10-K Filing

GLOBUS MEDICAL INC CIK: 1237831 FY 2023

Filing Information

Form Type	10-K
Accession Number	`0001562762-24-000032`
Period End Date	20231231
Filing Date	20240221
Fiscal Year	2023
Fiscal Period	FY
XBRL Instance	gmed-20231231x10k_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 77 Income Statement 75 Cash Flow Statement 107 Stockholders Equity 25

Balance Sheet 77 line items

Line Item	Tag	Value	Unit	Period
Accounts receivable, allowances	`AllowanceForDoubtfulAccountsReceivableCurrent`	$4.72M	USD	Point-in-time
Accounts receivable, allowances	`AllowanceForDoubtfulAccountsReceivableCurrent`	$8.93M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$425.69M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$343.04M	USD	Point-in-time
Cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$467.29M	USD	Point-in-time
Cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$150.47M	USD	Point-in-time
Cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$193.07M	USD	Point-in-time
Cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$239.40M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	775.00M	shares	Point-in-time
Short-term marketable securities	`MarketableSecuritiesCurrent`	$295.59M	USD	Point-in-time
Short-term marketable securities	`MarketableSecuritiesCurrent`	$50.50M	USD	Point-in-time
Accounts receivable, net of allowances of $8,934 and $4,724, respectively	`AccountsReceivableNetCurrent`	$503.24M	USD	Point-in-time
Accounts receivable, net of allowances of $8,934 and $4,724, respectively	`AccountsReceivableNetCurrent`	$213.25M	USD	Point-in-time
Inventories	`InventoryNet`	$298.98M	USD	Point-in-time
Inventories	`InventoryNet`	$848.13M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$44.58M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$21.00M	USD	Point-in-time
Income taxes receivable	`IncomeTaxesReceivable`	$4.06M	USD	Point-in-time
Income taxes receivable	`IncomeTaxesReceivable`	$1.64M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$1.92B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$983.34M	USD	Point-in-time
Property and equipment, net of accumulated depreciation of $425,695 and $343,036, respectively	`PropertyPlantAndEquipmentNet`	$586.93M	USD	Point-in-time
Property and equipment, net of accumulated depreciation of $425,695 and $343,036, respectively	`PropertyPlantAndEquipmentNet`	$243.73M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$59.93M	USD	Point-in-time
Operating lease right of use assets	`OperatingLeaseRightOfUseAsset`	$5.99M	USD	Point-in-time
Long-term marketable securities	`MarketableSecuritiesNoncurrent`	$75.43M	USD	Point-in-time
Long-term marketable securities	`MarketableSecuritiesNoncurrent`	$495.85M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$63.57M	USD	Point-in-time
Intangible assets, net	`IntangibleAssetsNetExcludingGoodwill`	$924.60M	USD	Point-in-time
Goodwill	`Goodwill`	$1.43B	USD	Point-in-time
Goodwill	`Goodwill`	$197.47M	USD	Point-in-time
Goodwill	`Goodwill`	$179.71M	USD	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$78.59M	USD	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$37.32M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxAssetsNet`	$48.84M	USD	Point-in-time
Deferred income taxes	`DeferredIncomeTaxAssetsNet`	$10.69M	USD	Point-in-time
Total assets	`Assets`	$2.08B	USD	Point-in-time
Total assets	`Assets`	$5.09B	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$56.67M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$36.10M	USD	Point-in-time
Accrued expenses	`AccruedLiabilitiesCurrent`	$92.17M	USD	Point-in-time
Accrued expenses	`AccruedLiabilitiesCurrent`	$240.46M	USD	Point-in-time
Operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$11.97M	USD	Point-in-time
Operating lease liabilities	`OperatingLeaseLiabilityCurrent`	$2.54M	USD	Point-in-time
Income taxes payable	`AccruedIncomeTaxesCurrent`	$990.00K	USD	Point-in-time
Income taxes payable	`AccruedIncomeTaxesCurrent`	$3.85M	USD	Point-in-time
Business acquisition liabilities	`BusinessAcquisitionLiabilitiesCurrent`	$13.31M	USD	Point-in-time
Business acquisition liabilities	`BusinessAcquisitionLiabilitiesCurrent`	$61.03M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$18.37M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$14.10M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$392.35M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$159.20M	USD	Point-in-time
Business acquisition liabilities, net of current portion	`BusinessAcquisitionLiabilitiesNoncurrent`	$54.95M	USD	Point-in-time
Business acquisition liabilities, net of current portion	`BusinessAcquisitionLiabilitiesNoncurrent`	$78.32M	USD	Point-in-time
Operating lease liabilities	`OperatingLeaseLiabilityNoncurrent`	$3.48M	USD	Point-in-time
Operating lease liabilities	`OperatingLeaseLiabilityNoncurrent`	$91.04M	USD	Point-in-time
Senior convertible notes	`ConvertibleDebtNoncurrent`	$417.40M	USD	Point-in-time
Deferred income taxes and other tax liabilities	`DeferredIncomeTaxLiabilitiesNet`	$1.78M	USD	Point-in-time
Deferred income taxes and other tax liabilities	`DeferredIncomeTaxLiabilitiesNet`	$84.42M	USD	Point-in-time
Other liabilities	`OtherLiabilitiesNoncurrent`	$24.60M	USD	Point-in-time
Other liabilities	`OtherLiabilitiesNoncurrent`	$10.35M	USD	Point-in-time
Total liabilities	`Liabilities`	$229.75M	USD	Point-in-time
Total liabilities	`Liabilities`	$1.09B	USD	Point-in-time
Commitments and contingencies (Note 16)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 16)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$630.95M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$2.87B	USD	Point-in-time
Accumulated other comprehensive income/(loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-10.19M	USD	Point-in-time
Accumulated other comprehensive income/(loss)	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-24.63M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$1.14B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$1.24B	USD	Point-in-time
Total equity	`StockholdersEquity`	$1.51B	USD	Point-in-time
Total equity	`StockholdersEquity`	$1.85B	USD	Point-in-time
Total equity	`StockholdersEquity`	$1.74B	USD	Point-in-time
Total equity	`StockholdersEquity`	$4.00B	USD	Point-in-time
Total liabilities and equity	`LiabilitiesAndStockholdersEquity`	$5.09B	USD	Point-in-time
Total liabilities and equity	`LiabilitiesAndStockholdersEquity`	$2.08B	USD	Point-in-time

Income Statement 75 line items

Line Item	Tag	Value	Unit	Period
Net sales	`Revenues`	$1.57B	USD	Annual
Net sales	`Revenues`	$958.10M	USD	Annual
Net sales	`Revenues`	$1.02B	USD	Annual
Cost of sales	`CostOfGoodsAndServicesSold`	$263.73M	USD	Annual
Cost of sales	`CostOfGoodsAndServicesSold`	$548.17M	USD	Annual
Cost of sales	`CostOfGoodsAndServicesSold`	$239.22M	USD	Annual
Gross profit	`GrossProfit`	$759.12M	USD	Annual
Gross profit	`GrossProfit`	$718.88M	USD	Annual
Gross profit	`GrossProfit`	$1.02B	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$124.01M	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$97.35M	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$73.02M	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$408.15M	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$432.12M	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$643.41M	USD	Annual
Provision for litigation, net	`LitigationSettlementExpense`	$5.92M	USD	Annual
Provision for litigation, net	`LitigationSettlementExpense`	$434.00K	USD	Annual
Provision for litigation, net	`LitigationSettlementExpense`	$2.34M	USD	Annual
Amortization of intangibles	`AmortizationOfIntangibleAssets`	$18.53M	USD	Annual
Amortization of intangibles	`AmortizationOfIntangibleAssets`	$17.73M	USD	Annual
Amortization of intangibles	`AmortizationOfIntangibleAssets`	$51.03M	USD	Annual
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$16.98M	USD	Annual
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$68.27M	USD	Annual
Acquisition-related costs	`BusinessCombinationAcquisitionRelatedCosts`	$5.96M	USD	Annual
Total operating expenses	`OperatingExpenses`	$887.16M	USD	Annual
Total operating expenses	`OperatingExpenses`	$531.17M	USD	Annual
Total operating expenses	`OperatingExpenses`	$546.93M	USD	Annual
Operating income/(loss)	`OperatingIncomeLoss`	$133.14M	USD	Annual
Operating income/(loss)	`OperatingIncomeLoss`	$171.95M	USD	Annual
Operating income/(loss)	`OperatingIncomeLoss`	$227.95M	USD	Annual
Interest income/(expense), net	`InterestIncomeExpenseNet`	$9.30M	USD	Annual
Interest income/(expense), net	`InterestIncomeExpenseNet`	$14.23M	USD	Annual
Interest income/(expense), net	`InterestIncomeExpenseNet`	$20.13M	USD	Annual
Foreign currency transaction gain/(loss)	`ForeignCurrencyTransactionGainLossBeforeTax`	$-1.42M	USD	Annual
Foreign currency transaction gain/(loss)	`ForeignCurrencyTransactionGainLossBeforeTax`	$-1.02M	USD	Annual
Foreign currency transaction gain/(loss)	`ForeignCurrencyTransactionGainLossBeforeTax`	$14.26M	USD	Annual
Other income (expense)	`OtherNonOperatingIncomeExpenseOther`	$-2.14M	USD	Annual
Other income (expense)	`OtherNonOperatingIncomeExpenseOther`	$580.00K	USD	Annual
Other income (expense)	`OtherNonOperatingIncomeExpenseOther`	$1.85M	USD	Annual
Total other income/(expense), net	`OtherNonoperatingIncomeExpense`	$15.07M	USD	Annual
Total other income/(expense), net	`OtherNonoperatingIncomeExpense`	$8.45M	USD	Annual
Total other income/(expense), net	`OtherNonoperatingIncomeExpense`	$32.25M	USD	Annual
Total	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$243.02M	USD	Annual
Total	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$165.39M	USD	Annual
Total	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$180.41M	USD	Annual
Income tax provision	`IncomeTaxExpenseBenefit`	$42.52M	USD	Annual
Income tax provision	`IncomeTaxExpenseBenefit`	$52.85M	USD	Annual
Income tax provision	`IncomeTaxExpenseBenefit`	$31.22M	USD	Annual
Net income/(loss)	`NetIncomeLoss`	$149.19M	USD	Annual
Net income/(loss)	`NetIncomeLoss`	$190.17M	USD	Annual
Net income/(loss)	`NetIncomeLoss`	$122.87M	USD	Annual
Unrealized gain/(loss) on marketable securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-6.05M	USD	Annual
Unrealized gain/(loss) on marketable securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-14.04M	USD	Annual
Unrealized gain/(loss) on marketable securities	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$13.23M	USD	Annual
Foreign currency translation gain/(loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$1.21M	USD	Annual
Foreign currency translation gain/(loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-4.67M	USD	Annual
Foreign currency translation gain/(loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-3.82M	USD	Annual
Total other comprehensive income/(loss), net of tax	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-17.86M	USD	Annual
Total other comprehensive income/(loss), net of tax	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$14.44M	USD	Annual
Total other comprehensive income/(loss), net of tax	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-10.73M	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$137.31M	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$172.31M	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$138.46M	USD	Annual
Basic	`EarningsPerShareBasic`	$1.09	USD	Annual
Basic	`EarningsPerShareBasic`	$1.48	USD	Annual
Basic	`EarningsPerShareBasic`	$1.89	USD	Annual
Diluted	`EarningsPerShareDiluted`	$1.44	USD	Annual
Diluted	`EarningsPerShareDiluted`	$1.85	USD	Annual
Diluted	`EarningsPerShareDiluted`	$1.07	USD	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	113.09M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	100.47M	shares	Annual
Basic	`WeightedAverageNumberOfSharesOutstandingBasic`	100.73M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	114.63M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	102.64M	shares	Annual
Diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	103.62M	shares	Annual

Cash Flow Statement 107 line items

Line Item	Tag	Value	Unit	Period
Net income	`NetIncomeLoss`	$149.19M	USD	Annual
Net income	`NetIncomeLoss`	$190.17M	USD	Annual
Net income	`NetIncomeLoss`	$122.87M	USD	Annual
Acquired in-process research and development	`AcquiredResearchAndDevelopmentInProcess`	$150.00K	USD	Annual
Acquired in-process research and development	`AcquiredResearchAndDevelopmentInProcess`	$34.31M	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$144.73M	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$68.25M	USD	Annual
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$69.87M	USD	Annual
Amortization of premiums on marketable securities	`InvestmentIncomeNetAmortizationOfDiscountAndPremium`	$-793.00K	USD	Annual
Amortization of premiums on marketable securities	`InvestmentIncomeNetAmortizationOfDiscountAndPremium`	$-2.78M	USD	Annual
Amortization of premiums on marketable securities	`InvestmentIncomeNetAmortizationOfDiscountAndPremium`	$-5.39M	USD	Annual
Provision for excess and obsolete inventory	`InventoryWriteDown`	$10.96M	USD	Annual
Provision for excess and obsolete inventory	`InventoryWriteDown`	$6.14M	USD	Annual
Provision for excess and obsolete inventory	`InventoryWriteDown`	$6.40M	USD	Annual
Amortization of inventory fair value step up	`AmortizationOfInventoryFairValueStepUp`	$71.66M	USD	Annual
Amortization of 2025 Note fair value step up	`AmortizationOfNoteFairValueStepUp`	$8.18M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$52.74M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$30.59M	USD	Annual
Stock-based compensation expense	`ShareBasedCompensation`	$32.81M	USD	Annual
Allowance for doubtful accounts	`ProvisionForDoubtfulAccounts`	$1.20M	USD	Annual
Allowance for doubtful accounts	`ProvisionForDoubtfulAccounts`	$-1.00K	USD	Annual
Allowance for doubtful accounts	`ProvisionForDoubtfulAccounts`	$3.66M	USD	Annual
Change in fair value of business acquisition liabilities	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$5.13M	USD	Annual
Change in fair value of business acquisition liabilities	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$17.43M	USD	Annual
Change in fair value of business acquisition liabilities	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$16.81M	USD	Annual
Change in deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$-22.22M	USD	Annual
Change in deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$-17.61M	USD	Annual
Change in deferred income taxes	`DeferredIncomeTaxesAndTaxCredits`	$-57.79M	USD	Annual
(Gain)/loss on disposal of assets, net	`GainLossOnDispositionOfAssets1`	$-464.00K	USD	Annual
(Gain)/loss on disposal of assets, net	`GainLossOnDispositionOfAssets1`	$-1.54M	USD	Annual
(Gain)/loss on disposal of assets, net	`GainLossOnDispositionOfAssets1`	$-299.00K	USD	Annual
Payment of business acquisition related liabilities	`PaymentForContingentConsiderationLiabilityOperatingActivities`	$3.00M	USD	Annual
Payment of business acquisition related liabilities	`PaymentForContingentConsiderationLiabilityOperatingActivities`	$2.65M	USD	Annual
Payment of business acquisition related liabilities	`PaymentForContingentConsiderationLiabilityOperatingActivities`	$210.00K	USD	Annual
Net (gain)/loss from foreign currency adjustment	`NetGainLossFromForeignCurrencyAdjustment`	$-13.67M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$25.89M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$49.91M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$50.84M	USD	Annual
Inventories	`IncreaseDecreaseInInventories`	$70.33M	USD	Annual
Inventories	`IncreaseDecreaseInInventories`	$61.74M	USD	Annual
Inventories	`IncreaseDecreaseInInventories`	$11.97M	USD	Annual
Prepaid expenses and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$6.18M	USD	Annual
Prepaid expenses and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-1.15M	USD	Annual
Prepaid expenses and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$10.29M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$-14.22M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$3.68M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$14.42M	USD	Annual
Accrued expenses and other liabilities	`IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities`	$6.09M	USD	Annual
Accrued expenses and other liabilities	`IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities`	$17.13M	USD	Annual
Accrued expenses and other liabilities	`IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities`	$17.90M	USD	Annual
Income taxes payable/receivable	`IncreaseDecreaseInAccruedIncomeTaxesPayable`	$-2.89M	USD	Annual
Income taxes payable/receivable	`IncreaseDecreaseInAccruedIncomeTaxesPayable`	$5.21M	USD	Annual
Income taxes payable/receivable	`IncreaseDecreaseInAccruedIncomeTaxesPayable`	$-408.00K	USD	Annual
Net cash provided by/(used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$178.47M	USD	Annual
Net cash provided by/(used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$276.27M	USD	Annual
Net cash provided by/(used in) operating activities	`NetCashProvidedByUsedInOperatingActivities`	$243.50M	USD	Annual
Purchases of marketable securities	`PaymentsToAcquireInvestments`	$419.53M	USD	Annual
Purchases of marketable securities	`PaymentsToAcquireInvestments`	$100.64M	USD	Annual
Purchases of marketable securities	`PaymentsToAcquireInvestments`	$622.36M	USD	Annual
Maturities of marketable securities	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$240.19M	USD	Annual
Maturities of marketable securities	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$227.91M	USD	Annual
Maturities of marketable securities	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$312.22M	USD	Annual
Sales of marketable securities	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$109.90M	USD	Annual
Sales of marketable securities	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$537.72M	USD	Annual
Sales of marketable securities	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$102.43M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$78.27M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$74.05M	USD	Annual
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$56.90M	USD	Annual
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$34.49M	USD	Annual
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$31.43M	USD	Annual
Acquisition of businesses, net of cash acquired and purchases of intangible and other assets	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$296.03M	USD	Annual
Net cash provided by/(used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-110.36M	USD	Annual
Net cash provided by/(used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$302.97M	USD	Annual
Net cash provided by/(used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-375.94M	USD	Annual
Payment of business acquisition-related liabilities	`PaymentOfBusinessAcquisitionLiabilities`	$7.18M	USD	Annual
Payment of business acquisition-related liabilities	`PaymentOfBusinessAcquisitionLiabilities`	$9.35M	USD	Annual
Payment of business acquisition-related liabilities	`PaymentOfBusinessAcquisitionLiabilities`	$8.04M	USD	Annual
Net proceeds from exercise of stock options	`ProceedsFromStockOptionsExercised`	$41.72M	USD	Annual
Net proceeds from exercise of stock options	`ProceedsFromStockOptionsExercised`	$63.50M	USD	Annual
Net proceeds from exercise of stock options	`ProceedsFromStockOptionsExercised`	$12.40M	USD	Annual
Payments related to tax withholdings for share-based compensation	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$10.62M	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$144.49M	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$225.56M	USD	Annual
Net cash provided by/(used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-231.82M	USD	Annual
Net cash provided by/(used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-109.96M	USD	Annual
Net cash provided by/(used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$54.15M	USD	Annual
Effect of foreign exchange rates on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-810.00K	USD	Annual
Effect of foreign exchange rates on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-747.00K	USD	Annual
Effect of foreign exchange rates on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$2.18M	USD	Annual
Net increase/(decrease) in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$316.83M	USD	Annual
Net increase/(decrease) in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-42.60M	USD	Annual
Net increase/(decrease) in cash and cash equivalents	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-46.33M	USD	Annual
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$467.29M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$150.47M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$193.07M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$239.40M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$467.29M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$150.47M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$193.07M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$239.40M	USD	Point-in-time
Income taxes paid, net	`IncomeTaxesPaidNet`	$77.82M	USD	Annual
Income taxes paid, net	`IncomeTaxesPaidNet`	$45.03M	USD	Annual
Income taxes paid, net	`IncomeTaxesPaidNet`	$100.59M	USD	Annual
Equity issued in conjunction with the NuVasive Merger	`StockIssued1`	$2.15B	USD	Annual
Accrued purchases of property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$7.42M	USD	Annual
Accrued purchases of property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$7.10M	USD	Annual
Accrued purchases of property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$4.55M	USD	Annual

Stockholders Equity 25 line items

Line Item	Tag	Value	Unit	Period
Total equity, beginning of period	`StockholdersEquity`	$1.51B	USD	Point-in-time
Total equity, beginning of period	`StockholdersEquity`	$1.85B	USD	Point-in-time
Total equity, beginning of period	`StockholdersEquity`	$1.74B	USD	Point-in-time
Total equity, beginning of period	`StockholdersEquity`	$4.00B	USD	Point-in-time
Stock-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$33.47M	USD	Annual
Stock-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$31.25M	USD	Annual
Stock-based compensation	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$52.77M	USD	Annual
Grant of contingent restricted stock units	`StockIssuedDuringPeriodValueRestrictedStockAwardGross`	$1.88M	USD	Annual
Grant of contingent restricted stock units	`StockIssuedDuringPeriodValueRestrictedStockAwardGross`	$1.93M	USD	Annual
Grant of contingent restricted stock units	`StockIssuedDuringPeriodValueRestrictedStockAwardGross`	$1.99M	USD	Annual
Exercise of stock options (shares)	`StockIssuedDuringPeriodSharesStockOptionsExercised`	387,000.00	shares	Annual
Exercise of stock options	`StockIssuedDuringPeriodValueStockOptionsExercised`	$63.50M	USD	Annual
Exercise of stock options	`StockIssuedDuringPeriodValueStockOptionsExercised`	$12.40M	USD	Annual
Exercise of stock options	`StockIssuedDuringPeriodValueStockOptionsExercised`	$41.72M	USD	Annual
Issuance of Class A common stock under employee and director equity option plans, net	`StockIssuedDuringPeriodValueEmployeeStockPurchasePlan`	$11.41M	USD	Annual
Issuance of Class A equity for NuVasive Merger	`StockIssuedDuringPeriodValueAcquisitions`	$2.18B	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$137.31M	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$172.31M	USD	Annual
Comprehensive income/(loss)	`ComprehensiveIncomeNetOfTax`	$138.46M	USD	Annual
Repurchase and retirement of common stock	`StockRepurchasedAndRetiredDuringPeriodValue`	$225.56M	USD	Annual
Repurchase and retirement of common stock	`StockRepurchasedAndRetiredDuringPeriodValue`	$144.49M	USD	Annual
Total equity, end of period	`StockholdersEquity`	$1.51B	USD	Point-in-time
Total equity, end of period	`StockholdersEquity`	$1.85B	USD	Point-in-time
Total equity, end of period	`StockholdersEquity`	$1.74B	USD	Point-in-time
Total equity, end of period	`StockholdersEquity`	$4.00B	USD	Point-in-time

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.