See if this rings any bells...........Do you expect success when.....you hire Directors and Managers that are there based on their personal relationships with upper mngmt and have no experience in the business, never sold spine product, job hopped, never stayed one job long enough to earn a professional stripe, manages from their living room. Bottom-line, Nuvasive has the wrong people, in leadership positions that are unskilled, lack specific industry experience, and they are there for all the wrong reasons and did not earn their positions based on a record of measurable performance and professional accomplishments.
When key positions are filled based on personal vs. professional merit, you are set up to fail. That is what you're seeing at Nuvasive and you know who these characters are.