Globus Medical Reports Fourth Quarter And Full Year 2025 Results

(MENAFN- GlobeNewsWire - Nasdaq) AUDUBON, Pa., Feb. 24, 2026 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal technology solutions company, today announced its financial results for the fourth quarter and year ended December 31, 2025.

Fourth Quarter 2025:

• Worldwide net sales were $826.4 million, an increase of 25.7%, or an increase of 24.7% on a constant currency basis.
• Base business, excluding Nevro, net sales were $726.7 million, an increase of 10.6%, or an increase of 9.4% on a constant currency basis.
• GAAP net income for the quarter was $140.6 million.
• GAAP diluted earnings per share (“EPS”) was $1.03, an increase of 442.6%. Non-GAAP diluted EPS was $1.28, an increase of 52.1%.

Full Year 2025:

• Worldwide net sales were $2,938.9 million, an increase of 16.7%, or an increase of 16.2% on a constant currency basis.
• Base business, excluding Nevro, net sales were $2,645.3 million, an increase of 5.0%, or an increase of 4.3% on a constant currency basis.
• GAAP net income for the year was $537.9 million.
• GAAP diluted EPS was $3.92, an increase of 425.4%. Non-GAAP diluted EPS was $3.98, an increase of 30.8%.

“Momentum built throughout 2025 accelerated in the fourth quarter, capping off a strong finish to the year with double-digit sales and earnings growth,” commented Keith Pfeil, President and Chief Executive Officer.“We delivered above market, top-line growth, across the portfolio, including our core spine franchise, while delivering meaningful margin expansion – reflecting disciplined execution. Looking ahead to 2026, our focus lies in driving durable momentum, centered on scaling growth and sustainable operating leverage. We are confident in our ability to launch a robust new product pipeline and expand our high-touch sales force, while maintaining speed and agility, as we realize our long-term goal of addressing unmet clinical needs with differentiated procedural solutions. We are focused on achieving improved surgical outcomes through the Globus surgical intelligence closed loop ecosystem, bringing together patient selection, surgical techniques and complementary implants.”

“Our fourth quarter and full‐year results underscore the strength of our organization and the significant value being created through the successful integration of NuVasive and Nevro,” said Kyle Kline, Chief Financial Officer.“Our US Spine business capped-off 2025 by growing revenue 10% over the prior-year quarter and our record-setting results were punctuated by an exceptional quarter in Enabling Technologies, growing 19% over the fourth quarter of 2024. We delivered record quarterly and full‐year non‐GAAP earnings per share, driven by the performance of the Globus base business and further enhanced by the recently integrated Nevro acquisition. As we enter 2026, we are well positioned to further penetrate our markets, expand margins, and accelerate innovation, while creating long‐term value for our shareholders.”

Worldwide net sales for the fourth quarter of 2025 were $826.4 million, an as-reported increase of 25.7% over the fourth quarter of 2024. U.S. net sales for the fourth quarter of 2025 increased by 27.5% compared to the fourth quarter of 2024. International net sales increased by 19.0% over the fourth quarter of 2024 on an as-reported basis and increased by 14.2% on a constant currency basis.

Worldwide net sales for the full year of 2025 were $2,938.9 million, an as-reported increase of 16.7% over the full year of 2024. U.S. net sales for the full year of 2025 increased by 18.4% compared to the full year of 2024. International net sales increased by 10.0% over the full year of 2024 on an as-reported basis and increased by 7.8% on a constant currency basis.

GAAP net income for the fourth quarter of 2025 was $140.6 million, an increase of 430.4% over the same period in the prior year. The GAAP net income increase was primarily driven by higher sales of $169.1 million, with the sales from the acquisition of Nevro contributing $99.7 million. GAAP diluted EPS for the fourth quarter was $1.03, compared to $0.19 for the fourth quarter of 2024. Non-GAAP diluted EPS for the fourth quarter of 2025, which excludes, among other costs, amortization of intangibles, merger and acquisition-related costs, and restructuring-related costs, was $1.28, compared to $0.84 in the fourth quarter of 2024, an increase of 52.1%.

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.

2026 Annual Guidance

The Company reaffirms its guidance for full-year 2026 revenue to be in the range of $3.18 to $3.22 billion and updates its guidance for non-GAAP fully diluted EPS to be in the range of $4.40 to $4.50 from the previous range of $4.30 to $4.40.

Conference Call Information

Globus Medical will hold a teleconference to discuss its 2025 fourth quarter and full-year 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 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.

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 (“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 December 31, 2025 and for other comparative periods, we are presenting non-GAAP net income and non-GAAP diluted EPS, which represent net income and diluted EPS 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 income tax net benefits and non-recurring tax adjustments, 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 December 31, 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 EBITDA, excluding the contribution from the recently acquired Nevro Corp. (“Nevro”) and its subsidiaries. We believe these provide insight to how the Company is performing without the impact of our most recent acquisition.

Non-GAAP Adjusted EBITDA, non-GAAP net income, non-GAAP diluted EPS, non-GAAP gross profit, free cash flow, constant currency net sales growth, base business sales, excluding the contribution from the recently acquired Nevro, and day-adjusted basis sales are not calculated in conformity with 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 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. The tables included in this release reconcile the GAAP financial measures to the non-GAAP financial measures discussed above for the three months and full year ended December 31, 2025.

We are unable to present a quantitative reconciliation of our expected fully diluted GAAP EPS to non-GAAP diluted EPS as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of provision for litigation, amortization of intangibles, merger and acquisition-related costs, restructuring related costs, certain foreign currency acquisition-related impacts, bargain purchase gains, certain income tax net benefits from non-recurring tax adjustments, gains and losses from strategic investments, and the tax effects of all of the foregoing adjustments. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our Consolidated Statements of Income.

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 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, the successful integration of businesses that we have acquired or may acquire in the future, and other risks. For a discussion of these and other risks, uncertainties, and other factors that could affect our results, refer to the disclosures contained in our most recent Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission (the“SEC”), including the sections labeled“Risk Factors” and“Cautionary Note Concerning Forward-Looking Statements,” and in our subsequent filings with the SEC. 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. Except as may be required by applicable law, 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. As used herein, the“Company”,“Globus”,“Globus Medical”,“we”,“us”, and“our” refers to Globus Medical, Inc.

GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME (unaudited)
	Three Months Ended		Year Ended
	December 31,		December 31,
(In thousands, except per share amounts)		2025				2024				2023				2025				2024				2023
Net sales	$	826,420			$	657,293			$	616,534			$	2,938,931			$	2,519,355			$	1,568,476
Cost of Sales and Operating expenses:
Cost of sales (exclusive of amortization of intangibles)		261,107				263,437				265,486				957,802				1,035,479				548,174
Research and development		36,163				33,408				52,253				147,246				163,754				124,010
Selling, general and administrative		318,480				253,167				244,968				1,178,498				981,362				643,844
Amortization of intangibles		29,360				29,912				28,122				118,194				119,373				51,032
Acquisition-related costs		10,826				17,088				15,581				42,326				29,623				68,274
Restructuring costs		1,144				6				-				15,049				23,773				-
Operating income/(loss)		169,340				60,275				10,124				479,816				165,991				133,142
Other income/(expense), net:
Interest income/(expense), net		3,312				815				(2,581	)			7,141				(4,189	)			20,130
Foreign currency transaction gain/(loss)		(7,153	)			(37,491	)			19,908				(3,006	)			(43,285	)			14,259
Bargain purchase gain		3,343				-				-				117,704				-				-
Other income/(expense)		391				1,069				(2,456	)			3,413				2,205				(2,138	)
Total other income/(expense), net		(107	)			(35,607	)			14,872				125,252				(45,269	)			32,251
Income/(loss) before income taxes		169,233				24,668				24,995				605,068				120,722				165,393
Income tax provision/(benefit)		28,639				(1,837	)			9,960				67,200				17,738				42,520
Net income/(loss)	$	140,594			$	26,505			$	15,035			$	537,868			$	102,984			$	122,873
Other comprehensive income/(loss), net of tax:
Unrealized gain/(loss) on marketable securities		101				(238	)			8,893				448				1,545				13,231
Foreign currency translation gain/(loss)		4,318				340				(18	)			21,759				1,786				1,207
Total other comprehensive income/(loss), net of tax		4,419				102				8,875				22,207				3,331				14,438
Comprehensive income/(loss)	$	145,013			$	26,607			$	23,910			$	560,075			$	106,315			$	137,311
Earnings per share:
Basic	$	1.05			$	0.19			$	0.11			$	3.98			$	0.76			$	1.09
Diluted	$	1.03			$	0.19			$	0.11			$	3.92			$	0.75			$	1.07
Weighted average shares outstanding:
Basic		134,411				136,729				137,883				135,215				135,726				113,087
Diluted		136,574				139,711				139,021				137,056				137,863				114,630

GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (unaudited)
	December 31,		December 31,
(In thousands, except share and per share values)	2025			2024
ASSETS
Current assets:
Cash and cash equivalents	$	526,156			$	784,438
Short-term marketable securities		31,087				105,619
Accounts receivable, net of allowances of $33,434 and $15,505, respectively		678,938				557,697
Inventories		759,277				659,233
Prepaid expenses and other current assets		65,426				49,640
Income taxes receivable		64,727				20,633
Total current assets		2,125,611				2,177,260
Property and equipment, net		564,452				561,909
Operating lease right of use assets		63,786				49,647
Long-term marketable securities		71,819				66,134
Intangible assets, net		745,064				795,117
Goodwill		1,435,033				1,432,387
Other assets		78,781				75,096
Deferred income taxes		218,215				94,200
Total assets	$	5,302,761			$	5,251,750
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable	$	98,852			$	75,118
Accrued expenses		333,586				260,591
Operating lease liabilities		14,738				10,249
Income taxes payable		4,155				10,725
Senior convertible notes		-				443,351
Business acquisition liabilities		19,513				33,739
Deferred revenue		27,655				22,140
Total current liabilities		498,499				855,913
Business acquisition liabilities, net of current portion		81,995				89,496
Operating lease liabilities		103,918				83,588
Deferred income taxes and other tax liabilities		23,756				23,889
Other liabilities		21,343				21,531
Total liabilities		729,511				1,074,417
Equity:
Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 112,625,126 and 114,990,219 shares at December 31, 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 December 31, 2025 and December 31, 2024, respectively		22				22
Additional paid-in capital		3,169,812				3,031,244
Accumulated other comprehensive income/(loss)		15,346				(6,861	)
Retained earnings		1,387,957				1,152,813
Total equity		4,573,250				4,177,333
Total liabilities and equity	$	5,302,761			$	5,251,750

GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)
	Year Ended
	December 31,
(In thousands)		2025				2024				2023
Cash flows from operating activities:
Net income	$	537,868			$	102,984			$	122,873
Adjustments to reconcile net income to net cash provided by operating activities:
Bargain purchase gain		(117,704	)			-				-
Acquired in-process research and development		-				12,613				-
Depreciation and amortization		276,842				253,389				145,526
Provision for excess and obsolete inventory		22,119				23,359				10,959
Amortization of acquisition accounting fair value step-up		26,112				242,050				79,832
Stock-based compensation expense		49,779				54,191				52,742
Allowance for expected credit losses		10,223				16,986				3,658
Change in fair value of business acquisition liabilities		13,462				26,521				17,434
Change in deferred income taxes		18,625				(125,902	)			(57,789	)
(Gain)/loss on disposal of assets, net		12,525				5,552				1,541
Payment of business acquisition-related liabilities		(17,018	)			(18,763	)			(3,005	)
Net (gain)/loss from foreign currency adjustment		(12,591	)			25,212				(13,674	)
(Increase) decrease in:
Accounts receivable		(52,182	)			(78,062	)			(49,914	)
Inventories		(17,598	)			(29,860	)			(70,328	)
Prepaid expenses and other assets		11,132				1,059				1,148
Increase (decrease) in:
Accounts payable		8,487				17,663				(14,223	)
Accrued expenses and other liabilities		34,217				5,023				17,127
Income taxes payable/receivable		(50,851	)			(13,377	)			(408	)
Net cash provided by/(used in) operating activities		753,447				520,638				243,499
Cash flows from investing activities:
Purchases of marketable securities		(107,531	)			(113,504	)			(100,643	)
Maturities of marketable securities		63,880				58,666				240,190
Sales of marketable securities		115,608				11,851				537,723
Purchases of property and equipment		(164,679	)			(115,429	)			(78,274	)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets		(252,546	)			(17,635	)			(296,028	)
Acquisition of intangible assets		(9,746	)			-				-
Net cash provided by/(used in) investing activities		(355,014	)			(176,051	)			302,968
Cash flows from financing activities:
Payment of business acquisition-related liabilities		(15,572	)			(45,619	)			(8,039	)
Net proceeds from exercise of stock options		89,757				110,439				12,397
Payments related to tax withholdings for share-based compensation		(2,909	)			(6,729	)			(10,617	)
Repurchase of common stock		(300,451	)			(85,787	)			(225,562	)
Repayment of senior convertible notes		(449,985	)			-				-
Net cash provided by/(used in) financing activities		(679,160	)			(27,696	)			(231,821	)
Effect of foreign exchange rates on cash		22,445				255				2,180
Net increase/(decrease) in cash and cash equivalents		(258,282	)			317,146				316,826
Cash and cash equivalents at beginning of period		784,438				467,292				150,466
Cash and cash equivalents at end of period	$	526,156			$	784,438			$	467,292
Supplemental disclosures of cash flow information:
Income taxes paid, net	$	98,916			$	158,508			$	100,593
Non-cash investing and financing activities:
Equity issued in conjunction with the NuVasive Merger	$	-			$	-			$	2,153,860
Accrued purchases of property and equipment	$	13,454			$	9,281			$	7,100

Supplemental Financial Information Net Sales by Product Category:
	Three Months Ended		Year Ended
	December 31,		December 31,
(In thousands)	2025		2024		2023		2025		2024		2023
Musculoskeletal Solutions	$	770,799			$	610,341			$	583,820			$	2,797,923			$	2,365,352			$	1,448,260
Enabling Technologies		55,621				46,952				32,714				141,008				154,003				120,216
Total net sales	$	826,420			$	657,293			$	616,534			$	2,938,931			$	2,519,355			$	1,568,476

Liquidity and Capital Resources:

	Year Ended
	December 31,
(In thousands)	2025		2024
Cash and cash equivalents	$	526,156			$	784,438
Short-term marketable securities		31,087				105,619
Long-term marketable securities		71,819				66,134
Total cash, cash equivalents and marketable securities	$	629,062			$	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 twelve months ended December 31, 2024 for acquisition of in-process research and development, which, when it was previously included, resulted in a 0.5% impact on Adjusted EBITDA as a percentage of net sales and $0.09 on non-GAAP diluted EPS.

Non-GAAP Adjusted EBITDA Reconciliation Table:

	Three Months Ended December 31,		Year Ended December 31,
(In thousands, except percentages)		2025				2024				2023				2025				2024				2023
Net income/(loss)	$	140,594			$	26,505			$	15,035			$	537,868			$	102,984			$	122,873
Interest (income)/expense, net		(3,312	)			(815	)			2,581				(7,141	)			4,189				(20,130	)
Provision for income taxes		28,639				(1,838	)			9,960				67,200				17,738				42,520
Depreciation and amortization		69,649				68,228				71,162				277,480				254,024				144,733
EBITDA		235,569				92,080				98,737				875,406				378,935				289,996
Stock-based compensation expense		11,418				11,756				11,577				49,256				48,286				38,995
Provision for litigation, net		13,384				(314	)			250				37,737				314				434
Merger and acquisition-related costs(1)		17,919				64,561				76,431				64,096				249,721				148,498
Net (gain) loss from strategic investments		682				1,098				(460	)			(1,573	)			831				(192	)
Non-cash acquisition-related foreign currency impacts		1,362				27,566				(16,572	)			(14,020	)			25,212				(13,674	)
Restructuring costs		3,464				132				-				26,373				31,674				-
Bargain Purchase Gain		(3,343	)			-				-				(117,704	)			-				-
Adjusted EBITDA	$	280,456			$	196,879			$	169,963			$	919,572			$	734,973			$	464,057
Net income/(loss) as a percentage of net sales		17.0	%			4.0	%			2.4	%			18.3	%			4.1	%			7.8	%
Adjusted EBITDA as a percentage of net sales		33.9	%			30.0	%			27.6	%			31.3	%			29.2	%			29.6	%

(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 December 31,		Year Ended December 31,
(In thousands)	2025		2024		2025		2024
Amortization of inventory fair value step up	$	6,482			$	47,323			$	19,455			$	215,420
Change in fair value of business acquisition liabilities		10,793				16,966				13,474				25,575
Employee-related costs(b)		-				-				27,418				5,031
Other acquisition-related costs(a)		644				272				3,749				3,695
Merger and acquisition-related costs	$	17,919			$	64,561			$	64,096			$	249,721

(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 December 31,		Year Ended December 31,
(In thousands)		2025				2024				2023				2025				2024				2023
Net income/(loss)	$	140,594			$	26,505			$	15,034			$	537,868			$	102,984			$	122,873
Provision for litigation, net		13,384				(314	)			250				37,737				314				434
Amortization of intangibles		29,360				29,912				28,123				118,194				119,373				51,032
Merger and acquisition -related costs(1)		17,919				64,561				76,431				64,096				249,721				148,498
Net gain/(loss) on strategic investments		682				1,098				(460	)			(1,573	)			831				(192	)
Non-cash acquisition-related foreign currency impacts		1,362				27,566				(16,572	)			(14,020	)			25,212				(13,674	)
Restructuring Costs		3,464				132				-				26,373				31,674				-
Bargain Purchase Gain		(3,343	)			-				-				(117,704	)			-				-
Provision for income tax net benefit from non-recurring tax adjustments		(12,774	)			-				-				(49,329	)			-				-
Tax effect of adjusting items		(16,057	)			(32,042	)			(19,310	)			(56,091	)			(110,496	)			(42,570	)
Non-GAAP net income/(loss)	$	174,591			$	117,418			$	83,496			$	545,551			$	419,613			$	266,401

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

Non-GAAP Gross Profit Reconciliation Table:
	Three Months Ended December 31,		Year Ended December 31,
(In thousands)		2025				2024				2023				2025				2024				2023
Net Sales	$	826,420			$	657,293			$	616,534			$	2,938,931			$	2,519,355			$	1,568,476
Cost of Sales (exclusive of amortization of intangibles)		261,107				263,437				265,486				957,802				1,035,479				548,174
Amortization of Intangibles		22,046				17,585				9,526				91,562				84,079				15,408
Gross Profit	$	543,267			$	376,271			$	341,522			$	1,889,567			$	1,399,797			$	1,004,893
Amortization of inventory fair value step up		6,482				47,323				52,591				19,455				215,420				71,656
Amortization of Intangibles		22,046				17,585				9,526				91,562				84,079				15,408
Adjusted Gross Profit	$	571,795			$	441,179			$	403,639			$	2,000,584			$	1,699,296			$	1,091,957
Gross Profit % of Net Sales		65.7	%			57.2	%			55.4	%			64.3	%			55.6	%			64.1	%
Adjusted Gross Profit % of Net Sales		69.2	%			67.1	%			65.5	%			68.1	%			67.4	%			69.6	%

Non-GAAP Diluted Earnings Per Share Reconciliation Table:
	Three Months Ended December 31,		Year Ended December 31,
(In thousands)		2025				2024				2023				2025				2024				2023
Diluted earnings per share, as reported	$	1.03			$	0.19			$	0.11			$	3.92			$	0.75			$	1.07
Provision for litigation, net		0.10				-				-				0.28				-				-
Amortization of intangibles		0.21				0.21				0.20				0.86				0.87				0.45
Merger and acquisition -related costs(1)		0.13				0.46				0.55				0.47				1.81				1.30
Net (gain) loss from strategic investments		-				0.01				0.00				(0.01	)			0.01				0.00
Non-cash acquisition-related foreign currency impacts		0.01				0.20				(0.12	)			(0.10	)			0.18				(0.12	)
Restructuring costs		0.03				0.00				0.00				0.19				0.23				-
Provision for income tax net benefit from non-recurring tax adjustments		(0.09	)			-				-				(0.36	)			-				-
Bargain Purchase Gain		(0.02	)			-				-				(0.86	)			-				-
Tax effect of adjusting items		(0.12	)			(0.23	)			(0.14	)			(0.41	)			(0.80	)			(0.37	)
Non-GAAP diluted earnings per share	$	1.28			$	0.84			$	0.60			$	3.98			$	3.04			$	2.32

Non-GAAP Free Cash Flow Reconciliation Table:
	Three Months Ended December 31,		Year Ended December 31,
(In thousands)		2025				2024				2023				2025				2024				2023
Net cash provided by operating activities	$	248,587			$	210,338			$	104,674			$	753,447			$	520,638			$	243,499
Purchases of property and equipment		(46,197	)			(17,111	)			(22,881	)			(164,679	)			(115,429	)			(78,274	)
Free cash flow	$	202,390			$	193,227			$	81,793			$	588,768			$	405,209			$	165,225

Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
		Three Months Ended December 31,		Reported Net Sales Growth		Currency Impact on Current Period Net Sales		Constant Currency Net Sales Growth
(In thousands, except percentages)		2025		2024
United States		$	665,322			$	521,892			27.5	%		$	-			27.5	%
International			161,098				135,401			19.0	%			6,475			14.2	%
Total net sales		$	826,420			$	657,293			25.7	%		$	6,475			24.7	%

		Year Ended December 31,			Reported Net Sales Growth		Currency Impact on Current Period Net Sales		Constant Currency Net Sales Growth
(In thousands, except percentages)			2025			2024
United States		$	2,367,596			$	2,000,067			18.4	%		$	-			18.4	%
International			571,335				519,288			10.0	%			11,389			7.8	%
Total net sales		$	2,938,931			$	2,519,355			16.7	%		$	11,389			16.2	%

Net Sales Reconciliation of the Nevro Acquisition Table:
		Three Months Ended December 31,		Year Ended December 31,
(In thousands)		2025		2024		2025		2024
Net Sales of Nevro products		$	99,749			$	-			$	293,589			$	-
Net Sales of base business			726,670				657,293				2,645,343				2,519,355
Total net sales		$	826,420			$	657,293			$	2,938,931			$	2,519,355

Adjusted EBITDA Reconciliation of the Nevro Acquisition Table:
		Three Months Ended December 31,		Year Ended December 31,
(In thousands)		2025		2024		2025		2024
Adjusted EBITDA of the acquired Nevro subsidiaries		$	21,191			$	-			$	35,996			$	-
Adjusted EBITDA of base business			259,265				196,879				883,576				734,973
Total Adjusted EBITDA(1)		$	280,456			$	196,879			$	919,572			$	734,973

(1) See Non-GAAP Adjusted EBITDA Reconciliation Table above for calculation.

Investor Contact:

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

Media Contact:

Moran Chavez
Senior Director, Corporate Communications
Email:...

MENAFN24022026004107003653ID1110784847