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Globus Medical Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 1 lowered, 1 new, 1 kept. The quarter’s numbers.

Key takeaways

  • Base business grew as Nevro sales fell: Worldwide net sales were $763.7 million, down 0.7%, or 0.5% in constant currency. Base business sales excluding Nevro rose 3.0% to $690.0 million; Nevro products fell to $73.7 million from $99.3 million. Source
  • Net income and GAAP EPS rose: GAAP net income was $141.2 million, up 18.7%. GAAP diluted EPS was $1.04 against $0.88 a year earlier, up 18.2%. Source
  • International sales declined: International net sales were $142.7 million, down 5.7% as reported and 5.0% in constant currency. International had grown 18.0% in the second quarter. Source
  • Enabling Technologies revenue grew 24%: Enabling Technologies net sales were $34.9 million against $28.0 million a year earlier. Management cited revenue growth of 24% for the Enabling Technologies strategy. Source
  • GAAP gross margin rose to 66.7%: GAAP gross margin was 66.7% against 64.2%. Adjusted gross profit margin was 69.5% against 68.1%, and 69.4% in the second quarter of 2026. Source
  • Record operating and free cash flow: Operating cash flow was $265.2 million and free cash flow was $224.8 million in the quarter, against $213.9 million of free cash flow a year earlier. Management called both records. Source

“Third quarter revenue finished at $764 million, down slightly from the prior year quarter”

Keith Pfeil, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull-year 2026$3.09 billionLowered from $3.18 billion to $3.22 billion
Non-GAAP diluted EPS SourceFull-year 2026$4.95 to $5.05Kept
Share repurchases SourceNo expiration date$500 millionNew

What changed from last quarter

  • Guidance lowered: Full-year 2026 revenue guidance was lowered to $3.09 billion from $3.18 billion to $3.22 billion. Source
  • Guidance kept: Non-GAAP diluted EPS guidance of $4.95 to $5.05 was reaffirmed, after the prior quarter's raise from $4.70 to $4.80. Source
  • New: The Board authorized an additional $500 million under the existing repurchase program. Source

Results and growth drivers

  • Base business grew as Nevro sales fell: Worldwide net sales were $763.7 million, down 0.7%, or 0.5% in constant currency. Base business sales excluding Nevro rose 3.0% to $690.0 million; Nevro products fell to $73.7 million from $99.3 million. Source
  • Net income and GAAP EPS rose: GAAP net income was $141.2 million, up 18.7%. GAAP diluted EPS was $1.04 against $0.88 a year earlier, up 18.2%. Source
  • Non-GAAP EPS rose 4.4%: Non-GAAP diluted EPS was $1.23 against $1.18, up 4.4%. Nine-month non-GAAP diluted EPS was $3.69 against $2.70 a year earlier. Source

Segments and regions

  • U.S. sales nearly flat; U.S. Spine slowed: U.S. net sales were $621.0 million, up 0.5%. U.S. Spine grew 2%, against double-digit growth a year earlier, which management attributed to difficult prior year comparables. Source
  • International sales declined: International net sales were $142.7 million, down 5.7% as reported and 5.0% in constant currency. International had grown 18.0% in the second quarter. Source
  • Nine-month regional growth: Nine-month worldwide net sales rose 9.5% to $2,313.2 million. U.S. rose 8.4%, and International rose 14.1% as reported, or 11.6% in constant currency. Source

“Our performance reflects disciplined execution across the business, which positions us to deliver sustained earnings growth, cash generation, and enhanced shareholder returns.”

Kyle Kline, Chief Financial Officer

Products and customers

  • Enabling Technologies revenue grew 24%: Enabling Technologies net sales were $34.9 million against $28.0 million a year earlier. Management cited revenue growth of 24% for the Enabling Technologies strategy. Source
  • Musculoskeletal Solutions sales declined: Musculoskeletal Solutions net sales were $728.9 million against $741.0 million in the prior year quarter. Source
  • Nine-month musculoskeletal sales rose: Nine-month Musculoskeletal Solutions net sales were $2,225.4 million against $2,027.1 million. Nine-month Enabling Technologies net sales were $87.8 million against $85.4 million. Source

Margins and costs

  • GAAP gross margin rose to 66.7%: GAAP gross margin was 66.7% against 64.2%. Adjusted gross profit margin was 69.5% against 68.1%, and 69.4% in the second quarter of 2026. Source
  • Operating costs fell year over year: Cost of sales fell $19.6 million and operating expenses fell $25.9 million compared with the third quarter of 2025. Source
  • Acquisition and restructuring costs small: Acquisition-related costs were $0.7 million, against a $2.7 million benefit a year earlier. Restructuring costs were a $0.04 million credit in the quarter. Source

“On an average two-year basis, the U.S. Spine business is growing mid-single digits, reflecting our ability to capture share in the market, as we lead with innovation and differentiation.”

Keith Pfeil, President and Chief Executive Officer

Cash and balance sheet

  • Record operating and free cash flow: Operating cash flow was $265.2 million and free cash flow was $224.8 million in the quarter, against $213.9 million of free cash flow a year earlier. Management called both records. Source
  • Nine-month free cash flow rose: Nine-month free cash flow was $564.2 million against $386.4 million. Nine-month purchases of property and equipment were $113.2 million. Source
  • Cash and securities rose: Cash, cash equivalents and marketable securities totaled $871.2 million, against $629.1 million at December 31, 2025. Source
  • Inventories rose from year-end: Inventories were $824.1 million at September 30, 2026, against $759.3 million at December 31, 2025. Source

Capital returns and buybacks

  • Repurchase program has no time limit: The Repurchase Program has no set end date and may be suspended or discontinued at any time. Source
  • Nine-month repurchases reached $279.0 million: Nine-month repurchases of common stock totaled $279.0 million, against $255.5 million a year earlier. Source
  • Class A share count fell: Class A shares outstanding were 110.2 million at September 30, 2026, against 112.6 million at December 31, 2025. Source

Strategy and platform

  • Ecosystem strategy continues: Management said it remains focused on its long-term strategy of improved surgical outcomes through the Globus ecosystem. Source
  • Ecosystem brings together several elements: The ecosystem combines patient selection, surgical techniques with complementary implants, and technology to drive the surgical procedure. Source
  • Acquisition spending fell sharply: Business acquisitions and related purchases used $22.4 million in the nine months, against $262.2 million a year earlier. Source

Coming up, as management said on 5 November 2026

  • Audio archive after the call: The audio archive of the third quarter call will be available on the Investor page after the call. Source
  • Repurchase timing at management discretion: Management will determine the timing and number of shares repurchased under the program, at its discretion. Source

Figures management reported

FigureReported
Robot and navigation units deployed Source73% more than the prior year quarter

Risks management discussed

  • Demand: Management cited difficult prior year comparables for U.S. Spine, which grew 2% after double-digit growth a year earlier. Source
  • Demand: International net sales fell 5.7% as reported and 5.0% in constant currency in the quarter. Source
  • External: Currency reduced reported growth: total net sales fell 0.7% as reported, against a 0.5% decline in constant currency. Source

Earlier plans management reported on

  • Met: Management said the company delivered its eighth straight quarter of sequential adjusted gross profit margin expansion. Source
  • Not stated: Management referred to execution against its capital deployment plan, alongside 73% more robot and navigation units deployed; no status was given. 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.