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GLOBUS MEDICAL INC - Quarter Report: 2018 September (Form 10-Q)

Table of Contents

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2018
Or
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ______________ to _______________

Commission File No. 001-35621

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

DELAWARE
 
04-3744954
(State or other jurisdiction of incorporation or organization)
 
(I.R.S. Employer Identification No.)
 
 
 
2560 General Armistead Avenue, Audubon, PA 19403
 
(610) 930-1800
(Address of principal executive offices) (Zip Code)
 
(Registrant’s telephone number, including Area Code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days:
Yes x   No ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files):
Yes x   No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act:
Large Accelerated Filer
x
Accelerated Filer
¨
Non-accelerated Filer
¨
Smaller Reporting Company
¨
Emerging Growth Company
¨
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.
o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act):
 Yes ¨  No x

The number of shares outstanding of the issuer’s common stock (par value $0.001 per share) as of October 31, 2018 was 98,481,062 shares.


Table of Contents

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
TABLE OF CONTENTS
 
 
Page
 
 
 
 
 
 
 
 
 
Condensed Consolidated Balance Sheets (Unaudited)
 
 
September 30, 2018 and December 31, 2017
 
 
 
 
Condensed Consolidated Statements of Income (Unaudited)
 
 
Three and nine months ended September 30, 2018 and September 30, 2017
 
 
 
 
 
 
Three and nine months ended September 30, 2018 and September 30, 2017
 
 
 
 
 
 
Nine months ended September 30, 2018 and September 30, 2017
 
 
 
 
Notes to Condensed Consolidated Financial Statements (Unaudited)
 
 
 
 
 
 
 
 
 
Item 4.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


2

Table of Contents

PART I. FINANCIAL INFORMATION
Item 1. Financial Statements

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In thousands, except par value)
September 30,
2018
 
December 31,
2017
ASSETS
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
145,295

 
$
118,817

Short-term marketable securities
227,466

 
254,890

Accounts receivable, net of allowances of $3,655 and $3,963, respectively
118,847

 
116,676

Inventories
124,372

 
108,409

Prepaid expenses and other current assets
13,951

 
11,166

Current portion of note receivable
3,333

 
1,667

Income taxes receivable
13,137

 
8,717

Total current assets
646,401

 
620,342

Property and equipment, net of accumulated depreciation of $210,120 and $191,760, respectively
161,768

 
143,167

Long-term marketable securities
168,850

 
56,133

Note receivable
25,833

 
28,333

Intangible assets, net
89,522

 
78,659

Goodwill
124,015

 
123,890

Other assets
6,726

 
7,947

Deferred income taxes
15,391

 
20,031

Total assets
$
1,238,506

 
$
1,078,502

 
 
 
 
LIABILITIES AND EQUITY
 
 
 
Current liabilities:
 
 
 
Accounts payable
$
23,061

 
$
25,039

Accrued expenses
47,764

 
52,594

Income taxes payable
2,322

 
3,274

Business acquisition liabilities
6,693

 
11,411

Deferred revenue
1,878

 
755

Total current liabilities
81,718

 
93,073

Business acquisition liabilities, net of current portion
3,378

 
4,508

Deferred income taxes
9,623

 
10,669

Other liabilities
2,670

 
2,474

Total liabilities
97,389

 
110,724

Commitments and contingencies (Note 13)


 


Equity:
 
 
 
Class A common stock; $0.001 par value. Authorized 500,000 shares; issued and outstanding 76,020 and 72,780 shares at September 30, 2018 and December 31, 2017, respectively
76

 
73

Class B common stock; $0.001 par value. Authorized 275,000 shares; issued and outstanding 22,430 and 23,878 shares at September 30, 2018 and December 31, 2017, respectively
23

 
24

Additional paid-in capital
291,875

 
238,341

Accumulated other comprehensive loss
(6,828
)
 
(6,907
)
Retained earnings
855,971

 
736,247

Total equity
1,141,117

 
967,778

Total liabilities and equity
$
1,238,506

 
$
1,078,502

See accompanying notes to condensed consolidated financial statements.

3

Table of Contents

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)

 
Three Months Ended
 
Nine Months Ended
(In thousands, except per share amounts)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Sales
$
169,236

 
$
151,744

 
$
517,031

 
$
459,943

Cost of goods sold
37,849

 
36,798

 
113,456

 
109,597

Gross profit
131,387

 
114,946

 
403,575

 
350,346

 
 
 
 
 
 
 
 
Operating expenses:
 
 
 
 
 
 
 
Research and development
15,527

 
10,887

 
41,738

 
32,266

Selling, general and administrative
75,131

 
63,362

 
227,949

 
194,859

Provision for litigation

 
2,537

 

 
2,780

Amortization of intangibles
2,160

 
2,080

 
6,525

 
5,671

Acquisition related costs
268

 
285

 
1,289

 
1,290

Total operating expenses
93,086

 
79,151

 
277,501

 
236,866

 
 
 
 
 
 
 
 
Operating income
38,301

 
35,795

 
126,074

 
113,480

 
 
 
 
 
 
 
 
Other income, net
 
 
 
 
 
 
 
Interest income/(expense), net
3,852

 
1,738

 
9,114

 
4,746

Foreign currency transaction gain/(loss)
(26
)
 
(315
)
 
312

 
681

Other income/(loss)
470

 
139

 
5,478

 
421

Total other income/(expense), net
4,296

 
1,562

 
14,904

 
5,848

 
 
 
 
 
 
 
 
Income before income taxes
42,597

 
37,357

 
140,978

 
119,328

Income tax provision
7,389

 
11,766

 
21,254

 
36,356

 
 
 
 
 
 
 
 
Net income
$
35,208

 
$
25,591

 
$
119,724

 
$
82,972

 
 
 
 
 
 
 
 
Earnings per share:
 
 
 
 
 
 
 
Basic
$
0.36

 
$
0.27

 
$
1.23

 
$
0.86

Diluted
$
0.35

 
$
0.26

 
$
1.18

 
$
0.85

Weighted average shares outstanding:
 
 
 
 
 
 
 
Basic
98,328

 
96,318

 
97,671

 
96,160

Dilutive stock options
3,476

 
1,531

 
3,604

 
1,447

Diluted
101,804

 
97,849

 
101,275

 
97,607

 
 
 
 
 
 
 
 
Anti-dilutive stock options excluded from weighted average calculation
1,950

 
2,611

 
1,892

 
3,462


See accompanying notes to condensed consolidated financial statements.



4

Table of Contents

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited)


 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Net income
$
35,208

 
$
25,591

 
$
119,724

 
$
82,972

Other comprehensive income/(loss):
 
 
 
 
 
 
 
Unrealized gain/(loss) on marketable securities, net of tax
96

 
7

 
29

 
150

Foreign currency translation gain/(loss)
(116
)
 
(313
)
 
50

 
2,314

Total other comprehensive income/(loss)
(20
)
 
(306
)
 
79

 
2,464

Comprehensive income
$
35,188

 
$
25,285

 
$
119,803

 
$
85,436


See accompanying notes to condensed consolidated financial statements.


5

Table of Contents

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
Cash flows from operating activities:
 
 
 
Net income
$
119,724

 
$
82,972

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Depreciation and amortization
29,694

 
33,773

Amortization of premium on marketable securities
1,808

 
2,258

Write-down for excess and obsolete inventories
8,326

 
8,158

Stock-based compensation expense
17,078

 
10,659

Allowance for doubtful accounts
388

 
1,135

Change in fair value of business acquisition liabilities
592

 
1,011

Change in deferred income taxes
1,606

 
815

(Gain)/loss on disposal of assets, net
(3,694
)
 

(Increase)/decrease in:
 
 
 
Accounts receivable
(2,900
)
 
(2,200
)
Inventories
(23,042
)
 
(6,956
)
Prepaid expenses and other assets
(81
)
 
(974
)
Increase/(decrease) in:
 
 
 
Accounts payable
(4,858
)
 
(344
)
Accrued expenses and other liabilities
(1,965
)
 
(9,377
)
Income taxes payable/receivable
(5,324
)
 
(6,709
)
Net cash provided by operating activities
137,352

 
114,221

Cash flows from investing activities:
 
 
 
Purchases of marketable securities
(382,347
)
 
(227,699
)
Maturities of marketable securities
210,066

 
168,418

Sales of marketable securities
85,234

 
34,751

Purchases of property and equipment
(42,538
)
 
(37,878
)
Proceeds from sale of assets
4,000

 

Acquisition of businesses, net of cash acquired, and purchases of intangible and other assets
(14,825
)
 
(31,501
)
Net cash used in investing activities
(140,410
)
 
(93,909
)
Cash flows from financing activities:
 
 
 
Payment of business acquisition liabilities
(6,513
)
 
(5,234
)
Proceeds from exercise of stock options
36,245

 
6,943

Net cash provided by financing activities
29,732

 
1,709

Effect of foreign exchange rate on cash
(196
)
 
778

Net increase in cash, cash equivalents, and restricted cash
26,478

 
22,799

Cash, cash equivalents, and restricted cash at beginning of period
118,817

 
67,431

Cash, cash equivalents, and restricted cash at end of period
$
145,295

 
$
90,230

Supplemental disclosures of cash flow information:
 
 
 
Interest paid

 
34

Income taxes paid
$
24,894

 
$
49,008

See accompanying notes to condensed consolidated financial statements.

6

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)



NOTE 1. BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
(a) The Company
Globus Medical, Inc., together with its subsidiaries, is a medical device company that develops and commercializes solutions for the treatment of musculoskeletal disorders. We are primarily focused on implants that promote healing in patients with spine disorders, but recently launched 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 that assist surgeons in effectively treating their patients, respond to evolving surgeon needs and address new treatment options. Since our inception in 2003, we have launched over 190 products and offer a comprehensive portfolio of innovative and differentiated products addressing a broad array of spinal 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) Basis of Presentation
The accompanying interim unaudited condensed consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial statements and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and footnote disclosures normally included in complete financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the consolidated financial statements and accompanying footnotes included in our Annual Report on Form 10-K for the year ended December 31, 2017.
In the opinion of management, the statements include all adjustments necessary, which are of a normal and recurring nature, for the fair presentation of our financial position and of the results for the three- and nine- month periods presented. The results of operations for any interim period are not indicative of results for the full year.

7

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


During the fourth quarter of 2017, the Company identified and recorded an adjustment to its December 31, 2016 consolidated balance sheet to correct the presentation of $65.8 million of its Variable Rate Demand Notes (“VRDNs”) as short-term marketable securities instead of cash and cash equivalents.  Accordingly, the statement of cash flows for the year ended December 31, 2016 has been adjusted to appropriately increase purchases of marketable securities by $63.3 million, resulting in an increase in net cash used in investing activities and a decrease to cash and cash equivalents, end of period of $63.3 million. The statement of cash flows for the year ended December 31, 2015 has been adjusted to appropriately increase purchases of marketable securities by $2.5 million, resulting in an increase in net cash used in investing activities and a decrease to cash and cash equivalents, end of period of $2.5 million.  The statement of cash flows for the nine months ended September 30, 2017 has been adjusted to appropriately increase purchases of marketable securities, maturities of marketable securities and sales of marketable securities by $24.1 million, $2.0 million and $23.2 million respectively, resulting in a decrease in net cash used in investing activities and an increase to cash and cash equivalents, end of period of $1.1 million.
In accordance with FASB Topic ASC 320, Investments-Debt and Equity Securities, based on our ability to market and sell these instruments and our intent to not hold such instruments until maturity, we account for VRDNs as available-for-sale, and carry them at their fair value. VRDNs are similar to short-term debt instruments because their interest rates are reset periodically. Investments in these securities can be sold for cash on the auction date. We classified VRDNs at September 30, 2017 as short-term based on the reset dates.  The Company did not own VRDNs as of December 31, 2017 and does not own VRDNs as of September 30, 2018.
(c) Principles of Consolidation
The accompanying condensed consolidated financial statements include the accounts of Globus and its wholly-owned subsidiaries. All intercompany balances and transactions are eliminated in consolidation.
(d) Use of Estimates
The preparation of the condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. We base our estimates, in part, on historical experience that management believes to be reasonable under the circumstances. Actual results could differ from those estimates. Estimates and assumptions are periodically reviewed and the effects of revisions are reflected in the condensed consolidated financial statements in the period they are determined to be necessary.
Significant areas that require management’s estimates include intangible assets, business acquisition liabilities, allowance for doubtful accounts, stock-based compensation, write-down for excess and obsolete inventory, useful lives of assets, the outcome of litigation, recoverability of intangible assets and income taxes. We are subject to risks and uncertainties due to changes in the healthcare environment, regulatory oversight, competition, and legislation that may cause actual results to differ from estimated results.

8

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


During fourth quarter of 2017, we completed a review of the estimated useful life of our Instruments and Modules and cases. Based on historical useful life information, forecasted product life cycles and demand expectations, the useful life of Instruments and Modules and cases was extended from three to five years. This was accounted for as a change in accounting estimate and was made on a prospective basis effective October 1, 2017. For the three months ended September 30, 2018, depreciation expense was lower by approximately $1.3 million than it would have been had the useful life of these assets not been extended. The effect of this change on basic and diluted earnings per share for the three months ended September 30, 2018 was $0.01 per share. For the nine months ended September 30, 2018, depreciation expense was lower by approximately $4.4 million with a diluted earnings per share impact of $0.04 per share.
(e) Cash, Cash Equivalents, and Restricted Cash
The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the statement of financial position that sum to the total of the same such amounts shown in the statement of cash flows:
(In thousands)
September 30, 2018
 
December 31, 2017
 
September 30, 2017
 
December 31, 2016
Cash and cash equivalents
$
145,295

 
$
118,817

 
$
90,230

 
$
66,954

Restricted cash

 

 

 
477

Total cash, cash equivalents, and restricted cash as presented in the condensed consolidated
    statement of cash flows
$
145,295

 
$
118,817

 
$
90,230

 
$
67,431

(f) Marketable Securities
Our marketable securities include municipal bonds, corporate debt securities, commercial paper, securities of U.S. government-sponsored agencies and asset-backed securities, and are classified as available-for-sale as of September 30, 2018. Available-for-sale securities are recorded at fair value in both short-term and long-term marketable securities on our condensed consolidated balance sheets. The change in fair value for available-for-sale securities is recorded, net of taxes, as a component of accumulated other comprehensive income or loss on our condensed consolidated balance sheets. Premiums and discounts are recognized over the life of the related security as an adjustment to yield using the straight-line method. Realized gains or losses from the sale of our marketable securities are determined on a specific identification basis. Realized gains and losses, along with interest income and the amortization/accretion of premiums/discounts are included as a component of other income, net, on our condensed consolidated statements of income. Interest receivable is recorded as a component of prepaid expenses and other current assets on our condensed consolidated balance sheets.
We maintain a portfolio of various holdings, types and maturities, though most of the securities in our portfolio could be liquidated at minimal cost at any time. We invest in securities that meet or exceed standards as defined in our investment policy. Our policy also limits the amount of credit exposure to any one issue, issuer or type of security. We review our securities for other-than-temporary impairment at each reporting period. If an unrealized loss for any security is considered to be other-than-temporary, the loss will be recognized in our condensed consolidated statement of income in the period the determination is made.

9

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


(g) Inventories
Inventories are stated at the lower of cost or net realizable value. Cost is determined on a first-in, first-out basis. The majority of our inventories are finished goods and we utilize both in-house manufacturing and third-party suppliers to source our products. We periodically evaluate the carrying value of our inventories in relation to our estimated forecast of product demand, which takes into consideration the estimated life cycle of product releases. When quantities on hand exceed estimated sales forecasts, we record a write-down for such excess inventories.
(h) Property and Equipment
Purchases of property and equipment included in accounts payable and accrued expenses were $7.9 million and $4.5 million during the nine months ended September 30, 2018 and September 30, 2017, respectively.
(i) Revenue Recognition
Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration we expect to receive in exchange for those products or services. Sales and other taxes we collect concurrent with revenue-producing activities are excluded from revenue. Incidental items that are immaterial in the context of the contract are recognized as expense. For purposes of disclosing disaggregated revenue, we disaggregate our revenue, into two categories, Spine and Emerging Technologies, based on the timing of revenue recognition. Our Spine products are comprised of our entire spinal implant portfolio, including traditional interbody fusion devices, our expandable cages, products designed for minimally invasive surgical techniques, motion preservation devices, regenerative biologics technologies and interventional pain management solutions. The majority of our Spine contracts have a single performance obligation and revenue is recognized at a point in time. Our Emerging Technology products consist of our imaging, navigational and robotic (“INR”) technologies and orthopedic trauma devices. The majority of our Emerging Technology product contracts typically contain multiple performance obligations, including maintenance and support, and revenue is recognized as we fulfill each performance obligation. For contracts with multiple performance obligations, we allocate the contract’s transaction price to each performance obligation using our best estimate of the standalone selling price of each distinct good or service in the contract. Our policy is to classify shipping and handling costs billed to customers as sales and the related expenses as cost of goods sold.
Nature of Products and Services
A significant portion of our Spine product revenue is generated from consigned inventory maintained at hospitals or with sales representatives. Revenue from the sale of consigned Spine products is recognized when we transfer control, which occurs at the time the product is used or implanted. For all other Spine product transactions, we recognize revenue when we transfer title to the goods, provided there are no remaining performance obligations that will affect the customer’s final acceptance of the sale. We use an observable price to determine the stand-alone selling price for the identified performance obligation.

10

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


Revenue from the sale of Emerging Technology products is generally recognized when title transfers to the customer which occurs at the time the product is shipped or delivered. Depending on the terms of the arrangement, we may also defer the recognition of a portion of the consideration received as we have to satisfy a future performance obligation to provide maintenance and support. We use an observable price to determine the stand-alone selling price for each separate performance obligation.

Contract Balances
Timing of revenue recognition may differ from the timing of invoicing to customers. We record a receivable when revenue is recognized prior to invoicing, or deferred revenue when revenue is recognized subsequent to invoicing.
Deferred revenue is comprised mainly of unearned revenue related to the sales of certain Emerging Technology products, which includes maintenance and support services. Deferred revenue is generally invoiced annually at the beginning of each contract period and recognized ratably over the coverage period. For the three and nine months ended September 30, 2018, there was an immaterial amount of revenue recognized from previously deferred revenue.

Disaggregation of Revenue
The following table represents total sales by revenue stream:
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Spine products
$
162,952

 
$
151,744

 
$
484,149

 
$
459,943

Emerging Technology products
6,284

 

 
32,882

 

Total sales
$
169,236

 
$
151,744

 
$
517,031

 
$
459,943

(j) Other Income
On June 21, 2018, we sold assets for $5.0 million, of which $3.0 million was collected upon closing of the sale and the remaining $2.0 million recorded under prepaid expenses and other current assets. As of September 30, 2018, $1.0 million remains recorded under prepaid expenses and other current assets in the accompanying condensed consolidated balance sheet.
(k) Recently Issued Accounting Pronouncements
In February 2016, the FASB released ASU 2016-02, Leases (Topic 842) (“ASU 2016-02”). Under ASU 2016-02, a right-of-use asset and lease obligation will be recorded for all leases with terms greater than 12 months, whether operating or financing, while the income statement will reflect lease expense for operating leases and amortization/interest expense for financing leases. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, with early adoption permitted, and permits modified retrospective method or cumulative-effect adjustment method. We have elected to apply the cumulative-effect adjustment transition method and will record the adjustment to the opening balance of retained earnings in the period of adoption.  We are evaluating the impact of this update on our financial position, results of operations, and disclosures, and assessing our internal controls and key system functionality to enable the preparation of financial information upon adoption.

11

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


In January 2017, the FASB released ASU 2017-04, Intangibles - Goodwill and Other (Topic 805): Simplifying the Test for Goodwill Impairment (“ASU 2017-04”), which eliminates the Step 2 calculation for the implied fair value of goodwill to measure a goodwill impairment charge. Under the updated standard, an entity will record an impairment charge based on the excess of a reporting unit’s carrying amount over its fair value. ASU 2017-04 does not change the guidance on completing Step 1 of the goodwill impairment test and still allows an entity to perform the optional qualitative goodwill impairment assessment before determining whether to proceed to Step 1. This update is effective for annual and interim goodwill impairment tests in fiscal years beginning after December 15, 2019 with early adoption permitted for any impairment test performed on testing dates after January 1, 2017. We are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.
In February 2018, the FASB released ASU 2018-02, Income Statement - Reporting Comprehensive Income (Topic 220), Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income (“ASU 2018-02”). Prior to ASU 2018-02, GAAP required the remeasurement of deferred tax assets and liabilities as a result of a change in tax laws or rates to be presented in net income from continuing operations, even in situations in which the related income tax effects of items in accumulated other comprehensive income were originally recognized in other comprehensive income. As a result, such items, referred to as stranded tax effects, did not reflect the appropriate tax rate. Under ASU 2018-02, entities are permitted, but not required, to reclassify from accumulated other comprehensive income to retained earnings those stranded tax effects resulting from the Tax Act.  ASU 2018-02 is effective for all entities for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.
In June 2018, the FASB released ASU 2018-07, Compensation—Stock Compensation (Topic 718), (“ASU 2018-07”), which expanded the scope of Topic 718 to include share-based payment transactions for acquiring goods and services from nonemployees. ASU 2018-07 specifies that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services to be used or consumed in a grantor’s own operations by issuing share-based payment awards. This update is effective for public entities for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.
In August 2018, the FASB released ASU 2018-13, Fair Value Measurement (Topic 820), (“ASU 2018-13), which modifies the disclosure requirements on fair value measurements in Topic 820, including the consideration of costs and benefits. This update is effective for public entities for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.

12

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


(l) Recently Adopted Accounting Pronouncements
In May 2014, the FASB issued Accounting Standards Update 2014-09, Revenue from Contracts with Customers (Topic 606) (“ASU 2014-09”). ASU 2014-09 amends the guidance in former Topic 605, Revenue Recognition, and most other existing revenue guidance in US GAAP. Under the new standard, an entity will recognize revenue to depict the transfer of goods or services to customers in amounts that reflect the payment to which the entity expects to be entitled in exchange for those goods or services and provide additional disclosures. As amended, the effective date for public entities is annual reporting periods beginning after December 15, 2017 and interim periods therein. We adopted the standard on January 1, 2018, using the modified retrospective method. We implemented internal controls and key system functionality to enable the preparation of financial information upon adoption. The adoption of this standard did not have a material impact on our financial position, results of operations, and disclosures.
In October 2016, the FASB released ASU 2016-16, Income Taxes (Topic 740): Intra-Entity Transfers of Assets Other Than Inventory (“ASU 2016-16”). ASU 2016-16 removes the current exception in US GAAP prohibiting entities from recognizing current and deferred income tax expenses or benefits related to transfer of assets, other than inventory, within the consolidated entity. The current exception to defer the recognition of any tax impact on the transfer of inventory within the consolidated entity until it is sold to a third party remains unaffected. This update is effective for public entities for annual reporting periods beginning after December 15, 2017. We adopted ASU 2016-16 on January 1, 2018. This standard does not have a material impact on our financial position, results of operations, and disclosures.
In November 2016, the FASB released ASU 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash (“ASU 2016-18”), which requires that amounts generally described as restricted cash and restricted cash equivalents be included with cash and cash equivalents when reconciling the total beginning and ending amounts for the periods shown on the statement of cash flows. Transfers between cash and cash equivalents and restricted cash and restricted cash equivalents will no longer be presented in the statement of cash flows. The amendments in this update should be applied using a retrospective transition method to each period presented. This update is effective for annual periods beginning after December 15, 2017, and interim periods within those fiscal years; early adoption is permitted, including adoption in an interim period. We adopted ASU 2016-18 on January 1, 2018. This standard does not have a material impact on our financial position, results of operations, and disclosures.
In January 2017, the FASB released ASU 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business (“ASU 2017-01”), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions or disposals of assets or businesses. The amendments in this ASU should be applied prospectively and are effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years, with early application permitted. No disclosures are required at transition. We adopted ASU 2017-01 on January 1, 2018. This standard does not have a material impact on our financial position, results of operations, and disclosures.

13

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


In May 2017, the FASB released ASU 2017-09, Compensation - Stock Compensation (Topic 718): Scope of Modification Accounting (“ASU 2017-09”), which clarifies the changes to terms or conditions of a share based payment award that requires application of modification accounting under Topic 718. A change to an award should be accounted for as a modification unless the fair value of the modified award is the same as the original award, the vesting conditions do not change, and the classification as an equity or liability instrument does not change. This update is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2017. Early application is permitted and prospective application is required for awards modified on or after the adoption date. We adopted ASU 2017-09 on January 1, 2018. This standard does not have a material impact on our financial position, results of operations, and disclosures.
NOTE 2. ACQUISITIONS
KB Medical

On June 13, 2017, we acquired KB Medical SA (“KB Medical”), a Swiss-based robotic developer, to further bolster our development team, intellectual property, and product portfolio (the “KB Medical Acquisition”). We have included the financial results of KB Medical in our condensed consolidated financial statements from the acquisition date, and the results from KB Medical were not material to our condensed consolidated financial statements. We accounted for the KB Medical Acquisition under the purchase method of accounting. Amounts recognized for assets acquired and liabilities assumed are based on our purchase price allocations and on certain management judgments. These allocations are based on an analysis of the estimated fair values of assets acquired and liabilities assumed, including identifiable tangible assets, and estimates of the useful lives of tangible assets. The fair value of the consideration for the KB Medical Acquisition was approximately $31.5 million of cash paid at closing, plus a potential $4.9 million contingent consideration payment based on product development milestones. We recorded $20.2 million of identifiable net assets, based on their estimated fair values, and goodwill of $16.2 million. None of the goodwill is expected to be deductible for tax purposes.
As of September 30, 2018, the maximum aggregate undiscounted amount of contingent consideration potentially payable related to the KB Medical Acquisition is $5.2 million.

14

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


The table below represents the purchase price allocation for the identifiable tangible and intangible assets and liabilities of KB Medical:
(In thousands)
 
Consideration:
 
Cash paid at closing
$
31,501

Purchase price contingent consideration
4,871

Fair value of consideration
$
36,372

 
 
Identifiable assets acquired and liabilities assumed:
 
Cash acquired
$
1,557

Prepaid and other current assets
168

Intangible assets, gross
24,500

Other assets
18

Accounts payable and accrued expenses
(1,312
)
Deferred tax liabilities
(4,727
)
Total identifiable net assets
20,204

 
 
Goodwill
16,168

Total allocated purchase price
$
36,372

NOTE 3. NOTE RECEIVABLE
On September 1, 2016 (the “Closing Date”), in connection with the acquisition of the international operations and distribution channel of Alphatec Holdings, Inc. (“Alphatec International”), we entered into a Credit, Security and Guaranty Agreement (the “Credit Agreement”) with Alphatec Holdings, Inc. (“Alphatec”) and Alphatec Spine, Inc. (“Alphatec Spine” and together with Alphatec, the “Alphatec Borrowers”), pursuant to which we made available to the Alphatec Borrowers a senior secured term loan facility in an amount not to exceed $30.0 million. On the Closing Date, we made an initial loan of $25.0 million and the Alphatec Borrowers issued a note for such amount to us. On December 20, 2016, the remaining $5.0 million was drawn by the Alphatec Borrowers and added to the note.
The Credit Agreement contains customary operational and financial covenants, including a fixed charge coverage ratio to be maintained by the Alphatec Borrowers, and provides us with a security interest in all of the assets of the Alphatec Borrowers. The Credit Agreement has a scheduled maturity date five years from the Closing Date. The term loan interest rate for the first two years following the Closing Date is priced at the London Interbank Offered Rate (“LIBOR”) plus 8.0%, subject to a 9.5% floor. The term loan interest rate thereafter will be LIBOR plus 13.0%.

15

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


On March 30, 2017, we entered into a First Amendment to the Credit Agreement which modified the time periods during which the Alphatec Borrowers are required to calculate the fixed charge coverage ratio in order to determine compliance with the Credit Agreement. On March 8, 2018, we entered into a Consent, Joinder and Second Amendment pursuant to which, among other things, (i) we consented to the acquisition by Alphatec of SafeOp Surgical, Inc. (“SafeOp”), (ii) SafeOp joined the Credit Agreement as a “Borrower” thereunder, and (iii) we modified the time periods during which the Alphatec Borrowers (including SafeOp) are required to calculate the fixed charge coverage ratio in order to determine compliance with the Credit Agreement. The first period subject to compliance of the fixed charge coverage ratio is the month ended April 30, 2019.
Interest accrues on the note receivable based on the contractual terms of the note.  We consider a note to be impaired when, based on current information or factors (such as payment history, value of collateral and assessment of the borrower’s current creditworthiness), it is probable that the principal and interest payments will not be collected according to the note agreement. As of September 30, 2018, we do not consider this note to be impaired. We believe that the note’s carrying value approximates its fair value.
NOTE 4. GOODWILL AND INTANGIBLE ASSETS
A summary of intangible assets is presented below:
 
 
 
September 30, 2018
(In thousands)
Weighted
Average Amortization
Period
(in years)
 
Gross
Carrying
Amount  
 
Accumulated Amortization  
 
Intangible
Assets, net
In-process research & development
 
$
20,312

 
$

 
$
20,312

Supplier network
10.0
 
4,000

 
(1,567
)
 
2,433

Customer relationships & other intangibles
6.8
 
41,800

 
(15,949
)
 
25,851

Developed technology
8.8
 
36,623

 
(2,217
)
 
34,406

Patents
16.5
 
7,748

 
(1,228
)
 
6,520

Total intangible assets
 
 
$
110,483

 
$
(20,961
)
 
$
89,522

On September 5, 2018, we acquired Nemaris, Inc. (“Nemaris”), a privately held company that markets and develops Surgimap®, a leading surgical planning software platform, to further bolster our efforts to advance the future of computer-assisted surgery technologies (the “Nemaris Acquisition”).  The assets of the Nemaris Acquisition consist primarily of developed technology and other intangible assets.  We determined that substantially all the fair value of the gross assets on the date of acquisition is captured in the developed technology and as a result, the Nemaris acquisition was accounted for as an asset purchase.  We allocated the consideration paid of $15.2 million on a pro rata basis to the assets acquired on their respective fair values.  Acquired assets include developed technology of $13.1 million, assembled workforce of $0.4 million, and other identifiable net assets of $1.7 million. The useful lives of the developed technology and assembled workforce are seven years and one year, respectively, and will be amortized on a straight-line basis. In addition to the cash paid at closing, there is a potential $10.0 million contingent consideration payment based on product development milestones.
 

16

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


 
 
 
December 31, 2017
(In thousands)
Weighted
Average Amortization
Period
(in years)
 
Gross
Carrying
Amount  
 
Accumulated Amortization  
 
Intangible
Assets, net
In-process research & development
 
$
20,003

 
$

 
$
20,003

Supplier network
10.0
 
4,000

 
(1,267
)
 
2,733

Customer relationships & other intangibles
6.8
 
41,345

 
(11,589
)
 
29,756

Developed technology
10.0
 
20,460

 
(682
)
 
19,778

Patents
16.9
 
7,389

 
(1,000
)
 
6,389

Total intangible assets
 
 
$
93,197

 
$
(14,538
)
 
$
78,659

A summary of the net carrying value of goodwill is presented below:
(In thousands)
 
December 31, 2016
$
105,926

Additions and adjustments
17,907

Foreign exchange
57

December 31, 2017
123,890

Additions and adjustments

Foreign exchange
125

September 30, 2018
$
124,015


17

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


NOTE 5. MARKETABLE SECURITIES
The composition of our short-term and long-term marketable securities is as follows:
 
 
 
September 30, 2018
(In thousands)
Contractual Maturity
(in years)
 
Amortized Cost
 
Gross Unrealized Gains
 
Gross Unrealized Losses
 
Fair Value
Short-term:
 
 
 
 
 
 
 
 
 
Municipal bonds
Less than 1
 
$
50,925

 
$

 
$
(50
)
 
$
50,875

Corporate debt securities
Less than 1
 
146,816

 
10

 
(113
)
 
146,713

Commercial paper
Less than 1
 
14,875

 

 
(6
)
 
14,869

U.S. government and agency securities
Less than 1
 
4,488

 

 
(6
)
 
4,482

Asset-backed securities
Less than 1
 
10,578

 

 
(51
)
 
10,527

Total short-term marketable securities
 
 
$
227,682

 
$
10

 
$
(226
)
 
$
227,466

 
 
 
 
 
 
 
 
 
 
Long-term:
 
 
 
 
 
 
 
 
 
Municipal bonds
1-2
 
$
4,746

 
$

 
$
(28
)
 
$
4,718

Corporate debt securities
1-2
 
62,299

 
55

 
(61
)
 
62,293

Asset-backed securities
1-2
 
101,955

 
7

 
(123
)
 
101,839

Total long-term marketable securities
 
 
$
169,000

 
$
62

 
$
(212
)
 
$
168,850

 
 
 
December 31, 2017
(In thousands)
Contractual Maturity
(in years)
 
Amortized Cost
 
Gross Unrealized Gains
 
Gross Unrealized Losses
 
Fair Value
Short-term:
 
 
 
 
 
 
 
 
 
Municipal bonds
Less than 1
 
$
124,817

 
$
1

 
$
(141
)
 
$
124,677

Corporate debt securities
Less than 1
 
64,599

 
5

 
(68
)
 
64,536

Commercial paper
Less than 1
 
55,768

 

 
(27
)
 
55,741

U.S. government and agency securities
Less than 1
 
9,960

 

 
(24
)
 
9,936

Total short-term marketable securities
 
 
$
255,144

 
$
6

 
$
(260
)
 
$
254,890

 
 
 
 
 
 
 
 
 
 
Long-term:
 
 
 
 
 
 
 
 
 
Municipal bonds
1-2
 
$
15,285

 
$

 
$
(48
)
 
$
15,237

Corporate debt securities
1-2
 
17,155

 
3

 
(39
)
 
17,119

Asset-backed securities
1-2
 
23,841

 

 
(64
)
 
23,777

Total long-term marketable securities
 
 
$
56,281

 
$
3

 
$
(151
)
 
$
56,133


18

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


NOTE 6. FAIR VALUE MEASUREMENTS
Under the accounting for fair value measurements and disclosures, fair value is defined as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or the liability in an orderly transaction between market participants on the measurement date. Additionally, a fair value hierarchy was established that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets and liabilities and the lowest priority to unobservable inputs. The level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.
Our assets and liabilities measured at fair value on a recurring basis are classified and disclosed in one of the following three categories:
Level 1—quoted prices (unadjusted) in active markets for identical assets and liabilities;
Level 2—observable inputs other than quoted prices in active markets for identical assets and liabilities; and
Level 3—unobservable inputs in which there is little or no market data available, which require the reporting entity to use significant unobservable inputs or valuation techniques.
The fair value of our assets and liabilities measured at fair value on a recurring basis was as follows:
 
Balance at
 
 
 
 
 
 
(In thousands)
September 30,
2018
 
Level 1
 
Level 2
 
Level 3
Assets
 
 
 
 
 
 
 
Cash equivalents
$
42,058

 
$
10,840

 
$
31,218

 
$

Municipal bonds
55,593

 

 
55,593

 

Corporate debt securities
209,006

 

 
209,006

 

Commercial paper
14,869

 

 
14,869

 

Asset-backed securities
112,366

 

 
112,366

 

U.S. government and agency securities
4,482

 

 
4,482

 

 
 
 
 
 
 
 
 
Liabilities
 
 
 
 
 
 
 
Business acquisition liabilities
10,071

 

 

 
10,071


19

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


 
Balance at
 
 
 
 
 
 
(In thousands)
December 31,
2017
 
Level 1
 
Level 2
 
Level 3
Assets
 
 
 
 
 
 
 
Cash equivalents
$
31,549

 
$
5,927

 
$
25,622

 
$

Municipal bonds
139,914

 

 
139,914

 

Corporate debt securities
81,655

 

 
81,655

 

Commercial paper
55,741

 

 
55,741

 

Asset-backed securities
23,777

 

 
23,777

 

U.S. government and agency securities
9,936

 

 
9,936

 

 
 
 
 
 
 
 
 
Liabilities
 
 
 
 
 
 
 
Business acquisition liabilities
15,919

 

 

 
15,919

Our marketable securities are classified as Level 2 within the fair value hierarchy, as we measure their fair value using market prices for similar instruments and inputs such as actual trade data, benchmark yields, broker/dealer quotes and other similar data obtained from quoted market prices or independent pricing vendors.
Assets and Liabilities That Are Measured at Fair Value on a Nonrecurring Basis
The purchase price of business acquisitions is primarily allocated to the tangible and identifiable intangible assets acquired and liabilities assumed based on their estimated fair values on the acquisition dates, with the excess recorded as goodwill. We utilize Level 3 inputs in the determination of the initial fair value. Non-financial assets such as goodwill, intangible assets, and property, plant, and equipment are subsequently measured at fair value when there is an indicator of impairment and recorded at fair value only when an impairment is recognized. We assess the impairment of intangible assets annually or whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable. The fair value of our goodwill and intangible assets is not estimated if there is no change in events or circumstances that indicate the carrying amount of an intangible asset may not be recoverable.
Business acquisition liabilities represents our contingent milestone, performance and revenue-sharing payment obligations related to our acquisitions and is measured at fair value, based on significant inputs not observable in the market, which represents a Level 3 measurement within the fair value hierarchy. The valuation of business acquisition liabilities uses assumptions we believe would be made by a market participant. We assess these estimates on an ongoing basis as additional data impacting the assumptions is obtained. The balances of the fair value of contingent consideration are recognized within business acquisition liabilities on our condensed consolidated balance sheets, and the changes in the fair value of business acquisition liabilities are recognized within acquisition related costs in the condensed consolidated statements of income.

20

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


The recurring Level 3 fair value measurements of our business acquisition liabilities include the following significant unobservable inputs, which have not materially changed since December 31, 2017:
 
 
Fair Value at
 
 
 
 
 
 
 
 
(In thousands)
 
September 30,
2018
 
Valuation technique
 
Unobservable input
 
Range
 
 
 
 
 
 
Discount rate
 
8.5%
Revenue-based payments
 
$
5,173

 
Discounted cash flow
 
Probability of payment
 
87.0%
-
100.0%
 
 
 
 
 
 
Projected year of payment
 
2018
-
2029
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Discount rate
 
4.4%
Milestone-based payments
 
$
4,898

 
Discounted cash flow
 
Probability of payment
 
100.0%
 
 
 
 
 
 
Projected year of payment
 
2018
The following table provides a reconciliation of the beginning and ending balances of business acquisition liabilities:
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Beginning balance
$
10,322

 
$
20,339

 
$
15,919

 
$
19,849

Purchase price contingent consideration

 

 

 
4,871

Changes resulting from foreign currency fluctuations
135

 
(15
)
 
72

 
27

Contingent payments
(563
)
 

 
(6,513
)
 
(5,234
)
Changes in fair value of business acquisition liabilities
177

 
197

 
593

 
1,008

Ending balance
$
10,071

 
$
20,521

 
$
10,071

 
$
20,521

NOTE 7. INVENTORIES
(In thousands)
September 30,
2018
 
December 31, 2017
Raw materials
$
19,642

 
$
19,984

Work in process
10,268

 
10,012

Finished goods
94,462

 
78,413

Total inventories
$
124,372

 
$
108,409


21

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


NOTE 8. ACCRUED EXPENSES
(In thousands)
September 30,
2018
 
December 31,
2017
Compensation and other employee-related costs
$
27,969

 
$
29,006

Legal and other settlements and expenses
1,350

 
1,177

Accrued non-income taxes
3,621

 
6,325

Royalties
2,322

 
2,139

Other
12,502

 
13,947

Total accrued expenses
$
47,764

 
$
52,594

NOTE 9. DEBT
Line of Credit
In May 2011, we entered into a credit agreement with Wells Fargo Bank related to a revolving credit facility that provides for borrowings up to $50.0 million. In June 2018, we amended the credit agreement to increase the revolving credit facility amount from $50.0 million to $125.0 million. At our request, and with the approval of the bank, the amount of borrowings available under the revolving credit facility can be increased to $150.0 million. The revolving credit facility includes up to a $25.0 million sub-limit for letters of credit. As amended to date, the revolving credit facility expires in May 2019. Cash advances bear interest at our option either at a fluctuating rate per annum equal to the daily LIBOR in effect for a one-month period plus 0.75%, or a fixed rate for a one- or three-month period equal to LIBOR plus 0.75%. The credit agreement governing the revolving credit facility also subjects us to various restrictive covenants, including the requirement to maintain maximum consolidated leverage. The covenants also include limitations on our ability to repurchase shares, to pay cash dividends or to enter into a sale transaction. As of September 30, 2018, we were in compliance with all financial covenants under the credit agreement, there were no outstanding borrowings under the revolving credit facility and available borrowings were $125.0 million. We may terminate the credit agreement at any time on ten days’ notice without premium or penalty.

22

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


NOTE 10. EQUITY
Our amended and restated Certificate of Incorporation provides for a total of 785,000,000 authorized shares of common stock. Of the authorized number of shares of common stock, 500,000,000 shares are designated as Class A common stock (“Class A Common”), 275,000,000 shares are designated as Class B common stock (“Class B Common”) and 10,000,000 shares are designated as Class C common stock (“Class C Common”).
Our issued and outstanding common shares by Class were as follows:
(Shares)
Class A Common
 
Class B Common
 
Class C Common
 
Total
September 30, 2018
76,020,034

 
22,430,097

 
 
98,450,131

December 31, 2017
72,780,325

 
23,877,556

 
 
96,657,881

The following table summarizes changes in total equity:
 
Nine Months Ended
(In thousands)
September 30,
2018
Total equity, beginning of period
$
967,778

Net income
119,724

Stock-based compensation cost
17,291

Exercise of stock options
36,245

Other comprehensive income
79

Total equity, end of period
$
1,141,117

The tables below present the changes in each component of accumulated other comprehensive income/(loss), including current period other comprehensive income/(loss) and reclassifications out of accumulated other comprehensive income/(loss):
(In thousands)



Nine Months 2018
 
 
Unrealized gain/(loss) on marketable securities, net of tax
 
Foreign currency translation adjustments
 
Accumulated other comprehensive loss
Accumulated other comprehensive loss, net of tax, at December 31, 2017
$
(313
)
 
$
(6,594
)
 
$
(6,907
)
Other comprehensive (loss)/income before reclassifications
 
 
42

 
50

 
92

Amounts reclassified from accumulated other comprehensive income, net of tax
 
(13
)
 

 
(13
)
Other comprehensive (loss)/income, net of tax
 
 
29

 
50

 
79

Accumulated other comprehensive loss, net of tax, at September 30, 2018
$
(284
)
 
$
(6,544
)
 
$
(6,828
)

23

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


(In thousands)



Nine Months 2017
 
 
Unrealized gain/(loss) on marketable securities, net of tax
 
Foreign currency translation adjustments
 
Accumulated other comprehensive loss
Accumulated other comprehensive loss, net of tax, at December 31, 2016
$
(167
)
 
$
(8,475
)
 
$
(8,642
)
Other comprehensive income before reclassifications
 
 
152

 
2,314

 
2,466

Amounts reclassified from accumulated other comprehensive income, net of tax
 
(2
)
 

 
(2
)
Other comprehensive income, net of tax
 
 
150

 
2,314

 
2,464

Accumulated other comprehensive loss, net of tax, at September 30, 2017
$
(17
)
 
$
(6,161
)
 
$
(6,178
)
NOTE 11. STOCK-BASED COMPENSATION
We have three stock plans: our Amended and Restated 2003 Stock Plan, our 2008 Stock Plan, and our 2012 Equity Incentive Plan (the “2012 Plan”).  The 2012 Plan is the only remaining active stock plan. The purpose of these stock plans is to provide incentive to employees, directors, and consultants of Globus.  The Plans are administered by the Board of Directors of Globus (the “Board”) or its delegates. The number, type of option, exercise price, and vesting terms are determined by the Board or its delegates in accordance with the terms of the Plans. The options granted expire on a date specified by the Board, but generally not more than ten years from the grant date. Option grants to employees generally vest in varying installments over a four-year period.
The 2012 Plan was approved by our Board in March 2012, and by our stockholders in June 2012. Under the 2012 Plan, the aggregate number of shares of Class A Common stock that may be issued subject to options and other awards is equal to the sum of (i) 3,076,923 shares, (ii) any shares available for issuance under the 2008 Plan as of March 13, 2012, (iii) any shares underlying awards outstanding under the 2008 Plan as of March 13, 2012 that, on or after that date, are forfeited, terminated, expired or lapse for any reason, or are settled for cash without delivery of shares and (iv) starting January 1, 2013, an annual increase in the number of shares available under the 2012 Plan equal to up to 3% of the number of shares of our common and preferred stock outstanding at the end of the previous year, as determined by our Board. The number of shares that may be issued or transferred pursuant to incentive stock options under the 2012 Plan is limited to 10,769,230 shares. The shares of Class A Common stock issuable under the 2012 Plan include authorized but unissued shares, treasury shares or shares of common stock purchased on the open market.
As of September 30, 2018, pursuant to the 2012 Plan, there were 14,889,882 shares of Class A Common stock reserved and 3,151,814 shares of Class A Common stock available for future grants.
The weighted average grant date fair value per share of the options awarded to employees were as follows:
 
Three Months Ended
 
Nine Months Ended
 
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Weighted average grant date fair value per share
$
15.87

 
$
9.66

 
$
14.81

 
$
8.81


24

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


Stock option activity during the nine months ended September 30, 2018 is summarized as follows:
 
Option Shares (thousands)
 
Weighted average exercise price
 
Weighted average remaining contractual life (years)
 
Aggregate intrinsic value (thousands)
Outstanding at December 31, 2017
9,041

 
$
23.40

 
 
 
 
Granted
2,781

 
47.25

 
 
 
 
Exercised
(1,792
)
 
20.45

 
 
 
 
Forfeited
(361
)
 
29.90

 
 
 
 
Outstanding at September 30, 2018
9,669

 
$
30.57

 
8.2
 
$
253,218

Exercisable at September 30, 2018
4,013

 
$
22.41

 
6.7
 
$
137,832

Expected to vest at September 30, 2018
5,656

 
$
36.36

 
9.2
 
$
115,386

The intrinsic value of stock options exercised and the compensation cost related to stock options granted to employees and non-employees under our stock plans was as follows:
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Intrinsic value of stock options exercised
$
7,565

 
$
1,264

 
$
55,719

 
$
6,024

 
 
 
 
 
 
 
 
Stock-based compensation expense
$
5,545

 
$
3,596

 
$
17,078

 
$
10,659

Net stock-based compensation capitalized into inventory
86

 
50

 
213

 
148

Total stock-based compensation cost
$
5,631

 
$
3,646

 
$
17,291

 
$
10,807

As of September 30, 2018, there was $55.2 million of unrecognized compensation expense related to unvested employee stock options that are expected to vest over a weighted average period of three years.
NOTE 12. INCOME TAXES
In computing our income tax provision, we make certain estimates and management judgments, such as estimated annual taxable income or loss, annual effective tax rate, the nature and timing of permanent and temporary differences between taxable income for financial reporting and tax reporting, and the recoverability of deferred tax assets. Our estimates and assumptions may change as new events occur, additional information is obtained, or as the tax environment changes. Should facts and circumstances change during a quarter causing a material change to the estimated effective income tax rate, a cumulative adjustment is recorded.

25

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


The following table provides a summary of our effective tax rate:
 
Three Months Ended
 
Nine Months Ended

September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Effective income tax rate
17.3
%
 
31.5
%
 
15.1
%
 
30.5
%
The period over period change in the effective income tax rate for the three and nine months ended September 30, 2018 is primarily driven by the reduction of the federal income tax rate from 35% to 21% as well as benefits from the adoption of ASU 2016-09, which are offset by the repeal of the domestic production activities deduction as part of the U.S. Tax Cuts and Jobs Act (“Tax Reform Act”).
The Company recognized the income tax effects of the Tax Reform Act in its 2017 financial statements in accordance with Staff Accounting Bulletin No. 118. As of September 30, 2018 no changes have been made to the previously recognized amounts.
NOTE 13. COMMITMENTS AND CONTINGENCIES
We are involved in a number of proceedings, legal actions, and claims. Such matters are subject to many uncertainties, and the outcomes of these matters are not within our control and may not be known for prolonged periods of time. In some actions, the claimants seek damages, as well as other relief, including injunctions prohibiting us from engaging in certain activities, which, if granted, could require significant expenditures and/or result in lost revenues. We record a liability in the condensed consolidated financial statements for these actions when a loss is known or considered probable and the amount can be reasonably estimated. If the reasonable estimate of a known or probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is accrued. If a loss is reasonably possible but not known or probable, and can be reasonably estimated, the estimated loss or range of loss is disclosed. In most cases, significant judgment is required to estimate the amount and timing of a loss to be recorded. While it is not possible to predict the outcome for most of the matters discussed, we believe it is possible that costs associated with them could have a material adverse impact on our consolidated earnings, financial position or cash flows.

L5 Litigation
In December 2009, we filed suit in the Court of Common Pleas of Montgomery County, Pennsylvania against our former exclusive independent distributor L5 Surgical, LLC and its principals, seeking an injunction and declaratory judgment concerning certain restrictive covenants made to L5 by its sales representatives. L5 brought counterclaims against us alleging tortious interference, unfair competition and conspiracy. The injunction phase was resolved in September 2010, and this matter is now in the pre-trial phase of litigation on the underlying damages claims. We intend to defend our rights vigorously. The outcome of this litigation cannot be determined, nor can we estimate a range of potential loss.

26

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


Bianco Litigation
On March 21, 2012, Sabatino Bianco filed suit against us in the Federal District Court for the Eastern District of Texas claiming that we misappropriated his trade secret and confidential information and improperly utilized it in developing our CALIBER® product. On October 1, 2013, Bianco amended his complaint to claim that his trade secrets and confidential information were also used improperly in developing our RISE® and CALIBER-L® products.
On September 13, 2017, we settled this matter with Bianco for $11.5 million in cash, which resulted in the reversal of a previously recorded accrual of $2.5 million and the recording of $9.0 million in other assets that will be amortized through June 30, 2022, as a component of cost of goods sold.
Flexuspine, Inc. Litigation
On March 11, 2015, Flexuspine, Inc. filed suit against us in the U.S. District Court for the Eastern District of Texas for patent infringement. Flexuspine, Inc. alleged that Globus willfully infringed one or more claims of five patents by making, using, offering for sale or selling the CALIBER®, CALIBER®-L, and ALTERA® products. On August 19, 2016, a jury returned a verdict in our favor finding no infringement of the asserted patents. On January 19, 2018 the United States Court of Appeals for the Federal Circuit affirmed the decisions of the lower court. On February 19, 2018, Flexuspine, Inc. filed a petition for panel rehearing in the United States Court of Appeals for the Federal Circuit. On March 7, 2018, the United States Court of Appeals for the Federal Circuit denied Flexuspine Inc.’s petition for panel rehearing.
In addition, we are subject to legal proceedings arising in the ordinary course of business.
NOTE 14. SEGMENT AND GEOGRAPHIC INFORMATION
Operating segments are defined as components of an enterprise for which separate discrete financial information is available and evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. We globally manage the business within one operating segment. Segment information is consistent with how management reviews the business, makes investing and resource allocation decisions and assesses operating performance.
The following table represents total sales by geographic area, based on the location of the customer:
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
United States
$
139,097

 
$
125,933

 
$
429,823

 
$
381,870

International
30,139

 
25,811

 
87,208

 
78,073

Total sales
$
169,236

 
$
151,744

 
$
517,031

 
$
459,943

 

27

GLOBUS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)


NOTE 15. SUBSEQUENT EVENTS
On November 7, 2018, the Alphatec Borrowers repaid all of the then outstanding principal and interest under the Credit Agreement in a total amount of $29.3 million

28

Table of Contents

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of our financial condition and results of operations should be read together with our unaudited interim condensed consolidated financial statements and related notes included elsewhere in this report.
Unless otherwise noted, the figures in the following discussions are unaudited.
Overview
Globus Medical, Inc. (“Globus,” “we,” “us” or “our”) is a medical device company that develops and commercializes solutions for the treatment of musculoskeletal disorders. Today we are primarily focused on implants that promote healing in patients with spinal disorders. In 2017, we launched ExcelsiusGPS®, a revolutionary robotic guidance and navigation system that supports minimally invasive and open orthopedic and neurosurgical procedures, with screw placement applications in spine and orthopedic surgery. We completed our first sale of ExcelsiusGPS® in the fourth quarter of 2017. Also in the fourth quarter of 2017, we launched our first products for the treatment of patients who have experienced orthopedic trauma.
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 address new treatment options. Since our inception in 2003, we have launched over 190 products and offer a comprehensive portfolio of innovative and differentiated products addressing a broad array of musculoskeletal pathologies, anatomies and surgical approaches.
All of our current products fall into one of two categories: Spine products and Emerging Technology products. Our Spine products are comprised of our entire spinal implant portfolio, including traditional interbody fusion devices, our expandable cages, products designed for minimally invasive surgical techniques, motion preservation devices, regenerative biologics technologies and interventional pain management solutions. Our Emerging Technology products consists of our imaging, navigational and robotic (“INR”) technologies and orthopedic trauma products.

While we group our products into the aforementioned categories, our products are not limited to a particular technology, platform or surgical approach. Instead, our goal is to offer surgeons a complete suite of products they can use to most effectively treat their patients, based on the patient’s specific anatomy and condition and the surgeon’s particular training and surgical preference.
To date, the primary market for our products has been the United States, where we sell our products through a combination of direct sales representatives employed by us and distributor sales representatives employed by our exclusive independent distributors, who distribute our products on our behalf for a commission that is generally based on a percentage of sales. We believe there is significant opportunity to strengthen our position in the U.S. market by increasing the size of our U.S. sales force and we intend to add additional direct and distributor sales representatives in the future.
During the nine months ended September 30, 2018, our international sales accounted for approximately 17% of our total sales. We have sold our products in 51 countries outside the United States through a combination of direct sales representatives employed by us and international distributors. We believe there are significant opportunities for us to increase our presence in both existing and new international markets through the continued expansion of our direct and distributor sales forces and the commercialization of additional products.

29

Table of Contents

Results of Operations
Three Months Ended September 30, 2018 Compared to the Three Months Ended September 30, 2017
Sales
The following table sets forth, for the periods indicated, our sales by geography expressed as dollar amounts and the changes in sales between the specified periods expressed in dollar amounts and as percentages:
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
United States
$
139,097

 
$
125,933

 
$
13,164

 
10.5
%
International
30,139

 
25,811

 
4,328

 
16.8
%
Total sales
$
169,236

 
$
151,744

 
$
17,492

 
11.5
%
In the United States, the increase in sales of $13.2 million was due primarily to increased spine product sales due to penetration in existing territories, INR product sales, and associated implant and robotic instrument sales.
Internationally, the increase in sales of $4.3 million was due primarily to INR product and associated robotic instrument sales and increased sales to Japan. On a constant currency basis, our international sales grew $4.8 million, or by 18.5%, and our worldwide sales increased 11.8%.
Cost of Goods Sold
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Cost of goods sold
$
37,849

 
$
36,798

 
$
1,051

 
2.9
%
Percentage of sales
22.4
%
 
24.3
%
 
 
 
 
The $1.1 million net increase in cost of goods sold was primarily due to higher volumes and was partially offset by the impact from the change in accounting estimate for the depreciable lives of our instruments and cases.
Research and Development Expenses
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Research and development
$
15,527

 
$
10,887

 
$
4,640

 
42.6
%
Percentage of sales
9.2
%
 
7.2
%
 
 
 
 
The increase in research and development expenses was due primarily to an increase in employee compensation costs from additional headcount, including our INR technology group, increased supplies for furthering research activities and developing new innovative products, and an increase of $1.8 million from one-time technology licensing fees.

30

Table of Contents

Selling, General and Administrative Expenses
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Selling, general and administrative
$
75,131

 
$
63,362

 
$
11,769

 
18.6
%
Percentage of sales
44.4
%
 
41.8
%
 
 
 
 
The increase in selling, general and administrative expenses was primarily due to an increase of $9.1 million in selling and marketing expenses relating to continued build out of the INR technology and orthopedic trauma sales forces as well as increases in the U.S. and Japanese sales forces to further penetrate those markets.
Provision for Litigation
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Provision for litigation
$

 
$
2,537

 
$
(2,537
)
 
(100.0
)%
Percentage of sales
%
 
1.7
%
 
 
 
 
The decrease in the provision for litigation, which includes settlement and verdict costs, was due to the timing and amount of settlements between the two periods.
Amortization of Intangibles
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Amortization of intangibles
$
2,160

 
$
2,080

 
$
80

 
3.8
%
Percentage of sales
1.3
%
 
1.4
%
 
 
 
 
Amortization of intangibles remained consistent for the three-months ended September 30, 2018 as compared to the three-months ended September 30, 2017.
Acquisition Related Costs
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Acquisition related costs
$
268

 
$
285

 
$
(17
)
 
(6.0
)%
Percentage of sales
0.2
%
 
0.2
%
 
 
 
 
Acquisition related costs remained consistent for the three-months ended September 30, 2018 as compared to the three-months ended September 30, 2017.

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Table of Contents

Other Income, Net
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Other income, net
$
4,296

 
$
1,562

 
$
2,734

 
175.0
%
Percentage of sales
2.5
%
 
1.0
%
 
 
 
 
The increase in other income, net, was due primarily to the increase in interest income from marketable securities and the Alphatec Credit Agreement of $1.9 million during the three-months ended September 30, 2018.
Income Tax Provision
 
Three Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Income tax provision
$
7,389

 
$
11,766

 
$
(4,377
)
 
(37.2
)%
Effective income tax rate
17.3
%
 
31.5
%
 
 
 
 
The change in the effective income tax rate between the current year and prior year periods is primarily driven by the impact of the Tax Reform Act as further described in “Part I; Item 1. Financial Statements and Supplementary Data; Notes to Condensed Consolidated Financial Statements; Note 12. Income Taxes.” and stock option exercise benefit.

32

Table of Contents

Nine Months Ended September 30, 2018 Compared to the Nine Months Ended September 30, 2017
Sales
The following table sets forth, for the periods indicated, our sales by geography expressed as dollar amounts and the changes in sales between the specified periods expressed in dollar amounts and as percentages:
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
United States
$
429,823

 
$
381,870

 
$
47,953

 
12.6
%
International
87,208

 
78,073

 
9,135

 
11.7
%
Total sales
$
517,031

 
$
459,943

 
$
57,088

 
12.4
%
In the United States, the increase in sales of $48.0 million was due primarily to Emerging Technology product sales of $30.1 million and associated implant and robotic instrument sales.
Internationally, the increase in sales of $9.1 million was due primarily to increased sales in Japan and Europe, which was partially offset by unfavorable currency fluctuations. On a constant currency basis, our international sales grew $7.1 million, or by 9.1%, and our worldwide sales increased 12.0%.
Cost of Goods Sold
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Cost of goods sold
$
113,456

 
$
109,597

 
$
3,859

 
3.5
%
Percentage of sales
21.9
%
 
23.8
%
 
 
 
 
The $3.9 million net increase in cost of goods sold was primarily due to higher volumes and was partially offset by the impact from the change in accounting estimate for the depreciable lives of our instruments and cases of $4.0 million.
Research and Development Expenses
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Research and development
$
41,738

 
$
32,266

 
$
9,472

 
29.4
%
Percentage of sales
8.1
%
 
7.0
%
 
 
 
 
The increase in research and development expenses was due primarily to an increase of $7.1 million from employee compensation costs as a result from additional headcount, including in our INR technology and orthopedic trauma groups, and increased supplies for furthering research activities and developing new innovative products. Additionally, there were one-time technology license fees charged of $1.8 million during the three months ended September 30, 2018.

33

Table of Contents

Selling, General and Administrative Expenses
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Selling, general and administrative
$
227,949

 
$
194,859

 
$
33,090

 
17
%
Percentage of sales
44.1
%
 
42.4
%
 
 
 
 
The increase in selling, general and administrative expenses was primarily due to an increase of $24.6 million in selling and marketing expenses relating to continued build out of the INR technology and orthopedic trauma sales forces as well as an increase in the U.S. and Japanese sales forces to further penetrate those markets. Additionally, there were increases in stock based compensation expenses of $4.2 million.
Provision for Litigation
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Provision for litigation
$

 
$
2,780

 
$
(2,780
)
 
(100.0
)%
Percentage of sales
%
 
0.6
%
 
 
 
 
The decrease in the provision for litigation, which includes settlement and verdict costs, was due to the timing and amount of settlements between the two periods.
Amortization of Intangibles
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Amortization of intangibles
$
6,525

 
$
5,671

 
$
854

 
15.1
%
Percentage of sales
1.3
%
 
1.2
%
 
 
 
 
Amortization of intangibles remained consistent for the nine-months ended September 30, 2018 as compared to the nine-months ended September 30, 2017.
Acquisition Related Costs
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Acquisition related costs
$
1,289

 
$
1,290

 
$
(1
)
 
(0.1
)%
Percentage of sales
0.2
%
 
0.3
%
 
 
 
 
Acquisition related costs remained consistent for the nine-months ended September 30, 2018 as compared to the nine-months ended September 30, 2017.

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Table of Contents

Other Income, Net
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Other income, net
$
14,904

 
$
5,848

 
$
9,056

 
154.9
%
Percentage of sales
2.9
%
 
1.3
%
 
 
 
 
The increase in other income, net, was due primarily to the gain on sale of assets of $4.6 million and increases in interest income from marketable securities and the Alphatec Credit Agreement of $3.6 million.
Income Tax Provision
 
Nine Months Ended
 
Change
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
$
 
%
Income tax provision
$
21,254

 
$
36,356

 
$
(15,102
)
 
(41.5
)%
Effective income tax rate
15.1
%
 
30.5
%
 
 
 
 
The change in the effective income tax rate between the current year and prior year periods is primarily driven by the impact of the Tax Reform Act as further described in “Part I; Item 1. Financial Statements and Supplementary Data; Notes to Condensed Consolidated Financial Statements; Note 12. Income Taxes.” and stock option exercise benefit.
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 net gain from the sale of assets, 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. Net gain from sale of assets represents the gain on sale of assets and the offsetting impact of costs incurred through the sale.

35

Table of Contents

The following is a reconciliation of net income to Adjusted EBITDA for the periods presented:
 
Three Months Ended
 
Nine Months Ended
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Net income
$
35,208

 
$
25,591

 
$
119,724

 
$
82,972

Interest income, net
(3,852
)
 
(1,738
)
 
(9,114
)
 
(4,746
)
Provision for income taxes
7,389

 
11,766

 
21,254

 
36,356

Depreciation and amortization
10,461

 
10,838

 
29,694

 
33,773

EBITDA
49,206

 
46,457

 
161,558

 
148,355

Stock-based compensation expense
5,545

 
3,596

 
17,078

 
10,659

Provision for litigation

 
2,537

 

 
2,780

Acquisition related costs/licensing
2,169

 
784

 
3,847

 
2,838

Net gain from sale of assets
764

 

 
(3,593
)
 

Adjusted EBITDA
$
57,684

 
$
53,374

 
$
178,890

 
$
164,632

 
 
 
 
 
 
 
 
Net income as a percentage of sales
20.8
%
 
16.9
%
 
23.2
%
 
18.0
%
Adjusted EBITDA as a percentage of sales
34.1
%
 
35.2
%
 
34.6
%
 
35.8
%
In addition, for the period ended September 30, 2018 and for other comparative periods, we are presenting non-GAAP net income and non-GAAP Diluted Earnings Per Share, which represents net income and diluted earnings per share excluding the provision for litigation, amortization of intangibles, acquisition related costs/licensing, net gain from the sale of assets, and adjusted for the tax effects of such adjustments. The tax impact of these 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, and the tax effects of such adjustments, which we believe is not reflective of underlying business trends.

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The following is a reconciliation of net income computed in accordance with U.S. GAAP to non-GAAP net income for the periods presented.
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Net income
$
35,208

 
$
25,591

 
$
119,724

 
$
82,972

Provision for litigation

 
2,537

 

 
2,780

Amortization of intangibles
2,160

 
2,080

 
6,525

 
5,671

Acquisition related costs/licensing
2,169

 
784

 
3,847

 
2,838

Net gain from sale of assets
764

 

 
(3,593
)
 

Tax effect of adjusting items
(884
)
 
(1,677
)
 
(1,248
)
 
(3,443
)
Non-GAAP net income
$
39,417

 
$
29,315

 
$
125,255

 
$
90,818

The following is a reconciliation of Diluted Earnings Per Share as computed in accordance with U.S. GAAP to non-GAAP Diluted Earnings Per Share for the periods presented.
 
Three Months Ended
 
Nine Months Ended
(Per share amounts)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Diluted earnings per share, as reported
$
0.35

 
$
0.26

 
$
1.18

 
$
0.85

Provision for litigation

 
0.03

 

 
0.03

Amortization of intangibles
0.02

 
0.02

 
0.06

 
0.06

Acquisition related costs/licensing
0.02

 
0.01

 
0.04

 
0.03

Net gain from sale of assets
0.01

 

 
(0.04
)
 

Tax effect of adjusting items
(0.01
)
 
(0.02
)
 
(0.01
)
 
(0.04
)
Non-GAAP diluted earnings per share
$
0.39

 
$
0.30

 
$
1.24

 
$
0.93

* amounts might not add due to rounding
 
 
 
 
 
 
 
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 liquidity for comparative periods as it facilitates an assessment of funds available to satisfy current and future obligations and fund acquisitions.
Below is a reconciliation of net cash provided by operating activities as computed in accordance with U.S. GAAP to Free Cash Flow for the periods presented.
 
Three Months Ended
 
Nine Months Ended
(In thousands)
September 30,
2018
 
September 30,
2017
 
September 30,
2018
 
September 30,
2017
Net cash provided by operating activities
$
51,788

 
$
34,795

 
$
137,352

 
$
114,221

Adjustment for impact of restricted cash

 

 

 

Purchases of property and equipment
(15,371
)
 
(12,817
)
 
(42,538
)
 
(37,878
)
Free cash flow
$
36,417

 
$
21,978

 
$
94,814

 
$
76,343


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Furthermore, the non-GAAP measure of constant currency sales growth is calculated by translating current year sales at the same average exchange rates in effect during the applicable prior year period. We believe constant currency sales growth provides insight to the comparative increase or decrease in period sales, in dollar and percentage terms, excluding the effects of fluctuations in foreign currency exchange rates.
Below is a reconciliation of sales growth as reported in accordance with U.S. GAAP compared to constant currency sales growth for the periods presented.
 
Three Months Ended
 
Reported Sales Growth
 
Currency Impact on Current Period Sales
 
Constant Currency Sales Growth
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
 
 
United States
$
139,097

 
$
125,933

 
10.5
%
 

 
10.5
%
International
30,139

 
25,811

 
16.8
%
 
$
(436
)
 
18.5
%
Total sales
$
169,236

 
$
151,744

 
11.5
%
 
$
(436
)
 
11.8
%
 
Nine Months Ended
 
Reported Sales Growth
 
Currency Impact on Current Period Sales
 
Constant Currency Sales Growth
(In thousands, except percentages)
September 30,
2018
 
September 30,
2017
 
 
 
United States
$
429,823

 
$
381,870

 
12.6
%
 

 
12.6
%
International
87,208

 
78,073

 
11.7
%
 
$
2,061

 
9.1
%
Total sales
$
517,031

 
$
459,943

 
12.4
%
 
$
2,061

 
12.0
%
Non-GAAP Adjusted EBITDA, non-GAAP net income, non-GAAP Diluted Earnings Per Share, Free Cash Flow and constant currency sales growth are not calculated in conformity with U.S. GAAP within the meaning of Item 10(e) of Regulation S-K. 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 sales growth may differ from that of other companies and therefore may not be comparable. Additionally, we have recast prior periods for non-GAAP net income and non-GAAP Diluted Earnings Per Share to conform with current period presentation.
Cash Flows
The following table summarizes, for the periods indicated, cash flows from operating, investing and financing activities:
 
Nine Months Ended
 
Change
(In thousands)
September 30,
2018
 
September 30,
2017
 
$
Net cash provided by operating activities
$
137,352

 
$
114,221

 
$
23,131

Net cash used in investing activities
(140,410
)
 
(93,909
)
 
(46,501
)
Net cash provided by financing activities
29,732

 
1,709

 
28,023

Effect of foreign exchange rate changes on cash
(196
)
 
778

 
(974
)
Increase in cash, cash equivalents, and restricted cash
$
26,478

 
$
22,799

 
$
3,679

Cash Provided by Operating Activities
The increase in net cash provided by operating activities was primarily due to increased operational

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cash flows in 2018 related to timing of spending and cash receipts.
Cash Used in Investing Activities
The increase in net cash used in investing activities was due primarily to the increase in net marketable security investment, which was partially offset by proceeds from sale of assets.
Cash Provided by Financing Activities
The increase in cash provided by financing activities was the result of the increase in proceeds from option exercises partially offset by current period contingent consideration payment.
Liquidity and Capital Resources
The following table highlights certain information related to our liquidity and capital resources:
(In thousands)
September 30,
2018
 
December 31,
2017
Cash and cash equivalents
$
145,295

 
$
118,817

Short-term marketable securities
227,466

 
254,890

Long-term marketable securities
168,850

 
56,133

Total cash, cash equivalents and marketable securities
$
541,611

 
$
429,840

In May 2011, we entered into a credit agreement with Wells Fargo Bank related to a revolving credit facility that provides for borrowings up to $50.0 million. In June 2018, we amended the credit agreement to increase the revolving credit facility amount from $50.0 million to $125.0 million. At our request, and with the approval of the bank, the amount of borrowings available under the revolving credit facility can be increased to $150.0 million. The revolving credit facility includes up to a $25.0 million sub-limit for letters of credit. As amended to date, the revolving credit facility expires in May 2019. Cash advances bear interest at our option either at a fluctuating rate per annum equal to the daily LIBOR in effect for a one-month period plus 0.75%, or a fixed rate for a one- or three-month period equal to LIBOR plus 0.75%. The credit agreement governing the revolving credit facility also subjects us to various restrictive covenants, including the requirement to maintain maximum consolidated leverage. The covenants also include limitations on our ability to repurchase shares, to pay cash dividends or to enter into a sale transaction. As of September 30, 2018, we were in compliance with all financial covenants under the credit agreement, there were no outstanding borrowings under the revolving credit facility and available borrowings were $125.0 million. We may terminate the credit agreement at any time on ten days’ notice without premium or penalty.

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In addition to our existing cash and marketable securities balances, our principal sources of liquidity are our cash flows from operating activities and our revolving credit facility, which was fully available as of September 30, 2018. We believe these sources will provide sufficient liquidity for us to meet our liquidity requirements for the foreseeable future. Our principal liquidity requirements are to meet our working capital, research and development, including clinical trials, capital expenditure needs, principally for our surgical sets required to maintain and expand our business, and potential future business or intellectual property acquisitions. We expect to continue to make investments in surgical sets as we launch new products, increase the size of our U.S. sales force, and expand into international markets. We may, however, require additional liquidity as we continue to execute our business strategy. Our liquidity may be negatively impacted as a result of a decline in sales of our products, including declines due to changes in our customers’ ability to obtain third-party coverage and reimbursement for procedures that use our products; increased pricing pressures resulting from intensifying competition, cost increases and slower product development cycles resulting from a changing regulatory environment; and unfavorable results from litigation which will affect our cash flow. We anticipate that to the extent that we require additional liquidity, it will be funded through the incurrence of other indebtedness, additional equity financings or a combination of these potential sources of liquidity. The sale of additional equity may result in dilution to our stockholders. There is no assurance that we will be able to secure such additional funding on terms acceptable to us, or at all.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements.
Seasonality and Backlog
Our business is generally not seasonal in nature. However, our sales may be influenced by summer vacation and winter holiday periods during which we have experienced fewer spine surgeries taking place. Our sales generally consist of products that are in stock in our warehouse facilities or maintained at hospitals or with our sales representatives. Accordingly, we do not have a backlog of sales orders.
Recently Issued Accounting Pronouncements
For further details on recently issued accounting pronouncements, please refer to “Part I; Item 1. Financial Statements; Notes to Condensed Consolidated Financial Statements; Note 1. Background and Summary of Significant Accounting Policies; (k) Recently Issued Accounting Pronouncements” above.

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Cautionary Note Concerning Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements other than statements of historical fact are forward-looking statements. We have tried to identify forward-looking statements by using words such as “believe,” “may,” “might,” “could,” “will,” “aim,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “plan” and similar words. 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, 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 changes and applicable laws and regulations that are 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, and general economic conditions, and other risks set forth throughout our Annual Report on Form 10-K for the year ended December 31, 2017 (the “Form 10-K”), particularly those set forth under “Item 1A, Risk Factors” of the Form 10-K, and those discussed in other documents we file with the Securities and Exchange Commission (the “SEC”). 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 Quarterly Report speak only as of the date of this Quarterly Report. 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.
Item 3. Quantitative and Qualitative Disclosure About Market Risk
We have evaluated the information required under this item that was disclosed under Item 7A in our Annual Report on Form 10-K and there have been no significant changes to this information.

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Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer (“CEO”) and our Chief Financial Officer (“CFO”), evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2018. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the Company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure. Based on their evaluation of our disclosure controls and procedures as of September 30, 2018, our CEO and CFO concluded that, as of such date, our disclosure controls and procedures were effective.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the nine months ended September 30, 2018 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
Inherent Limitations on Effectiveness of Controls
Our management, including our CEO and CFO, believes that our disclosure controls and procedures and internal control over financial reporting are designed to provide reasonable assurance of achieving their objectives and are effective at the reasonable assurance level. However, our management does not expect that our disclosure controls and procedures or our internal control over financial reporting will prevent all errors and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. For example, these inherent limitations include the realities that judgments in decision making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of the controls. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because of changes in conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

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PART II. OTHER INFORMATION
Item 1. Legal Proceedings
We are involved in a number of proceedings, legal actions and claims.  Such matters are subject to many uncertainties, and the outcomes of these matters are not within our control and may not be known for prolonged periods of time.  In some actions, the claimants seek damages, as well as other relief, including injunctions prohibiting us from engaging in certain activities, which, if granted, could require significant expenditures and/or result in lost revenues.  For further details on the material legal proceedings to which we are currently a party, please refer to “Part I; Item 1. Financial Statements; Notes to Condensed Consolidated Financial Statements; Note 13. Commitments and Contingencies” above.
In addition, we are subject to legal proceedings arising in the ordinary course of business.
Item 1A. Risk Factors
We are affected by risks specific to us as well as factors that affect all businesses operating in a global market. For a discussion of the specific risks that could materially adversely affect our business, financial condition or operation results, please see our Form 10-K under the heading “Part I; Item 1A. Risk Factors.”
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Not applicable.
Item 3. Defaults Upon Senior Securities
Not applicable.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
Not applicable.

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Item 6. Exhibits
The following is a list of exhibits filed as part of this Quarterly Report on Form 10-Q.  Where so indicated, exhibits that were previously filed are incorporated by reference.  For exhibits incorporated by reference, the location of the exhibit in the previous filing is indicated in parentheses.
Exhibit No.
 
Item
 
 
 
31.1*
 
31.2*
 
32**
 
101.INS*
 
XBRL Instance Document
101.SCH*
 
XBRL Taxonomy Extension Schema Document
101.CAL*
 
XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB*
 
XBRL Taxonomy Extension Label Linkbase Document
101.PRE*
 
XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF*
 
XBRL Taxonomy Extension Definition Linkbase Document
 
 
 
*
 
Filed herewith.
**
 
Furnished herewith.

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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 thereunto duly authorized.

 
 
GLOBUS MEDICAL, INC.
 
 
 
 
 
 
Dated:
November 8, 2018
/s/ DAVID M. DEMSKI
 
 
 
 
 
David M. Demski
 
 
Chief Executive Officer
 
 
(Principal Executive Officer)
 
 
 
Dated:
November 8, 2018
/s/ DANIEL T. SCAVILLA
 
 
 
 
 
Daniel T. Scavilla
 
 
Executive Vice President
 
 
Chief Financial Officer
 
 
Chief Commercial Officer
 
 
(Principal Financial Officer)


45