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      NuVasive Announces Fourth Quarter and Full Year 2020 Financial Results

      -- Acquires Simplify Medical and the most clinically effective technology in the cervical total disc replacement (cTDR) procedure segment --

      -- Submits 510(k) clearance for Pulse platform and reiterates summer 2021 launch --

      -- Continued to increase R&D investments in 2020 to advance Company's innovation roadmap --

      -- Delivered strong Q4 2020 international growth --

      NuVasive Logo

      News provided by

      NuVasive, Inc.

      Feb 25, 2021, 16:03 ET

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      SAN DIEGO, Feb. 25, 2021 /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, 2020.

      Fourth Quarter 2020

      • Net sales decreased 6.0% to $291.8 million, or 6.7% on a constant currency basis;
      • GAAP operating margin of 6.9%; Non-GAAP operating margin of 15.8%; and
      • GAAP diluted earnings per share of $0.03; Non-GAAP diluted earnings per share of $0.59.

      Full Year 2020

      • Net sales decreased 10.1% to $1.051 billion, or 10.2% on a constant currency basis;
      • GAAP operating margin of 3.7%; Non-GAAP operating margin of 11.1%; and
      • GAAP diluted loss per share of $0.72; Non-GAAP diluted earnings per share of $1.23.

      "NuVasive continues to see significant impact from COVID-19 on elective surgical procedures and patient sentiment, particularly within the U.S. market, which increased late in the fourth quarter," said J. Christopher Barry, chief executive officer of NuVasive. "Against a challenging 2020, we made key investments in infrastructure, talent, and innovation to unlock our ability to fulfill our long-term strategy. We are excited about the acquisition of Simplify Medical to advance our C360 portfolio and the 510(k) submission for the Pulse platform. We remain committed to delivering enhanced value to shareholders, surgeons, and employees, while helping change the lives of patients around the globe."

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

      Fourth Quarter 2020 Results
      NuVasive reported fourth quarter 2020 total net sales of $291.8 million, a 6.0% decrease compared to $310.4 million for the fourth quarter 2019. On a constant currency basis, fourth quarter 2020 total net sales decreased 6.7% compared to the same period last year driven by the impact of COVID-19 on elective surgeries.

      For the fourth quarter 2020, GAAP and non-GAAP gross profit was $207.2 million and $208.9 million, respectively, and GAAP and non-GAAP gross margin was 71.0% and 71.6%, respectively. These results compared to GAAP and non-GAAP gross profit of $227.1 million and GAAP and non-GAAP gross margin of 73.2%, for the fourth quarter 2019. The decline in GAAP and non-GAAP gross margin was primarily due to the decrease in net sales and incremental reserves for inventory.

      The Company reported GAAP net income of $1.7 million, or diluted earnings per share of $0.03, for the fourth quarter 2020 compared to GAAP net income of $29.9 million, or diluted earnings per share of $0.55, for the fourth quarter 2019. On a non-GAAP basis, the Company reported net income of $30.4 million, or diluted earnings per share of $0.59, for the fourth quarter 2020 compared to non-GAAP net income of $38.5 million, or diluted earnings per share of $0.73, for the fourth quarter 2019.

      Free cash flow for the quarter ended Dec. 31, 2020, was $44.8 million compared to $46.3 million in the prior year period.

      Full Year 2020 Results
      NuVasive reported full year 2020 total net sales of $1.051 billion, a 10.1% decrease compared to $1.168 billion for the full year 2019. On a constant currency basis, full year 2020 total net sales decreased 10.2% compared to the full year 2019, which reflects the impact of the COVID-19 pandemic.

      For the full year 2020, GAAP and non-GAAP gross profit was $729.0 million and $730.7 million, respectively, and GAAP and non-GAAP gross margin was 69.4% and 69.5%, respectively. These results compared to GAAP and non-GAAP gross profit of $855.7 million, and GAAP and non-GAAP gross margin of 73.3% for the full year 2019. The decrease in GAAP and non-GAAP gross margin was primarily a result of incremental reserves for inventory attributed to projected demand for certain spinal hardware products impacted by COVID-19.

      The Company reported GAAP net loss of $37.2 million, or diluted loss per share of $0.72, for the full year 2020 compared to GAAP net income of $65.2 million, or diluted earnings per share of $1.23, for the full year 2019. On a non-GAAP basis, the Company reported net income of $63.8 million, or diluted earnings per share of $1.23, for the full year 2020 compared to non-GAAP net income of $129.8 million, or diluted earnings per share of $2.47, for the full year 2019. See the "Reconciliation of GAAP to Non-GAAP Financial Measures" table for a reconciliation of these GAAP and non-GAAP financial measures.

      Cash, cash equivalents, and investments were $1.030 billion as of Dec. 31, 2020, compared to $213 million reported as of Dec. 31, 2019.

      Simplify Medical
      In a separate news release, NuVasive announced it has acquired Simplify Medical, a privately held company and developer of the Simplify® Cervical Artificial Disc for cervical total disc replacement (cTDR), as of Feb. 24, 2021. The transaction provides NuVasive with the most clinically effective technology in the cTDR procedure segment and further distinguishes NuVasive's C360 cervical portfolio in the market.

      Supplementary Financial Information
      For additional financial detail, please visit the Investor Relations section of the Company's website at www.nuvasive.com to access Supplementary Financial Information.

      Reconciliation of GAAP to Non-GAAP Information
      Management uses certain non-GAAP financial measures such as non-GAAP diluted earnings (loss) 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, gains and losses from changes in fair value of derivatives 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, 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 are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measure.

       

      For the Three Months Ended December 31, 2020

       

      Reconciliation of GAAP to Non-GAAP Financial Measures

       

      (Unaudited - in thousands, except per share data)

                     
         

      Gross Profit

      Operating
      Profit

      Net Income

      Diluted
      EPS

      Diluted
      WASO5

      Net Income to
      Adjusted EBITDA

       

      Reported GAAP

      $        207,179

      $          20,235

      $            1,692

      $          0.03

      51,870

      $                           1,692

       

      % of net sales

      71.0%

      6.9%

             
       

      Amortization of intangible assets

       

      12,576

      12,576

           
       

      Litigation related expenses and settlements1

       

      1,310

      1,310

         

      1,310

       

      Business transition costs2

       

      8,337

      8,337

         

      8,337

       

      European medical device regulation3

      1,706

      3,614

      3,614

         

      3,614

       

      Non-cash interest expense on convertible notes

         

      12,844

           
       

      Net gain on strategic investments

         

      (10)

         

      (10)

       

      Tax effect of adjustments4

         

      (9,989)

           
       

      Interest expense/(income), net

               

      21,136

       

      Income tax benefit

               

      (628)

       

      Depreciation and amortization

               

      34,840

       

      Non-cash stock-based compensation

               

      7,706

       

      Adjusted Non-GAAP

      $        208,885

      $          46,072

      $          30,374

      $          0.59

      51,870

      $                         77,997

       

      % of net sales

      71.6%

      15.8%

           

      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 ~22% on a GAAP basis and ~24% on a non-GAAP basis.

      5

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

         
       

      For the Year Ended December 31, 2020

       

      Reconciliation of GAAP to Non-GAAP Financial Measures

       

      (Unaudited - in thousands, except per share data)

                     
         

      Gross Profit

      Operating
      Profit

      Net (Loss) Income

      Diluted
      EPS

      Diluted
      WASO7

      Net (Loss) to
      Adjusted EBITDA

       

      Reported GAAP

      $        728,951

      $          38,303

      $        (37,153)

      $        (0.72)

      51,416

      $                       (37,153)

       

      % of net sales

      69.4%

      3.7%

             
       

      Amortization of intangible assets

       

      51,726

      51,726

           
       

      Litigation related expenses and settlements1

       

      6,996

      6,996

         

      6,996

       

      Business transition costs2

       

      10,878

      10,878

         

      10,878

       

      Purchase of in-process research and development3

       

      1,011

      1,011

         

      1,011

       

      European medical device regulation4

      1,706

      7,693

      7,693

         

      7,693

       

      Non-cash interest expense on convertible notes

         

      40,866

           
       

      Net loss on strategic investments

         

      268

         

      268

       

      Net loss recognized on change in fair value of derivatives5

         

      12,301

         

      12,301

       

      Tax effect of adjustments6

         

      (30,823)

           
       

      Interest expense/(income), net

               

      68,994

       

      Income tax benefit

               

      (10,392)

       

      Depreciation and amortization

               

      140,937

       

      Non-cash stock-based compensation

               

      17,457

       

      Adjusted Non-GAAP

      $        730,657

      $        116,607

      $          63,763

      $          1.23

      51,992

      $                       218,990

       

      % of net sales

      69.5%

      11.1%

           

      20.8%

                     

      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

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

      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 the net change in fair value of the Company's derivative asset and liability associated with the 2023 Notes.

      6

      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 ~22% on a GAAP basis and ~24% on a non-GAAP basis.

      7

      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, 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
      WASO5

      Net Income to
      Adjusted EBITDA

       

      Reported GAAP

      $        227,098

      $          42,166

      $          29,876

      $          0.55

      54,638

      $                         29,876

       

      % of net sales

      73.2%

      13.6%

             
       

      Amortization of intangible assets

       

      12,599

      12,599

           
       

      Litigation related expenses and settlements1

       

      818

      818

         

      818

       

      Business transition costs2

       

      (7,141)

      (7,141)

         

      (7,141)

       

      European medical device regulation3

       

      2,384

      2,384

         

      2,384

       

      Non-cash interest expense on convertible notes

         

      4,492

           
       

      Tax effect of adjustments4

         

      (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 net sales

      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
      WASO5

      Net Income to
      Adjusted EBITDA

       

      Reported GAAP

      $        855,713

      $        123,050

      $          65,234

      $          1.23

      53,160

      $                         65,234

       

      % of net sales

      73.3%

      10.5%

             
       

      Amortization of intangible assets

       

      51,097

      51,097

           
       

      Litigation related expenses and settlements1

       

      7,794

      7,794

         

      7,794

       

      Business transition costs2

       

      (1,995)

      (1,995)

         

      (1,995)

       

      European medical device regulation3

       

      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 adjustments4

         

      (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 net sales

      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.

                     

      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 ended Dec. 31, 2020, as well as its acquisition of Simplify Medical. The dial-in numbers are 1-800-954-0604 for domestic callers and 1-312-281-1210 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 25, 2021. In addition, a telephone replay of the call will be available until March 4, 2021. 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: 21990639.

      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 has approximately 2,700 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. Forward-looking statements include, but are not limited to, statements about the potential benefits of the acquisition of Simplify Medical, including the expected impact on future financial and operating results, and post-acquisition plans and intentions. In addition, this news release contains selected financial results from the fourth quarter and full year 2020. The Company's results for the fourth quarter and full year 2020 are prior to the completion of review and audit procedures by the Company's external auditors and are subject to adjustment. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, the impact of the COVID-19 pandemic on the Company's business and financial results; the Company's ability to maintain operations to support its customers and patients in the near-term and to capitalize on future growth opportunities; the risk that Simplify Medical will not be integrated successfully and that benefits from the acquisition may not be fully realized or may take longer to realize than expected; 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. Additional risks and uncertainties that may affect future results are 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,

         

      2020

       

      2019

       

      2020

       

      2019

         

      (Unaudited)

       

      (Unaudited)

             

      Net sales:

                     

      Products

       

      $  264,267

       

      $  279,234

       

      $   950,189

       

      $  1,044,569

      Services

       

      27,540

       

      31,120

       

      100,393

       

      123,501

      Total net sales

       

      291,807

       

      310,354

       

      1,050,582

       

      1,168,070

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

                     

      Products

       

      65,742

       

      63,211

       

      247,809

       

      232,474

      Services

       

      18,886

       

      20,045

       

      73,822

       

      79,883

      Total cost of sales

       

      84,628

       

      83,256

       

      321,631

       

      312,357

      Gross profit

       

      207,179

       

      227,098

       

      728,951

       

      855,713

      Operating expenses:

                     

      Selling, general and administrative

       

      144,260

       

      160,365

       

      547,195

       

      611,181

      Research and development

       

      21,771

       

      19,109

       

      79,838

       

      72,380

      Amortization of intangible assets

       

      12,576

       

      12,599

       

      51,726

       

      51,097

      Purchase of in-process research and development

       

      —

       

      —

       

      1,011

       

      —

      Business transition costs

       

      8,337

       

      (7,141)

       

      10,878

       

      (1,995)

      Total operating expenses

       

      186,944

       

      184,932

       

      690,648

       

      732,663

      Interest and other expense, net:

                     

      Interest income

       

      166

       

      561

       

      1,472

       

      1,917

      Interest expense

       

      (21,302)

       

      (9,708)

       

      (70,466)

       

      (38,525)

      Other income (expense), net

       

      1,965

       

      128

       

      (16,854)

       

      (5,925)

      Total interest and other expense, net

       

      (19,171)

       

      (9,019)

       

      (85,848)

       

      (42,533)

      Income (loss) before income taxes

       

      1,064

       

      33,147

       

      (47,545)

       

      80,517

      Income tax benefit (expense)

       

      628

       

      (3,271)

       

      10,392

       

      (15,283)

      Consolidated net income (loss)

       

      $      1,692

       

      $    29,876

       

      $   (37,153)

       

      $       65,234

                       

      Net income (loss) per share:

                     

      Basic

       

      $        0.03

       

      $        0.57

       

      $       (0.72)

       

      $           1.26

      Diluted

       

      $        0.03

       

      $        0.55

       

      $       (0.72)

       

      $           1.23

      Weighted average shares outstanding:

                     

      Basic

       

      51,343

       

      52,117

       

      51,416

       

      51,956

      Diluted

       

      51,870

       

      54,638

       

      51,416

       

      53,160

      NuVasive, Inc. 

      Consolidated Balance Sheets 

      (in thousands, except par value data) 

         

      December 31,

         

      2020

       

      2019

      ASSETS

             

      Current assets:

             

      Cash and cash equivalents

       

      $     856,869

       

      $     213,034

      Short-term marketable securities

       

      173,145

       

      —

      Accounts receivable, net of allowances of $20,631and $17,019, respectively

       

      207,071

       

      211,532

      Inventory, net

       

      300,623

       

      312,419

      Prepaid income taxes

       

      4,727

       

      10,434

      Prepaid expenses and other current assets

       

      19,749

       

      16,917

      Total current assets

       

      1,562,184

       

      764,336

      Property and equipment, net

       

      286,369

       

      266,318

      Intangible assets, net

       

      152,264

       

      201,092

      Goodwill

       

      559,553

       

      561,064

      Operating lease right-of-use assets

       

      102,270

       

      66,932

      Deferred tax assets

       

      15,755

       

      9,162

      Restricted cash and investments

       

      1,494

       

      1,494

      Other assets

       

      13,193

       

      14,892

      Total assets

       

      $  2,693,082

       

      $  1,885,290

      LIABILITIES AND EQUITY

             

      Current liabilities:

             

      Accounts payable and accrued liabilities

       

      $     110,401

       

      $       97,160

      Contingent consideration liabilities

       

      7,289

       

      15,727

      Accrued payroll and related expenses

       

      63,421

       

      86,458

      Operating lease liabilities

       

      7,875

       

      5,567

      Income tax liabilities

       

      2,073

       

      2,005

      Senior convertible notes

       

      645,303

       

      —

      Total current liabilities

       

      836,362

       

      206,917

      Long-term senior convertible notes

       

      766,226

       

      623,298

      Deferred tax liabilities

       

      2,807

       

      14,655

      Operating lease liabilities

       

      111,634

       

      73,153

      Other long-term liabilities

       

      52,438

       

      52,060

      Commitments and contingencies

             

      Redeemable equity component of senior convertible notes

       

      4,697

       

      —

      Stockholders' equity:

             

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

       

      —

       

      —

      Common stock, $0.001 par value; 150,000 and 120,000 shares authorized at December 31, 2020 and December 31, 2019, respectively; 57,945 shares issued and 51,376 outstanding at December 31, 2020; 57,525 issued and 52,145 outstanding at December 31, 2019

       

      62

       

      62

      Additional paid-in capital

       

      1,550,001

       

      1,429,854

      Accumulated other comprehensive loss

       

      (7,585)

       

      (9,418)

      Retained earnings

       

      45,322

       

      82,475

      Treasury stock at cost; 6,569 shares and 5,380 shares at December 31, 2020 and December 31, 2019, respectively

       

      (668,882)

       

      (587,766)

      Total equity

       

      918,918

       

      915,207

      Total liabilities and equity

       

      $  2,693,082

       

      $  1,885,290

               

      NuVasive, Inc. 

      Consolidated Statements of Cash Flows 

      (in thousands) 

               
         

      Year Ended December 31,

         

      2020

       

      2019

      Operating activities:

             

      Consolidated net (loss) income

       

      $  (37,153)

       

      $    65,234

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

             

      Depreciation and amortization

       

      140,937

       

      135,593

      Purchase of in-process research and development

       

      1,011

       

      —

      Deferred income taxes

       

      (18,007)

       

      5,844

      Amortization of non-cash interest

       

      48,986

       

      21,288

      Stock-based compensation

       

      18,145

       

      30,297

      Net loss on strategic investments

       

      268

       

      4,767

      Net loss recognized on change in fair value of derivatives

       

      12,301

       

      —

      Reserves on current assets

       

      53,902

       

      18,382

      Other non-cash adjustments

       

      16,876

       

      5,650

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

             

      Accounts receivable

       

      3,030

       

      (16,407)

      Inventory

       

      (40,765)

       

      (54,872)

      Prepaid expenses and other current assets

       

      (4,986)

       

      (4,622)

      Accounts payable and accrued liabilities

       

      8,756

       

      (3,924)

      Accrued payroll and related expenses

       

      (23,654)

       

      24,256

      Income taxes

       

      6,264

       

      3,804

      Net cash provided by operating activities

       

      185,911

       

      235,290

      Investing activities:

             

      Acquisitions and investments

       

      —

       

      (4,100)

      Proceeds from other investments

       

      1,143

       

      —

      Purchases of intangible assets

       

      (3,860)

       

      (7,501)

      Purchases of property and equipment

       

      (105,729)

       

      (122,883)

      Purchases of marketable securities

       

      (233,488)

       

      —

      Proceeds from sales and maturities of marketable securities

       

      60,000

       

      —

      Net cash used in investing activities

       

      (281,934)

       

      (134,484)

      Financing activities:

             

      Proceeds from the issuance of common stock

       

      6,170

       

      6,415

      Payment of contingent consideration

       

      (7,053)

       

      (809)

      Purchase of treasury stock

       

      (80,665)

       

      (14,478)

      Proceeds from issuance of convertible debt, net of issuance costs

       

      873,848

       

      —

      Proceeds from sale of warrants

       

      93,915

       

      —

      Purchases of convertible note hedges

       

      (147,825)

       

      —

      Other financing activities

       

      (1,734)

       

      2,228

      Net cash provided by (used in) financing activities

       

      736,656

       

      (6,644)

      Effect of exchange rate changes on cash

       

      3,202

       

      131

      Increase in cash, cash equivalents and restricted cash

       

      643,835

       

      94,293

      Cash, cash equivalents and restricted cash at beginning of period

       

      214,528

       

      120,235

      Cash, cash equivalents and restricted cash at end of period

       

      $  858,363

       

      $  214,528

               

      SOURCE NuVasive, Inc.

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