GLOBUS MEDICAL INC
For the period ended Dec 31, 2023. Filed Feb 21, 2024.
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FY2023 · Filed Feb 21, 2024
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Item 8. Consolidated Statements of Cash Flows
| Year Ended | |||
|---|---|---|---|
| December 31, | |||
| (In thousands) | 2023 | 2022 | 2021 |
| Cash flows from operating activities: | |||
| Net income | $122,873 | $190,169 | $149,191 |
| Adjustments to reconcile net income to net cash provided by operating activities: | |||
| Acquired in-process research and development | — | 150 | 34,312 |
| Depreciation and amortization | 144,733 | 68,252 | 69,867 |
| Amortization of premiums on marketable securities | 793 | 5,389 | 2,781 |
| Provision for excess and obsolete inventory | 10,959 | 6,400 | 6,143 |
| Amortization of inventory fair value step up | 71,656 | — | — |
| Amortization of 2025 Note fair value step up | 8,176 | — | — |
| Stock-based compensation expense | 52,742 | 32,810 | 30,586 |
| Allowance for doubtful accounts | 3,658 | (1) | 1,200 |
| Change in fair value of business acquisition liabilities | 17,434 | 5,132 | 16,807 |
| Change in deferred income taxes | (57,789) | (22,223) | (17,615) |
| (Gain)/loss on disposal of assets, net | 1,541 | 299 | 464 |
| Payment of business acquisition related liabilities | (3,005) | (2,647) | (210) |
| Net (gain)/loss from foreign currency adjustment | (13,674) | — | — |
| (Increase) decrease in: | |||
| Accounts receivable | (49,914) | (50,843) | (25,895) |
| Inventories | (70,328) | (61,745) | (11,971) |
| Prepaid expenses and other assets | 1,148 | (10,292) | (6,178) |
| Increase (decrease) in: | |||
| Accounts payable | (14,223) | 14,418 | 3,684 |
| Accrued expenses and other liabilities | 17,127 | 6,087 | 17,896 |
| Income taxes payable/receivable | (408) | (2,887) | 5,212 |
| Net cash provided by/(used in) operating activities | 243,499 | 178,468 | 276,274 |
| Cash flows from investing activities: | |||
| Purchases of marketable securities | (100,643) | (419,534) | (622,359) |
| Maturities of marketable securities | 240,190 | 312,221 | 227,908 |
| Sales of marketable securities | 537,723 | 102,433 | 109,898 |
| Purchases of property and equipment | (78,274) | (74,047) | (56,898) |
| Acquisition of businesses, net of cash acquired and purchases of intangible and other assets | (296,028) | (31,435) | (34,488) |
| Net cash provided by/(used in) investing activities | 302,968 | (110,362) | (375,939) |
| Cash flows from financing activities: | |||
| Payment of business acquisition-related liabilities | (8,039) | (7,185) | (9,349) |
| Net proceeds from exercise of stock options | 12,397 | 41,716 | 63,496 |
| Payments related to tax withholdings for share-based compensation | (10,617) | — | — |
| Repurchase of common stock | (225,562) | (144,493) | — |
| Net cash provided by/(used in) financing activities | (231,821) | (109,962) | 54,147 |
| Effect of foreign exchange rates on cash | 2,180 | (747) | (810) |
| Net increase/(decrease) in cash and cash equivalents | 316,826 | (42,603) | (46,328) |
| Cash and cash equivalents at beginning of period | 150,466 | 193,069 | 239,397 |
| Cash and cash equivalents at end of period | $467,292 | $150,466 | $193,069 |
| Supplemental disclosures of cash flow information: | |||
| Income taxes paid, net | $100,593 | $77,823 | $45,027 |
| Non-cash investing and financing activities: | |||
| Equity issued in conjunction with the NuVasive Merger | $2,153,860 | $— | — |
| Accrued purchases of property and equipment | $7,100 | $7,423 | $4,551 |
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1. BACKGROUND
(a) The Company
Globus Medical, Inc., together withits majority-owned or controlled subsidiaries, is a medical device company that develops and commercializes healthcare solutions with a mission to improve the quality of life of patients with musculoskeletal disorders. We are primarily focused on implants that promote healing in patients with musculoskeletal disorders, including the use of a robotic guidance and navigation system and products to treat patients who have experienced orthopedic traumas.
We are an engineering-driven company with a history of rapidly developing and commercializing advanced products and procedures to assist surgeons in effectively treating their patients and to address new treatment options. With numerous products launched since the founding of the Company, including 10 products launched in 2023, we offer a comprehensive portfolio of innovative and differentiated technologies that address a variety of musculoskeletal pathologies, anatomies, and surgical approaches.
We are headquartered in Audubon, Pennsylvania, and market and sell our products through our exclusive sales force in the United States, as well as within North, Central & South America, Europe, Asia, Africa and Australia. The sales force consists of direct sales representatives and distributor sales representatives employed by exclusive independent distributors.
The terms the “Company,” “Globus,” “we,” “us” and “our” refer to Globus Medical, Inc. and, where applicable, our consolidated subsidiaries.
(b) NuVasive Merger
On September 1, 2023, pursuant to that certain merger agreement (the “Merger Agreement”) with NuVasive, Inc. (“NuVasive”) and Zebra Merger Sub, Inc. (“Merger Sub”), Merger Sub, a wholly owned subsidiary of the Company, merged with and into NuVasive, with NuVasive surviving as a wholly owned subsidiary of the Company (the “Merger”). Under the Merger Agreement, each share of common stock, par value $0.001 per share, of NuVasive issued and outstanding immediately prior to the effective timeof the Merger (other than certain excluded shares as described in the Merger Agreement) was cancelled and converted into the right to receive 0.75 fully paid and non-assessable shares of Class A common stock of Globus, $0.001 par value per share, and the right to receive cash in lieu of fractional shares.
Globus was deemed to be the accounting acquirer of NuVasive for accounting purposes under U.S. generally accepted accounting principles (“U.S. GAAP”). Accordingly, prior periods within these consolidated financial statements may not be comparable.
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