The company's capital structure remains strained, with equity eroding to $18.3 million and a debt-to-equity ratio of 33.03 as of 2026Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 |
|---|
| Total Current Assets | 456.17M | 450.88M | 417.4M | 451.09M | 255.63M | 331.16M | 184.16M | 108.32M | 75.54M | 66.48M | 72.82M | 101.86M | 113.11M | 113.75M | 122.05M | 116.43M | 122.82M | 67.62M | 65.51M | 63.88M | 45.5M | 24.11M | 7.27M |
| Cash & Short-Term Investments | 139.91M | 160.81M | 138.84M | 220.97M | 84.7M | 187.25M | 107.77M | 47.11M | 29.05M | 22.47M | 19.59M | 11.23M | 19.73M | 21.34M | 22.24M | 20.67M | 23.17M | 10.09M | 18.32M | 25.84M | 16.94M | 2.18M | 1.56M |
| Cash Only | 139.91M | 160.81M | 138.84M | 220.97M | 84.7M | 187.25M | 107.77M | 47.11M | 29.05M | 22.47M | 19.59M | 11.23M | 19.73M | 21.34M | 22.24M | 20.67M | 23.17M | 10.09M | 18.32M | 25.84M | 16.94M | 2.18M | 1.56M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 112.79M | 97.3M | 82.99M | 72.61M | 60.06M | 41.89M | 24.6M | 16.15M | 15.45M | 14.82M | 18.51M | 26.87M | 40.44M | 41.4M | 41.01M | 41.71M | 39.78M | 24.77M | 18.76M | 13.04M | 10.58M | 9.36M | 2.84M |
| Days Sales Outstanding | 62.39 | 46.48 | 49.53 | 54.96 | 62.48 | 62.87 | 61.99 | 51.97 | 61.48 | 53.18 | 56.19 | 52.93 | 71.31 | 73.8 | 76.27 | 77 | 84.6 | 68.4 | 67.58 | 59.45 | 52.2 | 80.72 | 58.21 |
| Inventory | 186.03M | 169.44M | 175.26M | 136.84M | 101.52M | 91.7M | 46M | 34.85M | 28.77M | 27.29M | 30.09M | 44.91M | 41.75M | 41.94M | 49.85M | 45.92M | 51.63M | 29.52M | 24.17M | 20.09M | 13.45M | 8.46M | 2.61M |
| Days Inventory Outstanding | 318.67 | 266.28 | 341.54 | 290.29 | 314.54 | 391.71 | 396.37 | 355.03 | 368.95 | 252.79 | 248.99 | 257.15 | 246.43 | 194.58 | 257.16 | 207.47 | 320.56 | 224.37 | 241.01 | 245.9 | 191.08 | 174.19 | 174.79 |
| Other Current Assets | 17.44M | 23.32M | 20.31M | 20.67M | 9.36M | 0 | 5.79M | 10.2M | 242K | 131K | 364K | 32.56M | 5.72M | 9.07M | 2.99M | 8.14M | 8.24M | 3.26M | 4.26M | 2.94M | 2.28M | 3.06M | 52K |
| Total Non-Current Assets | 343.31M | 340.33M | 358.31M | 354.12M | 265.33M | 240.9M | 81.06M | 66.63M | 53.94M | 18.18M | 21.36M | 44.85M | 231.81M | 251.88M | 260.07M | 250.26M | 254.19M | 94.27M | 90.04M | 83.36M | 83.78M | 85.03M | 4.03M |
| Property, Plant & Equipment | 168.65M | 166.55M | 191.09M | 176.25M | 130.31M | 112.68M | 37.85M | 21.58M | 13.23M | 12.67M | 15.08M | 21.95M | 26.04M | 28.03M | 30.4M | 31.48M | 38.44M | 30.36M | 23.09M | 12.23M | 12.58M | 7.21M | 3.71M |
| Fixed Asset Turnover | 3.50x | 4.59x | 3.20x | 2.74x | 2.69x | 2.16x | 3.83x | 5.26x | 6.93x | 8.03x | 7.98x | 8.44x | 7.95x | 7.30x | 6.46x | 6.28x | 4.46x | 4.35x | 4.39x | 6.54x | 5.88x | 5.87x | 4.81x |
| Goodwill | 74.47M | 75.21M | 70.98M | 73M | 47.37M | 39.69M | 13.9M | 13.9M | 13.9M | 0 | 0 | 0 | 171.33M | 183M | 180.84M | 168.61M | 170.19M | 60.11M | 60.12M | 60M | 60.39M | 60.95M | 0 |
| Intangible Assets | 90.02M | 93.45M | 93.52M | 102.45M | 82.78M | 85.27M | 24.72M | 25.61M | 26.41M | 5.25M | 5.71M | 21.62M | 30.26M | 39.06M | 46.86M | 47.14M | 43.15M | 2.3M | 4.28M | 9.63M | 10.19M | 13.64M | 221.25K |
| Long-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 4M | 5M | 5M | 5M | 5M | 5M | -1.32M | -1.37M | -2.99M | -1.25M | -1.59M | -128K | -418K | -937K | -1.18M | 0 | 0 |
| Other Non-Current Assets | 10.17M | 5.12M | 2.72M | 2.42M | 4.87M | 3.25M | 599K | 546K | 401K | 264K | 577K | 1.28M | 4.18M | 1.79M | 1.98M | 3.03M | 2.41M | 1.5M | 2.54M | 1.5M | 622K | 3.24M | 106.01K |
| Total Assets | 799.48M | 791.21M | 775.71M | 805.21M | 520.97M | 572.05M | 265.22M | 174.95M | 129.48M | 84.66M | 94.19M | 146.7M | 344.92M | 365.63M | 382.13M | 366.69M | 377.02M | 161.89M | 155.55M | 147.24M | 129.28M | 109.14M | 11.31M |
| Asset Turnover | 0.75x | 0.97x | 0.79x | 0.60x | 0.67x | 0.43x | 0.55x | 0.65x | 0.71x | 1.20x | 1.28x | 1.26x | 0.60x | 0.56x | 0.51x | 0.54x | 0.46x | 0.82x | 0.65x | 0.54x | 0.57x | 0.39x | 1.58x |
| Asset Growth % | 12.15% | 2% | -3.66% | 54.56% | -8.93% | 115.69% | 51.6% | 35.12% | 52.94% | -10.12% | -35.8% | -57.47% | -5.66% | -4.32% | 4.21% | -2.74% | 132.89% | 4.08% | 5.64% | 13.89% | 18.45% | 865.28% | - |
| Total Current Liabilities | 240.24M | 219.18M | 153.03M | 157.57M | 138.87M | 101.09M | 58.31M | 36.39M | 30.61M | 29.74M | 40.53M | 125.4M | 63.6M | 79.72M | 56.79M | 57.14M | 43.59M | 38.08M | 31.21M | 24.07M | 21.39M | 19.86M | 6.55M |
| Accounts Payable | 46.04M | 40.89M | 52.98M | 48.98M | 34.74M | 25.74M | 17.6M | 7.77M | 4.4M | 3.88M | 8.7M | 13.54M | 10.13M | 10.79M | 15.24M | 17.39M | 15.96M | 12.78M | 10.5M | 5.95M | 5.8M | 4.1M | 1.58M |
| Days Payables Outstanding | 78.76 | 64.26 | 103.25 | 103.92 | 107.64 | 109.94 | 151.64 | 79.17 | 56.42 | 35.92 | 71.99 | 77.54 | 59.8 | 50.06 | 78.6 | 78.57 | 99.06 | 97.16 | 104.74 | 72.79 | 82.35 | 84.5 | 105.75 |
| Short-Term Debt | 72.17M | 70.82M | 1.66M | 1.81M | 14.95M | 342K | 5.08M | 1.8M | 3.28M | 3.31M | 3.11M | 79.74M | 8.08M | 4.92M | 1.7M | 4.4M | 1.71M | 6.72M | 2.11M | 4.76M | 5.22M | 6.92M | 3.1M |
| Deferred Revenue (Current) | 42.47M | 10.44M | 10.47M | 13.91M | 11.96M | 15.26M | 0 | 0 | -3K | 19.11M | 27.98M | 648K | 1.3M | 1.01M | 1.36M | 2.77M | 3.4M | 2.13M | 1.86M | 0 | 8.45M | 8.74M | 1.8M |
| Other Current Liabilities | 111.57M | 63.67M | 6.82M | 56.52M | 5.64M | 4.29M | 23.38M | 18.78M | 19.71M | 15.11M | 23.71M | 27.16M | 14.54M | 7.02M | 9.58M | 24.78M | 17.47M | 12.25M | 13.22M | 10.99M | 9.06M | 7.11M | 1.34M |
| Current Ratio | 1.90x | 2.06x | 2.73x | 2.86x | 1.84x | 3.28x | 3.16x | 2.98x | 2.47x | 2.24x | 1.80x | 0.81x | 1.78x | 1.43x | 2.15x | 2.04x | 2.82x | 1.78x | 2.10x | 2.65x | 2.13x | 1.21x | 1.11x |
| Quick Ratio | 1.12x | 1.28x | 1.58x | 1.99x | 1.11x | 2.37x | 2.37x | 2.02x | 1.53x | 1.32x | 1.05x | 0.45x | 1.12x | 0.90x | 1.27x | 1.23x | 1.63x | 1.00x | 1.32x | 1.82x | 1.50x | 0.79x | 0.71x |
| Cash Conversion Cycle | 302.31 | 248.49 | 287.82 | 241.33 | 269.38 | 344.64 | 306.72 | 327.83 | 374.01 | 270.05 | 233.19 | 232.54 | 257.95 | 218.32 | 254.83 | 205.9 | 306.1 | 195.61 | 203.85 | 232.55 | 160.93 | 170.41 | 127.25 |
| Total Non-Current Liabilities | 540.98M | 536M | 613.25M | 545.91M | 416.76M | 391.54M | 49.43M | 66.32M | 81.29M | 81.58M | 95.56M | 57.88M | 132.37M | 114.23M | 79.52M | 64.23M | 66.99M | 48.98M | 52.87M | 28.32M | 30.17M | 106.62M | 2.93M |
| Long-Term Debt | 507.89M | 525.27M | 574.52M | 511.04M | 349.51M | 326.49M | 38M | 53.38M | 42.3M | 37.77M | 43.09M | 480K | 74.6M | 49.98M | 39.97M | 23.8M | 32.47M | 23.63M | 26.49M | 1.95M | 3.11M | 2.51M | 2.44M |
| Capital Lease Obligations | 98.1M | 23.86M | 27.3M | 23.68M | 26.56M | 24.38M | 78K | 989K | 92K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -23.61M | 0 | 0 | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.95M | 1.87M | 2.47M | 3.83M | 8.76M | 738K | 887K | 1.27M | 1.47M | 3.06M | 0 |
| Other Non-Current Liabilities | 8.27M | -15.3M | 8.29M | 8.64M | 37.65M | 37.77M | 11.35M | 11.95M | 38.9M | 43.81M | 52.47M | 57.4M | 55.82M | 62.39M | 37.09M | 36.6M | 25.76M | 24.61M | 25.49M | 1.48M | 1.89M | 1.65M | 492.57K |
| Total Liabilities | 781.22M | 755.18M | 766.28M | 703.49M | 555.63M | 492.63M | 107.74M | 102.71M | 111.9M | 111.32M | 136.08M | 183.28M | 195.97M | 193.95M | 136.31M | 121.36M | 110.58M | 87.06M | 84.08M | 52.39M | 51.56M | 126.48M | 9.48M |
| Total Debt | 603.06M | 619.95M | 609.94M | 541.68M | 395.86M | 355.43M | 43.16M | 56.18M | 3.28M | 41.07M | 3.11M | 80.11M | 8.08M | 4.92M | 1.7M | 4.4M | 1.71M | 6.72M | 2.11M | 6.71M | 8.33M | 9.43M | 5.54M |
| Net Debt | 463.15M | 459.14M | 471.1M | 320.71M | 311.17M | 168.18M | -64.61M | 9.06M | -25.78M | 18.61M | -16.48M | 68.88M | -11.66M | -16.42M | -20.54M | -16.27M | -21.46M | -3.36M | -16.21M | -19.13M | -8.61M | 7.25M | 3.99M |
| Debt / Equity | 33.03x | 17.21x | 64.65x | 5.33x | - | 4.48x | 0.27x | 0.78x | 0.19x | - | - | - | 0.05x | 0.03x | 0.01x | 0.02x | 0.01x | 0.09x | 0.03x | 0.07x | 0.11x | - | 3.03x |
| Debt / EBITDA | 136.32x | 1425.17x | - | - | - | - | - | - | - | - | - | - | 1.23x | - | - | - | - | 2.80x | - | - | - | - | 6.83x |
| Net Debt / EBITDA | 104.69x | 1055.50x | - | - | - | - | - | - | - | - | - | - | -1.78x | - | - | - | - | -1.40x | - | - | - | - | 4.91x |
| Interest Coverage | -3.29x | -5.78x | -5.51x | -10.23x | -26.61x | -19.28x | -5.37x | - | -3.23x | 0.40x | -4.77x | -42.09x | 1.10x | -18.97x | -1.72x | -7.82x | -2.24x | -2.84x | -14.37x | -21.59x | -10.39x | -7.80x | 2.94x |
| Total Equity | 18.26M | 36.03M | 9.43M | 101.72M | -34.67M | 79.42M | 157.48M | 72.23M | 17.57M | -26.66M | -41.9M | -36.58M | 148.95M | 171.68M | 245.82M | 245.33M | 266.43M | 74.83M | 71.47M | 94.85M | 77.72M | -17.34M | 1.83M |
| Equity Growth % | 379.28% | 281.91% | -90.73% | 393.42% | -143.65% | -49.57% | 118.02% | 311.03% | 165.92% | 36.37% | -14.55% | -124.56% | -13.24% | -30.16% | 0.2% | -7.92% | 256.06% | 4.7% | -24.65% | 22.04% | 548.15% | -1048.62% | - |
| Book Value per Share | 0.12 | 0.24 | 0.07 | 0.84 | -0.34 | 0.83 | 2.35 | 1.38 | 0.50 | -2.01 | -4.88 | -4.41 | 18.29 | 21.41 | 32.70 | 33.15 | 40.68 | 18.22 | 18.53 | 30.53 | 34.24 | -14.74 | 2.28 |
| Total Shareholders' Equity | 18.26M | 36.03M | 9.43M | 101.72M | -34.67M | 79.42M | 157.48M | 72.23M | 17.57M | -26.66M | -41.9M | -36.58M | 148.95M | 171.68M | 245.82M | 245.33M | 266.43M | 74.83M | 71.47M | 94.85M | 75M | -19.26M | 1.83M |
| Common Stock | 16K | 15K | 14K | 14K | 11K | 10K | 8K | 6K | 4K | 2K | 1K | 10K | 10K | 10K | 10K | 9K | 9K | 5K | 5K | 5K | 3K | 577 | 92.35K |
| Retained Earnings | -1.46B | -1.42B | -1.28B | -1.12B | -932.32M | -782.33M | -638M | -558.92M | -501.92M | -459.46M | -457.17M | -427.24M | -248.56M | -235.68M | -153.46M | -138M | -115.81M | -101.46M | -88.17M | -58.88M | -36.68M | -12.87M | -5.01M |
| Treasury Stock | -25.1M | -25.1M | -25.1M | -25.1M | -25.1M | -25.1M | -97K | -97K | -97K | -97K | -97K | -97K | -97K | -97K | -97K | -97K | -97K | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | -6.45M | -4.43M | -13.68M | -8.32M | -10.79M | -5.99M | 1.2M | 1.09M | 1.06M | 1.09M | 970K | -21.19M | -11.32M | 3.88M | 112K | -2.81M | -1.31M | 1.26M | 1.5M | 334K | 111K | -18.41M | -1.3M |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.72M | 1.91M | 0 |
High leverage and insolvency
As reported in recent financial statements, ATEC's equity base has eroded significantly, falling from $101.7 million in 2023Q4 to just $18.3 million by 2026Q1, a trend that underscores the ongoing difficulty in achieving balance sheet stability while funding aggressive market share acquisition through debt.
The consistent decline in shareholders' equity, driven by accumulated deficits, suggests that the company's growth strategy is consuming capital faster than it can be generated internally. Investors should monitor whether this trajectory forces further dilutive financing or if operational improvements can stabilize the equity base.
Based on the provided quarterly data, ATEC's debt-to-equity ratio has spiked to 33.03 in 2026Q1, up from 5.33 in 2023Q4, indicating that the company's reliance on debt financing has intensified significantly as the firm attempts to scale its proceduralization strategy in a competitive market.
The high leverage ratio suggests that the company's capital structure is increasingly sensitive to interest rate fluctuations and operational performance. This level of indebtedness warrants investigation into the company's debt covenants and its long-term ability to service these obligations without further equity dilution.
According to recent SEC filings, ATEC's current ratio has fluctuated between 1.90 and 2.86 over the last ten quarters, with cash reserves of $139.9 million in 2026Q1 providing only a modest buffer against the company's substantial debt load and ongoing operational cash requirements.
While the current ratio appears superficially healthy, the underlying cash position relative to total liabilities suggests limited flexibility to navigate unexpected market shocks. The company's liquidity profile appears to be heavily dependent on maintaining access to external credit markets to sustain its current growth trajectory.
As indicated by the balance sheet data, ATEC's net property, plant, and equipment (PPE) of $168.6 million in 2026Q1 represents a significant portion of total assets, reflecting the capital-intensive nature of placing surgical instrument sets with hospitals to drive long-term implant pull-through.
The reliance on capitalized instrument sets suggests that the business model is inherently asset-heavy, requiring continuous reinvestment to support new surgeon users. This asset mix implies that any slowdown in surgeon adoption could lead to underutilized capacity and potential impairment risks for the existing instrument fleet.
Quick answers to the most common questions about buying ATEC stock.
As of 2025, Alphatec Holdings, Inc. (ATEC) had total assets of $791.2M including $450.9M in current assets.
Alphatec Holdings, Inc. (ATEC) carries total debt of $619.9M, offset by $160.8M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Alphatec Holdings, Inc. (ATEC) has total shareholders' equity (book value) of $36.0M ($0.24 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Alphatec Holdings, Inc. (ATEC) reported a current ratio of 2.06x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.