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    Globus Medical Reports Third Quarter 2024 Results

    11/5/24 4:15:00 PM ET
    $GMED
    Medical/Dental Instruments
    Health Care
    Get the next $GMED alert in real time by email

    AUDUBON, Pa., Nov. 05, 2024 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE:GMED), a leading musculoskeletal solutions company, today announced its financial results for the quarter ended September 30, 2024.

    • Worldwide net sales were $625.7 million, an increase of 63.1%
    • GAAP net income for the quarter was $51.8 million
    • GAAP diluted earnings per share ("EPS") was $0.38 and non-GAAP diluted EPS was $0.83
    • Non-GAAP adjusted EBITDA was $193.7 million, or 31.0% of net sales

    "Our third quarter results reflect the enduring strength of our business. We've continued to deliver on our business objectives to drive sales growth, launch new products, and execute our integration plans, all while delivering strong financial results," said Dan Scavilla, President and Chief Executive Officer. "We strive to move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders."

    "The execution of our objectives is clearly visible in our third quarter financial results," commented Keith Pfeil, COO-CFO. "We delivered meaningful sales growth across our portfolio and generated strong earnings growth, all of which delivered record operating and free cash results in the quarter, while continuing to invest for the long-term. We look to close the remainder of the year with momentum and build upon this as we enter into 2025."

    Worldwide net sales for the third quarter of 2024 were $625.7 million, an as-reported increase of 63.1% over the third quarter of 2023. U.S. net sales for the third quarter of 2024 increased by 60.3% compared to the third quarter of 2023. International net sales increased by 74.8% over the third quarter of 2023 on an as-reported basis, and increased by 76.2% on a constant currency basis. Net Sales increases were driven by the addition of NuVasive, as well as increased volume of spine product sales and enabling technology products and services.

    GAAP net income for the third quarter of 2024 was $51.8 million, an increase over the same period in the prior year. Diluted EPS for the third quarter was $0.38, compared to $0.01 for the third quarter of 2023. The GAAP net income increase was primarily driven by strong sales, as well as a decrease in acquisition related costs in the current period as compared to the prior period. Non-GAAP diluted EPS for the third quarter of 2024, which excludes, among other costs, both acquisition-related and restructuring costs, was $0.83, compared to $0.57 in the third quarter of 2023, an increase of 45.2%.

    Net cash provided by operating activities was $203.7 million, and non-GAAP free cash flow was $161.7 million for the third quarter of 2024.

    As of September 30, 2024, we no longer include acquisition of in-process research and development as an adjustment to non-GAAP Adjusted EBITDA or non-GAAP net income.

    2024 Annual Guidance

    The Company raised its guidance for full year 2024 revenue to be in the range of $2.49 to $2.50 billion, and non-GAAP fully diluted earnings per share to be in the range of $2.90 to $3.00. The revised non-GAAP fully diluted earnings per share guidance includes a $0.09 impact of no longer adjusting for the acquisition of in-process research and development.

    Conference Call Information

    Globus Medical will hold a teleconference to discuss its third quarter 2024 results with the investment community at 4:30 p.m. Eastern Time today. Participants may access the conference call live via webcast on the Investors page of Globus Medical's website at http://www.investors.globusmedical.com/news-events/events-webcasts.

    To participate via telephone, please register in advance at this link. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. The audio archive will be available after the call on the Investor page of the Globus Medical website.

    About Globus Medical, Inc.

    Based in Audubon, Pennsylvania, Globus Medical, Inc. was founded in 2003 by an experienced team of professionals with a shared vision to create products that enable surgeons to promote healing in patients with musculoskeletal disorders. Additional information can be accessed at www.globusmedical.com.

    Non-GAAP Financial Measures

    To supplement our financial statements prepared in accordance with U.S. generally accepted accounting principles ("U.S. GAAP"), management uses certain non-GAAP financial measures. For example, non-GAAP Adjusted EBITDA, which represents net income before interest income, net and other non-operating expenses, provision for income taxes, depreciation and amortization, stock-based compensation expense, provision for litigation, merger and acquisition related costs, restructuring related costs, certain foreign currency acquisition-related impacts, and gains and losses from strategic investments, is useful as an additional measure of operating performance, and particularly as a measure of comparative operating performance from period to period, as it is reflective of changes in pricing decisions, cost controls and other factors that affect operating performance, and it removes the effect of our capital structure, asset base, income taxes and interest income and expense. As of September 30, 2024, 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, 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 September 30, 2024 and for other comparative periods, we are presenting non-GAAP net income and non-GAAP Diluted Earnings Per Share, which represent net income and diluted earnings per share excluding the provision for litigation, amortization of intangibles, merger and acquisition related costs, restructuring related costs, certain foreign currency impacts, gains and losses from strategic investments, the impact of dilution attributable to the Convertible Notes, and the tax effects of all of the foregoing adjustments. As of September 30, 2024, 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 September 30, 2024 and for other comparative periods, we also define the non-GAAP measure of free cash flow as the net cash provided by operating activities, adjusted for the impact of restricted cash, less the cash impact of purchases of property and equipment. We believe that this financial measure provides meaningful information for evaluating our overall financial performance for comparative periods as it facilitates an assessment of funds available to satisfy current and future obligations and fund acquisitions. Furthermore, the non-GAAP measure of constant currency net sales growth is calculated by translating current year net sales at the same average exchange rates in effect during the applicable prior year period. We believe constant currency net sales growth provides insight to the comparative increase or decrease in period net sales, in dollar and percentage terms, excluding the effects of fluctuations in foreign currency exchange rates.

    Non-GAAP adjusted EBITDA, non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit, free cash flow and constant currency net sales growth are not calculated in conformity with U.S. GAAP. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for financial measures prepared in accordance with U.S. GAAP. These measures do not include certain expenses that may be necessary to evaluate our liquidity or operating results. Our definitions of non-GAAP adjusted EBITDA, non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit, free cash flow and constant currency net sales growth may differ from that of other companies and therefore may not be comparable.

    Safe Harbor Statements

    All statements included in this press release other than statements of historical fact are forward-looking statements and may be identified by their use of words such as "believe," "may," "might," "could," "will," "aim," "estimate," "continue," "anticipate," "intend," "expect," "plan" and other similar terms. These forward-looking statements are based on our current assumptions, expectations and estimates of future events and trends. Forward-looking statements are only predictions and are subject to many risks, uncertainties and other factors that may affect our businesses and operations and could cause actual results to differ materially from those predicted. These risks and uncertainties include, but are not limited to, the risks and costs associated with the integration of the NuVasive business and our ability to successfully integrate and achieve anticipated synergies with the integration, health epidemics, pandemics and similar outbreaks, factors affecting our quarterly results, our ability to manage our growth, our ability to sustain our profitability, demand for our products, our ability to compete successfully (including without limitation our ability to convince surgeons to use our products and our ability to attract and retain sales and other personnel), our ability to rapidly develop and introduce new products, our ability to develop and execute on successful business strategies, our ability to comply with laws and regulations that are or may become applicable to our businesses, our ability to safeguard our intellectual property, our success in defending legal proceedings brought against us, trends in the medical device industry, general economic conditions, and other risks. For a discussion of these and other risks, uncertainties and other factors that could affect our results, you should refer to the disclosure contained in our most recent annual report on Form 10-K filed with the U.S. Securities and Exchange Commission, including the sections labeled "Risk Factors" and "Cautionary Note Concerning Forward-Looking Statements," and in our Forms 10-Q, Forms 8-K and other filings with the U.S. Securities and Exchange Commission. These documents are available at www.sec.gov. Moreover, we operate in an evolving environment. New risk factors and uncertainties emerge from time to time and it is not possible for us to predict all risk factors and uncertainties, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, readers are cautioned not to place undue reliance on any forward-looking statements. Forward-looking statements contained in this press release speak only as of the date of this press release. We undertake no obligation to update any forward-looking statements as a result of new information, events or circumstances or other factors arising or coming to our attention after the date hereof.

    GLOBUS MEDICAL, INC. AND SUBSIDIARIES

    CONDENSED CONSOLIDATED STATEMENTS OF INCOME

    (unaudited)

                
                
     Three Months Ended Nine Months Ended
     September 30, September 30,
    (In thousands, except per share amounts)2024  2023  2024  2023 
    Net sales$ 625,705  $383,639  $ 1,862,062  $951,942 
    Cost of Sales and Operating expenses:           
    Cost of sales (exclusive of amortization of intangibles)  270,515   135,390    772,042   282,688 
    Research and development  35,380   29,329    130,346   71,758 
    Selling, general and administrative  240,738   156,206    727,567   398,691 
    Provision for litigation, net  (676)  2,924    628   184 
    Amortization of intangibles  30,076   13,761    89,461   22,909 
    Acquisition-related costs  (3,617)  45,625    12,535   52,693 
    Restructuring costs  5,191   —    23,766   — 
    Operating income/(loss)  48,098   404    105,717   123,019 
    Other income/(expense), net           
    Interest income/(expense), net  (775)  7,920    (5,004)  22,711 
    Foreign currency transaction gain/(loss)  10,279   (5,314)   (5,795)  (5,649)
    Other income/(expense)  (570)  (475)   1,137   318 
    Total other income/(expense), net  8,934   2,131    (9,662)  17,380 
    Income/(loss) before income taxes  57,032   2,535    96,055   140,399 
    Income tax provision/(benefit)  5,196   1,537    19,576   32,560 
    Net income/(loss)$ 51,836  $998  $ 76,479  $107,839 
                
    Other comprehensive income/(loss), net of tax:           
    Unrealized gain/(loss) on marketable securities  912   2,641    1,783   6,979 
    Foreign currency translation gain/(loss)  3,976   (2,310)   1,446   (1,085)
    Total other comprehensive income/(loss), net of tax  4,888   331    3,229   5,894 
    Comprehensive income/(loss)$ 56,724  $1,329  $ 79,708  $113,733 
                
    Earnings per share:           
    Basic$ 0.38  $0.01  $ 0.56  $1.03 
    Diluted$ 0.38  $0.01  $ 0.56  $0.98 
    Weighted average shares outstanding:           
    Basic  135,615   113,537    135,390   104,762 
    Diluted  138,062   115,245    137,245   110,058 
                    

    GLOBUS MEDICAL, INC. AND SUBSIDIARIES

    CONDENSED CONSOLIDATED BALANCE SHEETS

    (unaudited)

     September 30, December 31,
    (In thousands, except share and per share values)2024 2023
    ASSETS     
    Current assets:     
    Cash and cash equivalents$ 622,766  $467,292 
    Short-term marketable securities  71,940   50,497 
    Accounts receivable, net of allowances of $23,542 and $8,934, respectively  588,047   503,235 
    Inventories  717,703   848,135 
    Prepaid expenses and other current assets  50,924   44,580 
    Income taxes receivable  5,149   1,635 
    Total current assets  2,056,529   1,915,374 
    Property and equipment, net of accumulated depreciation of $505,982 and $425,695, respectively  567,822   586,932 
    Operating lease right of use assets  52,824   59,931 
    Long-term marketable securities  12,297   75,428 
    Intangible assets, net  842,778   924,603 
    Goodwill  1,431,666   1,434,540 
    Other assets  76,643   78,590 
    Deferred income taxes  45,485   10,685 
    Total assets$ 5,086,044  $5,086,083 
          
    LIABILITIES AND EQUITY     
    Current liabilities:     
    Accounts payable$ 57,537  $56,671 
    Accrued expenses  255,260   240,460 
    Operating lease liabilities  11,040   11,967 
    Income taxes payable  4,174   3,845 
    Senior convertible notes  437,142   — 
    Business acquisition liabilities  32,110   61,035 
    Deferred revenue  20,802   18,369 
    Total current liabilities  818,065   392,347 
    Business acquisition liabilities, net of current portion  81,748   78,323 
    Operating lease liabilities  86,376   91,037 
    Senior convertible notes —   417,400 
    Deferred income taxes and other tax liabilities  7,475   84,421 
    Other liabilities  22,983   24,596 
    Total liabilities  1,016,647   1,088,124 
          
    Equity:     
    Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 113,474,233 and 113,905,565 shares at September 30, 2024 and December 31, 2023, respectively  113   114 
    Class B common stock; $0.001 par value. Authorized 275,000,000 shares; issued and outstanding 22,430,097 and 22,430,097 shares at September 30, 2024 and December 31, 2023, respectively  22   22 
    Additional paid-in capital  2,949,917   2,870,749 
    Accumulated other comprehensive income/(loss)  (6,963)  (10,192)
    Retained earnings  1,126,308   1,137,266 
    Total equity  4,069,397   3,997,959 
    Total liabilities and equity$ 5,086,044  $5,086,083 
            

    GLOBUS MEDICAL, INC. AND SUBSIDIARIES

    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

    (unaudited)

      Nine Months Ended
      September 30,
    (In thousands) 2024 2023
    Cash flows from operating activities:      
    Net income $76,479  $107,839 
    Adjustments to reconcile net income to net cash provided by operating activities:      
    Acquired in-process research and development   12,613   — 
    Depreciation and amortization   185,796   73,571 
    Amortization of premiums on marketable securities   (119)  730 
    Provision for excess and obsolete inventory   16,194   6,700 
    Amortization of inventory fair value step up   168,097   19,065 
    Amortization of 2025 Note fair value step up   19,973   — 
    Stock-based compensation expense   42,284   40,297 
    Allowance for expected credit losses   15,667   4,284 
    Change in fair value of business acquisition liabilities   8,608   4,431 
    Change in deferred income taxes   (92,723)  (45,990)
    (Gain)/loss on disposal of assets, net   2,687   1,466 
    Payment of business acquisition-related liabilities   (18,084)  (2,370)
    Net (gain)/loss from foreign currency adjustment   (2,354)  — 
    (Increase) decrease in:      
    Accounts receivable   (100,545)  (36,953)
    Inventories   (17,973)  (58,978)
    Prepaid expenses and other assets   (3,108)  (1,280)
    Increase (decrease) in:      
    Accounts payable   1,294   (7,952)
    Accrued expenses and other liabilities   389   20,579 
    Income taxes payable/receivable   (4,876)  13,386 
    Net cash provided by/(used in) operating activities   310,299   138,825 
    Cash flows from investing activities:      
    Purchases of marketable securities   (13,366)  (100,643)
    Maturities of marketable securities   47,746   214,430 
    Sales of marketable securities   9,644   219,987 
    Purchases of property and equipment   (98,318)  (55,393)
    Acquisition of businesses, net of cash acquired and purchases of intangible and other assets   (17,635)  (296,028)
    Net cash provided by/(used in) investing activities   (71,929)  (17,647)
    Cash flows from financing activities:      
    Payment of business acquisition-related liabilities   (37,003)  (5,908)
    Net proceeds from exercise of stock options   41,156   11,357 
    Payments related to tax withholdings for share-based compensation   (6,795)  — 
    Repurchase of common stock   (84,787)  — 
    Net cash provided by/(used in) financing activities   (87,429)  5,449 
    Effect of foreign exchange rates on cash   4,533   2,527 
    Net increase/(decrease) in cash and cash equivalents   155,474   129,154 
    Cash and cash equivalents at beginning of period   467,292   150,466 
    Cash and cash equivalents at end of period $ 622,766  $279,620 
           
    Supplemental disclosures of cash flow information:      
    Income taxes paid, net $ 117,474  $65,171 
    Non-cash investing and financing activities:      
    Equity issued in conjunction with the NuVasive Merger $ —  $2,153,860 
    Accrued purchases of property and equipment $ 4,802  $5,971 
             

    Supplemental Financial Information

    Net Sales by Product Category:

      Three Months Ended Nine Months Ended
      September 30, September 30,
    (In thousands) 2024 2023 2024 2023
    Musculoskeletal Solutions $587,402 $355,978 $1,755,011 $864,440
    Enabling Technologies  38,303  27,661  107,051  87,502
    Total net sales $625,705 $383,639 $1,862,062 $951,942
                 

    Liquidity and Capital Resources:

           
           
      September 30, December 31,
    (In thousands) 2024 2023
    Cash and cash equivalents $622,766 $467,292
    Short-term marketable securities  71,940  50,497
    Long-term marketable securities  12,297  75,428
    Total cash, cash equivalents and marketable securities $707,003 $593,217
           

    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 nine months ended September 30, 2024 for the Acquisition of in-process research and development, which, when it was previously included, resulted in a year-to-date impact of 0.7% 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 Nine Months Ended
     September 30, September 30,
    (In thousands, except percentages)2024 2023 2024 2023
    Net income/(loss)$51,836  $998  $76,479  $107,839 
    Interest (income)/expense, net 775   (7,920)  5,004   (22,711)
    Provision for income taxes 5,196   1,537   19,576   32,560 
    Depreciation and amortization 66,947   37,388   185,796   73,571 
    EBITDA 124,754   32,003   286,855   191,259 
    Stock-based compensation expense 11,356   9,877   36,530   27,418 
    Provision for litigation, net (676)  2,924   628   184 
    Merger and acquisition-related costs (1) 61,160   64,883   185,160   72,067 
    Net (gain) loss from strategic investments —   268   (267)  268 
    Non-cash acquisition-related foreign currency impacts (8,912)  2,898   (2,354)  2,898 
    Restructuring costs 6,009   —   31,542   — 
    Adjusted EBITDA$193,691  $112,852  $538,094  $294,094 
                
    Net income/(loss) as a percentage of net sales 8.3%  0.3%  4.1%  11.3%
    Adjusted EBITDA as a percentage of net sales 31.0%  29.4%  28.9%  30.9%
                    

    (1) Merger and acquisition-related costs represent certain costs associated with acquisitions. These costs, presented on a before-tax effect basis, include the following:

                 
     Three Months Ended Nine Months Ended
     September 30, September 30,
      2024 2023 2024 2023
    (In thousands)            
    Amortization of inventory fair value step up $60,756  $19,065 $168,097 $19,065
    Change in fair value of business acquisition liabilities  (4,133)  1,470  8,610  4,576
    Employee-related costs  3,574   34,004  5,031  34,004
    Other acquisition-related costs (a)  963   10,344  3,422  14,422
    Merger and acquisition-related costs $61,160  $64,883 $185,160 $72,067
    (a) Primarily comprised of legal fees, investment banking and consulting fees.            

    Non-GAAP Net Income Reconciliation Table:

     Three Months Ended Nine Months Ended
     September 30, September 30,
    (In thousands)2024 2023 2024 2023
    Net income/(loss)$51,836  $998  $76,479  $107,839 
    Provision for litigation, net (676)  2,924   628   184 
    Amortization of intangibles 30,076   13,761   89,461   22,909 
    Merger and acquisition -related costs (1) 61,160   64,883   185,160   72,067 
    Non-cash acquisition-related foreign currency impacts (8,912)  2,898   (2,354)  2,898 
    Restructuring Costs 6,009   —   31,542   — 
    Net gain/(loss) on strategic investments —   268   (267)  268 
    Tax effect of adjusting items (25,507)  (20,201)  (78,454)  (23,260)
    Non-GAAP net income/(loss)$113,986  $65,531  $302,195  $182,905 

    (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 EndedNine Months Ended
     September 30,September 30,
    (In thousands)2024 2023 2024 2023
    Net Sales$625,705  $383,639  $1,862,062  $951,942 
    Cost of Sales (exclusive of amortization of intangibles) 270,515   135,390   772,042   282,688 
    Amortization of Intangibles 23,841   9,526   66,593   15,408 
    Gross Profit 331,349   238,723   1,023,427   653,846 
    Amortization of inventory fair value step up 60,756   19,065   168,097   19,065 
    Amortization of Intangibles 23,841   9,526   66,593   15,408 
    Adjusted Gross Profit$415,946  $267,314  $1,258,117  $688,319 
                
    Gross Profit % of Net Sales 53.0%  62.2%  55.0%  68.7%
    Adjusted Gross Profit % of Net Sales 66.5%  69.7%  67.6%  72.3%
                    

    Non-GAAP Diluted Earnings Per Share Reconciliation Table:

     Three Months Ended Nine Months Ended
     September 30, September 30,
    (In thousands)2024 2023 2024 2023
    Diluted earnings per share, as reported$0.38  $0.01  $0.56  $0.98 
    Dilution attributable to Convertible Notes —   —   —   0.03 
    Provision for litigation, net (0.00)  0.03   —   0.03 
    Amortization of intangibles 0.22   0.12   0.65   0.22 
    Merger and acquisition -related costs (1) 0.44   0.56   1.35   0.68 
    Net (gain) loss from strategic investments —   —   (0.00)  — 
    Non-cash acquisition-related foreign currency impacts (0.06)  0.03   (0.02)  0.03 
    Restructuring costs 0.04   —   0.23   — 
    Tax effect of adjusting items (0.18)  (0.18)  (0.57)  (0.22)
    Non-GAAP diluted earnings per share$0.83  $0.57  $2.20  $1.75 

    *amounts might not add due to rounding

    (1) see footnote 1 to the Non-GAAP Adjusted EBITDA Reconciliation Table above for the detail of these costs

    Non-GAAP Free Cash Flow Reconciliation Table:

     Three Months EndedNine Months Ended
     September 30,September 30,
    (In thousands)2024 2023 2024 2023
    Net cash provided by operating activities$203,655  $50,484  $310,299  $138,825 
    Purchases of property and equipment (41,952)  (21,534)  (98,318)  (55,393)
    Free cash flow$161,703  $28,950  $211,981  $83,432 
                    

    Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:

      Three Months Ended Reported Currency

    Impact on 
     Constant

    Currency
      September 30, Net Sales Current Net Sales
    (In thousands, except percentages) 2024 2023 Growth Period Net Sales   Growth
    United States $495,789 $309,315 60.3% $—  60.3%
    International  129,916  74,324 74.8%  (1,030) 76.2%
    Total net sales $625,705 $383,639 63.1% $(1,030) 63.4%
                     



      Nine Months Ended Reported Currency

    Impact on 
     Constant

    Currency
      September 30, Net Sales Current Net Sales
    (In thousands, except percentages) 2024 2023 Growth Period Net Sales   Growth
    United States $1,478,174 $788,924 87.4% $—  87.4%
    International  383,888  163,018 135.5%  (6,600) 139.5%
    Total net sales $1,862,062 $951,942 95.6% $(6,600) 96.3%
                     

    The following table reconciles previously disclosed Non-GAAP fully diluted earnings per share guidance to current Non-GAAP fully diluted earnings per share guidance.

    Non-GAAP Fully Diluted Earnings per Share Guidance Adjustments:

           
     Year Ended
      December 31, 2024
      Low End High End
    Previously disclosed non-GAAP fully diluted earnings per share guidance $2.80  $2.90 
    Removal of Acquisition of in-process research and development adjustment  (0.09)  (0.09)
    Increase to guidance  0.19   0.19 
    Current non-GAAP fully diluted earnings per share guidance $2.90  $3.00 
             

    Contact:

    Brian Kearns

    Senior Vice President, Business Development and Investor Relations

    Phone: (610) 930-1800

    Email: [email protected]

    www.globusmedical.com



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