Alphatec Holdings, Inc.
Business
Alphatec Holdings, Inc. is a medical technology company focused on designing, developing, and advancing integrated technologies for surgical treatment of spine disorders. It offers an approach-based portfolio including surgical implants and fixation systems, approach‑specific access instruments and positioners, biologics, intraoperative neuromonitoring (SafeOp), full‑body 3D imaging (EOS) and software (Insight/AIX), navigation/robotics (Valence), and surgeon training programs. Its business is organized around procedural solutions and the Alpha InformatiX (AIX) platform that integrate devices, imaging, informatics, and services. Products are sold primarily in the U.S. through direct sales and independent agents, with early international expansion in Australia, New Zealand, and Japan and sales targeting hospitals, surgeons, and national accounts.
Summary from filing dated 2025-02-26
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 764 | 612 | 482 | 351 | 243 | |
| Cost of sales | 232 | 187 | 172 | 118 | 85 | |
| Gross profit | 532 | 424 | 310 | 233 | 158 | |
| Research and development | 76 | 81 | 70 | 44 | 32 | |
| Sales, general and administrative | 499 | 450 | 374 | 300 | 229 | |
| Litigation-related expenses | 24 | 10 | 22 | 24 | 11 | |
| Amortization of acquired intangible assets | 15 | 16 | 14 | 10 | 5 | |
| Transaction-related expenses | 0 | 210,000 | 2 | 120,000 | 6 | |
| Restructuring expenses | 378,000 | 3 | 719,000 | 2 | 2 | |
| Total operating expenses | 614 | 560 | 484 | 380 | 286 | |
| Operating loss | −82 | −136 | −173 | −147 | −128 | |
| Interest expense, net | −46 | −25 | −17 | −6 | −7 | |
| Loss on debt extinguishment | −18 | 0 | 0 | — | −7 | |
| Gain on derivative liability | 620,000 | 0 | 0 | — | — | |
| Other income (expense), net | 2 | −1 | 3 | 471,000 | −2 | |
| Total other expense, net | −61 | −26 | −14 | −5 | — | |
| Net loss before taxes | −143 | −162 | −187 | −152 | −144 | |
| Income tax (benefit) provision | −45,000 | 50,000 | −277,000 | −716,000 | −1 | |
| Net loss | −143 | −162 | −187 | −151 | −143 | |
| Net loss per share, basic | −0.96 | −1.13 | −1.54 | −1.46 | −1.49 | |
| Net loss per share, diluted | −0.96 | −1.13 | −1.54 | −1.46 | −1.49 | |
| Weighted average shares outstanding, basic | 150 | 143 | 121 | 103 | 96 | |
| Weighted average shares outstanding, diluted | 150 | 143 | 121 | 103 | 96 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 161 | 139 | 221 | 85 | 187 | |
| Accounts receivable, net of allowances of $12,685 and $4,763, respectively | 97 | 83 | 73 | 60 | 42 | |
| Inventories | 169 | 175 | 137 | 102 | 92 | |
| Prepaid expenses and other current assets | 23 | 20 | 21 | 9 | 10 | |
| Total current assets | 451 | 417 | 451 | 256 | 331 | |
| Property and equipment, net | 135 | 156 | 150 | 102 | 87 | |
| Right-of-use assets | 31 | 35 | 26 | 28 | 25 | |
| Goodwill | 75 | 71 | 73 | 47 | 40 | |
| Intangible assets, net | 93 | 94 | 102 | 83 | 85 | |
| Other assets | 5 | 3 | 2 | 5 | 3 | |
| Total assets | 791 | 776 | 805 | 521 | 572 | |
| Accounts payable | 41 | 53 | 49 | 35 | 26 | |
| Accrued expenses and other current liabilities | 97 | 81 | 88 | 72 | 56 | |
| Contract liabilities | 10 | 11 | 14 | 12 | 15 | |
| Short-term debt | 65 | 2 | 2 | 15 | 342,000 | |
| Current portion of operating lease liabilities | 6 | 6 | 5 | 5 | 4 | |
| Total current liabilities | 219 | 153 | 158 | 139 | 101 | |
| Long-term debt | 501 | 575 | 511 | 350 | 326 | |
| Operating lease liabilities, less current portion | 24 | 27 | 24 | 27 | 24 | |
| Other long-term liabilities | 11 | 11 | 11 | 17 | 17 | |
| Redeemable preferred stock, $0.0001 par value; 20,000 shares authorized, and 3,319 shares issued and outstanding at December 31, 2025 and 2024 | 24 | 24 | 24 | 24 | 24 | |
| Commitments and contingencies (Note 7) | — | — | — | — | — | |
| Common stock, $0.0001 par value; 400,000 authorized; 150,257 shares issued and outstanding at December 31, 2025, and 144,129 shares issued and outstanding at December 31, 2024 | 15,000 | 14,000 | 14,000 | 11,000 | 10,000 | |
| Treasury stock, 1,808 shares at December 31, 2025 and December 31, 2024 | −25 | −25 | −25 | −25 | −25 | |
| Additional paid-in capital | 1,466 | 1,306 | 1,230 | 934 | 893 | |
| Accumulated other comprehensive loss | −4 | −14 | −8 | −11 | −6 | |
| Accumulated deficit | −1,424 | −1,281 | −1,119 | −932 | −781 | |
| Total stockholders' equity (deficit) | 12 | −14 | 78 | −35 | 81 | |
| Total liabilities and stockholders' equity (deficit) | 791 | 776 | 805 | 521 | 572 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −143 | −162 | −187 | −151 | −143 | |
| Depreciation and amortization | 77 | 78 | 56 | 41 | 27 | |
| Stock-based compensation | 74 | 73 | 81 | 41 | 36 | |
| Amortization of debt discount and debt issuance costs | 23 | 4 | 4 | 2 | 2 | |
| Amortization of right-of-use assets | 5 | 5 | 4 | 3 | 3 | |
| Write-down for excess and obsolete inventories | 14 | 15 | 14 | 10 | 11 | |
| Loss on disposal of assets | 2 | 3 | 4 | 3 | 2 | |
| Other | 8 | 5 | 455,000 | 1 | 3 | |
| Accounts receivable | −22 | −15 | −13 | −19 | −10 | |
| Inventories | −6 | −55 | −46 | −21 | −28 | |
| Prepaid expenses and other current assets | −2 | −97,000 | −11 | 552,000 | 1 | |
| Other assets | 405,000 | −466,000 | −541,000 | −109,000 | 11,000 | |
| Accounts payable | −11 | 10 | 7 | 10 | 757,000 | |
| Accrued expenses | 16 | −2 | 17 | — | — | |
| Lease liabilities | −5 | −5 | −4 | −3 | 150,000 | |
| Contract liabilities | −271,000 | −3 | 2 | −2 | −1 | |
| Other long-term liabilities | −2 | 3 | −6 | −3 | 4 | |
| Net cash provided by (used in) operating activities | 45 | −45 | −78 | −75 | −73 | |
| Purchases of property and equipment | −42 | −83 | −81 | −49 | −69 | |
| Purchase of intangible assets | −7 | −10 | −6 | −9 | — | |
| Acquisition of business, net of cash acquired | 0 | 0 | −55 | — | −62 | |
| Cash paid for equity investment | −3 | 0 | 0 | — | — | |
| Other | −770,000 | — | — | — | — | |
| Net cash used in investing activities | −53 | −93 | −142 | −58 | −158 | |
| Proceeds from issuance of convertible notes, net | 393 | 0 | 0 | — | — | |
| Repurchase of convertible notes | −268 | 0 | 0 | — | — | |
| Repayment of revolving credit facility | −64 | −164 | −120 | −28 | — | |
| Proceeds from revolving credit facility | 14 | 175 | 134 | 63 | — | |
| Payment of debt issuance costs | −706,000 | −140,000 | −3 | −1 | −10 | |
| Proceeds from term debt, net of debt discount | 0 | 48 | 148 | — | — | |
| Net cash received (paid for) common stock exercises | 515,000 | −560,000 | −1 | −3 | −6 | |
| Proceeds from common stock offerings, net of offering costs | 0 | 0 | 213 | — | 132 | |
| Repayment of OCEANEs | 0 | 0 | −13 | — | — | |
| Other | −2 | −2 | −2 | 584,000 | −2 | |
| Net cash provided by financing activities | 30 | 56 | 357 | 31 | 312 | |
| Effect of exchange rate changes on cash | 128,000 | −551,000 | −185,000 | −366,000 | −1 | |
| Net change in cash and cash equivalents | 22 | −82 | 136 | −103 | 79 | |
| Cash paid for interest | 24 | 20 | 17 | 4 | 5 | |
| Cash paid for income taxes | 389,000 | 275,000 | 333,000 | 272,000 | 223,000 | |
| Financed insurance | 1 | 1 | 1 | 2 | — | |
| Purchases of property and equipment in accounts payable and accrued expenses | 8 | 9 | 10 | 2 | 3 | |
| Purchases of intangible assets in accrued expenses and other long-term liabilities | 3 | 250,000 | 99,000 | 750,000 | — | |
| Recognition of derivative liability | 124 | 0 | 0 | — | — | |
| Recognition of lease liability | 136,000 | 12 | 424,000 | 2 | 23 |