ATEC Reports Third Quarter Financial Results
Operating income turned positive, but lower biologics attachment left quarterly revenue below the company's expectations.
Sentiment and the balance of points
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-
Total revenue of
$221 million 13% year-over-year -
Surgical revenue of
$202 million 14% -
Case volumes grew
20% and net new surgeon users increased25%
Third Quarter 2026 Financial Results
|
Quarter Ended
|
Total revenue |
|
GAAP gross margin |
|
Non-GAAP gross margin |
|
GAAP operating expenses |
|
Non-GAAP operating expenses |
|
GAAP net income / (loss) |
|
Non-GAAP net income / (loss) |
|
Non-GAAP adjusted EBITDA |
|
Non-GAAP adjusted EBITDA margin |
|
Ending cash balance |
|
Third Quarter Highlights
-
Surgical revenue of
$202 million 14% , up$25 million -
Surgical hardware contributed
$26 million 17% year-over-year -
Adjusted EBITDA of
$38 million 17% of revenue, expanded 400 basis points year-over-year -
Generated
$6 million - Tommy Carls joined the senior leadership team as EVP of Data Intelligence & Strategy
“Third-quarter revenue fell short of our expectations, primarily due to lower biologics attachment,” said Pat Miles, Chairman and Chief Executive Officer. “We own and are addressing that shortfall, and going forward, improving biologics performance is a clear priority for us. At the same time, we continued to see very strong demand for our procedural solutions, with hardware revenue growing
Financial Outlook for the Full Year 2026
For fiscal year 2026, the Company now expects total revenue of approximately
The Company now expects adjusted EBITDA of approximately
Financial Results Webcast
The Company will host a live webcast today at 1:30 p.m. PT / 4:30 p.m. ET. To access the live webcast, please use this link or visit the Investor Relations Events & Presentations section of ATEC’s corporate website.
A replay of the webcast will remain available through the Investor Relations section of ATEC’s corporate website for twelve months.
Analyst Webcast Q&A Participation
To participate in the question-and-answer session, analysts must register in advance using this link. Upon registration, access details, including a unique code, will be provided via email.
Non-GAAP Financial Information
To supplement the Company’s financial statements presented in accordance with generally accepted accounting principles in
Non-GAAP Financial Measures
Free cash flow: Calculated by subtracting capital expenditures from cash flow provided by or used in operating activities. Management uses free cash flow to measure progress on its capital efficiency and cash flow initiatives.
Non-GAAP Gross Profit and Non-GAAP Gross Margin: Non-GAAP gross profit represents GAAP gross profit with adjustments to exclude the impact of certain items recorded to cost of goods sold. Such potential adjustments are described within the section below under "Non-GAAP Adjustments" and included in the non-GAAP reconciliation attached below. Non-GAAP gross margin represents non-GAAP gross profit as a percentage of GAAP net sales.
Non-GAAP Operating Expenses: Non-GAAP operating expenses represent GAAP operating expenses, such as sales, general, and administrative expense, and research and development expense, with adjustments to exclude the impact of certain items recorded in GAAP operating expenses. Such potential adjustments are described within the section below under "Non-GAAP Adjustments" and included in the non-GAAP reconciliation.
Non-GAAP Net Income (Loss) and Non-GAAP EPS: Non-GAAP net income (loss) represents GAAP net loss with adjustments to exclude the impact of certain items recorded in GAAP net loss. Such potential adjustments are described within the sections below under "Non-GAAP Adjustments" and included in the non-GAAP reconciliation. Non-GAAP EPS represents non-GAAP net income (loss) divided by weighted-average shares outstanding.
EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin: EBITDA represents earnings before non-operating income/expense, taxes, depreciation and amortization. Adjusted EBITDA consists of EBITDA with adjustments to exclude certain items described within the section below under "Non-GAAP Adjustments" and included in the non-GAAP reconciliation. Adjusted EBITDA margin represents adjusted EBITDA as a percentage of GAAP net sales.
Non-GAAP Adjustments
The Company's non-GAAP financial measures reflect the exclusion of the following items:
Amortization of acquired intangible assets: Represents amortization expense associated with intangible assets including, but not limited to customer relationships, intellectual property, and trade names acquired in business combinations and asset acquisitions. This adjustment does not include amortization from other intangibles.
Litigation-related expenses: We are involved in various litigation matters that from time to time result in settlements. Litigation matters can vary in their characteristics, frequency and significance to our operating results and core business operations. We review litigation matters from both a qualitative and quantitative perspective to determine whether such matters are a normal and recurring part of our business. We include in our GAAP financial statements litigation fees and settlement expenses that we determine to be normal, recurring and routine to our business. When we determine that certain litigation matters are not normal and recurring to our core business operations, we believe excluding these expenses will provide our management and investors with useful incremental information. Litigation fees and settlement expenses excluded from our non-GAAP financial measures in the periods presented relate primarily to patent litigation and other litigation matters that relate directly to the business transformation that we started in 2018 and are discussed more fully in our periodic reports filed with the Securities and Exchange Commission.
Purchase accounting adjustments on acquisitions: Includes non-cash expenses incurred as a result of fair value step-ups associated with tangible assets acquired in business combinations or asset acquisitions.
Restructuring expenses: From time to time, in order to realign the Company’s operations or to realize synergies from acquisitions, the Company may eliminate roles or restructure its operations and footprint. In such cases, the Company may incur one-time severance and personnel costs associated with workforce reductions, or costs associated with exiting and/or relocating facilities. We exclude these costs as we do not consider such amounts to be part of the ongoing operations.
Stock-based compensation: Stock-based compensation is charged to cost of revenue and operating expenses. We exclude stock-based compensation from certain of our non-GAAP financial measures because we believe that excluding these non-cash expenses provides meaningful supplemental information regarding operational performance. Because of the variety of equity awards used by companies, the varying methodologies for determining stock-based compensation expense, the subjective assumptions involved in those determinations, and the volatility in valuations that can be driven by market conditions outside the Company’s control, the Company believes excluding stock-based compensation expense enhances the ability of management and investors to understand and assess the underlying performance of its business over time.
Transaction-related expenses: Represent one-time costs incurred in connection with business combinations, asset acquisitions, or debt financing and modification activities. These expenses may include, but are not limited to, legal and advisory fees, due diligence costs, contract termination charges, and other third-party expenses directly related to the planning or execution of these transactions. We exclude these costs because they can vary significantly from period to period and are not indicative of the underlying trends in our core business.
Foreign currency exchange impact: Gains and losses related to foreign currency transactions, which are recorded as other income (expense), net. Management excludes these items when evaluating the Company's operating results as they are primarily non-cash and non-operating in nature.
Loss on debt extinguishment: Represents charges recognized in connection with the early repayment, refinancing, or settlement of debt, including write-offs of unamortized debt discounts, premiums, or deferred financing costs, and any associated prepayment penalties. We exclude these items from non-GAAP results because they are non-recurring in nature, not indicative of ongoing operating performance, and can vary significantly from period to period based on financing activity.
Loss (gain) on derivative liability: Represents non-cash fair value adjustments associated with embedded derivative features related to our convertible debt. These mark-to-market changes are driven by fluctuations in our stock price and other valuation inputs, and do not reflect current operating performance. We exclude these amounts from non-GAAP results because they are non-cash, volatile, and unrelated to the Company’s core business operations.
Non-cash interest expense: Consists primarily of interest expense related to the amortization of debt discounts, deferred financing costs, and other non-cash components associated with our convertible notes and other long-term debt instruments. We exclude this item from non-GAAP net income because it is non-cash in nature and does not reflect our core operating performance or current period cash expenditures.
Long-term income tax rate adjustment: The Company employs a structural long-term projected non-GAAP income tax rate of
Other non-recurring expenses: These represent items that are unusual or infrequent in nature and that we believe are not indicative of our ongoing operating performance. Examples may include discrete costs associated with tax strategy implementation or one-time expenses related to customer restructuring or reorganization events. We evaluate such items based on their nature and significance and disclose material adjustments in our non-GAAP reconciliations.
About Alphatec Holdings, Inc.
ATEC, through its wholly owned subsidiaries, Alphatec Spine, Inc., EOS imaging S.A.S., and SafeOp Surgical, Inc., is a medical device company dedicated to revolutionizing the approach to spine surgery through clinical distinction. ATEC’s Organic Innovation Machine™ is focused on developing new approaches that integrate seamlessly with the Company’s expanding InformatiX™ platform to better inform surgery and more safely and reproducibly achieve the goals of spine surgery. ATEC’s vision is to be the Standard Bearer in Spine. For more information, visit us at www.atecspine.com.
Forward-Looking Statements
This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. The Company cautions investors that there can be no assurance that actual results will not differ materially from those projected or suggested in such forward-looking statements as a result of various factors. Forward-looking statements include, but are not limited to: references to the Company's revenue, balance sheet, growth, adjusted EBITDA, profitability, free cash flow, and financial outlook and commitments; planned product launches, timelines, introductions, regulatory submissions or clearances; and the Company’s ability to compel surgeon adoption, drive procedural growth, improve biologics performance, and gain market share. Important factors that could cause actual operating results to differ significantly from those expressed or implied by such forward-looking statements include, but are not limited to: the uncertainty of success in developing new products or products currently in the pipeline; the uncertainties in the Company's ability to execute upon its strategic operating plan; the uncertainties regarding the ability to successfully license or acquire new products, and the commercial success of such products; failure to achieve acceptance of the Company’s products by the surgeon community; the Company’s inability to improve biologics performance and product mix; competitive pressures and market dynamics; failure to obtain FDA or other regulatory clearance or approval or unexpected or prolonged delays in the process; continuation of favorable third-party reimbursement; unanticipated expenses or liabilities or other adverse events affecting cash flow or the Company's ability to achieve profitability; uncertainty of additional funding and the form of such funding; product liability exposure; an unsuccessful outcome in any litigation; patent infringement claims; claims related to the Company's intellectual property; and the Company’s ability to meet its financial obligations. A further list and description of these and other factors, risks and uncertainties can be found in the Company's most recent annual report, and any subsequent quarterly and current reports, filed with the
| ALPHATEC HOLDINGS, INC. | ||||||||||||||||
| Condensed Consolidated Statements of Operations | ||||||||||||||||
| (in thousands, except per share amounts) | ||||||||||||||||
Three Months Ended |
Nine Months Ended |
|||||||||||||||
September 30 |
September 30 |
|||||||||||||||
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
|||||
| (unaudited) | (unaudited) | |||||||||||||||
| Revenue from products and services | $ |
221,172 |
|
$ |
196,503 |
|
$ |
626,793 |
|
$ |
551,227 |
|
||||
| Cost of sales |
|
62,926 |
|
|
59,203 |
|
|
177,973 |
|
|
168,830 |
|
||||
| Gross profit |
|
158,246 |
|
|
137,300 |
|
|
448,820 |
|
|
382,397 |
|
||||
| Operating expenses: | ||||||||||||||||
| Research and development |
|
18,004 |
|
|
18,679 |
|
|
53,738 |
|
|
53,987 |
|
||||
| Sales, general and administrative |
|
132,505 |
|
|
124,303 |
|
|
403,563 |
|
|
369,827 |
|
||||
| Litigation-related expenses |
|
593 |
|
|
6,520 |
|
|
1,032 |
|
|
20,327 |
|
||||
| Amortization of acquired intangible assets |
|
3,899 |
|
|
3,731 |
|
|
11,731 |
|
|
11,187 |
|
||||
| Restructuring expenses |
|
— |
|
|
— |
|
|
— |
|
|
378 |
|
||||
| Total operating expenses |
|
155,001 |
|
|
153,233 |
|
|
470,064 |
|
|
455,706 |
|
||||
| Operating income (loss) |
|
3,245 |
|
|
(15,933 |
) |
|
(21,244 |
) |
|
(73,309 |
) |
||||
| Other expense, net: | ||||||||||||||||
| Cash interest expense, net |
|
(4,097 |
) |
|
(5,312 |
) |
|
(13,424 |
) |
|
(15,957 |
) |
||||
| Non-cash interest expense, net |
|
(6,518 |
) |
|
(7,566 |
) |
|
(19,876 |
) |
|
(17,071 |
) |
||||
| Loss on debt extinguishment |
|
— |
|
|
— |
|
|
(11,883 |
) |
|
(17,576 |
) |
||||
| Gain on derivative liability |
|
— |
|
|
— |
|
|
— |
|
|
620 |
|
||||
| Other (expense) income, net |
|
(95 |
) |
|
307 |
|
|
(519 |
) |
|
1,637 |
|
||||
| Total other expense, net |
|
(10,710 |
) |
|
(12,571 |
) |
|
(45,702 |
) |
|
(48,347 |
) |
||||
| Net loss before taxes |
|
(7,465 |
) |
|
(28,504 |
) |
|
(66,946 |
) |
|
(121,656 |
) |
||||
| Income tax (benefit) provision |
|
(1,994 |
) |
|
74 |
|
|
(1,788 |
) |
|
(27 |
) |
||||
| Net loss | $ |
(5,471 |
) |
$ |
(28,578 |
) |
$ |
(65,158 |
) |
$ |
(121,629 |
) |
||||
| Net loss per share, basic and diluted | $ |
(0.03 |
) |
$ |
(0.19 |
) |
$ |
(0.42 |
) |
$ |
(0.81 |
) |
||||
| Weighted average shares outstanding, basic and diluted |
|
157,376 |
|
|
151,401 |
|
|
156,021 |
|
|
149,373 |
|
||||
| Stock-based compensation included in: | ||||||||||||||||
| Cost of sales | $ |
643 |
|
$ |
414 |
|
$ |
2,172 |
|
$ |
4,010 |
|
||||
| Research and development |
|
2,842 |
|
|
3,307 |
|
|
10,448 |
|
|
11,110 |
|
||||
| Sales, general and administrative |
|
10,468 |
|
|
12,658 |
|
|
43,139 |
|
|
39,201 |
|
||||
$ |
13,953 |
|
$ |
16,379 |
|
$ |
55,759 |
|
$ |
54,321 |
|
|||||
| Alphatec Holdings, Inc. | |||||||
| Condensed Consolidated Balance Sheets | |||||||
| (in thousands) | |||||||
September 30,
|
December 31,
|
||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ |
79,936 |
|
$ |
160,806 |
||
| Accounts receivable, net |
|
110,803 |
|
|
97,304 |
||
| Inventories |
|
206,873 |
|
|
169,444 |
||
| Prepaid expenses and other current assets |
|
29,553 |
|
|
23,322 |
||
| Total current assets |
|
427,165 |
|
|
450,876 |
||
| Property and equipment, net |
|
139,698 |
|
|
135,324 |
||
| Right-of-use assets |
|
47,723 |
|
|
31,225 |
||
| Goodwill |
|
73,963 |
|
|
75,208 |
||
| Intangible assets, net |
|
96,455 |
|
|
93,454 |
||
| Other assets |
|
11,741 |
|
|
5,121 |
||
| Total assets | $ |
796,745 |
|
$ |
791,208 |
||
| LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ |
61,626 |
|
$ |
40,893 |
||
| Accrued expenses and other current liabilities |
|
98,855 |
|
|
97,019 |
||
| Contract liabilities |
|
11,643 |
|
|
10,439 |
||
| Short-term debt |
|
5,303 |
|
|
64,526 |
||
| Current portion of operating lease liabilities |
|
3,340 |
|
|
6,298 |
||
| Total current liabilities |
|
180,767 |
|
|
219,175 |
||
| Total long-term liabilities |
|
594,677 |
|
|
536,004 |
||
| Redeemable preferred stock |
|
23,603 |
|
|
23,603 |
||
| Stockholders' (deficit) equity |
|
(2,302 |
) |
|
12,426 |
||
| Total liabilities and stockholders' (deficit) equity | $ |
796,745 |
|
$ |
791,208 |
||
| Alphatec Holdings, Inc. | ||||||||||||||||
| Reconciliation of Non-GAAP Financial Measures | ||||||||||||||||
| (in thousands) | ||||||||||||||||
Three Months Ended |
Nine Months Ended |
|||||||||||||||
September 30, |
September 30, |
|||||||||||||||
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
|||||
| (unaudited) | ||||||||||||||||
| Gross profit, GAAP | $ |
158,246 |
|
$ |
137,300 |
|
$ |
448,820 |
|
$ |
382,397 |
|
||||
| Add: amortization of acquired intangible assets |
|
65 |
|
|
65 |
|
|
196 |
|
|
179 |
|
||||
| Add: stock-based compensation |
|
643 |
|
|
414 |
|
|
2,172 |
|
|
4,010 |
|
||||
| Non-GAAP gross profit | $ |
158,954 |
|
$ |
137,779 |
|
$ |
451,188 |
|
$ |
386,586 |
|
||||
| Gross margin, GAAP |
|
71.5 |
% |
|
69.9 |
% |
|
71.6 |
% |
|
69.4 |
% |
||||
| Add: amortization of acquired intangible assets |
|
— |
% |
|
— |
% |
|
— |
% |
|
— |
% |
||||
| Add: stock-based compensation |
|
0.3 |
% |
|
0.2 |
% |
|
0.3 |
% |
|
0.7 |
% |
||||
| Non-GAAP gross margin |
|
71.9 |
% |
|
70.1 |
% |
|
72.0 |
% |
|
70.1 |
% |
||||
| Three Months Ended | Nine Months Ended | |||||||||||||||
| September 30, | September 30, | |||||||||||||||
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
|||||
| (unaudited) | ||||||||||||||||
| Operating expenses, GAAP | $ |
155,001 |
|
$ |
153,233 |
|
$ |
470,064 |
|
$ |
455,706 |
|
||||
| Adjustments: | ||||||||||||||||
| Stock-based compensation |
|
(13,310 |
) |
|
(15,965 |
) |
|
(53,587 |
) |
|
(50,311 |
) |
||||
| Litigation-related expenses |
|
(593 |
) |
|
(6,520 |
) |
|
(1,032 |
) |
|
(20,327 |
) |
||||
| Amortization of acquired intangible assets |
|
(3,899 |
) |
|
(3,731 |
) |
|
(11,731 |
) |
|
(11,187 |
) |
||||
| Restructuring expenses |
|
— |
|
|
— |
|
|
— |
|
|
(378 |
) |
||||
| Non-GAAP operating expenses | $ |
137,199 |
|
$ |
127,017 |
|
$ |
403,714 |
|
$ |
373,503 |
|
||||
| Alphatec Holdings, Inc. | ||||||||||||||||
| Reconciliation of Non-GAAP Financial Measures | ||||||||||||||||
| (in thousands) | ||||||||||||||||
Three Months Ended |
Nine Months Ended |
|||||||||||||||
September 30, |
September 30, |
|||||||||||||||
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
|||||
| (unaudited) | ||||||||||||||||
| Net loss, GAAP | $ |
(5,471 |
) |
$ |
(28,578 |
) |
$ |
(65,158 |
) |
$ |
(121,629 |
) |
||||
| Cash interest expense, net |
|
4,097 |
|
|
5,312 |
|
|
13,424 |
|
|
15,957 |
|
||||
| Non-cash interest expense, net |
|
6,518 |
|
|
7,566 |
|
|
19,876 |
|
|
17,071 |
|
||||
| Loss on debt extinguishment |
|
— |
|
|
— |
|
|
11,883 |
|
|
17,576 |
|
||||
| Gain on derivative liability |
|
— |
|
|
— |
|
|
— |
|
|
(620 |
) |
||||
| Other (expense) income, net |
|
95 |
|
|
(307 |
) |
|
519 |
|
|
(1,637 |
) |
||||
| Income tax (benefit) provision |
|
(1,994 |
) |
|
74 |
|
|
(1,788 |
) |
|
(27 |
) |
||||
| Depreciation expense |
|
15,789 |
|
|
14,889 |
|
|
45,578 |
|
|
45,655 |
|
||||
| Amortization expense |
|
4,677 |
|
|
4,267 |
|
|
13,820 |
|
|
12,736 |
|
||||
| EBITDA |
|
23,711 |
|
|
3,223 |
|
|
38,154 |
|
|
(14,918 |
) |
||||
| Add back significant items: | ||||||||||||||||
| Stock-based compensation |
|
13,953 |
|
|
16,379 |
|
|
55,759 |
|
|
54,321 |
|
||||
| Litigation-related expenses |
|
593 |
|
|
6,520 |
|
|
1,032 |
|
|
20,327 |
|
||||
| Restructuring expenses |
|
— |
|
|
— |
|
|
— |
|
|
378 |
|
||||
| Adjusted EBITDA | $ |
38,257 |
|
$ |
26,122 |
|
$ |
94,945 |
|
$ |
60,108 |
|
||||
| Adjusted EBITDA margin |
|
17.3 |
% |
|
13.3 |
% |
|
15.1 |
% |
|
10.9 |
% |
||||
| Adjusted EBITDA margin expansion |
|
400 |
|
bps |
|
420 |
|
bps | ||||||||
| Three Months Ended | Nine Months Ended | |||||||||||||||
| September 30, | September 30, | |||||||||||||||
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
|||||
| (unaudited) | ||||||||||||||||
| Net loss, GAAP | $ |
(5,471 |
) |
$ |
(28,578 |
) |
$ |
(65,158 |
) |
$ |
(121,629 |
) |
||||
| Stock-based compensation |
|
13,953 |
|
|
16,379 |
|
|
55,759 |
|
|
54,321 |
|
||||
| Litigation-related expenses |
|
593 |
|
|
6,520 |
|
|
1,032 |
|
|
20,327 |
|
||||
| Amortization of acquired intangible assets |
|
3,964 |
|
|
3,796 |
|
|
11,927 |
|
|
11,366 |
|
||||
| Restructuring expenses |
|
— |
|
|
— |
|
|
— |
|
|
378 |
|
||||
| Loss on debt extinguishment |
|
— |
|
|
— |
|
|
11,883 |
|
|
17,576 |
|
||||
| Gain on derivative liability |
|
— |
|
|
— |
|
|
— |
|
|
(620 |
) |
||||
| Non-cash interest expense, net |
|
6,518 |
|
|
7,566 |
|
|
19,876 |
|
|
17,071 |
|
||||
| Foreign currency exchange impact |
|
177 |
|
|
(29 |
) |
|
621 |
|
|
(648 |
) |
||||
| Long-term income tax rate adjustment |
|
(4,949 |
) |
|
(1,563 |
) |
|
(9,422 |
) |
|
517 |
|
||||
| Non-GAAP net income (loss) | $ |
14,785 |
|
$ |
4,091 |
|
$ |
26,518 |
|
$ |
(1,341 |
) |
||||
| Non-GAAP net income (loss) per share | $ |
0.09 |
|
$ |
0.03 |
|
$ |
0.17 |
|
$ |
(0.01 |
) |
||||
| Weighted average shares outstanding, basic and diluted |
|
157,376 |
|
|
151,401 |
|
|
156,021 |
|
|
149,373 |
|
||||
View source version on businesswire.com: https://www.businesswire.com/news/home/20261029584488/en/
Investor/Media Contact:
Robert Judd
Investor Relations
(760) 494-6790
investorrelations@atecspine.com
Company Contact:
J. Todd Koning
Chief Financial Officer
investorrelations@atecspine.com
Source: Alphatec Holdings, Inc.