Alphatec Holdings, Inc. (ATEC) Financial Ratios
22 years of historical data (2004–2025) · Healthcare · Medical - Devices
EV/EBITDA
3487.65
↓-58% vs avg
5yr avg: 8313.77
30Y Low19.2·High19.2
P/FCF
381.12
↓-66% vs avg
5yr avg: 1137.37
30Y Low33.9·High33.9
P/B Ratio
↑
29.11
↓-55% vs avg
5yr avg: 64.70
30Y Low0.6·High139.1
ROE
↓
-630.7%
↑-39% vs avg
5yr avg: -455.2%
30Y Low-318%·High28%
Debt/EBITDA
1425.17
+0% vs avg
5yr avg: 1425.17
30Y Low1.2·High6.8
Percentile shows where the current value sits in 30-year historical distribution. Sparklines show 5-year trend.
ATEC Valuation Multiples
Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow
Alphatec Holdings, Inc. currently has a negative P/E ratio, indicating the company is operating at a loss on a trailing-twelve-month basis. On a free-cash-flow basis, the stock trades at 381.1x P/FCF, 66% below the 5-year average of 1137.4x.
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Market Cap | $1.1B | $3.2B | $1.3B | $1.8B | $1.3B | $1.1B | $973M | $371M | $81M | $35M | $28M |
| Enterprise Value | $1.5B | $3.6B | $1.8B | $2.2B | $1.6B | $1.3B | $909M | $380M | $55M | $54M | $11M |
| P/E Ratio → | -7.28 | — | — | — | — | — | — | — | — | — | — |
| P/S Ratio | 1.38 | 4.13 | 2.15 | 3.80 | 3.64 | 4.60 | 6.72 | 3.27 | 0.88 | 0.35 | 0.23 |
| P/B Ratio | 29.11 | 87.63 | 139.10 | 18.01 | — | 14.07 | 6.18 | 5.13 | 4.60 | — | — |
| P/FCF | 381.12 | 1137.37 | — | — | — | — | — | — | — | — | — |
| P/OCF | 23.39 | 69.80 | — | — | — | — | — | — | — | — | — |
P/E links to full P/E history page with 30-year chart
ATEC EV Ratios
Enterprise-value multiples — capital-structure-neutral measures of total business value
Alphatec Holdings, Inc.'s enterprise value stands at 3487.6x EBITDA, 58% below its 5-year average of 8313.8x. The Healthcare sector median is 14.1x, placing the stock at a 24657% premium on an enterprise-value basis.
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EV / Revenue | — | 4.73 | 2.92 | 4.46 | 4.53 | 5.29 | 6.27 | 3.35 | 0.60 | 0.53 | 0.09 |
| EV / EBITDA | 3487.65 | 8313.77 | — | — | — | — | — | — | — | — | — |
| EV / EBIT | — | — | — | — | — | — | — | — | — | 17.74 | — |
| EV / FCF | — | 1302.77 | — | — | — | — | — | — | — | — | — |
ATEC Profitability
Margins and return-on-capital ratios measuring operating efficiency
Alphatec Holdings, Inc. earns an operating margin of -10.7%. Operating margins have expanded from -36.0% to -10.7% over the past 3 years, signaling improving operational efficiency. A negative ROE of -630.7% indicates the company is currently destroying shareholder equity.
Margins
Full margin charts and quarterly trend are on the Earnings History page
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 69.6% | 69.6% | 69.4% | 64.3% | 66.4% | 64.9% | 70.8% | 68.4% | 69.0% | 61.3% | 63.3% |
| Operating Margin | -10.7% | -10.7% | -22.3% | -36.0% | -41.9% | -52.7% | -40.6% | -41.7% | -24.5% | -8.8% | -12.8% |
| Net Profit Margin | -18.8% | -18.8% | -26.5% | -38.7% | -43.1% | -58.8% | -54.5% | -50.3% | -31.6% | -2.3% | -25.2% |
Return on Capital
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | -630.7% | -630.7% | -291.7% | -556.7% | -676.1% | -120.8% | -68.8% | -126.9% | -164.9% | — | — |
| ROA | -18.3% | -18.3% | -20.5% | -28.1% | -27.7% | -34.2% | -35.9% | -37.4% | -27.1% | -2.6% | -25.2% |
| ROIC | -12.6% | -12.6% | -22.6% | -37.2% | -42.1% | -56.4% | -50.7% | -97.0% | — | — | — |
| ROCE | -13.7% | -13.7% | -21.4% | -33.7% | -34.5% | -37.8% | -34.1% | -39.8% | -29.2% | -16.6% | -41.0% |
ATEC Leverage & Debt
Solvency and debt-coverage ratios — lower is generally safer
Alphatec Holdings, Inc. carries a Debt/EBITDA ratio of 1425.2x, which is highly leveraged (45547% above the sector average of 3.1x). Net debt stands at $459M ($620M total debt minus $161M cash).
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 17.21 | 17.21 | 64.65 | 5.33 | — | 4.48 | 0.27 | 0.78 | 0.19 | — | — |
| Debt / EBITDA | 1425.17 | 1425.17 | — | — | — | — | — | — | — | — | — |
| Net Debt / Equity | — | 12.74 | 49.94 | 3.15 | — | 2.12 | -0.41 | 0.13 | -1.47 | — | — |
| Net Debt / EBITDA | 1055.50 | 1055.50 | — | — | — | — | — | — | — | — | — |
| Debt / FCF | — | 165.40 | — | — | — | — | — | — | — | — | — |
| Interest Coverage | -5.78 | -5.78 | -5.51 | -10.23 | -26.61 | -19.28 | -5.37 | — | -3.23 | 0.40 | -4.77 |
ATEC Liquidity & Efficiency
Short-term solvency ratios and asset-utilisation metrics
Alphatec Holdings, Inc.'s current ratio of 2.06x is well above the 1.0 safety threshold, indicating strong short-term liquidity with ample room to cover current liabilities. The quick ratio of 1.28x is notably lower than the current ratio, indicating a significant portion of current assets is tied up in inventory. The current ratio has declined from 2.86x to 2.06x over the past 3 years.
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Current Ratio | 2.06 | 2.06 | 2.73 | 2.86 | 1.84 | 3.28 | 3.16 | 2.98 | 2.47 | 2.24 | 1.80 |
| Quick Ratio | 1.28 | 1.28 | 1.58 | 1.99 | 1.11 | 2.37 | 2.37 | 2.02 | 1.53 | 1.32 | 1.05 |
| Cash Ratio | 0.73 | 0.73 | 0.91 | 1.40 | 0.61 | 1.85 | 1.85 | 1.29 | 0.95 | 0.76 | 0.48 |
| Asset Turnover | — | 0.97 | 0.79 | 0.60 | 0.67 | 0.43 | 0.55 | 0.65 | 0.71 | 1.20 | 1.28 |
| Inventory Turnover | 1.37 | 1.37 | 1.07 | 1.26 | 1.16 | 0.93 | 0.92 | 1.03 | 0.99 | 1.44 | 1.47 |
| Days Sales Outstanding | — | 46.48 | 49.53 | 54.96 | 62.48 | 62.87 | 61.99 | 51.97 | 61.48 | 53.18 | 56.19 |
ATEC Shareholder Yields
Earnings, FCF, buyback, and dividend yields — total returns to shareholders
Alphatec Holdings, Inc. does not currently pay a dividend and has no material buyback yield, reinvesting earnings back into the business.
Dividends
Full dividend history and growth charts are on the Dividend History page
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Yield | — | — | — | — | — | — | — | — | — | — | — |
| Payout Ratio | — | — | — | — | — | — | — | — | — | — | — |
Total Shareholder Return Metrics
| Metric | TTM | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2019 | FY 2018 | FY 2017 | FY 2016 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Earnings Yield | — | — | — | — | — | — | — | — | — | — | — |
| FCF Yield | 0.3% | 0.1% | — | — | — | — | — | — | — | — | — |
| Buyback Yield | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 2.8% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Total Shareholder Yield | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 2.8% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Shares Outstanding | — | $150M | $143M | $121M | $103M | $96M | $67M | $52M | $35M | $13M | $9M |
Peer Comparison
Compare ATEC with 10 similar companies in its peer group
| Company | Market Cap | P/E | EV/EBITDA | P/FCF | Gross Margin | Op Margin | ROE | ROIC | Debt/EBITDA |
|---|---|---|---|---|---|---|---|---|---|
 ATECYou | $1B | -7.3 | 3487.6 | 381.1 | 69.6% | -10.7% | -630.7% | -12.6% | 1425.2 |
 NUVL | $7B | -26.5 | — | — | — | — | -29.5% | -32.6% | — |
 XTNT | $81M | -4.8 | — | — | 58.2% | -10.3% | -34.9% | -12.8% | — |
 GMED | $12B | 22.8 | 19.4 | 20.5 | 67.4% | 16.3% | 12.3% | 8.9% | 0.2 |
 SYK | $112B | 34.8 | 20.2 | 26.1 | 64.0% | 19.5% | 15.1% | 11.4% | 2.4 |
 ZBH | $16B | 23.3 | 9.4 | 11.0 | 61.6% | 16.5% | 5.6% | 5.4% | 3.1 |
 MDT | $99B | 21.5 | 14.3 | 19.2 | 65.3% | 17.8% | 9.4% | 6.0% | 3.2 |
 NUS | $354M | 2.3 | 6.0 | 7.7 | 69.4% | 4.4% | 22.0% | 5.5% | 4.3 |
 NVCR | $2B | -13.5 | — | — | 74.5% | -23.5% | -38.9% | -16.4% | — |
 AHCO | $2B | -21.9 | 5.6 | 7.1 | 17.5% | 5.7% | -4.6% | 4.0% | 3.2 |
 HOLX | $17B | 30.5 | 17.4 | 18.4 | 61.0% | 17.4% | 11.1% | 9.4% | 2.6 |
| Healthcare Median | — | 22.2 | 14.1 | 18.6 | 64.1% | -5.3% | -34.0% | -11.2% | 3.1 |
Peer selection based on competitive and market overlap. Compare multiple stocks →
Download Financial Ratios Data
Includes 30+ ratios · 22 years · Updated daily
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Start ComparisonATEC — Frequently Asked Questions
Quick answers to the most common questions about buying ATEC stock.
What is Alphatec Holdings, Inc.'s P/E ratio?
Alphatec Holdings, Inc.'s current P/E ratio is -7.3x. This places it at the 50th percentile of its historical range.
What is Alphatec Holdings, Inc.'s EV/EBITDA?
Alphatec Holdings, Inc.'s current EV/EBITDA is 3487.6x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 19.2x.
What is Alphatec Holdings, Inc.'s ROE?
Alphatec Holdings, Inc.'s return on equity (ROE) is -630.7%. The historical average is -81.0%.
Is ATEC stock overvalued?
Based on historical data, Alphatec Holdings, Inc. is trading at a P/E of -7.3x. This is at the 50th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.
What are Alphatec Holdings, Inc.'s profit margins?
Alphatec Holdings, Inc. has 69.6% gross margin and -10.7% operating margin.
How much debt does Alphatec Holdings, Inc. have?
Alphatec Holdings, Inc.'s Debt/EBITDA ratio is 1425.2x, indicating high leverage. A ratio above 4x may signal elevated financial risk.