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ATECAlphatec Holdings, Inc.
$9.30$1.4B
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HomeStocksATECBalance Sheet

Alphatec Holdings, Inc. (ATEC) Balance Sheet

22Y historyFree accessUpdated daily

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.

ATEC Balance Sheet

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08Dec'07Dec'06Dec'05Dec'04
Total Current Assets456.17M450.88M417.4M451.09M255.63M331.16M184.16M108.32M75.54M66.48M72.82M101.86M113.11M113.75M122.05M116.43M122.82M67.62M65.51M63.88M45.5M24.11M7.27M
Cash & Short-Term Investments139.91M160.81M138.84M220.97M84.7M187.25M107.77M47.11M29.05M22.47M19.59M11.23M19.73M21.34M22.24M20.67M23.17M10.09M18.32M25.84M16.94M2.18M1.56M
Cash Only139.91M160.81M138.84M220.97M84.7M187.25M107.77M47.11M29.05M22.47M19.59M11.23M19.73M21.34M22.24M20.67M23.17M10.09M18.32M25.84M16.94M2.18M1.56M
Short-Term Investments00000000000000000000000
Accounts Receivable112.79M97.3M82.99M72.61M60.06M41.89M24.6M16.15M15.45M14.82M18.51M26.87M40.44M41.4M41.01M41.71M39.78M24.77M18.76M13.04M10.58M9.36M2.84M
Days Sales Outstanding62.3946.4849.5354.9662.4862.8761.9951.9761.4853.1856.1952.9371.3173.876.277784.668.467.5859.4552.280.7258.21
Inventory186.03M169.44M175.26M136.84M101.52M91.7M46M34.85M28.77M27.29M30.09M44.91M41.75M41.94M49.85M45.92M51.63M29.52M24.17M20.09M13.45M8.46M2.61M
Days Inventory Outstanding318.67266.28341.54290.29314.54391.71396.37355.03368.95252.79248.99257.15246.43194.58257.16207.47320.56224.37241.01245.9191.08174.19174.79
Other Current Assets17.44M23.32M20.31M20.67M9.36M05.79M10.2M242K131K364K32.56M5.72M9.07M2.99M8.14M8.24M3.26M4.26M2.94M2.28M3.06M52K
Total Non-Current Assets343.31M340.33M358.31M354.12M265.33M240.9M81.06M66.63M53.94M18.18M21.36M44.85M231.81M251.88M260.07M250.26M254.19M94.27M90.04M83.36M83.78M85.03M4.03M
Property, Plant & Equipment168.65M166.55M191.09M176.25M130.31M112.68M37.85M21.58M13.23M12.67M15.08M21.95M26.04M28.03M30.4M31.48M38.44M30.36M23.09M12.23M12.58M7.21M3.71M
Fixed Asset Turnover3.50x4.59x3.20x2.74x2.69x2.16x3.83x5.26x6.93x8.03x7.98x8.44x7.95x7.30x6.46x6.28x4.46x4.35x4.39x6.54x5.88x5.87x4.81x
Goodwill74.47M75.21M70.98M73M47.37M39.69M13.9M13.9M13.9M000171.33M183M180.84M168.61M170.19M60.11M60.12M60M60.39M60.95M0
Intangible Assets90.02M93.45M93.52M102.45M82.78M85.27M24.72M25.61M26.41M5.25M5.71M21.62M30.26M39.06M46.86M47.14M43.15M2.3M4.28M9.63M10.19M13.64M221.25K
Long-Term Investments0000004M5M5M5M5M5M-1.32M-1.37M-2.99M-1.25M-1.59M-128K-418K-937K-1.18M00
Other Non-Current Assets10.17M5.12M2.72M2.42M4.87M3.25M599K546K401K264K577K1.28M4.18M1.79M1.98M3.03M2.41M1.5M2.54M1.5M622K3.24M106.01K
Total Assets799.48M791.21M775.71M805.21M520.97M572.05M265.22M174.95M129.48M84.66M94.19M146.7M344.92M365.63M382.13M366.69M377.02M161.89M155.55M147.24M129.28M109.14M11.31M
Asset Turnover0.75x0.97x0.79x0.60x0.67x0.43x0.55x0.65x0.71x1.20x1.28x1.26x0.60x0.56x0.51x0.54x0.46x0.82x0.65x0.54x0.57x0.39x1.58x
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 Liabilities240.24M219.18M153.03M157.57M138.87M101.09M58.31M36.39M30.61M29.74M40.53M125.4M63.6M79.72M56.79M57.14M43.59M38.08M31.21M24.07M21.39M19.86M6.55M
Accounts Payable46.04M40.89M52.98M48.98M34.74M25.74M17.6M7.77M4.4M3.88M8.7M13.54M10.13M10.79M15.24M17.39M15.96M12.78M10.5M5.95M5.8M4.1M1.58M
Days Payables Outstanding78.7664.26103.25103.92107.64109.94151.6479.1756.4235.9271.9977.5459.850.0678.678.5799.0697.16104.7472.7982.3584.5105.75
Short-Term Debt72.17M70.82M1.66M1.81M14.95M342K5.08M1.8M3.28M3.31M3.11M79.74M8.08M4.92M1.7M4.4M1.71M6.72M2.11M4.76M5.22M6.92M3.1M
Deferred Revenue (Current)42.47M10.44M10.47M13.91M11.96M15.26M00-3K19.11M27.98M648K1.3M1.01M1.36M2.77M3.4M2.13M1.86M08.45M8.74M1.8M
Other Current Liabilities111.57M63.67M6.82M56.52M5.64M4.29M23.38M18.78M19.71M15.11M23.71M27.16M14.54M7.02M9.58M24.78M17.47M12.25M13.22M10.99M9.06M7.11M1.34M
Current Ratio1.90x2.06x2.73x2.86x1.84x3.28x3.16x2.98x2.47x2.24x1.80x0.81x1.78x1.43x2.15x2.04x2.82x1.78x2.10x2.65x2.13x1.21x1.11x
Quick Ratio1.12x1.28x1.58x1.99x1.11x2.37x2.37x2.02x1.53x1.32x1.05x0.45x1.12x0.90x1.27x1.23x1.63x1.00x1.32x1.82x1.50x0.79x0.71x
Cash Conversion Cycle302.31248.49287.82241.33269.38344.64306.72327.83374.01270.05233.19232.54257.95218.32254.83205.9306.1195.61203.85232.55160.93170.41127.25
Total Non-Current Liabilities540.98M536M613.25M545.91M416.76M391.54M49.43M66.32M81.29M81.58M95.56M57.88M132.37M114.23M79.52M64.23M66.99M48.98M52.87M28.32M30.17M106.62M2.93M
Long-Term Debt507.89M525.27M574.52M511.04M349.51M326.49M38M53.38M42.3M37.77M43.09M480K74.6M49.98M39.97M23.8M32.47M23.63M26.49M1.95M3.11M2.51M2.44M
Capital Lease Obligations98.1M23.86M27.3M23.68M26.56M24.38M78K989K92K0000000000-23.61M000
Deferred Tax Liabilities0000000000001.95M1.87M2.47M3.83M8.76M738K887K1.27M1.47M3.06M0
Other Non-Current Liabilities8.27M-15.3M8.29M8.64M37.65M37.77M11.35M11.95M38.9M43.81M52.47M57.4M55.82M62.39M37.09M36.6M25.76M24.61M25.49M1.48M1.89M1.65M492.57K
Total Liabilities781.22M755.18M766.28M703.49M555.63M492.63M107.74M102.71M111.9M111.32M136.08M183.28M195.97M193.95M136.31M121.36M110.58M87.06M84.08M52.39M51.56M126.48M9.48M
Total Debt603.06M619.95M609.94M541.68M395.86M355.43M43.16M56.18M3.28M41.07M3.11M80.11M8.08M4.92M1.7M4.4M1.71M6.72M2.11M6.71M8.33M9.43M5.54M
Net Debt463.15M459.14M471.1M320.71M311.17M168.18M-64.61M9.06M-25.78M18.61M-16.48M68.88M-11.66M-16.42M-20.54M-16.27M-21.46M-3.36M-16.21M-19.13M-8.61M7.25M3.99M
Debt / Equity33.03x17.21x64.65x5.33x-4.48x0.27x0.78x0.19x---0.05x0.03x0.01x0.02x0.01x0.09x0.03x0.07x0.11x-3.03x
Debt / EBITDA136.32x1425.17x----------1.23x----2.80x----6.83x
Net Debt / EBITDA104.69x1055.50x-----------1.78x-----1.40x----4.91x
Interest Coverage-3.29x-5.78x-5.51x-10.23x-26.61x-19.28x-5.37x--3.23x0.40x-4.77x-42.09x1.10x-18.97x-1.72x-7.82x-2.24x-2.84x-14.37x-21.59x-10.39x-7.80x2.94x
Total Equity18.26M36.03M9.43M101.72M-34.67M79.42M157.48M72.23M17.57M-26.66M-41.9M-36.58M148.95M171.68M245.82M245.33M266.43M74.83M71.47M94.85M77.72M-17.34M1.83M
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 Share0.120.240.070.84-0.340.832.351.380.50-2.01-4.88-4.4118.2921.4132.7033.1540.6818.2218.5330.5334.24-14.742.28
Total Shareholders' Equity18.26M36.03M9.43M101.72M-34.67M79.42M157.48M72.23M17.57M-26.66M-41.9M-36.58M148.95M171.68M245.82M245.33M266.43M74.83M71.47M94.85M75M-19.26M1.83M
Common Stock16K15K14K14K11K10K8K6K4K2K1K10K10K10K10K9K9K5K5K5K3K57792.35K
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-97K000000
Accumulated OCI-6.45M-4.43M-13.68M-8.32M-10.79M-5.99M1.2M1.09M1.06M1.09M970K-21.19M-11.32M3.88M112K-2.81M-1.31M1.26M1.5M334K111K-18.41M-1.3M
Minority Interest000000000000000000002.72M1.91M0

Key Metrics

Growth RegimeExpanding
ProfitabilityNegative
Balance SheetStrained
Cash FlowImproving
Top Statement Risk

High leverage and insolvency

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Capital Structure Under Persistent Strain

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.

Leverage Ratios Reflect Heightened Risk

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.

Liquidity Buffers Remain Precariously Thin

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.

Asset Composition Driven by Capitalization

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.

ATEC — Frequently Asked Questions

Quick answers to the most common questions about buying ATEC stock.

What are the total assets of Alphatec Holdings, Inc. (ATEC)?

As of 2025, Alphatec Holdings, Inc. (ATEC) had total assets of $791.2M including $450.9M in current assets.

How much debt does Alphatec Holdings, Inc. (ATEC) have?

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.

What is the book value or shareholders' equity of Alphatec Holdings, Inc.?

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.

What is Alphatec Holdings, Inc.'s current ratio and liquidity?

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.