Globus Medical Inc (NYSE: GMED)

Sector: Healthcare Industry: Medical Devices CIK: 0001237831
Market Cap 12.05 Bn
P/B 2.74
P/E 28.43
P/S 4.35
ROIC (Qtr) 6.86
Div Yield % 0.00
Rev 1y % (Qtr) 22.91
Total Debt (Qtr) 119.34 Mn
Debt/Equity (Qtr) 0.03
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About

Globus Medical, Inc., often recognized by its stock symbol GMED, is a prominent player in the medical device industry. The company is dedicated to enhancing the quality of life for patients with musculoskeletal disorders by providing innovative healthcare solutions that promote healing and restore function. The company's primary business activities revolve around the development and commercialization of medical devices and human tissue products. These offerings are used in a variety of spinal, orthopedic, and neurosurgical procedures, and are designed...

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Investment thesis

Bull case

  • Strong operating cash flow of 715.20M provides robust 5.99x coverage of total debt 119.34M, indicating excellent debt servicing capability and financial flexibility.
  • Healthy cash reserves of 371.77M provide 25.90x coverage of short-term debt 14.36M, demonstrating strong liquidity position and minimal refinancing risk.
  • Strong tangible asset base of 2.89B provides 24.19x coverage of total debt 119.34M, indicating robust asset backing and low credit risk.
  • Operating cash flow of 715.20M provides strong 14.23x coverage of stock compensation 50.27M, indicating sustainable incentive practices.
  • Robust free cash flow of 579.61M exceeds capital expenditure of 135.59M by 4.27x, indicating strong organic growth funding capability.

Bear case

  • Operating cash flow of 715.20M barely covers its investment activities of (347.69M), with a coverage ratio of -2.06, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (347.69M) provide weak support for R&D spending of 144.49M, which is -2.41x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 371.77M provide limited coverage of acquisition spending of (252.55M), which is -1.47x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • Operating earnings of 455.86M show weak coverage of depreciation charges of 276.06M, with a 1.65 ratio indicating high capital intensity and potential reinvestment needs.
  • Free cash flow of 579.61M represents just -1.29x of debt issuance (449.99M), suggesting concerning reliance on leverage rather than internal cash generation for growth.

Consolidation Items Breakdown of Revenue (2024)

Product and Service Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 2.34 2.13
EV to Cash from Ops. EV/CFO 16.70 2.75
EV to Debt EV to Debt 100.06 17.25
EV to EBIT EV/EBIT 26.20 2.89
EV to EBITDA EV/EBITDA 18.46 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 20.60 29.36
EV to Market Cap EV to Market Cap 0.99 25.09
EV to Revenue EV/Rev 4.31 32.80
Price to Book Value [P/B] P/B 2.74 4.73
Price to Earnings [P/E] P/E 28.43 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) -98.16 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -11.88 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -40.30 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 331.38 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 73.50 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 254.38 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 280.43 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 404.84 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 97.30 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 25.58 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.54 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 0.80 1.80
Current Ratio Curr Ratio (Qtr) 4.13 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 0.03 1.20
Interest Cover Ratio Int Coverage (Qtr) -98.16 196.93
Times Interest Earned Times Interest Earned (Qtr) -98.16 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 26.40 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) 16.46 -2,478.60
EBT Margin % EBT Margin % (Qtr) 16.63 -2,690.42
Gross Margin % Gross Margin % (Qtr) 65.30 30.80
Net Profit Margin % Net Margin % (Qtr) 15.30 -2,821.53