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NuVasive Reports Third Quarter 2015 Financial Results


SAN DIEGO, CA--(Marketwired - October 27, 2015) -

Third Quarter 2015 Highlights:

  • Revenue increased 5.6% to $200.5 million, or 7.8% on a constant currency basis;
  • Non-GAAP operating profit margin increased 460 basis points to 16.3%; GAAP operating profit margin of 14.0%;
  • Adjusted EBITDA margin increased 540 basis points to 26.7%;
  • Non-GAAP net income of $18.1 million; GAAP net income of $13.0 million;
  • Non-GAAP diluted earnings per share of $0.35; GAAP diluted earnings per share of $0.24; and
  • Company reiterates 2015 revenue outlook and increases non-GAAP operating profit margin, adjusted EBITDA and EPS guidance

NuVasive, Inc. (NASDAQ: NUVA), a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, announced today financial results for the quarter ended September 30, 2015.

"We are pleased to report another strong quarter in which we achieved revenue growth of nearly 8% on a constant currency basis in line with our mid to high single-digit growth goal and profitability that once again significantly outperformed our expectations," said Gregory T. Lucier, Chairman and Chief Executive Officer of NuVasive. "By remaining focused on our margin expansion initiatives across the Company, we delivered incredibly strong year-over-year growth in non-GAAP operating profit margin and adjusted EBITDA margin, improving 460 and 540 basis points, respectively, while non-GAAP EPS increased nearly three and a half times compared to the same quarter last year.

"Our performance for the quarter was driven by continued strength in the United States and robust growth in certain international geographies where NuVasive is leading with our competitive XLIF® technology and differentiated offerings. We remain confident that our unrelenting focus on innovation and technology, increased operational efficiencies, international scalability and our commitment to increased self-manufacturing position NuVasive to be the leader in transforming spine and improving patient outcomes," said Mr. Lucier.

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

Third Quarter 2015 Results

NuVasive reported third quarter 2015 total revenue of $200.5 million, a 5.6% increase compared to $189.9 million for the third quarter 2014. On a constant currency basis, third quarter 2015 total revenue increased 7.8% compared to the same period last year.

GAAP gross profit for the third quarter 2015 was $151.4 million and gross margin was 75.5% compared to a gross profit of $142.2 million and a gross margin of 74.9% for the third quarter 2014. Total GAAP operating expenses for the third quarter 2015 were $123.3 million compared to $125.9 million in the third quarter 2014.

The Company reported a GAAP net income of $13.0 million, or $0.24 per share, for the third quarter 2015 compared to a GAAP net loss of $(1.8) million, or $(0.04) per share, for the third quarter 2014.

On a non-GAAP basis, the Company reported net income of $18.1 million, or $0.35 per share, for the third quarter 2015 compared to net income of $3.9 million, or $0.08 per share, for the third quarter 2014.

Cash, cash equivalents and short and long-term marketable securities were approximately $451.2 million at September 30, 2015.

Annual Guidance for 2015

The Company provided the following updated projections to its full year 2015 guidance:

  • Revenue of approximately $810.0 million, which includes an approximate $13.0 million of currency headwinds, or approximately 6.2% growth compared to revenue of $762.4 million for 2014; on a constant currency basis revenue is expected to grow approximately 7.9%;
  • GAAP diluted earnings per share of approximately $1.24 compared to GAAP loss per diluted share of $(0.36) for 2014; versus a prior expectation of $1.18 for 2015;
  • Non-GAAP diluted earnings per share of approximately $1.25, an increase of approximately 86.6% compared to non-GAAP diluted earnings of $0.67 for 2014; versus a prior expectation of $1.17 for 2015;
  • Non-GAAP operating profit margin of approximately 15.2%, an increase of approximately 380 basis points compared to 11.4% for 2014; versus a prior expectation of 15.0% for 2015;
  • Adjusted EBITDA margin of approximately 25.4%, an increase of approximately 350 basis points compared to 21.9% for 2014; versus a prior expectation of 25.2% for 2015;
  • GAAP effective tax expense rate of approximately 43.0%; versus a prior expectation of approximately 45.0% for 2015; and
  • Non-GAAP effective tax expense rate of approximately 43.0%; versus a prior expectation of approximately 45.0% for 2015.

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                  
                                                                            
                                                         2015 Guidance      
                                                   -------------------------
                                          2014                              
                                         Actuals     Prior (1)   Current (2)
                                      ------------ ------------ ------------
GAAP earnings (loss) per share        $     (0.36) $      1.18  $      1.24 
Impact of change from basic to                                              
 diluted share count                         0.02            -            - 
Impact of treasury method on                                                
 convertible notes (3)                          -         0.03         0.03 
                                      ------------ ------------ ------------
Adjusted GAAP earnings (loss) per                                           
 share, adjusted to diluted share                                           
 count                                $     (0.34) $      1.21  $      1.27 
  Amortization of intangible assets          0.16         0.14         0.14 
  Leasehold related charges                  0.13         0.03         0.04 
  Litigation liability                       0.36        (0.49)       (0.49)
  Intangible asset impairment                0.13            -            - 
  CEO transition related costs                  -         0.04         0.04 
  One-time and acquisition related                                          
   items (4)                                 0.05         0.05         0.06 
  Non-cash interest expense on                                              
   convertible notes                         0.18         0.19         0.19 
                                      ------------ ------------ ------------
Non-GAAP earnings per share           $      0.67  $      1.17  $      1.25 
                                      ===========- ===========- ===========-
                                                                            
GAAP Weighted shares outstanding -                                          
 basic                                     46,715       48,593       48,593 
                                      ============ ============ ============
GAAP Weighted shares outstanding -                                          
 diluted                                   46,715       52,607       52,607 
                                      ============ ============ ============
Non-GAAP Weighted shares outstanding                                        
 - diluted (3)                             49,676       51,431       51,431 
                                      ============ ============ ============
                                                                            

/EINPresswire.com/ -- 1 Effective tax expense rate of ~45% applied to GAAP earnings and ~40% applied to Non-GAAP adjustments
2 Effective tax expense rate of ~43% applied to GAAP earnings and ~40% applied to Non-GAAP adjustments
3 Excludes the impact of share dilution of the convertible bond for which the Company has a hedge in place but is considered anti-dilutive under US GAAP in weighted average shares outstanding
4 Acquisition related items include expenses associated with M&A related activity and as incurred

                                                                            
                Reconciliation of Non-GAAP Operating Margin %               
                                                                            
                                                          2015 Guidance     
                                                     -----------------------
                                             2014                           
                (in thousands, except %)    Actuals     Prior      Current  
                                          ---------- ----------- -----------
             Non-GAAP Gross Margin % [A]     76.1%      76.7%       76.3%   
                   GAAP Gross Margin [D]     76.1%      76.7%       76.3%   
                                                                            
             Non-GAAP Sales, Marketing &                                    
              Administrative Expense [B]     59.9%      56.9%       56.6%   
               Leasehold related charges     1.4%        0.4%        0.4%   
            CEO transition related costs     0.0%        0.4%        0.4%   
  One-time and acquisition related items                                    
                                     (1)     0.3%        0.5%        0.7%   
                                          ---------- ----------- -----------
  GAAP Sales, Marketing & Administrative                                    
                             Expense [E]     61.6%      58.2%       58.1%   
                                                                            
 Non-GAAP Research & Development Expense                                    
                                     [C]     4.8%        4.8%        4.5%   
  One-time and acquisition related items                                    
                                     (1)     0.2%        0.0%        0.0%   
                                          ---------- ----------- -----------
 GAAP Research & Development Expense [F]     5.0%        4.8%        4.5%   
                                                                            
                Litigation liability [G]     3.9%       (5.2%)      (5.2%)  
         Intangible asset impairment [H]     1.4%        0.0%        0.0%   
   Amortization of intangible assets [I]     1.8%        1.5%        1.5%   
                                                                            
                                          ---------- ----------- -----------
     Non-GAAP Operating Margin % [A-B-C]     11.4%      15.0%       15.2%   
                                          ========== =========== ===========
                                                                            
                                          ---------- ----------- -----------
   GAAP Operating Margin % [D-E-F-G-H-I]     2.4%       17.4%       17.4%   
                                          ========== =========== ===========
                                                                            

1 Acquisition related items include expenses associated with M&A related activity and as incurred

                                                                            
                         Reconciliation of EBITDA %                         
                                                                            
                                                           2015 Guidance    
                                                       ---------------------
                                               2014                         
(in thousands, except %)                      Actuals     Prior     Current 
                                            ---------- ---------- ----------
Net Income / (Loss)                           (2.2%)      7.7%       8.2%   
  Interest (income) / expense, net             3.5%       3.6%       3.5%   
  Provision for income taxes                   0.8%       6.1%       5.8%   
  Depreciation and amortization (1)            8.1%       7.8%       8.0%   
                                            ---------- ---------- ----------
EBITDA                                         10.2%      25.2%      25.6%  
  Non-cash stock based compensation            4.4%       3.9%       3.6%   
  Leasehold related charges                    1.4%       0.4%       0.4%   
  Litigation liability                         3.9%      (5.2%)     (5.2%)  
  Intangible asset impairment                  1.4%       0.0%       0.0%   
  CEO transition related costs (2)             0.0%       0.4%       0.4%   
  One-time and acquisition related items                                    
   (3)                                         0.5%       0.5%       0.7%   
                                            ---------- ---------- ----------
Adjusted EBITDA                                21.9%      25.2%      25.4%  
                                            ========== ========== ==========
                                                                            

1 Included in leasehold related charges are accelerated depreciation as a result of early leasehold terminations, which thereby were excluded from the depreciation line
2 Included in CEO related transition costs are $1.2m of stock based compensation charges, which thereby were excluded from the non-cash stock based compensation line
3 Acquisition related items include expenses associated with M&A related activity and as incurred

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 margin, which exclude amortization of intangible assets, leasehold related charges, one-time restructuring and acquisition related items, CEO transition related costs, certain litigation charges and non-cash interest expense 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, 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 Third Quarter 2015 Results                
           GAAP Earnings per Share to Non-GAAP Earnings per Share           
                                                                            
                                          Pre-Tax                 Earnings  
(in thousands, except per share data)   Adjustments  Net of Tax   Per Share 
                                        ------------ ----------- -----------
GAAP net income                                          12,960  $     0.26 
GAAP impact of change from basic to                                         
 diluted share count                                                  (0.02)
                                                                 -----------
GAAP net income, adjusted to diluted                                        
 share count                                                           0.24 
                                                                            
  Impact of treasury method on                                              
   convertible notes (1)                                               0.01 
  Amortization of intangible assets           3,067       1,840        0.04 
  Leasehold related charges                      (5)         (3)      (0.00)
  Litigation liability                         (500)       (300)      (0.01)
  CEO transition related costs                   93          56        0.00 
  One-time and acquisition related                                          
   items (2)                                  1,862       1,117        0.02 
  Non-cash interest expense on                                              
   convertible notes                          3,984       2,390        0.05 
                                                     ----------- -----------
                                                                            
Non-GAAP earnings                                    $   18,061        0.35 
                                                     =========== ===========
                                                                            
                                                                            
GAAP weighted shares outstanding -                                          
 basic                                                               48,993 
                                                                 ===========
GAAP weighted shares outstanding -                                          
 diluted                                                             53,199 
                                                                 ===========
Non-GAAP weighted shares outstanding -                                      
 diluted (1)                                                         51,434 
                                                                 ===========
                                                                            

1 Excludes the impact of share dilution of the convertible bond for which the Company has a hedge in place but is considered anti-dilutive under U.S. GAAP in weighted average shares outstanding (916k shares)
2 Acquisition related items include expenses associated with M&A related activity and as incurred non-recurring items

                                                                            
                 Reconciliation of Year To Date 2015 Results                
           GAAP Earnings per Share to Non-GAAP Earnings per Share           
                                                                            
                                          Pre-Tax                 Earnings  
(in thousands, except per share data)   Adjustments  Net of Tax   Per Share 
                                        ------------ ----------- -----------
GAAP net income                                          54,788  $     1.13 
GAAP impact of change from basic to                                         
 diluted share count                                                  (0.08)
                                                                 -----------
GAAP net income, adjusted to diluted                                        
 share count                                                           1.05 
                                                                            
  Impact of treasury method on                                              
   convertible notes (1)                                               0.02 
  Amortization of intangible assets           9,037       5,422        0.11 
  Leasehold related charges                   3,035       1,821        0.04 
  Litigation liability                      (42,507)    (25,504)      (0.50)
  CEO transition related costs                3,563       2,138        0.04 
  One-time and acquisition related                                          
   items (2)                                  5,247       3,148        0.06 
  Non-cash interest expense on                                              
   convertible notes                         11,738       7,043        0.14 
                                                     ----------- -----------
                                                                            
Non-GAAP earnings                                    $   48,856  $     0.96 
                                                     =========== ===========
                                                                            
                                                                            
GAAP weighted shares outstanding -                                          
 basic                                                               48,513 
                                                                 ===========
GAAP weighted shares outstanding -                                          
 diluted                                                             52,202 
                                                                 ===========
Non-GAAP weighted shares outstanding -                                      
 diluted (1)                                                         51,003 
                                                                 ===========
                                                                            

1  Excludes the impact of share dilution of the convertible bond for which the Company has a hedge in place but is considered anti-dilutive under U.S. GAAP in weighted average shares outstanding (916k shares)
2 Acquisition related items include expenses associated with M&A related activity and as incurred non-recurring items

                                                                            
        Reconciliation of Third Quarter and Nine Months 2015 Results        
                     GAAP net income to Adjusted EBITDA                     
                                                                            
                                               Three months    Nine months  
                                                  ended           ended     
                                              September 30,   September 30, 
(in thousands, except per share data)              2015            2015     
                                                                            
GAAP net income                              $       12,960  $       54,788 
  Interest (income) / expense, net                    6,946          20,550 
  Provision for income taxes                          8,803          35,332 
  Depreciation and amortization                      16,375          49,005 
                                             -------------------------------
EBITDA                                       $       45,084  $      159,675 
                                             ===============================
  Non-cash stock based compensation (1)               7,076          19,337 
  Leasehold related charges                              (5)          3,035 
  Litigation liability                                 (500)        (42,507)
  CEO related transition costs                           93           3,563 
  One-time and acquisition related items              1,862           5,247 
                                             -------------------------------
Adjusted EBITDA                              $       53,610  $      148,350 
                                             ===============================
As a percentage of revenue                             26.7%           24.9%
                                                                            

1 Included in CEO related transition costs are $1.2m of stock based compensation charges, which thereby were excluded from the non-cash stock based compensation line in the nine months ended

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 third quarter 2015 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 November 27, 2015. In addition, a telephone replay of the call will be available until November 3, 2015. The replay dial-in numbers are 1-877-870-5176 for domestic callers and 1-858-384-5517 for international callers. Please use pin number: 13621771.

About NuVasive

NuVasive is an innovative global medical device company that is changing spine surgery with minimally disruptive surgical products and procedurally-integrated solutions for the spine. NuVasive has emerged from a small startup to become the #3 player in the $9 billion global spine market and remains focused on market share-taking strategies as the Company continues on its path to become the industry's leading spine company. NuVasive offers a comprehensive spine portfolio of more than 90 unique products developed to improve spine surgery and patient outcomes. The Company's principal procedural solution is its Maximum Access Surgery, or MAS®, platform for lateral spine fusion. MAS was designed to provide safer, reproducible, and clinically proven outcomes, and is a highly differentiated solution with fully integrated neuromonitoring, customizable exposure, and a broad offering of application-specific implants and fixation devices designed to address a variety of pathologies.

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 third quarter 2015, as well as financial projections for 2015. The numbers for third quarter 2015 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 2015 represent its 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 that could cause actual growth and results to differ materially include, but are not limited to: the risk that NuVasive's revenue or earnings projections may turn out to be inaccurate because of the preliminary nature of the forecasts; the risk of further adjustment to financial results or future financial expectations; unanticipated difficulty in selling products, generating revenue or producing expected profitability; and those other risks and uncertainties more fully described in the Company's news releases and periodic filings with the Securities and Exchange Commission. NuVasive's public filings with the Securities and Exchange Commission are available at www.sec.gov. 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         Nine Months Ended    
                               September 30,             September 30,      
                         ------------------------- -------------------------
(unaudited)                  2015         2014         2015         2014    
                         ------------ ------------ ------------ ------------
Revenue                  $   200,538  $   189,918  $   595,831  $   558,090 
Cost of goods sold                                                          
 (excluding below                                                           
 amortization of                                                            
 intangible assets)           49,167       47,719      143,246      135,849 
                         ------------ ------------ ------------ ------------
Gross profit                 151,371      142,199      452,585      422,241 
Operating expenses:                                                         
  Sales, marketing and                                                      
   administrative            111,384      113,746      342,797      348,820 
  Research and                                                              
   development                 9,199        9,068       27,245       28,590 
  Amortization of                                                           
   intangible assets           3,067        3,071        9,037       10,541 
  Impairment of                                                             
   intangible assets               -            -            -       10,708 
  Litigation liability                                                      
   (gain) loss                  (500)           -      (42,507)      30,000 
  Business transition                                                       
   costs                         110            -        6,474            - 
                         ------------ ------------ ------------ ------------
Total operating expenses     123,260      125,885      343,046      428,659 
  Interest and other                                                        
   expense, net:                                                            
  Interest income                362          241        1,125          691 
  Interest expense            (7,307)      (6,965)     (21,675)     (20,809)
Other income (expense),                                                     
 net                             387       (2,489)         530       (2,318)
                         ------------ ------------ ------------ ------------
Total interest and other                                                    
 expense, net                 (6,558)      (9,213)     (20,020)     (22,436)
                         ------------ ------------ ------------ ------------
Income (loss) before                                                        
 income taxes                 21,553        7,101       89,519      (28,854)
Income tax (expense)                                                        
 benefit                      (8,803)      (9,088)     (35,332)       4,065 
                         ------------ ------------ ------------ ------------
Consolidated net income                                                     
 (loss)                  $    12,750  $    (1,987) $    54,187  $   (24,789)
                         ============ ============ ============ ============
Add back net loss                                                           
 attributable to non-                                                       
 controlling interests   $      (210) $      (157) $      (601) $      (595)
                         ============ ============ ============ ============
Net income (loss)                                                           
 attributable to                                                            
 NuVasive, Inc.          $    12,960  $    (1,830) $    54,788  $   (24,194)
                         ============ ============ ============ ============
                                                                            
Net income (loss) per                                                       
 share attributable to                                                      
 NuVasive, Inc.:                                                            
  Basic                  $      0.26  $     (0.04) $      1.13  $     (0.52)
                         ============ ============ ============ ============
  Diluted                $      0.24  $     (0.04) $      1.05  $     (0.52)
                         ============ ============ ============ ============
Weighted average shares                                                     
 outstanding:                                                               
  Basic                       48,993       46,990       48,513       46,546 
                         ============ ============ ============ ============
  Diluted                     53,199       46,990       52,202       46,546 
                         ============ ============ ============ ============
                                                                            
                                                                            
                              NuVasive, Inc.                                
                        Consolidated Balance Sheets                         
            (in thousands, except par values and share amounts)             
                                                                            
                                               September 30,   December 31, 
                                                    2015           2014     
                                               -------------- --------------
                    ASSETS                      (Unaudited)                 
Current assets:                                                             
  Cash and cash equivalents                    $     141,328  $     142,387 
  Short-term marketable securities                   196,037        220,329 
  Accounts receivable, net of allowances of                                 
   $5,849 and $5,844, respectively                   115,579        118,959 
  Inventory, net                                     164,867        154,638 
  Deferred and prepaid taxes                          73,420         59,233 
  Prepaid expenses and other current assets            7,279         10,325 
                                               -------------- --------------
Total current assets                                 698,510        705,871 
Property and equipment, net                          140,474        128,565 
Long-term marketable securities                      113,793         43,042 
Intangible assets, net                                86,190         96,555 
Goodwill                                             154,324        154,443 
Deferred tax assets, non-current                      49,614         65,330 
Restricted cash and investments                        5,615        123,233 
Other assets                                          23,444         26,420 
                                               -------------- --------------
Total assets                                   $   1,271,964  $   1,343,459 
                                               ============== ==============
            LIABILITIES AND EQUITY                                          
Current liabilities:                                                        
  Accounts payable and accrued liabilities     $      63,545  $     133,324 
  Accrued payroll and related expenses                32,767         38,032 
  Litigation liabilities                                 937         30,000 
  Deferred and income tax liabilities                  2,066         13,543 
                                               -------------- --------------
Total current liabilities                             99,315        214,899 
Senior Convertible Notes                             372,485        360,746 
Deferred and income tax liabilities, non-                                   
 current                                               8,177         12,526 
Non-current litigation liabilities                    87,553         93,700 
Other long-term liabilities                           12,742         13,230 
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 September 30, 2015 and                              
   December 31, 2014, 52,099,475 and                                        
   47,691,744 issued and outstanding at                                     
   September 30, 2015 and December 31, 2014,                                
   respectively                                           52             48 
  Additional paid-in capital                         973,481        847,145 
  Accumulated other comprehensive loss               (11,323)        (9,670)
  Accumulated deficit                               (132,150)      (186,938)
  Treasury stock at cost; 3,015,033 shares and                              
   233,369 shares at September 30, 2015 and                                 
   December 31, 2014, respectively                  (146,077)       (10,537)
                                               -------------- --------------
Total NuVasive, Inc. stockholders' equity            683,983        640,048 
Non-controlling interests                              7,709          8,310 
                                               -------------- --------------
Total equity                                   $     691,692  $     648,358 
                                               -------------- --------------
Total liabilities and equity                   $   1,271,964  $   1,343,459 
                                               ============== ==============
                                                                            
                                                                            
                               NuVasive, Inc.                               
                    Consolidated Statements of Cash Flows                   
                               (in thousands)                               
                                                                            
                                                      Nine Months Ended     
                                                        September 30,       
                                                 ---------------------------
(Unaudited)                                           2015          2014    
                                                 ------------- -------------
Operating activities:                                                       
Consolidated net income (loss)                   $     54,187  $    (24,789)
Adjustments to reconcile net income (loss) to                               
 net cash provided by operating activities:                                 
  Depreciation and amortization                        49,006        46,521 
  Amortization of non-cash interest                    13,255        12,244 
  Stock-based compensation                             20,570        24,779 
  Impairment of intangible assets                           -        10,708 
  Deferred income taxes                                37,047             - 
  Reserves on current assets                            7,232         4,062 
  Other non-cash adjustments                           13,127        11,317 
Changes in operating assets and liabilities, net                            
 of effects from acquisitions:                                              
  Accounts receivable                                   2,163        (5,519)
  Inventory                                           (19,768)      (27,190)
  Prepaid expenses and other current assets             2,512        (1,837)
  Accounts payable and accrued liabilities              8,828        11,485 
  Income taxes                                        (52,739)       (7,898)
  Accrued royalties                                   (46,999)       12,450 
  Litigation liability                                (35,333)       30,000 
  Accrued payroll and related expenses                 (5,080)          151 
                                                 ------------- -------------
Net cash provided by operating activities              48,008        96,484 
Investing activities:                                                       
Acquisitions and other investments                     (1,357)          (59)
Purchases of intangible assets                        (28,589)            - 
Purchases of property and equipment                   (59,905)      (45,692)
Proceeds from sales of property and equipment              40             - 
Purchases of marketable securities                   (320,177)     (177,850)
Proceeds from sales of marketable securities          272,666       142,051 
Purchases of restricted investments                   (62,625)            - 
Proceeds from sales of restricted investments         180,694             - 
                                                 ------------- -------------
Net cash used in investing activities                 (19,253)      (81,550)
Financing activities:                                                       
Incremental tax benefits related to stock-based                             
 compensation awards                                   15,185             - 
Proceeds from the issuance of common stock              9,040        15,341 
Payment of contingent consideration                      (514)         (498)
Purchase of treasury stock                            (52,532)         (664)
Other financing activities                               (131)         (668)
                                                 ------------- -------------
Net cash (used in) provided by financing                                    
 activities                                           (28,952)       13,511 
Effect of exchange rate changes on cash                  (862)         (613)
                                                 ------------- -------------
(Decrease) increase in cash and cash equivalents       (1,059)       27,832 
Cash and cash equivalents at beginning of period      142,387       102,825 
                                                 ------------- -------------
Cash and cash equivalents at end of period       $    141,328  $    130,657 
                                                 ============= =============
                                                                            

Investor/Media Contact:
Stacy Roughan
NuVasive, Inc.
1-858-909-1812
Email contact


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