Globus Medical, Inc. [GMED] · Equity Underwriting Memo

Trade Construction

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.


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