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      NuVasive Reports Fourth Quarter and Full Year 2017 Financial Results

      Company Provides Financial Performance Guidance for 2018

      NuVasive Logo

      News provided by

      NuVasive, Inc.

      Feb 26, 2018, 04:02 ET

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      SAN DIEGO, Feb. 26, 2018 /PRNewswire/ -- NuVasive, Inc. (NASDAQ: NUVA), the leader in spine technology innovation, transforming spine surgery with minimally disruptive, procedurally-integrated solutions, announced today financial results for the quarter and full year ended Dec. 31, 2017.

      Fourth Quarter 2017 Highlights: 

      • Revenue remained flat at $271.7 million compared to prior year, with strong international growth of 34% on a constant currency basis;
      • GAAP operating profit margin of 11.0%; Non-GAAP operating profit margin of 18.2%; and
      • GAAP diluted earnings per share of $0.46; Non-GAAP diluted earnings per share increase of 5.7% to $0.56.

      Full Year 2017 Highlights: 

      • Revenue increased to $1,029.5 million, or 7.0% on a reported and constant currency basis;
      • GAAP operating profit margin of 11.0%; Non-GAAP operating profit margin up 50 basis points to 16.6%; and
      • GAAP diluted earnings per share of $1.50; Non-GAAP diluted earnings per share increase of 15.1% to $1.91.

      "2017 was a milestone year for NuVasive as we surpassed the $1 billion revenue mark driven by impressive international sales growth of more than 20 percent, and achieved record profitability of 18.2% non-GAAP operating margins in the fourth quarter," said Gregory T. Lucier, chairman and chief executive officer of NuVasive. "As we set the stage for 2018, we remain focused on accelerating our growth momentum by furthering our investment in R&D to bring innovative offerings to the market, developing our differentiated intraoperative neurophysiological monitoring services business with the completed acquisition of SafePassage and growing the number of surgeons worldwide who use NuVasive technologies to improve patients' quality of life."

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

      Fourth Quarter 2017 Results
      NuVasive reported fourth quarter 2017 total revenue of $271.7 million, indicating flat year-over-year growth on a reported and constant currency basis, compared to $271.1 million for the fourth quarter 2016.

      For the fourth quarter 2017, GAAP and non-GAAP gross profit was $196.3 million and $196.7 million, respectively, and GAAP and non-GAAP gross margin was 72.2% and 72.4%, respectively. These results compared to gross profit of $204.2 million on a GAAP and non-GAAP basis, and GAAP and non-GAAP gross margin of 75.3% for the fourth quarter 2016. Total GAAP and non-GAAP operating expenses for the fourth quarter 2017 were $166.5 million and $147.2 million, respectively. These results compared to GAAP and non-GAAP operating expenses of $174.1 million and $155.4 million, respectively, for the fourth quarter 2016.

      The Company reported a GAAP net income of $24.0 million, or $0.46 per share, for the fourth quarter 2017 compared to a GAAP net income of $6.4 million, or $0.11 per share, for the fourth quarter 2016. On a non-GAAP basis, the Company reported net income of $29.1 million, or $0.56 per share, for the fourth quarter 2017 compared to net income of $27.6 million, or $0.53 per share, for the fourth quarter 2016.

      Full Year 2017 Results
      NuVasive reported full year 2017 total revenue of $1,029.5 million, a 7.0% increase on both a reported and constant currency basis, compared to $962.1 million for the full year 2016.

      Total GAAP and non-GAAP gross profit for the full year 2017 was $760.5 million and $761.1 million, respectively, and both GAAP and non-GAAP gross margin was 73.9%. These results compared to gross profit of $722.0 million and $736.7 million on a GAAP and non-GAAP basis, respectively, and a GAAP and non-GAAP gross margin of 75.0% and 76.6%, respectively, for the full year 2016. Total GAAP and non-GAAP operating expenses for the full year 2017 were $647.2 million and $590.3 million, respectively. These results compared to GAAP and non-GAAP operating expenses of $598.5 million and $581.6 million, respectively, for the full year 2016.

      The Company reported a GAAP net income of $83.0 million, or $1.50 per share, for the full year 2017 compared to a GAAP net income of $37.1 million, or $0.69 per share, for the full year 2016. On a non-GAAP basis, the Company reported net income of $99.9 million, or $1.91 per share, for the full year 2017 compared to net income of $86.5 million, or $1.66 per share, for the full year 2016.

      Cash and cash equivalents were approximately $72.8 million at December 31, 2017.

      Annual Financial Guidance for 2018
      The Company estimates revenue for full-year 2018 to be in range of $1,095 million to $1,105 million reflecting organic growth in the range of 4.4% to 5.4% and reported growth of 6.4% to 7.3% inclusive of the recent acquisition of SafePassage. Assuming current exchange rates remain similar for the rest of the year, the Company expects currency to have a positive impact in 2018 of approximately $5 million. The Company estimates full-year 2018 net income on a GAAP basis in a range of $1.56 to $1.59 per share and non-GAAP earnings per share in a range of $2.44 to $2.47. Additionally, the Company continues to expect to drive at least 100 basis points in non-GAAP operating margin expansion and adjusted EBITDA of approximately $295 million to $305 million. The above guidance assumes a full-year benefit of U.S. tax reform, suspension of the medical device tax and the recent acquisition of SafePassage.





      2018 Guidance Range 1



      (in million's; except %'s and EPS)



       GAAP 


       Non-GAAP 



      Revenue



      $            1,095


      $          1,105


      $            1,095


      $          1,105



        % Growth - Reported 2



      6.4%


      7.3%


      6.4%


      7.3%



        % Growth - Constant Currency 2, 3







      5.9%


      6.9%



      Operating margin



      13.0%


      13.0%


      17.6%


      17.6%



      Earnings per share



      $               1.56


      $            1.59


      $              2.44


      $            2.47



      EBITDA margin



      23.4%


      23.4%


      26.9%


      26.9%



      Tax Rate



      ~19%


      ~19%


      ~24%


      ~24%















      1 Guidance reflects the range provided February 26, 2018.






      2 2017 as reported, does not include adoption of revenue recognition Accounting Standards Codification 606 (ASC 606).






      3 Constant currency is a measure that adjusts US GAAP revenue for the impact of currency over the same period in the prior year.



      Supplementary Financial Information

      For additional financial detail, please visit the Investor Relations section of the Company's website at

      www.nuvasive.com to access Supplementary Financial Information.




      Reconciliation of Full Year EPS Guidance







      2017
      Actuals 1, 2


      2018 Guidance Range  2, 3, 4



      GAAP net income per share

      $           1.50


      $         1.56


      $         1.59



      Impact of change to diluted share count

      0.09


      0.01


      0.01



      GAAP net income per share, adjusted to diluted Non-GAAP share count

      $           1.59


      $         1.57


      $         1.60



      Litigation liability5

      0.09


      -


      -



      Business transition costs 6

      0.08


      0.04


      0.04



      Non-cash interest expense on convertible notes

      0.33


      0.32


      0.32



      Non-cash purchase accounting adjustments on acquisitions 7

      0.01


      0.02


      0.02



      Amortization of intangible assets 8

      0.89


      0.88


      0.88



      Tax effect of adjustments 9

      (1.08)


      (0.39)


      (0.39)



      Non-GAAP earnings per share

      $           1.91


      $         2.44


      $         2.47











      GAAP Weighted shares outstanding - basic

      50,874


      51,025


      51,025



      GAAP Weighted shares outstanding - diluted

      55,196


      52,647


      52,647



      Non-GAAP Weighted shares outstanding - diluted 10

      52,348


      52,185


      52,185











      1 2017 as reported, does not include adoption of revenue recognition ASC 606.






      2 Items may not foot due to rounding.






      3 Guidance reflects the range provided February 26, 2018.






      4 Effective tax expense rate of ~19% applied to GAAP earnings and ~24% applied to Non-GAAP earnings.






      5 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.






      6 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.






      7 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.






      8 Excludes the amortization associated with non-controlling interest.






      9 The impact on results from taxes include tax effecting the adjustments above at the statutory rate, taking into account discrete items and including those discrete items in the annual effective tax rate calculation, as well as the one-time impact of the Tax Cuts and Jobs Act of 2017. The Company also includes those adjustments that would have benefited the tax rate in lieu of the above adjustments as part of the Company's tax filings. The impact of the changes to the tax rate results in an annual estimated rate of ~24% on a non-GAAP basis.






      10 Excludes the impact of dilutive convertible notes and warrants for which the Company is economically hedged through its anti-dilutive bond hedge arrangements.








      Reconciliation of Non-GAAP Operating Margin %










      (in thousands, except %)


      2017
      Actuals 1, 2


      2018
      Guidance2, 3



      Non-GAAP Gross Margin %[A]


      73.9%


      74.0%



      Non-cash purchase accounting adjustments on acquisitions 4


      (0.1%)


      (0.1%)



      GAAP Gross Margin [B]


      73.9%


      73.9%










      GAAP & Non-GAAP Sales, Marketing & Administrative Expense [C]


      52.4%


      51.1%










      Non-GAAP Research & Development Expense [D]


      4.9%


      5.3%



      In-process research & development


      0.0%


      0.0%



      GAAP Research & Development Expense [E]


      4.9%


      5.3%










      Litigation liability [F]5


      0.4%


      0.0%



      Amortization of intangible assets [G] 6


      4.7%


      4.3%



      Business transition costs [H] 7


      0.4%


      0.2%










      Non-GAAP Operating Margin % [A - C - D]


      16.6%


      17.6%










      GAAP Operating Margin % [B - C - E - F - G - H]


      11.0%


      13.0%










      1 2017 as reported, does not include adoption of revenue recognition ASC 606.






      2 Items may not foot due to rounding.






      3 Guidance reflects the range provided February 26, 2018.






      4 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.






      5 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.






      6 Excludes the amortization associated with non-controlling interest.






      7 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.








      Reconciliation of EBITDA %






      (in thousands, except %)

      2017
      Actuals 1, 2


      2018
      Guidance2, 3



      Net Income / (Loss)

      8.1%


      7.5%



      Interest (income) / expense, net 

      3.7%


      3.6%



      Provision for income taxes

      (0.7%)


      1.7%



      Depreciation and amortization 4

      11.6%


      10.6%



      EBITDA Margin

      22.7%


      23.4%



      Non-cash stock based compensation

      2.2%


      3.2%



      Business transition costs 5

      0.4%


      0.2%



      Non-cash purchase accounting adjustments on acquisitions 6

      0.1%


      0.1%



      Litigation liability 7

      0.4%


      0.0%



      Adjusted EBITDA Margin

      25.8%


      26.9%









      1 2017 as reported, does not include adoption of revenue recognition ASC 606.






      2 Items may not foot due to rounding.






      3 Guidance reflects the range provided February 26, 2018.






      4 Excludes the amortization associated with non-controlling interest.






      5 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.






      6 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.






      7 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.



      Reconciliation of Non-GAAP Information
      Management uses certain non-GAAP financial measures such as non-GAAP earnings per share, non-GAAP net income, non-GAAP operating expenses and non-GAAP operating profit margin, which exclude amortization of intangible assets, leasehold related charges, integration related expenses associated with acquired businesses, one-time restructuring and acquisition related items, CEO transition related costs, certain litigation charges and non-cash interest expense (excluding debt issuance cost) and or losses on convertible notes. Management also uses certain non-GAAP measures which are intended to exclude the impact of foreign exchange currency fluctuations. The measure constant currency is the use of an exchange rate that eliminates fluctuations when calculating financial performance numbers.

      The Company also uses measures such as free cash flow, which represents cash flow from operations less cash used in the acquisition and disposition of capital. Additionally, the Company uses an adjusted EBITDA measure which represents earnings before interest, taxes, depreciation and amortization and excludes the impact of stock-based compensation, leasehold related charges, integration related expenses associated with acquired businesses, CEO transition related costs, certain litigation liabilities, acquisition related items and other significant one-time items. Management calculates the non-GAAP financial measures provided in this earnings release excluding these costs and uses these non-GAAP financial measures to enable it to further and more consistently analyze the period-to-period financial performance of its core business operations. Management believes that providing investors with these non-GAAP measures gives them additional information to enable them to assess, in the same way management assesses, the Company's current and future continuing operations. These non-GAAP measures are not in accordance with, or an alternative for, GAAP, and may be different from non-GAAP measures used by other companies. Set forth below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measure. 




      Reconciliation of Fourth Quarter 2017 Results



      GAAP Net Income per Share to Non-GAAP Earnings per Share











      (in thousands, except per share data)



      Adjustments


      Diluted Earnings Per
      Share



      GAAP net income



      $                23,960


      $                           0.46











      Business transition costs 1



      2,518





      Non-cash purchase accounting adjustments on acquisitions 2



      404





      Litigation liability 3



      3,750





      Non-cash interest expense on convertible notes



      4,046





      Amortization of intangible assets4



      12,677





      Tax effect of adjustments 5



      (18,273)





      Adjustments to GAAP net income



      5,122





      Non-GAAP earnings



      $                29,082


      $                           0.56



















      GAAP weighted shares outstanding - diluted





      51,857



      Non-GAAP weighted shares outstanding - diluted 6





      51,857











      1 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.






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






      3 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.






      4 Excludes the amortization associated with non-controlling interest.






      5 The impact on results from taxes include tax effecting the adjustments above at the statutory rate, taking into account discrete items and including those discrete items in the annual effective tax rate calculation, as well as the one-time impact of the Tax Cuts and Jobs Act of 2017. The Company also includes those adjustments that would have benefited the tax rate in lieu of the above adjustments as part of the Company's tax filings. The impact of the changes to the tax rate results in an annual estimated rate of ~34% on a non-GAAP basis.






      6 Excludes the impact of dilutive convertible notes and warrants for which the Company is economically hedged through its anti-dilutive bond hedge arrangements.








      Reconciliation of Year To Date 2017 Results



      GAAP Net Income per Share to Non-GAAP Earnings per Share











      (in thousands, except per share data)



      Adjustments


      Diluted Earnings Per 
      Share



      GAAP net income



      $                83,006


      $                           1.50











      Business transition costs 1



      4,287





      Non-cash purchase accounting adjustments on acquisitions 2



      540





      Litigation liability 3 



      4,500





      Non-cash interest expense on convertible notes



      17,290





      Amortization of intangible assets 4



      46,750





      Tax effect of adjustments 5



      (56,470)





      Adjustments to GAAP net income



      16,897





      Non-GAAP earnings



      $                99,903


      $                           1.91



















      GAAP weighted shares outstanding - diluted





      55,193



      Non-GAAP weighted shares outstanding - diluted 6





      52,345











      1 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.






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






      3 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.






      4 Excludes the amortization associated with non-controlling interest.






      5 The impact on results from taxes include tax effecting the adjustments above at the statutory rate, taking into account discrete items and including those discrete items in the annual effective tax rate calculation, as well as the one-time impact of the Tax Cuts and Jobs Act of 2017. The Company also includes those adjustments that would have benefited the tax rate in lieu of the above adjustments as part of the Company's tax filings. The impact of the changes to the tax rate results in an annual estimated rate of ~34% on a non-GAAP basis.






      6 Excludes the impact of dilutive convertible notes and warrants for which the Company is economically hedged through its anti-dilutive bond hedge arrangements.








      Reconciliation of Fourth Quarter and Twelve Months 2017 Results



      GAAP Net Income to Adjusted EBITDA







      Three months ended


      Twelve months ended



      (in thousands, except per share data)

      December 31, 2017


      December 31, 2017



      GAAP net income

      $                                          23,960


      $                                                    83,006



      Interest (income) / expense, net 

      9,156


      37,581



      Provision for income taxes

      (4,067)


      (7,038)



      Depreciation and amortization 1

      32,055


      119,927



      EBITDA

      $                                          61,104


      $                                                  233,476



      Business transition costs2

      2,518


      4,287



      Non-cash purchase accounting adjustments on acquisitions 3

      404


      540



      Litigation liability 4 

      3,750


      4,500



      Non-cash stock based compensation

      7,407


      22,391



      Adjusted EBITDA

      $                                          75,183


      $                                                  265,194



      As a percentage of revenue

      27.7%


      25.8%









      1 Excludes the amortization associated with non-controlling interest.









      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 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.






      4 Represents the settlement of fees associated with the outcome of the Medtronic litigation matter.



      Investor Conference Call
      The Company will hold a conference call today at 4:30 p.m. ET / 1:30 p.m. PT to discuss the results of its fourth quarter and full year 2017 financial performance. 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 26, 2018. In addition, a telephone replay of the call will be available until March 5, 2018. 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: 13675438.

      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 approximately $1,030 million in revenues (2017), NuVasive has an approximate 2,400 person workforce 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 2017, as well as projections for 2018 financial guidance and longer-term financial performance goals. The Company's results for the fourth quarter and full year 2017 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 2018 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, spine surgeons, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive's products (including the iGA™ platform), the Company's ability to effectually 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,



      2017


      2016


      2017


      2016



      (Unaudited)


      (Unaudited)





      Revenue


      $             271,652


      $             271,109


      $          1,029,520


      $             962,072

      Cost of goods sold (excluding below amortization of intangible assets)


      75,391


      66,926


      269,008


      240,093

      Gross profit


      196,261


      204,183


      760,512


      721,979

      Operating expenses:









         Sales, marketing and administrative


      134,502


      142,413


      539,913


      533,624

         Research and development


      12,719


      12,983


      50,425


      47,999

         Amortization of intangible assets


      12,999


      12,089


      48,039


      42,001

         Litigation liability loss (gain) 


      3,750


      —


      4,500


      (43,310)

         Business transition costs


      2,518


      6,624


      4,287


      18,138

      Total operating expenses


      166,488


      174,109


      647,164


      598,452

      Interest and other expense, net:









         Interest income


      85


      167


      440


      1,091

         Interest expense


      (9,241)


      (10,532)


      (38,021)


      (40,520)

      Loss on repurchases of convertible notes


      —


      (1,641)


      —


      (19,085)

         Other (expense) income, net


      (1,160)


      (203)


      (1,542)


      (305)

      Total interest and other expense, net


      (10,316)


      (12,209)


      (39,123)


      (58,819)

      Income before income taxes


      19,457


      17,865


      74,225


      64,708

      Income tax benefit (expense)


      4,067


      (11,899)


      7,038


      (29,282)

      Consolidated net income


      $               23,524


      $                 5,966


      $               81,263


      $               35,426

      Add back net loss attributable to non-controlling interests


      $                   (436)


      $                   (410)


      $                (1,743)


      $                (1,721)

      Net income attributable to NuVasive, Inc.


      $               23,960


      $                 6,376


      $               83,006


      $               37,147

      Net income per share attributable to NuVasive, Inc.:









         Basic


      $                   0.47


      $                   0.13


      $                   1.63


      $                   0.74

         Diluted


      $                   0.46


      $                   0.11


      $                   1.50


      $                   0.69

      Weighted average shares outstanding:









         Basic


      51,094


      50,394


      50,874


      50,077

         Diluted


      51,857


      55,913


      55,193


      54,102

      NuVasive, Inc.

      Consolidated Balance Sheets

      (in thousands, except par values and share amounts)




      December 31,



      2017


      2016

      ASSETS





      Current assets:





      Cash and cash equivalents


      $               72,803


      $             153,643

      Restricted cash and investments


      3,901


      —

      Accounts receivable, net of allowances of $13,669 and $8,912, respectively


      199,040


      171,595

      Inventory, net


      247,245


      208,249

      Prepaid income taxes


      17,209


      31,926

      Prepaid expenses and other current assets


      18,792


      10,030

      Total current assets


      558,990


      575,443

      Property and equipment, net


      215,326


      181,524

      Intangible assets, net


      280,774


      291,143

      Goodwill


      536,926


      485,685

      Deferred tax assets


      6,440


      5,810

      Restricted cash and investments


      1,494


      7,405

      Other assets


      39,117


      23,794

      Total assets


      $          1,639,067


      $          1,570,804

      LIABILITIES AND EQUITY





      Current liabilities:





      Accounts payable and accrued liabilities


      $               75,076


      $               77,585

      Contingent consideration liabilities


      18,952


      49,742

      Accrued payroll and related expenses


      55,582


      51,000

      Litigation liability


      8,150


      —

      Income tax liabilities


      2,908


      2,469

      Short-term senior convertible notes


      —


      61,701

      Total current liabilities


      160,668


      242,497

      Long-term senior convertible notes


      582,920


      564,412

      Deferred and income tax liabilities, non-current


      18,786


      18,607

      Other long-term liabilities


      77,539


      44,764

      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, 2017
      and December 31, 2016, 56,164,060 and 55,184,660 issued and outstanding at
      December 31, 2017 and December 31, 2016, respectively


      60


      55

      Additional paid-in capital


      1,363,549


      1,010,238

      Accumulated other comprehensive loss


      (6,933)


      (10,631)

      Retained earnings (accumulated deficit)


      4,500


      (66,859)

      Treasury stock at cost; 5,001,886 shares and 4,758,828  shares at December 31, 2017
      and December 31, 2016, respectively


      (565,867)


      (237,867)

      Total NuVasive, Inc. stockholders' equity


      795,309


      694,936

      Non-controlling interests


      3,845


      5,588

      Total equity


      799,154


      700,524

      Total liabilities and equity


      $          1,639,067


      $          1,570,804

      NuVasive, Inc.

      Consolidated Statements of Cash Flows

      (in thousands)




      Year Ended December 31,



      2017


      2016

      Operating activities:





      Consolidated net income


      $               81,263


      $               35,426

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





      Depreciation and amortization


      121,176


      102,713

      Deferred income tax (benefit) expense


      (12,384)


      26,265

      Loss on repurchases of convertible notes


      —


      19,085

      Amortization of non-cash interest


      20,538


      22,721

      Stock-based compensation


      22,391


      26,924

      Reserves on current assets


      5,718


      11,408

      Other non-cash adjustments


      16,561


      16,928

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





      Accounts receivable


      (29,389)


      (33,250)

      Inventory


      (35,300)


      (22,636)

      Prepaid expenses and other current assets


      (10,671)


      (5,665)

      Contingent consideration liabilities


      (11,200)


      —

      Accounts payable and accrued liabilities


      (5,580)


      11,854

      Accrued royalties


      163


      471

      Accrued payroll and related expenses


      4,088


      8,849

      Litigation liability


      8,150


      (88,450)

      Income taxes


      3,455


      23,652

      Net cash provided by operating activities


      178,979


      156,295

      Investing activities:





      Acquisition of Ellipse Technologies, net of cash acquired


      —


      (380,080)

      Other acquisitions and investments


      (62,370)


      (108,591)

      Purchases of intangible assets


      (2,270)


      (5,918)

      Purchases of property and equipment


      (110,221)


      (88,372)

      Purchases of marketable securities


      —


      (128,956)

      Proceeds from sales of marketable securities


      —


      407,032

      Net cash used in investing activities


      (174,861)


      (304,885)

      Financing activities:





      Proceeds from the issuance of common stock


      9,991


      9,492

      Payment of contingent consideration


      (19,400)


      (422)

      Purchase of treasury stock


      (11,860)


      (24,734)

      Proceeds from issuance of convertible debt, net of issuance costs


      —


      634,140

      Proceeds from sale of warrants


      —


      44,850

      Purchase of convertible note hedge


      —


      (111,150)

      Repurchases of convertible notes


      (63,317)


      (439,519)

      Proceeds from revolving line of credit


      60,000


      50,000

      Repayments on revolving line of credit


      (60,000)


      (50,000)

      Other financing activities


      (2,442)


      (1,834)

      Net cash (used in) provided by financing activities


      (87,028)


      110,823

      Effect of exchange rate changes on cash


      2,070


      (929)

      (Decrease) in cash and cash equivalents


      (80,840)


      (38,696)

      Cash and cash equivalents at beginning of year


      153,643


      192,339

      Cash and cash equivalents at end of year


      $               72,803


      $             153,643

      SOURCE NuVasive, Inc.

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