Globus Medical Reports Second Quarter 2025 Results
AUDUBON, Pa., Aug. 07, 2025 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the quarter ended June 30, 2025.
- Worldwide net sales were $745.3 million, an increase of 18.4%, or an increase of 17.6% on a constant currency basis
- GAAP net income for the quarter was $202.8 million
- GAAP diluted earnings per share (“EPS”) was $1.49 and non-GAAP diluted EPS was $0.86
“Q2 results were led by our US Spine business, growing 5.7%, as reported and 7.4% on a day-adjusted basis. US Spine had sustained momentum during the quarter, posting its highest sequential revenue growth since the second quarter of 2022,” commented Keith Pfeil, President and Chief Executive Officer. “Enabling Technologies showed a modest bounce back in Q2, while we remain focused on accelerating deal timelines from our pipeline to make robotic assisted surgery the standard of care moving ahead. We continue to step-up investment and output, delivering more product in the hands of our sales reps, while they continue to increase engagement with our surgeon partners, highlighting the clinical superiority of our products. These focused efforts will plant the seeds of driving a return to above market growth across our portfolio. Our long-term strategy remains unchanged, as we continue to focus on new product launches, driving organic growth, competitive rep recruiting to expand our sales force and robotic account pull through. We remain steadfast on those focal areas, while working to finalize integration efforts from our recent M&A activity in a manner that demonstrates topline growth and financial prudence.”
“As we enter August, we continue to be encouraged by the momentum of our Globus base business, which posted above market growth in the second quarter. Our second quarter results are a testament of achieving operational efficiency, while focusing on long-term, profitable growth,” commented Kyle Kline, CFO. “We achieved record quarterly non-GAAP earnings per share this quarter, driven by the Globus base business. In addition, we closed the Nevro acquisition and began diligently working to identify and execute synergy actions. We remain well positioned to build on the strength of the second quarter and to deliver on our commitments in the second half of 2025.”
Worldwide net sales for the second quarter of 2025 were $745.3 million, an as-reported increase of 18.4% over the second quarter of 2024. U.S. net sales for the second quarter of 2025 increased by 20.3% compared to the second quarter of 2024. International net sales increased by 11.0% over the second quarter of 2024 on an as-reported basis and increased by 7.5% on a constant currency basis.
GAAP net income for the second quarter of 2025 was $202.8 million, an increase of 538.7% over the same period in the prior year. The GAAP net income increase was primarily driven by the bargain purchase gain of $110.6 million and the tax benefit of $34.8 million from the release of a valuation allowance on certain deferred tax assets in the current period. Diluted EPS for the second quarter was $1.49, compared to a $0.23 for the second quarter of 2024. Non-GAAP diluted EPS for the second quarter of 2025, which excludes, among other costs, the bargain purchase gain, tax benefit from the valuation allowance release, and acquisition and restructuring-related costs, was $0.86, compared to $0.75 in the second quarter of 2024, an increase of 14.1%.
Net cash provided by operating activities was $77.9 million, and non-GAAP free cash flow was $31.3 million for the second 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 its guidance for non-GAAP fully diluted earnings per share to be in the range of $3.00 to $3.30.
Conference Call Information
Globus Medical will hold a teleconference to discuss its second 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 .
To participate via telephone, please register in advance at this . 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 .
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, 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 June 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 June 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, Inc 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, free cash flow, constant currency net sales growth, base business sales, excluding the contribution from the recently acquired Nevro, Inc, and 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 “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 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 | Six Months Ended | |||||||||||||||
| June 30, | June 30, | |||||||||||||||
| (In thousands, except per share amounts) | 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Net sales | $ | 745,342 | $ | 629,691 | $ | 1,343,463 | $ | 1,236,357 | ||||||||
| Cost of Sales and Operating expenses: | ||||||||||||||||
| Cost of sales (exclusive of amortization of intangibles) | 248,765 | 260,040 | 444,162 | 501,527 | ||||||||||||
| Research and development | 39,954 | 37,698 | 73,016 | 94,966 | ||||||||||||
| Selling, general and administrative | 303,622 | 239,454 | 546,421 | 488,133 | ||||||||||||
| Amortization of intangibles | 30,189 | 29,709 | 58,991 | 59,385 | ||||||||||||
| Acquisition-related costs | 33,156 | 13,734 | 34,213 | 16,152 | ||||||||||||
| Restructuring costs | 13,547 | (566 | ) | 13,547 | 18,575 | |||||||||||
| Operating income/(loss) | 76,109 | 49,622 | 173,113 | 57,619 | ||||||||||||
| Other income/(expense), net | ||||||||||||||||
| Interest income/(expense), net | 693 | (2,335 | ) | 2,374 | (4,229 | ) | ||||||||||
| Foreign currency transaction gain/(loss) | 38 | (703 | ) | 4,308 | (16,074 | ) | ||||||||||
| Bargain purchase gain | 110,561 | — | 110,561 | — | ||||||||||||
| Other income/(expense) | 772 | 997 | 1,485 | 1,707 | ||||||||||||
| Total other income/(expense), net | 112,064 | (2,041 | ) | 118,728 | (18,596 | ) | ||||||||||
| Income/(loss) before income taxes | 188,173 | 47,581 | 291,841 | 39,023 | ||||||||||||
| Income tax provision/(benefit) | (14,673 | ) | 15,821 | 13,533 | 14,380 | |||||||||||
| Net income/(loss) | $ | 202,846 | $ | 31,760 | $ | 278,308 | $ | 24,643 | ||||||||
| Other comprehensive income/(loss), net of tax: | ||||||||||||||||
| Unrealized gain/(loss) on marketable securities | 2 | 492 | 317 | 871 | ||||||||||||
| Foreign currency translation gain/(loss) | 12,404 | (1,298 | ) | 16,783 | (2,530 | ) | ||||||||||
| Total other comprehensive income/(loss), net of tax | 12,406 | (806 | ) | 17,100 | (1,659 | ) | ||||||||||
| Comprehensive income/(loss) | $ | 215,252 | $ | 30,954 | $ | 295,408 | $ | 22,984 | ||||||||
| Earnings per share: | ||||||||||||||||
| Basic | $ | 1.50 | $ | 0.23 | $ | 2.05 | $ | 0.18 | ||||||||
| Diluted | $ | 1.49 | $ | 0.23 | $ | 2.01 | $ | 0.18 | ||||||||
| Weighted average shares outstanding: | ||||||||||||||||
| Basic | 135,205 | 135,195 | 135,981 | 135,276 | ||||||||||||
| Diluted | 136,499 | 136,979 | 138,137 | 136,836 | ||||||||||||
| GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (unaudited) | |||||||
| June 30, | December 31, | ||||||
| (In thousands, except share and per share values) | 2025 | 2024 | |||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 229,446 | $ | 784,438 | |||
| Short-term marketable securities | — | 105,619 | |||||
| Accounts receivable, net of allowances of $26,607 and $15,505, respectively | 611,565 | 557,697 | |||||
| Inventories | 772,131 | 659,233 | |||||
| Prepaid expenses and other current assets | 68,202 | 49,640 | |||||
| Income taxes receivable | 48,558 | 20,633 | |||||
| Total current assets | 1,729,902 | 2,177,260 | |||||
| Property and equipment, net of accumulated depreciation of $601,753 and $545,786, respectively | 587,505 | 561,909 | |||||
| Operating lease right of use assets | 61,587 | 49,647 | |||||
| Long-term marketable securities | — | 66,134 | |||||
| Intangible assets, net | 796,372 | 795,117 | |||||
| Goodwill | 1,434,983 | 1,432,387 | |||||
| Other assets | 74,843 | 75,096 | |||||
| Deferred income taxes | 275,897 | 94,200 | |||||
| Total assets | $ | 4,961,089 | $ | 5,251,750 | |||
| LIABILITIES AND EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 87,099 | $ | 75,118 | |||
| Accrued expenses | 281,747 | 260,591 | |||||
| Operating lease liabilities | 13,179 | 10,249 | |||||
| Income taxes payable | — | 10,725 | |||||
| Senior convertible notes | — | 443,351 | |||||
| Business acquisition liabilities | 18,619 | 33,739 | |||||
| Deferred revenue | 24,020 | 22,140 | |||||
| Total current liabilities | 424,664 | 855,913 | |||||
| Business acquisition liabilities, net of current portion | 86,353 | 89,496 | |||||
| Operating lease liabilities | 107,925 | 83,588 | |||||
| Deferred income taxes and other tax liabilities | 24,402 | 23,889 | |||||
| Other liabilities | 22,062 | 21,531 | |||||
| Total liabilities | 665,406 | 1,074,417 | |||||
| Equity: | |||||||
| Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 112,620,208 and 114,990,219 shares at June 30, 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 June 30, 2025 and December 31, 2024, respectively | 22 | 22 | |||||
| Additional paid-in capital | 3,071,652 | 3,031,244 | |||||
| Accumulated other comprehensive income/(loss) | 10,239 | (6,861 | ) | ||||
| Retained earnings | 1,213,657 | 1,152,813 | |||||
| Total equity | 4,295,683 | 4,177,333 | |||||
| Total liabilities and equity | $ | 4,961,089 | $ | 5,251,750 | |||
| GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) | ||||||||
| Six Months Ended | ||||||||
| June 30, | ||||||||
| (In thousands) | 2025 | 2024 | ||||||
| Cash flows from operating activities: | ||||||||
| Net income | $ | 278,308 | $ | 24,643 | ||||
| Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
| Bargain Purchase Gain | (110,561 | ) | — | |||||
| Acquired in-process research and development | — | 12,613 | ||||||
| Depreciation and amortization | 136,705 | 118,849 | ||||||
| Amortization of premiums on marketable securities | (421 | ) | (14 | ) | ||||
| Provision for excess and obsolete inventory | 10,933 | 10,498 | ||||||
| Amortization of inventory fair value step-up | 6,015 | 107,341 | ||||||
| Amortization of 2025 Notes fair value step-up | 6,658 | 13,315 | ||||||
| Stock-based compensation expense | 26,823 | 30,073 | ||||||
| Allowance for expected credit losses | 4,554 | 11,481 | ||||||
| Change in fair value of business acquisition liabilities | 5,389 | 12,739 | ||||||
| Change in deferred income taxes | (41,236 | ) | (65,275 | ) | ||||
| (Gain)/loss on disposal of assets, net | 6,131 | 464 | ||||||
| Payment of business acquisition-related liabilities | (15,764 | ) | (16,965 | ) | ||||
| Net (gain)/loss from foreign currency adjustment | (11,342 | ) | 6,558 | |||||
| (Increase) decrease in: | ||||||||
| Accounts receivable | 20,395 | (124,206 | ) | |||||
| Inventories | (11,722 | ) | (22,855 | ) | ||||
| Prepaid expenses and other assets | 852 | (2,001 | ) | |||||
| Increase (decrease) in: | ||||||||
| Accounts payable | (4,085 | ) | 11,561 | |||||
| Accrued expenses and other liabilities | (13,841 | ) | (28,951 | ) | ||||
| Income taxes payable/receivable | (38,626 | ) | 6,777 | |||||
| Net cash provided by/(used in) operating activities | 255,165 | 106,645 | ||||||
| Cash flows from investing activities: | ||||||||
| Purchases of marketable securities | (1,750 | ) | (12,174 | ) | ||||
| Maturities of marketable securities | 58,630 | 21,709 | ||||||
| Sales of marketable securities | 115,608 | 7,404 | ||||||
| Purchases of property and equipment | (82,665 | ) | (56,366 | ) | ||||
| Acquisition of businesses, net of cash acquired and purchases of intangible and other assets | (252,546 | ) | (17,535 | ) | ||||
| Acquisition of intangible assets | (5,000 | ) | — | |||||
| Proceeds from credit facility | 20,000 | — | ||||||
| Repayment of borrowings from credit facility | (20,000 | ) | — | |||||
| Net cash provided by/(used in) investing activities | (167,723 | ) | (56,962 | ) | ||||
| Cash flows from financing activities: | ||||||||
| Payment of business acquisition-related liabilities | (7,864 | ) | (33,921 | ) | ||||
| Net proceeds from exercise of stock options | 15,920 | 17,651 | ||||||
| Payments related to tax withholdings for share-based compensation | (2,953 | ) | (5,955 | ) | ||||
| Repurchase of common stock | (215,451 | ) | (84,787 | ) | ||||
| Repayment of senior convertible notes | (449,985 | ) | — | |||||
| Net cash provided by/(used in) financing activities | (660,333 | ) | (107,012 | ) | ||||
| Effect of foreign exchange rates on cash | 17,899 | 461 | ||||||
| Net increase/(decrease) in cash and cash equivalents | (554,992 | ) | (56,868 | ) | ||||
| Cash and cash equivalents at beginning of period | 784,438 | 467,292 | ||||||
| Cash and cash equivalents at end of period | $ | 229,446 | $ | 410,424 | ||||
| Supplemental disclosures of cash flow information: | ||||||||
| Income taxes paid, net | $ | 93,226 | $ | 71,586 | ||||
| Non-cash investing and financing activities: | ||||||||
| Accrued purchases of property and equipment | $ | 13,454 | $ | 9,508 | ||||
| Supplemental Financial Information Net Sales by Product Category: | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| June 30, | June 30, | |||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Musculoskeletal Solutions | $ | 710,182 | $ | 592,913 | $ | 1,286,115 | $ | 1,167,610 | ||||||||
| Enabling Technologies | 35,160 | 36,778 | 57,348 | 68,747 | ||||||||||||
| Total net sales | $ | 745,342 | $ | 629,691 | $ | 1,343,463 | $ | 1,236,357 | ||||||||
| Liquidity and Capital Resources: | ||||||||
| June 30, | December 31, | |||||||
| (In thousands) | 2025 | 2024 | ||||||
| Cash and cash equivalents | $ | 229,446 | $ | 784,438 | ||||
| Short-term marketable securities | — | 105,619 | ||||||
| Long-term marketable securities | — | 66,134 | ||||||
| Total cash, cash equivalents and marketable securities | $ | 229,446 | $ | 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 six months ended June 30, 2024 for the Acquisition of in-process research and development, which, when it was previously included, resulted in a 1.0% 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 | Six Months Ended | ||||||||||||||
| June 30, | June 30, | ||||||||||||||
| (In thousands, except percentages) | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Net income/(loss) | $ | 202,846 | $ | 31,760 | $ | 278,308 | $ | 24,643 | |||||||
| Interest (income)/expense, net | (693 | ) | 2,335 | (2,374 | ) | 4,229 | |||||||||
| Provision for income taxes | (14,673 | ) | 15,821 | 13,533 | 14,380 | ||||||||||
| Depreciation and amortization | 70,631 | 63,588 | 136,705 | 118,849 | |||||||||||
| EBITDA | 258,111 | 113,504 | 426,172 | 162,101 | |||||||||||
| Stock-based compensation expense | 13,258 | 12,735 | 26,310 | 25,174 | |||||||||||
| Provision for litigation, net | (2,621 | ) | 1,335 | (3,908 | ) | 1,304 | |||||||||
| Merger and acquisition-related costs (1) | 40,393 | 67,613 | 41,499 | 124,000 | |||||||||||
| Net (gain) loss from strategic investments | (1,248 | ) | (490 | ) | (1,309 | ) | (267 | ) | |||||||
| Non-cash acquisition-related foreign currency impacts | (8,565 | ) | (4,633 | ) | (12,337 | ) | 6,558 | ||||||||
| Restructuring costs | 19,915 | 371 | 20,649 | 25,533 | |||||||||||
| Bargain Purchase Gain | (110,561 | ) | — | (110,561 | ) | — | |||||||||
| Adjusted EBITDA | $ | 208,682 | $ | 190,435 | $ | 386,515 | $ | 344,403 | |||||||
| Net income/(loss) as a percentage of net sales | 27.2 | % | 5.0 | % | 20.7 | % | 2.0 | % | |||||||
| Adjusted EBITDA as a percentage of net sales | 28.0 | % | 30.2 | % | 28.8 | % | 27.9 | % | |||||||
| (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. | |||||||||||||||
| Non-GAAP Merger and Acquisition-related Costs Table: | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| June 30, | June 30, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| (In thousands) | ||||||||||||||||
| Amortization of inventory fair value step up | $ | 5,967 | $ | 53,670 | $ | 6,016 | $ | 107,341 | ||||||||
| Change in fair value of business acquisition liabilities | 5,235 | 12,901 | 5,402 | 12,743 | ||||||||||||
| Employee-related costs (b) | 27,418 | — | 27,418 | 1,457 | ||||||||||||
| Other acquisition-related costs (a) | 1,773 | 1,042 | 2,663 | 2,459 | ||||||||||||
| Merger and acquisition-related costs | $ | 40,393 | $ | 67,613 | $ | 41,499 | $ | 124,000 | ||||||||
| (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 | Six Months Ended | ||||||||||||||
| June 30, | June 30, | ||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Net income/(loss) | $ | 202,846 | $ | 31,760 | $ | 278,308 | $ | 24,643 | |||||||
| Provision for litigation, net | (2,621 | ) | 1,335 | (3,908 | ) | 1,304 | |||||||||
| Amortization of intangibles | 30,189 | 29,709 | 58,991 | 59,385 | |||||||||||
| Merger and acquisition -related costs (1) | 40,393 | 67,613 | 41,499 | 124,000 | |||||||||||
| Net gain/(loss) on strategic investments | (1,248 | ) | (490 | ) | (1,309 | ) | (267 | ) | |||||||
| Non-cash acquisition-related foreign currency impacts | (8,565 | ) | (4,633 | ) | (12,337 | ) | 6,558 | ||||||||
| Restructuring Costs | 19,915 | 371 | 20,649 | 25,534 | |||||||||||
| Bargain Purchase Gain | (110,561 | ) | — | (110,561 | ) | — | |||||||||
| Provision for income tax benefit from release of valuation allowance on deferred tax assets | (34,815 | ) | — | (34,815 | ) | — | |||||||||
| Tax effect of adjusting items | (18,751 | ) | (22,941 | ) | (24,907 | ) | (52,947 | ) | |||||||
| Non-GAAP net income/(loss) | $ | 116,782 | $ | 102,724 | $ | 211,610 | $ | 188,210 | |||||||
| (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 | Six Months Ended | ||||||||||||||
| June 30, | June 30, | ||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Net Sales | $ | 745,342 | $ | 629,691 | $ | 1,343,463 | $ | 1,236,357 | |||||||
| Cost of Sales (exclusive of amortization of intangibles) | 248,765 | 260,040 | 444,162 | 501,527 | |||||||||||
| Amortization of Intangibles | 24,643 | 22,228 | 46,851 | 42,752 | |||||||||||
| Gross Profit | $ | 471,934 | $ | 347,423 | $ | 852,450 | $ | 692,078 | |||||||
| Amortization of inventory fair value step up | 5,967 | 53,671 | 6,016 | 107,341 | |||||||||||
| Amortization of Intangibles | 24,643 | 22,228 | 46,851 | 42,752 | |||||||||||
| Adjusted Gross Profit | $ | 502,544 | $ | 423,322 | $ | 905,317 | $ | 842,171 | |||||||
| Gross Profit % of Net Sales | 63.3 | % | 55.2 | % | 63.5 | % | 56.0 | % | |||||||
| Adjusted Gross Profit % of Net Sales | 67.4 | % | 67.2 | % | 67.4 | % | 68.1 | % | |||||||
| Non-GAAP Diluted Earnings Per Share Reconciliation Table: | |||||||||||||||
| Three Months Ended | Six Months Ended | ||||||||||||||
| June 30, | June 30, | ||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Diluted earnings per share, as reported | $ | 1.49 | $ | 0.23 | $ | 2.01 | $ | 0.18 | |||||||
| Provision for litigation, net | (0.02 | ) | 0.01 | (0.03 | ) | — | |||||||||
| Amortization of intangibles | 0.22 | 0.22 | 0.43 | 0.43 | |||||||||||
| Merger and acquisition -related costs (1) | 0.29 | 0.49 | 0.30 | 0.91 | |||||||||||
| Net (gain) loss from strategic investments | (0.01 | ) | (0.00 | ) | (0.01 | ) | (0.00 | ) | |||||||
| Non-cash acquisition-related foreign currency impacts | (0.06 | ) | (0.03 | ) | (0.09 | ) | 0.05 | ||||||||
| Restructuring costs | 0.14 | 0.00 | 0.15 | 0.20 | |||||||||||
| Valuation Allowance Release | (0.26 | ) | — | (0.25 | ) | — | |||||||||
| Bargain Purchase Gain | (0.80 | ) | — | (0.80 | ) | — | |||||||||
| Tax effect of adjusting items | (0.14 | ) | (0.17 | ) | (0.18 | ) | (0.39 | ) | |||||||
| Non-GAAP diluted earnings per share | $ | 0.86 | $ | 0.75 | $ | 1.53 | $ | 1.38 | |||||||
| (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 | Six Months Ended | ||||||||||||||
| June 30, | June 30, | ||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Net cash provided by operating activities | $ | 77,865 | $ | 54,258 | $ | 255,165 | $ | 106,645 | |||||||
| Purchases of property and equipment | (46,562 | ) | (27,798 | ) | (82,665 | ) | (56,366 | ) | |||||||
| Free cash flow | $ | 31,303 | $ | 26,460 | $ | 172,500 | $ | 50,279 | |||||||
| Non-GAAP Net Sales on a Constant Currency Basis Comparative Table: | ||||||||||||||||||||
| Three Months Ended June 30, | Reported Net Sales | Currency Impact on Current Period Net | Constant Currency Net Sales | |||||||||||||||||
| (In thousands, except percentages) | 2025 | 2024 | Growth | Sales | Growth | |||||||||||||||
| United States | $ | 600,784 | $ | 499,459 | 20.3 | % | $ | — | 20.3 | % | ||||||||||
| International | 144,558 | 130,232 | 11.0 | % | 4,569 | 7.5 | % | |||||||||||||
| Total net sales | $ | 745,342 | $ | 629,691 | 18.4 | % | $ | 4,569 | 17.6 | % | ||||||||||
| Six Months Ended June 30, | Reported Net Sales | Currency Impact on Current Period Net | Constant Currency Net Sales | |||||||||||||||||
| (In thousands, except percentages) | 2025 | 2024 | Growth | Sales | Growth | |||||||||||||||
| United States | $ | 1,084,641 | $ | 982,386 | 10.4 | % | $ | — | 10.4 | % | ||||||||||
| International | 258,822 | 253,971 | 1.9 | % | 770 | 1.6 | % | |||||||||||||
| Total net sales | $ | 1,343,463 | $ | 1,236,357 | 8.7 | % | $ | 770 | 8.6 | % | ||||||||||
| Net Sales Reconciliation of the Nevro Acquisition Table: | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| June 30, | June 30, | |||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Net Sales of Nevro products | $ | 94,586 | $ | — | $ | 94,586 | $ | — | ||||||||
| Net Sales of base business | 650,756 | 629,691 | 1,248,877 | 1,236,357 | ||||||||||||
| Total net sales | $ | 745,342 | $ | 629,691 | $ | 1,343,463 | $ | 1,236,357 | ||||||||
| Adjusted EBIDTA Reconciliation of the Nevro Acquisition Table: | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| June 30, | June 30, | |||||||||||||||
| (In thousands) | 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Adjusted EBITDA of the acquired Nevro subsidiaries | $ | (1,310 | ) | $ | — | $ | (1,310 | ) | $ | — | ||||||
| Adjusted EBITDA of base business | 209,992 | 190,435 | 387,824 | 344,403 | ||||||||||||
| Total Adjusted EBITDA (1) | $ | 208,682 | $ | 190,435 | $ | 386,515 | $ | 344,403 | ||||||||
| (1) See Non-GAAP Adjusted EBITDA Reconciliation Table above for calculation | ||||||||||||||||
Contact:
Brian Kearns
Senior Vice President, Business Development and Investor Relations
Phone: (610) 930-1800
Email:
