Globus Medical [GMED] — Trade Construction & Liquidity
Analysis date: 2026-07-29 · Spot $80.64 (Alpaca IEX close, 2026-07-28) This document constructs no position and issues no verdict. It scores the Liquidity Criteria, states what vehicles are and are not fillable, and specifies the entry-timing and invalidation mechanics a book would need.
1. Liquidity Criteria — BINDING
1.1 Common stock — PASS
| Market capitalisation | $10,946.5m |
| Free float | Class A 113.2m shares of 135.7m total; Class B 22.4m is the founder/insider class |
| 20-day average dollar volume, IEX tape only | $9.5m/day (122,182 shares/day) |
| 252-day realised volatility | 45.7% |
| 52-week range | $52.60 – $96.80; spot is 83.3% of the high |
The ADV figure is a partial tape and is not the consolidated number. IEX represents a low-single-digit share of US consolidated volume; the true consolidated ADV for a $10.9bn NYSE-listed S&P constituent is materially higher, but it is not obtainable from this data source and no consolidated figure is asserted here. On the partial tape alone, a $10m position is roughly one day of IEX-printed volume — comfortably fillable on the consolidated tape over one to two sessions.
1.2 Options — FAIL for any dated structure
criteria.md: "Any proposed options structure requires the actual chain pulled first — open interest and
quoted size for the specific strikes and expiry... A vehicle that cannot be filled is not a vehicle."
The full chain was pulled from Alpaca (paper-api.alpaca.markets/v2/options/contracts, all expiries
2026-08-01 → 2028-01-31), with quotes and Greeks from the snapshots endpoint.
| Expiry | Listed contracts | Total open interest, entire chain |
|---|---|---|
| 2026-08-21 | 38 | 2,987 |
| 2026-09-18 | 58 | 2,003 |
| 2026-12-18 | 60 | 568 |
| 2027-03-19 | 48 | 13 |
There is no listed expiry beyond March 2027. The March 2027 chain — the only expiry that spans a 12-month
horizon — carries 13 contracts of open interest across 48 listed strikes. This is the HCA failure mode named
verbatim in criteria.md ("the maximum open interest across an entire March-2027 chain was 18 contracts").
GMED is worse.
Quoted spreads on the December 2026 calls, which is the deepest expiry with any duration:
| Strike | Open interest | Bid × size / Ask × size | Mid | Spread as % of mid |
|---|---|---|---|---|
| $80.0 | 19 | 8.00 ×82 / 11.50 ×88 | 9.75 | 36% |
| $85.0 | 16 | 5.94 ×1 / 9.12 ×30 | 7.53 | 42% |
| $90.0 | 17 | 4.02 ×26 / 7.44 ×30 | 5.73 | 60% |
| $95.0 | 3 | 2.58 ×30 / 5.97 ×31 | 4.28 | 79% |
| $100.0 | 16 | 1.63 ×35 / 4.84 ×31 | 3.24 | 99% |
A 36–99% bid-ask spread means a defined-risk call spread pays roughly half its maximum payoff to the market maker on entry, and the same again to exit. The quoted sizes (30–90 contracts) are auto-quotes at a spread nobody is trading; open interest of 3–19 contracts is the evidence that they are not being hit.
The September 2026 chain is marginally better (OI 419 at $90, 258 at $85, 251 at $95) but expires in 51 days — before Q3 2026 results, and far short of any thesis horizon. Spreads there are 40–80% of mid.
Conclusion: common stock is the only investable vehicle in this name. No options structure is proposed, because none can be filled at a price that leaves the thesis intact. This is a finding, not an omission.
2. Entry timing — the Momentum Criteria applied
MEASURED. Governs when, never whether.
| Signal | Value | Read |
|---|---|---|
| 12-1 momentum | +46.6% | 79th percentile cross-sectionally (n=941) |
| 6-1 momentum | −7.2% | Negative |
| 3-month return | −11.1% | Negative |
| RSI-14 | 59.6 | Neutral-constructive |
| 50-day MA | $79.62 | Spot above |
| 200-day MA | $83.61 | Spot below — by 3.6% |
| % of 52-week high | 83.3% |
The signals disagree, and the disagreement is informative. Twelve-month momentum is strong and cross-sectionally top-quintile; six-month and three-month momentum are negative, and the stock is below its 200-day. The tape has been de-rating since spring while the fundamentals accelerated — organic growth went +7.0% → +10.6% → +13.2% over exactly the period in which the stock fell 11%.
That gap is either the opportunity or the warning. It resolves on a date: Q2 2026 results, expected ~6 August 2026 (GMED reported Q2 2025 on 7 August 2025).
Timing implication for a book that has decided to own it: the reclaim of the 200-day at $83.61 is the cleanest technical confirmation available, and it sits 3.7% above spot — i.e. a book can wait for it cheaply. Entering ahead of Q2 results buys the print; entering after it buys confirmation at a worse price if the print is good. Neither is a selection question.
3. Invalidation — what would falsify the analysis
These are stated as levels and as facts, so a book can wire them to a monitor.
| # | Invalidation | Threshold | Why it kills the thesis |
|---|---|---|---|
| 1 | Base-business growth decelerates | Q2 or Q3 2026 base-business YoY below +8% | The mechanism is a five-quarter monotone acceleration. Two prints below the FY2026 guidance-implied ~8.5% rate mean the rebound is a rebound, not a share gain. |
| 2 | FY2026 guidance cut | Any reduction to the $3.18–3.22bn revenue range | Guidance has been raised twice on EPS and reaffirmed twice on revenue. A cut reverses the single strongest corroborating signal. |
| 3 | Nevro erosion accelerates | Nevro quarterly revenue below $78m (Q1'26 was $82.7m) | Currently −7.9% TTM. A step down to double-digit decline turns a 12%-of-revenue asset from a drag into a hole in group growth. |
| 4 | Enabling Technologies rolls back over | Two consecutive quarters of negative ET YoY | The second leg of the mechanism. ET is +19%/+21% off a −8.4% year; a relapse means the 2025 recovery was a comp, not a cycle. |
| 5 | Price | Sustained trade below $62 | The reference book's target, and the level implied by a 5% organic terminal rate at a 16.5x exit / 17% terminal margin. Below it the market has adopted the bear case and the valuation margin is gone. |
| 6 | Gross margin ex-step-up falls below 65% | quarterly | The step-up burn-off is complete ($19.5m in FY2025 vs $215.4m in FY2024). From here gross margin is an operating number with nothing left to hide behind. |
4. Position mechanics, if a book chooses to own it
Specified, not recommended.
- Vehicle: common stock only. See §1.2.
- Sizing input — inverse volatility. 252-day realised vol is 45.7%, which is high for large-cap medtech
(Stryker and Edwards run 20–25%). Under the book's inverse-volatility convention this name sizes down roughly
2x versus a 23%-vol medtech peer for the same risk contribution. That is the active protection against the
Downside Criteria's fat left tail, per
criteria.md. - Correlation note for the book's concentration limits: sub-sector tag LC MedTech. The nearest existing coverage names by sub-sector and end-market are SYK, EW and ISRG. GMED's specific end-market (spine and musculoskeletal implants) does not overlap those directly, but the hospital-capital-budget and elective-procedure-volume factors do. The book, not this memo, decides whether that is one exposure or four.
- Catalyst density is high and near. Q2 2026 results (~6 Aug), Q3 (~early Nov), FY2026 results + FY2027 guidance (~late Feb 2027). Three dated resolution points inside twelve months, which is unusually favourable for a thesis whose central uncertainty is a single observable number.
5. Liquidity Criteria — result
| Common stock | PASS |
| Options (any dated structure) | FAIL — March-2027 chain total open interest = 13 contracts; December-2026 spreads 36–99% of mid |
| Vehicle available to a book | Common stock, sized on inverse volatility at 45.7% realised |