Globus Medical had a successful Q4 of 2025, as well as overall growth for the full year. Worldwide net sales were $826.4 million, an increase of 25.7%, in Q4, while full-year sales reached $2,938.9 million, an increase of 16.7%.
In addition, base business, excluding Nevro, net sales were $726.7 million, an increase of 10.6% for Q4, and for the full year, net sales were $2,645.3 million, an increase of 5.0%.
“Momentum built throughout 2025 accelerated in the fourth quarter, capping off a strong finish to the year with double-digit sales and earnings growth,” Keith Pfeil, President and CEO at Globus, said in an earnings call.
“We delivered above market, top-line growth, across the portfolio, including our core spine franchise, while delivering meaningful margin expansion – reflecting disciplined execution. Looking ahead to 2026, our focus lies in driving durable momentum, centered on scaling growth and sustainable operating leverage. We are confident in our ability to launch a robust new product pipeline and expand our high-touch sales force, while maintaining speed and agility, as we realize our long-term goal of addressing unmet clinical needs with differentiated procedural solutions. We are focused on achieving improved surgical outcomes through the Globus surgical intelligence closed loop ecosystem, bringing together patient selection, surgical techniques and complementary implants.”
Globus’ U.S. spine business also capped-off 2025 by growing revenue 10% over the prior-year quarter, and Enabling Technologies grew 19% over the fourth quarter of 2024.
This momentum in spine is being credited to a successful integration of NuVasive and Nevro, which Globus acquired in April 2025 in an effort to expand its pain, spinal cord and neuromodulation portfolios.
“We do believe that a strong first 12 to 18 months will set us up to capitalize on future growth opportunities from a synergy execution standpoint,” Globus Medical CFO Kyle Klein said during the earnings call.
As a result of the strong performance, Globus has reaffirmed its guidance for full-year 2026 revenue to be in the range of $3.18 to $3.22 billion.
All eyes have been on Globus’ spine performance over the last year, as analysts have waited to see how the Nuvasive and Nevro integrations will go.
And so far, financials for the company have been strong. Globus Medical’s second quarter sales for 2025 reached $745.3 million,
a year-over-year increase of 18.4%
, led largely by its U.S. spine business.
Globus Medical and NuVasive
caused a stir across the spine market
when they first announced a planned merger in September 2023 in a $3 billion all-stock deal.
Investors reacted harshly at first to the Globus-NuVasive deal and analysts were quick to point to past deals in the spine market that have had difficult integrations and considerable sales force disruptions due to cultural differences, however shareholders of both companies approved the merger with more than 99% voting in favor.
In 2025, Globus
acquired Nevro for $250 million,
as Nevro was struggling under the amount of increased competition in the spinal cord stimulation (SCS) market.
Immediately following the acquisition, Globus had what
analysts called a disappointing quarter
, leading some to wonder if the company bit off more than it could chew with Nevro.
However, the company seems to have turned things around over the last several months. As a result, analysts at Needham have raised the price target on Globus shares to $114 from $112 while maintaining a Buy rating on the stock.
While analysts at BTIG have remained neutral on the company following Q4 2025, they noted that the majority of the company’s upside comes from its spine growth.
“GMED is now the #2 company in the global Spine market following the completion of its merger with NuVasive and a meaningful player in Spinal Cord Stimulation as well following its acquisition of Nevro. We had previously worried about integration risk, sales dissynergies, and impacts to margins for both acquisitions,” BTIG analysts wrote.
“Through FY24, GMED proved that it can integrate NuVasive with minimal sales disruptions and improving margins. FY25 was off to a weaker start in Core Spine but bounced back in 2H25 with robust underlying Spine performance while Nevro profitability improved. With shares back to prior levels seen in FY24, we think they are likely to perform in line with the market for the foreseeable future.”