Summary of GMED Q4 2025 Earnings Call

1Key Financial Results and Metrics

Full Year 2025:

Revenue: $2.939 billion, up 16.7% year-over-year.

Non-GAAP EPS: $3.98, a growth of 30.8%.

Adjusted EBITDA margin: 33.4%.

Q4 2025:

Revenue: $826.4 million, up 25.7% year-over-year.

Non-GAAP EPS: $1.28, a growth of 52.1%.

Base business revenue (excluding Nevro): $726.7 million, up 10.6%.

Adjusted gross margin: 69.2%, improved from 67.1% in Q4 2024.

Cash, cash equivalents, and marketable securities: $629.1 million, down from $956.2 million in Q4 2024.

2Strategic Updates and Business Highlights

U.S. Spine Growth: Continued momentum with 10% growth in Q4, marking 48 weeks of consecutive growth.

Product Launches: Six new spine products launched in 2025, with four in Q4, enhancing the portfolio.

Enabling Technologies: Revenue reached $55.6 million, up 18.5% year-over-year, driven by increased sales of EGPS systems.

Trauma Business: Achieved approximately 27% growth in Q4, supported by successful product launches.

Nevro Integration: Contributed $99.7 million in revenue in Q4; management remains optimistic about long-term growth despite short-term challenges.

3Forward Guidance and Outlook

2026 Guidance:

Revenue expected between $3.18 billion and $3.22 billion, implying growth of 8.2% to 9.6% over 2025.

Non-GAAP EPS guidance raised to $4.40 to $4.50, reflecting confidence in sustained margin expansion.

Anticipated adjusted gross margin improvement to 69% to 70% for the full year.

4Bad News, Challenges, or Points of Concern

International Business: Experienced challenges in growth, particularly in the APAC region, with expectations of improvement but no immediate resolution.

Lumpiness in Enabling Technologies: The business remains subject to variability in deal closures, with a need for more aggressive capital placements to drive revenue.

Nevro Business: Expected to experience lumpiness in growth as the integration continues; management is cautious about short-term performance.

Market Conditions: General U.S. spine market growth is projected to be low single digits, which could limit overall growth potential.

5Notable Q&A Insights

Sustainability of U.S. Spine Growth: Management expressed confidence in maintaining above-market growth due to product launches and sales force expansion.

Competitive Landscape: New competitors in the robotic navigation space were acknowledged, but management believes their existing technology remains superior.

Long-term Strategy for Nevro: Focus on cross-selling legacy products and enhancing the sales force to stabilize and grow the business.

Operating Leases: Management indicated a shift towards more flexible deal structures, which may lead to smoother revenue recognition over time.

R&D Investment: Plans to increase R&D spending to 5-6% of sales to support innovation and product development. Overall, GMED reported strong financial performance in Q4 2025, with significant growth in key areas, while outlining a cautious yet optimistic outlook for 2026 amidst some challenges in international markets and integration efforts.