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Globus Medical (GMED) posts 27% Q1 2026 sales growth and raises EPS outlook

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Globus Medical delivered a strong start to 2026, with first quarter worldwide net sales of $759.9 million, up 27.0% year over year, or 25.5% on a constant currency basis. Base business net sales excluding Nevro were $677.2 million, up 13.2%.

GAAP net income rose to $124.3 million, an increase of 64.7%, while GAAP diluted EPS climbed to $0.90. Non-GAAP diluted EPS was $1.12, up 64.7%. Net sales from the Nevro acquisition contributed $82.7 million in the quarter.

The company reaffirmed its 2026 revenue outlook of $3.18 billion to $3.22 billion and raised its full-year non-GAAP diluted EPS guidance to $4.70–$4.80 from $4.40–$4.50, reflecting margin expansion and expected benefits from operating leverage and acquisition synergies.

Positive

  • Strong top-line growth: Q1 2026 net sales reached $759.9 million, up 27.0%, with base business sales up 13.2% and additional contribution from the Nevro acquisition.
  • Profit and EPS acceleration: GAAP net income grew 64.7% to $124.3 million and non-GAAP diluted EPS rose 64.7% to $1.12, supported by margin expansion.
  • Guidance raised: Full-year 2026 non-GAAP diluted EPS guidance increased to $4.70–$4.80 from $4.40–$4.50, while revenue guidance of $3.18–$3.22 billion was reaffirmed.

Negative

  • None.

Insights

Q1 2026 shows broad-based growth, higher margins and an EPS guidance raise.

Globus Medical grew Q1 2026 net sales to $759.9 million, up 27.0%, with base business revenue up double digits and Nevro adding $82.7 million. Both U.S. and international markets contributed, with international sales up 35.6% as reported.

Profitability expanded meaningfully: GAAP net income reached $124.3 million, up 64.7%, and Adjusted EBITDA was $245.3 million, or 32.3% of sales. Non-GAAP diluted EPS increased to $1.12 from $0.68, aided by higher volumes, cost actions and synergy realization.

Management reaffirmed 2026 revenue guidance of $3.18–$3.22 billion and raised non-GAAP diluted EPS guidance to $4.70–$4.80 from $4.40–$4.50. Future filings will show how Nevro integration, operating leverage and structural cost actions flow through results over the remaining quarters of 2026.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 net sales $759.9 million Worldwide net sales, up 27.0% year over year
Base business net sales $677.2 million Q1 2026 sales excluding Nevro, up 13.2%
Nevro net sales contribution $82.7 million Q1 2026 net sales of Nevro products
GAAP net income $124.3 million Q1 2026, up 64.7% versus prior-year quarter
GAAP diluted EPS $0.90 Q1 2026, up 66.6% year over year
Non-GAAP diluted EPS $1.12 Q1 2026, up 64.7% from $0.68 in Q1 2025
Adjusted EBITDA $245.3 million Q1 2026, 32.3% of net sales
2026 EPS guidance (non-GAAP) $4.70–$4.80 Raised from prior range of $4.40–$4.50
Adjusted EBITDA financial
"For example, non-GAAP Adjusted EBITDA, which represents net income before interest income, net and other non-operating expenses..."
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
non-GAAP diluted EPS financial
"Non-GAAP diluted EPS was $1.12, an increase of 64.7%."
Non-GAAP diluted EPS (Earnings Per Share) is a measure of a company's profit allocated to each share of stock, calculated using adjusted earnings that exclude certain items like one-time expenses or gains. It provides a view of ongoing performance by removing irregular or non-recurring factors. Investors use it to better understand the company's core profitability and compare performance across different periods or companies.
constant currency net sales growth financial
"Worldwide net sales were $759.9 million, an increase of 27.0%, or an increase of 25.5% on a constant currency basis."
bargain purchase gain financial
"Bargain purchase gain | 1,118 | | | — |"
A bargain purchase gain happens when a buyer acquires another company's assets for less than those assets' estimated fair value, producing an immediate accounting profit for the buyer. For investors, it matters because that one-time gain boosts the acquirer's reported earnings and can signal a very favorable deal — like finding a valuable item at a steep discount — but it may also prompt scrutiny about whether asset values or the deal terms were estimated correctly.
free cash flow financial
"we also define the non-GAAP measure of free cash flow as the net cash provided by operating activities..."
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
Revenue $759.9 million +27.0% year over year
GAAP net income $124.3 million +64.7% year over year
GAAP diluted EPS $0.90 +66.6% year over year
Non-GAAP diluted EPS $1.12 +64.7% year over year
Adjusted EBITDA margin 32.3% up from 29.7% in Q1 2025
Guidance

For full-year 2026, revenue is guided to $3.18–$3.22 billion and non-GAAP diluted EPS is guided to $4.70–$4.80, raised from $4.40–$4.50.

0001237831FALSE00012378312026-05-072026-05-07

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): May 7, 2026
GLOBUS MEDICAL, INC.
(Exact name of registrant as specified in charter)
DELAWARE
001-3562104-3744954
(State or other jurisdiction
of incorporation)
(Commission
File Number)
(IRS Employer
Identification No.)
2560 GENERAL ARMISTEAD AVENUE, AUDUBON, PA 19403-5214
(Address of principal executive offices) (Zip Code)
(610) 930-1800
(Registrant’s telephone number, including area code)
Not Applicable
(Former Address)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
oWritten communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
oSoliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
oPre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
oPre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolsName of exchange on which registered
Class A Common Stock, par value $.001 per shareGMEDNew York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company    o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o



Item 2.02. Results of Operations and Financial Condition.
On May 7, 2026, Globus Medical, Inc. (the “Company”) issued a press release reporting, among other things, its sales and operating results for the three-month period ended March 31, 2026. A copy of the press release is furnished herewith as Exhibit 99.1 and is incorporated herein by reference.
In accordance with general instruction B.2 to Form 8-K, the information included in this Item 2.02, and the exhibit attached hereto, shall be deemed to be “furnished” and shall not be deemed to be “filed” with the Securities and Exchange Commission for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.
Item 9.01. Financial Statements and Exhibits.
Exhibit No.Description
99.1
Press Release dated May 7, 2026
104The cover page from this Current Report on Form 8-K, formatted as Inline XBRL.



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
GLOBUS MEDICAL, INC.
(Registrant)
Dated:May 7, 2026
/s/ KYLE R. KLINE
Kyle R. Kline
Chief Financial Officer
(Principal Financial Officer)
Senior Vice President


Exhibit 99.1
Globus Medical Reports First Quarter 2026 Results
AUDUBON, PA., May 7, 2026: Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal technology company, today announced its financial results for the first quarter ended March 31, 2026.
First Quarter 2026:
Worldwide net sales were $759.9 million, an increase of 27.0%, or an increase of 25.5% on a constant currency basis.
Base business, excluding Nevro, net sales were $677.2 million, an increase of 13.2%, or an increase of 11.2% on a constant currency basis.
GAAP net income for the quarter was $124.3 million.
GAAP diluted earnings per share (“EPS”) was $0.90, an increase of 66.6%. Non-GAAP diluted EPS was $1.12, an increase of 64.7%.
“We’re off to a strong start in 2026 with 27% overall revenue growth and record first quarter earnings. Organic revenue grew over 13%, driven by share gains and procedural volume strength in core spine, while Enabling Technologies delivered against its pipeline and continued to expand its customer base,” commented Keith Pfeil, President and Chief Executive Officer. “Disciplined execution on manufacturing and supply chain initiatives, as well as structural cost actions, coupled with operating leverage on higher volumes, drove margin expansion in excess of sales growth, which we expect to favorably impact full-year results. Our strategic priority remains centered on achieving improved surgical outcomes through the Globus ecosystem, bringing together patient selection, surgical techniques with complementary implants and technology to drive the surgical procedure, through a closed-loop surgical intelligence system.”
“In the first quarter, US Spine continued to lead the way in growth for the organization, posting the third straight 10% growth quarter when compared to the same quarter of the prior year. This, paired with growth across all of our significant underlying businesses, drove record first quarter GAAP and non-GAAP net income and diluted earnings per share,” said Kyle Kline, Chief Financial Officer. “Nevro performed as expected as we continue to diligently work through the integration and adapt the business to Globus’ systems, processes, and metrics. Our total Company first quarter results represent an impressive beginning to 2026, reflecting the ongoing benefits of operating leverage, synergy realization, and financial discipline, positioning us well to deliver sustained earnings growth and value creation throughout the year.”
Worldwide net sales for the first quarter of 2026 were $759.9 million, an as-reported increase of 27.0% over the first quarter of 2025. U.S. net sales for the first quarter of 2026 increased by 25.0% compared to the first quarter of 2025. International net sales increased by 35.6% over the first quarter of 2025 on an as-reported basis and increased by 27.8% on a constant currency basis.
GAAP net income for the first quarter of 2026 was $124.3 million, an increase of 64.7% over the same period in the prior year. The increase in GAAP net income was primarily driven by higher sales of $161.7 million, with the sales from the acquisition of Nevro contributing $82.7 million. GAAP diluted EPS for the first quarter was $0.90, compared to $0.54 for the first quarter of 2025, an increase of 66.6%. Non-GAAP diluted EPS for the first quarter of 2026, which excludes, among other costs, amortization of intangibles, merger and acquisition-related costs, and restructuring-related costs, was $1.12, compared to $0.68 in the first quarter of 2025, an increase of 64.7%.
2026 Annual Guidance
The Company reaffirms its guidance for full-year 2026 revenue to be in the range of $3.18 billion to $3.22 billion and updates its guidance for non-GAAP fully diluted EPS to be in the range of $4.70 to $4.80 from the previous range of $4.40 to $4.50.
Conference Call Information
Globus Medical will hold a teleconference to discuss its 2026 first quarter 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.
Globus Medical, Inc. is a leading global musculoskeletal technology 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 (“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, 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 March 31, 2026 and for other comparative periods, we are presenting non-GAAP net income and non-GAAP diluted EPS, which represent net income and diluted EPS 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 income tax net benefits and non-recurring tax adjustments, 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, 2026 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. (“Nevro”) and its subsidiaries. We believe these provide insight to how the Company is performing without the impact of our most recent acquisition.
Non-GAAP Adjusted EBITDA, non-GAAP net income, non-GAAP diluted EPS, non-GAAP gross profit, free cash flow, constant currency net sales growth, base business sales, excluding the contribution from the recently acquired Nevro, and day-adjusted basis sales are not calculated in conformity with 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 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. The tables included in this release reconcile the GAAP financial measures to the non-GAAP financial measures discussed above for the three months ended March 31, 2026.
We are unable to present a quantitative reconciliation of our expected fully diluted GAAP EPS to non-GAAP diluted EPS as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of provision for litigation, amortization of intangibles, merger and acquisition-related costs, restructuring related costs, certain foreign currency acquisition-related impacts, bargain purchase gains, certain income tax net benefits from non-recurring tax adjustments, gains and losses from strategic investments,



and the tax effects of all of the foregoing adjustments. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our Consolidated Statements of Income.
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 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, the successful integration of businesses that we have acquired or may acquire in the future, and other risks. For a discussion of these and other risks, uncertainties, and other factors that could affect our results, refer to the disclosures contained in our most recent Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission (the “SEC”), including the sections labeled “Risk Factors” and “Cautionary Note Concerning Forward-Looking Statements,” and in our subsequent filings with the SEC. 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. Except as may be required by applicable law, 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. As used herein, the “Company”, “Globus”, “Globus Medical”, “we”, “us”, and “our” refers to Globus Medical, Inc.



GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
Three Months Ended
March 31,
(In thousands, except per share amounts)20262025
Net sales$759,854 $598,121 
Cost of Sales and Operating expenses:
Cost of sales (exclusive of amortization of intangibles)234,066 195,397 
Research and development36,510 33,062 
Selling, general and administrative297,775 242,799 
Amortization of intangibles29,526 28,802 
Acquisition-related costs6,377 1,057 
Restructuring costs5,212 — 
Operating income/(loss)150,388 97,004 
Other income/(expense), net
Interest income/(expense), net5,434 1,681 
Foreign currency transaction gain/(loss)(2,113)4,270 
Bargain purchase gain1,118 — 
Other income/(expense)2,247 713 
Total other income/(expense), net6,686 6,664 
Income/(loss) before income taxes157,074 103,668 
Income tax provision/(benefit)32,772 28,206 
Net income/(loss)$124,302 $75,462 
Other comprehensive income/(loss), net of tax:
Unrealized gain/(loss) on marketable securities(1,160)315 
Foreign currency translation gain/(loss)218 4,379 
Total other comprehensive income/(loss), net of tax(942)4,694 
Comprehensive income/(loss)$123,360 $80,156 
Earnings per share:
Basic$0.92 $0.55 
Diluted$0.90 $0.54 
Weighted average shares outstanding:
Basic135,364136,757
Diluted138,191139,774



GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(unaudited)
March 31,December 31,
(In thousands, except share and per share values)20262025
ASSETS
Current assets:
Cash and cash equivalents$560,950 $526,156 
Short-term marketable securities68,901 31,087 
Accounts receivable, net of allowances $40,933 and $33,434, respectively
686,433 678,938 
Inventories772,602 759,277 
Prepaid expenses and other current assets60,228 65,426 
Income taxes receivable49,006 64,727 
Total current assets2,198,120 2,125,611 
Property and equipment, net557,139 564,452 
Operating lease right of use assets61,507 63,786 
Long-term marketable securities169,437 71,819 
Intangible assets, net720,845 745,064 
Goodwill1,438,733 1,435,033 
Other assets78,964 78,781 
Deferred income taxes214,810 218,215 
Total assets$5,439,555 $5,302,761 
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable$103,658 $98,852 
Accrued expenses313,431 333,586 
Operating lease liabilities15,121 14,738 
Income taxes payable3,032 4,155 
Business acquisition liabilities20,874 19,513 
Deferred revenue26,347 27,655 
Total current liabilities482,463 498,499 
Business acquisition liabilities, net of current portion79,444 81,995 
Operating lease liabilities100,102 103,918 
Deferred income taxes and other tax liabilities24,658 23,756 
Other liabilities20,576 21,343 
Total liabilities707,243 729,511 
Equity:
Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 113,236,099 and 112,625,126 shares at March 31, 2026 and December 31, 2025, respectively
113 113 
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, 2026 and December 31, 2025, respectively
22 22 
Additional paid-in capital3,205,514 3,169,812 
Accumulated other comprehensive income/(loss)14,404 15,346 
Retained earnings1,512,259 1,387,957 
Total equity4,732,312 4,573,250 
Total liabilities and equity$5,439,555 $5,302,761 



GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
Three Months Ended
March 31,
(In thousands)20262025
Cash flows from operating activities:
Net income$124,302 $75,462 
Adjustments to reconcile net income to net cash provided by operating activities:
Bargain purchase gain (1,118)— 
Depreciation and amortization69,856 65,653 
Provision for excess and obsolete inventory4,960 5,960 
Amortization of acquisition accounting fair value step up 6,707 
Stock-based compensation expense12,617 13,206 
Allowance for expected credit losses5,277 3,206 
Change in fair value of business acquisition liabilities6,352 167 
Change in deferred income taxes7,962 509 
(Gain)/loss on disposal of assets, net2,449 2,613 
Payment of business acquisition-related liabilities(2,273)(2,012)
Net (gain)/loss from foreign currency adjustment98 (3,772)
(Increase) decrease in:
Accounts receivable(13,399)22,603 
Inventories(16,651)(7,587)
Prepaid expenses and other assets6,942 4,534 
Increase (decrease) in:
Accounts payable5,082 (899)
Accrued expenses and other liabilities(24,668)(28,658)
Income taxes payable/receivable14,576 19,608 
Net cash provided by/(used in) operating activities202,364 177,300 
Cash flows from investing activities:
Purchases of marketable securities(146,393)(1,750)
Sales and maturities of marketable securities8,243 174,238 
Purchases of property and equipment(39,615)(36,103)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets(4,909)(5,000)
Net cash provided by/(used in) investing activities(182,674)131,385 
Cash flows from financing activities:
Payment of business acquisition-related liabilities(4,324)(3,890)
Net proceeds from exercise of stock options25,961 11,223 
Payments related to tax withholdings for share-based compensation(3,440)(2,293)
Repurchase of common stock (190,451)
Repayment of senior convertible notes (449,985)
Net cash provided by/(used in) financing activities18,197 (635,396)
Effect of foreign exchange rates on cash(3,093)3,539 
Net increase/(decrease) in cash and cash equivalents34,794 (323,172)
Cash and cash equivalents at beginning of period526,156 784,438 
Cash and cash equivalents at end of period$560,950 $461,266 
Supplemental disclosures of cash flow information:
Income taxes paid, net$5,991 $7,199 
Non-cash investing and financing activities:
Accrued purchases of property and equipment$10,517 $10,014 



Supplemental Financial Information
Net Sales by Product Category:
Three Months Ended
March 31,
(In thousands)20262025
Musculoskeletal Solutions$732,984 $575,932 
Enabling Technologies26,870 22,189 
Total net sales$759,854 $598,121 
Liquidity and Capital Resources:
March 31,December 31,
(In thousands)20262025
Cash and cash equivalents$560,950 $526,156 
Short-term marketable securities68,901 31,087 
Long-term marketable securities169,437 71,819 
Total cash, cash equivalents and marketable securities$799,288 $629,062 
The following tables reconcile GAAP to non-GAAP financial measures.
Non-GAAP Adjusted EBITDA Reconciliation Table:
Three Months Ended
March 31,
(In thousands, except percentages)20262025
Net income/(loss)$124,302 $75,462 
Interest (income)/expense, net(5,434)(1,681)
Provision for income taxes32,772 28,206 
Depreciation and amortization70,121 66,074 
EBITDA221,761 168,061 
Stock-based compensation expense12,614 13,052 
Provision for litigation, net134 (1,287)
Merger and acquisition-related costs (1)
6,441 1,106 
Net (gain) loss from strategic investments(825)(61)
Non-cash acquisition-related foreign currency impacts(98)(3,772)
Restructuring costs6,387 734 
Bargain purchase gain(1,118)— 
Adjusted EBITDA$245,296 $177,833 
Net income/(loss) as a percentage of net sales16.4 %12.6 %
Adjusted EBITDA as a percentage of net sales32.3 %29.7 %
(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,
(In thousands)20262025
Amortization of inventory fair value step up$— $49 
Change in fair value of business acquisition liabilities6,352 167 
Employee-related costs (b)
25 — 
Other acquisition-related costs (a)
64 890 
Merger and acquisition-related costs$6,441 $1,106 
(a)Primarily comprised of legal fees, advisory and consulting fees.
(b)Primarily comprised of severance, share based compensation and termination fees.

Non-GAAP Net Income Reconciliation Table:
Three Months Ended
March 31,
(In thousands)20262025
Net income/(loss)$124,302 $75,462 
Provision for litigation, net134 (1,287)
Amortization of intangibles29,526 28,802 
Merger and acquisition -related costs (1)
6,441 1,106 
Net gain/(loss) on strategic investments(825)(61)
Non-cash acquisition-related foreign currency impacts(98)(3,772)
Restructuring costs6,387 734 
Bargain purchase gain(1,118)— 
Tax effect of adjusting items(9,853)(6,156)
Non-GAAP net income/(loss)$154,896 $94,828 
(1) See footnote 1 to the Non-GAAP Adjusted EBITDA Reconciliation Table above for the detail for these costs.

Non-GAAP Gross Profit Reconciliation Table:
Three Months Ended
March 31,
(In thousands)20262025
Net sales$759,854 $598,121 
Cost of sales (exclusive of amortization of intangibles)234,066 195,397 
Amortization of intangibles21,131 22,208 
Gross Profit$504,657 $380,516 
Amortization of inventory fair value step up— 49 
Amortization of intangibles21,131 22,208 
Adjusted Gross Profit$525,788 $402,773 
Gross Profit % of Net Sales66.4%63.6%
Adjusted Gross Profit % of Net Sales69.2%67.3%




Non-GAAP Diluted Earnings Per Share Reconciliation Table:
Three Months Ended
March 31,
(In thousands)20262025
Diluted earnings per share, as reported$0.90 $0.54 
Provision for litigation, net— (0.01)
Amortization of intangibles0.21 0.21 
Merger and acquisition -related costs (1)
0.05 0.01 
Net (gain) loss from strategic investments(0.01)0.00 
Non-cash acquisition-related foreign currency impacts— (0.03)
Restructuring costs0.05 0.01 
Bargain purchase gain(0.01)— 
Tax effect of adjusting items(0.07)(0.04)
Non-GAAP diluted earnings per share$1.12 $0.68 
(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)20262025
Net cash provided by operating activities$202,364 $177,300 
Purchases of property and equipment(39,615)(36,103)
Free cash flow$162,749 $141,197 
Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
Three Months Ended
March 31,
Reported
Net Sales
Growth
Currency
Impact on
Current
Period Net Sales
Constant
Currency
Net Sales
Growth
(In thousands, except percentages)20262025
United States$604,888 $483,857 25.0%$— 25.0%
International154,966 114,264 35.6%8,974 27.8%
Total net sales$759,854 $598,121 27.0%$8,974 25.5%
Net Sales Reconciliation of the Nevro Acquisition Table:
Three Months Ended
March 31,
(In thousands)20262025
Net Sales of Nevro products$82,675 $— 
Net Sales of base business677,179 598,121 
Total net sales$759,854 $598,121 
Adjusted EBITDA Reconciliation of the Nevro Acquisition Table:
Three Months Ended
March 31,
(In thousands)20262025
Adjusted EBITDA of the acquired Nevro subsidiaries$9,789 $— 
Adjusted EBITDA of base business235,507 177,833 
Total Adjusted EBITDA (1)
$245,296 $177,833 
(1)See Non-GAAP Adjusted EBITDA Reconciliation Table above for calculation.





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



FAQ

How did Globus Medical (GMED) perform financially in Q1 2026?

Globus Medical delivered strong Q1 2026 results, with net sales of $759.9 million, up 27.0% year over year. GAAP net income rose to $124.3 million and GAAP diluted EPS reached $0.90, reflecting higher volumes and improved margins.

What was Globus Medical’s Q1 2026 non-GAAP EPS and how did it change?

Globus Medical reported Q1 2026 non-GAAP diluted EPS of $1.12, up from $0.68 in Q1 2025. This 64.7% increase reflects higher net sales, operating leverage, synergy realization from acquisitions, and the impact of restructuring and cost actions.

How much did the Nevro acquisition contribute to Globus Medical’s Q1 2026 sales?

Net sales from Nevro products were $82.7 million in Q1 2026. Base business net sales excluding Nevro were $677.2 million, up 13.2% year over year, showing that both the core business and the acquired products supported overall growth.

What guidance did Globus Medical give for full-year 2026 revenue and EPS?

Globus Medical reaffirmed 2026 revenue guidance of $3.18 billion to $3.22 billion and raised its non-GAAP diluted EPS guidance to $4.70–$4.80, up from $4.40–$4.50, reflecting expectations for continued margin expansion and synergy benefits.

How did Globus Medical’s profitability and margins trend in Q1 2026?

GAAP net income increased to $124.3 million, up 64.7%, and Adjusted EBITDA reached $245.3 million, or 32.3% of net sales. Adjusted gross profit margin improved to 69.2%, indicating stronger operating leverage and benefits from cost and integration initiatives.

What was Globus Medical’s cash generation and liquidity position after Q1 2026?

Free cash flow for Q1 2026 was $162.7 million, based on net cash from operating activities of $202.4 million and $39.6 million of capital expenditures. Total cash, cash equivalents and marketable securities were $799.3 million as of March 31, 2026.

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