





      Interest expense/(income), net






      7,943


      Income tax benefit






      (620)


      Depreciation and amortization






      36,432


      Non-cash stock-based compensation






      7,709


      Adjusted Non-GAAP

      $      199,624

      $        35,282

      $        19,030

      $        0.37

      52,069

      $                    63,408


      % of net sales

      73.6%

      13.0%




      23.4%









           1

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

           2

      Represents expenses associated with certain ongoing litigation matters, including infringement of the Company's intellectual property.

           3

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

           4

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

           5

      Represents non-cash adjustments to acquisition-related intercompany balances and contingent consideration liabilities held in a foreign currency.

           6

      Represents the impact from tax affecting the adjustments above at their statutory tax rate.

           7

      GAAP diluted EPS includes the dilutive impact of applying the if-converted method to the Company's convertible notes. 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.

      Full Year 2022 Financial Guidance

      Reconciliation of GAAP to Non-GAAP EPS













      2022 Guidance Range1, 2




      2021 Actuals1


      Prior


      Current



      GAAP diluted earnings (loss) per share

      $(1.24)


       $0.71-1.01 


       $1.05-1.35 



      Impact of dilution3

      0.02


       ~0.15 


       ~0.05 



      Amortization of intangible assets

      1.10


       ~1.05 


       ~1.00 



      European medical device regulation4

      0.16


       ~0.30 


       ~0.30 



      Inventory charges associated with product withdrawal5

      0.27


      -


      -



      Other6

      1.83


       ~0.14 


       ~0.05 



      Tax effect of adjustments7

      (0.45)


       ~(0.30) 


       ~(0.30) 



      Non-GAAP diluted earnings per share

      $1.68


       $2.05-2.35 


       $2.15-2.45 










             1

      Data has been intentionally rounded and may not sum.


             2

      Prior guidance reflects the range provided February 23, 2022. Current guidance reflects the range provided May 4, 2022.


             3

      GAAP diluted EPS includes the dilutive impact of applying the if-converted method to the Company's convertible notes. 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.


             4

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


             5

      Represents charges for inventory write-offs associated with the Company's product withdrawals. During the third quarter of 2021, the Company made a
      determination to withdraw certain products marketed and sold by its wholly-owned subsidiary, NuVasive Specialized Orthopedics.


             6

      Includes costs primarily associated with litigation related expenses and settlements, non-cash acquisition-related foreign currency impacts, non-cash
      purchase accounting adjustments on acquisitions, net gain on strategic investments and business transition costs. See Reconciliation of GAAP to Non-
      GAAP Financial Measures tables within respective earnings releases for further detail.


             7

      Represents the impact from tax affecting the adjustments above at their statutory tax rate.


      Full Year 2022 Financial Guidance

      Reconciliation of GAAP to Non-GAAP Operating Margin %















      2022 Guidance Range1, 2





      2021 Actuals1


      Prior


      Current



      GAAP Operating Margin %


      (1.1%)


      6.7%-8.2%


      6.3%-7.8%



      Amortization of intangible assets


      5.0%


      ~4.5%


      ~4.4%



      European medical device regulation3


      0.7%


      ~1.3%


      ~1.3%



      Inventory charges associated with product withdrawal4

      1.3%


      -


      -



      Other 5


      6.8%


      ~0.5%


      ~1.0%



      Non-GAAP Operating Margin %


      12.8%


      13.0%-14.5%


      13.0%-14.5%











             1

      Data has been intentionally rounded and may not sum.


             2

      Prior guidance reflects the range provided February 23, 2022. Current guidance reflects the range provided May 4, 2022.


             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 charges for inventory write-offs associated with the Company's product withdrawals. During the third quarter of 2021, the
      Company made a determination to withdraw certain products marketed and sold by its wholly-owned subsidiary, NuVasive Specialized
      Orthopedics.


             5

      Includes costs primarily associated with litigation related expenses and settlements, non-cash purchase accounting adjustments on
      acquisitions, and business transition costs. See Reconciliation of GAAP to Non-GAAP Financial Measures tables within respective earnings
      releases for further detail.


      SOURCE NuVasive, Inc.

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