Full Press Release Details
ATEC Reports First Quarter 2025 Financial Results
And Raises Full-Year Guidance
Surgical revenue grew 24%; total revenue grew 22%
Full-year revenue and profitability guidance increased
Successfully refinanced convertible debt to 2030 maturity
CARLSBAD, Calif., May 1, 2025 Alphatec Holdings, Inc. (Nasdaq: ATEC), a provider of innovative solutions dedicated to revolutionizing the approach to spine surgery, today announced financial results for the quarter ended March 31, 2025, and recent corporate highlights.
First Quarter 2025 Financial Results
| Quarter Ended March 31, 2025 | |
| Total revenue | $169 million |
| GAAP gross margin | 69% |
| Non-GAAP gross margin | 70% |
| GAAP operating expenses | $160 million |
| Non-GAAP operating expenses | $124 million |
| GAAP net income / (loss) | ($52) million |
| Adjusted EBITDA | $11 million |
| Adjusted EBITDA margin | 6% |
| Ending cash balance | $153 million |
-Surgical revenue of $152 million driven by 17% procedural volume growth on continued momentum of PTPTM and LTPTM
-Achieved 18% growth in new surgeon adoption, a key leading indicator of future growth
-Improved Adjusted EBITDA margin by 840 bps YoY through focused cost management execution
-Improved free cash use by $55 million compared to the first quarter of 2024
ATEC exists to revolutionize spine surgery, and our Q1 results show that our unique, end-to-end procedural ecosystem is continuing to drive rapid, durable growth, said Pat Miles, Chairman and Chief Executive Officer. We are executing with discipline and delivering on our financial commitments, while continuing to invest in differentiated innovation. ATEC's relentless, spine-only focus has made it the preferred destination. We are built to lead and our best is still yet to come.
Financial Outlook for the Full Year 2025
For the fiscal year ending December 31, 2025, the Company now expects total revenue to grow 20% to $734 million compared to the previous expectation of $732 million. This includes surgical revenue of $658 million and EOS revenue of $76 million. The Company now expects non-GAAP adjusted EBITDA of approximately $78 million compared to the previous expectation of $75 million.
Financial Results Webcast
ATEC will present these results via a live webcast today at 1:30 p.m. PT / 4:30 p.m. ET. The live webcast, can be accessed by visiting the Investor Relations Section of ATEC's Corporate Website.
To dial into the live webcast, please register at this link. Access details will be shared via email.
A replay of the webcast will remain available through the Investor Relations Section of ATEC's Corporate Website for twelve months.
Non-GAAP Financial Information
To supplement the Company's financial statements presented in accordance with generally accepted accounting principles in the United States of America (GAAP), the Company reports certain non-GAAP financial measures, including non-GAAP gross margin, non-GAAP operating expenses, non-GAAP operating loss, and non-GAAP adjusted EBITDA. The Company believes that these non-GAAP financial measures provide investors with an additional tool for evaluating the Company's core performance, which management uses in its own evaluation of continuing operating performance, and a baseline for assessing the future earnings potential of the Company. The Company's non-GAAP financial measures may not provide information that is directly comparable to that provided by other companies in the Company's industry, as other companies in the industry may calculate non-GAAP financial results differently, particularly related to non-recurring, unusual items. Non-GAAP financial results should be considered in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Included below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measures.
NON-GAAP DEFINITIONS
Amortization of 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.
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 Exchange Commission.
Other non-recurring expenses: These expenses represent non-recurring expenses that we consider to be one-time in nature.
Purchase accounting adjustments on acquisitions: Includes non-cash expenses incurred as a result of fair value asset step-ups associated with tangible assets acquired from business combinations or asset acquisitions.
Restructuring expenses: From time-to-time, in order to realign the Company's operations or to achieve synergies associated with an acquisition, 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: These expenses represent one-time costs associated with business combinations, and asset acquisitions. These items may include but are not limited to consulting and legal fees, contract termination costs and other related deal costs.
Adjusted EBITDA: Represents earnings before non-operating income/expense, taxes, depreciation and amortization, as adjusted for the applicable non-GAAP adjustments previously described.
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 MachineTM is focused on developing new approaches that integrate seamlessly with the Company's expanding InformatiXTM 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 uncertainty. 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, and financial outlook and commitments; and the Company's ability to compel surgeon adoption and drive procedural growth. 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; 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 Securities and Exchange Commission. ATEC disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, unless required by law.
Investor/Media Contact:
Chief Financial Officer
ALPHATEC HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2025 | 2024 | |||||||
| (unaudited) | ||||||||
| Revenue from products and services | $ | 169,180 | $ | 138,477 | ||||
| Cost of sales | 53,184 | 41,126 | ||||||
| Gross profit | 115,996 | 97,351 | ||||||
| Operating expenses: | ||||||||
| Research and development | 16,582 | 18,012 | ||||||
| Sales, general and administrative | 127,017 | 113,610 | ||||||
| Litigation-related expenses | 12,214 | 4,428 | ||||||
| Amortization expense | 4,103 | 3,854 | ||||||
| Restructuring expenses | 371 | 788 | ||||||
| Total operating expenses | 160,287 | 140,692 | ||||||
| Operating loss | (44,291 | ) | (43,341 | ) | ||||
| Other expense, net: | ||||||||
| Cash interest expense, net | (5,356 | ) | (4,281 | ) | ||||
| Noncash interest expense, net | (2,485 | ) | (1,060 | ) | ||||
| Loss on debt extinguishment | (17,576 | ) | ||||||
| Gain on derivative liability | 17,400 | |||||||
| Other (expense) income, net | 337 | 118 | ||||||
| Total other expense, net | (7,680 | ) | (5,223 | ) | ||||
| Net loss before taxes | (51,971 | ) | (48,564 | ) | ||||
| Income tax benefit | (64 | ) | (69 | ) | ||||
| Net loss | $ | (51,907 | ) | $ | (48,495 | ) | ||
| Net loss per share, basic and diluted | $ | (0.35 | ) | $ | (0.34 | ) | ||
| Weighted average shares outstanding, basic and diluted | 146,732 | 140,980 | ||||||
| Stock-based compensation included in: | ||||||||
| Cost of sales | $ | 3,043 | $ | 483 | ||||
| Research and development | 3,644 | 4,315 | ||||||
| Sales, general and administrative | 15,631 | 12,524 | ||||||
| $ | 22,318 | $ | 17,322 |
ALPHATEC HOLDINGS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
| March 31, 2025 | December 31, 2024 | |||||||
| (unaudited) | ||||||||
| ASSETS | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 153,244 | $ | 138,840 | ||||
| Accounts receivable, net | 89,481 | 82,987 | ||||||
| Inventories | 170,873 | 175,264 | ||||||
| Prepaid expenses and other current assets | 21,294 | 20,308 | ||||||
| Total current assets | 434,892 | 417,399 | ||||||
| Property and equipment, net | 146,641 | 156,394 | ||||||
| Right-of-use assets | 33,996 | 34,701 | ||||||
| Goodwill | 72,334 | 70,976 | ||||||
| Intangible assets, net | 95,040 | 93,518 | ||||||
| Other assets | 2,570 | 2,722 | ||||||
| Total assets | $ | 785,473 | $ | 775,710 | ||||
| LIABILITIES AND STOCKHOLDERS' DEFICIT | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 38,751 | $ | 52,984 | ||||
| Accrued expenses and other current liabilities | 98,943 | 81,466 | ||||||
| Contract liabilities | 11,300 | 10,467 | ||||||
| Short-term debt | 2,569 | 1,656 | ||||||
| Current portion of operating lease liabilities | 6,310 | 6,453 | ||||||
| Total current liabilities | 157,873 | 153,026 | ||||||
| Total long-term liabilities | 689,936 | 613,250 | ||||||
| Redeemable preferred stock | 23,603 | 23,603 | ||||||
| Stockholders' deficit | (85,939 | ) | (14,169 | ) | ||||
| Total liabilities and stockholders' deficit | $ | 785,473 | $ | 775,710 |
ALPHATEC HOLDINGS, INC.
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2025 | 2024 | |||||||
| (unaudited) | ||||||||
| Gross profit, GAAP | $ | 115,996 | $ | 97,351 | ||||
| Add: amortization of intangible assets | 50 | 307 | ||||||
| Add: stock-based compensation | 3,043 | 483 | ||||||
| Non-GAAP gross profit | $ | 119,089 | $ | 98,141 | ||||
| Gross margin, GAAP | 68.6 | % | 70.3 | % | ||||
| Add: amortization of intangible assets | 0.0 | % | 0.2 | % | ||||
| Add: stock-based compensation | 1.8 | % | 0.3 | % | ||||
| Non-GAAP gross margin | 70.4 | % | 70.9 | % | ||||
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2025 | 2024 | |||||||
| (unaudited) | ||||||||
| Operating expenses, GAAP | $ | 160,287 | $ | 140,692 | ||||
| Adjustments: | ||||||||
| Stock-based compensation | (19,275 | ) | (16,839 | ) | ||||
| Litigation-related expenses | (12,214 | ) | (4,428 | ) | ||||
| Amortization expense | (4,103 | ) | (3,854 | ) | ||||
| Restructuring expenses | (371 | ) | (788 | ) | ||||
| Non-GAAP operating expenses | $ | 124,324 | $ | 114,783 | ||||
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2025 | 2024 | |||||||
| (unaudited) | ||||||||
| Net loss, GAAP | $ | (51,907 | ) | $ | (48,495 | ) | ||
| Cash interest expense, net | 5,356 | 4,281 | ||||||
| Noncash interest expense, net | 2,485 | 1,060 | ||||||
| Loss on debt extinguishment | 17,576 | |||||||
| Gain on derivative liability | (17,400 | ) | ||||||
| Other expense (income), net | (337 | ) | (118 | ) | ||||
| Income tax benefit | (64 | ) | (69 | ) | ||||
| Depreciation | 15,754 | 13,724 | ||||||
| Amortization expense | 4,153 | 4,161 | ||||||
| EBITDA | (24,384 | ) | (25,456 | ) | ||||
| Add back significant items: | ||||||||
| Stock-based compensation | 22,318 | 17,322 | ||||||
| Litigation-related expenses | 12,214 | 4,428 | ||||||
| Transaction-related expenses | (117 | ) | ||||||
| Restructuring expenses | 371 | 788 | ||||||
| Adjusted EBITDA | $ | 10,519 | $ | (3,035 | ) | |||
| Adjusted EBITDA margin | 6.2 | % | (2.2 | %) | ||||
| Adjusted EBITDA margin expansion | 840 bps |