NASDAQ : ATEC
Alphatec Holdings, Inc. — Financial statements
Healthcare · Medical Devices · United States
Last price 11.37 USD (Oct 29, 2026, 4:00 PM EDT) · Market cap 1.76B
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Financial statements
Alphatec Holdings, Inc. (ATEC) reported revenue of 839.72M USD (TTM). Five years of income statement, balance sheet, cash flow and ratios below.
Income statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Revenue | 839.72M | 764.15M | 611.56M | 482.26M | 350.87M | 243.21M |
| Cost of Revenue | 241.41M | 232.27M | 187.30M | 172.06M | 117.81M | 85.45M |
| Gross Profit | 598.31M | 531.89M | 424.26M | 310.20M | 233.06M | 157.76M |
| Selling, General & Admin | 532.26M | 498.53M | 450.20M | 374.08M | 300.01M | 229.27M |
| Research & Development | 76.02M | 76.27M | 80.72M | 70.11M | 44.03M | 32.02M |
| Amortization of Goodwill & Intangibles | 15.60M | 15.06M | 16.26M | 14.28M | 10.12M | 5.35M |
| Operating Expenses | 623.88M | 589.85M | 547.17M | 458.48M | 354.16M | 266.63M |
| Operating Income | -25.57M | -57.97M | -122.91M | -148.28M | -121.10M | -108.87M |
| Interest Expense | -46.19M | -45.92M | -24.88M | -16.64M | -5.50M | -7.11M |
| Other Non Operating Income (Expenses) | -553.00K | 2.22M | -1.02M | 3.12M | 471.00K | -1.56M |
| EBT Excluding Unusual Items | -72.32M | -101.67M | -148.82M | -161.80M | -126.14M | -117.54M |
| Merger & Restructuring Charges | -378.00K | -3.46M | -2.83M | -1.93M | -8.06M | |
| Legal Settlements | -4.49M | -23.78M | -9.80M | -22.29M | -23.94M | -11.12M |
| Other Unusual Items | -11.88M | -17.58M | -7.43M | |||
| Pretax Income | -88.69M | -143.40M | -162.07M | -186.91M | -152.01M | -144.16M |
| Income Tax Expense | -1.81M | -45.00K | 50.00K | -277.00K | -716.00K | -1.13M |
| Earnings From Continuing Operations | -86.89M | -143.36M | -162.12M | -186.64M | -151.29M | -143.03M |
| Net Income | -86.89M | -143.36M | -162.12M | -186.64M | -151.29M | -143.03M |
| Net Income to Common | -86.89M | -143.36M | -162.12M | -186.64M | -151.29M | -143.03M |
| Shares Outstanding (Basic) | 155.05M | 150.06M | 142.95M | 121.24M | 103.37M | 96.20M |
| Shares Outstanding (Diluted) | 155.05M | 150.06M | 142.95M | 121.24M | 103.37M | 96.20M |
| EPS (Basic) | -0.56 | -0.96 | -1.13 | -1.54 | -1.46 | -1.49 |
| EPS (Diluted) | -0.56 | -0.96 | -1.13 | -1.54 | -1.46 | -1.49 |
| Free Cash Flow | 3.07M | 2.78M | -127.87M | -158.99M | -124.59M | -141.86M |
| Free Cash Flow Per Share | 0.02 | 0.02 | -0.90 | -1.31 | -1.21 | -1.48 |
| Gross Margin | 71.25% | 69.60% | 69.37% | 64.32% | 66.42% | 64.87% |
| Operating Margin | -3.05% | -7.59% | -20.10% | -30.75% | -34.52% | -44.76% |
| Profit Margin | -10.35% | -18.76% | -26.51% | -38.70% | -43.12% | -58.81% |
| Free Cash Flow Margin | 0.36% | 0.36% | -20.91% | -32.97% | -35.51% | -58.33% |
| EBITDA | 52.92M | 19.53M | -44.49M | -92.14M | -79.93M | -82.12M |
| EBITDA Margin | 6.30% | 2.56% | -7.28% | -19.11% | -22.78% | -33.76% |
| D&A For EBITDA | 78.50M | 77.49M | 78.42M | 56.14M | 41.17M | 26.76M |
| EBIT | -25.57M | -57.97M | -122.91M | -148.28M | -121.10M | -108.87M |
| EBIT Margin | -3.04% | -7.59% | -20.10% | -30.75% | -34.52% | -44.76% |
| Revenue as Reported | 243.21M |
Balance sheet
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Cash & Equivalents | 79.94M | 160.81M | 138.84M | 220.97M | 84.70M | 187.25M |
| Cash & Short-Term Investments | 79.94M | 160.81M | 138.84M | 220.97M | 84.70M | 187.25M |
| Receivables | 120.91M | 105.89M | 88.67M | 76.48M | 60.06M | 41.89M |
| Inventory | 206.87M | 169.44M | 175.26M | 136.84M | 101.52M | 91.70M |
| Prepaid Expenses | 19.44M | 14.74M | 14.63M | 16.80M | 9.36M | 10.31M |
| Total Current Assets | 427.17M | 450.88M | 417.40M | 451.09M | 255.63M | 331.16M |
| Property, Plant & Equipment | 187.42M | 166.55M | 191.09M | 176.25M | 130.31M | 112.68M |
| Goodwill | 73.96M | 75.21M | 70.98M | 73.00M | 47.37M | 39.69M |
| Other Intangible Assets | 96.45M | 93.45M | 93.52M | 102.45M | 82.78M | 85.27M |
| Long-Term Deferred Charges | 1.30M | 500.00K | 800.00K | 1.00M | 1.30M | |
| Other Long-Term Assets | 10.44M | 4.62M | 1.92M | 1.42M | 3.57M | 3.25M |
| Total Assets | 796.75M | 791.21M | 775.71M | 805.21M | 520.97M | 572.05M |
| Accounts Payable | 61.63M | 40.89M | 52.98M | 48.98M | 34.74M | 25.74M |
| Accrued Expenses | 98.86M | 84.22M | 72.23M | 75.45M | 54.58M | 41.76M |
| Current Portion of Long-Term Debt | 5.30M | 64.53M | 1.66M | 1.81M | 14.95M | 342.00K |
| Current Portion of Leases | 3.34M | 6.30M | 6.45M | 5.16M | 4.84M | 4.21M |
| Current Income Taxes Payable | 1.66M | 2.50M | 1.99M | 1.96M | 3.00M | |
| Current Unearned Revenue | 11.64M | 10.44M | 10.47M | 13.91M | 11.96M | 15.26M |
| Other Current Liabilities | 11.14M | 6.74M | 10.28M | 15.84M | 10.78M | |
| Total Current Liabilities | 180.77M | 219.18M | 153.03M | 157.57M | 138.87M | 101.09M |
| Long-Term Debt | 541.70M | 501.41M | 574.52M | 511.04M | 349.51M | 326.49M |
| Long-Term Leases | 43.61M | 23.86M | 27.30M | 23.68M | 26.56M | 24.38M |
| Long-Term Unearned Revenue | 1.33M | 2.18M | 3.13M | 2.56M | 3.05M | 2.90M |
| Other Long-Term Liabilities | 8.05M | 8.56M | 8.29M | 8.64M | 14.04M | 14.16M |
| Total Liabilities | 775.44M | 755.18M | 766.28M | 703.49M | 532.03M | 469.03M |
| Common Stock | 17.00K | 15.00K | 14.00K | 14.00K | 11.00K | 10.00K |
| Additional Paid-In Capital | 1.52B | 1.47B | 1.31B | 1.23B | 933.54M | 892.83M |
| Retained Earnings | -1.49B | -1.42B | -1.28B | -1.12B | -932.32M | -782.33M |
| Treasury Stock | -25.10M | -25.10M | -25.10M | -25.10M | -25.10M | -25.10M |
| Comprehensive Income & Other | -7.11M | -4.43M | -13.68M | -8.32M | -10.79M | -5.99M |
| Total Common Equity | -2.30M | 12.43M | -14.17M | 78.12M | -34.67M | 79.42M |
| Shareholders' Equity | 21.30M | 36.03M | 9.43M | 101.72M | -11.06M | 103.03M |
| Total Liabilities & Equity | 796.75M | 791.21M | 775.71M | 805.21M | 520.97M | 572.05M |
| Total Debt | 593.95M | 596.09M | 609.94M | 541.68M | 395.86M | 355.43M |
| Net Cash (Debt) | -514.01M | -435.29M | -471.10M | -320.71M | -311.17M | -168.18M |
| Net Cash Per Share | -3.32 | -2.90 | -3.30 | -2.65 | -3.01 | -1.75 |
| Filing Date Shares Outstanding | 155.14M | 151.36M | 144.15M | 137.98M | 111.11M | 99.79M |
| Total Common Shares Outstanding | 153.41M | 150.26M | 144.13M | 139.25M | 106.64M | 99.54M |
| Working Capital | 246.40M | 231.70M | 264.37M | 293.52M | 116.76M | 230.06M |
| Book Value Per Share | -0.02 | 0.08 | -0.10 | 0.56 | -0.33 | 0.80 |
| Tangible Book Value | -172.72M | -156.24M | -178.66M | -97.34M | -164.81M | -45.54M |
| Tangible Book Value Per Share | -1.13 | -1.04 | -1.24 | -0.70 | -1.55 | -0.46 |
| Machinery | 392.15M | 363.62M | 335.15M | 247.99M | 177.92M | 151.08M |
| Construction In Progress | 1.85M | 646.00K | 541.00K | 24.73M | 15.36M | 7.29M |
| Leasehold Improvements | 4.50M | 4.40M | 4.32M | 3.99M | 2.96M | 1.75M |
Cash flow statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Net Income | -86.89M | -143.36M | -162.12M | -186.64M | -151.29M | -143.03M |
| Depreciation & Amortization | 83.81M | 82.56M | 83.32M | 59.68M | 43.93M | 30.17M |
| Other Amortization | 28.41M | 22.51M | 4.46M | 3.63M | 2.04M | 1.87M |
| Loss (Gain) From Sale of Assets | 2.08M | 2.47M | 3.07M | 3.71M | 2.59M | 1.98M |
| Loss (Gain) From Sale of Investments | 3.00M | |||||
| Stock-Based Compensation | 75.16M | 73.72M | 73.28M | 81.24M | 40.56M | 36.45M |
| Other Operating Activities | 28.79M | 38.88M | 20.61M | 14.06M | 10.98M | 21.30M |
| Change in Accounts Receivable | -19.89M | -21.88M | -14.59M | -12.79M | -18.83M | -10.14M |
| Change in Inventory | -54.09M | -6.31M | -54.66M | -45.56M | -20.70M | -27.75M |
| Change in Accounts Payable | 19.31M | -11.16M | 9.67M | 6.99M | 9.80M | 757.00K |
| Change in Unearned Revenue | 1.63M | -271.00K | -3.26M | 1.79M | -2.28M | -1.04M |
| Change in Other Net Operating Assets | -16.98M | 8.06M | -4.43M | -4.60M | 8.08M | 13.12M |
| Operating Cash Flow | 61.34M | 45.23M | -44.65M | -78.48M | -75.13M | -73.32M |
| Capital Expenditures | -58.27M | -42.45M | -83.22M | -80.51M | -49.45M | -68.54M |
| Cash Acquisitions | -55.00M | -83.23M | ||||
| Sale (Purchase) of Intangibles | -13.50M | -7.19M | -9.91M | -6.47M | -8.83M | |
| Investment in Securities | -3.00M | -3.00M | ||||
| Other Investing Activities | -8.38M | -770.00K | -2.99M | |||
| Investing Cash Flow | -80.16M | -53.41M | -93.14M | -141.97M | -58.28M | -157.76M |
| Long-Term Debt Issued | 407.00M | 222.97M | 282.47M | 62.50M | 316.25M | |
| Long-Term Debt Repaid | -332.19M | -164.18M | -132.81M | -27.50M | -53.09M | |
| Net Debt Issued (Repaid) | -36.71M | 74.81M | 58.80M | 149.66M | 35.00M | 263.16M |
| Issuance of Common Stock | 515.00K | 515.00K | 213.18M | 131.83M | ||
| Repurchase of Common Stock | -2.35M | -25.00M | ||||
| Other Financing Activities | -18.24M | -45.31M | -2.59M | -5.92M | -3.77M | -58.02M |
| Financing Cash Flow | -56.78M | 30.02M | 56.21M | 356.92M | 31.23M | 311.97M |
| Foreign Exchange Rate Adjustments | -210.00K | 128.00K | -551.00K | -185.00K | -366.00K | -1.40M |
| Net Cash Flow | -75.81M | 21.97M | -82.13M | 136.27M | -102.55M | 79.48M |
| Free Cash Flow | 3.07M | 2.78M | -127.87M | -158.99M | -124.59M | -141.86M |
| Free Cash Flow Margin | 0.36% | 0.36% | -20.91% | -32.97% | -35.51% | -58.33% |
| Free Cash Flow Per Share | 0.02 | 0.02 | -0.90 | -1.31 | -1.21 | -1.48 |
| Levered Free Cash Flow | 29.95M | 56.15M | -78.58M | -73.14M | -55.38M | -96.77M |
| Unlevered Free Cash Flow | 30.42M | 62.34M | -67.49M | -66.38M | -53.97M | -94.20M |
| Cash Interest Paid | 18.55M | 23.82M | 20.32M | 17.27M | 3.86M | 5.03M |
| Cash Income Tax Paid | 466.00K | 389.00K | 275.00K | 333.00K | 272.00K | 223.00K |
| Change in Working Capital | -70.01M | -31.56M | -67.27M | -54.18M | -23.94M | -25.05M |
Ratios
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Market Capitalization | 1.09B | 3.13B | 1.30B | 2.06B | 1.30B | 1.13B |
| Enterprise Value | 1.61B | 3.58B | 1.81B | 2.50B | 1.61B | 1.29B |
| Last Close Price | 7.04 | 21.04 | 9.18 | 15.11 | 12.35 | 11.43 |
| Forward PE | 13.19 | 87.33 | 87.33 | 87.33 | 87.33 | 87.33 |
| PS Ratio | 1.30 | 4.09 | 2.13 | 4.27 | 3.70 | 4.67 |
| PB Ratio | 51.27 | 86.75 | 138.00 | 20.25 | -117.27 | 11.02 |
| P/FCF Ratio | 356.22 | 1,125.90 | ||||
| P/OCF Ratio | 17.81 | 69.10 | ||||
| EV/Sales Ratio | 1.91 | 4.69 | 2.96 | 5.18 | 4.58 | 5.31 |
| EV/EBITDA Ratio | 30.35 | 183.58 | ||||
| EV/FCF Ratio | 523.87 | 1,291.25 | ||||
| Debt / Equity Ratio | 27.88 | 16.55 | 64.65 | 5.33 | -35.78 | 3.45 |
| Debt / EBITDA Ratio | 9.78 | 21.96 | ||||
| Debt / FCF Ratio | 193.72 | 214.73 | ||||
| Net Debt / Equity Ratio | 24.13 | 12.08 | 49.94 | 3.15 | -28.12 | 1.63 |
| Net Debt / EBITDA Ratio | 9.71 | 22.29 | -10.59 | -3.48 | -3.89 | -2.05 |
| Net Debt / FCF Ratio | 167.65 | 156.80 | -3.68 | -2.02 | -2.50 | -1.19 |
| Asset Turnover | 1.06 | 0.97 | 0.77 | 0.73 | 0.64 | 0.58 |
| Inventory Turnover | 1.29 | 1.35 | 1.20 | 1.44 | 1.22 | 1.24 |
| Quick Ratio | 1.11 | 1.22 | 1.49 | 1.89 | 1.04 | 2.27 |
| Current Ratio | 2.36 | 2.06 | 2.73 | 2.86 | 1.84 | 3.28 |
| Return on Equity (ROE) | -308.06% | -630.66% | -291.71% | -411.75% | -329.04% | -111.52% |
| Return on Assets (ROA) | -2.02% | -4.62% | -9.72% | -13.98% | -13.85% | -16.33% |
| Return on Capital Employed (ROCE) | -4.20% | -10.10% | -19.70% | -22.90% | -31.70% | -23.10% |
| Earnings Yield | -7.96% | -4.59% | -12.45% | -9.06% | -11.66% | -12.60% |
| FCF Yield | 0.28% | 0.09% | -9.82% | -7.72% | -9.60% | -12.50% |
| Buyback Yield / Dilution | -4.64% | -4.98% | -17.90% | -17.29% | -7.46% | -43.54% |