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Globus Medical Reports First Quarter 2025 Results

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Globus Medical (NYSE: GMED) reported Q1 2025 financial results with worldwide net sales of $598.1 million, showing a 1.4% decrease year-over-year. GAAP net income reached $75.5 million, with GAAP EPS of $0.54 and non-GAAP EPS of $0.68. U.S. net sales increased by 0.2%, while international sales declined by 7.7%. The quarter saw challenges from softer Enabling Technology sales, temporary integration-related supply chain disruptions, and timing of international orders. Notable achievements include becoming debt-free after paying off $450 million from the NuVasive merger and delivering record Q1 free cash flow. The company reaffirmed its 2025 revenue guidance of $2.80-2.90 billion but lowered non-GAAP EPS guidance to $3.00-3.30 from $3.10-3.40 previously.
Globus Medical (NYSE: GMED) ha comunicato i risultati finanziari del primo trimestre 2025 con vendite nette globali pari a 598,1 milioni di dollari, registrando un calo dell'1,4% rispetto all'anno precedente. L'utile netto GAAP è stato di 75,5 milioni di dollari, con un utile per azione GAAP di 0,54 dollari e un utile per azione non GAAP di 0,68 dollari. Le vendite nette negli Stati Uniti sono aumentate dello 0,2%, mentre quelle internazionali sono diminuite del 7,7%. Il trimestre ha affrontato difficoltà dovute a vendite più deboli della tecnologia abilitante, interruzioni temporanee della catena di approvvigionamento legate all'integrazione e tempistiche degli ordini internazionali. Tra i risultati più importanti, l'azienda è diventata priva di debiti dopo aver estinto 450 milioni di dollari derivanti dalla fusione con NuVasive e ha registrato un flusso di cassa libero record nel primo trimestre. La società ha confermato la previsione di ricavi per il 2025 tra 2,80 e 2,90 miliardi di dollari, ma ha rivisto al ribasso la stima dell'utile per azione non GAAP, portandola da 3,10-3,40 a 3,00-3,30 dollari.
Globus Medical (NYSE: GMED) reportó los resultados financieros del primer trimestre de 2025 con ventas netas globales de 598,1 millones de dólares, mostrando una disminución del 1,4% interanual. El ingreso neto GAAP alcanzó los 75,5 millones de dólares, con una utilidad por acción GAAP de 0,54 dólares y una utilidad por acción no GAAP de 0,68 dólares. Las ventas netas en EE. UU. aumentaron un 0,2%, mientras que las internacionales disminuyeron un 7,7%. El trimestre enfrentó desafíos por ventas más débiles de tecnología habilitadora, interrupciones temporales en la cadena de suministro relacionadas con la integración y el momento de los pedidos internacionales. Logros destacados incluyen convertirse en una empresa libre de deuda tras pagar 450 millones de dólares de la fusión con NuVasive y alcanzar un flujo de caja libre récord en el primer trimestre. La compañía reafirmó su guía de ingresos para 2025 entre 2,80 y 2,90 mil millones de dólares, pero redujo la guía de utilidad por acción no GAAP a 3,00-3,30 desde 3,10-3,40 previamente.
Globus Medical (NYSE: GMED)은 2025년 1분기 재무 실적을 발표하며 전 세계 순매출액이 5억 9,810만 달러로 전년 대비 1.4% 감소했다고 밝혔습니다. GAAP 순이익은 7,550만 달러에 달했으며, GAAP 주당순이익(EPS)은 0.54달러, 비-GAAP 주당순이익은 0.68달러였습니다. 미국 내 순매출은 0.2% 증가한 반면, 해외 매출은 7.7% 감소했습니다. 이번 분기는 기술 지원 제품 매출 부진, 통합 관련 공급망 일시 중단, 국제 주문 시기 문제 등의 어려움을 겪었습니다. 주요 성과로는 NuVasive 합병으로 인한 4억 5천만 달러 부채 상환 후 무부채 상태가 되었고, 1분기 사상 최대 자유 현금 흐름을 기록한 점이 있습니다. 회사는 2025년 매출 전망을 28억~29억 달러로 재확인했으나, 비-GAAP 주당순이익 전망은 기존 3.10~3.40달러에서 3.00~3.30달러로 하향 조정했습니다.
Globus Medical (NYSE : GMED) a publié ses résultats financiers du premier trimestre 2025 avec des ventes nettes mondiales de 598,1 millions de dollars, enregistrant une baisse de 1,4 % par rapport à l'année précédente. Le résultat net GAAP s'est élevé à 75,5 millions de dollars, avec un BPA GAAP de 0,54 $ et un BPA non-GAAP de 0,68 $. Les ventes nettes aux États-Unis ont augmenté de 0,2 %, tandis que les ventes internationales ont diminué de 7,7 %. Le trimestre a été marqué par des défis liés à la baisse des ventes de technologies facilitantes, des perturbations temporaires de la chaîne d'approvisionnement dues à l'intégration, ainsi que le calendrier des commandes internationales. Parmi les réalisations notables, l'entreprise est devenue sans dette après avoir remboursé 450 millions de dollars issus de la fusion avec NuVasive et a enregistré un flux de trésorerie disponible record au premier trimestre. La société a confirmé ses prévisions de chiffre d'affaires pour 2025 entre 2,80 et 2,90 milliards de dollars, mais a abaissé ses prévisions de BPA non-GAAP à 3,00-3,30 $, contre 3,10-3,40 $ auparavant.
Globus Medical (NYSE: GMED) meldete die Finanzergebnisse für das erste Quartal 2025 mit weltweiten Nettoumsätzen von 598,1 Millionen US-Dollar, was einem Rückgang von 1,4 % im Jahresvergleich entspricht. Der GAAP-Nettogewinn betrug 75,5 Millionen US-Dollar, mit einem GAAP-Gewinn je Aktie von 0,54 US-Dollar und einem Non-GAAP-Gewinn je Aktie von 0,68 US-Dollar. Die Nettoumsätze in den USA stiegen um 0,2 %, während die internationalen Umsätze um 7,7 % zurückgingen. Das Quartal war geprägt von Herausforderungen durch schwächere Umsätze im Bereich Enabling Technology, vorübergehende durch Integration bedingte Störungen in der Lieferkette und das Timing internationaler Aufträge. Zu den bemerkenswerten Erfolgen zählt die Schuldenfreiheit nach der Rückzahlung von 450 Millionen US-Dollar aus der NuVasive-Fusion sowie ein Rekord-Frei-Cashflow im ersten Quartal. Das Unternehmen bestätigte seine Umsatzprognose für 2025 von 2,80 bis 2,90 Milliarden US-Dollar, senkte jedoch die Non-GAAP-Gewinnprognose je Aktie von zuvor 3,10-3,40 auf 3,00-3,30 US-Dollar.
Positive
  • Achieved debt-free status by paying off $450 million NuVasive merger debt
  • Record Q1 free cash flow of $141.2 million
  • Non-GAAP EPS increased 8.5% to $0.68 vs $0.63 in Q1 2024
  • Strong performance reported in April across businesses
  • U.S. net sales showed slight growth of 0.2%
Negative
  • Worldwide net sales decreased 1.4% to $598.1 million
  • International sales declined 7.7%
  • Softer Enabling Technology deal closures impacted results
  • Temporary integration-related supply chain disruptions
  • Lowered non-GAAP EPS guidance for 2025 to $3.00-3.30 from $3.10-3.40

Insights

Globus Medical reported mixed Q1 results with slight revenue decline but improved profitability, strong cash flow, and zero debt after completing NuVasive integration payments.

Globus Medical's Q1 2025 results present a complex picture with both challenges and strengths. Worldwide net sales reached $598.1 million, reflecting a 1.4% year-over-year decline (0.8% in constant currency). The geographic performance was divergent—U.S. sales showed modest resilience with 0.2% growth while international markets declined 7.7% (4.6% in constant currency).

Despite revenue headwinds, profitability metrics improved significantly. GAAP net income reached $75.5 million with EPS of $0.54, a substantial recovery from the $0.05 loss in Q1 2024. Non-GAAP EPS increased 8.5% to $0.68, demonstrating underlying earnings strength. This improvement stems primarily from lower amortization costs and reduced restructuring expenses related to the NuVasive acquisition.

The quarter's most impressive achievement was the balance sheet transformation. Globus paid off the remaining $450 million of debt from the NuVasive merger, returning to debt-free status. This fiscal discipline accompanied exceptional cash generation, with Q1 free cash flow reaching a record $141.2 million—creating significant financial flexibility for future investments.

Management attributed the quarter's challenges to three specific factors: fewer enabling technology deal closures, temporary integration-related supply chain disruptions, and timing issues with international distributor orders. These were partially offset by strength in the core U.S. spine business.

For full-year 2025, Globus maintained revenue guidance of $2.80 to $2.90 billion but trimmed non-GAAP EPS to $3.00-$3.30, down from the previous $3.10-$3.40 range. This modest guidance reduction suggests temporary margin pressure rather than fundamental business deterioration.

The report highlights typical post-merger integration challenges, but with debt eliminated, strong cash generation, and management citing improved April performance across business lines, these operational headwinds appear transitory rather than structural.

AUDUBON, Pa., May 08, 2025 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the quarter ended March 31, 2025.

  • Worldwide net sales were $598.1 million, a decrease of 1.4%, or a decrease of 0.8% on a constant currency basis
  • GAAP net income for the quarter was $75.5 million
  • GAAP diluted earnings per share (“EPS”) was $0.54 and non-GAAP diluted EPS was $0.68

“Our first quarter results were impacted by softer Enabling Technology deal closures, temporary integration related supply chain disruption, and timing of international distributor orders, partially offset by strength in our core US spine business,” commented Dan Scavilla, President and Chief Executive Officer. “We are encouraged by the continued strong performance in April across these businesses and remain confident in our ability to drive above-market revenue growth as we move forward.  We will continue to invest and provide innovative and clinically advanced products and solutions that help our surgeons improve patient care.  We remain steadfast in our vision for the future.”

“We remain focused on our strategy and continue to execute against those objectives,” commented Keith Pfeil, COO-CFO.  “During the quarter, we returned to a debt-free status, as we paid off the remaining $450 million of debt assumed from the NuVasive merger.  We delivered record Q1 free cash flow, while continuing to drive significant investments in machinery, equipment and sets, as we further scale internal manufacturing. Our actions taken during the quarter are geared towards driving long-term, sustainable growth.”

Worldwide net sales for the first quarter of 2025 were $598.1 million, an as-reported decrease of 1.4% over the first quarter of 2024.  U.S. net sales for the first quarter of 2025 increased by 0.2% compared to the first quarter of 2024. International net sales decreased by 7.7% over the first quarter of 2024 on an as-reported basis and decreased by 4.6% on a constant currency basis. The decrease in Net Sales was due primarily to fewer enabling technology unit sales.

GAAP net income for the first quarter of 2025 was $75.5 million, an increase over the same period in the prior year. Diluted EPS for the first quarter was $0.54, compared to a loss of $0.05 for the first quarter of 2024. The GAAP net income increase was primarily driven by a decrease in amortization costs of purchase accounting related fair-value step-ups and restructuring costs in the current period as compared to the prior period. Non-GAAP diluted EPS for the first quarter of 2025, which excludes, among other costs, acquisition and restructuring-related costs, was $0.68, compared to $0.63 in the first quarter of 2024, an increase of 8.5%.

Net cash provided by operating activities was $177.3 million, and non-GAAP free cash flow was $141.2 million for the first 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 reaffirms its guidance for full-year 2025 revenue to be in the range of $2.80 to $2.90 billion and updated its guidance for non-GAAP fully diluted earnings per share to be in the range of $3.00 to $3.30, which is a decrease from the prior non-GAAP fully diluted earnings per share guidance of $3.10 to $3.40.

Conference Call Information

Globus Medical will hold a teleconference to discuss its first 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 Medical’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.

Based in Audubon, Pennsylvania, Globus Medical, Inc. was founded in 2003 by an experienced team of professionals with a shared vision to create products that enable surgeons to promote healing in patients with musculoskeletal disorders. 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 (“U.S. GAAP”), 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, 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 March 31, 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, the impact of dilution attributable to the Convertible Notes, 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 March 31, 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.

Non-GAAP adjusted EBITDA, non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit, free cash flow and constant currency net sales growth 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 non-GAAP adjusted EBITDA, non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit, free cash flow and constant currency net sales growth 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 “believe,” “may,” “might,” “could,” “will,” “aim,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “plan” 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 “Risk Factors” and “Cautionary Note Concerning Forward-Looking Statements,” 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.


GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
        
  Three Months Ended
  March 31,
(In thousands, except per share amounts) 2025 2024
Net sales $ 598,121  $606,666 
Cost of Sales and Operating expenses:       
Cost of sales (exclusive of amortization of intangibles)   195,397   241,487 
Research and development   33,062   57,268 
Selling, general and administrative   242,799   248,679 
Amortization of intangibles   28,802   29,676 
Acquisition-related costs   1,057   2,418 
Restructuring costs   —   19,141 
Operating income/(loss)   97,004   7,997 
Other income/(expense), net       
Interest income/(expense), net   1,681   (1,894)
Foreign currency transaction gain/(loss)   4,270   (15,371)
Other income/(expense)   713   710 
Total other income/(expense), net   6,664   (16,555)
Income/(loss) before income taxes   103,668   (8,558)
Income tax provision/(benefit)   28,206   (1,441)
Net income/(loss) $ 75,462  $(7,117)
        
Other comprehensive income/(loss), net of tax:       
Unrealized gain/(loss) on marketable securities   315   379 
Foreign currency translation gain/(loss)   4,379   (1,232)
Total other comprehensive income/(loss), net of tax   4,694   (853)
Comprehensive income/(loss) $ 80,156  $(7,970)
        
Earnings per share:       
Basic $ 0.55  $(0.05)
Diluted $ 0.54  $(0.05)
Weighted average shares outstanding:       
Basic   136,757   135,358 
Diluted   139,774   135,358 
 


GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
       
  March 31, December 31,
(In thousands, except share and per share values) 2025
 2024
ASSETS      
Current assets:      
Cash and cash equivalents $ 461,266  $784,438 
Short-term marketable securities     105,619 
Accounts receivable, net of allowances of $8,488 and $15,505, respectively   535,090   557,697 
Inventories   663,603   659,233 
Prepaid expenses and other current assets   47,131   49,640 
Income taxes receivable   3,024   20,633 
Total current assets   1,710,114   2,177,260 
Property and equipment, net of accumulated depreciation of $571,728 and $545,786, respectively   556,496   561,909 
Operating lease right of use assets   48,367   49,647 
Long-term marketable securities     66,134 
Intangible assets, net   771,688   795,117 
Goodwill   1,432,964   1,432,387 
Other assets   74,856   75,096 
Deferred income taxes   116,663   94,200 
Total assets $ 4,711,148  $5,251,750 
       
LIABILITIES AND EQUITY      
Current liabilities:      
Accounts payable $ 73,144  $75,118 
Accrued expenses   237,566   260,591 
Operating lease liabilities   10,622   10,249 
Income taxes payable   12,739   10,725 
Senior convertible notes     443,351 
Business acquisition liabilities   33,458   33,739 
Deferred revenue   17,172   22,140 
Total current liabilities   384,701   855,913 
Business acquisition liabilities, net of current portion   84,597   89,496 
Operating lease liabilities   81,691   83,588 
Deferred income taxes and other tax liabilities   46,605   23,889 
Other liabilities   25,486   21,531 
Total liabilities   623,080   1,074,417 
       
Equity:      
Class A common stock; $0.001 par value.  Authorized 500,000,000 shares; issued and outstanding 112,926,345 and 114,990,219 shares at March 31, 2025 and December 31, 2024, respectively   113   115 
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 March 31, 2025 and December 31, 2024, respectively   22   22 
Additional paid-in capital   3,053,927   3,031,244 
Accumulated other comprehensive income/(loss)   (2,167)  (6,861)
Retained earnings   1,036,173   1,152,813 
Total equity   4,088,068   4,177,333 
Total liabilities and equity $ 4,711,148  $5,251,750 
 


GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
       
  Three Months Ended
  March 31,
(In thousands) 2025
 2024
Cash flows from operating activities:      
Net income $75,462  $(7,117)
Adjustments to reconcile net income to net cash provided by operating activities:      
Acquired in-process research and development   —   12,613 
Depreciation and amortization   66,074   55,261 
Amortization of premiums on marketable securities   (421)  24 
Provision for excess and obsolete inventory   5,960   3,914 
Amortization of inventory fair value step-up   49   53,670 
Amortization of 2025 Notes fair value step-up   6,658   6,658 
Stock-based compensation expense   13,206   17,260 
Allowance for expected credit losses   3,206   2,968 
Change in fair value of business acquisition liabilities   167   (165)
Change in deferred income taxes   509   (45,091)
(Gain)/loss on disposal of assets, net   2,613   34 
Payment of business acquisition-related liabilities   (2,012)  (16,115)
Net (gain)/loss from foreign currency adjustment   (3,772)  11,191 
(Increase) decrease in:      
Accounts receivable   22,603   (36,393)
Inventories   (7,587)  (8,986)
Prepaid expenses and other assets   4,534   1,778 
Increase (decrease) in:      
Accounts payable   (899)  (5,753)
Accrued expenses and other liabilities   (28,658)  (33,881)
Income taxes payable/receivable   19,608   40,517 
Net cash provided by/(used in) operating activities   177,300   52,387 
Cash flows from investing activities:      
Purchases of marketable securities   (1,750)  (8,017)
Maturities of marketable securities   58,630   85 
Sales of marketable securities   115,608   2,565 
Purchases of property and equipment   (36,103)  (28,568)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets   —   (12,649)
Acquisition of intangible assets   (5,000)   
Net cash provided by/(used in) investing activities   131,385   (46,584)
Cash flows from financing activities:      
Payment of business acquisition-related liabilities   (3,890)  (30,475)
Net proceeds from exercise of stock options   11,223   3,413 
Payments related to tax withholdings for share-based compensation   (2,293)  (5,343)
Repurchase of common stock   (190,451)  (83,316)
Repayment of senior convertible notes   (449,985)   
Net cash provided by/(used in) financing activities   (635,396)  (115,721)
Effect of foreign exchange rates on cash   3,539   (3,312)
Net increase/(decrease) in cash and cash equivalents   (323,172)  (113,230)
Cash and cash equivalents at beginning of period   784,438   467,292 
Cash and cash equivalents at end of period $ 461,266  $354,062 
       
Supplemental disclosures of cash flow information:      
Income taxes paid, net $ 7,199  $1,967 
Non-cash investing and financing activities:      
Accrued purchases of property and equipment $ 10,014  $5,426 
         


Supplemental Financial Information
 
Net Sales by Product Category:
       
  Three Months Ended
  March 31,
(In thousands) 2025 2024
Musculoskeletal Solutions $575,932  $574,697 
Enabling Technologies  22,189   31,969 
Total net sales $598,121  $606,666 


Liquidity and Capital Resources:
         
  March 31, December 31,
(In thousands) 2025 2024
Cash and cash equivalents $461,266  $784,438 
Short-term marketable securities     105,619 
Long-term marketable securities     66,134 
Total cash, cash equivalents and marketable securities $461,266  $956,191 
 

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 three months ended March 31, 2024 for the Acquisition of in-process research and development, which, when it was previously included, resulted in a 2.1% 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:
       
  Three Months Ended
  March 31,
(In thousands, except percentages) 2025
 2024
Net income/(loss) $75,462  $(7,117)
Interest (income)/expense, net  (1,681)  1,894 
Provision for income taxes  28,206   (1,441)
Depreciation and amortization  66,074   55,261 
EBITDA  168,061   48,597 
Stock-based compensation expense  13,052   12,439 
Provision for litigation, net  (1,287)  (31)
Merger and acquisition-related costs (1)  1,106   56,387 
Net (gain) loss from strategic investments  (61)  223 
Non-cash acquisition-related foreign currency impacts  (3,772)  11,191 
Restructuring costs  734   25,162 
Adjusted EBITDA $177,833  $153,968 
       
Net income/(loss) as a percentage of net sales  12.6%  (1.2%)
Adjusted EBITDA as a percentage of net sales  29.7%  25.4%
(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.


Non-GAAP Merger and Acquisition-related Costs Table:
 
  Three Months Ended
  March 31,
  2025 2024
(In thousands)       
Amortization of inventory fair value step up $49  $53,670 
Change in fair value of business acquisition liabilities  167   (158)
Employee-related costs     1,457 
Other acquisition-related costs (a)  890   1,418 
Merger and acquisition-related costs $1,106  $56,387 
(a) Primarily comprised of legal fees, investment banking and consulting fees.


Non-GAAP Net Income Reconciliation Table:
 
  Three Months Ended
  March 31,
(In thousands) 2025
 2024
Net income/(loss) $75,462  $(7,117)
Provision for litigation, net  (1,287)  (31)
Amortization of intangibles  28,802   29,676 
Merger and acquisition -related costs (1)  1,106   56,387 
Non-cash acquisition-related foreign currency impacts  (3,772)  11,191 
Restructuring Costs  734   25,162 
Net gain/(loss) on strategic investments  (61)  223 
Tax effect of adjusting items  (6,156)  (30,006)
Non-GAAP net income/(loss) $94,828  $85,485 
(1) see footnote 1 to the Non-GAAP Adjusted EBITDA Reconciliation Table above for the detail of these costs.


Non-GAAP Gross Profit Reconciliation Table:
 
  Three Months Ended
  March 31,
(In thousands) 2025
 2024
Net Sales $598,121  $606,666 
Cost of Sales (exclusive of amortization of intangibles)  195,397   241,487 
Amortization of Intangibles  22,208   29,676 
Gross Profit $380,516  $335,503 
       
Amortization of inventory fair value step up  49   53,670 
Amortization of Intangibles  22,208   29,676 
Adjusted Gross Profit $402,773  $418,849 
       
Gross Profit % of Net Sales  63.6%  55.3%
Adjusted Gross Profit % of Net Sales  67.3%  69.0%


Non-GAAP Diluted Earnings Per Share Reconciliation Table: 
      
  Three Months Ended
  March 31,
(In thousands) 2025
 2024
Diluted earnings per share, as reported $ 0.54  $ (0.05)
Provision for litigation, net   (0.01)   — 
Amortization of intangibles   0.21    0.22 
Merger and acquisition -related costs (1)   0.01    0.41 
Non-cash acquisition-related foreign currency impacts   (0.03)   0.08 
Restructuring costs   0.01    0.18 
Tax effect of adjusting items   (0.04)   (0.22)
Non-GAAP diluted earnings per share $ 0.68  $ 0.63 
(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.      


Non-GAAP Free Cash Flow Reconciliation Table:
 
  Three Months Ended
  March 31,
(In thousands) 2025
 2024
Net cash provided by operating activities $177,300  $52,387 
Purchases of property and equipment  (36,103)  (28,568)
Free cash flow $141,197  $23,819 


Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
 
  Three Months Ended Reported Currency
Impact on 
 Constant
Currency
  March 31, Net Sales Current Net Sales
(In thousands, except percentages) 2025 2024 Growth Period Net Sales   Growth
United States $483,857  $482,927  0.2% $  0.2%
International  114,264   123,739  (7.7%)  (3,799) (4.6%)
Total net sales $598,121  $606,666  (1.4%) $(3,799) (0.8%)
 

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

Media contact:
Moran Chavez
media@globusmedical.com


FAQ

What were Globus Medical's (GMED) Q1 2025 earnings results?

Globus Medical reported Q1 2025 net sales of $598.1 million (-1.4% YoY), GAAP net income of $75.5 million, GAAP EPS of $0.54, and non-GAAP EPS of $0.68.

Why did GMED stock sales decline in Q1 2025?

The decline was due to softer Enabling Technology deal closures, temporary integration-related supply chain disruptions, and timing of international distributor orders.

What is Globus Medical's revenue guidance for 2025?

Globus Medical reaffirmed its 2025 revenue guidance of $2.80 to $2.90 billion but lowered non-GAAP EPS guidance to $3.00-3.30.

How much debt did Globus Medical pay off from the NuVasive merger?

Globus Medical paid off the remaining $450 million of debt assumed from the NuVasive merger, returning to a debt-free status.

What was GMED's international sales performance in Q1 2025?

International sales decreased by 7.7% on an as-reported basis and declined 4.6% on a constant currency basis compared to Q1 2024.
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