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      NuVasive Announces Fourth Quarter and Full Year 2019 Financial Results

      Company provides 2020 guidance

      NuVasive Logo

      News provided by

      NuVasive, Inc.

      Feb 20, 2020, 16:02 ET

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      SAN DIEGO, Feb. 20, 2020 /PRNewswire/ -- NuVasive, Inc. (NASDAQ: NUVA), the leader in spine technology innovation, focused on transforming spine surgery with minimally disruptive, procedurally integrated solutions, today announced financial results for the quarter and full year ended Dec. 31, 2019.

      Fourth Quarter 2019

      • Revenue increased 7.6% to $310.4 million, or 7.8% on a constant currency basis;
      • GAAP operating margin of 13.6%; Non-GAAP operating margin of 16.4%; and
      • GAAP diluted earnings per share of $0.55; Non-GAAP diluted earnings per share of $0.73.

      Full Year 2019

      • Revenue increased 6.0% to $1.168 billion, or 6.6% on a constant currency basis;
      • GAAP operating margin of 10.5%; Non-GAAP operating margin of 15.8%; and
      • GAAP diluted earnings per share of $1.23; Non-GAAP diluted earnings per share of $2.47.

      "NuVasive delivered strong financial results in 2019 with consistent, above-market growth of 6.0% over prior year," said J. Christopher Barry, chief executive officer of NuVasive. "In 2020, our primary growth drivers include continuing to lead in lateral spine surgery, further innovation in targeted spine segments and achieving scale in key global markets to drive value and deliver on our long-term commitments."

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

      Fourth Quarter 2019 Results
      NuVasive reported fourth quarter 2019 total revenue of $310.4 million, a 7.6% increase compared to $288.3 million for the fourth quarter 2018. On a constant currency basis, fourth quarter 2019 total revenue increased 7.8% compared to the same period last year.

      For the fourth quarter 2019, both GAAP and non-GAAP gross profit was $227.1 million and GAAP and non-GAAP gross margin was 73.2%. These results compared to GAAP and non-GAAP gross profit of $202.2 million and GAAP and non-GAAP gross margin of 70.1%, for the fourth quarter 2018.

      The Company reported GAAP net income of $29.9 million, or diluted earnings per share of $0.55, for the fourth quarter 2019 compared to GAAP net income of $12.2 million, or diluted earnings per share of $0.23, for the fourth quarter 2018. On a non-GAAP basis, the Company reported net income of $38.5 million, or diluted earnings per share of $0.73, for the fourth quarter 2019 compared to non-GAAP net income of $36.1 million, or diluted earnings per share of $0.69, for the fourth quarter 2018.

      Full Year 2019 Results
      NuVasive reported full year 2019 total revenue of $1.168 billion, a 6.0% increase compared to $1.102 billion for the full year 2018. On a constant currency basis, full year 2019 total revenue increased 6.6% compared to the full year 2018.

      For the full year 2019, both GAAP and non-GAAP gross profit was $855.7 million and GAAP and non-GAAP gross margin was 73.3%. These results compared to GAAP and non-GAAP gross profit of $790.6 million and $791.6 million, respectively, and GAAP and non-GAAP gross margin of 71.8% and 71.9%, respectively, for the full year 2018. For the full year 2019, GAAP and non-GAAP operating expenses were $732.7 million and $670.7 million, respectively. These results compared to GAAP and non-GAAP operating expenses of $736.4 million and $624.8 million, respectively, for the full year 2018.

      The Company reported GAAP net income of $65.2 million, or diluted earnings per share of $1.23, for the full year 2019 compared to GAAP net income of $12.5 million, or diluted earnings per share of $0.24, for the full year 2018. On a non-GAAP basis, the Company reported net income of $129.8 million, or diluted earnings per share of $2.47, for the full year 2019 compared to non-GAAP net income of $116.6 million, or diluted earnings per share of $2.23, for the full year 2018.

      Annual Financial Guidance for 2020
      The company estimates full year 2020 revenue growth to be in the range of 4.0% to 6.0%, GAAP diluted earnings per share in the range of $1.15 to $1.25 and non-GAAP diluted earnings per share in the range of $2.55 to $2.65.


      2020 Guidance Range 1


       GAAP 

       Non-GAAP 

      Total Revenue Growth

       4.0% - 6.0% 


       4.0% - 6.0% 

      U.S. Spinal Hardware

      5.0% - 7.0%


      5.0% - 7.0%

      U.S. Surgical Support

      (3.0%) - 1.0%


      (3.0%) - 1.0%

      International

      10.0% - 12.0%


      10.0% - 12.0%

      Operating margin

       10.1% - 10.5% 


       15.8% - 16.2% 

      Diluted earnings per share

       $1.15 - 1.25 


       $2.55 - 2.65 



          1

      Guidance reflects the range provided February 20, 2020.

      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



      2019 Actuals 1


      2020 Guidance Range 1, 2

      GAAP diluted earnings per share

      $1.23



       $1.15 - 1.25 

      Impact of change to diluted share count 3

      0.01



       0.05 - 0.10 

      Amortization of intangible assets

      0.97



       0.95 - 1.00 

      Non-cash interest expense on convertible notes

      0.33



       0.30 - 0.35 

      European medical device regulation 4

      0.10



       0.15 - 0.20 

      Other 5

      0.20



       0.15 - 0.20 

      Tax effect of adjustments 6

      (0.38)



       (0.30) - (0.35) 

      Non-GAAP diluted earnings per share

      $2.47



       $2.55 - 2.65 



      1

      Items may not foot due to rounding.

      2

      Guidance reflects the range provided February 20, 2020.

      3

      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

      Includes costs associated with certain ongoing litigation related expenses and settlements, net losses on strategic investments and business transition costs. See Reconciliation of GAAP to Non-GAAP Financial Measures tables for further detail.

      6

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

      Reconciliation of Full Year Operating Margin %




      2019 Actuals 1


      2020 Guidance Range 1, 2

      GAAP operating margin %


      10.5%


      10.1% - 10.5%

      Amortization of intangible assets


      4.4%


      4.2% - 4.3%

      European medical device regulation 3


      0.4%


      0.7% - 0.9%

      Other 4


      0.5%


      0.7% - 0.9%

      Non-GAAP operating margin %


      15.8%


      15.8% - 16.2%



      1

      Items may not foot due to rounding.

      2

      Guidance reflects the range provided February 20, 2020.

      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

      Includes costs associated with certain ongoing litigation related expenses and settlements and business transition costs. See Reconciliation of GAAP to Non-GAAP Financial Measures tables for further detail.

      Reconciliation of GAAP to Non-GAAP Information
      Management uses certain non-GAAP financial measures such as non-GAAP diluted earnings per share, non-GAAP net income, non-GAAP operating expenses and non-GAAP operating margin, which exclude amortization of intangible assets, business transition costs, purchased in-process research and development, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation expenses and settlements, certain European medical device regulation costs, gains and losses from strategic investments, and non-cash interest expense (excluding debt issuance cost). Management also uses certain non-GAAP measures which are intended to exclude the impact of foreign exchange currency fluctuations. The measure constant currency utilizes an exchange rate that eliminates fluctuations when calculating financial performance numbers. The Company also uses measures such as free cash flow, which represents cash flow from operations less cash used in the acquisition and disposition of capital. Additionally, the Company uses an adjusted EBITDA measure which represents earnings before interest, taxes, depreciation and amortization and excludes the impact of stock-based compensation, business transition costs, purchased in-process research and development, one-time restructuring and related items in connection with acquisitions, investments and divestitures, non-recurring consulting fees, certain litigation expenses and settlements, certain European medical device regulation costs, gains and losses on strategic investments, and other significant one-time items.

      Management calculates the non-GAAP financial measures provided in this earnings release excluding these costs and uses these non-GAAP financial measures to enable it to further and more consistently analyze the period-to-period financial performance of its core business operations. Management believes that providing investors with these non-GAAP measures gives them additional information to enable them to assess, in the same way management assesses, the Company's current and future continuing operations. These non-GAAP measures are not in accordance with, or an alternative for, GAAP, and may be different from non-GAAP measures used by other companies. Set forth below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measure.

      For the Three Months Ended December 31, 2019

      Reconciliation of GAAP to Non-GAAP Financial Measures

      (Unaudited - in thousands, except per share data)









      Gross Profit

      Operating
      Profit

      Net Income 

      Diluted
      EPS

      Diluted
      WASO 5

      Net Income to
      Adjusted EBITDA

      Reported GAAP

      $        227,098

      $          42,166

      $          29,876

      $          0.55

      54,638

      $          29,876

      % of revenue

      73.2%

      13.6%





      Amortization of intangible assets


      12,599

      12,599




      Litigation related expenses and settlements 1


      818

      818



      818

      Business transition costs 2


      (7,141)

      (7,141)



      (7,141)

      European medical device regulation 3


      2,384

      2,384



      2,384

      Non-cash interest expense on convertible notes



      4,492




      Tax effect of adjustments 4



      (4,513)




      Interest expense/(income), net






      9,147

      Income tax expense






      3,271

      Depreciation and amortization






      34,348

      Non-cash stock based compensation






      10,285

      Adjusted Non-GAAP

      $        227,098

      $          50,826

      $          38,515

      $          0.73

      52,979

      $          82,988

      % of revenue

      73.2%

      16.4%




      26.7%



      1

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

      2

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

      3

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

      4

      Represents the impact from tax affecting the adjustments above at their statutory tax rate. The impact of these adjustments to the tax rate results in an annual tax rate of ~19% on a GAAP basis and ~21% on a non-GAAP basis.

      5

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

      For the Year Ended December 31, 2019

      Reconciliation of GAAP to Non-GAAP Financial Measures

      (Unaudited - in thousands, except per share data)









      Gross Profit

      Operating
      Profit

      Net Income

      Diluted
      EPS

      Diluted
      WASO 5

      Net Income to
      Adjusted EBITDA

      Reported GAAP

      $        855,713

      $        123,050

      $          65,234

      $          1.23

      53,160

      $          65,234

      % of revenue

      73.3%

      10.5%





      Amortization of intangible assets


      51,097

      51,097




      Litigation related expenses and settlements 1


      7,794

      7,794



      7,794

      Business transition costs 2


      (1,995)

      (1,995)



      (1,995)

      European medical device regulation 3


      5,069

      5,069



      5,069

      Non-cash interest expense on convertible notes



      17,617




      Net loss on strategic investments



      4,767



      4,767

      Tax effect of adjustments 4



      (19,782)




      Interest expense/(income), net






      36,608

      Income tax expense






      15,283

      Depreciation and amortization






      135,593

      Non-cash stock based compensation






      30,732

      Adjusted Non-GAAP

      $        855,713

      $        185,015

      $        129,801

      $          2.47

      52,629

      $          299,085

      % of revenue

      73.3%

      15.8%




      25.6%



      1

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

      2

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

      3

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

      4

      Represents the impact from tax affecting the adjustments above at their statutory tax rate. The impact of these adjustments to the tax rate results in an annual tax rate of ~19% on a GAAP basis and ~21% on a non-GAAP basis.

      5

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

      For the Three Months Ended December 31, 2018

      Reconciliation of GAAP to Non-GAAP Financial Measures

      (Unaudited - in thousands, except per share data)









      Gross Profit

      Operating
      Profit

      Net Income

      Diluted
      EPS

      Diluted
      WASO 5

      Net Income to
      Adjusted EBITDA

      Reported GAAP

      $        202,198

      $          25,856

      $          12,157

      $          0.23

      52,530

      $          12,157

      % of revenue

      70.1%

      9.0%





      Amortization of intangible assets


      13,268

      13,268




      Litigation related expenses and settlements 1


      2,750

      2,750



      2,750

      Business transition costs 2


      3,779

      3,779



      3,779

      European medical device regulation 3


      373

      373



      373

      Non-cash interest expense on convertible notes



      4,262




      Net gain on strategic investments



      (30)



      (30)

      Tax effect of adjustments 4



      (444)




      Interest expense/(income), net






      9,193

      Income tax expense






      4,175

      Depreciation and amortization






      33,356

      Non-cash stock based compensation






      3,699

      Adjusted Non-GAAP

      $        202,198

      $          46,026

      $          36,115

      $          0.69

      52,471

      $          69,452

      % of revenue

      70.1%

      16.0%




      24.1%



      1

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

      2

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

      3

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

      4

      Represents the impact from tax affecting the adjustments above at their statutory tax rate. The impact of these adjustments to the tax rate results in an annual tax rate of ~43% benefit on a GAAP basis and ~18% on a non-GAAP basis.

      5

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

      For the Year Ended December 31, 2018

      Reconciliation of GAAP to Non-GAAP Financial Measures

      (Unaudited - in thousands, except per share data)









      Gross Profit

      Operating
      Profit

      Net Income

      Diluted
      EPS

      Diluted
      WASO 8

      Net Income to
      Adjusted EBITDA

      Reported GAAP

      $        790,555

      $          54,168

      $          12,479

      $          0.24

      52,355

      $          12,479

      % of revenue

      71.8%

      4.9%





      Non-cash purchase accounting adjustments on acquisitions 1

      1,080

      1,080

      1,080



      1,080

      Non-recurring consulting fees 2


      6,084

      6,084



      6,084

      Amortization of intangible assets


      50,670

      50,670




      Litigation related expenses and settlements 3


      34,052

      34,052



      34,052

      Business transition costs 4


      11,473

      11,473



      11,473

      Purchase of in-process research and development 5


      8,913

      8,913



      8,913

      European medical device regulation 6


      373

      373



      373

      Non-cash interest expense on convertible notes



      16,722




      Net loss on strategic investments



      3,837



      3,837

      Tax effect of adjustments 7



      (29,126)




      Interest expense/(income), net






      37,271

      Income tax benefit






      (3,756)

      Depreciation and amortization






      129,765

      Non-cash stock based compensation






      25,761

      Adjusted Non-GAAP

      $        791,635

      $        166,813

      $        116,557

      $          2.23

      52,178

      $          267,332

      % of revenue

      71.9%

      15.1%




      24.3%

      1

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

      2

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

      3

      Represents the loss recorded in connection with the settlement of the Madsen Medical, Inc. litigation matter, as well as expenses associated with certain ongoing litigation matters, including infringement of the Company's intellectual property.

      4

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

      5

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

      6

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

      7

      Represents the impact from tax affecting the adjustments above at their statutory tax rate. The impact of these adjustments to the tax rate results in an annual tax rate of ~43% benefit on a GAAP basis and ~18% on a non-GAAP basis.

      8

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

      Investor Conference Call
      NuVasive will hold a conference call today at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its financial performance for the fourth quarter and full year 2019. The dial-in numbers are 1-877-407-9039 for domestic callers and 1-201-689-8470 for international callers. A live webcast of the conference call will be available online from the Investor Relations page of the Company's website at www.nuvasive.com. After the live webcast, the call will remain available on NuVasive's website through March 20, 2020. In addition, a telephone replay of the call will be available until February 27, 2020. The replay dial-in numbers are 1-844-512-2921 for domestic callers and 1-412-317-6671 for international callers. Please use pin number: 13698333.

      About NuVasive
      NuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurally integrated solutions designed to deliver reproducible and clinically proven surgical outcomes. The Company's portfolio includes access instruments, implantable hardware, biologics, software systems for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative monitoring service offerings. With more than $1 billion in revenue, NuVasive has approximately 2,800 employees and operates in more than 50 countries serving surgeons, hospitals and patients. For more information, please visit www.nuvasive.com.

      Forward-Looking Statements
      NuVasive cautions you that statements included in this news release or made on the investor conference call referenced herein that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive's results to differ materially from historical results or those expressed or implied by such forward looking statements. In addition, this news release contains selected financial results from the fourth quarter and full year 2019, as well as projections for 2020 financial guidance and longer-term financial performance goals. The Company's results for the fourth quarter and full year 2019 are prior to the completion of review and audit procedures by the Company's external auditors and are subject to adjustment. In addition, the Company's projections for 2020 financial guidance and longer-term financial performance goals represent initial estimates, and are subject to the risk of being inaccurate because of the preliminary nature of the forecasts, the risk of further adjustment, or unanticipated difficulty in selling products or generating expected profitability. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, risks associated with acceptance of the Company's surgical products and procedures by spine surgeons 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 December 31,


      Year Ended December 31,



      2019


      2018


      2019


      2018



      (Unaudited)


      (Unaudited)





      Revenue









      Product revenue


      $ 279,234


      $ 258,226


      $ 1,044,611


      $  986,458

      Service revenue


      31,120


      30,101


      123,459


      115,256

      Total revenue


      310,354


      288,327


      1,168,070


      1,101,714

      Cost of revenue (excluding below amortization of intangible assets)









      Cost of products sold


      63,211


      66,375


      232,474


      234,509

      Cost of services


      20,045


      19,754


      79,883


      76,650

      Total cost of revenue


      83,256


      86,129


      312,357


      311,159

      Gross profit


      227,098


      202,198


      855,713


      790,555

      Operating expenses:









      Sales, marketing and administrative


      160,365


      142,201


      611,181


      575,836

      Research and development


      19,109


      17,094


      72,380


      61,695

      Amortization of intangible assets


      12,599


      13,268


      51,097


      50,670

      Purchase of in-process research and development


      —


      —


      —


      8,913

      Litigation liability loss


      —


      —


      —


      27,800

      Business transition costs


      (7,141)


      3,779


      (1,995)


      11,473

      Total operating expenses


      184,932


      176,342


      732,663


      736,387

      Interest and other expense, net:









      Interest income


      561


      206


      1,917


      586

      Interest expense


      (9,708)


      (9,399)


      (38,525)


      (37,857)

      Other (expense) income, net


      128


      (331)


      (5,925)


      (8,174)

      Total interest and other expense, net


      (9,019)


      (9,524)


      (42,533)


      (45,445)

      Income before income taxes


      33,147


      16,332


      80,517


      8,723

      Income tax (expense) benefit 


      (3,271)


      (4,175)


      (15,283)


      3,756

      Consolidated net income


      $   29,876


      $   12,157


      $      65,234


      $    12,479










      Net income per share:









         Basic


      $       0.57


      $       0.24


      $          1.26


      $        0.24

         Diluted


      $       0.55


      $       0.23


      $          1.23


      $        0.24

      Weighted average shares outstanding:









         Basic


      52,117


      51,504


      51,956


      51,382

         Diluted


      54,638


      52,530


      53,160


      52,355

      NuVasive, Inc. 

      Consolidated Balance Sheets 

      (in thousands, except par values and share amounts) 








      December 31,



      2019


      2018

      ASSETS





      Current assets:





      Cash and cash equivalents


      $     213,034


      $     117,840

      Accounts receivable, net of allowances of $17,019 and $16,171, respectively


      211,532


      196,487

      Inventory, net


      312,419


      273,244

      Prepaid income taxes


      10,434


      16,905

      Prepaid expenses and other current assets


      16,917


      13,733

      Total current assets


      764,336


      618,209

      Property and equipment, net


      266,318


      238,841

      Intangible assets, net


      201,092


      252,048

      Goodwill


      561,064


      561,366

      Operating lease right-of-use assets


      66,932


      —

      Deferred tax assets


      9,162


      5,263

      Restricted cash and investments


      1,494


      2,395

      Other assets


      14,892


      29,737

      Total assets


      $  1,885,290


      $  1,707,859

      LIABILITIES AND EQUITY





      Current liabilities:





      Accounts payable and accrued liabilities


      $       97,160


      $     107,292

      Contingent consideration liabilities


      15,727


      7,560

      Accrued payroll and related expenses


      86,458


      59,960

      Operating lease liabilities


      5,567


      —

      Income tax liabilities


      2,005


      4,648

      Total current liabilities


      206,917


      179,460

      Senior Convertible Notes


      623,298


      602,526

      Deferred and income tax liabilities


      14,655


      4,964

      Operating lease liabilities


      73,153


      —

      Other long-term liabilities


      52,060


      86,384

      Commitments and contingencies





      Stockholders' equity:





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


      —


      —

      Common stock, $0.001 par value; 120,000,000 shares authorized at December 31, 2019 and December 31, 2018, 57,524,658 and 56,648,077 issued and outstanding at December 31, 2019 and December 31, 2018, respectively


      62


      61

      Additional paid-in capital


      1,429,854


      1,397,829

      Accumulated other comprehensive loss


      (9,418)


      (8,628)

      Retained earnings


      82,475


      17,241

      Treasury stock at cost; 5,379,536 shares and 5,116,496 shares at December 31, 2019 and December 31, 2018, respectively


      (587,766)


      (571,978)

      Total equity


      915,207


      834,525

      Total liabilities and equity


      $  1,885,290


      $  1,707,859

      NuVasive, Inc. 

      Consolidated Statements of Cash Flows 

      (in thousands) 








      Year Ended December 31,



      2019


      2018

      Operating activities:





      Consolidated net income


      $   65,234


      $   12,479

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





      Depreciation and amortization


      135,593


      129,765

      Purchase of in-process research and development


      —


      8,913

      Deferred income taxes


      5,844


      (11,396)

      Amortization of non-cash interest


      21,288


      20,123

      Stock-based compensation


      30,297


      25,673

      Net loss on strategic investments


      4,767


      4,421

      Reserves on current assets


      18,382


      14,834

      Other non-cash adjustments


      5,650


      22,186

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





      Accounts receivable


      (16,407)


      4,562

      Inventory


      (54,872)


      (38,646)

      Prepaid expenses and other current assets


      (4,622)


      (1,280)

      Accounts payable and accrued liabilities


      (3,253)


      22,035

      Contingent consideration liabilities


      (626)


      (300)

      Accrued payroll and related expenses


      24,256


      2,595

      Litigation liability


      (45)


      1,165

      Income taxes


      3,804


      2,054

      Net cash provided by operating activities


      235,290


      219,183

      Investing activities:





      Acquisitions and investments


      (4,100)


      (55,266)

      Proceeds from other investments


      —


      3,584

      Purchases of intangible assets


      (7,501)


      (7,682)

      Purchases of property and equipment


      (122,883)


      (101,921)

      Net cash used in investing activities


      (134,484)


      (161,285)

      Financing activities:





      Proceeds from the issuance of common stock


      6,415


      8,127

      Payment of contingent consideration


      (809)


      (19,450)

      Purchase of treasury stock


      (14,478)


      (2,928)

      Repurchases of convertible notes


      —


      —

      Proceeds from revolving line of credit


      —


      100,000

      Repayments on revolving line of credit


      —


      (100,000)

      Other financing activities


      2,228


      (327)

      Net cash used in financing activities


      (6,644)


      (14,578)

      Effect of exchange rate changes on cash


      131


      (1,283)

      Increase (decrease) in cash, cash equivalents and restricted cash


      94,293


      42,037

      Cash, cash equivalents and restricted cash at beginning of period


      120,235


      78,198

      Cash, cash equivalents and restricted cash at end of period


      $ 214,528


      $ 120,235

      SOURCE NuVasive, Inc.

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