UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. _)*

GLOBUS MEDICAL, INC.                              
-------------------------------------------------------------------------------
(Name of Issuer)

Class A Common Stock, $0.001 par value per share
-------------------------------------------------------------------------------
(Title of Class of Securities)

379577208
--------------------------------------------
(CUSIP Number)

December 31, 2012
-------------------------------------------------------------------------------
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:

[_] Rule 13d-1(b)

[_] Rule 13d-1(c)

[X] Rule 13d-1(d)

*The  remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, 
and for any  subsequent  amendment  containing  information which  would  alter
the disclosures provided in a prior cover page.

The  information  required in the  remainder  of this  cover page shall  not be
deemed to be "filed" for the purpose of Section 18 of the  Securities  Exchange
Act of 1934 ("Act") or otherwise  subject to the liabilities of that section of
the Act but  shall be  subject  to all other  provisions  of the Act  (however,
see the Notes).

Page 1 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

THE GOLDMAN SACHS GROUP, INC.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
7,652,897
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
7,653,897

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

7,653,897

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

12.0 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

HC-CO

------------------------------------------------------------------------------

Page 2 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN, SACHS & CO.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

New York

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
7,652,897
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
7,653,897

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

7,653,897

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

12.0 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

BD-PN-IA

------------------------------------------------------------------------------

Page 3 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GS DIRECT, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
3,821,765
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
3,821,765

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

3,821,765

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

6.0 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 4 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

Goldman Sachs Investment Partners Master Fund, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
2,293,058
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
2,293,058

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

2,293,058

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

3.6 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 5 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

Goldman Sachs Investment Partners GP, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
2,293,058
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
2,293,058

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

2,293,058

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

3.6 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 6 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE HOLDINGS, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
559,254
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
559,254

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

559,254

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.9 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 7 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
559,254
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
559,254

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

559,254

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.9 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

CO

------------------------------------------------------------------------------

Page 8 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
386,284
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
386,284

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

386,284

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.6 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 9 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
386,284
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
386,284

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

386,284

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.6 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 10 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

MULTI-STRATEGY HOLDINGS, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
160,291
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
160,291

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

160,291

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.3 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 11 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
160,291
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
160,291

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

160,291

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.3 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

CO

------------------------------------------------------------------------------

Page 12 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUND, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
134,964
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
134,964

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

134,964

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.2 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 13 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUNDS GP, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
134,964
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
134,964

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

134,964

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.2 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 14 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

Goldman Sachs Private Equity Concentrated Healthcare Fund 
Offshore Holdings, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
110,769
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
110,769

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

110,769

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.2 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 15 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

Goldman Sachs Private Equity Concentrated Healthcare 
Offshore Holdings Advisors, Inc.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Cayman Islands

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
110,769
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
110,769

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

110,769

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.2 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

CO

------------------------------------------------------------------------------

Page 16 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
91,177
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
91,177

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

91,177

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.1 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 17 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
91,177
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
91,177

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

91,177

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.1 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 18 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
85,964
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
85,964

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

85,964

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.1 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN

------------------------------------------------------------------------------

Page 19 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
85,964
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
85,964

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

85,964

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

0.1 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO

------------------------------------------------------------------------------

Page 20 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GOLDMAN SACHS ASSET MANAGEMENT, L.P.

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
1,528,703
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
1,528,703

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

1,528,703

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

2.4 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

PN-IA

------------------------------------------------------------------------------

Page 21 of 49  

-----------------------
CUSIP No. 379577208                   13G
-----------------------

------------------------------------------------------------------------------
1.   Name of Reporting Person
I.R.S. Identification No. of above Person

GS INVESTMENT STRATEGIES, LLC

------------------------------------------------------------------------------
2.   Check the Appropriate Box if a Member of a Group

(a) [_]
(b) [_]
------------------------------------------------------------------------------
3.   SEC Use Only

------------------------------------------------------------------------------
4.   Citizenship or Place of Organization

Delaware

------------------------------------------------------------------------------
5.   Sole Voting Power

Number of                 0

Shares        ----------------------------------------------------------
6.   Shared Voting Power
Beneficially
2,293,058
Owned by
----------------------------------------------------------
Each          7.   Sole Dispositive Power

Reporting                  0

Person        ----------------------------------------------------------
8.   Shared Dispositive Power
With:
2,293,058

------------------------------------------------------------------------------
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

2,293,058

------------------------------------------------------------------------------
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares

[_]

------------------------------------------------------------------------------
11.   Percent of Class Represented by Amount in Row (9)

3.6 %

------------------------------------------------------------------------------
12.   Type of Reporting Person

OO-IA

------------------------------------------------------------------------------

Page 22 of 49  

Item 1(a).         Name of Issuer:
GLOBUS MEDICAL, INC.

Item 1(b).         Address of Issuer's Principal Executive Offices:
2560 General Armistead Avenue               
Audubon, PA 19403               

Item 2(a).         Name of Persons Filing:

THE GOLDMAN SACHS GROUP, INC. 
GOLDMAN, SACHS & CO. 
GS DIRECT, L.L.C. 
Goldman Sachs Investment Partners Master Fund, L.P.
Goldman Sachs Investment Partners GP, L.L.C.
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE
HOLDINGS, L.P.
GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P.
GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C. 
MULTI-STRATEGY HOLDINGS, L.P. 
MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC. 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE 
FUND, L.P. 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUNDS 
GP, L.L.C. 
Goldman Sachs Private Equity Concentrated Healthcare Fund 
Offshore Holdings, L.P. 
Goldman Sachs Private Equity Concentrated Healthcare 
Offshore Holdings Advisors, Inc.
GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT 
FUND, L.P. 
GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C. 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P. 
GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C. 
GOLDMAN SACHS ASSET MANAGEMENT, L.P. 
GS INVESTMENT STRATEGIES, LLC 

Item 2(b).         Address of Principal Business Office or, if none, Residence:
THE GOLDMAN SACHS GROUP, INC., GOLDMAN, SACHS & CO., 
GS DIRECT, L.L.C., Goldman Sachs Investment Partners 
GP, L.L.C., GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 
OFFSHORE HOLDINGS, L.P., GOLDMAN SACHS PEP 2004 OFFSHORE
HOLDINGS ADVISORS, INC., GOLDMAN SACHS PRIVATE EQUITY 
PARTNERS2004 - DIRECT INVESTMENT FUND, L.P., GOLDMAN SACHS
PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C., MULTI-STRATEGY
HOLDINGS, L.P., MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS
INC., GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE
FUND, L.P., GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 
EMPLOYEE FUNDS GP, L.L.C., Goldman Sachs Private Equity 
Concentrated Healthcare Fund Offshore Holdings, L.P., 
Goldman Sachs Private Equity Concentrated Healthcare 
Offshore Holdings Advisors, Inc., GS PRIVATE EQUITY 
PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P., GS PEP 2002 
DIRECT INVESTMENT ADVISORS, L.L.C., GOLDMAN SACHS PRIVATE 
EQUITY PARTNERS 2004, L.P., GOLDMAN SACHS PEP 2004 
ADVISORS, L.L.C., GOLDMAN SACHS ASSET MANAGEMENT, L.P., GS 
INVESTMENT STRATEGIES, LLC:
200 West Street, New York, NY 10282

Goldman Sachs Investment Partners Master Fund, L.P.:
190 Elgin Street, George Town, Cayman Islands KY1-9005

Item 2(c).         Citizenship:
THE GOLDMAN SACHS GROUP, INC. - Delaware
GOLDMAN, SACHS & CO. - New York
GS DIRECT, L.L.C. - Delaware
Goldman Sachs Investment Partners Master Fund, L.P. 
- Cayman Islands
Goldman Sachs Investment Partners GP, L.L.C. - Delaware
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE 
HOLDINGS, L.P. - Cayman Islands
GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC. 
- Cayman Islands
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P. - Delaware
GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C. 
- Delaware
MULTI-STRATEGY HOLDINGS, L.P. - Cayman Islands
MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC. 
- Cayman Islands
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE
FUND, L.P. - Delaware
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUNDS 
GP, L.L.C. - Delaware
Goldman Sachs Private Equity Concentrated Healthcare Fund 
Offshore Holdings, L.P. - Cayman Islands
Goldman Sachs Private Equity Concentrated Healthcare 
Offshore Holdings Advisors, Inc. - Cayman Islands
GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT 
FUND, L.P. - Delaware
GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C. - Delaware
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P. - Delaware
GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C. - Delaware
GOLDMAN SACHS ASSET MANAGEMENT, L.P. - Delaware
GS INVESTMENT STRATEGIES, LLC - Delaware

Item 2(d).         Title of Class of Securities:
Class A Common Stock, $0.001 par value per share

Item 2(e).         CUSIP Number:
379577208

Item 3.            If this statement is filed pursuant to Rules 13d-1(b) or
13d-2(b) or (c), check whether the person filing is a:

(a).[  ]  Broker or dealer registered under Section 15 of the Act
(15 U.S.C. 78o).

(b).[  ]  Bank as defined in Section 3(a)(6) of the Act
(15 U.S.C. 78c).

(c).[  ]  Insurance company as defined in Section 3(a)(19) of the Act
(15 U.S.C. 78c).

(d).[  ]  Investment company registered under Section 8 of the
Investment Company Act of 1940 (15 U.S.C. 80a-8).

(e).[  ]  An investment adviser in accordance with
Rule 13d-1(b)(1)(ii)(E);

(f).[  ]  An employee benefit plan or endowment fund in accordance
with Rule 13d-1(b)(1)(ii)(F);

(g).[  ]  A parent holding company or control person in accordance
with Rule 13d-1(b)(1)(ii)(G);

(h).[  ]  A savings association as defined in Section 3(b) of the
Federal Deposit Insurance Act (12 U.S.C. 1813);

(i).[  ]  A church plan that is excluded from the definition of an
investment company under Section 3(c)(14) of the
Investment Company Act of 1940 (15 U.S.C. 80a-3);

(j).[  ]  Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

Page 23 of 49  

Item 4.            Ownership.*

(a).     Amount beneficially owned:
See the response(s) to Item 9 on the attached cover page(s).

(b).     Percent of Class:
See the response(s)to Item 11 on the attached cover page(s).

(c).     Number of shares as to which such person has:

(i).    Sole power to vote or to direct  the vote:  See the
response(s) to Item 5 on the attached cover page(s).

(ii).   Shared power to vote or to direct the vote:  See the
response(s) to Item 6 on the attached cover page(s).

(iii).  Sole power to  dispose or to direct  the disposition
of:  See the response(s) to  Item 7  on the attached
cover page(s).

(iv).   Shared power to dispose or to direct the disposition
of:  See the response(s) to  Item 8  on the attached
cover page(s).

* Goldman Sachs Investment Partners Master Fund, L.P.("GSIP Master"),
Goldman Sachs Private Equity Partners 2004 Offshore Holdings, L.P.
("GS PEP 2004 Offshore"), Goldman Sachs Private Equity Partners 
2004 - Direct Investment Fund, L.P. ("GS PEP 2004 Direct"), 
Multi-Strategy Holdings, L.P.("Multi-Strategy LP"), Goldman Sachs 
Private Equity Partners 2004 Employee Fund, L.P.("GS PEP 2004 
Employee"), Goldman Sachs Private Equity Concentrated Healthcare 
Fund Offshore Holdings, L.P.("GS PE Healthcare Fund"), GS Private 
Equity Partners 2002 - Direct Investment Fund, L.P.("GS PEP 2002 
Direct"), Goldman Sachs Private Equity Partners 2004, L.P.("GS PEP
2004"), and GS Direct, L.L.C.("GS Direct") are the owners of record
of the Securities reported herein by such entities (collectively, 
the "Investing Entities").

Goldman Sachs Investment Partners GP, LLC("GSIP GP")is the general
partner of GSIP Master; Goldman Sachs PEP 2004 Offshore Holdings 
Advisors,Inc.("GS PEP 2004 Offshore Advisors GP")is the general 
partner of GS PEP 2004 Offshore; Goldman Sachs PEP 2004 Direct 
Investment Advisors, L.L.C. ("GS PEP 2004 Direct Advisors GP")is 
the general partner of GS PEP 2004 Direct; Multi-Strategy Holdings
Offshore Advisors, Inc.("Multi-Strategy Advisors GP")is the general
partner of Multi-Strategy LP; Goldman Sachs Private Equity Partners
2004 Employee Funds GP, L.L.C. ("GS PEP 2004 Employee Funds GP")is
the general partner of GS PEP 2004 Employee; Goldman Sachs Private 
Equity Concentrated Healthcare Offshore Holdings Advisors, Inc.
("GS PE Healthcare Advisors GP")is the general partner of GS PE 
Healthcare Fund; GS PEP 2002 Direct Investment Advisors, L.L.C.("GS
PEP 2002 Direct LLC GP") is the general partner of GS PEP 2002 
Direct; and Goldman Sachs PEP 2004 Advisors, L.L.C.("GS PEP 2004
Advisors GP") is the general partner of GS PEP 2004.(GSIP GP, GS 
PEP 2004 Offshore Advisors GP, GS PEP 2004 Direct Advisors GP, 
Multi-Strategy Advisors GP, GS PEP 2004 Employee Funds GP, GS PE
Healthcare Advisors GP, GS PEP 2002 Direct LLC GP, and GS PEP 2004
Advisors GP are collectively referred to herein as the "General
Partners".) Goldman, Sachs & Co.("Goldman Sachs")is the manager
of GS Direct.

GS Investment Strategies, LLC is the investment adviser to GSIP
Master. Goldman Sachs Asset Management, L.P. is the investment 
adviser to GS PEP 2004 Offshore, GS PEP 2004 Direct, Multi-Strategy
LP, GS PEP 2004 Employee, GS PE Healthcare Fund, GS PEP 2002 Direct,
and GS PEP 2004. (GS Investment Strategies, LLC and Goldman Sachs
Asset Management, L.P. are collectively referred to herein as the 
"Investment Advisers".)

The Goldman Sachs Group,Inc.("GS Group")is the parent holding
company of the General Partners, the Investment Advisers and 
Goldman Sachs as well as the sole member of GS Direct.  

Each of the General Partners and the Investment Advisers may
be deemed to beneficially own the Securities held by the Investing
Entities of which they are the general partner or investment 
adviser. Each of GS Group and Goldman Sachs may be deemed to 
indirectly beneficially own the Securities reported herein by 
reason of the direct beneficial ownership by the Investing 
Entities of such Securities.

Item 5.            Ownership of Five Percent or Less of a Class.
Not Applicable

Item 6.            Ownership of More than Five Percent on Behalf of Another
Person.

Clients  of  the  Reporting  Person(s) have or  may have the
right  to  receive or  the power  to  direct the  receipt of
dividends from, or the proceeds from the sale of, securities
held  in their accounts. Clients known to have such right or
power  with   respect  to  more  than 5%  of  the  class  of
securities to which this report relates are:
NONE

Item 7.            Identification  and  Classification  of the Subsidiary Which
Acquired  the  Security  Being  Reported  on  by the  Parent
Holding Company.
See Exhibit (99.2)

Item 8.            Identification and Classification of Members of the Group.
Not Applicable

Item 9.            Notice of Dissolution of Group.
Not Applicable

Item 10.           Certification.
Not Applicable

--------------------------

*In accordance with the Securities and Exchange Commission Release No.
34-39538 (January 12, 1998) (the "Release"), this filing reflects the securities
beneficially owned by certain operating units (collectively, the "Goldman Sachs
Reporting Units") of The Goldman Sachs Group, Inc. and its subsidiaries and
affiliates (collectively, "GSG"). This filing does not reflect securities, if
any, beneficially owned by any operating units of GSG whose ownership of
securities is disaggregated from that of the Goldman Sachs Reporting Units in
accordance with the Release. The Goldman Sachs Reporting Units disclaim
beneficial ownership of the securities beneficially owned by (i) any client
accounts with respect to which the Goldman Sachs Reporting Units or their
employees have voting or investment discretion or both, or with respect to
which there are limits on their voting or investment authority or both and
(ii) certain investment entities of which the Goldman Sachs Reporting Units
act as the general partner, managing general partner or other manager, to the
extent interests in such entities are held by persons other than the Goldman
Sachs Reporting Units.

Page 24 of 49  

SIGNATURE

After reasonable inquiry and to the best of my knowledge
and belief,  I certify that the information set forth in
this statement is true, complete and correct.

Date:  February 14, 2013

THE GOLDMAN SACHS GROUP, INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN, SACHS & CO.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS DIRECT, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Investment Partners Master Fund, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Investment Partners GP, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE
HOLDINGS, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

MULTI-STRATEGY HOLDINGS, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE 
FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUNDS 
GP, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Private Equity Concentrated Healthcare Fund 
Offshore Holdings, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Private Equity Concentrated Healthcare Offshore 
Holdings Advisors, Inc.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS ASSET MANAGEMENT, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS INVESTMENT STRATEGIES, LLC

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Page 25 of 49  

INDEX TO EXHIBITS

Exhibit No.             Exhibit
-----------             -------
99.1          Joint Filing Agreement
99.2          Item 7 Information
99.3          Power of Attorney, relating to 
THE GOLDMAN SACHS GROUP, INC.
99.4          Power of Attorney, relating to 
GOLDMAN, SACHS & CO.
99.5          Power of Attorney, relating to 
GS DIRECT, L.L.C.
99.6          Power of Attorney, relating to 
Goldman Sachs Investment Partners Master Fund, L.P.
99.7          Power of Attorney, relating to 
Goldman Sachs Investment Partners GP, L.L.C.
99.8          Power of Attorney, relating to 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE 
HOLDINGS, L.P.
99.9          Power of Attorney, relating to 
GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.
99.10         Power of Attorney, relating to 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P.
99.11         Power of Attorney, relating to 
GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.
99.12         Power of Attorney, relating to 
MULTI-STRATEGY HOLDINGS, L.P.
99.13         Power of Attorney, relating to 
MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC.
99.14         Power of Attorney, relating to 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUND, L.P.
99.15         Power of Attorney, relating to 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE 
FUNDS GP, L.L.C.
99.16         Power of Attorney, relating to 
Goldman Sachs Private Equity Concentrated Healthcare Fund 
Offshore Holdings, L.P.
99.17         Power of Attorney, relating to 
Goldman Sachs Private Equity Concentrated Healthcare Offshore 
Holdings Advisors, Inc.
99.18         Power of Attorney, relating to 
GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P.
99.19         Power of Attorney, relating to 
GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.
99.20         Power of Attorney, relating to 
GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P.
99.21         Power of Attorney, relating to 
GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.
99.22         Power of Attorney, relating to 
GOLDMAN SACHS ASSET MANAGEMENT, L.P.
99.23         Power of Attorney, relating to 
GS INVESTMENT STRATEGIES, LLC

Page 26 of 49  

EXHIBIT (99.1)

JOINT FILING AGREEMENT

In  accordance  with Rule  13d-1(k)(1)  promulgated  under  the  Securities
Exchange Act of 1934, the  undersigned agree to the joint filing of a Statement
on Schedule 13G (including  any and all amendments thereto) with respect to the
Class A Common Stock, $0.001 par value per share, of GLOBUS MEDICAL, INC. 
and further agree to the filing of this agreement  as an Exhibit thereto. 
In addition, each party to this Agreement expressly authorizes each other party
to this Agreement to file on its behalf any and all amendments to such Statement
on Schedule 13G.

Date:  February 14, 2013

THE GOLDMAN SACHS GROUP, INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN, SACHS & CO.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS DIRECT, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Investment Partners Master Fund, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Investment Partners GP, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE 
HOLDINGS, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT 
INVESTMENT FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

MULTI-STRATEGY HOLDINGS, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE 
FUNDS GP, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Private Equity Concentrated Healthcare Fund
Offshore Holdings, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Goldman Sachs Private Equity Concentrated Healthcare Offshore
Holdings Advisors, Inc.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GOLDMAN SACHS ASSET MANAGEMENT, L.P.

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

GS INVESTMENT STRATEGIES, LLC

By:/s/  Jeremy  Kahn
----------------------------------------
Name:   Jeremy  Kahn
Title:  Attorney-in-fact

Page 27 of 49  

EXHIBIT (99.2)

ITEM 7 INFORMATION

As reported herein, certain of the securities being reported on by The Goldman
Sachs Group, Inc. ("GS Group"), as a parent holding company,(i) are held by, and
may be deemed to be beneficially owned by, Goldman Sachs Investment Partners
Master Fund, L.P. ("GSIP Master"); Goldman Sachs Private Equity Partners 2004 
Offshore Holdings, L.P. ("GS PEP 2004 Offshore"); Goldman Sachs Private Equity
Partners 2004 - Direct Investment Fund, L.P. ("GS PEP 2004 Direct"); 
Multi-Strategy Holdings, L.P. ("Multi-Strategy LP"); Goldman Sachs Private 
Equity Partners 2004 Employee Fund, L.P.("GS PEP 2004 Employee"); Goldman Sachs 
Private Equity Concentrated Healthcare Fund Offshore Holdings, L.P. ("GS PE 
Healthcare Fund"); GS Private Equity Partners 2002 - Direct Investment 
Fund, L.P.("GS PEP 2002 Direct"); Goldman Sachs Private Equity Partners 2004, 
L.P. ("GS PEP 2004"); and GS Direct, L.L.C. ("GS Direct") and (ii) may
be deemed to be beneficially owned by Goldman Sachs Investment Partners
GP, LLC ("GSIP GP"), which is the general partner of GSIP Master; Goldman 
Sachs PEP 2004 Offshore Holdings Advisors, Inc. ("GS PEP 2004 Offshore 
Advisors GP"), which is the general partner of GS PEP 2004 Offshore;
Goldman Sachs PEP 2004 Direct Investment Advisors, L.L.C. ("GS PEP 2004 
Direct Advisors GP"), which is the general partner of GS PEP 2004 Direct; 
Multi-Strategy Holdings Offshore Advisors, Inc. ("Multi-Strategy Advisors GP"),
which is the general partner of Multi-Strategy LP; Goldman Sachs Private 
Equity Partners 2004 Employee Funds GP, L.L.C. ("GS PEP 2004 Employee Funds 
GP"), which is the general partner of GS PEP 2004 Employee; Goldman Sachs 
Private Equity Concentrated Healthcare Offshore Holdings Advisors, Inc.
("GS PE Healthcare Advisors GP"), which is the general partner of GS PE 
Healthcare Fund; GS PEP 2002 Direct Investment Advisors, L.L.C.("GS PEP 2002
Direct LLC GP"), which is the general partner of GS PEP 2002 Direct; Goldman
Sachs PEP 2004 Advisors, L.L.C. ("GS PEP 2004 Advisors GP"), which is the 
general partner of GS PEP 2004; Goldman, Sachs & Co.("Goldman Sachs"), which
is the manager of GS Direct; GS Investment Strategies, LLC, which is the
investment adviser to GSIP Master; and Goldman Sachs Asset Management, L.P.,
which is the investment adviser to GS PEP 2004 Offshore, GS PEP 2004 Direct,
Multi-Strategy LP, GS PEP 2004 Employee, GS PE Healthcare Fund, GS PEP 2002
Direct, and GS PEP 2004.(GSIP GP, GS PEP 2004 Offshore Advisors GP, GS PEP
2004 Direct Advisors GP, Multi-Strategy Advisors GP, GS PEP 2004 Employee 
Funds GP, GS PE Healthcare Advisors GP, GS PEP 2002 Direct LLC GP, and GS PEP
2004 Advisors GP are collectively referred to herein as the "General Partners"
and GS Investment Strategies, LLC and Goldman Sachs Asset Management, L.P. are
collectively referred to herein as the "Investment Advisers".)

GS Group is the parent holding company of the General Partners, the Investment
Advisers and Goldman Sachs as well as the sole member of GS Direct. 

Page 28 of 49  

EXHIBIT (99.3)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that THE GOLDMAN SACHS GROUP, INC. (the 
"Company") does hereby make, constitute and appoint each of Dan Deluca, Jeremy 
Kahn and Brian Bae (and any other employee of The Goldman Sachs Group, Inc. or 
one of its affiliates designated in writing by one of the attorneys-in-fact), 
acting individually, its true and lawful attorney, to execute and deliver in 
its name and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the 
Company under the Securities Exchange Act of 1934, (as amended, the "Act"), 
with respect to securities which may be deemed to be beneficially owned by the 
Company under the Act, giving and granting unto each said attorney-in-fact 
power and authority to act in the premises as fully and to all intents and 
purposes as the Company might or could do if personally present by one of its 
authorized signatories, hereby ratifying and confirming all that said attorney-
in-fact shall lawfully do or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates. The Company 
has the unrestricted right to unilaterally revoke this Power of Attorney.

This Power of Attorney shall be governed by, and construed in accordance with,
the laws of the State of New York, without regard to rules of conflicts of law.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
November 27, 2012.

THE GOLDMAN SACHS GROUP, INC.

By: /s/ Gregory K. Palm
____________________________
Name:   Gregory K. Palm
Title:  Executive Vice President and
General Counsel

Page 29 of 49  

EXHIBIT (99.4)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN, SACHS & CO. (the "Company") 
does hereby make, constitute and appoint each of Dan Deluca, Jeremy Kahn and 
Brian Bae  (and any other employee of The Goldman Sachs Group, Inc. or one of 
its affiliates designated in writing by one of the attorneys-in-fact), acting 
individually, its true and lawful attorney, to execute and deliver in its name 
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under 
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company 
might or could do if personally present by one of its authorized signatories,
hereby ratifying and confirming all that said attorney-in-fact shall lawfully do
or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates. The Company 
has the unrestricted right to unilaterally revoke this Power of Attorney.

This Power of Attorney shall be governed by, and construed in accordance with,
the laws of the State of New York, without regard to rules of conflicts of law.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
November 27, 2012.

GOLDMAN, SACHS & CO. 

By: /s/ Gregory K. Palm
____________________________
Name:   Gregory K. Palm
Title:  Managing Director

Page 30 of 49  

EXHIBIT (99.5)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GS DIRECT, L.L.C. (the "Company") does 
hereby make, constitute and appoint each of Ronald L. Christopher, Dan Deluca, 
Robert Belva and Jeremy Kahn (and any other employee of The Goldman Sachs Group,
Inc. or one of its affiliates designated in writing by one of the attorneys-in-
fact), acting individually, its true and lawful attorney, to execute and deliver
in its name and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company
might or could do if personally present by one of its authorized signatories,
hereby ratifying and confirming all that said attorney-in-fact shall lawfully 
do or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
November 4, 2010.

GS DIRECT, L.L.C. 

By: /s/ Eric Goldstein
____________________________
Name:   Eric Goldstein
Title:  Vice President and Secretary

Page 31 of 49

EXHIBIT (99.6)
POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that Goldman Sachs Investment
Partners Master Fund, L.P. (the "Company") does hereby make, constitute and
appoint each of Dan Deluca, Brian Bae and Jeremy Kahn, (and any other
employee of The Goldman Sachs Group, Inc. or one of its affiliates designated
in writing by one of the attorneys-in-fact), acting individually, its true and
lawful attorney, to execute and deliver in its name and on its behalf whether
the Company is acting individually or as representative of others, any and
all filings required to be made by the Company under the Securities Exchange 
Act of 1934, (as amended, the "Act"), with respect to securities which may be
deemed to be beneficially owned by the Company under the Act, giving and
granting unto each said attorney-in-fact power and authority to act in the 
premises as fully and to all intents and purposes as the Company might or 
could do if personally present by one of its authorized signatories, hereby
ratifying and confirming all that said attorney-in-fact shall lawfully do or 
cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents
as of January 23, 2013.

Goldman Sachs Investment Partners Master Fund, L.P.

By: /s/ Umit Alptuna 
____________________________
Name:   Umit Alptuna 
Title:  Authorized Signatory

Page 32 of 49

EXHIBIT (99.7)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that Goldman Sachs Investment Partners
GP, L.L.C. (the "Company") does hereby make, constitute and appoint each of Dan
Deluca, Brian Bae and Jeremy Kahn, (and any other employee of The Goldman Sachs
Group, Inc. or one of its affiliates designated in writing by one of the 
attorneys-in-fact), acting individually, its true and lawful attorney, to
execute and deliver in its name and on its behalf whether the Company is
acting individually or as representative of others, any and all filings required
to be made by the Company under the Securities Exchange Act of 1934, (as 
amended, the "Act"), with respect to securities which may be deemed to be 
beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories, hereby ratifying and confirming
all that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either
revoked in writing by the undersigned or until such time as the person or
persons to whom power of attorney has been hereby granted cease(s) to be an
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents
as of January 23, 2013.

Goldman Sachs Investment Partners GP, L.L.C.

By: /s/ Umit Alptuna 
____________________________
Name:   Umit Alptuna 
Title:  Authorized Signatory

Page 33 of 49

EXHIBIT (99.8)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PRIVATE EQUITY PARTNERS
2004 OFFSHORE HOLDINGS, L.P. (the "Company") does hereby make, constitute and 
appoint each of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn
(and any other employee of The Goldman Sachs Group, Inc. or one of its 
affiliates designated in writing by one of the attorneys-in-fact), acting
individually, its true and lawful attorney, to execute and deliver in its name
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company
might or could do if personally present by one of its authorized signatories, 
hereby ratifying and confirming all that said attorney-in-fact shall lawfully do
or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 OFFSHORE HOLDINGS, L.P.
By: GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 34 of 49  

EXHIBIT (99.9)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS
ADVISORS, INC. (the "Company") does hereby make, constitute and appoint each 
of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any 
other employee of The Goldman Sachs Group, Inc. or one of its affiliates 
designated in writing by one of the attorneys-in-fact), acting individually, its
true and lawful attorney, to execute and deliver in its name and on its behalf
whether the Company is acting individually or as representative of others, any
and all filings required to be made by the Company under the Securities Exchange
Act of 1934, (as amended, the "Act"), with respect to securities which may be
deemed to be beneficially owned by the Company under the Act, giving and 
granting unto each said attorney-in-fact power and authority to act in the 
premises as fully and to all intents and purposes as the Company might or could
do if personally present by one of its authorized signatories, hereby ratifying
and confirming all that said attorney-in-fact shall lawfully do or cause to be
done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PEP 2004 OFFSHORE HOLDINGS ADVISORS, INC.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 35 of 49  

EXHIBIT (99.10)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PRIVATE EQUITY PARTNERS
2004-DIRECT INVESTMENT FUND, L.P. (the "Company") does hereby make, constitute
and appoint each of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy
Kahn (and any other employee of The Goldman Sachs Group, Inc. or one of its
affiliates designated in writing by one of the attorneys-in-fact), acting
individually, its true and lawful attorney, to execute and deliver in its name
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company
might or could do if personally present by one of its authorized signatories, 
hereby ratifying and confirming all that said attorney-in-fact shall lawfully do
or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 - DIRECT INVESTMENT FUND, L.P.
By: GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 36 of 49  

EXHIBIT (99.11)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT
ADVISORS, L.L.C.(the "Company") does hereby make, constitute and appoint each 
of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any 
other employee of The Goldman Sachs Group, Inc. or one of its affiliates 
designated in writing by one of the attorneys-in-fact), acting individually, its
true and lawful attorney, to execute and deliver in its name and on its behalf
whether the Company is acting individually or as representative of others, any
and all filings required to be made by the Company under the Securities Exchange
Act of 1934, (as amended, the "Act"), with respect to securities which may be
deemed to be beneficially owned by the Company under the Act, giving and 
granting unto each said attorney-in-fact power and authority to act in the 
premises as fully and to all intents and purposes as the Company might or could
do if personally present by one of its authorized signatories, hereby ratifying
and confirming all that said attorney-in-fact shall lawfully do or cause to be
done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PEP 2004 DIRECT INVESTMENT ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 37 of 49  

EXHIBIT (99.12)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that MULTI-STRATEGY HOLDINGS, L.P. (the 
"Company") does hereby make, constitute and appoint each of Ronald L.
Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any other employee
of The Goldman Sachs Group, Inc. or one of its affiliates designated in writing
by one of the attorneys-in-fact), acting individually, its true and lawful
attorney, to execute and deliver in its name and on its behalf whether the
Company is acting individually or as representative of others, any and all
filings required to be made by the Company under the Securities Exchange Act of
1934, (as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories, hereby ratifying and confirming 
all that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
September 24, 2010.

MULTI-STRATEGY HOLDINGS, L.P.
By: MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC. 

By: /s/ Jonathan M. Lamm
-----------------------------
Name:   Jonathan M. Lamm
Title:  Assistant Treasurer

Page 38 of 49

EXHIBIT (99.13)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that MULTI-STRATEGY HOLDINGS OFFSHORE 
ADVISORS, INC. (the "Company") does hereby make, constitute and appoint each of
Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any other
employee of The Goldman Sachs Group, Inc. or one of its affiliates designated in
writing by one of the attorneys-in-fact), acting individually, its true and 
lawful attorney, to execute and deliver in its name and on its behalf whether 
the Company is acting individually or as representative of others, any and all
filings required to be made by the Company under the Securities Exchange Act of
1934, (as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories,hereby ratifying and confirming all
that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
September 24, 2010.

MULTI-STRATEGY HOLDINGS OFFSHORE ADVISORS INC.

By: /s/ Jonathan M. Lamm
-----------------------------
Name:   Jonathan M. Lamm
Title:  Assistant Treasurer

Page 39 of 49

EXHIBIT (99.14)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PRIVATE EQUITY PARTNERS 
2004  EMPLOYEE  FUND,  L.P. (the "Company") does hereby make, constitute and 
appoint each of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn
(and any other employee of The Goldman Sachs Group, Inc. or one of its 
affiliates designated in writing by one of the attorneys-in-fact), acting
individually, its true and lawful attorney, to execute and deliver in its name
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company
might or could do if personally present by one of its authorized signatories, 
hereby ratifying and confirming all that said attorney-in-fact shall lawfully do
or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUND, L.P.
By: GOLDMAN SACHS PEP 2004 EMPLOYEE FUNDS GP, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 40 of 49  

EXHIBIT (99.15)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PRIVATE EQUITY PARTNERS 
2004 EMPLOYEE FUNDS GP, L.L.C. (the "Company") does hereby make, constitute and
appoint each of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn
(and any other employee of The Goldman Sachs Group, Inc. or one of its 
affiliates designated in writing by one of the attorneys-in-fact), acting 
individually, its true and lawful attorney, to execute and deliver in its name 
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company under 
the Act, giving and granting unto each said attorney-in-fact power and authority
to act in the premises as fully and to all intents and purposes as the Company 
might or could do if personally present by one of its authorized signatories,
hereby ratifying and confirming all that said attorney-in-fact shall lawfully do
or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004 EMPLOYEE FUNDS GP, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 41 of 49  

EXHIBIT (99.16)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that Goldman Sachs Private Equity
Concentrated Healthcare Fund Offshore Holdings, L.P. (the "Company") does hereby
make, constitute and appoint each of Dan Deluca, Brian Bae, and Jeremy Kahn, 
(and any other employee of The Goldman Sachs Group, Inc. or one of its 
affiliates designated in writing by one of the attorneys-in-fact), acting 
individually, its true and lawful attorney, to execute and deliver in its name 
and on its behalf whether the Company is acting individually or as 
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company 
under the Act, giving and granting unto each said attorney-in-fact power and 
authority to act in the premises as fully and to all intents and purposes as the
Company might or could do if personally present by one of its authorized
signatories, hereby ratifying and confirming all that said attorney-in-fact 
shall lawfully do or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either
revoked in writing by the undersigned or until such time as the person or
persons to whom power of attorney has been hereby granted cease(s) to be an
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents
as of January 18, 2013.

Goldman Sachs Private Equity Concentrated Healthcare Fund Offshore
Holdings, L.P.

By: /s/ Jonathan Snider  
____________________________
Name:   Jonathan Snider
Title:  Vice President

Page 42 of 49

EXHIBIT (99.17)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that Goldman Sachs Private Equity
Concentrated Healthcare Offshore Holdings Advisors, Inc. (the "Company") does
hereby make, constitute and appoint each of Dan Deluca, Brian Bae, and Jeremy 
Kahn, (and any other employee of The Goldman Sachs Group, Inc. or one of its 
affiliates designated in writing by one of the attorneys-in-fact), acting
individually, its true and lawful attorney, to execute and deliver in its name
and on its behalf whether the Company is acting individually or as
representative of others, any and all filings required to be made by the Company
under the Securities Exchange Act of 1934, (as amended, the "Act"), with respect
to securities which may be deemed to be beneficially owned by the Company 
under the Act, giving and granting unto each said attorney-in-fact power and
authority to act in the premises as fully and to all intents and purposes as the
Company might or could do if personally present by one of its authorized
signatories, hereby ratifying and confirming all that said attorney-in-fact
shall lawfully do or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents
as of January 18, 2013.

Goldman Sachs Private Equity Concentrated Healthcare Offshore Holdings
Advisors, Inc.

By: /s/ Jonathan Snider  
____________________________
Name:   Jonathan Snider
Title:  Vice President

Page 43 of 49

EXHIBIT (99.18)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GS PRIVATE EQUITY PARTNERS 2002 - DIRECT
INVESTMENT FUND, L.P. (the "Company") does hereby make, constitute and appoint 
each of Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any
other employee of The Goldman Sachs Group, Inc. or one of its affiliates 
designated in writing by one of the attorneys-in-fact), acting individually, its
true and lawful attorney, to execute and deliver in its name and on its behalf 
whether the Company is acting individually or as representative of others, any
and all filings required to be made by the Company under the Securities Exchange
Act of 1934, (as amended, the "Act"), with respect to securities which may be 
deemed to be beneficially owned by the Company under the Act, giving and 
granting unto each said attorney-in-fact power and authority to act in the 
premises as fully and to all intents and purposes as the Company might or could
do if personally present by one of its authorized signatories, hereby ratifying
and confirming all that said attorney-in-fact shall lawfully do or cause to be 
done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GS PRIVATE EQUITY PARTNERS 2002 - DIRECT INVESTMENT FUND, L.P.
By: GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 44 of 49

EXHIBIT (99.19)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GS PEP 2002 DIRECT INVESTMENT ADVISORS,
L.L.C.(the "Company") does hereby make, constitute and appoint each of Ronald L.
Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any other employee of
The Goldman Sachs Group, Inc. or one of its affiliates designated in writing by
one of the attorneys-in-fact), acting individually, its true and lawful 
attorney, to execute and deliver in its name and on its behalf whether the 
Company is acting individually or as representative of others, any and all 
filings required to be made by the Company under the Securities Exchange Act of
1934, (as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories, hereby ratifying and confirming 
all that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GS PEP 2002 DIRECT INVESTMENT ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 45 of 49

EXHIBIT (99.20)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PRIVATE EQUITY PARTNERS 
2004, L.P. (the "Company") does hereby make, constitute and appoint each of 
Ronald L. Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any other
employee of The Goldman Sachs Group, Inc. or one of its affiliates designated in
writing by one of the attorneys-in-fact), acting individually, its true and 
lawful attorney, to execute and deliver in its name and on its behalf whether 
the Company is acting individually or as representative of others, any and all 
filings required to be made by the Company under the Securities Exchange Act of
1934, (as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally 
present by one of its authorized signatories, hereby ratifying and confirming 
all that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PRIVATE EQUITY PARTNERS 2004, L.P.
By: GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 46 of 49  

EXHIBIT (99.21)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C. 
(the "Company") does hereby make, constitute and appoint each of Ronald L. 
Christopher, Dan Deluca, Robert Belva and Jeremy Kahn (and any other employee of
The Goldman Sachs Group, Inc. or one of its affiliates designated in writing by
one of the attorneys-in-fact), acting individually, its true and lawful 
attorney, to execute and deliver in its name and on its behalf whether the 
Company is acting individually or as representative of others, any and all 
filings required to be made by the Company under the Securities Exchange Act of
1934, (as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories, hereby ratifying and confirming 
all that said attorney-in-fact shall lawfully do or cause to be done by 
virtue hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
August 9, 2010.

GOLDMAN SACHS PEP 2004 ADVISORS, L.L.C.

By: /s/ Jeanine Lee
____________________________
Name:   Jeanine Lee
Title:  Vice President

Page 47 of 49  

EXHIBIT (99.22)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GOLDMAN SACHS ASSET MANAGEMENT, L.P. 
(the "Company") does hereby make, constitute and appoint each of Dan Deluca, 
Jeremy Kahn and Brian Bae (and any other employee of The Goldman Sachs Group, 
Inc. or one of its affiliates designated in writing by one of the attorneys-in-
fact), acting individually, its true and lawful attorney, to execute and 
deliver in its name and on its behalf whether the Company is acting individually
or as representative of others, any and all filings required to be made by the 
Company under the Securities Exchange Act of 1934, (as amended, the "Act"), with
respect to securities which may be deemed to be beneficially owned by the 
Company under the Act, giving and granting unto each said attorney-in-fact power
and authority to act in the premises as fully and to all intents and purposes as
the Company might or could do if personally present by one of its authorized 
signatories,hereby ratifying and confirming all that said attorney-in-fact shall
lawfully do or cause to be done by virtue hereof.

THIS POWER OF ATTORNEY shall remain in full  force and effect  until either 
revoked in writing by the undersigned or until such time as the person   or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee  of  The Goldman Sachs Group, Inc. or  one of its  affiliates. The
Company has the  unrestricted right to  unilaterally  revoke this  Power of 
Attorney.

This Power of Attorney shall be governed by, and construed in accordance with,
the laws of the State of New York, without regard to rules of conflicts of law.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
November 30, 2012.

GOLDMAN SACHS ASSET MANAGEMENT, L.P.

By:/s/ Ellen R. Porges
____________________________
Name:  Ellen R. Porges
Title: General Counsel

Page 48 of 49  

EXHIBIT (99.23)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS that GS INVESTMENT STRATEGIES, LLC (the 
"Company") does hereby make, constitute and appoint each of Dan Deluca,
Jeremy Kahn and Brian Bae (and any other employee of The Goldman Sachs
Group, Inc. or one of its affiliates designated in writing by one of the
attorneys-in-fact), acting individually, its true and lawful attorney, to
execute and deliver in its name and on its behalf whether the Company is
acting individually or as representative of others, any and all filings
required to be made by the Company under the Securities Exchange Act of 1934,
(as amended, the "Act"), with respect to securities which may be deemed to
be beneficially owned by the Company under the Act, giving and granting unto 
each said attorney-in-fact power and authority to act in the premises as fully
and to all intents and purposes as the Company might or could do if personally
present by one of its authorized signatories, hereby ratifying and confirming 
all that said attorney-in-fact shall lawfully do or cause to be done by virtue 
hereof.

THIS POWER OF ATTORNEY shall remain in full force and effect until either 
revoked in writing by the undersigned or until such time as the person or 
persons to whom power of attorney has been hereby granted cease(s) to be an 
employee of The Goldman Sachs Group, Inc. or one of its affiliates.

IN WITNESS WHEREOF, the undersigned has duly subscribed these presents as of
November 30, 2012.

GS INVESTMENT STRATEGIES, LLC

By: /s/ Umit Alptuna   
____________________________
Name:   Umit Alptuna
Title:  Managing Director

Page 49 of 49