Globus Medical Reports Fourth Quarter and Full Year 2021 Results

AUDUBON, Pa., Feb. 17, 2022 (GLOBE NEWSWIRE) -- Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, today announced its financial results for the fourth quarter and year ended December 31, 2021.

Fourth Quarter 2021:

• Worldwide net sales were $250.0 million, an increase of 7.1% as compared to the fourth quarter of 2020
• GAAP net income for the quarter was $15.1 million
• GAAP diluted earnings per share (“EPS”) was $0.14 and non-GAAP diluted EPS was $0.49
• Non-GAAP adjusted EBITDA was $85.2 million, or 34.1% of net sales

Full Year 2021:

• Worldwide net sales were $958.1 million, an increase of 21.4% as compared to the full year of 2020
• GAAP net income for the year was $149.2 million
• GAAP diluted EPS was $1.44 and non-GAAP diluted EPS was $2.04 for the year
• Non-GAAP adjusted EBITDA was $331.4 million, or 34.6% of net sales

“Our fourth quarter results topped off another record-breaking year for Globus Medical, as we continued to perform well above our peers in growth as well as profitability,” said Dave Demski, President and CEO. “The clinical superiority of ExcelsiusGPS^® continues to be the primary factor driving Enabling Technology momentum, which produced a record $25 million in revenue for the fourth quarter and $81 million for 2021, a 100% increase over 2020. Musculoskeletal Solutions also completed another outstanding year of market-share gains, led by US Spine with 18% growth, International Spine with 12% growth and Trauma with 39% growth. I want to thank all of our customers and team members for their belief and support and look forward to a very bright future together.”

Worldwide net sales for the fourth quarter were $250.0 million, an as-reported increase of 7.1% over the fourth quarter of 2020, and an increase of 7.4% on a constant currency basis.  U.S. net sales for the fourth quarter of 2021, including robotics, increased by 7.2% compared to the fourth quarter of 2020. International net sales increased by 6.8% over the fourth quarter of 2020 on an as-reported basis, and an increase of 8.7% on a constant currency basis.

Worldwide net sales for the full year of 2021 were $958.1 million, an increase of 21.4% as compared to the full year of 2020. Non-GAAP diluted EPS was $2.04 for the full year of 2021.

GAAP net income for the fourth quarter was $15.1 million, a decrease of 71.5% over the same period in the prior year, driven primarily by the acquisition of in-process research and development during the fourth quarter. Diluted EPS for the fourth quarter was $0.14, compared to $0.52 for the fourth quarter of 2020. Non-GAAP diluted EPS for the fourth quarter of 2021 was $0.49, compared to $0.58 in the fourth quarter of 2020, a decrease of 16.0% driven primarily by a higher tax rate and increased stock compensation expense.

Net cash provided by operating activities was $276.3 million, and non-GAAP free cash flow was $219.4 million for the full year of 2021. The Company remains debt free.

2022 Annual Guidance

Today the Company announced full year 2022 guidance with expected net sales of $1.025 billion and non-GAAP diluted earnings per share of $2.10.

Conference Call Information

Globus Medical will hold a teleconference to discuss its 2021 fourth quarter and full year results with the investment community at 4:30 p.m. Eastern Time today. Globus invites all interested parties to join the call by dialing:

1-877-313-2501   United States Participants
1-929-517-0907   International Participants
There is no pass code for the teleconference.

For interested parties who do not wish to ask questions, the teleconference will be webcast live and may be accessed through a link on the Globus Medical website at www.globusmedical.com/investors. 

The call will be archived until Thursday, February 24, 2022. The audio archive can be accessed by calling 1-855-859-2056 in the U.S. or 1-404-537-3406 from outside the U.S. The passcode for the audio replay is 117-3696.

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, 2021 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, 2021 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 CONDENSED CONSOLIDATED STATEMENTS OF INCOME (unaudited)
	Three Months Ended												Year Ended
	December 31,												December 31,
(In thousands, except per share amounts)	2021				2020				2019				2021				2020				2019
Net sales	$	250,021			$	233,445			$	211,667			$	958,102			$	789,042			$	785,368
Cost of goods sold		61,796				60,859				48,760				239,223				217,463				179,975
Gross profit		188,225				172,586				162,907				718,879				571,579				605,393
Operating expenses:
Research and development		51,022				15,241				15,496				97,346				84,519				60,073
Selling, general and administrative		106,560				92,047				92,138				408,149				354,757				354,757
Provision for litigation		5,410				(188	)			565				5,921				9				2,190
Amortization of intangibles		4,556				4,788				3,397				18,526				16,831				13,809
Acquisition related costs		2,477				2,163				1,331				16,984				4,030				2,575
Total operating expenses		170,025				114,051				112,927				546,926				460,146				433,404
Operating income/(loss)		18,200				58,535				49,980				171,953				111,433				171,989
Other income, net
Interest income/(expense), net		1,939				2,953				4,452				9,297				13,952				17,406
Foreign currency transaction gain/(loss)		(454	)			527				(48	)			(1,423	)			(279	)			75
Other income/(expense)		143				198				66				580				793				476
Total other income/(expense), net		1,628				3,678				4,470				8,454				14,466				17,957
Income/(loss) before income taxes		19,828				62,213				54,450				180,407				125,899				189,946
Income tax provision		4,722				9,256				8,920				31,216				23,614				34,736
Net income	$	15,106			$	52,957			$	45,530			$	149,191			$	102,285			$	155,210
Earnings per share:
Basic	$	0.15			$	0.54			$	0.46			$	1.48			$	1.04			$	1.57
Diluted	$	0.14			$	0.52			$	0.44			$	1.44			$	1.01			$	1.52
Weighted average shares outstanding:
Basic		101,495				98,958				99,601				100,734				98,580				99,150
Diluted		104,192				101,414				102,933				103,623				100,971				101,998

GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (unaudited)
		December 31,
(In thousands, except share and per share values)		2021				2020
ASSETS
Current assets:
Cash, cash equivalents, and restricted cash		$	193,069			$	239,397
Short-term marketable securities			250,378				187,344
Accounts receivable, net of allowances of $4,962 and $4,408, respectively			164,436				141,676
Inventories			237,001				229,153
Prepaid expenses and other current assets			18,417				17,771
Income taxes receivable			1,215				6,424
Total current assets			864,516				821,765
Property and equipment, net of accumulated depreciation of $305,575 and $276,451, respectively			221,076				216,879
Long-term marketable securities			562,475				358,522
Intangible assets, net			68,660				86,949
Goodwill			179,708				156,716
Other assets			36,334				32,039
Deferred income taxes			24,494				6,615
Total assets		$	1,957,263			$	1,679,485
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable		$	21,955			$	18,205
Accrued expenses			91,168				78,334
Income taxes payable			1,046				1,101
Business acquisition liabilities			11,770				5,777
Deferred revenue			12,025				8,125
Payable to broker			2,200				9,250
Total current liabilities			140,164				120,792
Business acquisition liabilities, net of current portion			58,755				31,493
Deferred income taxes			4,314				6,202
Other liabilities			12,642				14,701
Total liabilities			215,875				173,188
Equity:
Class A common stock; $0.001 par value. Authorized 500,000,000 shares; issued and outstanding 79,113,916 and 77,284,007 shares at December 31, 2021 and December 31, 2020, respectively			79				77
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, 2021 and December 31, 2020, respectively			22				22
Additional paid-in capital			553,787				457,161
Accumulated other comprehensive loss			(6,772	)			3,955
Retained earnings			1,194,272				1,045,082
Total equity			1,741,388				1,506,297
Total liabilities and equity		$	1,957,263			$	1,679,485

GLOBUS MEDICAL, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)
		Year Ended
		December 31,
(In thousands)		2021				2020				2019
Cash flows from operating activities:
Net income		$	149,191			$	102,285			$	155,210
Adjustments to reconcile net income to net cash provided by operating activities:
Acquired in-process research and development			34,312				24,418				—
Depreciation and amortization			69,867				62,874				52,734
Amortization of premium (discount) on marketable securities			2,781				587				(1,089	)
Write-down for excess and obsolete inventories, net			6,143				17,741				2,498
Stock-based compensation expense			30,586				27,073				26,085
Allowance for doubtful accounts			1,200				2,960				3,026
Change in fair value of business acquisition liabilities			16,807				2,674				1,787
Change in deferred income taxes			(17,615	)			(4,338	)			4,302
(Gain)/loss on disposal of assets, net			464				809				866
Payment of business acquisition related liabilities			(210	)			(700	)			—
(Increase)/decrease in:
Accounts receivable			(25,895	)			10,696				(18,306	)
Inventories			(11,971	)			(50,111	)			(50,018	)
Prepaid expenses and other assets			(6,178	)			(11,088	)			(12,263	)
Increase/(decrease) in:
Accounts payable			3,684				(6,352	)			773
Accrued expenses and other liabilities			17,896				17,608				7,043
Income taxes payable/receivable			5,212				1,657				(673	)
Net cash provided by/(used in) operating activities			276,274				198,793				171,975
Cash flows from investing activities:
Purchases of marketable securities			(622,359	)			(223,540	)			(346,526	)
Maturities of marketable securities			227,908				134,462				247,008
Sales of marketable securities			109,898				68,897				53,786
Purchases of property and equipment			(56,898	)			(63,658	)			(70,750	)
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets			(34,488	)			(33,483	)			(23,799	)
Net cash provided by/(used in) investing activities			(375,939	)			(117,322	)			(140,281	)
Cash flows from financing activities:
Payment of business acquisition liabilities			(9,349	)			(6,316	)			(6,597	)
Proceeds from exercise of stock options			63,496				72,322				31,036
Repurchase of common stock			—				(104,669	)			—
Net cash provided by/(used in) financing activities			54,147				(38,663	)			24,439
Effect of foreign exchange rate on cash			(810	)			865				(156	)
Net increase in cash, cash equivalents, and restricted cash			(46,328	)			43,673				55,977
Cash, cash equivalents, and restricted cash at beginning of period			239,397				195,724				139,747
Cash, cash equivalents, and restricted cash at end of period		$	193,069			$	239,397			$	195,724
Supplemental disclosures of cash flow information:
Income taxes paid		$	45,027			$	25,437			$	34,139
Purchases of property and equipment included in accounts payable and accrued expenses		$	4,551			$	4,210			$	4,226

Supplemental Financial Information
Net Sales by Product Category:
		Three Months Ended									Year Ended
		December 31,									December 31,
(In thousands)		2021			2020			2019			2021			2020			2019
Musculoskeletal Solutions		$	224,623		$	215,361		$	197,757		$	876,780		$	748,446		$	738,377
Enabling Technologies			25,398			18,084			13,910			81,322			40,596			46,991
Total net sales		$	250,021		$	233,445		$	211,667		$	958,102		$	789,042		$	785,368

Liquidity and Capital Resources:
		December 31,			December 31,
(In thousands)		2021			2020
Cash, cash equivalents, and restricted cash		$	193,069		$	239,397
Short-term marketable securities			250,378			187,344
Long-term marketable securities			562,475			358,522
Total cash, cash equivalents, restricted cash and marketable securities		$	1,005,922		$	785,263

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

Non-GAAP Adjusted EBITDA Reconciliation Table:
	Three Months Ended												Year Ended
	December 31,												December 31,
(In thousands, except percentages)	2021				2020				2019				2021				2020				2019
Net income/(loss)	$	15,106			$	52,957			$	45,530			$	149,191			$	102,285			$	155,210
Interest (income)/expense, net		(1,939	)			(2,953	)			(4,452	)			(9,297	)			(13,952	)			(17,406	)
Provision for income taxes		4,722				9,256				8,920				31,216				23,614				34,736
Depreciation and amortization		16,829				16,904				14,046				69,867				62,874				52,734
EBITDA		34,718				76,164				64,044				240,977				174,821				225,274
Stock-based compensation expense		7,805				5,935				6,437				30,586				27,073				26,085
Provision for litigation		5,410				(188	)			565				5,921				9				2,190
Acquisition related costs/licensing		2,934				2,698				1,652				19,622				5,877				3,664
Acquisition of in-process research and development		34,312				—				—				34,312				24,418				—
Adjusted EBITDA	$	85,179			$	84,609			$	72,698			$	331,418			$	232,198			$	257,213
Net income/(loss) as a percentage of net sales		6.0	%			22.7	%			21.5	%			15.6	%			13.0	%			19.8	%
Adjusted EBITDA as a percentage of net sales		34.1	%			36.2	%			34.3	%			34.6	%			29.4	%			32.8	%

Non-GAAP Net Income Reconciliation Table:
	Three Months Ended												Year Ended
	December 31,												December 31,
(In thousands)	2021				2020				2019				2021				2020				2019
Net income/(loss)	$	15,106			$	52,957			$	45,530			$	149,191			$	102,285			$	155,210
Provision for litigation		5,410				(188	)			565				5,921				9				2,190
Amortization of intangibles		4,556				4,788				3,397				18,526				16,831				13,809
Acquisition related costs/licensing		2,934				2,698				1,652				19,622				5,877				3,664
Acquisition of in-process research and development		34,312				—				—				34,312				24,418				—
Tax effect of adjusting items		(11,245	)			(1,086	)			(920	)			(16,151	)			(4,504	)			(3,581	)
Non-GAAP net income/(loss)	$	51,073			$	59,169			$	50,224			$	211,421			$	144,916			$	171,292

Non-GAAP Diluted Earnings Per Share Reconciliation Table:
	Three Months Ended												Year Ended
	December 31,												December 31,
(In thousands)	2021				2020				2019				2021				2020				2019
Diluted earnings per share, as reported	$	0.14			$	0.52			$	0.44			$	1.44			$	1.01			$	1.52
Provision for litigation		0.06				—				0.01				0.06				—				0.02
Amortization of intangibles		0.04				0.05				0.03				0.18				0.17				0.14
Acquisition related costs/licensing		0.03				0.03				0.02				0.19				0.06				0.04
Acquisition of in-process research and development		0.33				—				—				0.33				0.24				—
Tax effect of adjusting items		(0.11	)			(0.01	)			(0.01	)			(0.16	)			(0.04	)			(0.04	)
Non-GAAP diluted earnings per share	$	0.49			$	0.58			$	0.49			$	2.04			$	1.44			$	1.68
*amounts might not add due to rounding

Non-GAAP Free Cash Flow Reconciliation Table:
	Three Months Ended												Year Ended
	December 31,												December 31,
(In thousands)	2021				2020				2019				2021				2020				2019
Net cash provided by operating activities	$	76,253			$	80,184			$	54,266			$	276,274			$	198,793			$	171,975
Purchases of property and equipment		(17,045	)			(14,063	)			(15,793	)			(56,898	)			(63,658	)			(70,750	)
Free cash flow	$	59,208			$	66,121			$	38,473			$	219,376			$	135,135			$	101,225

Non-GAAP Net Sales on a Constant Currency Basis Comparative Table:
		Three Months Ended						Reported		Currency Impact on				Constant Currency
		December 31,						Net Sales		Current				Net Sales
(In thousands, except percentages)		2021			2020			Growth		Period Net Sales				Growth
United States		$	212,963		$	198,749		7.2%		$	—			7.2%
International			37,058			34,696		6.8%			645			8.7%
Total net sales		$	250,021		$	233,445		7.1%		$	645			7.4%
		Year Ended						Reported		Currency Impact on				Constant Currency
		December 31,						Net Sales		Current				Net Sales
(In thousands, except percentages)		2021			2020			Growth		Period Net Sales				Growth
United States		$	819,571		$	664,454		23.3%		$	—			23.3%
International			138,531			124,588		11.2%			(1,613	)		9.9%
Total net sales		$	958,102		$	789,042		21.4%		$	(1,613	)		21.2%

Contact:
Brian Kearns
Senior Vice President, Business Development and Investor Relations
Phone: (610) 930-1800
Email: investors@globusmedical.com  
www.globusmedical.com