Total debt of $593.9M against only $21.3M of equity produces a debt-to-equity ratio of 27.88, suggesting the capital structure depends heavily on lenders and leaves little cushion against further losses.
Alphatec Holdings, Inc. (ATEC) balance sheet — 22-year assets, liabilities & shareholders' equity history
| 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 | 427.17M | 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 | 79.94M | 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 | 79.94M | 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 | 110.8M | 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 | 46.84 | 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 | 206.87M | 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 | 247.09 | 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 | 29.55M | 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 | 369.58M | 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 | 187.42M | 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 | 4.86x | 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 | 73.96M | 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 | 96.45M | 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 | 11.74M | 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 | 796.75M | 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 | 1.06x | 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 % | 5.08% | 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 | 180.77M | 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 | 61.63M | 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 | 68.74 | 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 | 5.3M | 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) | 43.65M | 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 | 0 | 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 | 2.36x | 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 | 1.22x | 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 | 225.18 | 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 | 594.68M | 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 | 541.7M | 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 | 112.14M | 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 | 9.37M | -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 | 775.44M | 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 | 593.95M | 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 | 514.01M | 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 | 27.88x | 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 | 10.52x | 1425.17x | - | - | - | - | - | - | - | - | - | - | 1.23x | - | - | - | - | 2.80x | - | - | - | - | 6.83x |
| Net Debt / EBITDA | 9.11x | 1055.50x | - | - | - | - | - | - | - | - | - | - | -1.78x | - | - | - | - | -1.40x | - | - | - | - | 4.91x |
| Interest Coverage | -1.30x | -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 | 21.3M | 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 % | 370.85% | 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 | 0.14 | 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 | 21.3M | 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 | 17K | 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 | -1.49B | -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 | -7.11M | -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 |
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.
Key Metrics
Top Statement Risk
Leverage tied to continued growth
Metrics are mathematically derived from official filings.
Equity Base Remains Thin Despite Stabilization
Based on ATEC's reported quarterly balance sheets, total equity moved from negative $62.3M in 2025Q1 to positive $21.3M in 2026Q3, a recovery that remains small relative to total assets of $796.7M and suggests the balance sheet is stabilizing from a low base rather than strengthening materially.
The swing back into positive equity appears driven mainly by the narrowing of the deficit through improved operating results rather than any capital injection visible in the reported figures. Retained earnings remain near -$1.5B, indicating that years of accumulated losses continue to dominate the equity structure. Investors should monitor whether equity continues to build, since a thin equity cushion leaves little margin for error if losses re-emerge.
Leverage Elevated Relative to Equity Cushion
As reported in the quarterly filings, total debt of $593.9M against equity of $21.3M in 2026Q3 produces a debt-to-equity ratio of 27.88, a level that indicates the capital structure depends heavily on lenders rather than shareholder capital.
Total debt has remained in a narrow band of roughly $560M to $620M across the ten quarters, implying the company has not meaningfully deleveraged even as equity turned positive. The elevated ratio suggests that equity-based metrics are highly sensitive to small changes in earnings, so the reported leverage figure may overstate precision given the minimal equity base. Refinancing timing and debt maturity structure are not detailed in the supplied data and warrant further investigation.
Liquidity Buffer Narrowing From Prior Peak
According to reported figures, cash declined from $160.8M in 2025Q4 to $79.9M in 2026Q3 while the current ratio held near 2.4, suggesting near-term obligations remain covered but the cash buffer has thinned meaningfully over the year.
The reduction in cash over the latest three quarters, despite positive operating cash flow in some periods, may reflect working capital timing or debt service rather than operating deterioration alone, though the supplied data does not isolate the cause. A current ratio above 2 indicates adequate short-term coverage on paper, but the falling cash balance relative to $593.9M of debt means liquidity depends on continued cash generation. Investors should monitor whether cash stabilizes or continues to draw down.
Goodwill and PPE Stable Within Asset Base
Based on ATEC's reported figures, goodwill of $74.0M and net PP&E of $187.4M together represent a meaningful portion of the $796.7M asset base, with PP&E declining from $217.8M in 2024Q2 to $187.4M in 2026Q3 as capital intensity eased.
The gradual PP&E decline is consistent with the reduction in capital expenditures noted in recent cash flow data, suggesting the heavy instrument and EOS investment phase has moderated. Goodwill has remained largely flat, indicating limited near-term impairment pressure in the reported numbers, though the supplied data does not include an impairment assessment. The asset mix points to a business still carrying substantial fixed and instrument-related assets relative to its equity.
Headline Equity Recovery May Overstate Strength
As reported in quarterly statements, the move to positive equity coincides with a -630.7% ROE and debt-to-equity near 28, suggesting the apparent balance sheet improvement rests on a very small equity figure that could reverse quickly with modest losses.
Stock-based compensation of $14.0M in the latest quarter is a non-cash charge that dilutes economic equity over time and may partly offset the reported recovery in book value. Because net losses persisted through all ten quarters, the equity line depends on whether operating breakeven translates into sustained net income, which the data does not yet confirm. The thin equity base means the headline leverage figures should be interpreted cautiously rather than as a stable measure of solvency.