Globus Medical
38 named things its latest annual report says its results depend on, each in the company's own words. 24 of them are also named by other companies we've read.
Customers
Group purchasing organizations
earns fromnamed as a riskThis in turn has resulted and will likely continue to result in greater pricing pressures and the exclusion of certain suppliers from important market segments as group purchasing organizations, independent delivery networks and large single accounts continue to use their market power to consolidate purchasing decisions for hospitals.Risk factors (Item 1A)
Also named by BAX, BDX, BSX, CDW, EW, GWW, SYY, USFD and 1 more
Suppliers
Allograft tissue banks
depends on · Less than five third-party suppliersnamed as a riskLess than five third-party suppliers currently supply all of our needs for allograft implants and products, other than those implants and products that we process ourselves.Risk factors (Item 1A)
Third-party component suppliers
depends onnamed as a riskBecause of the nature of our internal quality control requirements, regulatory requirements and the custom and proprietary nature of components, we cannot quickly engage additional or replacement suppliers for many of our critical components.Risk factors (Item 1A)
Partners and platforms
Independent distributors
depends onnamed as a riskSome of our independent distributors account for a significant portion of our sales volume, and if any such independent distributor were to cease to distribute our products, our sales could be adversely affected.Risk factors (Item 1A)
Other companies
Nevro Corp.
$5.85 per sharenamed as a riskThe success of the NuVasive and Nevro Mergers will depend on, among other things, our ability to realize the anticipated synergies, efficiencies and other benefits from combining the businesses of Globus and NuVasive and Nevro, respectively.Risk factors (Item 1A)
NuVasive, Inc.
named as a riskThere can be no assurances that the NuVasive and Nevro businesses can be integrated successfully.Risk factors (Item 1A)
Competitors
Medtronic
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
Also named by DXCM
Smith + Nephew
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
Also named by SOLV
DePuy Synthes
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
Stryker
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
Zimmer Biomet
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
VB Spine
competes withnamed as a riskWe believe that our significant competitors are Medtronic, DePuy Synthes, Stryker, Zimmer Biomet, Smith + Nephew and VB Spine.Risk factors (Item 1A)
Physician-owned distributorships (PODs)
competes withnamed as a riskThe proliferation of PODs could result in increased pricing pressure on our products or harm our ability to sell our products to physicians who own or are affiliated with those distributorships.Risk factors (Item 1A)
Places
International markets (outside U.S.)
earns from · approximately 19.4% of our total salesnamed as a riskDuring the year ended December 31, 2025, international sales accounted for approximately 19.4% of our total sales.Business (Item 1)
Also named by ABNB, ADSK, BSX, CROX, CRWD, DOCU, DXCM, EFX and 18 more
United Kingdom
earns fromnamed as a riskA significant portion of our foreign revenues and expenses are generated in Japan, the Euro zone, UK and Australia.Risk factors (Item 1A)
Also named by AGX, AJG, AMP, BAC, BF/B, BGC, BRO, C and 59 more
Brazil
operates innamed as a riskSpecifically, we have operations in Puerto Rico, Brazil, and Argentina, each of which have markets subject to financial instability or currency controls.Market risk (Item 7A)
Also named by ADM, ASO, AZO, BALL, CPAY, CPRT, CTVA, DE and 32 more
Japan
earns fromnamed as a riskA significant portion of our foreign revenues and expenses are generated in Japan, the Euro zone, UK and Australia.Risk factors (Item 1A)
Also named by A, AAPL, AFL, AMKR, ANET, BMY, BSX, CAT and 25 more
Australia
earns fromnamed as a riskA significant portion of our foreign revenues and expenses are generated in Japan, the Euro zone, UK and Australia.Risk factors (Item 1A)
Also named by AJG, ARWR, AXP, BF/B, BTU, CL, CSGP, CVX and 15 more
Argentina
operates innamed as a riskSpecifically, we have operations in Puerto Rico, Brazil, and Argentina, each of which have markets subject to financial instability or currency controls.Market risk (Item 7A)
Also named by BALL, C, ECL, FISV, INGR, JNJ, KMB, MDLZ and 6 more
Puerto Rico
operates innamed as a riskSpecifically, we have operations in Puerto Rico, Brazil, and Argentina, each of which have markets subject to financial instability or currency controls.Market risk (Item 7A)
Also named by AMGN, BMY, BPOP, CCI, COO, HPE, LLY, PWR and 2 more
Euro zone
earns fromnamed as a riskA significant portion of our foreign revenues and expenses are generated in Japan, the Euro zone, UK and Australia.Risk factors (Item 1A)
United States
earns fromThe primary market for our products is the United States (“U.S.”), where we sell our products through a combination of direct sales representatives employed by us and 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.Business (Item 1)
Also named by ABBV, ADP, AJG, AMGN, APA, AXGN, AXP, BALL and 139 more
Pennsylvania
operates inOur implant products are manufactured in our facilities in Eagleville, Pennsylvania, Limerick, Pennsylvania and West Carrollton, Ohio.Business (Item 1)
Also named by AWK, CNX, DTM, EQT, FE, NFG, PEG, PPL and 6 more
Costa Rica
operates inThrough the Nevro Merger our spinal cord simulation products such as the HFX™ SCS platform including the Senza® SCS, are manufactured in our Costa Rica facility.Business (Item 1)
San Antonio, Texas
operates inMost of our regenerative biologic products are processed in our facilities in San Antonio, Texas, and in Audubon, Pennsylvania.Business (Item 1)
Also named by RHP
Methuen, Massachusetts
operates inThe Excelsius® robotic systems are assembled in our facility in Methuen, Massachusetts.Business (Item 1)
Commodities and inputs
Human tissue (allograft)
depends onnamed as a riskIn addition, due to seasonal changes in mortality rates, some scarce tissues used in our regenerative biologics products are at times in particularly short supply.Risk factors (Item 1A)
Regulators
U.S. Food and Drug Administration (FDA)
subject tonamed as a riskOn July 16, 2024, Globus Medical, Inc. received a warning letter from the FDA following an inspection of our facilities in Audubon, Pennsylvania.Business (Item 1)
Also named by A, ABBV, ABT, AMGN, ARE, ARWR, ATR, AXGN and 112 more
Centers for Medicare and Medicaid Services (CMS)
subject tonamed as a riskAs the portion of the U.S. population over the age of 65 and eligible for Medicare continues to grow, we may be more vulnerable to coverage and reimbursement limitations imposed by CMS.Business (Item 1)
Also named by ABBV, CDNA, CHE, DGX, DOC, ENSG, GD, GEHC and 6 more
Medicines and Healthcare products Regulatory Agency (MHRA)
subject tonamed as a riskComplying with this new regulatory framework will require us to invest in additional resources and could be expensive, time-consuming and disruptive to our existing operations in the UK.Business (Item 1)
Laws and programs
U.S. tariffs
exposed to its price · universal baseline tariff of 10%named as a riskSpecifically, changes to tariffs and trade policies have and could continue to impact the cost of raw materials and components necessary for our operations, disrupt our global supply chain and create additional operational challenges.Risk factors (Item 1A)
Also named by A, AAPL, ACHR, ADI, AEHR, AEP, AIOT, AKAM and 170 more
Medicare
earns fromnamed as a riskMaintaining and growing sales of our products depends on the availability of adequate coverage and reimbursement from third-party payors, including government programs such as Medicare and Medicaid, private insurance plans and managed care programs.Risk factors (Item 1A)
Also named by ABT, ARWR, AXGN, BAX, BDX, BMY, BSX, CAH and 48 more
Medicaid
earns fromnamed as a riskMedicaid payments to physicians and facilities are often lower than payments by other third-party payors and some state Medicaid programs may not pay an adequate amount for the procedures performed with our products, if any payment is made at all.Risk factors (Item 1A)
Also named by ABBV, ABT, ARE, ARWR, BAX, BMY, BSX, CHE and 39 more
Stark Law
subject tonamed as a riskWe would be materially and adversely affected if regulatory agencies interpret our financial relationships with surgeons who order our products to be in violation of applicable laws and we were unable to comply with applicable laws.Risk factors (Item 1A)
No Surprises Act
subject tonamed as a riskThese measures could limit the amount we can charge and recover for the IONM services we furnish where we have not contracted with the patient’s insurer, which could negatively impact the profitability of our IONM services business.Risk factors (Item 1A)
EU Medical Device Regulation 2017/745 (MDR)
subject tonamed as a riskAll medical device companies intending to manufacture and/or market products in the EEA (including Globus), will be required to comply with requirements of the MDR, which increased technical documentation requirements, imparted more labeling obligations of higher risk devices, and altered the classification of some of our products.Business (Item 1)
Technology
ExcelsiusGPS robotic system
named as a riskThe letter describes observed non-conformities in establishing and maintaining product complaint procedures, including complaint investigations, risk reconciliation, and Medical Device Report procedures including timely reporting, pertaining to the ExcelsiusGPS® robotic system.Business (Item 1)
Senza SCS system
subject toThe Senza SCS system is a Class III device subject to review and approval through the PMA pathway.Business (Item 1)