Globus Medical Reports Third Quarter 2025 Results

AUDUBON, Pa., Nov. 06, 2025 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the quarter ended September 30, 2025.

  • Worldwide net sales were $769.0 million, an increase of 22.9%, or an increase of 22.3% on a constant currency basis
  • Base business, excluding Nevro, net sales were $669.8 million, an increase of 7.0%, or an increase of 6.5% on a constant currency basis
  • GAAP net income for the quarter was $119.0 million
  • GAAP diluted earnings per share (โ€œEPSโ€) was $0.88 and non-GAAP diluted EPS was $1.18, increasing 134.0% and 42.6%, respectively

โ€œWe are pleased with the strength of our overall results and continued progress throughout the company,โ€ commented Keith Pfeil, President and Chief Executive Officer. โ€œQ3 revenue rose 23%, driven by 10% growth in our US Spine business, as momentum accelerated during the quarter with broad based demand across our products and geographies. Our recently acquired Nevro business continued to exceed expectations, underscoring the strength of our integration strategy, as we position this business for future growth. Strength in revenue translated into enhanced earnings and profitability, with meaningful improvements in adjusted gross margins and operating expenses, reflecting both synergy capture and operating leverage from the NuVasive merger and Nevro acquisition. Looking ahead, we remain focused on finishing 2025 strong, with a clear path toward consistent organic growth through innovation, disciplined execution and delivering differentiated technologies that improve patient outcomes.โ€

โ€œOur third quarter results highlight our ability to balance growth with operational efficiency and synergy execution. We achieved record non-GAAP free cash flow of $213.9 million in the quarter, up 24% quarter-over-quarter and non-GAAP diluted earnings per share of $1.18, growing 43% compared to the prior year quarter,โ€ commented Kyle Kline, Chief Financial Officer. โ€œWeโ€™ve executed share repurchases of $40 million this past quarter, bringing our total repurchases to $255.5 million through the first nine months of 2025, further demonstrating our confidence in the business and our commitment to creating long-term value for our shareholders.โ€

Worldwide net sales for the third quarter of 2025 were $769.0 million, an as-reported increase of 22.9% over the third quarter of 2024. U.S. net sales for the third quarter of 2025 increased by 24.6% compared to the third quarter of 2024. International net sales increased by 16.5% over the third quarter of 2024 on an as-reported basis and increased by 13.5% on a constant currency basis.

GAAP net income for the third quarter of 2025 was $119.0 million, an increase of 129.5% over the same period in the prior year. The increase in GAAP net income was primarily driven by higher sales of $143.3 million, with sales from the recently acquired Nevro contributing $99.3 million. GAAP diluted EPS for the third quarter was $0.88, compared to $0.38 for the third quarter of 2024, an increase of 134.0%. Non-GAAP diluted EPS for the third quarter of 2025, which excludes, among other costs, amortization of intangibles, merger and acquisition-related costs, provision for litigation, and restructuring-related costs, was $1.18, compared to $0.83 in the third quarter of 2024, an increase of 42.6%.

Net cash provided by operating activities was $249.7 million, and non-GAAP free cash flow was $213.9 million for the third quarter of 2025.

Retrospectively, as of January 1, 2024, we no longer include acquisition of in-process research and development costs as an adjustment to non-GAAP Adjusted EBITDA or non-GAAP net income.

2025 Annual Guidance

The Company increased its guidance for full-year 2025 revenue to be in the range of $2.86 to $2.90 billion from the previous range of $2.80 to $2.90 billion, and increased its guidance for non-GAAP fully diluted earnings per share to be in the range of $3.75 to $3.85 from the previous range of $3.00 to $3.30. The Company now expects its Nevro acquisition to be accretive to earnings in 2025.

Conference Call Information

Globus Medical will hold a teleconference to discuss its third quarter 2025 results with the investment community at 4:30 p.m. Eastern Time today. Participants may access the conference call live via webcast on the Investors page of Globus Medicalโ€™s website at http://www.investors.globusmedical.com/news-events/events-webcasts.

To participate via telephone, please register in advance at this link. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. The audio archive will be available after the call on the Investor page of the Globus Medical website.

About Globus Medical, Inc.

Globus Medical, Inc. is a leading global musculoskeletal company dedicated to solving unmet clinical needs and changing lives. We innovate with inspired urgency, provide world-class education and clinical support, and advance care throughout spine, orthopedic trauma, joint reconstruction, biomaterials and enabling technologies. Additional information can be accessed at www.globusmedical.com.

Non-GAAP Financial Measures

To supplement our financial statements prepared in accordance with U.S. generally accepted accounting principles (โ€œU.S. GAAPโ€), management uses certain non-GAAP financial measures. For example, non-GAAP Adjusted EBITDA, which represents net income before interest income, net and other non-operating expenses, provision for income taxes, depreciation and amortization, stock-based compensation expense, provision for litigation, merger and acquisition related costs, restructuring related costs, certain foreign currency acquisition-related impacts, bargain purchase gains, and gains and losses from strategic investments, is useful as an additional measure of operating performance, and particularly as a measure of comparative operating performance from period to period, as it is reflective of changes in pricing decisions, cost controls and other factors that affect operating performance, and it removes the effect of our capital structure, asset base, income taxes and interest income and expense. We no longer include acquisition of in-process research and development as an adjustment to non-GAAP Adjusted EBITDA. Our management also uses non-GAAP Adjusted EBITDA for planning purposes, including the preparation of our annual operating budget and financial projections. Provision for litigation represents costs incurred for litigation settlements or unfavorable verdicts when the loss is known or considered probable and the amount can be reasonably estimated, or in the case of a favorable settlement, when income is realized. Merger and acquisition related costs represents the change in fair value of business-acquisition-related contingent consideration; costs related to integrating recently acquired businesses, including but not limited to costs to exit or convert contractual obligations, severance, retention bonus, duplicative costs and information system conversion; and specific costs related to the consummation of the acquisition process such as banker fees, legal fees, and other acquisition related professional fees. Restructuring related costs include severance, retention bonus, accelerated stock-based compensation expense, legal and tax fees for legal entity reorganization and costs associated with consolidating facilities. We also adjusted for certain foreign currency impacts related to the acquisition costs and gains/losses on strategic investments within other assets as we believe these impacts are not a measure of our operating performance.

In addition, for the period ended September 30, 2025 and for other comparative periods, we are presenting non-GAAP net income and non-GAAP Diluted Earnings Per Share, which represent net income and diluted earnings per share excluding the provision for litigation, amortization of intangibles, merger and acquisition related costs, restructuring related costs, certain foreign currency impacts, gains and losses from strategic investments, bargain purchase gains, certain valuation allowance releases on deferred tax assets, and the tax effects of all of the foregoing adjustments. We no longer include acquisition of in-process research and development as an adjustment to non-GAAP net income. We also present Non-GAAP gross profit, which excludes the impacts of any inventory acquisition-related costs within cost of goods sold. The tax effect adjustment represents the tax effect of the pre-tax non-GAAP adjustments excluded from non-GAAP net income. The tax impact of the non-GAAP adjustments is calculated based on the consolidated effective tax rate on a GAAP basis, applied to the non-GAAP adjustments, unless the underlying item has a materially different tax treatment, in which case the estimated tax rate applicable to the adjustment is used. We believe these non-GAAP measures are also useful indicators of our operating performance, and particularly as additional measures of comparative operating performance from period to period as they remove the effects of the foregoing items, which we believe are not reflective of underlying business trends. Additionally, for the period ended September 30, 2025 and for other comparative periods, we also define the non-GAAP measure of free cash flow as the net cash provided by operating activities, adjusted for the impact of restricted cash, less the cash impact of purchases of property and equipment. We believe that this financial measure provides meaningful information for evaluating our overall financial performance for comparative periods as it facilitates an assessment of funds available to satisfy current and future obligations and fund acquisitions. Furthermore, the non-GAAP measure of constant currency net sales growth is calculated by translating current year net sales at the same average exchange rates in effect during the applicable prior year period. We believe constant currency net sales growth provides insight to the comparative increase or decrease in period net sales, in dollar and percentage terms, excluding the effects of fluctuations in foreign currency exchange rates. We are also presenting base business sales and base Adjusted EBIDTA, excluding the contribution from the recently acquired Nevro Corp., and subsidiaries. We believe these provide insight to how the Company is performing without the impact of our most recent acquisition. Finally, we are also presenting a measure of sales on a day-adjusted basis. This represents a calculation of sales using a comparable number of selling days as in the previous period.

Non-GAAP adjusted EBITDA, non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit, non-GAAP free cash flow, non-GAAP net sales growth on a constant currency basis, base business sales and base Adjusted EBITDA, excluding the contribution from the recently acquired Nevro Corp., andย day-adjusted basis sales are not calculated in conformity with U.S. GAAP. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for financial measures prepared in accordance with U.S. GAAP. These measures do not include certain expenses that may be necessary to evaluate our liquidity or operating results. Our definitions of these non-GAAP measures may differ from that of other companies and therefore may not be comparable.

Safe Harbor Statements

All statements included in this press release other than statements of historical fact are forward-looking statements and may be identified by their use of words such as โ€œbelieve,โ€ โ€œmay,โ€ โ€œmight,โ€ โ€œcould,โ€ โ€œwill,โ€ โ€œaim,โ€ โ€œestimate,โ€ โ€œcontinue,โ€ โ€œanticipate,โ€ โ€œintend,โ€ โ€œexpect,โ€ โ€œplanโ€ and other similar terms. These forward-looking statements are based on our current assumptions, expectations and estimates of future events and trends. Forward-looking statements are only predictions and are subject to many risks, uncertainties and other factors that may affect our businesses and operations and could cause actual results to differ materially from those predicted. These risks and uncertainties include, but are not limited to, the risks and costs associated with the health epidemics, pandemics and similar outbreaks, factors affecting our quarterly results, our ability to manage our growth, our ability to sustain our profitability, demand for our products, our ability to compete successfully (including without limitation our ability to convince surgeons to use our products and our ability to attract and retain sales and other personnel), our ability to rapidly develop and introduce new products, our ability to develop and execute on successful business strategies, our ability to comply with laws and regulations that are or may become applicable to our businesses, our ability to safeguard our intellectual property, our success in defending legal proceedings brought against us, trends in the medical device industry, general economic conditions, and other risks. For a discussion of these and other risks, uncertainties and other factors that could affect our results, you should refer to the disclosure contained in our most recent annual report on Form 10-K filed with the U.S. Securities and Exchange Commission, including the sections labeled โ€œRisk Factorsโ€ and โ€œCautionary Note Concerning Forward-Looking Statements,โ€ and in our Forms 10-Q, Forms 8-K and other filings with the U.S. Securities and Exchange Commission. These documents are available at www.sec.gov. Moreover, we operate in an evolving environment. New risk factors and uncertainties emerge from time to time and it is not possible for us to predict all risk factors and uncertainties, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, readers are cautioned not to place undue reliance on any forward-looking statements. Forward-looking statements contained in this press release speak only as of the date of this press release. We undertake no obligation to update any forward-looking statements as a result of new information, events or circumstances or other factors arising or coming to our attention after the date hereof.

ย ย ย ย ย ย ย ย ย ย ย ย ย 
GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands, except per share amounts)2025ย 2024ย 2025
ย 2024
Net sales$769,048ย ย $625,705ย ย $2,112,511ย ย $1,862,062ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Cost of Sales and Operating expenses:ย ย ย ย ย ย ย ย ย ย ย ย 
Cost of sales (exclusive of amortization of intangibles)ย 252,533ย ย ย 270,515ย ย ย 696,695ย ย ย 772,042ย 
Research and developmentย 38,067ย ย ย 35,380ย ย ย 111,083ย ย ย 130,346ย 
Selling, general and administrativeย 313,597ย ย ย 240,062ย ย ย 860,018ย ย ย 728,195ย 
Amortization of intangiblesย 29,843ย ย ย 30,076ย ย ย 88,834ย ย ย 89,461ย 
Acquisition-related costsย (2,713)ย ย (3,617)ย ย 31,500ย ย ย 12,535ย 
Restructuring costsย 358ย ย ย 5,191ย ย ย 13,905ย ย ย 23,766ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Operating income/(loss)ย 137,363ย ย ย 48,098ย ย ย 310,476ย ย ย 105,717ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Other income/(expense), net:ย ย ย ย ย ย ย ย ย ย ย ย 
Interest income/(expense), netย 1,455ย ย ย (775)ย ย 3,829ย ย ย (5,004)
Foreign currency transaction gain/(loss)ย (161)ย ย 10,279ย ย ย 4,147ย ย ย (5,795)
Bargain purchase gainย 3,800ย ย ย โ€”ย ย ย 114,361ย ย ย โ€”ย 
Other income/(expense)ย 1,537ย ย ย (570)ย ย 3,022ย ย ย 1,137ย 
Total other income/(expense), netย 6,631ย ย ย 8,934ย ย ย 125,359ย ย ย (9,662)
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Income/(loss) before income taxesย 143,994ย ย ย 57,032ย ย ย 435,835ย ย ย 96,055ย 
Income tax provision/(benefit)ย 25,028ย ย ย 5,196ย ย ย 38,561ย ย ย 19,576ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Net income/(loss)$118,966ย ย $51,836ย ย $397,274ย ย $76,479ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Other comprehensive income/(loss), net of tax:ย ย ย ย ย ย ย ย ย ย ย ย 
Unrealized gain/(loss) on marketable securitiesย 30ย ย ย 912ย ย ย 347ย ย ย 1,783ย 
Foreign currency translation gain/(loss)ย 658ย ย ย 3,976ย ย ย 17,441ย ย ย 1,446ย 
Total other comprehensive income/(loss), net of taxย 688ย ย ย 4,888ย ย ย 17,788ย ย ย 3,229ย 
Comprehensive income/(loss)$119,654ย ย $56,724ย ย $415,062ย ย $79,708ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Earnings per share:ย ย ย ย ย ย ย ย ย ย ย ย 
Basic$0.88ย ย $0.38ย ย $2.93ย ย $0.56ย 
Diluted$0.88ย ย $0.38ย ย $2.90ย ย $0.56ย 
Weighted average shares outstanding:ย ย ย ย ย ย ย ย ย ย ย ย 
Basicย 134,502ย ย ย 135,615ย ย ย 135,484ย ย ย 135,390ย 
Dilutedย 135,394ย ย ย 138,062ย ย ย 137,219ย ย ย 137,245ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
ย ย ย ย ย ย ย 
ย Septemberย 30,ย Decemberย 31,
(In thousands, except share and per share values)2025ย 2024
ASSETSย ย ย ย ย ย 
Current assets:ย ย ย ย ย ย 
Cash and cash equivalents$371,769ย ย $784,438ย 
Short-term marketable securitiesย 18,754ย ย ย 105,619ย 
Accounts receivable, net of allowances of $27,406 and $15,505, respectivelyย 619,116ย ย ย 557,697ย 
Inventoriesย 771,538ย ย ย 659,233ย 
Prepaid expenses and other current assetsย 74,177ย ย ย 49,640ย 
Income taxes receivableย 69,007ย ย ย 20,633ย 
Total current assetsย 1,924,361ย ย ย 2,177,260ย 
Property and equipment, net of accumulated depreciation of $646,664 and $545,786, respectivelyย 577,791ย ย ย 561,909ย 
Operating lease right of use assetsย 59,411ย ย ย 49,647ย 
Long-term marketable securitiesย 16,684ย ย ย 66,134ย 
Intangible assets, netย 773,902ย ย ย 795,117ย 
Goodwillย 1,434,291ย ย ย 1,432,387ย 
Other assetsย 76,838ย ย ย 75,096ย 
Deferred income taxesย 232,362ย ย ย 94,200ย 
Total assets$5,095,640ย ย $5,251,750ย 
ย ย ย ย ย ย ย 
LIABILITIES AND EQUITYย ย ย ย ย ย 
Current liabilities:ย ย ย ย ย ย 
Accounts payable$87,227ย ย $75,118ย 
Accrued expensesย 325,924ย ย ย 260,591ย 
Operating lease liabilitiesย 14,355ย ย ย 10,249ย 
Income taxes payableย 1,285ย ย ย 10,725ย 
Senior convertible notesย โ€”ย ย ย 443,351ย 
Business acquisition liabilitiesย 18,900ย ย ย 33,739ย 
Deferred revenueย 18,267ย ย ย 22,140ย 
Total current liabilitiesย 465,958ย ย ย 855,913ย 
Business acquisition liabilities, net of current portionย 78,247ย ย ย 89,496ย 
Operating lease liabilitiesย 104,988ย ย ย 83,588ย 
Deferred income taxes and other tax liabilitiesย 22,538ย ย ย 23,889ย 
Other liabilitiesย 25,084ย ย ย 21,531ย 
Total liabilitiesย 696,815ย ย ย 1,074,417ย 
ย ย ย ย ย ย ย 
Equity:ย ย ย ย ย ย 
Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 112,175,355 and 114,990,219 shares at Septemberย 30, 2025 and Decemberย 31, 2024, respectivelyย 112ย ย ย 115ย 
Class B common stock; $0.001 par value. Authorized 275,000,000 shares; issued and outstanding 22,430,097 and 22,430,097 shares at Septemberย 30, 2025 and Decemberย 31, 2024, respectivelyย 22ย ย ย 22ย 
Additional paid-in capitalย 3,095,279ย ย ย 3,031,244ย 
Accumulated other comprehensive income/(loss)ย 10,927ย ย ย (6,861)
Retained earningsย 1,292,485ย ย ย 1,152,813ย 
Total equityย 4,398,825ย ย ย 4,177,333ย 
Total liabilities and equity$5,095,640ย ย $5,251,750ย 
ย ย ย ย ย ย ย ย 


GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
ย ย ย ย ย ย 
ย Nine Months Ended
ย Septemberย 30,
(In thousands)2025ย 2024
Cash flows from operating activities:ย ย ย ย ย 
Net income$397,274ย ย $76,479ย 
Adjustments to reconcile net income to net cash provided by operating activities:ย ย ย ย ย 
Bargain purchase gainย (114,361)ย ย โ€”ย 
Acquired in-process research and developmentย โ€”ย ย ย 12,613ย 
Depreciation and amortizationย 207,831ย ย ย 185,796ย 
Amortization of premiums on marketable securitiesย (474)ย ย (119)
Provision for excess and obsolete inventoryย 15,988ย ย ย 16,194ย 
Amortization of inventory fair value step-upย 12,973ย ย ย 168,097ย 
Amortization of 2025 Notes fair value step-upย 6,658ย ย ย 19,973ย 
Stock-based compensation expenseย 38,361ย ย ย 42,284ย 
Allowance for expected credit lossesย 5,311ย ย ย 15,667ย 
Change in fair value of business acquisition liabilitiesย 2,668ย ย ย 8,608ย 
Change in deferred income taxesย 525ย ย ย (92,723)
(Gain)/loss on disposal of assets, netย 8,438ย ย ย 2,687ย 
Payment of business acquisition-related liabilitiesย (16,425)ย ย (18,084)
Net (gain)/loss from foreign currency adjustmentย (14,621)ย ย (2,354)
(Increase) decrease in:ย ย ย ย ย 
Accounts receivableย 11,971ย ย ย (100,545)
Inventoriesย (17,420)ย ย (17,973)
Prepaid expenses and other assetsย (6,689)ย ย (3,108)
Increase (decrease) in:ย ย ย ย ย 
Accounts payableย (654)ย ย 1,294ย 
Accrued expenses and other liabilitiesย 25,442ย ย ย 389ย 
Income taxes payable/receivableย (57,936)ย ย (4,876)
Net cash provided by/(used in) operating activitiesย 504,860ย ย ย 310,299ย 
Cash flows from investing activities:ย ย ย ย ย 
Purchases of marketable securitiesย (37,109)ย ย (13,366)
Maturities of marketable securitiesย 58,630ย ย ย 47,746ย 
Sales of marketable securitiesย 115,608ย ย ย 9,644ย 
Purchases of property and equipmentย (118,482)ย ย (98,318)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assetsย (252,546)ย ย (17,635)
Acquisition of intangible assetsย (9,666)ย ย โ€”ย 
Proceeds from credit facilityย 20,000ย ย ย โ€”ย 
Repayment of borrowings from credit facilityย (20,000)ย ย โ€”ย 
Net cash provided by/(used in) investing activitiesย (243,565)ย ย (71,929)
Cash flows from financing activities:ย ย ย ย ย 
Payment of business acquisition-related liabilitiesย (11,240)ย ย (37,003)
Net proceeds from exercise of stock optionsย 26,999ย ย ย 41,156ย 
Payments related to tax withholdings for share-based compensationย (2,698)ย ย (6,795)
Repurchase of common stockย (255,451)ย ย (84,787)
Repayment of senior convertible notesย (449,985)ย ย โ€”ย 
Net cash provided by/(used in) financing activitiesย (692,375)ย ย (87,429)
Effect of foreign exchange rates on cashย 18,411ย ย ย 4,533ย 
Net increase/(decrease) in cash and cash equivalentsย (412,669)ย ย 155,474ย 
Cash and cash equivalents at beginning of periodย 784,438ย ย ย 467,292ย 
Cash and cash equivalents at end of period$371,769ย ย $622,766ย 
ย ย ย ย ย ย 
Supplemental disclosures of cash flow information:ย ย ย ย ย 
Income taxes paid, net$95,096ย ย $117,474ย 
Non-cash investing and financing activities:ย ย ย ย ย 
Accrued purchases of property and equipment$13,454ย ย $4,802ย 
ย ย ย ย ย ย ย ย 


Supplemental Financial Information

Net Sales by Product Category:
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Ended
ย Nine Months Ended
ย Septemberย 30,
ย Septemberย 30,
(In thousands)2025
ย 2024
ย 2025
ย 2024
Musculoskeletal Solutions$741,009ย ย $587,402ย ย $2,027,124ย ย $1,755,011ย 
Enabling Technologiesย 28,039ย ย ย 38,303ย ย ย 85,387ย ย ย 107,051ย 
Total net sales$769,048ย ย $625,705ย ย $2,112,511ย ย $1,862,062ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


Liquidity and Capital Resources:
ย ย ย ย ย ย ย ย 
ย Septemberย 30,
ย Decemberย 31,
(In thousands)2025
ย 2024
Cash and cash equivalents$371,769ย ย $784,438ย 
Short-term marketable securitiesย 18,754ย ย ย 105,619ย 
Long-term marketable securitiesย 16,684ย ย ย 66,134ย 
Total cash, cash equivalents and marketable securities$407,207ย ย $956,191ย 
ย ย ย ย ย ย ย ย 

The following tables reconcile GAAP to Non-GAAP financial measures.

As of September 30, 2024, we no longer include Acquisition of in-process research and development as an adjustment to the non-GAAP financial measures. As previously disclosed, the Company incurred $12.6 million in the nine months ended September 30, 2024 for the Acquisition of in-process research and development, which, when it was previously included, resulted in a 0.6% impact on Adjusted EBITDA as a percentage of net sales and $0.09 on Non-GAAP diluted earnings per share.

Non-GAAP Adjusted EBITDA Reconciliation Table:
ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands, except percentages)2025ย 2024ย 2025ย 2024
Net income/(loss)$118,966ย ย $51,836ย ย $397,274ย ย $76,479ย 
Interest (income)/expense, netย (1,455)ย ย 775ย ย ย (3,829)ย ย 5,004ย 
Provision for income taxesย 25,028ย ย ย 5,196ย ย ย 38,561ย ย ย 19,576ย 
Depreciation and amortizationย 71,126ย ย ย 66,947ย ย ย 207,831ย ย ย 185,796ย 
EBITDAย 213,665ย ย ย 124,754ย ย ย 639,837ย ย ย 286,855ย 
Stock-based compensation expenseย 11,528ย ย ย 11,356ย ย ย 37,838ย ย ย 36,530ย 
Provision for litigation, netย 28,261ย ย ย (676)ย ย 24,353ย ย ย 628ย 
Merger and acquisition-related costs (1)ย 4,678ย ย ย 61,160ย ย ย 46,177ย ย ย 185,160ย 
Net (gain) loss from strategic investmentsย (946)ย ย โ€”ย ย ย (2,255)ย ย (267)
Non-cash acquisition-related foreign currency impactsย (3,045)ย ย (8,912)ย ย (15,382)ย ย (2,354)
Restructuring costsย 2,260ย ย ย 6,009ย ย ย 22,909ย ย ย 31,542ย 
Bargain Purchase Gainย (3,800)ย ย โ€”ย ย ย (114,361)ย ย โ€”ย 
Adjusted EBITDA$252,601ย ย $193,691ย ย $639,116ย ย $538,094ย 
ย ย ย ย ย ย ย ย ย ย ย ย 
Net income/(loss) as a percentage of net salesย 15.5%ย ย 8.3%ย ย 18.8%ย ย 4.1%
Adjusted EBITDA as a percentage of net salesย 32.8%ย ย 31.0%ย ย 30.3%ย ย 28.9%
(1) Merger and acquisition-related costs represent certain costs associated with acquisitions. These costs, presented on a before-tax effect basis, are included in Non-GAAP Merger and Acquisition-related Costs table.
ย 


Non-GAAP Merger and Acquisition-related Costs Table:
ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
ย 2025ย 2024ย 2025
ย 2024
(In thousands)ย ย ย ย ย ย ย ย ย ย ย ย ย 
Amortization of inventory fair value step up$6,957ย ย $60,756ย ย $12,973ย ย $168,097ย 
Change in fair value of business acquisition liabilitiesย (2,721)ย ย (4,133)ย ย 2,681ย ย ย 8,610ย 
Employee-related costs (b)ย โ€”ย ย ย 3,574ย ย ย 27,418ย ย ย 5,031ย 
Other acquisition-related costs (a)ย 442ย ย ย 963ย ย ย 3,105ย ย ย 3,422ย 
Merger and acquisition-related costs$4,678ย ย $61,160ย ย $46,177ย ย $185,160ย 
(a) Primarily comprised of legal fees, advisory and consulting fees.
(b) Primarily comprised of severance, share based compensation and termination fees.
ย ย ย ย ย ย ย ย ย ย ย ย 


Non-GAAP Net Income Reconciliation Table:
ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands)2025ย 2024ย 2025ย 2024
Net income/(loss)$118,966ย ย $51,836ย ย $397,274ย ย $76,479ย 
Provision for litigation, netย 28,261ย ย ย (676)ย ย 24,353ย ย ย 628ย 
Amortization of intangiblesย 29,843ย ย ย 30,076ย ย ย 88,834ย ย ย 89,461ย 
Merger and acquisition -related costs (1)ย 4,678ย ย ย 61,160ย ย ย 46,177ย ย ย 185,160ย 
Net gain/(loss) on strategic investmentsย (946)ย ย โ€”ย ย ย (2,255)ย ย (267)
Non-cash acquisition-related foreign currency impactsย (3,045)ย ย (8,912)ย ย (15,382)ย ย (2,354)
Restructuring Costsย 2,260ย ย ย 6,009ย ย ย 22,909ย ย ย 31,542ย 
Bargain Purchase Gainย (3,800)ย ย โ€”ย ย ย (114,361)ย ย โ€”ย 
Provision for income tax benefit from non-recurring tax adjustmentsย (1,740)ย ย โ€”ย ย ย (36,555)ย ย โ€”ย 
Tax effect of adjusting itemsย (15,127)ย ย (25,507)ย ย (40,034)ย ย (78,454)
Non-GAAP net income/(loss)$159,350ย ย $113,986ย ย $370,960ย ย $302,195ย 
(1) see footnote 1 to the Non-GAAP Adjusted EBITDA Reconciliation Table above for the detail of these costs.
ย ย ย ย ย ย ย 


Non-GAAP Gross Profit Reconciliation Table:
ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands)2025ย ย 2024ย ย 2025ย ย 2024ย 
Net Sales$769,048ย ย $625,705ย ย $2,112,511ย ย $1,862,062ย 
Cost of Sales (exclusive of amortization of intangibles)ย 252,533ย ย ย 270,515ย ย ย 696,695ย ย ย 772,042ย 
Amortization of Intangiblesย 22,665ย ย ย 23,841ย ย ย 69,516ย ย ย 66,593ย 
Gross Profit$493,850ย ย $331,349ย ย $1,346,300ย ย $1,023,427ย 
ย ย ย ย ย ย ย ย ย ย ย ย 
Amortization of inventory fair value step upย 6,957ย ย ย 60,756ย ย ย 12,973ย ย ย 168,097ย 
Amortization of Intangiblesย 22,665ย ย ย 23,841ย ย ย 69,516ย ย ย 66,593ย 
Adjusted Gross Profit$523,472ย ย $415,946ย ย $1,428,789ย ย $1,258,117ย 
ย ย ย ย ย ย ย ย ย ย ย ย 
Gross Profit % of Net Salesย 64.2%ย ย 53.0%ย ย 63.7%ย ย 55.0%
Adjusted Gross Profit % of Net Salesย 68.1%ย ย 66.5%ย ย 67.6%ย ย 67.6%
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


Non-GAAP Diluted Earnings Per Share Reconciliation Table:
ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands)2025ย 2024ย 2025ย 2024
Diluted earnings per share, as reported$0.88ย ย $0.38ย ย $2.90ย ย $0.56ย 
Provision for litigation, netย 0.21ย ย ย (0.00)ย ย 0.18ย ย ย โ€”ย 
Amortization of intangiblesย 0.22ย ย ย 0.22ย ย ย 0.65ย ย ย 0.65ย 
Merger and acquisition -related costs (1)ย 0.03ย ย ย 0.44ย ย ย 0.34ย ย ย 1.35ย 
Net (gain) loss from strategic investmentsย (0.01)ย ย โ€”ย ย ย (0.02)ย ย (0.00)
Non-cash acquisition-related foreign currency impactsย (0.02)ย ย (0.06)ย ย (0.11)ย ย (0.02)
Restructuring costsย 0.02ย ย ย 0.04ย ย ย 0.17ย ย ย 0.23ย 
Provision for income tax benefit from non-recurring tax adjustmentsย (0.01)ย ย โ€”ย ย ย (0.27)ย ย โ€”ย 
Bargain Purchase Gainย (0.03)ย ย โ€”ย ย ย (0.83)ย ย โ€”ย 
Tax effect of adjusting itemsย (0.11)ย ย (0.18)ย ย (0.29)ย ย (0.57)
Non-GAAP diluted earnings per share$1.18ย ย $0.83ย ย $2.70ย ย $2.20ย 
(1) see footnote 1 to the Non-GAAP Adjusted EBITDA Reconciliation Table above for the detail of these costs.
* amounts may not add due to rounding.
ย ย ย ย ย ย ย ย ย ย ย ย 


Non-GAAP Free Cash Flow Reconciliation Table:
ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Endedย Nine Months Ended
ย Septemberย 30,ย Septemberย 30,
(In thousands)2025ย 2024ย 2025ย 2024
Net cash provided by operating activities$249,696ย ย $203,655ย ย $504,860ย ย $310,299ย 
Purchases of property and equipmentย (35,817)ย ย (41,952)ย ย (118,482)ย ย (98,318)
Free cash flow$213,879ย ย $161,703ย ย $386,378ย ย $211,981ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Ended
ย Reportedย Currency
Impact on
ย Constant
Currency
ย Septemberย 30,
ย Net Salesย Current
ย Net Sales
(In thousands, except percentages)2025
ย 2024
ย Growthย Period Net Sales
ย Growth
United States$617,633ย ย $495,789ย ย ย 24.6%ย $โ€”ย ย ย 24.6%
Internationalย 151,415ย ย ย 129,916ย ย ย 16.5%ย ย 3,974ย ย ย 13.5%
Total net sales$769,048ย ย $625,705ย ย ย 22.9%ย $3,974ย ย ย 22.3%
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


Base Business and Nevro Corp. Net Sales Reconciliation Table:ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Ended
ย Nine Months Ended
ย Septemberย 30,
ย Septemberย 30,
(In thousands)2025
ย 2024
ย 2025
ย 2024
Net Sales of Nevro products$99,254ย ย $โ€”ย ย $193,839ย ย $โ€”ย 
Net Sales of base businessย 669,794ย ย ย 625,705ย ย ย 1,918,671ย ย ย 1,862,062ย 
Total net sales$769,048ย ย $625,705ย ย $2,112,511ย ย $1,862,062ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 


Base Business and Nevro Corp. Adjusted EBITDA Reconciliation Table:ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
ย Three Months Ended
ย Nine Months Ended
ย Septemberย 30,
ย Septemberย 30,
(In thousands)2025
ย 2024
ย 2025
ย 2024
Adjusted EBITDA of the acquired Nevro subsidiaries$16,115ย ย $โ€”ย ย $14,805ย ย $โ€”ย 
Adjusted EBITDA of base businessย 236,486ย ย ย 193,691ย ย ย 624,311ย ย ย 538,094ย 
Total Adjusted EBITDA (1)$252,601ย ย $193,691ย ย $639,116ย ย $538,094ย 
(1) See Non-GAAP Adjusted EBITDA Reconciliation Table above for calculationย 
ย ย 

Contact:
Brian Kearns
Senior Vice President, Business Development and Investor Relations
Phone: (610) 930-1800
Email: investors@globusmedical.com
www.globusmedical.com


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