Globus Medical Reports First Quarter 2022 Results

Audubon, Pennsylvania, UNITED STATES

AUDUBON, Pa., May 10, 2022 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the first quarter ended March 31, 2022.

  • Worldwide net sales were $230.5 million, an increase of 1.4% as compared to the first quarter of 2021
  • GAAP net income for the quarter was $38.1 million
  • GAAP diluted earnings per share (“EPS”) was $0.37 and non-GAAP diluted EPS was $0.42
  • Non-GAAP adjusted EBITDA was $74.3 million, or 32.2% of net sales

“Our first quarter results delivered top line growth in a period that faced headwinds of a difficult prior year comparative and COVID-19 deferrals of elective procedures, particularly in January and early February,” commented Dan Scavilla, President and CEO. “Importantly, US Spine sales recovered and had a record-breaking month in March, which continued at a healthy pace in April. After a record fourth quarter, Enabling Technologies sales in the quarter were also negatively impacted by COVID-19; however, the clinical superiority of ExcelsiusGPS® continues to drive surgeon and hospital interest in the system, building a strong pipeline.

“I’m pleased to announce that we shipped our first Excelsius3D™ imaging units over the past two weeks and the feedback received from cases thus far has been extremely positive,” said Mr. Scavilla. “The Excelsius3D™ imaging system is an excellent example of Globus Medical’s innovation engine, which will drive momentum and provide a platform for continued growth as we progress in 2022 and beyond.”

Worldwide net sales for the first quarter of 2022 was $230.5 million, an as-reported increase of 1.4% over the first quarter of 2021, and an increase of 1.9% on a constant currency basis.  U.S. net sales for the first quarter of 2022, including robotics, increased by 1.6% compared to the first quarter of 2021. International net sales increased by 0.4% over the first quarter of 2021 on an as-reported basis, and an increase of 3.5% on a constant currency basis.

GAAP net income for the first quarter of 2022 was $38.1 million, a decrease of 16.0% over the same period in the prior year, driven primarily by increased product development, sales and marketing, and provision for litigation expenses. Diluted EPS for the first quarter was $0.37, compared to $0.44 for the first quarter of 2021. Non-GAAP diluted EPS for the first quarter of 2022 was $0.42, compared to $0.49 in the first quarter of 2021, a decrease of 13.1% driven primarily by product development and sales and marketing expenses.

Net cash provided by operating activities was $44.7 million, and non-GAAP free cash flow was $24.7 million for the first quarter of 2022. The Company remains debt free.

2022 Annual Guidance

The Company today reaffirmed its full year 2022 guidance of $1.025 billion in net sales and non-GAAP diluted earnings per share of $2.10.

Conference Call Information

Globus Medical will hold a teleconference to discuss its first quarter 2022 results with the investment community at 4:30 p.m. Eastern Time today. Globus invites all interested parties to join the call by dialing:

1-866-374-5140; passcode 1585-8936

For interested parties who do not wish to ask questions, the teleconference will be webcast live and may be accessed through a link on the Globus Medical website at The audio archive will be available after the call on the Globus Medical website at that same link.

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

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, acquisition related costs/licensing, and acquisition of in-process research and development, 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. 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. Acquisition related costs/licensing 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, 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, as well as one-time licensing fees. Acquisition of in-process research and development represents the expensing of acquired assets with no alternative future use and related fees.

In addition, for the period ended March 31, 2022 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, acquisition related costs/licensing, acquisition of in-process research and development, and the tax effects of all of the foregoing adjustments. 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 litigation, amortization of intangibles, acquisition related costs/licensing, acquisition of in-process research and development, and the tax effects of all of the foregoing adjustments, which we believe are not reflective of underlying business trends. Additionally, for the period ended March 31, 2022 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, 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, 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, health epidemics, pandemics and similar outbreaks, including the COVID-19 pandemic, 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 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 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.

 Three Months Ended
 March 31,
(In thousands, except per share amounts)2022  2021 
Net sales$230,549  $227,344 
Cost of goods sold 59,167   55,027 
Gross profit 171,382   172,317 
Operating expenses:     
Research and development 17,412   14,924 
Selling, general and administrative 100,748   97,891 
Provision for litigation 2,341   (94)
Amortization of intangibles 4,512   4,774 
Acquisition related costs (76)  274 
Total operating expenses 124,937   117,769 
Operating income/(loss) 46,445   54,548 
Other income/(expense), net     
Interest income/(expense), net 2,543   2,712 
Foreign currency transaction gain/(loss) (391)  (280)
Other income/(expense) 301   214 
Total other income/(expense), net 2,453   2,646 
Income/(loss) before income taxes 48,898   57,194 
Income tax provision 10,814   11,865 
Net income/(loss)$38,084  $45,329 
Other comprehensive income/(loss), net of tax:     
Unrealized gain/(loss) on marketable securities (8,828)  (1,666)
Foreign currency translation gain/(loss) (1,567)  (4,113)
Total other comprehensive income/(loss), net of tax (10,395)  (5,779)
Comprehensive income/(loss)$27,689  $39,550 
Earnings per share:     
Basic$0.37  $0.45 
Diluted$0.37  $0.44 
Weighted average shares outstanding:     
Basic 101,600   99,866 
Diluted 104,077   102,420 

  March 31, December 31,
(In thousands, except share and per share values) 2022  2021 
Current assets:      
Cash and cash equivalents $229,789  $193,069 
Short-term marketable securities  243,505   250,378 
Accounts receivable, net of allowances of $4,186 and $4,962, respectively  166,222   164,436 
Inventories  253,886   237,001 
Prepaid expenses and other current assets  19,587   18,417 
Income taxes receivable  3,609   1,215 
Total current assets  916,598   864,516 
Property and equipment, net of accumulated depreciation of $313,514 and $305,575, respectively  227,541   221,076 
Long-term marketable securities  546,881   562,475 
Intangible assets, net  64,385   68,660 
Goodwill  179,045   179,708 
Other assets  34,307   36,334 
Deferred income taxes  29,937   24,494 
Total assets $1,998,694  $1,957,263 
Current liabilities:      
Accounts payable $26,093  $21,955 
Accrued expenses  75,531   91,168 
Income taxes payable  16,525   1,046 
Business acquisition liabilities  11,535   11,770 
Deferred revenue  11,807   12,025 
Payable to broker  -   2,200 
Total current liabilities  141,491   140,164 
Business acquisition liabilities, net of current portion  56,501   58,755 
Deferred income taxes  3,811   4,314 
Other liabilities  11,519   12,642 
Total liabilities  213,322   215,875 
Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and
outstanding 79,297,823 and 79,113,916 shares at March 31, 2022 and December 31, 2021,
  79   79 
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, 2022 and December 31, 2021,
  22   22 
Additional paid-in capital  570,082   553,787 
Accumulated other comprehensive income/(loss)  (17,167)  (6,772)
Retained earnings  1,232,356   1,194,272 
Total equity  1,785,372   1,741,388 
Total liabilities and equity $1,998,694  $1,957,263 

  Three Months Ended
  March 31,
(In thousands) 2022  2021 
Cash flows from operating activities:      
Net income $38,084  $45,329 
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization  16,837   17,157 
Amortization of premium (discount) on marketable securities  1,690   520 
Write-down for excess and obsolete inventories, net  1,834   1,550 
Stock-based compensation expense  8,152   7,698 
Allowance for doubtful accounts  (728)  80 
Change in fair value of business acquisition liabilities  (263)  258 
Change in deferred income taxes  (2,994)  (808)
(Gain)/loss on disposal of assets, net  115   103 
Payment of business acquisition related liabilities  (743)   
(Increase)/decrease in:      
Accounts receivable  (1,614)  (20,346)
Inventories  (17,939)  (3,997)
Prepaid expenses and other assets  547   4,516 
Increase/(decrease) in:      
Accounts payable  4,160   4,212 
Accrued expenses and other liabilities  (15,428)  (4,783)
Income taxes payable/receivable  12,980   12,081 
Net cash provided by/(used in) operating activities  44,690   63,570 
Cash flows from investing activities:      
Purchases of marketable securities  (142,145)  (185,110)
Maturities of marketable securities  106,549   39,850 
Sales of marketable securities  42,673   33,818 
Purchases of property and equipment  (19,971)  (13,672)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets  (1,000)   
Net cash provided by/(used in) investing activities  (13,894)  (125,114)
Cash flows from financing activities:      
Payment of business acquisition liabilities  (1,699)  (1,537)
Proceeds from exercise of stock options  7,746   9,101 
Net cash provided by/(used in) financing activities  6,047   7,564 
Effect of foreign exchange rates on cash  (123)  (569)
Net increase in cash and cash equivalents  36,720   (54,549)
Cash and cash equivalents at beginning of period  193,069   239,397 
Cash and cash equivalents at end of period $229,789  $184,848 
Supplemental disclosures of cash flow information:      
Income taxes paid $572  $570 
Purchases of property and equipment included in accounts payable and accrued expenses $4,105  $2,620 

Supplemental Financial Information
Net Sales by Product Category:
  Three Months Ended
  March 31,
(In thousands) 2022 2021
Musculoskeletal Solutions $217,402 $212,416
Enabling Technologies  13,147  14,928
Total net sales $230,549 $227,344

Liquidity and Capital Resources:
  March 31, December 31,
(In thousands) 2022 2021
Cash and cash equivalents $229,789 $193,069
Short-term marketable securities  243,505  250,378
Long-term marketable securities  546,881  562,475
Total cash, cash equivalents and marketable securities $1,020,175 $1,005,922

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) 2022  2021 
Net income/(loss) $38,084  $45,329 
Interest (income)/expense, net  (2,543)  (2,712)
Provision for income taxes  10,814   11,865 
Depreciation and amortization  16,837   17,157 
EBITDA  63,192   71,639 
Stock-based compensation expense  8,152   7,698 
Provision for litigation  2,341   (94)
Acquisition related costs/licensing  657   883 
Adjusted EBITDA $74,342  $80,126 
Net income/(loss) as a percentage of net sales  16.5%  19.9%
Adjusted EBITDA as a percentage of net sales  32.2%  35.2%

Non-GAAP Net Income Reconciliation Table:
  Three Months Ended
  March 31,
(In thousands) 2022  2021 
Net income/(loss) $38,084  $45,329 
Provision for litigation  2,341   (94)
Amortization of intangibles  4,512   4,774 
Acquisition related costs/licensing  657   883 
Tax effect of adjusting items  (1,661)  (1,154)
Non-GAAP net income/(loss) $43,933  $49,738 

Non-GAAP Diluted Earnings Per Share Reconciliation Table:
  Three Months Ended
  March 31,
(In thousands) 2022  2021 
Diluted earnings per share, as reported $0.37  $0.44 
Provision for litigation  0.02    
Amortization of intangibles  0.04   0.05 
Acquisition related costs/licensing  0.01   0.01 
Tax effect of adjusting items  (0.02)  (0.01)
Non-GAAP diluted earnings per share $0.42  $0.49 
*amounts might not add due to rounding        

Non-GAAP Free Cash Flow Reconciliation Table:
  Three Months Ended
  March 31,
(In thousands) 2022  2021 
Net cash provided by operating activities $44,690  $63,570 
Purchases of property and equipment  (19,971)  (13,672)
Free cash flow $24,719  $49,898 

Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
  Three Months Ended Reported Currency
Impact on
  March 31, Net Sales Current Net Sales
(In thousands, except percentages) 2022 2021 Growth Period Net Sales Growth
United States $196,403 $193,317 1.6% $  1.6%
International  34,146  34,027 0.4%  (1,088) 3.5%
Total net sales $230,549 $227,344 1.4% $(1,088) 1.9%

Brian Kearns
Senior Vice President, Business Development and Investor Relations
Phone: (610) 930-1800