10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2017

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 and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post 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   (Do not check if a smaller reporting company) ¨ 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 July 31, 2017 was 96,291,880 shares.

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

TABLE OF CONTENTS

		Page
PART I.	FINANCIAL INFORMATION
Item 1.	Financial Statements
	Condensed Consolidated Balance Sheets (Unaudited)
	June 30, 2017 and December 31, 2016	3
	Condensed Consolidated Statements of Income (Unaudited)
	Three and six months ended June 30, 2017 and June 30, 2016	4
	Condensed Consolidated Statements of Comprehensive Income (Unaudited)
	Three and six months ended June 30, 2017 and June 30, 2016	5
	Condensed Consolidated Statements of Cash Flows (Unaudited)
	Six months ended June 30, 2017 and June 30, 2016	6
	Notes to Condensed Consolidated Financial Statements (Unaudited)	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	26
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	38
Item 4.	Controls and Procedures	38
PART II.	OTHER INFORMATION	40
Item 1.	Legal Proceedings	40
Item 1A.	Risk Factors	40
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	40
Item 3.	Defaults Upon Senior Securities	40
Item 4.	Mine Safety Disclosures	40
Item 5.	Other Information	40
Item 6.	Exhibits	41
	SIGNATURES	42
	Exhibit Index	43

2

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

(In thousands, except par value)	June 30, 2017			December 31, 2016
ASSETS
Current assets:
Cash and cash equivalents	$	149,669		$	132,639
Restricted cash	478			477
Short-term marketable securities	162,520			157,673
Accounts receivable, net of allowances of $3,645 and $2,771, respectively	95,489			91,983
Inventories	111,108			112,692
Prepaid expenses and other current assets	5,879			14,502
Income taxes receivable	9,986			3,800
Total current assets	535,129			513,766
Property and equipment, net of accumulated depreciation of $181,223 and $166,711, respectively	130,123			124,229
Long-term marketable securities	60,932			60,444
Note receivable	30,000			30,000
Intangible assets, net	90,036			61,706
Goodwill	112,769			105,926
Other assets	1,051			928
Deferred income taxes	34,974			30,638
Total assets	$	995,014		$	927,637
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable	$	16,291		$	17,472
Accrued expenses	41,707			46,401
Income taxes payable	1,400			1,911
Business acquisition liabilities, current	9,663			14,108
Total current liabilities	69,061			79,892
Business acquisition liabilities, net of current portion	10,676			5,972
Deferred income taxes	8,175			7,876
Other liabilities	1,802			1,819
Total liabilities	89,714			95,559
Commitments and contingencies (Note 13)
Equity:
Class A common stock; $0.001 par value. Authorized 500,000 shares; issued and outstanding 72,411 and 72,052 shares at June 30, 2017 and December 31, 2016, respectively	72			72
Class B common stock; $0.001 par value. Authorized 275,000 shares; issued and outstanding 23,878 at June 30, 2017 and December 31, 2016, respectively	24			24
Additional paid-in capital	224,796			211,725
Accumulated other comprehensive loss	(5,872		)	(8,642		)
Retained earnings	686,280			628,899
Total equity	905,300			832,078
Total liabilities and equity	$	995,014		$	927,637

See accompanying notes to condensed consolidated financial statements.

3

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(Unaudited)

	Three Months Ended					Six Months Ended
(In thousands, except per share amounts)	June 30, 2017		June 30, 2016			June 30, 2017		June 30, 2016
Sales	$	152,390	$	137,489		$	308,199	$	276,753
Cost of goods sold	37,199		32,731			72,799		64,250
Gross profit	115,191		104,758			235,400		212,503
Operating expenses:
Research and development	10,713		10,594			21,379		20,624
Selling, general and administrative	64,438		53,312			131,497		107,110
Provision for litigation	243		3,056			243		3,056
Amortization of intangibles	1,809		397			3,591		789
Acquisition related costs	617		(519		)	1,005		155
Total operating expenses	77,820		66,840			157,715		131,734
Operating income	37,371		37,918			77,685		80,769
Other income, net
Interest income, net	1,590		602			3,008		1,098
Foreign currency transaction gain/(loss)	448		(309		)	996		(201		)
Other income	148		125			282		281
Total other income, net	2,186		418			4,286		1,178
Income before income taxes	39,557		38,336			81,971		81,947
Income tax provision	10,890		12,530			24,590		28,131
Net income	$	28,667	$	25,806		$	57,381	$	53,816
Earnings per share:
Basic	$	0.30	$	0.27		$	0.60	$	0.56
Diluted	$	0.29	$	0.27		$	0.59	$	0.56
Weighted average shares outstanding:
Basic	96,161		95,585			96,079		95,491
Dilutive stock options	1,657		841			1,404		868
Diluted	97,818		96,426			97,483		96,359
Anti-dilutive stock options excluded from weighted average calculation	2,017		5,469			3,887		5,338

See accompanying notes to condensed consolidated financial statements.

4

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

	Three Months Ended					Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016			June 30, 2017		June 30, 2016
Net income	$	28,667	$	25,806		$	57,381	$	53,816
Other comprehensive income/(loss):
Unrealized gain on marketable securities, net of tax	23		60			143		284
Foreign currency translation gain/(loss)	186		(143		)	2,627		(62		)
Total other comprehensive income/(loss)	209		(83		)	2,770		222
Comprehensive income	$	28,876	$	25,723		$	60,151	$	54,038

See accompanying notes to condensed consolidated financial statements.

5

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

	Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016
Cash flows from operating activities:
Net income	$	57,381		$	53,816
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	22,935			13,698
Amortization of premium on marketable securities	1,855			2,085
Write-down for excess and obsolete inventories	4,962			4,536
Stock-based compensation expense	7,062			5,690
Allowance for doubtful accounts	958			148
Change in fair value of contingent consideration	811			—
Change in deferred income taxes	(4,238		)	1,625
(Increase)/decrease in:
Restricted cash	(1		)	14,884
Accounts receivable	(3,172		)	2,624
Inventories	(4,652		)	(3,812		)
Prepaid expenses and other assets	8,506			1,114
Increase/(decrease) in:
Accounts payable	(1,660		)	(1,707		)
Accrued expenses and other liabilities	(4,497		)	(10,078		)
Income taxes payable/receivable	(6,825		)	(5,796		)
Net cash provided by operating activities	79,425			78,827
Cash flows from investing activities:
Purchases of marketable securities	(119,196		)	(172,886		)
Maturities of marketable securities	102,733			129,495
Sales of marketable securities	9,503			16,602
Purchases of property and equipment	(25,061		)	(20,142		)
Acquisition of businesses, net of cash acquired	(31,501		)	—
Net cash used in investing activities	(63,522		)	(46,931		)
Cash flows from financing activities:
Payment of business acquisition liabilities	(5,234		)	(400		)
Proceeds from exercise of stock options	5,911			3,575
Net cash provided by financing activities	677			3,175
Effect of foreign exchange rate on cash	450			119
Net increase in cash and cash equivalents	17,030			35,190
Cash and cash equivalents, beginning of period	132,639			60,152
Cash and cash equivalents, end of period	$	149,669		$	95,342
Supplemental disclosures of cash flow information:
Interest paid	21			2
Income taxes paid	$	35,475		$	32,214

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 focused on the design, development and commercialization of musculoskeletal solutions.  We are currently focused on implants that promote healing in patients with spine disorders.  We are developing a robotic surgical navigation device and products to treat patients who have experienced orthopedic traumas.  Our development efforts in these areas are ongoing and have not been cleared by the U.S. Food and Drug Administration for sale. 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 170 products and offer a product portfolio addressing a broad array of spinal pathologies.

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. Our 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, 2016.

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 six- month periods presented. The results of operations for any interim period are not indicative of results for the full year. Certain reclassifications have been made to the prior period statements to include amortization of intangibles and acquisition related costs within operating expenses to conform to the current year presentation. In addition, we have recast an immaterial amount from cost of goods sold to amortization of intangibles to be consistent with our presentation for the year ended December 31, 2016.

(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.

7

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

(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, contingent payment 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.

(e) Restricted Cash

In December 2014, we set aside cash for the payment of a portion of the DePuy Synthes and Bianco litigation. We classified this cash as restricted, as the amount was placed in escrow to be used for payment of the litigation obligations, should we not be successful with our appeals. On January 13, 2016, we settled our litigation with DePuy Synthes and made a payment of $7.9 million and recovered approximately $8.4 million related to that settlement shortly thereafter. As of June 30, 2017, we have $0.5 million of restricted cash remaining related to the Bianco matter. See “Note 13. Commitments and Contingencies” below for more details regarding these litigations.

(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 June 30, 2017. 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 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.

8

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 were $5.7 million and $2.3 million during the six months ended June 30, 2017 and June 30, 2016, respectively.

(i) Revenue Recognition

Revenue is recognized when persuasive evidence of an arrangement exists, product delivery has occurred, pricing is fixed or determinable, and collection is reasonably assured. A significant portion of our revenue is generated from consigned inventory maintained at hospitals or with sales representatives. For these products, revenue is recognized at the time the product is used or implanted. For all other transactions, we recognize revenue when title to the goods and risk of loss transfer to customers, provided there are no remaining performance obligations that will affect the customer’s final acceptance of the sale. Our policy is to classify shipping and handling costs billed to customers as sales and the related expenses as cost of goods sold.

(j) Recently Issued 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 guidances 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. Early adoption is not permitted prior to the first quarter of 2017. We will adopt ASU 2014-09 effective January 1, 2018 using the modified retrospective method (retrospective application with the cumulative effect of initially applying the guidance recognized at the date of initial application). This update will not have a material impact on our financial position or results of operations.  The updated guidance will require additional disclosure regarding our revenue transactions.

In July 2015, the FASB released ASU 2015-11, Simplifying the Measurement of Inventory (Topic 330) (“ASU 2015-11”) as part of the FASB’s Simplification Initiative. This update is intended to more closely align the measurement of inventory under GAAP with the measurement of inventory under International Financial Reporting Standards. Within the scope of the update, an entity is required to measure inventory at the lower of cost or net realizable value. Net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonable and predictable costs of completion, disposal and transportation. ASU 2015-11 is effective for all public entities for fiscal years beginning after December 31, 2016, including interim reporting periods within that period, and is required to be applied prospectively, with early adoption permitted. We adopted ASU 2015-11 on January 1, 2017. This update does not have a material impact on our financial position, results of operations, and disclosures.

9

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

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 requires the use of the modified retrospective method, which will require adjustment to all comparative periods presented in the consolidated financial statements. We are currently evaluating the impact of this update on our financial position, results of operations, and disclosures.

In March 2016, the FASB released ASU 2016-09, Compensation - Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting (“ASU 2016-09”), which will simplify the income tax consequences, accounting for forfeitures, and classification on the statements of cash flows. ASU 2016-09 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2016, and is required to be applied either prospectively, retrospectively or using a modified retrospective transition method, depending on the area covered in this update. We adopted ASU 2016-09 effective January 1, 2017.

ASU 2016-09 requires that all excess tax benefits and tax deficiencies are recognized as income tax expense or benefit in the income statement as discrete items in the reporting period in which they occur. The adoption of this provision is required to be applied using a prospective transition method, therefore prior period net income has not been adjusted. Under the provisions of the new guidance, we elected to account for forfeitures as they occur, and using the required modified retrospective adoption, the impact to retained earnings was immaterial. We elected to apply the presentation requirements for cash flows related to excess tax benefits retrospectively to all periods presented. As a result of this retrospective application, our cash provided by operating activities increased by $0.8 million for the six months ended June 30, 2016, and our cash provided by financing activities decreased by $0.8 million for the six months ended June 30, 2016.

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. Early adoption is permitted and should be in the first interim period if an entity issues interim financial statements. We are currently evaluating the impact of this new accounting standard 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 do not expect the adoption of this update to have any material impact on our financial position, cash flows, or disclosures.

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GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

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 are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.

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 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. This update will not have a material impact on our financial position, results of operations or 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. We have included the financial results of KB Medical in our consolidated financial statements from the acquisition date, and the results from KB Medical were not material to our consolidated financial statements. The fair value of the consideration for this 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 $31.0 million of identifiable net assets, based on their estimated fair values, and goodwill of $5.4 million. None of the goodwill is expected to be deductible for tax purposes.

As of June 30, 2017, the maximum aggregate undiscounted amount of contingent consideration potentially payable related to this acquisition is $5.2 million.

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GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

The preliminary fair value estimates for the assets acquired and liabilities assumed for our acquisition during the second quarter of fiscal 2017 were based upon preliminary calculations and valuations, and our estimates and assumptions for this acquisition are subject to change as we obtain additional information during the respective measurement period. The primary areas of those preliminary estimates that are not yet finalized relate to certain tangible assets and liabilities acquired, including the valuation of the contingent consideration, identifiable intangible assets, and goodwill. We expect to complete our final purchase price allocations in late 2017.

Alphatec International

On September 1, 2016 (the “Closing Date”), Globus Medical Ireland, Ltd. (“Globus Ireland”), a private limited company existing under the laws of Ireland and an indirect wholly-owned subsidiary of Globus, acquired from Alphatec Holdings, Inc., a Delaware corporation (“Alphatec”) (i) substantially all of the assets and certain liabilities of Alphatec’s subsidiaries in the United Kingdom, Italy, the Netherlands, Germany and Hong Kong and (ii) all of the outstanding equity interests of Alphatec’s subsidiaries in Japan, Brazil, China, Singapore and Australia (“Alphatec International”) pursuant to a Purchase and Sale Agreement entered into on July 25, 2016 (the “Purchase Agreement” and the “Acquisition”). The aggregate consideration for the transaction was approximately $77.8 million in cash, subject to customary adjustment after closing for certain working capital items as provided in the Purchase Agreement.

In addition, in connection with the Acquisition, Globus Ireland entered into a supply agreement with Alphatec, pursuant to which Alphatec will supply products to Globus Ireland and its newly-acquired subsidiaries for up to five years after the Closing Date.

We accounted for the acquisition under the purchase method of accounting, and as a result, recorded preliminary goodwill of approximately $15.8 million. The results of operations of Alphatec International have been included in our results of operations from the date of acquisition. Amounts recognized for assets acquired and liabilities assumed are based on preliminary purchase price allocations and on certain management judgments. These preliminary 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. During the quarter ended June 30, 2017, we refined the valuation of our acquired inventory based on updated sales trends. The final purchase price allocations will be completed after we review all available data, and complete our own internal assessments. We expect to complete our final purchase price allocations in the third quarter of 2017. Any additional adjustments resulting from finalization of the purchase price allocations for Alphatec International will affect the amount assigned to goodwill. Based on our preliminary purchase price allocations, we estimate that $9.8 million of the goodwill from this acquisition is deductible for tax purposes.

12

GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

As of June 30, 2017, we recorded the following preliminary purchase price allocation for the identifiable tangible and intangible assets and liabilities of Alphatec International:

(In thousands)
Consideration:
Cash paid at closing	$	80,000
Net working capital adjustment due	(2,217		)
Fair value of consideration	$	77,783
Identifiable assets acquired and liabilities assumed:
Cash acquired	$	4,010
Accounts receivable	12,402
Inventory	9,557
Customer relationships	38,800
Property and equipment	4,800
Deferred tax assets	1,436
Other assets	8,092
Accounts payable and accrued expenses	(8,119		)
Deferred tax liabilities	(9,002		)
Total identifiable net assets	61,976
Goodwill	15,807
Total allocated purchase price	$	77,783

The following unaudited pro forma information is based on our historical data and our assumptions for consolidated results of operations, and gives effect to our acquisition of Alphatec International as if the acquisition had occurred on January 1, 2015. These unaudited pro forma results include adjustments having a continuing impact on our condensed consolidated statements of income. These adjustments primarily consist of: adjustments to the fair value of inventory, adjustments to depreciation for the fair value and depreciable lives of property and equipment, amortization of intangibles, interest income and adjustments to tax expense based on condensed consolidated pro forma results. These results have been prepared using assumptions our management believes are reasonable, are not necessarily indicative of the actual results that would have occurred if the acquisition had occurred on January 1, 2015, and are not necessarily indicative of the results that may be achieved in the future, including but not limited to operating synergies that we may realize as a result of the acquisition.

	Three Months Ended		Six Months Ended
(pro forma, in thousands, except per share amounts)	June 30, 2016		June 30, 2016
Net sales	$	149,379	$	300,532
Net income	27,252		56,708
Earnings per share:
Basic	$	0.29	$	0.59
Diluted	$	0.28	$	0.59

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(Unaudited)

NOTE 3. NOTE RECEIVABLE

On September 1, 2016, in connection with the Acquisition, we entered into a Credit, Security and Guaranty Agreement (the “Credit Agreement”) with 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%.

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.

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 June 30, 2017, we do not consider this note to be impaired. We believe that the note’s carrying value approximates its fair value.

NOTE 4. INTANGIBLE ASSETS

A summary of intangible assets is presented below:

		June 30, 2017
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	46,191	$	—		$	46,191
Supplier network	10.0	4,000		(1,067		)	2,933
Customer relationships & other intangibles	6.8	42,139		(8,557		)	33,582
Patents	16.7	8,080		(750		)	7,330
Total intangible assets		$	100,410	$	(10,374	)	$	90,036

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(Unaudited)

		December 31, 2016
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	20,460	$	—		$	20,460
Supplier network	10.0	4,000		(867		)	3,133
Customer relationships & other intangibles	6.8	40,936		(5,201		)	35,735
Patents	16.1	3,035		(657		)	2,378
Total intangible assets		$	68,431	$	(6,725	)	$	61,706

NOTE 5. MARKETABLE SECURITIES

The composition of our short-term and long-term marketable securities is as follows:

		June 30, 2017
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	82,729	$	11	$	(14	)	$	82,726
Corporate debt securities	Less than 1	39,974		15		(18		)	39,971
Commercial paper	Less than 1	39,502		3		(4		)	39,501
Asset-backed securities	Less than 1	322		—		—			322
Total short-term marketable securities		$	162,527	$	29	$	(36	)	$	162,520
Long-term:
Municipal bonds	1-2	$	19,051	$	9	$	(6	)	$	19,054
Corporate debt securities	1-2	29,603		20		(23		)	29,600
Asset-backed securities	1-2	7,304		—		(2		)	7,302
Securities of U.S. government-sponsored agencies	1-2	5,001		—		(25		)	4,976
Total long-term marketable securities		$	60,959	$	29	$	(56	)	$	60,932

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(Unaudited)

		December 31, 2016
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	114,826	$	2	$	(88	)	$	114,740
Corporate debt securities	Less than 1	36,020		21		(4		)	36,037
Commercial paper	Less than 1	6,898		—		(2		)	6,896
Total short-term marketable securities		$	157,744	$	23	$	(94	)	$	157,673
Long-term:
Municipal bonds	1-2	$	30,207	$	—	$	(137	)	$	30,070
Corporate debt securities	1-2	15,278		9		(40		)	15,247
Asset-backed securities	1-2	10,146		6		(1		)	10,151
Securities of U.S. government-sponsored agencies	1-2	5,002		—		(26		)	4,976
Total long-term marketable securities		$	60,633	$	15	$	(204	)	$	60,444

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.

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(Unaudited)

The fair value of our assets and liabilities measured at fair value on a recurring basis was as follows:

	Balance at
(In thousands)	June 30, 2017		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	87,749	$	2,120	$	85,629	$	—
Municipal bonds	101,780		—		101,780		—
Corporate debt securities	69,571		—		69,571		—
Commercial paper	39,501		—		39,501		—
Asset-backed securities	7,624		—		7,624		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	20,339		—		—		20,339

	Balance at
(In thousands)	December 31, 2016		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	76,157	$	957	$	75,200	$	—
Municipal bonds	144,810		—		144,810		—
Corporate debt securities	51,284		—		51,284		—
Commercial paper	6,896		—		6,896		—
Asset-backed securities	10,151		—		10,151		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	19,849		—		—		19,849

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.

Contingent consideration 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 contingent consideration 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 contingent consideration are recognized within acquisition related costs in the condensed consolidated statements of income. As part of the KB Medical acquisition during the second quarter, we incurred a milestone-based contingent consideration liability.

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(Unaudited)

The recurring Level 3 fair value measurements of our contingent consideration liabilities include the following significant unobservable inputs, which have not materially changed since December 31, 2016:

	Fair Value at
(In thousands)	June 30, 2017		Valuation technique	Unobservable input	Range
				Discount rate	6.7%	-	8.5%
Revenue-based payments	$	10,784	Discounted cash flow	Probability of payment	87.0%	-	97.5%
				Projected year of payment	2017	-	2029
				Discount rate	4.4%	-	13.5%
Milestone-based payments	$	9,555	Discounted cash flow	Probability of payment	100.0%
				Projected year of payment	2017	-	2018

The following table provides a reconciliation of the beginning and ending balances of contingent consideration:

	Three Months Ended						Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Beginning balance	$	15,326		$	22,260		$	19,849		$	26,617
Purchase price contingent consideration	4,871			—			4,871			—
Currency translation loss	42			—			42			—
Contingent payments	(233		)	(1		)	(5,234		)	(5,001		)
Non-cash settlement of certain contingent consideration	—			(1,522		)	—			(1,522		)
Changes in fair value of contingent consideration	333			1,794			811			2,437
Ending balance	$	20,339		$	22,531		$	20,339		$	22,531

NOTE 7. INVENTORIES

(In thousands)	June 30, 2017		December 31, 2016
Raw materials	$	18,088	$	13,257
Work in process	10,591		10,747
Finished goods	82,429		88,688
Total inventories	$	111,108	$	112,692

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(Unaudited)

NOTE 8. ACCRUED EXPENSES

(In thousands)	June 30, 2017		December 31, 2016
Compensation and other employee-related costs	$	20,389	$	23,214
Legal and other settlements and expenses	1,397		734
Accrued non-income taxes	6,159		6,946
Royalties	5,260		4,671
Other	8,502		10,836
Total accrued expenses	$	41,707	$	46,401

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. At our request, and with the approval of the bank, the amount of borrowings available under the revolving credit facility can be increased to $75.0 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 2018. 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 June 30, 2017, 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 $50.0 million. We may terminate the credit agreement at any time on ten days’ notice without premium or penalty.

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
June 30, 2017	72,411,343	23,877,556	—	96,288,899
December 31, 2016	72,052,360	23,877,556	—	95,929,916

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(Unaudited)

The following table summarizes changes in total equity:

	Six Months Ended
(In thousands)	June 30, 2017
Total equity, beginning of period	$	832,078
Net income	57,381
Stock-based compensation cost	7,160
Exercise of stock options	5,911
Other comprehensive income	2,770
Total equity, end of period	$	905,300

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)	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	145			2,627			2,772
Amounts reclassified from accumulated other comprehensive income, net of tax	(2		)	—			(2		)
Other comprehensive income, net of tax	143			2,627			2,770
Accumulated other comprehensive loss, net of tax, at June 30, 2017	$	(24	)	$	(5,848	)	$	(5,872	)

(In thousands)	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, 2015	$	(119	)	$	(1,839	)	$	(1,958	)
Other comprehensive income before reclassifications	284			(62		)	222
Amounts reclassified from accumulated other comprehensive income, net of tax	—			—			—
Other comprehensive income, net of tax	284			(62		)	222
Accumulated other comprehensive income/(loss), net of tax, at June 30, 2016	$	165		$	(1,901	)	$	(1,736	)

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 was, and the 2012 Plan 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

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(Unaudited)

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 June 30, 2017, pursuant to the 2012 Plan, there were 14,887,393 shares of Class A Common stock reserved and 6,284,390 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				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Weighted average grant date fair value per share	$	9.89	$	7.76	$	8.49	$	7.80

Stock option activity during the six months ended June 30, 2017 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, 2016	7,741		$	21.08
Granted	1,609		26.66
Exercised	(359	)	16.60
Forfeited	(293	)	23.86
Outstanding at June 30, 2017	8,698		$	22.20	7.6	$	95,216
Exercisable at June 30, 2017	4,019		$	18.93	6.2	$	57,140
Expected to vest at June 30, 2017	4,678		$	25.01	8.8	$	38,076

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(Unaudited)

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				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Intrinsic value of stock options exercised	$	2,870	$	1,895	$	4,760	$	4,626
Stock-based compensation expense	$	3,571	$	2,920	$	7,062	$	5,690
Net stock-based compensation capitalized into inventory	47		69		98		140
Total stock-based compensation cost	$	3,618	$	2,989	$	7,160	$	5,830

As of June 30, 2017, there was $33.1 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.

The following table provides a summary of our effective tax rate:

	Three Months Ended				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Effective income tax rate	27.5	%	32.7	%	30.0	%	34.3	%

The period over period change in the effective income tax rate for the three and six months ended June 30, 2017 is primarily driven by a benefit derived from the recording of historical foreign tax credits and the adoption of ASU 2016-09 in the period ended June 30, 2017. Additionally for the six months ended June 30, 2016, a one-time charge from the reorganization of our domestic legal structure impacted the overall rate.

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 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

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(Unaudited)

associated with them could have a material adverse impact on our condensed consolidated earnings, financial position or cash flows.

N-Spine, Synthes and DePuy Synthes Litigation

In April 2010, N-Spine, Inc. and Synthes USA Sales, LLC filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. N-Spine, the patent owner, and Synthes USA, a licensee of the subject patent, allege that we infringe one or more claims of the patent by making, using, offering for sale or selling our TRANSITION^® stabilization system product. N-Spine and Synthes USA sought injunctive relief and an unspecified amount in damages. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

In a related matter, on January 8, 2014, DePuy Synthes Products, LLC (“DePuy Synthes”) filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. DePuy Synthes alleges that we infringe one or more claims of the asserted patent by making, using, offering for sale or selling our TRANSITION^® stabilization system product. DePuy Synthes seeks injunctive relief and an unspecified amount in damages. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

Synthes USA, LLC, Synthes USA Products, LLC and Synthes USA Sales, LLC Litigation

In July 2011, Synthes USA, LLC, Synthes USA Products, LLC and Synthes USA Sales, LLC filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. Synthes USA LLC, the patent owner, Synthes USA Products, LLC, a licensee to manufacture products of the subject patents, and Synthes USA Sales LLC, a licensee to sell products of the subject patents, allege that we infringed one or more claims of three patents by making, using, offering for sale or selling our COALITION^®, INDEPENDENCE^® and INTERCONTINENTAL^® products. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

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 discovery phase of litigation on the underlying damages claims. We intend to defend our rights vigorously. The probable outcome of this litigation cannot be determined, nor can we estimate a range of potential loss. Therefore, in accordance with authoritative guidance on the evaluation of loss contingencies, we have not recorded an accrual related to this litigation.

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. Bianco alleges that we engaged in misappropriation of trade secrets, breach of contract, unfair competition, fraud and theft and seeks correction of inventorship, injunctive relief and exemplary damages. On April 20, 2012, Bianco filed a motion for a

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(Unaudited)

preliminary injunction, seeking to enjoin us from making, using, selling, importing or offering for sale our CALIBER^® product. On November 15, 2012, the court denied Bianco’s motion for preliminary injunction. 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 January 17, 2014, the jury in this case returned a verdict in favor of Bianco on a claim of misappropriation of trade secret. We accrued the verdict amount of $4.3 million as of December 31, 2013. The jury found against Bianco on the claims of breach of contract and disgorgement of profits. The court granted our motion for judgment as a matter of law and dismissed Bianco’s claims for unfair competition, fraud, and exemplary damages, and Bianco abandoned the claim of misappropriation of confidential information. Bianco’s claims of correction of inventorship, unjust enrichment, and permanent injunctive relief were not submitted to the jury. On March 7, 2014, the court denied Bianco’s claim for correction of inventorship and ruled he is not entitled to be named as a co-inventor on any of the patents at issue, and also denied his claim for unjust enrichment. On March 17, 2014, the court denied Bianco’s claim for permanent injunctive relief. On July 2, 2014, the court awarded Bianco an ongoing royalty of 5% of the net sales of the CALIBER^®, CALIBER^®-L, and RISE^® products, or products that are not colorably different from those products, for a fifteen year period on sales starting on January 18, 2014. The court entered final judgment on the jury verdict on July 17, 2014. On October 19, 2015, the United States Federal Circuit Court of Appeals affirmed the judgment without opinion. On March 22, 2016, we filed a Petition for a Writ of Certiorari with the United States Supreme Court and on June 20, 2016 the Writ was denied.

We do not expect the judgment to impact our ability to conduct our business or to have any material impact on our future revenues.

Bonutti Skeletal Innovations, LLC Litigation

On November 19, 2014, Bonutti Skeletal Innovations, LLC (“Bonutti Skeletal”) filed suit against us in the U.S. District Court for the Eastern District of Pennsylvania for patent infringement. Bonutti Skeletal, a non-practicing entity, alleges that Globus willfully infringes one or more claims of six patents by making, using, offering for sale or selling the CALIBER^®, CALIBER^®-L, COALITION^®, CONTINENTAL^®, FORGE^®, FORTIFY^®, INDEPENDENCE^®, INTERCONTINENTAL^®, MONUMENT^®, NIKO^®, RISE^®, SIGNATURE^®, SUSTAIN^®, and TRANSCONTINENTAL^® products. Bonutti Skeletal sought an unspecified amount in damages and injunctive relief. This matter was stayed on June 26, 2015 pending the resolution of inter partes reviews on the asserted patents by the USPTO. Globus Medical, Inc. and Bonutti Skeletal settled this matter on June 9, 2016.

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. Flexuspine sought an unspecified amount in damages and injunctive relief. On August 19, 2016, the jury returned a verdict in our favor finding no infringement of the asserted patents by the CALIBER^®, CALIBER^®-L, and ALTERA^® products. On November 1, 2016, plaintiff filed a notice of appeal to the United States Court of Appeals for the Federal Circuit.

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GLOBUS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

(Unaudited)

Silverstein Litigation

On September 28, 2015, a putative securities class action lawsuit was filed against us and certain of our officers in the U.S. District Court for the Eastern District of Pennsylvania. Plaintiff in the lawsuit purported to represent a class of our stockholders who purchased shares between February 26, 2014 and August 5, 2014. The complaint purported to assert claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended, and sought damages in an unspecified amount, attorney’s fees and other relief. This matter was dismissed with prejudice on August 26, 2016. On September 9, 2016, plaintiff’s motion for reconsideration was denied, and on September 13, 2016 plaintiff filed an appeal in the United States Court of Appeals for the Third Circuit.

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 reportable segment. Segment information is consistent with how management reviews the business, makes investing and resource allocation decisions and assesses operating performance. Products are sold principally in the United States.

The following table represents total sales by geographic area, based on the location of the customer:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
United States	$	126,271	$	124,716	$	255,934	$	252,276
International	26,119		12,773		52,265		24,477
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

We classify our products into two categories: innovative fusion products and disruptive technology products. The following table represents total sales by product category:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Innovative Fusion	$	79,866	$	69,442	$	161,738	$	139,488
Disruptive Technology	72,524		68,047		146,461		137,265
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

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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

We are a medical device company focused on the design, development and commercialization of musculoskeletal implants. We are currently focused on implants that promote healing in patients with spine disorders. 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 170 products and offer a comprehensive product portfolio of innovative and differentiated products addressing a broad array of spinal pathologies, anatomies and surgical approaches. Development efforts for our robotic surgical navigation system and products to treat patients who have experienced orthopedic trauma are ongoing.  We expect to begin selling orthopedic trauma and robotic products later in 2017.

All of our current products fall into one of two categories: Innovative Fusion or Disruptive Technologies. Our Innovative Fusion products comprise fusion products designed to treat a wide variety of spinal disorders for the entire spine and can be used in a variety of surgical approaches. We believe our Innovative Fusion products have features and characteristics that provide advantages for surgeons and potentially contribute to better outcomes for patients as compared to competing traditional fusion products.

We define Disruptive Technologies as those that represent a significant shift in the treatment of spine disorders by allowing for novel surgical procedures, improvements to existing surgical procedures and/or the treatment of spine disorders earlier in the continuum of care. We believe the use of Disruptive Technologies may improve patient outcomes and reduce costs given the expected lower morbidity rates, shorter patient recovery times and shorter hospital stays associated with these procedures. Additionally, Disruptive Technologies may help patients avoid progression of spinal disc disease sometimes caused by traditional surgical options such as spinal fusion. Our current portfolio of approved and pipeline Disruptive Technology products includes products that allow for minimally invasive surgical techniques, as well as new treatment alternatives, including motion preservation technologies, such as dynamic stabilization, total disc replacement and interspinous process spacer products; regenerative biologics technologies; and interventional pain management solutions, including treatments for vertebral compression fractures.

While we group our products into two categories, our products are not limited to a particular technology, platform or surgical approach. Instead, our goal is to offer spine 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 six months ended June 30, 2017, (which includes the results since the acquisition date of the international operations and distribution channel of Alphatec Holdings, Inc. (“Alphatec International,”)),

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our international sales accounted for approximately 17% of our total sales. We have sold our products in 53 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.

Results of Operations

Three Months Ended June 30, 2017 Compared to the Three Months Ended June 30, 2016

Sales

The following tables set forth, for the periods indicated, our sales by product category and 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)	June 30, 2017		June 30, 2016		$		%
Innovative Fusion	$	79,866	$	69,442	$	10,424	15.0	%
Disruptive Technology	72,524		68,047		4,477		6.6	%
Total sales	$	152,390	$	137,489	$	14,901	10.8	%

The growth in Innovative Fusion of $10.4 million was due primarily to increases from Alphatec International sales, which were offset partially by pricing pressure. Disruptive Technology sales increased $4.5 million due primarily to sales of expandable interbody, minimally invasive and regenerative biologics products launched during the past three years.

	Three Months Ended				Change
(In thousands, except percentages)	June 30, 2017		June 30, 2016		$		%
United States	$	126,271	$	124,716	$	1,555	1.2	%
International	26,119		12,773		13,346		104.5	%
Total sales	$	152,390	$	137,489	$	14,901	10.8	%

In the United States, the increase in sales of $1.6 million was due primarily to increased market penetration in existing territories, which was offset partially by one less selling day in the three months ended June 30, 2017 than the comparable period in the prior year.

Internationally, the increase in sales of $13.3 million was due primarily to Alphatec International sales. On a constant currency basis, our international sales grew $13.6 million, or by 106.6%, due to expansion into new international territories and higher sales of our expandable interbody products. Our worldwide sales increased 11.0% on a constant currency basis.

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Cost of Goods Sold

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Cost of goods sold	$	37,199		$	32,731		$	4,468	13.7	%
Percentage of sales	24.4		%	23.8		%

The $4.5 million net increase in cost of goods sold was due primarily to higher volumes and product mix of $5.1 million, which was partially offset by $0.6 million of net decreases in expenses, which included the continued favorable impact of in-house manufacturing and other expenses.

Research and Development Expenses

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Research and development	$	10,713		$	10,594		$	119	1.1	%
Percentage of sales	7.0		%	7.7		%

The increase in research and development expenses was due primarily to an increase in employee compensation costs from additional headcount, including our Emerging Technologies group, for furthering research activities and developing new innovative products.

Selling, General and Administrative Expenses

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Selling, general and administrative	$	64,438		$	53,312		$	11,126	20.9	%
Percentage of sales	42.3		%	38.8		%

The increase in selling, general and administrative expenses was primarily due to an increase of $8.8 million of costs to support the Alphatec International sales, building the Emerging Technologies sales force, and increases in the U.S. sales force expenses. In addition, there were cost increases of $2.3 million related to general and administrative compensation costs and other costs.

Provision for Litigation

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$			%
Provision for litigation	$	243		$	3,056		$	(2,813	)	(92	)%
Percentage of sales	0.2		%	2.2		%

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.

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Amortization of Intangibles

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Amortization of intangibles	$	1,809		$	397		$	1,412	355.7	%
Percentage of sales	1.2		%	0.3		%

The increase in the amortization of intangibles is due primarily to the customer relationships acquired as part of the Alphatec International acquisition.

Acquisition Related Costs

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Acquisition related costs	$	617		$	(519	)	$	1,136	(218.9	)%
Percentage of sales	0.4		%	(0.4		)%

The increase in acquisition related costs is due primarily to the prior year period recognition of a $1.9 million credit for the non-cash settlement of certain business acquisition liabilities. Current period acquisition related costs consisted primarily of accretion related to the remaining business acquisition related contingent consideration liabilities.

Other Income, Net

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Other income, net	$	2,186		$	418		$	1,768	423.0	%
Percentage of sales	1.4		%	0.3		%

The increase in other income, net, was due primarily to increases in interest income from the note receivable with Alphatec Spine, Inc., along with increases in foreign exchange transaction gains during the current quarter.

Income Tax Provision

	Three Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$			%
Income tax provision	$	10,890		$	12,530		$	(1,640	)	(13.1	)%
Effective income tax rate	27.5		%	32.7		%

The change in the effective income tax rate between the current year and prior year periods is primarily driven by a benefit derived from the recording of historical foreign tax credits and the adoption of ASU 2016-09 for the period ended June 30, 2017.

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Six Months EndedJune 30, 2017 Compared to the Six Months EndedJune 30, 2016

Sales

The following tables set forth, for the periods indicated, our sales by product category and geography expressed as dollar amounts and the changes in sales between the specified periods expressed in dollar amounts and as percentages:

	Six Months Ended				Change
(In thousands, except percentages)	June 30, 2017		June 30, 2016		$		%
Innovative Fusion	$	161,738	$	139,488	$	22,250	16.0	%
Disruptive Technology	146,461		137,265		9,196		6.7	%
Total sales	$	308,199	$	276,753	$	31,446	11.4	%

The growth in Innovative Fusion of $22.3 million was due primarily to increases from Alphatec International sales, which were offset partially by pricing pressure. Disruptive Technology sales increased by $9.2 million due primarily to sales of expandable interbody products, minimally invasive products and regenerative biologics products launched during the past three years.

	Six Months Ended				Change
(In thousands, except percentages)	June 30, 2017		June 30, 2016		$		%
United States	$	255,934	$	252,276	$	3,658	1.4	%
International	52,265		24,477		27,788		113.5	%
Total sales	$	308,199	$	276,753	$	31,446	11.4	%

In the United States, the increase in sales of $3.7 million was due primarily to increased market penetration in existing territories.

Internationally, the increase in sales of $27.8 million was due primarily to Alphatec International sales. On a constant currency basis, our international sales grew $28.4 million, or by 116.1%, due to expansion into new international territories and higher sales of our expandable interbody products. Our worldwide sales increased 11.6% on a constant currency basis.

Cost of Goods Sold

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Cost of goods sold	$	72,799		$	64,250		$	8,549	13.3	%
Percentage of sales	23.6		%	23.2		%

The $8.5 million net increase in cost of goods sold was due primarily to higher volumes and product mix of $11.7 million, which was partially offset by $3.2 million of net decreases in expenses, which included the continued favorable impact of in-house manufacturing, a vendor refund, net impact of depreciation and instrument scrap, and other expenses.

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Research and Development Expenses

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Research and development	$	21,379		$	20,624		$	755	3.7	%
Percentage of sales	6.9		%	7.5		%

The increase in research and development expenses was due primarily to an increase in employee compensation costs from additional headcount, including our Emerging Technologies group, for furthering research activities and developing new innovative products.

Selling, General and Administrative Expenses

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Selling, general and administrative	$	131,497		$	107,110		$	24,387	22.8	%
Percentage of sales	42.7		%	38.7		%

The increase in selling, general and administrative expenses was primarily due to an increase of $17.0 million of costs to support the Alphatec International sales, building the Emerging Technologies sales force, and increases in the U.S. sales force expenses. In addition, there were cost increases of $7.3 million related to general and administrative compensation costs, audit fees, bad debt expense, depreciation, and other costs.

Provision for Litigation

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$			%
Provision for litigation	$	243		$	3,056		$	(2,813	)	(92	)%
Percentage of sales	0.1		%	1.1		%

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

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Amortization of intangibles	$	3,591		$	789		$	2,802	355.1	%
Percentage of sales	1.2		%	0.3		%

The increase in the amortization of intangibles is due primarily to the customer relationships acquired as part of the Alphatec International acquisition.

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Acquisition Related Costs

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Acquisition related costs	$	1,005		$	155		$	850	548.4	%
Percentage of sales	0.3		%	0.1		%

The increase in acquisition related costs is due primarily to the prior year period recognition of a $1.9 million credit for the non-cash settlement of certain business acquisition liabilities. Current period acquisition related costs consisted primarily of accretion related to the remaining business acquisition related contingent consideration liabilities.

Other Income, Net

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$		%
Other income, net	$	4,286		$	1,178		$	3,108	263.8	%
Percentage of sales	1.4		%	0.4		%

The increase in other income, net, was due primarily to increases in interest income from the note receivable with Alphatec Spine, Inc., along with increases in foreign exchange transaction gains during the current year period.

Income Tax Provision

	Six Months Ended						Change
(In thousands, except percentages)	June 30, 2017			June 30, 2016			$			%
Income tax provision	$	24,590		$	28,131		$	(3,541	)	(12.6	)%
Effective income tax rate	30.0		%	34.3		%

The change in the effective income tax rate between the current year and prior year periods is primarily driven by a benefit derived from the recording of historical foreign tax credits and the adoption of ASU 2016-09 for the period ended June 30, 2017 and a one-time charge from the reorganization of our domestic legal structure for the period ended June 30, 2016.

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, and acquisition related costs, 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.

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Acquisition related costs 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.

The following is a reconciliation of net income to Adjusted EBITDA for the periods presented:

	Three Months Ended						Six Months Ended
(In thousands, except percentages)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Net Income	$	28,667		$	25,806		$	57,381		$	53,816
Interest income, net	(1,590		)	(602		)	(3,008		)	(1,098		)
Provision for income taxes	10,890			12,530			24,590			28,131
Depreciation and amortization	10,695			7,022			22,935			13,698
EBITDA	48,662			44,756			101,898			94,547
Stock-based compensation expense	3,571			2,920			7,062			5,690
Provision for litigation	243			3,056			243			3,056
Acquisition related costs, COGS	351			—			1,049			—
Acquisition related costs	617			(519		)	1,005			155
Adjusted EBITDA	$	53,444		$	50,213		$	111,257		$	103,448
Net income as a percentage of sales	18.8		%	18.8		%	18.6		%	19.4		%
Adjusted EBITDA as a percentage of sales	35.1		%	36.5		%	36.1		%	37.4		%

In addition, for the period ended June 30, 2017 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, 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, and the tax effects of such adjustments, which we believe is not reflective of underlying business trends.

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						Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Net income	$	28,667		$	25,806		$	57,381		$	53,816
Provision for litigation	243			3,056			243			3,056
Amortization of intangibles	1,809			397			3,591			789
Acquisition related costs	968			(519		)	2,054			155
Tax effect of adjusting items	(840		)	(990		)	(1,766		)	(1,372		)
Non-GAAP net income	$	30,847		$	27,750		$	61,503		$	56,444

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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						Six Months Ended
(Per share amounts)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Diluted earnings per share, as reported	$	0.29		$	0.27		$	0.59		$	0.56
Provision for litigation	—			0.03			—			0.03
Amortization of intangibles	0.02			—			0.04			0.01
Acquisition related costs	0.01			(0.01		)	0.02			—
Tax effect of adjusting items	(0.01		)	(0.01		)	(0.02		)	(0.01		)
Non-GAAP diluted earnings per share*	$	0.32		$	0.29		$	0.63		$	0.59
* 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						Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Net cash provided by operating activities	$	25,976		$	23,270		$	79,425		$	78,827
Adjustment for impact of restricted cash	1			784			1			(14,884		)
Purchases of property and equipment	(13,528		)	(10,776		)	(25,061		)	(20,142		)
Free cash flow	$	12,449		$	13,278		$	54,365		$	43,801

The adjustment for the impact of restricted cash is primarily related to the DePuy Synthes settlement on January 13, 2016, where we paid $7.9 million and recovered approximately $8.4 million previously set aside for the DePuy Synthes litigation obligation.

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)	June 30, 2017		June 30, 2016
United States	$	126,271	$	124,716	1.2	%	—			1.2	%
International	26,119		12,773		104.5	%	$	(275	)	106.6	%
Total sales	$	152,390	$	137,489	10.8	%	$	(275	)	11.0	%

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	Six Months Ended				Reported Sales Growth		Currency Impact on Current Period Sales			Constant Currency Sales Growth
(In thousands, except percentages)	June 30, 2017		June 30, 2016
United States	$	255,934	$	252,276	1.4	%	—			1.4	%
International	52,265		24,477		113.5	%	$	(639	)	116.1	%
Total sales	$	308,199	$	276,753	11.4	%	$	(639	)	11.6	%

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:

	Six Months Ended						Change
(In thousands)	June 30, 2017			June 30, 2016			$
Net cash provided by operating activities	$	79,425		$	78,827		$	598
Net cash used in investing activities	(63,522		)	(46,931		)	(16,591		)
Net cash provided by financing activities	677			3,175			(2,498		)
Effect of foreign exchange rate changes on cash	450			119			331
Increase in cash and cash equivalents	$	17,030		$	35,190		$	(18,160	)

Cash Provided by Operating Activities

The increase in net cash provided by operating activities was due primarily to the decrease in prepaids and other assets and increases in accrued expenses, which were offset partially by the impact of the recovery of a portion of our restricted cash related to the DePuy Synthes settlement on January 13, 2016.

Cash Used in Investing Activities

The increase in net cash used in investing activities was due primarily to the current year period business acquisition, offset partially by decreases in net cash invested in marketable securities.

Cash Provided by Financing Activities

The decrease in cash provided by financing activities was the result of the current year’s presentation of a contingent consideration payment, whereas the prior year’s payment was presented as a reduction of accrued expenses in operating activities, partially offset by the increase in proceeds from option exercises.

35

Liquidity and Capital Resources

The following table highlights certain information related to our liquidity and capital resources:

(In thousands)	June 30, 2017		December 31, 2016
Cash and cash equivalents	$	149,669	$	132,639
Short-term marketable securities	162,520		157,673
Long-term marketable securities	60,932		60,444
Total cash, cash equivalents and marketable securities	$	373,121	$	350,756
Available borrowing capacity under revolving credit facility	50,000		50,000
Working capital	$	466,068	$	433,874

In May 2011, we entered into a credit agreement with Wells Fargo Bank related to a revolving credit facility that provided for borrowings up to $50.0 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 $75.0 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 2018. 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 June 30, 2017, 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 $50.0 million. We may terminate the credit agreement at any time on ten days’ notice without premium or penalty.

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 June 30, 2017. 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.

36

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; (j) Recently Issued Accounting Pronouncements” above.

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 successfully integrate the international operations acquired from Alphatec, both in general and on our anticipated timeline, our ability to transition Alphatec’s international customers to Globus Medical products, our ability to realize the expected benefits to our results from the Alphatec acquisition, 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, 2016 (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.

37

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.

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 June 30, 2017. 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. As disclosed on our Form 10-K, as of December 31, 2016, we self-identified a material weakness in our internal control over financial reporting related to the computation of non-cash activities in depreciation and scrap expense of instruments and cases and immediately began remediation efforts. Based on their evaluation of our disclosure controls and procedures and our continued remediation efforts related to the self-identified material weakness noted above, our CEO and CFO concluded that, as of June 30, 2017, our disclosure controls and procedures were not effective.

Changes in Internal Control over Financial Reporting

As disclosed on our Form 10-K, management has implemented remediation efforts to address the self-identified material weakness in the computation of non-cash activities in depreciation and scrap expenses of instruments and cases for the year ended December 31, 2016. These remediation efforts, summarized below, which are either implemented or in process, are intended to both address the identified material weakness and to enhance our overall control environment. Our plan includes the following steps:

• recorded an updated depreciation and scrap methodology for instruments and cases included in December 31, 2016 financial statements

• reviewed results using the updated methodology to validate the prior period adjustment

• implementation of the new methodology within the fixed asset sub-ledger

• additional account detail within the general ledger to provide added visibility to monitor amounts scrapped.

The material weakness will not be considered remediated until the applicable remedial controls operate for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively. We expect that the remediation of this material weakness will be completed prior to December 31, 2017.

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 six months ended June 30, 2017 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

38

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.

39

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.

40

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
10.1*	Credit Agreement, dated June 7, 2017, by and between Globus Medical, Inc. and Globus Medical North America, Inc., and Wells Fargo Bank, National Association.
31.1*	Certification by Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification by Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32**	Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
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:	August 3, 2017	/s/ DAVID C. PAUL
		David C. Paul
		Chairman
		Chief Executive Officer
		(Principal Executive Officer)
Dated:	August 3, 2017	/s/ DANIEL T. SCAVILLA
		Daniel T. Scavilla
		Senior Vice President
		Chief Financial Officer
		(Principal Financial Officer)

42

EXHIBIT INDEX

Exhibit No.	Item
10.1*	Credit Agreement, dated June 7, 2017, by and between Globus Medical, Inc. and Globus Medical North America, Inc., and Wells Fargo Bank, National Association.
31.1*	Certification by Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification by Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32**	Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
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.

43

EX-10.1

Exhibit 10.1

REVOLVING LINE OF CREDIT NOTE

$50,000,000.00    Conshohocken, Pennsylvania

June7,2017

FOR VALUE RECEIVED, the undersigned GLOBUS MEDICAL, INC. and GLOBUS

MEDICAL NORTH AMERICA, INC. ("Borrower") promises to pay to the order of WELLS FARGO BANK, NATIONAL ASSOCIATION ("Bank") at its office at MAC: Y1392-080, 300 Barr

Harbor Drive, 3rd Floor, Suite 850, Conshohocken, Pennsylvania 19428, or at such other place as the holder hereof may designate, in lawful money of the United States of America and in immediately available funds, the principal sum of Fifty Million Dollars ($50,000,000.00), or so much thereof as may be advanced and be outstanding, with interest thereon, to be computed on each advance from the date of its disbursement as set forth herein.

DEFINITIONS:

As used herein, the following terms shall have the meanings set forth after each, and any other term defined in this Note shall have the meaning set forth at the place defined:

(a)"Daily One Month LIBOR" means, for any day, the rate of interest equal to LIBOR then in effect for delivery for a one (1) month period.

(b)"LIBOR" means (i) for the purpose of calculating effective rates of interest for loans making reference to LIBOR Periods, the rate of interest per annum determined by Bank based on the rate for United States dollar deposits for delivery on the first day of each LIBOR Period for a period approximately equal to such LIBOR Period as published by the ICE Benchmark Administration Limited, a United Kingdom company, at approximately 11:00 a.m., London time, two London Business Days prior to the first day of such LIBOR Period (or if not so published, then as determined by Bank from another recognized source or interbank quotation), or (ii) for the purpose of calculating effective rates of interest for loans making reference to Daily One Month LIBOR, the rate of interest per annum determined by Bank based on the rate for United States dollar deposits for delivery of funds for one (1) month as published by the ICE Benchmark Administration Limited, a United Kingdom company, at approximately 11:00 a.m., London time, or, for any day not a London Business Day, the immediately preceding London Business Day (or if not so published, then as determined by Bank from another recognized source or interbank quotation); provided, however, that if LIBOR determined as provided above would be less than zero percent (0.0%), then LIBOR shall be deemed to be zero percent (0.0%).

(c)"LIBOR Period" means a period commencing on a New York Business Day and continuing for one (1) or three (3) months, as designated by Borrower, during which all or a portion of the outstanding principal balance of this Note bears interest determined in relation to LIBOR; provided however, that (i) no LIBOR Period may be selected for a principal amount less than One Hundred Thousand Dollars ($100,000.00), (ii) if the day after the end of any LIBOR Period is not a New York Business Day (so that a new LIBOR Period could not be selected by Borrower to start on such day), then such LIBOR Period shall continue up to, but shall not include, the next New York Business Day after the end of such LIBOR Period, unless the result of such extension would be to cause any immediately following LIBOR Period to begin in the next calendar month in which event the LIBOR Period shall continue up to, but shall not include,

- 1 -

the New York Business Day immediately preceding the last day of such LIBOR Period, and (iii) no LISOR Period shall extend beyond the scheduled maturity date hereof.

(d)"London Business Day" means any day that is a day for trading by and between banks in dollar deposits in the London interbank market.

(e)"New York Business Day" means any day except a Saturday, Sunday or any other day on which commercial banks in New York are authorized or required by law to close.

(f)"State Business Day" means any day except a Saturday, Sunday or any other day on which commercial banks in the jurisdiction described in "Governing Law" herein are authorized or required by law to close.

INTEREST:

(a)Interest. The outstanding principal balance of this Note shall bear interest (computed on the basis of a 360-day year, actual days elapsed) either (i) at a fluctuating rate per annum determined by Bank to be seventy-five hundredths percent (0.75%) above Daily One Month LIBOR in effect from time to time, or (ii) at a fixed rate per annum determined by Bank to be seventy-five hundredths percent (0.75%) above LIBOR in effect on the first day of the applicable LIBOR Period. Bank is hereby authorized to note the date, principal amount and interest rate applicable thereto and any payments made thereon on Bank's books and records (either manually or by electronic entry) and/or on any schedule attached to this Note, which notations shall be prima facie evidence of the accuracy of the information noted.

(b)Selection of InterestRateOptions. Subject to the provisions herein regarding LIBOR Periods and the prior notice required for the selection of a LIBOR interest rate, (i) at any time any portion of this Note bears interest determined in relation to LIBOR for a LIBOR Period, it may be continued by Borrower at the end of the LIBOR Period applicable thereto so that all or a portion thereof bears interest determined in relation to Daily One Month LIBOR or to LIBOR for a new LIBOR Period designated by Borrower, (ii) at any time any portion of this Note bears interest determined in relation to Daily One Month LIBOR, Borrower may convert all or a portion thereof so that it bears interest determined in relation to LIBOR for a LIBOR Period designated by Borrower, and (iii) at the time an advance is made hereunder, Borrower may choose to have all or a portion thereof bear interest determined in relation to Daily One Month LIBOR or to LIBOR for a LIBOR Period designated by Borrower.

To select an interest rate option hereunder determined in relation to LIBOR for a LIBOR Period, Borrower shall give Bank notice thereof that is received by Bank prior to 11:00 a.m. in the jurisdiction described in "Governing Law" herein on a State Business Day at least two State Business Days prior to the first day of the LIBOR Period, or at a later time during such State Business Day if Bank, at its sole discretion, accepts Borrower's notice and quotes a fixed rate to Borrower. Such notice shall specify: (A) the interest rate option selected by Borrower, (8) the principal amount subject thereto, and (C) for each LIBOR selection, the length of the applicable LIBOR Period. If Bank has not received such notice in accordance with the foregoing before an advance is made hereunder or before the end of any LIBOR Period, Borrower shall be deemed to have made a Daily One Month LIBOR interest selection for such advance or the principal amount to which such LIBOR Period applied. Any such notice may be given by telephone (or such other electronic method as Bank may permit) so long as it is given in accordance with the foregoing and, with respect to each LIBOR selection, if requested by Bank, Borrower provides to Bank written confirmation thereof not later than three State Business Days after such notice is

- 2 -

given. Borrower shall reimburse Bank immediately upon demand for any loss or expense

(including any loss or expense incurred by reason of the liquidation or redeployment of funds obtained to fund or maintain a LIBOR borrowing) incurred by Bank as a result of the failure of Borrower to accept or complete a LIBOR borrowing hereunder after making a request therefor. Any reasonable determination of such amounts by Bank shall be conclusive and binding upon Borrower. Should more than one person or entity sign this Note as a Borrower, any notice

required above may be given by any one Borrower acting alone, which notice shall be binding on all other Borrowers.

(c)Taxesand Regulatory Costs. Borrower shall pay to Bank immediately upon demand, in addition to any other amounts due or to become due hereunder, any and all (i) withholdings, interest equalization taxes, stamp taxes or other taxes (except income and franchise taxes) imposed by any domestic or foreign governmental authority and related in any manner to LIBOR, and (ii) costs, expenses and liabilities arising from or in connection with reserve percentages prescribed by the Board of Governors of the Federal Reserve System (or any successor) for "Eurocurrency Liabilities" (as defined in Regulation D of the Federal Reserve Board, as amended), assessment rates imposed by the Federal Deposit Insurance Corporation, or similar requirements or costs imposed by any domestic or foreign governmental authority or resulting from compliance by Bank with any request or directive (whether or not having the force of law) from any central bank or other governmental authority and related in any manner to LIBOR. In determining which of the foregoing are attributable to any LIBOR option available to Borrower hereunder, any reasonable allocation made by Bank among its operations shall be conclusive and binding upon Borrower.

(d)Default Interest. After the maturity date of this Note, or such earlier date as all principal owing hereunder becomes due and payable by acceleration or otherwise, or upon the occurrence and during the continuance of an Event of Default, then at the option of Bank, in its sole and absolute discretion, the outstanding principal balance of this Note shall bear interest at an increased rate per annum (computed on the basis of a 360-day year, actual days elapsed) equal to four percent (4%) above the rate of interest from time to time applicable to this Note.

BORROWING AND REPAYMENT:

(a)Borrowing andRepaymentof Principal. Borrower may from time to time during the term of this Note borrow, partially or wholly repay its outstanding borrowings, and re-borrow, subject to all of the limitations, terms and conditions of this Note and of any document executed in connection with or governing this Note; provided however, that the total outstanding borrowings under this Note shall not at any time exceed the principal amount stated above. The unpaid principal balance of this obligation at any time shall be the total amounts advanced hereunder by the holder hereof less the amount of principal payments made hereon by or for Borrower, which balance may be endorsed hereon from time to time by the holder. The outstanding principal balance of this Note shall be due and payable in full on May 31, 2018.

(b)PaymentofInterest. Interest accrued on this Note shall be payable on the first day of each month, commencing July 1, 2017.

(c)Advances. Advances hereunder, to the total amount of the principal sum stated above, may be made by the holder at the written request of (i) the PRESIDENT, CFO or any one acting alone who are authorized, in writing signed by the PRESIDENT or CFO and addressed to the Bank, to request advances and direct the disposition of any advances until written notice of the revocation of such authority is received by the holder at the office

- 3 -

designated above, or (ii) any person, with respect to advances deposited to the credit of any deposit account of Borrower, which advances, when so deposited, shall be conclusively presumed to have been made to or for the benefit of Borrower regardless of the fact that persons other than those authorized to request advances may have authority to draw against such account. The holder shall have no obligation to determine whether any person requesting an advance is or has been authorized by Borrower.

(d)Application ofPayments. Each payment made on this Note shall be credited first, to any interest then due and second, to the outstanding principal balance hereof. All payments credited to principal shall be applied first, to the outstanding principal balance of this Note which bears interest determined in relation to Daily One Month LIBOR, if any, and second, to the outstanding principal balance of this Note which bears interest determined in relation to LIBOR, with such payments applied to the oldest LIBOR Period first.

PREPAYMENT:

(a)DailyOne MonthLIBOR. Borrower may prepay principal on any portion of this Note which bears interest determined in relation to the Daily One Month LIBOR rate at any time, in any amount and without penalty.

(b)LIBOR. Borrower may prepay principal on any portion of this Note which bears interest determined in relation to LIBOR at any time and in the minimum amount of One Hundred Thousand Dollars ($100,000.00); provided however, that if the outstanding principal balance of such portion of this Note is less than said amount, the minimum prepayment amount shall be the entire outstanding principal balance thereof. In consideration of Bank providing this prepayment option to Borrower, or if any such portion of this Note shall become due and payable at any time prior to the last day of the LIBOR Period applicable thereto by acceleration or otherwise, Borrower shall pay to Bank immediately upon demand a fee which is the sum of the discounted monthly differences for each month from the month of prepayment through the month in which such LIBOR Period matures, calculated as follows for each such month:

(i) Determinethe amount of interest which would have accrued each month on the amount prepaid at the interest rate applicable to such amount had it remained outstanding until the last day of the LIBOR Period applicable thereto.

(ii) Subtractfrom the amount determined in (i) above the amount of interest which would have accrued for the same month on the amount prepaid for the remaining term of such LIBOR Period at LIBOR in effect on the date of prepayment for new loans made for such term and in a principal amount equal to the amount prepaid.

(iii) If the result obtained in (ii) for any month is greater than zero, discount that difference by LIBOR used in (ii) above.

Borrower acknowledges that prepayment of such amount may result in Bank incurring additional costs, expenses and/or liabilities, and that it is difficult to ascertain the full extent of such costs, expenses and/or liabilities. Borrower, therefore, agrees to pay the above-described prepayment fee and agrees that said amount represents a reasonable estimate of the prepayment costs, expenses and/or liabilities of Bank. If Borrower fails to pay any prepayment fee when due, the amount of such prepayment fee shall thereafter bear interest until paid at a rate per annum two percent (2.00%) above the Daily One Month LIBOR rate in effect from time to time (computed on the basis of a 360-day year, actual days elapsed).

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(c)Application of Prepayments. If principal under this Note is payable in more than one installment, then any prepayments of principal shall be applied to the most remote principal installment or installments then unpaid.

EVENTS OF DEFAULT:

This Note is made pursuant to and is subject to the terms and conditions of that certain Credit Agreement between Borrower and Bank dated as of May 3, 2016, as amended from time to time (the "Credit Agreement"). Any default in the payment or performance of any obligation under this Note, or any defined event of default under the Credit Agreement, shall constitute an "Event of Default" under this Note.

MISCELLANEOUS:

(a)Remedies. Upon the sale, transfer, hypothecation, assignment or other encumbrance, whether voluntary, involuntary or by operation of law, of all or any interest in any real property securing this Note, if any, or upon the occurrence of any Event of Default, the holder of this Note, at the holder's option, may declare all sums of principal and interest outstanding hereunder to be immediately due and payable without presentment, demand, notice of nonperformance, notice of protest, protest or notice of dishonor, all of which are expressly waived by Borrower, and the obligation, if any, of the holder to extend any further credit hereunder shall immediately cease and terminate. Borrower shall pay to the holder immediately upon demand the full amount of all payments, advances, charges, costs and expenses, including reasonable attorneys' fees (to include outside counsel fees but excluding in-house counsel to the extent permissible), expended or incurred by the holder in connection with the enforcement of the holder's rights and/or the collection of any amounts which become due to the holder under this Note whether or not suit is brought, and the prosecution or defense of any action in any way related to this Note, including without limitation, any action for declaratory

relief, whether incurred at the trial or appellate level, in an arbitration proceeding or otherwise, and including any of the foregoing incurred in connection with any bankruptcy proceeding (including without limitation, any adversary proceeding, contested matter or motion brought by Bank or any other person) relating to Borrower or any other person or entity.

(b)Obligations Joint and Several. Should more than one person or entity sign this Note as a Borrower, the obligations of each such Borrower shall be joint and several.

(c)GoverningLaw. This Note shall be governed by and construed in accordance with the laws of Pennsylvania, but giving effect to federal laws applicable to national banks, without reference to the conflicts of law or choice of law principles thereof.

(d)Business Purpose. Borrower represents and warrants that all loans evidenced by this Note are for a business, commercial, investment, or other similar purpose and not primarily for a personal, family or household use.

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IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby, has executed this Note as a sealed instrument as of the date first written above.

GLOBUS MEDICAL, INC.

By: /s/ DANIEL SCAVILLA       (SEAL)

DANIEL SCAVILLA, CFO

GLOBUS MEDICAL NORTH AMERICA, INC.

By: /s/ DANIEL SCAVILLA        (SEAL)

DANIEL SCAVILLA, CFO

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FIRST AMENDMENT TO CREDIT AGREEMENT

THIS AMENDMENT TO CREDIT AGREEMENT (this "Amendment") is entered into as of June 7, 2017, by and between GLOBUS MEDICAL, INC., a Delaware corporation and GLOBUS MEDICAL NORTH AMERICA, INC., a Pennsylvania corporation (each individually, a "Borrower"), and WELLS FARGO BANK, NATIONAL ASSOCIATION ("Bank"). Each reference herein to "Borrower" shall mean each and every party, collectively and individually, defined above as a Borrower.

RECITALS

WHEREAS, Borrower is currently indebted to Bank pursuant to the terms and conditions of that certain Credit Agreement between Borrower and Bank dated as of May 3, 2016, as amended from time to time ("Credit Agreement").

WHEREAS, Bank and Borrower have agreed to certain changes in the terms and conditions set forth in the Credit Agreement and have agreed to amend the Credit Agreement to reflect said changes.

NOW, THEREFORE, for valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree that the Credit Agreement shall be amended as follows:

1.Section 1.1. (a) is hereby amended by deleting "May 31, 2017" as the last day on which Bank will make advances under the Line of Credit, and by substituting for said date "May 31, 2018," with such change to be effective upon the execution and delivery to Bank of a promissory note dated as of June 7, 2017 (which promissory note shall replace and be deemed the Line of Credit Note defined in and made pursuant to the Credit Agreement) and all other contracts, instruments and documents required by Bank to evidence such change.

2.Except as specifically provided herein, all terms and conditions of the Credit Agreement remain in full force and effect, without waiver or modification. All terms defined in the Credit Agreement shall have the same meaning when used in this Amendment. This Amendment and the Credit Agreement shall be read together, as one document.

3.Borrower hereby remakes all representations and warranties contained in the Credit Agreement and reaffirms all covenants set forth therein. Borrower further certifies that as of the date of this Amendment there exists no Event of Default as defined in the Credit Agreement, nor any condition, act or event which with the giving of notice or the passage of time or both would constitute any such Event of Default.

- 1 -

IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have caused this Amendment to be executed as a sealed instrument as of the day and year first written above.

GLOBUS MEDICAL, INC.	WELLS FARGO BANK, NATIONAL ASSOCIATION
By: /s/ DANIEL SCAVILLA       (SEAL)	By: /s/ JOSEPH J. DEMARCO, JR.
DANIEL SCAVILLA, CFO	JOSEPH J. DEMARCO, JR.
	SENIOR VICE PRESIDENT
GLOBUS MEDICAL NORTH AMERICA, INC.
By: /s/ DANIEL SCAVILLA        (SEAL)
DANIEL SCAVILLA, CFO

- 2 -

EX-31.1

EXHIBIT 31.1

Certification By Principal Executive Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, David C. Paul, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Globus Medical, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations, and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e)) and 15d-15(e) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize, and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	August 3, 2017	/s/ DAVID C. PAUL
		David C. Paul
		Chairman
		Chief Executive Officer

EX-31.2

EXHIBIT 31.2

Certification By Principal Financial Officer

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Daniel T. Scavilla, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Globus Medical, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations, and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize, and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	August 3, 2017	/s/ DANIEL T. SCAVILLA
		Daniel T. Scavilla
		Senior Vice President
		Chief Financial Officer

EX-32

EXHIBIT 32

Certification Pursuant to 18 U.S.C. Section 1350, as Adopted

Pursuant to Section 906 of The Sarbanes-Oxley Act of 2002

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (Section 1350 of Chapter 63 of Title 18 of the United States Code), David C. Paul, Chairman and Chief Executive Officer, and Daniel T. Scavilla, Senior Vice President and Chief Financial Officer of Globus Medical, Inc. (the “Company”), each certifies with respect to the QuarterlyReport of the Company on Form 10-Q for the period ended June 30, 2017 (the “Report”) that, to the best of his knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated:	August 3, 2017	/s/ DAVID C. PAUL
		David C. Paul
		Chairman
		Chief Executive Officer
Dated:	August 3, 2017	/s/ DANIEL T. SCAVILLA
		Daniel T. Scavilla
		Senior Vice President
		Chief Financial Officer

The foregoing certification is being furnished solely pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (Section 1350 of Chapter 63 of Title 18 of the United States Code) and is not being filed as part of the Report or as a separate disclosure document.

XML

Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2017	Jul. 31, 2017
Document Information
Entity Registrant Name	GLOBUS MEDICAL INC
Entity Central Index Key	0001237831
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Document Type	10-Q
Document Period End Date	Jun. 30, 2017
Document Fiscal Year Focus	2017
Document Fiscal Period Focus	Q2
Amendment Flag	false
Entity Common Stock, Shares Outstanding		96,291,880

XML

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
ASSETS
Cash and cash equivalents	$ 149,669	$ 132,639
Restricted cash	478	477
Short-term marketable securities	162,520	157,673
Accounts receivable, net of allowances of $3,645 and $2,771, respectively	95,489	91,983
Inventories	111,108	112,692
Prepaid expenses and other current assets	5,879	14,502
Income taxes receivable	9,986	3,800
Total current assets	535,129	513,766
Property and equipment, net of accumulated depreciation of $181,223 and $166,711, respectively	130,123	124,229
Long-term marketable securities	60,932	60,444
Note receivable	30,000	30,000
Intangible assets, net	90,036	61,706
Goodwill	112,769	105,926
Other assets	1,051	928
Deferred income taxes	34,974	30,638
Total assets	995,014	927,637
LIABILITIES AND EQUITY
Accounts payable	16,291	17,472
Accrued expenses	41,707	46,401
Income taxes payable	1,400	1,911
Business acquisition liabilities, current	9,663	14,108
Total current liabilities	69,061	79,892
Business acquisition liabilities, net of current portion	10,676	5,972
Deferred income taxes	8,175	7,876
Other liabilities	1,802	1,819
Total liabilities	89,714	95,559
Commitments and contingencies (Note 13)
Equity:
Additional paid-in capital	224,796	211,725
Accumulated other comprehensive loss	(5,872)	(8,642)
Retained earnings	686,280	628,899
Total equity	905,300	832,078
Total liabilities and equity	995,014	927,637
Class A Common
Equity:
Common stock	72	72
Class B Common
Equity:
Common stock	$ 24	$ 24

XML

Condensed Consolidated Balance Sheets (Parentheticals) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Current Assets:
Allowance for doubtful accounts	$ 3,645	$ 2,771
Property, Plant and Equipment, Net
Accumulated depreciation	$ 181,223	$ 166,711
Equity:
Common stock, shares authorized	785,000,000
Common stock, shares issued	96,288,899	95,929,916
Common stock, shares outstanding	96,288,899	95,929,916
Class A Common
Equity:
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	500,000,000	500,000,000
Common stock, shares issued	72,411,343	72,052,360
Common stock, shares outstanding	72,411,343	72,052,360
Class B Common
Equity:
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	275,000,000	275,000,000
Common stock, shares issued	23,877,556	23,877,556
Common stock, shares outstanding	23,877,556	23,877,556

XML

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Income Statement [Abstract]
Sales	$ 152,390	$ 137,489	$ 308,199	$ 276,753
Cost of goods sold	37,199	32,731	72,799	64,250
Gross profit	115,191	104,758	235,400	212,503
Operating expenses:
Research and development	10,713	10,594	21,379	20,624
Selling, general and administrative	64,438	53,312	131,497	107,110
Provision for litigation	243	3,056	243	3,056
Amortization of intangibles	1,809	397	3,591	789
Acquisition related costs	617	(519)	1,005	155
Total operating expenses	77,820	66,840	157,715	131,734
Operating Income	37,371	37,918	77,685	80,769
Other income, net
Interest income, net	1,590	602	3,008	1,098
Foreign currency transaction gain/(loss)	448	(309)	996	(201)
Other income	148	125	282	281
Total other income, net	2,186	418	4,286	1,178
Income before income taxes	39,557	38,336	81,971	81,947
Income tax provision	10,890	12,530	24,590	28,131
Net Income	$ 28,667	$ 25,806	$ 57,381	$ 53,816
Earnings per share:
Basic	$ 0.30	$ 0.27	$ 0.60	$ 0.56
Diluted	$ 0.29	$ 0.27	$ 0.59	$ 0.56
Weighted average shares outstanding:
Basic	96,161	95,585	96,079	95,491
Dilutive stock options	1,657	841	1,404	868
Diluted	97,818	96,426	97,483	96,359
Anti-dilutive stock options excluded from weighted average calculation	2,017	5,469	3,887	5,338

XML

Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Statement of Comprehensive Income [Abstract]
Net income	$ 28,667	$ 25,806	$ 57,381	$ 53,816
Other comprehensive income/(loss):
Unrealized gain on marketable securities, net of tax	23	60	143	284
Foreign currency translation gain/(loss)	186	(143)	2,627	(62)
Total other comprehensive income/(loss)	209	(83)	2,770	222
Comprehensive Income	$ 28,876	$ 25,723	$ 60,151	$ 54,038

XML

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Net income	$ 57,381	$ 53,816
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	22,935	13,698
Amortization of premium on marketable securities	1,855	2,085
Write-down for excess and obsolete inventories	4,962	4,536
Stock-based compensation expense	7,062	5,690
Allowance for doubtful accounts	958	148
Change in fair value of contingent consideration	811	0
Change in deferred income taxes	(4,238)	1,625
(Increase)/decrease in:
Restricted cash	(1)	14,884
Accounts receivable	(3,172)	2,624
Inventories	(4,652)	(3,812)
Prepaid expenses and other assets	8,506	1,114
Increase/(decrease) in:
Accounts payable	(1,660)	(1,707)
Accrued expenses and other liabilities	(4,497)	(10,078)
Income taxes payable/receivable	(6,825)	(5,796)
Net cash provided by operating activities	79,425	78,827
Cash flows from investing activities:
Purchases of marketable securities	(119,196)	(172,886)
Maturities of marketable securities	102,733	129,495
Sales of marketable securities	9,503	16,602
Purchases of property and equipment	(25,061)	(20,142)
Acquisition of businesses, net of cash acquired	(31,501)	0
Net cash used in investing activities	(63,522)	(46,931)
Cash flows from financing activities:
Payment of business acquisition liabilities	(5,234)	(400)
Proceeds from exercise of stock options	5,911	3,575
Net cash provided by financing activities	677	3,175
Effect of foreign exchange rate on cash	450	119
Net increase in cash and cash equivalents	17,030	35,190
Cash and cash equivalents, beginning of period	132,639	60,152
Cash and cash equivalents, end of period	149,669	95,342
Supplemental disclosures of cash flow information:
Interest paid	21	2
Income taxes paid	$ 35,475	$ 32,214

XML

BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

6 Months Ended

Jun. 30, 2017

BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]

Background and Summary of Significant Accounting Policies

BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(a) The Company

Globus Medical, Inc., together with its subsidiaries, is a medical device company focused on the design, development and commercialization of musculoskeletal solutions.  We are currently focused on implants that promote healing in patients with spine disorders.  We are developing a robotic surgical navigation device and products to treat patients who have experienced orthopedic traumas.  Our development efforts in these areas are ongoing and have not been cleared by the U.S. Food and Drug Administration for sale. 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 170 products and offer a product portfolio addressing a broad array of spinal pathologies.

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. Our 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, 2016.

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 six- month periods presented. The results of operations for any interim period are not indicative of results for the full year. Certain reclassifications have been made to the prior period statements to include amortization of intangibles and acquisition related costs within operating expenses to conform to the current year presentation. In addition, we have recast an immaterial amount from cost of goods sold to amortization of intangibles to be consistent with our presentation for the year ended December 31, 2016.

(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, contingent payment 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.

(e) Restricted Cash

In December 2014, we set aside cash for the payment of a portion of the DePuy Synthes and Bianco litigation. We classified this cash as restricted, as the amount was placed in escrow to be used for payment of the litigation obligations, should we not be successful with our appeals. On January 13, 2016, we settled our litigation with DePuy Synthes and made a payment of $7.9 million and recovered approximately $8.4 million related to that settlement shortly thereafter. As of June 30, 2017, we have $0.5 million of restricted cash remaining related to the Bianco matter. See “Note 13. Commitments and Contingencies” below for more details regarding these litigations.

(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 June 30, 2017. 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 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.

(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 were $5.7 million and $2.3 million during the six months ended June 30, 2017 and June 30, 2016, respectively.

(i) Revenue Recognition

Revenue is recognized when persuasive evidence of an arrangement exists, product delivery has occurred, pricing is fixed or determinable, and collection is reasonably assured. A significant portion of our revenue is generated from consigned inventory maintained at hospitals or with sales representatives. For these products, revenue is recognized at the time the product is used or implanted. For all other transactions, we recognize revenue when title to the goods and risk of loss transfer to customers, provided there are no remaining performance obligations that will affect the customer’s final acceptance of the sale. Our policy is to classify shipping and handling costs billed to customers as sales and the related expenses as cost of goods sold.

(j) Recently Issued 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 guidances 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. Early adoption is not permitted prior to the first quarter of 2017. We will adopt ASU 2014-09 effective January 1, 2018 using the modified retrospective method (retrospective application with the cumulative effect of initially applying the guidance recognized at the date of initial application). This update will not have a material impact on our financial position or results of operations.  The updated guidance will require additional disclosure regarding our revenue transactions.

In July 2015, the FASB released ASU 2015-11, Simplifying the Measurement of Inventory (Topic 330) (“ASU 2015-11”) as part of the FASB’s Simplification Initiative. This update is intended to more closely align the measurement of inventory under GAAP with the measurement of inventory under International Financial Reporting Standards. Within the scope of the update, an entity is required to measure inventory at the lower of cost or net realizable value. Net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonable and predictable costs of completion, disposal and transportation. ASU 2015-11 is effective for all public entities for fiscal years beginning after December 31, 2016, including interim reporting periods within that period, and is required to be applied prospectively, with early adoption permitted. We adopted ASU 2015-11 on January 1, 2017. This update does not have a material impact on our financial position, results of operations, and disclosures.

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 requires the use of the modified retrospective method, which will require adjustment to all comparative periods presented in the consolidated financial statements. We are currently evaluating the impact of this update on our financial position, results of operations, and disclosures.

In March 2016, the FASB released ASU 2016-09, Compensation - Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting (“ASU 2016-09”), which will simplify the income tax consequences, accounting for forfeitures, and classification on the statements of cash flows. ASU 2016-09 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2016, and is required to be applied either prospectively, retrospectively or using a modified retrospective transition method, depending on the area covered in this update. We adopted ASU 2016-09 effective January 1, 2017.

ASU 2016-09 requires that all excess tax benefits and tax deficiencies are recognized as income tax expense or benefit in the income statement as discrete items in the reporting period in which they occur. The adoption of this provision is required to be applied using a prospective transition method, therefore prior period net income has not been adjusted. Under the provisions of the new guidance, we elected to account for forfeitures as they occur, and using the required modified retrospective adoption, the impact to retained earnings was immaterial. We elected to apply the presentation requirements for cash flows related to excess tax benefits retrospectively to all periods presented. As a result of this retrospective application, our cash provided by operating activities increased by $0.8 million for the six months ended June 30, 2016, and our cash provided by financing activities decreased by $0.8 million for the six months ended June 30, 2016.

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. Early adoption is permitted and should be in the first interim period if an entity issues interim financial statements. We are currently evaluating the impact of this new accounting standard 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 do not expect the adoption of this update to have any material impact on our financial position, cash flows, or 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 are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.

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 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. This update will not have a material impact on our financial position, results of operations or disclosures.

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ACQUISITIONS

6 Months Ended

Jun. 30, 2017

Business Combinations [Abstract]

Business Combination Disclosure

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. We have included the financial results of KB Medical in our consolidated financial statements from the acquisition date, and the results from KB Medical were not material to our consolidated financial statements. The fair value of the consideration for this 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 $31.0 million of identifiable net assets, based on their estimated fair values, and goodwill of $5.4 million. None of the goodwill is expected to be deductible for tax purposes.

As of June 30, 2017, the maximum aggregate undiscounted amount of contingent consideration potentially payable related to this acquisition is $5.2 million.

The preliminary fair value estimates for the assets acquired and liabilities assumed for our acquisition during the second quarter of fiscal 2017 were based upon preliminary calculations and valuations, and our estimates and assumptions for this acquisition are subject to change as we obtain additional information during the respective measurement period. The primary areas of those preliminary estimates that are not yet finalized relate to certain tangible assets and liabilities acquired, including the valuation of the contingent consideration, identifiable intangible assets, and goodwill. We expect to complete our final purchase price allocations in late 2017.

Alphatec International

On September 1, 2016 (the “Closing Date”), Globus Medical Ireland, Ltd. (“Globus Ireland”), a private limited company existing under the laws of Ireland and an indirect wholly-owned subsidiary of Globus, acquired from Alphatec Holdings, Inc., a Delaware corporation (“Alphatec”) (i) substantially all of the assets and certain liabilities of Alphatec’s subsidiaries in the United Kingdom, Italy, the Netherlands, Germany and Hong Kong and (ii) all of the outstanding equity interests of Alphatec’s subsidiaries in Japan, Brazil, China, Singapore and Australia (“Alphatec International”) pursuant to a Purchase and Sale Agreement entered into on July 25, 2016 (the “Purchase Agreement” and the “Acquisition”). The aggregate consideration for the transaction was approximately $77.8 million in cash, subject to customary adjustment after closing for certain working capital items as provided in the Purchase Agreement.

In addition, in connection with the Acquisition, Globus Ireland entered into a supply agreement with Alphatec, pursuant to which Alphatec will supply products to Globus Ireland and its newly-acquired subsidiaries for up to five years after the Closing Date.

We accounted for the acquisition under the purchase method of accounting, and as a result, recorded preliminary goodwill of approximately $15.8 million. The results of operations of Alphatec International have been included in our results of operations from the date of acquisition. Amounts recognized for assets acquired and liabilities assumed are based on preliminary purchase price allocations and on certain management judgments. These preliminary 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. During the quarter ended June 30, 2017, we refined the valuation of our acquired inventory based on updated sales trends. The final purchase price allocations will be completed after we review all available data, and complete our own internal assessments. We expect to complete our final purchase price allocations in the third quarter of 2017. Any additional adjustments resulting from finalization of the purchase price allocations for Alphatec International will affect the amount assigned to goodwill. Based on our preliminary purchase price allocations, we estimate that $9.8 million of the goodwill from this acquisition is deductible for tax purposes.

As of June 30, 2017, we recorded the following preliminary purchase price allocation for the identifiable tangible and intangible assets and liabilities of Alphatec International:

(In thousands)
Consideration:
Cash paid at closing	$	80,000
Net working capital adjustment due	(2,217		)
Fair value of consideration	$	77,783
Identifiable assets acquired and liabilities assumed:
Cash acquired	$	4,010
Accounts receivable	12,402
Inventory	9,557
Customer relationships	38,800
Property and equipment	4,800
Deferred tax assets	1,436
Other assets	8,092
Accounts payable and accrued expenses	(8,119		)
Deferred tax liabilities	(9,002		)
Total identifiable net assets	61,976
Goodwill	15,807
Total allocated purchase price	$	77,783

The following unaudited pro forma information is based on our historical data and our assumptions for consolidated results of operations, and gives effect to our acquisition of Alphatec International as if the acquisition had occurred on January 1, 2015. These unaudited pro forma results include adjustments having a continuing impact on our condensed consolidated statements of income. These adjustments primarily consist of: adjustments to the fair value of inventory, adjustments to depreciation for the fair value and depreciable lives of property and equipment, amortization of intangibles, interest income and adjustments to tax expense based on condensed consolidated pro forma results. These results have been prepared using assumptions our management believes are reasonable, are not necessarily indicative of the actual results that would have occurred if the acquisition had occurred on January 1, 2015, and are not necessarily indicative of the results that may be achieved in the future, including but not limited to operating synergies that we may realize as a result of the acquisition.

	Three Months Ended		Six Months Ended
(pro forma, in thousands, except per share amounts)	June 30, 2016		June 30, 2016
Net sales	$	149,379	$	300,532
Net income	27,252		56,708
Earnings per share:
Basic	$	0.29	$	0.59
Diluted	$	0.28	$	0.59

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NOTE RECEIVABLE

6 Months Ended

Jun. 30, 2017

Note Receivable [Abstract]

Note Receivable Disclosure

NOTE RECEIVABLE

On September 1, 2016, in connection with the Acquisition, we entered into a Credit, Security and Guaranty Agreement (the “Credit Agreement”) with 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%.

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.

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 June 30, 2017, we do not consider this note to be impaired. We believe that the note’s carrying value approximates its fair value.

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INTANGIBLE ASSETS

6 Months Ended

Jun. 30, 2017

Intangible Assets Disclosure [Abstract]

Intangible Assets Disclosure

INTANGIBLE ASSETS

A summary of intangible assets is presented below:

		June 30, 2017
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	46,191	$	—		$	46,191
Supplier network	10.0	4,000		(1,067		)	2,933
Customer relationships & other intangibles	6.8	42,139		(8,557		)	33,582
Patents	16.7	8,080		(750		)	7,330
Total intangible assets		$	100,410	$	(10,374	)	$	90,036

		December 31, 2016
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	20,460	$	—		$	20,460
Supplier network	10.0	4,000		(867		)	3,133
Customer relationships & other intangibles	6.8	40,936		(5,201		)	35,735
Patents	16.1	3,035		(657		)	2,378
Total intangible assets		$	68,431	$	(6,725	)	$	61,706

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MARKETABLE SECURITIES

6 Months Ended

Jun. 30, 2017

Marketable Securities [Abstract]

Marketable Securities

MARKETABLE SECURITIES

The composition of our short-term and long-term marketable securities is as follows:

		June 30, 2017
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	82,729	$	11	$	(14	)	$	82,726
Corporate debt securities	Less than 1	39,974		15		(18		)	39,971
Commercial paper	Less than 1	39,502		3		(4		)	39,501
Asset-backed securities	Less than 1	322		—		—			322
Total short-term marketable securities		$	162,527	$	29	$	(36	)	$	162,520
Long-term:
Municipal bonds	1-2	$	19,051	$	9	$	(6	)	$	19,054
Corporate debt securities	1-2	29,603		20		(23		)	29,600
Asset-backed securities	1-2	7,304		—		(2		)	7,302
Securities of U.S. government-sponsored agencies	1-2	5,001		—		(25		)	4,976
Total long-term marketable securities		$	60,959	$	29	$	(56	)	$	60,932

		December 31, 2016
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	114,826	$	2	$	(88	)	$	114,740
Corporate debt securities	Less than 1	36,020		21		(4		)	36,037
Commercial paper	Less than 1	6,898		—		(2		)	6,896
Total short-term marketable securities		$	157,744	$	23	$	(94	)	$	157,673
Long-term:
Municipal bonds	1-2	$	30,207	$	—	$	(137	)	$	30,070
Corporate debt securities	1-2	15,278		9		(40		)	15,247
Asset-backed securities	1-2	10,146		6		(1		)	10,151
Securities of U.S. government-sponsored agencies	1-2	5,002		—		(26		)	4,976
Total long-term marketable securities		$	60,633	$	15	$	(204	)	$	60,444

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FAIR VALUE MEASUREMENTS

6 Months Ended

Jun. 30, 2017

Fair Value Disclosures [Abstract]

Fair Value Measurements

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)	June 30, 2017		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	87,749	$	2,120	$	85,629	$	—
Municipal bonds	101,780		—		101,780		—
Corporate debt securities	69,571		—		69,571		—
Commercial paper	39,501		—		39,501		—
Asset-backed securities	7,624		—		7,624		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	20,339		—		—		20,339

	Balance at
(In thousands)	December 31, 2016		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	76,157	$	957	$	75,200	$	—
Municipal bonds	144,810		—		144,810		—
Corporate debt securities	51,284		—		51,284		—
Commercial paper	6,896		—		6,896		—
Asset-backed securities	10,151		—		10,151		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	19,849		—		—		19,849

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.

Contingent consideration 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 contingent consideration 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 contingent consideration are recognized within acquisition related costs in the condensed consolidated statements of income. As part of the KB Medical acquisition during the second quarter, we incurred a milestone-based contingent consideration liability.

The recurring Level 3 fair value measurements of our contingent consideration liabilities include the following significant unobservable inputs, which have not materially changed since December 31, 2016:

	Fair Value at
(In thousands)	June 30, 2017		Valuation technique	Unobservable input	Range
				Discount rate	6.7%	-	8.5%
Revenue-based payments	$	10,784	Discounted cash flow	Probability of payment	87.0%	-	97.5%
				Projected year of payment	2017	-	2029
				Discount rate	4.4%	-	13.5%
Milestone-based payments	$	9,555	Discounted cash flow	Probability of payment	100.0%
				Projected year of payment	2017	-	2018

The following table provides a reconciliation of the beginning and ending balances of contingent consideration:

	Three Months Ended						Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Beginning balance	$	15,326		$	22,260		$	19,849		$	26,617
Purchase price contingent consideration	4,871			—			4,871			—
Currency translation loss	42			—			42			—
Contingent payments	(233		)	(1		)	(5,234		)	(5,001		)
Non-cash settlement of certain contingent consideration	—			(1,522		)	—			(1,522		)
Changes in fair value of contingent consideration	333			1,794			811			2,437
Ending balance	$	20,339		$	22,531		$	20,339		$	22,531

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INVENTORIES

6 Months Ended

Jun. 30, 2017

Inventory Disclosure [Abstract]

Inventories

INVENTORIES

(In thousands)	June 30, 2017		December 31, 2016
Raw materials	$	18,088	$	13,257
Work in process	10,591		10,747
Finished goods	82,429		88,688
Total inventories	$	111,108	$	112,692

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ACCRUED EXPENSES

6 Months Ended

Jun. 30, 2017

Payables and Accruals [Abstract]

Accrued Expenses

ACCRUED EXPENSES

(In thousands)	June 30, 2017		December 31, 2016
Compensation and other employee-related costs	$	20,389	$	23,214
Legal and other settlements and expenses	1,397		734
Accrued non-income taxes	6,159		6,946
Royalties	5,260		4,671
Other	8,502		10,836
Total accrued expenses	$	41,707	$	46,401

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DEBT

6 Months Ended

Jun. 30, 2017

Debt Disclosure [Abstract]

Debt

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. At our request, and with the approval of the bank, the amount of borrowings available under the revolving credit facility can be increased to $75.0 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 2018. 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 June 30, 2017, 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 $50.0 million. We may terminate the credit agreement at any time on ten days’ notice without premium or penalty.

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EQUITY

6 Months Ended

Jun. 30, 2017

Equity [Abstract]

Equity

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
June 30, 2017	72,411,343	23,877,556	—	96,288,899
December 31, 2016	72,052,360	23,877,556	—	95,929,916

The following table summarizes changes in total equity:

	Six Months Ended
(In thousands)	June 30, 2017
Total equity, beginning of period	$	832,078
Net income	57,381
Stock-based compensation cost	7,160
Exercise of stock options	5,911
Other comprehensive income	2,770
Total equity, end of period	$	905,300

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)	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	145			2,627			2,772
Amounts reclassified from accumulated other comprehensive income, net of tax	(2		)	—			(2		)
Other comprehensive income, net of tax	143			2,627			2,770
Accumulated other comprehensive loss, net of tax, at June 30, 2017	$	(24	)	$	(5,848	)	$	(5,872	)

(In thousands)	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, 2015	$	(119	)	$	(1,839	)	$	(1,958	)
Other comprehensive income before reclassifications	284			(62		)	222
Amounts reclassified from accumulated other comprehensive income, net of tax	—			—			—
Other comprehensive income, net of tax	284			(62		)	222
Accumulated other comprehensive income/(loss), net of tax, at June 30, 2016	$	165		$	(1,901	)	$	(1,736	)

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STOCK-BASED COMPENSATION

6 Months Ended

Jun. 30, 2017

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Stock-Based Compensation

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 was, and the 2012 Plan 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 June 30, 2017, pursuant to the 2012 Plan, there were 14,887,393 shares of Class A Common stock reserved and 6,284,390 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				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Weighted average grant date fair value per share	$	9.89	$	7.76	$	8.49	$	7.80

Stock option activity during the six months ended June 30, 2017 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, 2016	7,741		$	21.08
Granted	1,609		26.66
Exercised	(359	)	16.60
Forfeited	(293	)	23.86
Outstanding at June 30, 2017	8,698		$	22.20	7.6	$	95,216
Exercisable at June 30, 2017	4,019		$	18.93	6.2	$	57,140
Expected to vest at June 30, 2017	4,678		$	25.01	8.8	$	38,076

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				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Intrinsic value of stock options exercised	$	2,870	$	1,895	$	4,760	$	4,626
Stock-based compensation expense	$	3,571	$	2,920	$	7,062	$	5,690
Net stock-based compensation capitalized into inventory	47		69		98		140
Total stock-based compensation cost	$	3,618	$	2,989	$	7,160	$	5,830

As of June 30, 2017, there was $33.1 million of unrecognized compensation expense related to unvested employee stock options that are expected to vest over a weighted average period of three years.

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INCOME TAXES

6 Months Ended

Jun. 30, 2017

Income Tax Disclosure [Abstract]

Income Taxes

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.

The following table provides a summary of our effective tax rate:

	Three Months Ended				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Effective income tax rate	27.5	%	32.7	%	30.0	%	34.3	%

The period over period change in the effective income tax rate for the three and six months ended June 30, 2017 is primarily driven by a benefit derived from the recording of historical foreign tax credits and the adoption of ASU 2016-09 in the period ended June 30, 2017. Additionally for the six months ended June 30, 2016, a one-time charge from the reorganization of our domestic legal structure impacted the overall rate.

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COMMITMENTS AND CONTINGENCIES

6 Months Ended

Jun. 30, 2017

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

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 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 condensed consolidated earnings, financial position or cash flows.

N-Spine, Synthes and DePuy Synthes Litigation

In April 2010, N-Spine, Inc. and Synthes USA Sales, LLC filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. N-Spine, the patent owner, and Synthes USA, a licensee of the subject patent, allege that we infringe one or more claims of the patent by making, using, offering for sale or selling our TRANSITION^® stabilization system product. N-Spine and Synthes USA sought injunctive relief and an unspecified amount in damages. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

In a related matter, on January 8, 2014, DePuy Synthes Products, LLC (“DePuy Synthes”) filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. DePuy Synthes alleges that we infringe one or more claims of the asserted patent by making, using, offering for sale or selling our TRANSITION^® stabilization system product. DePuy Synthes seeks injunctive relief and an unspecified amount in damages. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

Synthes USA, LLC, Synthes USA Products, LLC and Synthes USA Sales, LLC Litigation

In July 2011, Synthes USA, LLC, Synthes USA Products, LLC and Synthes USA Sales, LLC filed suit against us in the U.S. District Court for the District of Delaware for patent infringement. Synthes USA LLC, the patent owner, Synthes USA Products, LLC, a licensee to manufacture products of the subject patents, and Synthes USA Sales LLC, a licensee to sell products of the subject patents, allege that we infringed one or more claims of three patents by making, using, offering for sale or selling our COALITION^®, INDEPENDENCE^® and INTERCONTINENTAL^® products. This matter was one of the four patent infringement lawsuits concerning spinal implant technologies between Globus Medical, Inc. and DePuy Synthes settled on January 13, 2016 for $7.9 million.

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 discovery phase of litigation on the underlying damages claims. We intend to defend our rights vigorously. The probable outcome of this litigation cannot be determined, nor can we estimate a range of potential loss. Therefore, in accordance with authoritative guidance on the evaluation of loss contingencies, we have not recorded an accrual related to this litigation.

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. Bianco alleges that we engaged in misappropriation of trade secrets, breach of contract, unfair competition, fraud and theft and seeks correction of inventorship, injunctive relief and exemplary damages. On April 20, 2012, Bianco filed a motion for a preliminary injunction, seeking to enjoin us from making, using, selling, importing or offering for sale our CALIBER^® product. On November 15, 2012, the court denied Bianco’s motion for preliminary injunction. 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 January 17, 2014, the jury in this case returned a verdict in favor of Bianco on a claim of misappropriation of trade secret. We accrued the verdict amount of $4.3 million as of December 31, 2013. The jury found against Bianco on the claims of breach of contract and disgorgement of profits. The court granted our motion for judgment as a matter of law and dismissed Bianco’s claims for unfair competition, fraud, and exemplary damages, and Bianco abandoned the claim of misappropriation of confidential information. Bianco’s claims of correction of inventorship, unjust enrichment, and permanent injunctive relief were not submitted to the jury. On March 7, 2014, the court denied Bianco’s claim for correction of inventorship and ruled he is not entitled to be named as a co-inventor on any of the patents at issue, and also denied his claim for unjust enrichment. On March 17, 2014, the court denied Bianco’s claim for permanent injunctive relief. On July 2, 2014, the court awarded Bianco an ongoing royalty of 5% of the net sales of the CALIBER^®, CALIBER^®-L, and RISE^® products, or products that are not colorably different from those products, for a fifteen year period on sales starting on January 18, 2014. The court entered final judgment on the jury verdict on July 17, 2014. On October 19, 2015, the United States Federal Circuit Court of Appeals affirmed the judgment without opinion. On March 22, 2016, we filed a Petition for a Writ of Certiorari with the United States Supreme Court and on June 20, 2016 the Writ was denied.

We do not expect the judgment to impact our ability to conduct our business or to have any material impact on our future revenues.

Bonutti Skeletal Innovations, LLC Litigation

On November 19, 2014, Bonutti Skeletal Innovations, LLC (“Bonutti Skeletal”) filed suit against us in the U.S. District Court for the Eastern District of Pennsylvania for patent infringement. Bonutti Skeletal, a non-practicing entity, alleges that Globus willfully infringes one or more claims of six patents by making, using, offering for sale or selling the CALIBER^®, CALIBER^®-L, COALITION^®, CONTINENTAL^®, FORGE^®, FORTIFY^®, INDEPENDENCE^®, INTERCONTINENTAL^®, MONUMENT^®, NIKO^®, RISE^®, SIGNATURE^®, SUSTAIN^®, and TRANSCONTINENTAL^® products. Bonutti Skeletal sought an unspecified amount in damages and injunctive relief. This matter was stayed on June 26, 2015 pending the resolution of inter partes reviews on the asserted patents by the USPTO. Globus Medical, Inc. and Bonutti Skeletal settled this matter on June 9, 2016.

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. Flexuspine sought an unspecified amount in damages and injunctive relief. On August 19, 2016, the jury returned a verdict in our favor finding no infringement of the asserted patents by the CALIBER^®, CALIBER^®-L, and ALTERA^® products. On November 1, 2016, plaintiff filed a notice of appeal to the United States Court of Appeals for the Federal Circuit.

Silverstein Litigation

On September 28, 2015, a putative securities class action lawsuit was filed against us and certain of our officers in the U.S. District Court for the Eastern District of Pennsylvania. Plaintiff in the lawsuit purported to represent a class of our stockholders who purchased shares between February 26, 2014 and August 5, 2014. The complaint purported to assert claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended, and sought damages in an unspecified amount, attorney’s fees and other relief. This matter was dismissed with prejudice on August 26, 2016. On September 9, 2016, plaintiff’s motion for reconsideration was denied, and on September 13, 2016 plaintiff filed an appeal in the United States Court of Appeals for the Third Circuit.

In addition, we are subject to legal proceedings arising in the ordinary course of business.

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SEGMENT AND GEOGRAPHIC INFORMATION

6 Months Ended

Jun. 30, 2017

Segment Reporting [Abstract]

Segment And Geographic Information

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 reportable segment. Segment information is consistent with how management reviews the business, makes investing and resource allocation decisions and assesses operating performance. Products are sold principally in the United States.

The following table represents total sales by geographic area, based on the location of the customer:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
United States	$	126,271	$	124,716	$	255,934	$	252,276
International	26,119		12,773		52,265		24,477
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

We classify our products into two categories: innovative fusion products and disruptive technology products. The following table represents total sales by product category:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Innovative Fusion	$	79,866	$	69,442	$	161,738	$	139,488
Disruptive Technology	72,524		68,047		146,461		137,265
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

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BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)

6 Months Ended

Jun. 30, 2017

BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]

Principles of Consolidation

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.

Use of Estimates

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, contingent payment 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.

Marketable Securities

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 June 30, 2017. 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 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.

Inventories

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.

Revenue Recognition

Revenue Recognition

Revenue is recognized when persuasive evidence of an arrangement exists, product delivery has occurred, pricing is fixed or determinable, and collection is reasonably assured. A significant portion of our revenue is generated from consigned inventory maintained at hospitals or with sales representatives. For these products, revenue is recognized at the time the product is used or implanted. For all other transactions, we recognize revenue when title to the goods and risk of loss transfer to customers, provided there are no remaining performance obligations that will affect the customer’s final acceptance of the sale. Our policy is to classify shipping and handling costs billed to customers as sales and the related expenses as cost of goods sold.

Recently Issued Accounting Pronouncements

Recently Issued 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 guidances 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. Early adoption is not permitted prior to the first quarter of 2017. We will adopt ASU 2014-09 effective January 1, 2018 using the modified retrospective method (retrospective application with the cumulative effect of initially applying the guidance recognized at the date of initial application). This update will not have a material impact on our financial position or results of operations.  The updated guidance will require additional disclosure regarding our revenue transactions.

In July 2015, the FASB released ASU 2015-11, Simplifying the Measurement of Inventory (Topic 330) (“ASU 2015-11”) as part of the FASB’s Simplification Initiative. This update is intended to more closely align the measurement of inventory under GAAP with the measurement of inventory under International Financial Reporting Standards. Within the scope of the update, an entity is required to measure inventory at the lower of cost or net realizable value. Net realizable value is defined as the estimated selling price in the ordinary course of business, less reasonable and predictable costs of completion, disposal and transportation. ASU 2015-11 is effective for all public entities for fiscal years beginning after December 31, 2016, including interim reporting periods within that period, and is required to be applied prospectively, with early adoption permitted. We adopted ASU 2015-11 on January 1, 2017. This update does not have a material impact on our financial position, results of operations, and disclosures.

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 requires the use of the modified retrospective method, which will require adjustment to all comparative periods presented in the consolidated financial statements. We are currently evaluating the impact of this update on our financial position, results of operations, and disclosures.

In March 2016, the FASB released ASU 2016-09, Compensation - Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting (“ASU 2016-09”), which will simplify the income tax consequences, accounting for forfeitures, and classification on the statements of cash flows. ASU 2016-09 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2016, and is required to be applied either prospectively, retrospectively or using a modified retrospective transition method, depending on the area covered in this update. We adopted ASU 2016-09 effective January 1, 2017.

ASU 2016-09 requires that all excess tax benefits and tax deficiencies are recognized as income tax expense or benefit in the income statement as discrete items in the reporting period in which they occur. The adoption of this provision is required to be applied using a prospective transition method, therefore prior period net income has not been adjusted. Under the provisions of the new guidance, we elected to account for forfeitures as they occur, and using the required modified retrospective adoption, the impact to retained earnings was immaterial. We elected to apply the presentation requirements for cash flows related to excess tax benefits retrospectively to all periods presented. As a result of this retrospective application, our cash provided by operating activities increased by $0.8 million for the six months ended June 30, 2016, and our cash provided by financing activities decreased by $0.8 million for the six months ended June 30, 2016.

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. Early adoption is permitted and should be in the first interim period if an entity issues interim financial statements. We are currently evaluating the impact of this new accounting standard 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 do not expect the adoption of this update to have any material impact on our financial position, cash flows, or 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 are currently evaluating the timing and impact of the new standard on our financial position, results of operations and disclosures.

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 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. This update will not have a material impact on our financial position, results of operations or disclosures.

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ACQUISITIONS (Tables)

6 Months Ended

Jun. 30, 2017

Business Combinations [Abstract]

Schedule of Recognized Identified Assets Acquired and Liabilities Assumed

As of June 30, 2017, we recorded the following preliminary purchase price allocation for the identifiable tangible and intangible assets and liabilities of Alphatec International:

(In thousands)
Consideration:
Cash paid at closing	$	80,000
Net working capital adjustment due	(2,217		)
Fair value of consideration	$	77,783
Identifiable assets acquired and liabilities assumed:
Cash acquired	$	4,010
Accounts receivable	12,402
Inventory	9,557
Customer relationships	38,800
Property and equipment	4,800
Deferred tax assets	1,436
Other assets	8,092
Accounts payable and accrued expenses	(8,119		)
Deferred tax liabilities	(9,002		)
Total identifiable net assets	61,976
Goodwill	15,807
Total allocated purchase price	$	77,783

Business Acquisition, Pro Forma Information

The following unaudited pro forma information is based on our historical data and our assumptions for consolidated results of operations, and gives effect to our acquisition of Alphatec International as if the acquisition had occurred on January 1, 2015. These unaudited pro forma results include adjustments having a continuing impact on our condensed consolidated statements of income. These adjustments primarily consist of: adjustments to the fair value of inventory, adjustments to depreciation for the fair value and depreciable lives of property and equipment, amortization of intangibles, interest income and adjustments to tax expense based on condensed consolidated pro forma results. These results have been prepared using assumptions our management believes are reasonable, are not necessarily indicative of the actual results that would have occurred if the acquisition had occurred on January 1, 2015, and are not necessarily indicative of the results that may be achieved in the future, including but not limited to operating synergies that we may realize as a result of the acquisition.

	Three Months Ended		Six Months Ended
(pro forma, in thousands, except per share amounts)	June 30, 2016		June 30, 2016
Net sales	$	149,379	$	300,532
Net income	27,252		56,708
Earnings per share:
Basic	$	0.29	$	0.59
Diluted	$	0.28	$	0.59

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INTANGIBLE ASSETS (Tables)

6 Months Ended

Jun. 30, 2017

Intangible Assets Disclosure [Abstract]

Intangible Assets Acquired as Part of Business Combination

A summary of intangible assets is presented below:

		June 30, 2017
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	46,191	$	—		$	46,191
Supplier network	10.0	4,000		(1,067		)	2,933
Customer relationships & other intangibles	6.8	42,139		(8,557		)	33,582
Patents	16.7	8,080		(750		)	7,330
Total intangible assets		$	100,410	$	(10,374	)	$	90,036

		December 31, 2016
(In thousands)	Weighted Average Amortization Period (in years)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, net
In-process research & development	—	$	20,460	$	—		$	20,460
Supplier network	10.0	4,000		(867		)	3,133
Customer relationships & other intangibles	6.8	40,936		(5,201		)	35,735
Patents	16.1	3,035		(657		)	2,378
Total intangible assets		$	68,431	$	(6,725	)	$	61,706

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MARKETABLE SECURITIES (Tables)

6 Months Ended

Jun. 30, 2017

Marketable Securities [Abstract]

Marketable Securities

The composition of our short-term and long-term marketable securities is as follows:

		June 30, 2017
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	82,729	$	11	$	(14	)	$	82,726
Corporate debt securities	Less than 1	39,974		15		(18		)	39,971
Commercial paper	Less than 1	39,502		3		(4		)	39,501
Asset-backed securities	Less than 1	322		—		—			322
Total short-term marketable securities		$	162,527	$	29	$	(36	)	$	162,520
Long-term:
Municipal bonds	1-2	$	19,051	$	9	$	(6	)	$	19,054
Corporate debt securities	1-2	29,603		20		(23		)	29,600
Asset-backed securities	1-2	7,304		—		(2		)	7,302
Securities of U.S. government-sponsored agencies	1-2	5,001		—		(25		)	4,976
Total long-term marketable securities		$	60,959	$	29	$	(56	)	$	60,932

		December 31, 2016
(In thousands)	Contractual Maturity (in years)	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Short-term:
Municipal bonds	Less than 1	$	114,826	$	2	$	(88	)	$	114,740
Corporate debt securities	Less than 1	36,020		21		(4		)	36,037
Commercial paper	Less than 1	6,898		—		(2		)	6,896
Total short-term marketable securities		$	157,744	$	23	$	(94	)	$	157,673
Long-term:
Municipal bonds	1-2	$	30,207	$	—	$	(137	)	$	30,070
Corporate debt securities	1-2	15,278		9		(40		)	15,247
Asset-backed securities	1-2	10,146		6		(1		)	10,151
Securities of U.S. government-sponsored agencies	1-2	5,002		—		(26		)	4,976
Total long-term marketable securities		$	60,633	$	15	$	(204	)	$	60,444

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FAIR VALUE MEASUREMENTS (Tables)

6 Months Ended

Jun. 30, 2017

Fair Value Disclosures [Abstract]

Fair Value, Assets Measured on Recurring Basis

The fair value of our assets and liabilities measured at fair value on a recurring basis was as follows:

	Balance at
(In thousands)	June 30, 2017		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	87,749	$	2,120	$	85,629	$	—
Municipal bonds	101,780		—		101,780		—
Corporate debt securities	69,571		—		69,571		—
Commercial paper	39,501		—		39,501		—
Asset-backed securities	7,624		—		7,624		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	20,339		—		—		20,339

	Balance at
(In thousands)	December 31, 2016		Level 1		Level 2		Level 3
Assets
Cash equivalents	$	76,157	$	957	$	75,200	$	—
Municipal bonds	144,810		—		144,810		—
Corporate debt securities	51,284		—		51,284		—
Commercial paper	6,896		—		6,896		—
Asset-backed securities	10,151		—		10,151		—
Securities of U.S. government-sponsored agencies	4,976		—		4,976		—
Liabilities
Contingent consideration	19,849		—		—		19,849

Significant unobservable inputs

The recurring Level 3 fair value measurements of our contingent consideration liabilities include the following significant unobservable inputs, which have not materially changed since December 31, 2016:

	Fair Value at
(In thousands)	June 30, 2017		Valuation technique	Unobservable input	Range
				Discount rate	6.7%	-	8.5%
Revenue-based payments	$	10,784	Discounted cash flow	Probability of payment	87.0%	-	97.5%
				Projected year of payment	2017	-	2029
				Discount rate	4.4%	-	13.5%
Milestone-based payments	$	9,555	Discounted cash flow	Probability of payment	100.0%
				Projected year of payment	2017	-	2018

Rollforward of contingent consideration

The following table provides a reconciliation of the beginning and ending balances of contingent consideration:

	Three Months Ended						Six Months Ended
(In thousands)	June 30, 2017			June 30, 2016			June 30, 2017			June 30, 2016
Beginning balance	$	15,326		$	22,260		$	19,849		$	26,617
Purchase price contingent consideration	4,871			—			4,871			—
Currency translation loss	42			—			42			—
Contingent payments	(233		)	(1		)	(5,234		)	(5,001		)
Non-cash settlement of certain contingent consideration	—			(1,522		)	—			(1,522		)
Changes in fair value of contingent consideration	333			1,794			811			2,437
Ending balance	$	20,339		$	22,531		$	20,339		$	22,531

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INVENTORIES (Tables)

6 Months Ended

Jun. 30, 2017

Inventory Disclosure [Abstract]

Schedule of Inventory

(In thousands)	June 30, 2017		December 31, 2016
Raw materials	$	18,088	$	13,257
Work in process	10,591		10,747
Finished goods	82,429		88,688
Total inventories	$	111,108	$	112,692

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ACCRUED EXPENSES (Tables)

6 Months Ended

Jun. 30, 2017

Payables and Accruals [Abstract]

Accrued Expenses

(In thousands)	June 30, 2017		December 31, 2016
Compensation and other employee-related costs	$	20,389	$	23,214
Legal and other settlements and expenses	1,397		734
Accrued non-income taxes	6,159		6,946
Royalties	5,260		4,671
Other	8,502		10,836
Total accrued expenses	$	41,707	$	46,401

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EQUITY (Tables)

6 Months Ended

Jun. 30, 2017

Equity [Abstract]

Schedule of Issued and Outstanding Shares by Class

Our issued and outstanding common shares by Class were as follows:

(Shares)	Class A Common	Class B Common	Class C Common	Total
June 30, 2017	72,411,343	23,877,556	—	96,288,899
December 31, 2016	72,052,360	23,877,556	—	95,929,916

Schedule of Stockholders Equity

The following table summarizes changes in total equity:

	Six Months Ended
(In thousands)	June 30, 2017
Total equity, beginning of period	$	832,078
Net income	57,381
Stock-based compensation cost	7,160
Exercise of stock options	5,911
Other comprehensive income	2,770
Total equity, end of period	$	905,300

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EQUITY Accumulated Other Comprehensive Income (Tables)

6 Months Ended

Jun. 30, 2017

Accumulated Other Comprehensive Income [Abstract]

Accumulated Other Comprehensive Income/(Loss), Net of Tax

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)	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	145			2,627			2,772
Amounts reclassified from accumulated other comprehensive income, net of tax	(2		)	—			(2		)
Other comprehensive income, net of tax	143			2,627			2,770
Accumulated other comprehensive loss, net of tax, at June 30, 2017	$	(24	)	$	(5,848	)	$	(5,872	)

(In thousands)	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, 2015	$	(119	)	$	(1,839	)	$	(1,958	)
Other comprehensive income before reclassifications	284			(62		)	222
Amounts reclassified from accumulated other comprehensive income, net of tax	—			—			—
Other comprehensive income, net of tax	284			(62		)	222
Accumulated other comprehensive income/(loss), net of tax, at June 30, 2016	$	165		$	(1,901	)	$	(1,736	)

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STOCK-BASED COMPENSATION (Tables)

6 Months Ended

Jun. 30, 2017

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Grants in Period, Weighted Average Grant Date Fair Value

The weighted average grant date fair value per share of the options awarded to employees were as follows:

	Three Months Ended				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Weighted average grant date fair value per share	$	9.89	$	7.76	$	8.49	$	7.80

Summary of Stock Option Activity

Stock option activity during the six months ended June 30, 2017 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, 2016	7,741		$	21.08
Granted	1,609		26.66
Exercised	(359	)	16.60
Forfeited	(293	)	23.86
Outstanding at June 30, 2017	8,698		$	22.20	7.6	$	95,216
Exercisable at June 30, 2017	4,019		$	18.93	6.2	$	57,140
Expected to vest at June 30, 2017	4,678		$	25.01	8.8	$	38,076

Intrinsic Value and Stock-based Compensation Schedule

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				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Intrinsic value of stock options exercised	$	2,870	$	1,895	$	4,760	$	4,626
Stock-based compensation expense	$	3,571	$	2,920	$	7,062	$	5,690
Net stock-based compensation capitalized into inventory	47		69		98		140
Total stock-based compensation cost	$	3,618	$	2,989	$	7,160	$	5,830

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INCOME TAXES (Tables)

6 Months Ended

Jun. 30, 2017

Income Tax Disclosure [Abstract]

Effective income tax rate

The following table provides a summary of our effective tax rate:

	Three Months Ended				Six Months Ended
	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Effective income tax rate	27.5	%	32.7	%	30.0	%	34.3	%

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SEGMENT AND GEOGRAPHIC INFORMATION (Tables)

6 Months Ended

Jun. 30, 2017

Segment Reporting [Abstract]

Schedule of Revenue from External Customers by Geographical Area

The following table represents total sales by geographic area, based on the location of the customer:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
United States	$	126,271	$	124,716	$	255,934	$	252,276
International	26,119		12,773		52,265		24,477
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

Revenue from External Customers by Products and Services

The following table represents total sales by product category:

	Three Months Ended				Six Months Ended
(In thousands)	June 30, 2017		June 30, 2016		June 30, 2017		June 30, 2016
Innovative Fusion	$	79,866	$	69,442	$	161,738	$	139,488
Disruptive Technology	72,524		68,047		146,461		137,265
Total sales	$	152,390	$	137,489	$	308,199	$	276,753

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BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details) $ in Thousands	6 Months Ended		12 Months Ended
	Jun. 30, 2017 USD ($)	Jun. 30, 2016 USD ($)	Dec. 31, 2016 USD ($)
Summary of Significant Accounting Policies
Excess Tax Benefit from Share-based Compensation, Operating Activities		$ 800
Decrease in restricted cash	$ (1)	14,884
Restricted cash	478		$ 477
Excess Tax Benefit from Share-based Compensation, Financing Activities		(800)
Capital Expenditures Incurred but Not yet Paid	$ 5,700	$ 2,300
Minimum
Summary of Significant Accounting Policies
Number of Products Launched Since Inception	170
Synthes related Litigations
Summary of Significant Accounting Policies
Payments for Legal Settlements			7,900
Decrease in restricted cash			$ 8,400

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ACQUISITIONS (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Jun. 30, 2017	Dec. 31, 2016	Jun. 13, 2017	Sep. 01, 2016
Business Acquisition
Goodwill	$ 112,769	$ 105,926
Acquisition 2017
Business Acquisition
Payments to Acquire Businesses, Gross	31,500
Contingent consideration			$ 4,900
Total identifiable net assets			31,000
Goodwill			5,400
Maximum undiscounted contingent consideration potentially payable	$ 5,200
Estimated tax deductible goodwill			$ 0
Acquisition 2016
Business Acquisition
Payments to Acquire Businesses, Gross		80,000
Net working capital adjustment due		(2,217)
Business Combination, Consideration Transferred		$ 77,783
Cash acquired				$ 4,010
Accounts receivable				12,402
Inventory				9,557
Customer relationships				38,800
Other assets				8,092
Property and equipment				4,800
Deferred tax assets				1,436
Accounts payable and accrued expenses				(8,119)
Deferred tax liabilities				(9,002)
Total identifiable net assets				61,976
Goodwill				15,807
Total allocated purchase price				77,783
Estimated tax deductible goodwill				$ 9,800

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ACQUISITIONS Proforma (Details) - Acquisition 2016 - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2016
Net sales	$ 149,379	$ 300,532
Net income	$ 27,252	$ 56,708
Earnings per share - Basic	$ 0.29	$ 0.59
Earnings per share - Diluted	$ 0.28	$ 0.59

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NOTE RECEIVABLE (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Dec. 31, 2016	Dec. 20, 2016	Sep. 01, 2016
Note Receivable
Note receivable, variable rate basis	LIBOR
Note Receivable, gross, noncurrent	$ 30,000	$ 30,000
Maximum
Note Receivable
Note Receivable, gross, noncurrent	$ 30,000
Minimum
Note Receivable
Note receivable, basis spread on variable rate	9.50%
Initial
Note Receivable
Note Receivable, gross, noncurrent				$ 25,000
Final
Note Receivable
Note Receivable, gross, noncurrent			$ 5,000
First Two Years
Note Receivable
Note receivable, basis spread on variable rate	8.00%
Last Three Years
Note Receivable
Note receivable, basis spread on variable rate	13.00%

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INTANGIBLE ASSETS (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Acquired Intangible Assets
Intangible assets, gross	$ 100,410	$ 68,431
Accumulated amortization	(10,374)	(6,725)
Intangible assets, net	$ 90,036	$ 61,706
Supplier Network
Acquired Intangible Assets
Weighted average amortization period	10 years	10 years
Gross carrying amount	$ 4,000	$ 4,000
Accumulated amortization	(1,067)	(867)
Finite-lived intangible assets, net	$ 2,933	$ 3,133
Customer Relationships & Other Intangibles
Acquired Intangible Assets
Weighted average amortization period	6 years 9 months 18 days	6 years 9 months 18 days
Gross carrying amount	$ 42,139	$ 40,936
Accumulated amortization	(8,557)	(5,201)
Finite-lived intangible assets, net	$ 33,582	$ 35,735
Patents
Acquired Intangible Assets
Weighted average amortization period	16 years 8 months 12 days	16 years 1 month 6 days
Gross carrying amount	$ 8,080	$ 3,035
Accumulated amortization	(750)	(657)
Finite-lived intangible assets, net	7,330	2,378
In-Process Research & Development
Acquired Intangible Assets
Indefinite-lived intangible assets	$ 46,191	$ 20,460

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MARKETABLE SECURITIES (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2017	Dec. 31, 2016
Short-term Marketable Securities
Schedule of Marketable Securities
Amortized Cost	$ 162,527	$ 157,744
Gross Unrealized Gains	29	23
Gross Unrealized Losses	(36)	(94)
Fair Value	162,520	157,673
Short-term Marketable Securities | Municipal Bonds
Schedule of Marketable Securities
Amortized Cost	82,729	114,826
Gross Unrealized Gains	11	2
Gross Unrealized Losses	(14)	(88)
Fair Value	$ 82,726	$ 114,740
Short-term Marketable Securities | Municipal Bonds | Maximum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Short-term Marketable Securities | Corporate Debt Securities
Schedule of Marketable Securities
Amortized Cost	$ 39,974	$ 36,020
Gross Unrealized Gains	15	21
Gross Unrealized Losses	(18)	(4)
Fair Value	$ 39,971	$ 36,037
Short-term Marketable Securities | Corporate Debt Securities | Maximum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Short-term Marketable Securities | Commercial Paper
Schedule of Marketable Securities
Amortized Cost	$ 39,502	$ 6,898
Gross Unrealized Gains	3	0
Gross Unrealized Losses	(4)	(2)
Fair Value	$ 39,501	$ 6,896
Short-term Marketable Securities | Commercial Paper | Maximum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Short-term Marketable Securities | Asset-backed Securities
Schedule of Marketable Securities
Amortized Cost	$ 322
Gross Unrealized Gains	0
Gross Unrealized Losses	0
Fair Value	$ 322
Short-term Marketable Securities | Asset-backed Securities | Maximum
Schedule of Marketable Securities
Contractual Maturity	1 year
Long-term Marketable Securities
Schedule of Marketable Securities
Amortized Cost	$ 60,959	$ 60,633
Gross Unrealized Gains	29	15
Gross Unrealized Losses	(56)	(204)
Fair Value	60,932	60,444
Long-term Marketable Securities | Municipal Bonds
Schedule of Marketable Securities
Amortized Cost	19,051	30,207
Gross Unrealized Gains	9	0
Gross Unrealized Losses	(6)	(137)
Fair Value	$ 19,054	$ 30,070
Long-term Marketable Securities | Municipal Bonds | Minimum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Long-term Marketable Securities | Municipal Bonds | Maximum
Schedule of Marketable Securities
Contractual Maturity	2 years	2 years
Long-term Marketable Securities | Corporate Debt Securities
Schedule of Marketable Securities
Amortized Cost	$ 29,603	$ 15,278
Gross Unrealized Gains	20	9
Gross Unrealized Losses	(23)	(40)
Fair Value	$ 29,600	$ 15,247
Long-term Marketable Securities | Corporate Debt Securities | Minimum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Long-term Marketable Securities | Corporate Debt Securities | Maximum
Schedule of Marketable Securities
Contractual Maturity	2 years	2 years
Long-term Marketable Securities | Asset-backed Securities
Schedule of Marketable Securities
Amortized Cost	$ 7,304	$ 10,146
Gross Unrealized Gains	0	6
Gross Unrealized Losses	(2)	(1)
Fair Value	$ 7,302	$ 10,151
Long-term Marketable Securities | Asset-backed Securities | Minimum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Long-term Marketable Securities | Asset-backed Securities | Maximum
Schedule of Marketable Securities
Contractual Maturity	2 years	2 years
Long-term Marketable Securities | Securities of U.S. government-sponsored agencies
Schedule of Marketable Securities
Amortized Cost	$ 5,001	$ 5,002
Gross Unrealized Gains	0	0
Gross Unrealized Losses	(25)	(26)
Fair Value	$ 4,976	$ 4,976
Long-term Marketable Securities | Securities of U.S. government-sponsored agencies | Minimum
Schedule of Marketable Securities
Contractual Maturity	1 year	1 year
Long-term Marketable Securities | Securities of U.S. government-sponsored agencies | Maximum
Schedule of Marketable Securities
Contractual Maturity	2 years	2 years

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FAIR VALUE MEASUREMENTS (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Dec. 31, 2016
Fair Value, Assets and Liabilities Measured on Recurring Basis
Contingent consideration	$ 15,326	$ 22,260	$ 19,849	$ 26,617	$ 20,339	$ 19,849
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance	15,326	22,260	19,849	26,617
Purchase price contingent consideration	4,871	0	4,871	0
Contingent consideration currency translation loss/(gain)	42	0	42	0
Contingent Payments	(233)	(1)	(5,234)	(5,001)
Non-cash settlement of certain contingent consideration	0	(1,522)	0	(1,522)
Changes in fair value of contingent consideration	333	1,794	811	2,437
Contingent consideration, ending balance	20,339	$ 22,531	20,339	$ 22,531
Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Cash equivalents					87,749	76,157
Contingent consideration	20,339		19,849		20,339	19,849
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance			19,849
Contingent consideration, ending balance	20,339		20,339
Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Cash equivalents					2,120	957
Contingent consideration	0		0		0	0
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance			0
Contingent consideration, ending balance	0		0
Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Cash equivalents					85,629	75,200
Contingent consideration	0		0		0	0
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance			0
Contingent consideration, ending balance	0		0
Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Cash equivalents					0	0
Contingent consideration	20,339		19,849		20,339	19,849
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance			19,849
Contingent consideration, ending balance	20,339		20,339
Municipal Bonds | Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					101,780	144,810
Municipal Bonds | Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Municipal Bonds | Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					101,780	144,810
Municipal Bonds | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Corporate Debt Securities | Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					69,571	51,284
Corporate Debt Securities | Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Corporate Debt Securities | Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					69,571	51,284
Corporate Debt Securities | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Commercial Paper | Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					39,501	6,896
Commercial Paper | Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Commercial Paper | Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					39,501	6,896
Commercial Paper | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Asset-backed Securities | Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					7,624	10,151
Asset-backed Securities | Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Asset-backed Securities | Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					7,624	10,151
Asset-backed Securities | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Securities of U.S. government-sponsored agencies | Fair Value, Measurements, Recurring
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					4,976	4,976
Securities of U.S. government-sponsored agencies | Fair Value, Measurements, Recurring | Level 1
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	0
Securities of U.S. government-sponsored agencies | Fair Value, Measurements, Recurring | Level 2
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					4,976	4,976
Securities of U.S. government-sponsored agencies | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Marketable Securities					0	$ 0
Revenue-based payments | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Contingent consideration	10,784		10,784		10,784
Contingent Consideration Payment [Roll Forward]
Contingent consideration, ending balance	10,784		$ 10,784
Revenue-based payments | Fair Value, Measurements, Recurring | Level 3 | Minimum
Fair Value, Assets and Liabilities Measured on Recurring Basis
Discount Rate			6.70%
Probability of Payment			87.00%
Revenue-based payments | Fair Value, Measurements, Recurring | Level 3 | Maximum
Fair Value, Assets and Liabilities Measured on Recurring Basis
Discount Rate			8.50%
Probability of Payment			97.50%
Milestone-based payments | Fair Value, Measurements, Recurring | Level 3
Fair Value, Assets and Liabilities Measured on Recurring Basis
Contingent consideration	9,555		$ 9,555		$ 9,555
Contingent Consideration Payment [Roll Forward]
Contingent consideration, ending balance	$ 9,555		$ 9,555
Milestone-based payments | Fair Value, Measurements, Recurring | Level 3 | Minimum
Fair Value, Assets and Liabilities Measured on Recurring Basis
Discount Rate			4.40%
Milestone-based payments | Fair Value, Measurements, Recurring | Level 3 | Maximum
Fair Value, Assets and Liabilities Measured on Recurring Basis
Discount Rate			13.50%
Probability of Payment			100.00%

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INVENTORIES (Details) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Inventory Disclosure [Abstract]
Raw Materials	$ 18,088	$ 13,257
Work in process	10,591	10,747
Finished goods	82,429	88,688
Total inventories	$ 111,108	$ 112,692

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ACCRUED EXPENSES (Details) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Payables and Accruals [Abstract]
Compensation and other employee-related costs	$ 20,389	$ 23,214
Legal and other settlements and expenses	1,397	734
Accrued non-income taxes	6,159	6,946
Royalties	5,260	4,671
Other	8,502	10,836
Total accrued expenses	$ 41,707	$ 46,401

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DEBT (Details) - Revolving Credit Facility $ in Millions	6 Months Ended
	Jun. 30, 2017 USD ($)
Debt Instrument
Credit facility, current borrowing capacity	$ 50.0
Credit facility, maximum borrowing capacity	75.0
Credit facility, outstanding borrowings	$ 0.0
Credit facility, termination period without penalty	10 days
Fluctuating Rate Per Annum
Debt Instrument
Credit facility, variable rate	LIBOR
Credit facility, period of variable rate	1 month
Credit facility, basis spread on variable rate	0.75%
Fixed Rate
Debt Instrument
Credit facility, variable rate	LIBOR
Credit facility, basis spread on variable rate	0.75%
Fixed Rate | Minimum
Debt Instrument
Credit facility, period of variable rate	1 month
Fixed Rate | Maximum
Debt Instrument
Credit facility, period of variable rate	3 months
Letter of Credit
Debt Instrument
Credit facility, maximum borrowing capacity	$ 25.0

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EQUITY (Textuals) (Details) - shares	Jun. 30, 2017	Dec. 31, 2016
Class of Stock
Common stock, shares authorized	785,000,000
Class A Common
Class of Stock
Common stock, shares authorized	500,000,000	500,000,000
Class B Common
Class of Stock
Common stock, shares authorized	275,000,000	275,000,000
Class C Common
Class of Stock
Common stock, shares authorized	10,000,000

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EQUITY (Schedule of Issued and Outstanding Shares) (Details) - shares	Jun. 30, 2017	Dec. 31, 2016
Class of Stock
Common stock, shares outstanding	96,288,899	95,929,916
Common stock, shares issued	96,288,899	95,929,916
Class A Common
Class of Stock
Common stock, shares outstanding	72,411,343	72,052,360
Common stock, shares issued	72,411,343	72,052,360
Class B Common
Class of Stock
Common stock, shares outstanding	23,877,556	23,877,556
Common stock, shares issued	23,877,556	23,877,556
Class C Common
Class of Stock
Common stock, shares outstanding	0	0
Common stock, shares issued	0	0

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EQUITY Stockholders' Equity Rollforward (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Increase (Decrease) in Stockholders' Equity
Total equity, beginning of period			$ 832,078
Net income	$ 28,667	$ 25,806	57,381	$ 53,816
Stock-based compensation cost			7,160
Exercise of stock options			5,911
Other comprehensive income	209	$ (83)	2,770	$ 222
Total equity, end of period	$ 905,300		$ 905,300

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EQUITY Accumulated Other Comprehensive Income (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016	Dec. 31, 2015
Accumulated other comprehensive income/(loss), net of tax	$ (5,872)	$ (1,736)	$ (5,872)	$ (1,736)	$ (8,642)	$ (1,958)
Other comprehensive income before reclassifications			2,772	222
Amounts reclassified from accumulated other comprehensive income, net of tax			(2)	0
Other comprehensive income/(loss), net of tax	209	(83)	2,770	222
Foreign Currency Translation Adjustment
Accumulated other comprehensive income/(loss), net of tax	(5,848)	(1,901)	(5,848)	(1,901)	(8,475)	(1,839)
Other comprehensive income before reclassifications			2,627	(62)
Amounts reclassified from accumulated other comprehensive income, net of tax			0	0
Other comprehensive income/(loss), net of tax			2,627	(62)
Unrealized Gain/(Loss) on Marketable Securities, Net of Tax
Accumulated other comprehensive income/(loss), net of tax	$ (24)	$ 165	(24)	165	$ (167)	$ (119)
Other comprehensive income before reclassifications			145	284
Amounts reclassified from accumulated other comprehensive income, net of tax			(2)	0
Other comprehensive income/(loss), net of tax			$ 143	$ 284

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STOCK-BASED COMPENSATION (Textuals) (Details) $ in Millions	6 Months Ended
	Jun. 30, 2017 USD ($) shares
Share-based Compensation Arrangement by Share-based Payment Award
Number of stock plans	3
Stock Options
Share-based Compensation Arrangement by Share-based Payment Award
Maximum contractual term	10 years
Unrecognized compensation expense, unvested stock options | $	$ 33.1
Weighted average period of recognition, unvested stock options	3 years
Stock Options | Minimum
Share-based Compensation Arrangement by Share-based Payment Award
Award vesting period	4 years
2012 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award
Base number of shares that may be issuable under stock plan	3,076,923
2012 Equity Incentive Plan | Maximum
Share-based Compensation Arrangement by Share-based Payment Award
Number of shares available for grant	10,769,230
Annual percentage limit for incremental shares that may be issued	3.00%
2012 Equity Incentive Plan | Class A Common
Share-based Compensation Arrangement by Share-based Payment Award
Number of shares available for grant	6,284,390
Shares reserved under the 2012 Equity Incentive Plan	14,887,393

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STOCK-BASED COMPENSATION (Grant Date Fair Values of Options Awarded to Employees) (Details) - $ / shares	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Weighted average grant date fair value per share	$ 9.89	$ 7.76	$ 8.49	$ 7.80

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STOCK-BASED COMPENSATION (Stock Option Activity) (Details) $ / shares in Units, shares in Thousands, $ in Thousands	6 Months Ended
	Jun. 30, 2017 USD ($) $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding
Number of shares outstanding beginning balance | shares	7,741
Number of shares granted | shares	1,609
Number of shares exercised | shares	(359)
Number of shares forfeited | shares	(293)
Number of shares outstanding ending balance | shares	8,698
Number of shares exercisable | shares	4,019
Number of shares expected to vest | shares	4,678
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Weighted average exercise price per share outstanding beginning balance | $ / shares	$ 21.08
Weighted average exercise price per share granted | $ / shares	26.66
Weighted average exercise price per share exercised | $ / shares	16.60
Weighted average exercise price per share forfeited | $ / shares	23.86
Weighted average exercise price per share outstanding ending balance | $ / shares	22.20
Weighted average exercise price per share exercisable | $ / shares	18.93
Weighted average exercise price per share expected to vest | $ / shares	$ 25.01
Weighted average remaining contractual life outstanding	7 years 7 months 6 days
Weighted average remaining contractual life exercisable	6 years 2 months 12 days
Weighted average remaining contractual life expected to vest	8 years 9 months 18 days
Aggregate intrinsic value outstanding | $	$ 95,216
Aggregate intrinsic value exercisable | $	57,140
Aggregate intrinsic value expected to vest | $	$ 38,076

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STOCK-BASED COMPENSATION (Compensation Expense Related to Stock Options and Their Intrinsic Values) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Intrinsic value of stock options exercised	$ 2,870	$ 1,895	$ 4,760	$ 4,626
Stock-based compensation expense	3,571	2,920	7,062	5,690
Net stock-based compensation capitalized into inventory	47	69	98	140
Total stock-based compensation cost	$ 3,618	$ 2,989	$ 7,160	$ 5,830

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INCOME TAXES (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Income Tax Disclosure [Abstract]
Effective income tax rate	27.50%	32.70%	30.00%	34.30%

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COMMITMENTS AND CONTINGENCIES (Details) $ in Millions	12 Months Ended
	Dec. 31, 2016 USD ($)	Dec. 31, 2014	Dec. 31, 2013 USD ($)	Mar. 11, 2015 claim	Nov. 19, 2014 claim	Jul. 31, 2011 claim	Apr. 30, 2010 claim
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation
Loss Contingencies
Loss Contingency, Pending Claims, Number						3
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation | Minimum
Loss Contingencies
Loss Contingency, Pending Claims, Number						1
Bianco Litigation
Loss Contingencies
Combined litigation loss | $			$ 4.3
Royalty Rate		5.00%
Royalty Period		15 years
N-Spine and Synthes Litigation | Minimum
Loss Contingencies
Loss Contingency, Pending Claims, Number							1
Synthes related Litigations
Loss Contingencies
Loss Contingency, Claims Settled, Number	4
Payments for Legal Settlements | $	$ 7.9
Bonutti Skeletal Innovations LLC Litigation
Loss Contingencies
Loss Contingency, Pending Claims, Number					6
Bonutti Skeletal Innovations LLC Litigation | Minimum
Loss Contingencies
Loss Contingency, Pending Claims, Number					1
Flexuspine Inc. Litigation
Loss Contingencies
Loss Contingency, Pending Claims, Number				5
Flexuspine Inc. Litigation | Minimum
Loss Contingencies
Loss Contingency, Pending Claims, Number				1

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SEGMENT AND GEOGRAPHIC INFORMATION (Geographic Location) (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017 USD ($)	Jun. 30, 2016 USD ($)	Jun. 30, 2017 USD ($) segments	Jun. 30, 2016 USD ($)
Revenues from External Customers
Number of Reportable Segments | segments			1
Total sales	$ 152,390	$ 137,489	$ 308,199	$ 276,753
United States
Revenues from External Customers
Total sales	126,271	124,716	255,934	252,276
International
Revenues from External Customers
Total sales	$ 26,119	$ 12,773	$ 52,265	$ 24,477

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SEGMENT AND GEOGRAPHIC INFORMATION (Products) (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017 USD ($)	Jun. 30, 2016 USD ($)	Jun. 30, 2017 USD ($) categories	Jun. 30, 2016 USD ($)
Revenue from External Customer
Total sales	$ 152,390	$ 137,489	$ 308,199	$ 276,753
Textuals [Abstract]
Number of product categories | categories			2
Innovative Fusion
Revenue from External Customer
Total sales	79,866	69,442	$ 161,738	139,488
Disruptive Technology
Revenue from External Customer
Total sales	$ 72,524	$ 68,047	$ 146,461	$ 137,265