Press Release
« Back
Globus Medical Reports First Quarter 2026 Results
May 07, 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
“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
Worldwide net sales for the first quarter of 2026 were
GAAP net income for the first quarter of 2026 was
2026 Annual Guidance
The Company reaffirms its guidance for full-year 2026 revenue to be in the range of
Conference Call Information
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
About
Non-GAAP Financial Measures
To supplement our financial statements prepared in accordance with
In addition, for the period ended
Additionally, for the period ended
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
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
CONSOLIDATED STATEMENTS OF INCOME (unaudited) |
||||||
| Three Months Ended |
||||||
| (In thousands, except per share amounts) | 2026 | 2025 | ||||
| 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 development | 36,510 | 33,062 | ||||
| Selling, general and administrative | 297,775 | 242,799 | ||||
| Amortization of intangibles | 29,526 | 28,802 | ||||
| Acquisition-related costs | 6,377 | 1,057 | ||||
| Restructuring costs | 5,212 | — | ||||
| Operating income/(loss) | 150,388 | 97,004 | ||||
| Other income/(expense), net | ||||||
| Interest income/(expense), net | 5,434 | 1,681 | ||||
| Foreign currency transaction gain/(loss) | (2,113 | ) | 4,270 | |||
| Bargain purchase gain | 1,118 | — | ||||
| Other income/(expense) | 2,247 | 713 | ||||
| Total other income/(expense), net | 6,686 | 6,664 | ||||
| Income/(loss) before income taxes | 157,074 | 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: | ||||||
| Basic | 135,364 | 136,757 | ||||
| Diluted | 138,191 | 139,774 | ||||
CONSOLIDATED BALANCE SHEETS
(unaudited)
| (In thousands, except share and per share values) | 2026 | 2025 | |||
| ASSETS | |||||
| Current assets: | |||||
| Cash and cash equivalents | $ | 560,950 | $ | 526,156 | |
| Short-term marketable securities | 68,901 | 31,087 | |||
| Accounts receivable, net of allowances |
686,433 | 678,938 | |||
| Inventories | 772,602 | 759,277 | |||
| Prepaid expenses and other current assets | 60,228 | 65,426 | |||
| Income taxes receivable | 49,006 | 64,727 | |||
| Total current assets | 2,198,120 | 2,125,611 | |||
| Property and equipment, net | 557,139 | 564,452 | |||
| Operating lease right of use assets | 61,507 | 63,786 | |||
| Long-term marketable securities | 169,437 | 71,819 | |||
| Intangible assets, net | 720,845 | 745,064 | |||
| 1,438,733 | 1,435,033 | ||||
| Other assets | 78,964 | 78,781 | |||
| Deferred income taxes | 214,810 | 218,215 | |||
| Total assets | $ | 5,439,555 | $ | 5,302,761 | |
| LIABILITIES AND EQUITY | |||||
| Current liabilities: | |||||
| Accounts payable | $ | 103,658 | $ | 98,852 | |
| Accrued expenses | 313,431 | 333,586 | |||
| Operating lease liabilities | 15,121 | 14,738 | |||
| Income taxes payable | 3,032 | 4,155 | |||
| Business acquisition liabilities | 20,874 | 19,513 | |||
| Deferred revenue | 26,347 | 27,655 | |||
| Total current liabilities | 482,463 | 498,499 | |||
| Business acquisition liabilities, net of current portion | 79,444 | 81,995 | |||
| Operating lease liabilities | 100,102 | 103,918 | |||
| Deferred income taxes and other tax liabilities | 24,658 | 23,756 | |||
| Other liabilities | 20,576 | 21,343 | |||
| Total liabilities | 707,243 | 729,511 | |||
| Equity: | |||||
| Class A common stock; |
113 | 113 | |||
| Class B common stock; |
22 | 22 | |||
| Additional paid-in capital | 3,205,514 | 3,169,812 | |||
| Accumulated other comprehensive income/(loss) | 14,404 | 15,346 | |||
| Retained earnings | 1,512,259 | 1,387,957 | |||
| Total equity | 4,732,312 | 4,573,250 | |||
| Total liabilities and equity | $ | 5,439,555 | $ | 5,302,761 | |
CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) |
|||||||
| Three Months Ended |
|||||||
| (In thousands) | 2026 | 2025 | |||||
| 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 amortization | 69,856 | 65,653 | |||||
| Provision for excess and obsolete inventory | 4,960 | 5,960 | |||||
| Amortization of acquisition accounting fair value step up | — | 6,707 | |||||
| Stock-based compensation expense | 12,617 | 13,206 | |||||
| Allowance for expected credit losses | 5,277 | 3,206 | |||||
| Change in fair value of business acquisition liabilities | 6,352 | 167 | |||||
| Change in deferred income taxes | 7,962 | 509 | |||||
| (Gain)/loss on disposal of assets, net | 2,449 | 2,613 | |||||
| Payment of business acquisition-related liabilities | (2,273 | ) | (2,012 | ) | |||
| Net (gain)/loss from foreign currency adjustment | 98 | (3,772 | ) | ||||
| (Increase) decrease in: | |||||||
| Accounts receivable | (13,399 | ) | 22,603 | ||||
| Inventories | (16,651 | ) | (7,587 | ) | |||
| Prepaid expenses and other assets | 6,942 | 4,534 | |||||
| Increase (decrease) in: | |||||||
| Accounts payable | 5,082 | (899 | ) | ||||
| Accrued expenses and other liabilities | (24,668 | ) | (28,658 | ) | |||
| Income taxes payable/receivable | 14,576 | 19,608 | |||||
| Net cash provided by/(used in) operating activities | 202,364 | 177,300 | |||||
| Cash flows from investing activities: | |||||||
| Purchases of marketable securities | (146,393 | ) | (1,750 | ) | |||
| Sales and maturities of marketable securities | 8,243 | 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 options | 25,961 | 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 activities | 18,197 | (635,396 | ) | ||||
| Effect of foreign exchange rates on cash | (3,093 | ) | 3,539 | ||||
| Net increase/(decrease) in cash and cash equivalents | 34,794 | (323,172 | ) | ||||
| Cash and cash equivalents at beginning of period | 526,156 | 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 |
|||||
| Three Months Ended |
|||||
| (In thousands) | 2026 | 2025 | |||
| Musculoskeletal Solutions | $ | 732,984 | $ | 575,932 | |
| 26,870 | 22,189 | ||||
| Total net sales | $ | 759,854 | $ | 598,121 | |
Liquidity and Capital Resources:
| (In thousands) | 2026 | 2025 | |||
| Cash and cash equivalents | $ | 560,950 | $ | 526,156 | |
| Short-term marketable securities | 68,901 | 31,087 | |||
| Long-term marketable securities | 169,437 | 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 |
|||||||
| (In thousands, except percentages) | 2026 | 2025 | |||||
| Net income/(loss) | $ | 124,302 | $ | 75,462 | |||
| Interest (income)/expense, net | (5,434 | ) | (1,681 | ) | |||
| Provision for income taxes | 32,772 | 28,206 | |||||
| Depreciation and amortization | 70,121 | 66,074 | |||||
| EBITDA | 221,761 | 168,061 | |||||
| Stock-based compensation expense | 12,614 | 13,052 | |||||
| Provision for litigation, net | 134 | (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 costs | 6,387 | 734 | |||||
| Bargain purchase gain | (1,118 | ) | — | ||||
| Adjusted EBITDA | $ | 245,296 | $ | 177,833 | |||
| Net income/(loss) as a percentage of net sales | 16.4 | % | 12.6 | % | |||
| Adjusted EBITDA as a percentage of net sales | 32.3 | % | 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 |
|||||
| (In thousands) | 2026 |
2025 |
|||
| Amortization of inventory fair value step up | $ | — | $ | 49 | |
| Change in fair value of business acquisition liabilities | 6,352 | 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 |
|||||||
| (In thousands) | 2026 | 2025 | |||||
| Net income/(loss) | $ | 124,302 | $ | 75,462 | |||
| Provision for litigation, net | 134 | (1,287 | ) | ||||
| Amortization of intangibles | 29,526 | 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 costs | 6,387 | 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 |
|||||||
| (In thousands) | 2026 | 2025 | |||||
| Net sales | $ | 759,854 | $ | 598,121 | |||
| Cost of sales (exclusive of amortization of intangibles) | 234,066 | 195,397 | |||||
| Amortization of intangibles | 21,131 | 22,208 | |||||
| Gross Profit | $ | 504,657 | $ | 380,516 | |||
| Amortization of inventory fair value step up | — | 49 | |||||
| Amortization of intangibles | 21,131 | 22,208 | |||||
| Adjusted Gross Profit | $ | 525,788 | $ | 402,773 | |||
| Gross Profit % of |
66.4 | % | 63.6 | % | |||
| Adjusted Gross Profit % of |
69.2 | % | 67.3 | % | |||
| Non-GAAP Diluted Earnings Per Share Reconciliation Table: |
|||||||
| Three Months Ended |
|||||||
| (In thousands) | 2026 | 2025 | |||||
| Diluted earnings per share, as reported | $ | 0.90 | $ | 0.54 | |||
| Provision for litigation, net | — | (0.01 | ) | ||||
| Amortization of intangibles | 0.21 | 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 costs | 0.05 | 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 |
|||||||
| (In thousands) | 2026 | 2025 | |||||
| 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 |
||||||||||||||
| Three Months Ended |
Reported Growth |
Currency Impact on Current Period |
Constant Currency Growth |
|||||||||||
| (In thousands, except percentages) | 2026 |
2025 |
||||||||||||
| $ | 604,888 | $ | 483,857 | 25.0 | % | $ | — | 25.0 | % | |||||
| International | 154,966 | 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 |
|||||
| (In thousands) | 2026 | 2025 | |||
| $ | 82,675 | $ | — | ||
| 677,179 | 598,121 | ||||
| Total net sales | $ | 759,854 | $ | 598,121 | |
| Adjusted EBITDA Reconciliation of the Nevro Acquisition Table: |
|||||
| Three Months Ended |
|||||
| (In thousands) | 2026 |
2025 |
|||
| Adjusted EBITDA of the acquired |
$ | 9,789 | $ | — | |
| Adjusted EBITDA of base business | 235,507 | 177,833 | |||
| Total Adjusted EBITDA (1) | $ | 245,296 | $ | 177,833 | |
| (1) | See Non-GAAP Adjusted EBITDA Reconciliation Table above for calculation. |
Investor Contact:
Senior Vice President, Corporate Development and Investor Relations
Phone: (610) 930-1800
Email: investors@globusmedical.com
www.globusmedical.com
Source: Globus Medical
