# EDGAR Filing Document

**Accession Number:** 0001237831
**File Stem:** 0001562762-23-000046
**Filing Date:** 2023-2
**Character Count:** 35802
**Document Hash:** b4da8bf8f243944b3df4c137f526d67a
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001562762-23-000046.hdr.sgml**: 20230221

**ACCESSION NUMBER**: 0001562762-23-000046

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 13

**CONFORMED PERIOD OF REPORT**: 20230221

**ITEM INFORMATION**: Results of Operations and Financial Condition

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20230221

**DATE AS OF CHANGE**: 20230221

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** GLOBUS MEDICAL INC
- **CENTRAL INDEX KEY:** 0001237831
- **STANDARD INDUSTRIAL CLASSIFICATION:** SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
- **IRS NUMBER:** 043744954
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-35621
- **FILM NUMBER:** 23648485

**BUSINESS ADDRESS:**
- **STREET 1:** 2560 GENERAL ARMISTEAD AVENUE
- **CITY:** AUDUBON
- **STATE:** PA
- **ZIP:** 19403
- **BUSINESS PHONE:** 610-930-1800

**MAIL ADDRESS:**
- **STREET 1:** 2560 GENERAL ARMISTEAD AVENUE
- **CITY:** AUDUBON
- **STATE:** PA
- **ZIP:** 19403

?xml version="1.0" encoding="utf-8"? gmed-20230221x8k

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM 8-K**

**CURRENT REPORT**

**Pursuant to Section 13 or 15(d) of the**

**Securities Exchange Act of 1934**

**Date of Report (Date of earliest event reported): February 21, 2023** 

## GLOBUS MEDICAL, INC.
**(Exact name of registrant as specified in charter)**

---

| | | |
|:---|:---|:---|
| **DELAWARE** | **001-35621** | **04-3744954** |
| **(State or other jurisdiction**<br>**of incorporation)** | **(Commission**<br>**File Number)** | **(IRS Employer**<br>**Identification No.)** |

---

**2560 GENERAL ARMISTEAD AVENUE, AUDUBON, PA 19403**

**(Address of principal executive offices) (Zip Code)**

**(610) 930-1800**

**(Registrant's telephone number, including area code)**

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

---

| |
|:---|
| Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
| Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))<br>|

---

---

| | | |
|:---|:---|:---|
| Securities registered pursuant to Section 12(b) of the Act: | Securities registered pursuant to Section 12(b) of the Act: | Securities registered pursuant to Section 12(b) of the Act: |
| **Title of each class** | **Trading Symbols** | **Name of exchange on which registered** |
| Class A Common Stock, par value $.001 per share | GMED | New York Stock Exchange |

---

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company&nbsp;&nbsp;&nbsp;&nbsp; 

    <br> <u>If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.</u> <u></u>

‎

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**Item 2.02. Results of Operations and Financial Condition.**

On February 21, 2023, we issued a press release reporting, among other things, our sales and operating results for the three- and twelve-month periods ended December 31, 2022. A copy of the press release is furnished as Exhibit 99.1 to this report.

In accordance with general instruction B.2 to Form 8-K, the information included in this Item 2.02, and the exhibits attached hereto, shall be deemed to be "furnished" and shall not be deemed to be "filed" with the Securities and Exchange Commission for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

**Item 9.01. Financial Statements and Exhibits.**

---

| | |
|:---|:---|
| Exhibit No. | Description |
| 99.1 | [<u>Press Release dated February 21, 2023</u>](gmed-20230221xex99_1.htm) |
| 104 | The cover page from this Current Report on Form 8-K, formatted as Inline XBRL. |

---

‎

------

**SIGNATURES**

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

---

| | | |
|:---|:---|:---|
|  |  | **<u>GLOBUS MEDICAL, INC.</u>** |
|  |  | (Registrant) |
| Dated: | February 21, 2023 | **<u>/s/ KEITH PFEIL</u>** |
|  |  | Keith Pfeil |
|  |  | Chief Financial Officer |
|  |  | Chief Accounting Officer |
|  |  | Senior Vice President |
|  |  | (Principal Financial Officer) |

---

## Exhibit 99.1

**Exhibit 99.1**

**Globus Medical Reports Fourth Quarter and Full Year 2022 Results**

AUDUBON, PA, February 21, 2023: Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the fourth quarter and year ended December 31, 2022.

**Fourth Quarter 2022:**

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Worldwide net sales were $2 74.5 million , an increase of 9.8 % , or 11.7% on a constant currency basis

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· GAAP net income for the quarter was $50.1 million

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· GAAP d iluted earnings per share (" EPS ") was $0. 49 and non-GAAP diluted EPS was $0. 5 9

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Non -GAAP adjusted EBITDA was $90.2 million, or 3 2.8 % of net sales

**Full Year 2022:**

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Worldwide net sales were $1,022.8 million , an increase of 6.8 % , or 8.2% on a constant currency basis

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· GAAP n et income for the year was $1 90.2 million

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· GAAP d iluted EPS was $1. 85 and n on-GAAP diluted EPS was $2.0 6

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;· Non-GAAP adjusted EBITDA was $33 9.2 million, or 3 3.2 % of net sales

"Globus Medical was founded twenty years ago with a small group of talented engineers who had a vision of improving care for patients with musculoskeletal disease," said Dan Scavilla, President and CEO. "I'm proud to announce that in 2022, Globus Medical exceeded $1 billion in net sales. The journey from startup to $1 billion in sales is certainly worthy of note and particularly so at this milestone anniversary of the company's founding. The fourth quarter of 2022 was a record-setting quarter, with record-breaking total sales, U.S. Spine sales, and Enabling Technologies sales. Our future continues to look bright as we improve the lives of patients, surgeons, employees and shareholders by working to further achieve our vision. We plan to build on our legacy of product innovation, superior customer services, and operational execution this year and in the future as we continue to help patients with musculoskeletal disease."

Worldwide net sales for the fourth quarter were $274.5 million, an as-reported increase of 9.8% over the fourth quarter of 2021, and an increase of 11.7% on a constant currency basis. U.S. net sales for the fourth quarter of 2022 increased by 9.5% compared to the fourth quarter of 2021. International net sales increased by 11.4% over the fourth quarter of 2021 on an as-reported basis, and an increase of 24.2% on a constant currency basis.

Worldwide net sales for the full year of 2022 were $1,022.8 million, an increase of 6.8% as compared to the full year of 2021, and an increase of 8.2% on a constant currency basis. U.S. net sales for the full year of 2022 increased by 6.4% compared to the full year of 2021. International net sales increased by 8.9% over the full year of 2021 on an as-reported basis, and an increase of 19.1% on a constant currency basis.

GAAP net income for the fourth quarter was $50.1 million, an increase of 231.4% over the same period in the prior year, driven primarily by higher net sales and the acquisition of in-process research and development during the fourth quarter in 2021. Diluted EPS for the fourth quarter was $0.49, compared to $0.14 for the fourth quarter of 2021. Non-GAAP diluted EPS for the fourth quarter of 2022 was $0.59, compared to $0.49 in the fourth quarter of 2021, an increase of 20.0% driven primarily by higher net sales.

Net cash provided by operating activities was $178.5 million, and non-GAAP free cash flow was $104.4 million for the full year of 2022. The Company remains debt free.

**2023 Annual Guidance**

The Company today announced full year stand-alone 2023 guidance with expected net sales of $1.1 billion and non-GAAP diluted earnings per share of $2.30.

------

**Conference Call Information**

Globus Medical will hold a teleconference to discuss its 2022 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 https://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, 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 December 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 December 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 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**

**CONSOLIDATED STATEMENTS OF INCOME**

**(unaudited)**

---

| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands, except per share amounts)*** | **2022** | **2021** | **2020** | **2022** | **2021** | **2020** |
| **Net sales** | $**274498** | $250021 | $233445 | $**1022843** | $958102 | $789042 |
| Cost of goods sold | **70591** | 61796 | 60859 | **263725** | 239223 | 217463 |
| &nbsp;&nbsp; **Gross profit** | **203907** | 188225 | 172586 | **759118** | 718879 | 571579 |
| **Operating expenses:** |  |  |  |  |  |  |
| &nbsp;&nbsp; Research and development | **19507** | 51022 | 15241 | **73015** | 97346 | 84519 |
| &nbsp;&nbsp; Selling, general and administrative | **118075** | 106560 | 92047 | **432117** | 408149 | 354757 |
| &nbsp;&nbsp; Provision for litigation | **—** | 5410 | (188) | **2341** | 5921 | 9 |
| &nbsp;&nbsp; Amortization of intangibles | **4506** | 4556 | 4788 | **17735** | 18526 | 16831 |
| &nbsp;&nbsp; Acquisition related costs | **7791** | 2477 | 2163 | **5959** | 16984 | 4030 |
| &nbsp;&nbsp; **Total operating expenses** | **149879** | 170025 | 114051 | **531167** | 546926 | 460146 |
| &nbsp;&nbsp; **Operating income/(loss)** | **54028** | 18200 | 58535 | **227951** | 171953 | 111433 |
| **Other income/(expense), net** |  |  |  |  |  |  |
| &nbsp;&nbsp; Interest income/(expense), net | **5315** | 1939 | 2953 | **14233** | 9297 | 13952 |
| &nbsp;&nbsp; Foreign currency transaction gain/(loss) | **2688** | (454) | 527 | **(1020)** | (1423) | (279) |
| &nbsp;&nbsp; Other income/(expense) | **85** | 143 | 198 | **1855** | 580 | 793 |
| &nbsp;&nbsp; **Total other income/(expense), net** | **8088** | 1628 | 3678 | **15068** | 8454 | 14466 |
| &nbsp;&nbsp; **Income/(loss) before income taxes** | **62116** | 19828 | 62213 | **243019** | 180407 | 125899 |
| Income tax provision | **12051** | 4722 | 9256 | **52850** | 31216 | 23614 |
| **Net income/(loss)** | $**50065** | $15106 | $52957 | $**190169** | $149191 | $102285 |
| **Other comprehensive income/(loss), net of tax:** |  |  |  |  |  |  |
| &nbsp;&nbsp; Unrealized gain/(loss) on marketable securities | **4199** | (2623) | (833) | **(14040)** | (6054) | 1402 |
| &nbsp;&nbsp; Foreign currency translation gain/(loss) | **3397** | (1095) | 2631 | **(3818)** | (4673) | 5451 |
| Total other comprehensive income/(loss), net of tax | **7596** | (3718) | 1748 | **(17858)** | (10727) | 6853 |
| **Comprehensive income/(loss)** | $**57661** | $11388 | $54705 | $**172311** | $138464 | $109138 |
| **Earnings per share:** |  |  |  |  |  |  |
| &nbsp;&nbsp; Basic | $**0.50** | $0.15 | $0.54 | $**1.89** | $1.48 | $1.04 |
| &nbsp;&nbsp; Diluted | $**0.49** | $0.14 | $0.52 | $**1.85** | $1.44 | $1.01 |
| **Weighted average shares outstanding:** |  |  |  |  |  |  |
| &nbsp;&nbsp; Basic | **99967** | 101495 | 98958 | **100469** | 100734 | 98580 |
| &nbsp;&nbsp; Diluted | **102209** | 104192 | 101414 | **102643** | 103623 | 100971 |

---

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**GLOBUS MEDICAL, INC. AND SUBSIDIARIES**

**CONSOLIDATED BALANCE SHEETS**

**(unaudited)**

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| | | |
|:---|:---|:---|
|  | **December 31,** | **December 31,** |
| ***(In thousands, except share and per share values)*** | **2022** | **2021** |
| **ASSETS** |  |  |
| **Current assets:** |  |  |
| Cash and cash equivalents | $**150466** | $193069 |
| Short-term marketable securities | **295592** | 250378 |
| Accounts receivable, net of allowances of $4,724 and $4,962, respectively | **213247** | 164436 |
| Inventories | **298981** | 237001 |
| Prepaid expenses and other current assets | **20997** | 18417 |
| Income taxes receivable | **4061** | 1215 |
| &nbsp;&nbsp; **Total current assets** | **983344** | 864516 |
| Property and equipment, net of accumulated depreciation of $343,036 and $305,575, respectively | **243729** | 221076 |
| Long-term marketable securities | **495852** | 562475 |
| Intangible assets, net | **63574** | 68660 |
| Goodwill | **197471** | 179708 |
| Other assets | **43311** | 36334 |
| Deferred income taxes | **48845** | 24494 |
| &nbsp;&nbsp; **Total assets** | $**2076126** | $1957263 |
| **LIABILITIES AND EQUITY** |  |  |
| **Current liabilities:** |  |  |
| Accounts payable | $**36101** | $21955 |
| Accrued expenses | **94705** | 91168 |
| Income taxes payable | **990** | 1046 |
| Business acquisition liabilities | **13308** | 11770 |
| Deferred revenue | **14100** | 12025 |
| Payable to broker | **—** | 2200 |
| &nbsp;&nbsp; **Total current liabilities** | **159204** | 140164 |
| Business acquisition liabilities, net of current portion | **54950** | 58755 |
| Deferred income taxes | **1779** | 4314 |
| Other liabilities | **13820** | 12642 |
| &nbsp;&nbsp; **Total liabilities** | **229753** | 215875 |
| **Equity:** |  |  |
| Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 77,762,282 and 79,113,916 shares at December 31, 2022 and December 31, 2021, respectively | **78** | 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 December 31, 2022 and December 31, 2021, respectively | **22** | 22 |
| Additional paid-in capital | **630952** | 553787 |
| Accumulated other comprehensive income/(loss) | **(24630)** | (6772) |
| Retained earnings | **1239951** | 1194272 |
| &nbsp;&nbsp; **Total equity** | **1846373** | 1741388 |
| &nbsp;&nbsp; **Total liabilities and equity** | $**2076126** | $1957263 |

---

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**GLOBUS MEDICAL, INC. AND SUBSIDIARIES**

**CONSOLIDATED STATEMENTS OF CASH FLOWS**

**(unaudited)**

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| | | | |
|:---|:---|:---|:---|
|  | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** | **2020** |
| **Cash flows from operating activities:** |  |  |  |
| Net income | $**190169** | $149191 | $102285 |
| Adjustments to reconcile net income to net cash provided by operating activities: |  |  |  |
| &nbsp;&nbsp; Acquired in-process research and development | **150** | 34312 | 24418 |
| &nbsp;&nbsp; Depreciation and amortization | **68252** | 69867 | 62874 |
| &nbsp;&nbsp; Amortization of premium (discount) on marketable securities | **5389** | 2781 | 587 |
| &nbsp;&nbsp; Write-down for excess and obsolete inventories, net | **6400** | 6143 | 17741 |
| &nbsp;&nbsp; Stock-based compensation expense | **32810** | 30586 | 27073 |
| &nbsp;&nbsp; Allowance for doubtful accounts | **(1)** | 1200 | 2960 |
| &nbsp;&nbsp; Change in fair value of business acquisition liabilities | **5132** | 16807 | 2674 |
| &nbsp;&nbsp; Change in deferred income taxes | **(22223)** | (17615) | (4338) |
| &nbsp;&nbsp; (Gain)/loss on disposal of assets, net | **299** | 464 | 809 |
| &nbsp;&nbsp; Payment of business acquisition related liabilities | **(2647)** | (210) | (700) |
| &nbsp;&nbsp; (Increase)/decrease in: |  |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp; Accounts receivable | **(50843)** | (25895) | 10696 |
| &nbsp;&nbsp;&nbsp;&nbsp; Inventories | **(61745)** | (11971) | (50111) |
| &nbsp;&nbsp;&nbsp;&nbsp; Prepaid expenses and other assets | **(10292)** | (6178) | (11088) |
| &nbsp;&nbsp; Increase/(decrease) in: |  |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp; Accounts payable | **14418** | 3684 | (6352) |
| &nbsp;&nbsp;&nbsp;&nbsp; Accrued expenses and other liabilities | **6087** | 17896 | 17608 |
| &nbsp;&nbsp;&nbsp;&nbsp; Income taxes payable/receivable | **(2887)** | 5212 | 1657 |
| **Net cash provided by/(used in) operating activities** | **178468** | 276274 | 198793 |
| **Cash flows from investing activities:** |  |  |  |
| &nbsp;&nbsp; Purchases of marketable securities | **(419534)** | (622359) | (223540) |
| &nbsp;&nbsp; Maturities of marketable securities | **312221** | 227908 | 134462 |
| &nbsp;&nbsp; Sales of marketable securities | **102433** | 109898 | 68897 |
| &nbsp;&nbsp; Purchases of property and equipment | **(74047)** | (56898) | (63658) |
| &nbsp;&nbsp; Acquisition of businesses, net of cash acquired and purchases of intangible and other assets | **(31435)** | (34488) | (33483) |
| **Net cash provided by/(used in) investing activities** | **(110362)** | (375939) | (117322) |
| **Cash flows from financing activities:** |  |  |  |
| &nbsp;&nbsp; Payment of business acquisition liabilities | **(7185)** | (9349) | (6316) |
| &nbsp;&nbsp; Proceeds from exercise of stock options | **41716** | 63496 | 72322 |
| &nbsp;&nbsp; Repurchase of common stock | **(144493)** | &nbsp;&nbsp;&nbsp;&nbsp;— | (104669) |
| **Net cash provided by/(used in) financing activities** | **(109962)** | 54147 | (38663) |
| Effect of foreign exchange rates on cash | **(747)** | (810) | 865 |
| **Net increase/(decrease) in cash and cash equivalents** | (42603) | (46328) | 43673 |
| Cash and cash equivalents at beginning of period | **193069** | 239397 | 195724 |
| **Cash and cash equivalents at end of period** | $**150466** | $193069 | $239397 |
| Supplemental disclosures of cash flow information: |  |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp; Income taxes paid | $**77823** | $45027 | $25437 |
| &nbsp;&nbsp;&nbsp;&nbsp; Purchases of property and equipment included in accounts payable and accrued expenses  | $**7423** | $4551 | $4210 |

---

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**Supplemental Financial Information**

**Net Sales by Product Category:**

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| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** | **2020** | **2022** | **2021** | **2020** |
| Musculoskeletal Solutions | $**244999** | $224624 | $215361 | $**926703** | $876780 | $748446 |
| Enabling Technologies | **29499** | 25397 | 18084 | **96140** | 81322 | 40596 |
| Total net sales | $**274498** | $250021 | $233445 | $**1022843** | $958102 | $789042 |

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**Liquidity and Capital Resources:**

---

| | | |
|:---|:---|:---|
|  | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** |
| Cash and cash equivalents | $**150466** | $193069 |
| Short-term marketable securities | **295592** | 250378 |
| Long-term marketable securities | **495852** | 562475 |
| Total cash, cash equivalents and marketable securities | $**941910** | $1005922 |

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The following tables reconcile GAAP to Non-GAAP financial measures.

**Non-GAAP Adjusted EBITDA Reconciliation Table:**

---

| | | | | | | | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands, except percentages)*** | **2022** | **2022** | **2021** | **2021** | **2020** | **2020** | **2022** | **2022** | **2021** | **2021** | **2020** | **2020** |
| Net income/(loss) | $| **50065** | $| 15106 | $| 52957 | $| **190169** | $| 149191 | $| 102285 |
| Interest (income)/expense, net |  | **(5315)** |  | (1939) |  | (2953) |  | **(14233)** |  | (9297) |  | (13952) |
| Provision for income taxes |  | **12051** |  | 4722 |  | 9256 |  | **52850** |  | 31216 |  | 23614 |
| Depreciation and amortization |  | **16911** |  | 16829 |  | 16904 |  | **68252** |  | 69867 |  | 62874 |
| EBITDA |  | **73712** |  | 34718 |  | 76164 |  | **297038** |  | 240977 |  | 174821 |
| Stock-based compensation expense |  | **8507** |  | 7805 |  | 5935 |  | **32810** |  | 30586 |  | 27073 |
| Provision for litigation |  | **—** |  | 5410 |  | (188) |  | **2341** |  | 5921 |  | 9 |
| Acquisition related costs/licensing |  | **7791** |  | 2934 |  | 2698 |  | **6854** |  | 19622 |  | 5877 |
| Acquisition of in-process research and development |  | **150** |  | 34312 |  | &nbsp;&nbsp;&nbsp;&nbsp;— |  | **150** |  | 34312 |  | 24418 |
| Adjusted EBITDA | $ | **90160** | $ | 85179 | $ | 84609 | $ | **339193** | $ | 331418 | $ | 232198 |
| Net income/(loss) as a percentage of net sales |  | **18.2%** |  | 6.0% |  | 22.7% |  | **18.6%** |  | 15.6% |  | 13.0% |
| Adjusted EBITDA as a percentage of net sales |  | **32.8%** |  | 34.1% |  | 36.2% |  | **33.2%** |  | 34.6% |  | 29.4% |

---

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**Non-GAAP Net Income Reconciliation Table:**

---

| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** | **2020** | **2022** | **2021** | **2020** |
| Net income/(loss) | $**50065** | $15106 | $52957 | $**190169** | $149191 | $102285 |
| Provision for litigation | **—** | 5410 | (188) | **2341** | 5921 | 9 |
| Amortization of intangibles | **4506** | 4556 | 4788 | **17735** | 18526 | 16831 |
| Acquisition related costs/licensing | **7791** | 2934 | 2698 | **6854** | 19622 | 5877 |
| Acquisition of in-process research and development | **150** | 34312 | &nbsp;&nbsp;&nbsp;&nbsp;— | **150** | 34312 | 24418 |
| Tax effect of adjusting items | **(2415)** | (11245) | (1086) | **(5695)** | (16151) | (4504) |
| Non-GAAP net income/(loss) | $**60097** | $51073 | $59169 | $**211554** | $211421 | $144916 |

---

**Non-GAAP Diluted Earnings Per Share Reconciliation Table:**

---

| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** | **2020** | **2022** | **2021** | **2020** |
| Diluted earnings per share, as reported | $**0.49** | $0.14 | $0.52 | $**1.85** | $1.44 | $1.01 |
| Provision for litigation | **—** | 0.06 | &nbsp;&nbsp;&nbsp;&nbsp;— | **0.02** | 0.06 | &nbsp;&nbsp;&nbsp;&nbsp;— |
| Amortization of intangibles | **0.04** | 0.04 | 0.05 | **0.17** | 0.18 | 0.17 |
| Acquisition related costs/licensing | **0.08** | 0.03 | 0.03 | **0.07** | 0.19 | 0.06 |
| Acquisition of in-process research and development | **0.00** | 0.33 | &nbsp;&nbsp;&nbsp;&nbsp;— | **0.00** | 0.33 | 0.24 |
| Tax effect of adjusting items | **(0.02)** | (0.11) | (0.01) | **(0.06)** | (0.16) | (0.04) |
| Non-GAAP diluted earnings per share | $**0.59** | $0.49 | $0.58 | $**2.06** | $2.04 | $1.44 |

---

*\*amounts might not add due to rounding*

**Non-GAAP Free Cash Flow Reconciliation Table:**

---

| | | | | | | |
|:---|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Three Months Ended** | **Year Ended** | **Year Ended** | **Year Ended** |
|  | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** | **December 31,** |
| ***(In thousands)*** | **2022** | **2021** | **2020** | **2022** | **2021** | **2020** |
| Net cash provided by operating activities | $**63975** | $76253 | $80184 | $**178468** | $276274 | $198793 |
| Purchases of property and equipment | **(18340)** | (17045) | (14063) | **(74047)** | (56898) | (63658) |
| Free cash flow | $**45635** | $59208 | $66121 | $**104421** | $219376 | $135135 |

---

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

---

| | | | | | |
|:---|:---|:---|:---|:---|:---|
|  | **Three Months Ended** | **Three Months Ended** | **Reported** | **Currency**<br>**Impact on**  | **Constant**<br>**Currency** |
|  | **December 31,** | **December 31,** | **Net Sales** | **Current** | **Net Sales** |
| ***(In thousands, except percentages)*** | **2022** | **2021** | **Growth** | **Period Net Sales**  | **Growth** |
| United States | $**233232** | $212963 | 9.5% | $&nbsp;&nbsp;&nbsp;&nbsp;— | 9.5% |
| International | **41266** | 37058 | 11.4% | (4765) | 24.2% |
| Total net sales | $**274498** | $250021 | 9.8% | $(4765) | 11.7% |

---

---

| | | | | | |
|:---|:---|:---|:---|:---|:---|
|  | **Year Ended** | **Year Ended** | **Reported** | **Currency**<br>**Impact on**  | **Constant**<br>**Currency** |
|  | **December 31,** | **December 31,** | **Net Sales** | **Current** | **Net Sales** |
| ***(In thousands, except percentages)*** | **2022** | **2021** | **Growth** | **Period Net Sales**  | **Growth** |
| United States | $**871939** | $819571 | 6.4% | $&nbsp;&nbsp;&nbsp;&nbsp;— | 6.4% |
| International | **150904** | 138531 | 8.9% | (14048) | 19.1% |
| Total net sales | $**1022843** | $958102 | 6.8% | $(14048) | 8.2% |

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**<u>Contact</u>:**

Brian Kearns

Senior Vice President, Business Development and Investor Relations

Phone: (610) 930-1800

Email: <u>investors@globusmedical.com</u>

<u>www.globusmedical.com</u>

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