Strong Top-line Growth
Q1 revenue of $759.9M, up 27.0% as reported and up 25.5% on a constant currency basis, driven by broad-based strength across businesses.
Significant EPS and Margin Expansion
Fully diluted non-GAAP EPS of $1.12 in Q1, up 64.7% year-over-year; GAAP EPS of $0.90. Adjusted gross profit margin improved to 69.2% (GAAP gross margin 66.4% vs 63.6% prior year). Adjusted EBITDA margin was 32.3%.
Base Business Momentum
Base business revenue of $677.2M, up 13.2% as reported (11.9% constant currency); base musculoskeletal revenue $650.3M, up 12.9% as reported, indicating healthy organic growth across legacy operations.
U.S. Spine Outperformance and Share Gains
U.S. Spine grew ~10% in Q1 (third consecutive quarter of ~10% growth) and the company reported 58 weeks of consecutive growth, with growth driven largely by market share gains across multiple implant categories.
Enabling Technologies and Robotics Traction
Enabling Technologies revenue $26.9M, up ~21% year-over-year; ExcelsiusGPS has supported almost 130,000 robotic procedures to date, supporting continued robotics pull-through and cross-selling opportunities.
International and Trauma Strength
International Spine grew 16.4% as reported and 9.8% constant currency. Trauma business grew 34% year-over-year; neuromonitoring and trauma each grew over 30%, and PRECICE manufacturing now fully supplying the market.
Product and Regulatory Wins
Received two FDA 510(k) clearances early in Q2 for patient-specific Scripps lumbar spacers (7 systems) and Scripps patient-specific rods, positioning the company as the only provider of a complete integrated patient-specific lumbar implant portfolio with its enabling tech.
Balance Sheet and Cash Generation
Cash, cash equivalents, and marketable securities of $799.3M as of 03/31/2026 (up from $629.1M), operating cash flow of $202.4M, and capital expenditures of $39.6M (5.2% of sales). Reiterated $500M buyback program with $390M remaining authorization; company is debt-free after prior debt extinguishment.
Upgraded Full-Year Profit Guidance
Reaffirmed 2026 revenue guidance of $3.18B–$3.22B (implying 8.2%–9.6% growth) and raised non-GAAP fully diluted EPS guidance to $4.70–$4.80 (up from $4.40–$4.50), implying EPS growth of 18.1%–20.6% vs. 2025 driven by margin expansion.