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Globus Medical Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 7 May 2026: press release. Guidance figures: 1 raised, 1 kept. The quarter’s numbers.

Key takeaways

  • Worldwide sales rose 27 percent: Worldwide net sales were $759.9 million, up 27.0% as reported and 25.5% in constant currency, compared with $598.1 million a year earlier. Source
  • Nevro added $82.7 million of sales: Higher sales of $161.7 million drove the GAAP net income increase, and Nevro contributed $82.7 million of that sales growth. Source
  • Margin expansion ahead of sales growth: The CEO attributed margin expansion above sales growth to manufacturing and supply chain execution, structural cost actions and operating leverage on higher volumes. Source
  • Adjusted EBITDA margin reached 32.3%: Adjusted EBITDA was $245.3 million, or 32.3% of net sales, against 29.7% a year earlier. Net income was 16.4% of net sales. Source
  • Share gains and procedure volumes drove growth: The CEO said organic revenue grew over 13%, driven by share gains and procedural volume strength in core spine. Source
  • Free cash flow rose to $162.7 million: Free cash flow was $162.7 million, against $141.2 million. Operating cash flow was $202.4 million and capital spending was $39.6 million. Source

“Our strategic priority remains centered on achieving improved surgical outcomes through the Globus ecosystem, bringing together patient selection, surgical techniques with complementary implants and technology to drive the surgical procedure, through a closed-loop surgical intelligence system.”

Keith Pfeil, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Worldwide net sales Sourcefull year 2026$3.18 billion to $3.22 billionKept
Non-GAAP diluted EPS Sourcefull year 2026$4.70 to $4.80Raised from $4.40 to $4.50

What changed from last quarter

  • Guidance raised: Non-GAAP diluted EPS guidance for 2026 raised to $4.70 to $4.80 from $4.40 to $4.50. Source
  • Guidance kept: Full-year 2026 revenue guidance reaffirmed at $3.18 billion to $3.22 billion. Source

Results and growth drivers

  • Worldwide sales rose 27 percent: Worldwide net sales were $759.9 million, up 27.0% as reported and 25.5% in constant currency, compared with $598.1 million a year earlier. Source
  • GAAP net income reached $124.3 million: The company reported GAAP net income of $124.3 million for the quarter, compared with $75.5 million in the first quarter of 2025. Source
  • Non-GAAP EPS rose to $1.12: Non-GAAP diluted EPS was $1.12, up from $0.68 a year earlier. GAAP diluted EPS was $0.90, compared with $0.54. Source

Segments and regions

  • U.S. sales rose 25.0%: U.S. net sales were $604.9 million, up 25.0% from the first quarter of 2025. Source
  • International sales rose 35.6%: International net sales were $155.0 million, up 35.6% as reported and 27.8% in constant currency, with the gap reflecting currency effects of about $9.0 million. Source
  • Musculoskeletal Solutions drove most sales: Musculoskeletal Solutions net sales were $733.0 million, up from $575.9 million. Enabling Technologies rose to $26.9 million from $22.2 million. Source

“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,”

Kyle Kline, Chief Financial Officer

Products and customers

  • Nevro added $82.7 million of sales: Higher sales of $161.7 million drove the GAAP net income increase, and Nevro contributed $82.7 million of that sales growth. Source
  • Base business grew 13.2%: Base business, excluding Nevro, net sales were $677.2 million, up 13.2%, or 11.2% in constant currency. Source
  • Nevro performing as expected: The CFO said Nevro performed as expected in the quarter while integration work continues. Source

Costs, margins and pricing

  • Margin expansion ahead of sales growth: The CEO attributed margin expansion above sales growth to manufacturing and supply chain execution, structural cost actions and operating leverage on higher volumes. Source
  • Adjusted EBITDA margin reached 32.3%: Adjusted EBITDA was $245.3 million, or 32.3% of net sales, against 29.7% a year earlier. Net income was 16.4% of net sales. Source
  • Adjusted gross margin rose to 69.2%: Adjusted gross profit was 69.2% of net sales, against 67.3%. GAAP gross profit was 66.4% of net sales, against 63.6%. Source
  • R&D and SG&A costs increased: Research and development was $36.5 million and SG&A was $297.8 million, against $33.1 million and $242.8 million. Restructuring costs were $5.2 million. Source

“positioning us well to deliver sustained earnings growth and value creation throughout the year.”

Kyle Kline, Chief Financial Officer

Procedure volumes and demand

  • Share gains and procedure volumes drove growth: The CEO said organic revenue grew over 13%, driven by share gains and procedural volume strength in core spine. Source
  • US Spine posted third 10% quarter: The CFO said US Spine posted its third straight 10% growth quarter compared with the same quarter of the prior year. Source
  • Enabling Technologies widened customer base: The CEO said Enabling Technologies delivered against its pipeline and continued to expand its customer base. Source

Cash, capital and shareholder returns

  • Free cash flow rose to $162.7 million: Free cash flow was $162.7 million, against $141.2 million. Operating cash flow was $202.4 million and capital spending was $39.6 million. Source
  • Cash and securities totaled $799.3 million: Cash, cash equivalents and marketable securities were $799.3 million at March 31, 2026, up from $629.1 million at December 31, 2025. Source
  • No share repurchases in quarter: The cash flow statement shows no repurchase of common stock in the first quarter of 2026, against $190.5 million in the first quarter of 2025. Source

Risks management discussed

  • Operational: Management said Nevro is still being adapted to Globus systems, processes and metrics as integration continues. Source

Earlier plans management reported on

  • Not stated: The company reaffirmed the 2026 revenue range it gave earlier. The document gives no further status for this range. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.