Globus Medical, Inc. (GMED) Cash Flow Statement

NYSE: GMEDOperating cash, capex, free cash flow and buybacks.

Where GMED’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$753.4M
+44.7% vs 2024
Capital expenditures
$164.7M
5.6% of revenue
Free cash flow
$588.8M
20.0% margin
Returned to shareholders
$300.5M
51% of free cash flow
Change in cash
−$258.3M
cash at year-end $526.2M
Cash from operations: $753.4MCash from operations$753.4MInvestments (net): $72.0MInvestments (net)$72.0MOther financing: $71.3MOther financing$71.3MDrawn from cash: $258.3MDrawn from cash$258.3MCurrency & other: $22.4MCurrency & other$22.4MDebt repayment: $450.0MDebt repayment$450.0M · 38%Share buybacks: $300.5MShare buybacks$300.5M · 26%Acquisitions & other: $262.3MAcquisitions & other$262.3M · 22%Capital expenditures: $164.7MCapital expenditures$164.7M · 14%$1.18B
Cash from operations
$753.4M
Capital expenditures
−$164.7M
Investments (net)
+$72.0M
Acquisitions & other
−$262.3M
Share buybacks (net)
−$300.5M
Net borrowing (repayment)
−$450.0M
Other financing
+$71.3M
Currency & other
+$22.4M
Change in cash
−$258.3M

Drawn to scale: where the cash came from and how it was used. Hover for values.

GMED operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

GMED cash flow trends, 2016–2025

Globus Medical, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow$171.9M2016$753.4M2025+17.8%/yr
Capital expenditures$40.9M2016$164.7M2025+16.7%/yr
Free cash flow$131.0M2016$588.8M2025+18.2%/yr
Free cash flow margin23.2%201620.0%2025−3.2 pts
Operating cash flow / net income1.6520161.402025−0.25
Stock-based compensation$11.4M2016$49.8M2025+17.8%/yr
Dividends paid$02016$02017—
Share buybacks (net)$02016$300.5M2025—
Capex / revenue7.3%20165.6%2025−1.7 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

GMED cash flow by activity

OperatingInvestingFinancingChange in cash

GMED net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

GMED cash flow statement

Globus Medical, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income$537.9M$103.0M$122.9M$190.2M$149.2M$102.3M$155.2M$156.5M$107.3M$104.3M
Depreciation & amortization$276.8M$254.0M$144.7M$68.3M$69.9M$62.9M$52.7M$41.6M$42.1M$38.8M
Stock-based compensation$49.8M$54.2M$52.7M$32.8M$30.6M$27.1M$26.1M$21.9M$14.7M$11.4M
Change in working capital−$82.7M−$97.6M−$116.6M−$105.3M−$17.3M−$37.6M−$73.4M−$49.9M−$30.5M$3.5M
Other non-cash items−$28.3M$207.0M$39.7M−$7.5M$43.9M$44.2M$11.4M$11.5M$26.0M$13.9M
Cash from operating activities$753.4M$520.6M$243.5M$178.5M$276.3M$198.8M$172.0M$181.6M$159.5M$171.9M
Investing activities
Capital expenditures−$164.7M−$115.4M−$78.3M−$74.0M−$56.9M−$63.7M−$70.8M−$59.7M−$51.3M−$40.9M
Investments (net)$72.0M−$176.1M−$78.1M−$4.9M−$284.6M−$20.2M−$45.7M−$123.5M−$111.3M−$99.6M
Acquisitions & other investing−$262.3M$115.4M$459.4M−$31.4M−$34.5M−$33.5M−$23.8M−$9.8M$51.3M$40.9M
Cash from investing activities−$355.0M−$176.1M$303.0M−$110.4M−$375.9M−$117.3M−$140.3M−$193.0M−$111.3M−$99.6M
Financing activities
Dividends paid————————$0$0
Share repurchases & issuance (net)−$300.5M−$85.8M−$225.6M−$144.5M$63.5M−$104.7M$31.0M$39.3M$11.7M$5.9M
Net borrowing (repayment)−$450.0M$0$0———————
Shares issued$0$0$0$0$63.5M$72.3M$31.0M$39.3M$0$0
Other financing$71.3M$58.1M−$6.3M$34.5M−$72.8M−$6.3M−$37.6M−$46.0M−$10.1M−$3.8M
Cash from financing activities−$679.2M−$27.7M−$231.8M−$110.0M$54.1M−$38.7M$24.4M$32.6M$1.6M$2.0M
Summary
Net change in cash−$258.3M$317.1M$316.8M−$42.6M−$46.3M$43.7M$56.0M$20.9M$51.9M$72.5M
Cash at end of period$526.2M$784.4M$467.3M$150.5M$193.1M$239.4M$195.7M$139.7M$118.8M$132.6M
Free cash flow$588.8M$405.2M$165.2M$104.4M$219.4M$135.1M$101.2M$121.9M$108.2M$131.0M
Free cash flow margin20.0%16.1%10.5%10.2%22.9%17.1%12.9%17.1%17.0%23.2%
Capex / revenue5.6%4.6%5.0%7.2%5.9%8.1%9.0%8.4%8.1%7.3%
Operating cash flow / net income1.405.061.980.941.851.941.111.161.491.65

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

GMED cash generation

In fiscal 2025 (ended December 31, 2025), Globus Medical generated $753.4 million of cash from operations (up 44.7%) and spent $164.7 million on capital expenditures, leaving free cash flow of $588.8 million, 20.0% of revenue. It returned $300.5 million to shareholders through dividends ($0) and net share buybacks ($300.5 million). Cash and equivalents fell by $258.3 million over the year.

Related: GMED income statement, GMED balance sheet. See the GMED stock overview for the latest quote and news.

GMED cash flow FAQ

What is Globus Medical's free cash flow?

Globus Medical's free cash flow was $588.8 million in fiscal 2025: $753.4 million of operating cash flow minus $164.7 million of capital expenditures It was $405.2 million a year earlier..

How much cash does Globus Medical generate from operations?

Globus Medical generated $753.4 million of cash from operating activities in fiscal 2025, 1.40 times its net income of $537.9 million.

How much does Globus Medical spend on capital expenditures?

Globus Medical spent $164.7 million on capital expenditures in fiscal 2025, 5.6% of revenue, compared with $115.4 million the year before.

How much stock does Globus Medical buy back?

Globus Medical spent $300.5 million on net share repurchases in fiscal 2025.

Medical Devices: cash flow