Alphatec Holdings, Inc. (ATEC) Key Metrics

NASDAQ: ATECValuation, returns, debt and efficiency ratios over 10 years.

ATEC valuation today

Trailing 12 months · as of October 17, 2026
Market cap
$1.62B
Enterprise value
$2.03B
P/E (TTM)
—
Forward P/E
18.6
PEG ratio
0.48
Price / sales
2.0
10-yr median 3.7
Price / book
126.5
10-yr median 13.8
EV / EBITDA
96.0
Dividend yield
—
Beta
0.78

ATEC key metrics, 2016–2025

Fiscal year ended December 31, 2025 · U.S. dollars

ATEC valuation Price multiples at each fiscal year-end price.

Price / sales+92.6%
4.1
2025 · hover or tap a bar for each year
2018: 0.92019: 3.3 (+270.5%)2020: 6.7 (+105.6%)2021: 4.5 (−32.7%)2022: 3.6 (−19.5%)2023: 3.8 (+4.4%)2024: 2.1 (−43.5%)2025: 4.1 (+92.6%)
20162025
Price / book−37.0%
87.6
2025 · hover or tap a bar for each year
2018: 4.62019: 8.5 (+84.6%)2020: 7.5 (−11.8%)2021: 13.8 (+84.8%)2023: 18.02024: 139.1 (+672.3%)2025: 87.6 (−37.0%)
20162025
Free cash flow yield+10.6 pts
0.1%
2025 · hover or tap a bar for each year
2018: −40.2%2019: −12.5% (+27.8 pts)2020: −7.2% (+5.2 pts)2021: −12.9% (−5.7 pts)2022: −10.5% (+2.5 pts)2023: −9.0% (+1.4 pts)2024: −10.5% (−1.5 pts)2025: 0.1% (+10.6 pts)
20162025

ATEC valuation history

Fiscal year-endToday10-year median

ATEC returns on capital

ROEROICROA

Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.

ATEC debt vs cash

Total debtCash & short-term investments

Debt includes short- and long-term borrowings and, where reported, lease liabilities.

ATEC cash returned to shareholders

DividendsBuybacksFree cash flow

ATEC price vs earnings per share

Share price at year-endEPS (right axis)

ATEC key metrics

2016–2025
Alphatec Holdings, Inc. key metrics by fiscal year
2025202420232022202120202019201820172016
Valuation
Market capitalization$3.16B$1.31B$1.83B$1.28B$1.10B$973.1M$370.6M$80.9M——
Enterprise value$3.62B$1.78B$2.15B$1.59B$1.24B$908.5M$378.7M$97.4M——
Price / sales4.12.13.83.64.56.73.30.9——
Price / book87.6139.118.0—13.87.58.54.6——
Price / operating cash flow69.8—————————
EV / sales4.72.94.54.55.16.33.31.1——
Earnings yield−4.5%−12.4%−10.2%−11.9%−13.0%−8.1%−15.4%−35.8%——
Free cash flow yield0.1%−10.5%−9.0%−10.5%−12.9%−7.2%−12.5%−40.2%——
Dividend yield——0.1%0.2%28.8%—————
Shareholder yield (dividends + buybacks)——0.1%0.5%31.6%0.0%0.0%0.0%——
Share price at fiscal year-end$21.04$9.18$15.11$12.35$11.43$14.52$7.09$2.29$2.66$3.21
Per share
Revenue per share$5.09$4.28$3.98$3.39$2.53$2.16$2.17$2.60——
Earnings per share−$0.96−$1.13−$1.54−$1.46−$1.49−$1.18−$1.09−$0.82——
Operating cash flow per share$0.30−$0.31−$0.65−$0.73−$0.76−$0.69−$0.63−$0.73——
Free cash flow per share$0.02−$0.96−$1.36−$1.29−$1.48−$1.05−$0.88−$0.92——
Cash per share$1.07$0.97$1.82$0.82$1.95$1.61$0.90$0.82——
Book value per share$0.24$0.07$0.84−$0.34$0.83$1.94$0.84$0.50——
Tangible book value per share−$0.88−$1.08−$0.61−$1.59−$0.47$1.36$0.08−$0.64——
Dividends per share——$0.01$0.03$3.29—————
Capex per share$0.28$0.65$0.72$0.56$0.71$0.36$0.25$0.20——
Debt per share$4.13$4.27$4.47$3.83$3.44$0.64$1.06$1.29——
Shares outstanding150.1M142.9M121.2M103.4M96.2M67.0M52.2M35.3M——
Change in shares outstanding+5.0%+17.9%+17.3%+7.5%+43.5%+28.3%+47.9%———
Returns & profitability
Return on equity (ROE)−630.7%−291.7%−556.7%—−136.7%−91.1%−186.3%———
Return on invested capital (ROIC)−13.3%−23.8%−39.2%−46.5%−70.1%−79.5%−87.0%−136.1%——
Return on assets (ROA)−18.3%−20.5%−28.1%−27.7%−34.3%−36.6%−38.1%−27.1%−2.6%−25.2%
Return on tangible assets−23.0%−26.5%−29.6%−38.7%−32.0%−35.5%−43.7%−32.5%−3.1%−36.6%
Free cash flow margin0.4%−22.5%−34.3%−38.0%−58.4%−48.5%−40.7%−35.5%−16.0%−15.9%
Financial health
Total debt$619.9M$609.9M$541.7M$395.9M$331.0M$43.1M$55.3M$45.6M$41.1M$46.2M
Cash & short-term investments$160.8M$138.8M$221.0M$84.7M$187.2M$107.8M$47.1M$29.1M$22.5M$19.6M
Net debt$459.1M$471.1M$320.7M$311.2M$143.8M−$64.6M$8.1M$16.5M$18.6M$26.6M
Debt / equity17.2164.655.33—4.170.331.272.59——
Debt / assets0.780.790.670.760.580.170.330.350.490.49
Net debt / EBITDA————————136.82—
Current ratio2.062.732.861.843.283.162.982.472.241.80
Quick ratio1.281.581.991.112.372.372.021.531.321.05
Interest coverage-3.9-5.5-10.4-26.7-18.0-4.8-1.7-3.1-1.2-2.9
Working capital$231.7M$264.4M$293.5M$116.8M$230.1M$125.8M$71.9M$44.9M$36.7M$32.3M
Invested capital$495.2M$480.5M$422.4M$276.5M$223.2M$65.2M$51.8M$34.1M−$8.1M−$15.3M
Tangible asset value−$132.6M−$155.1M−$73.7M−$164.8M−$45.5M$91.3M$4.1M−$22.7M−$37.2M−$53.3M
Net current asset value−$304.3M−$348.9M−$252.4M−$300.0M−$161.5M$52.8M−$18.0M−$36.4M−$44.8M−$63.3M
Graham net-net per share−$2.91−$3.34−$2.97−$3.63−$2.37$0.27−$0.95−$1.62——
Capital allocation
Dividends paid——$1.1M$3.0M$316.2M———$0$0
Share buybacks (net)——$1.1M$3.0M$31.0M$0$0$0$0$0
Capex / revenue5.6%15.2%18.0%16.6%28.2%16.5%11.5%7.5%7.5%7.6%
Capex / operating cash flow93.9%—————————
Capex / depreciation0.511.121.461.332.272.051.531.021.020.74
Stock-based compensation / revenue9.6%12.0%16.8%11.6%15.0%12.2%9.7%5.8%3.8%1.4%
R&D / revenue10.0%13.2%14.5%12.5%13.2%12.9%12.2%10.9%4.8%7.7%
SG&A / revenue65.2%73.6%73.0%85.5%94.3%89.2%89.7%79.1%63.3%64.3%
Efficiency
Days sales outstanding43.146.450.253.049.951.350.359.559.868.9
Days of inventory on hand270.8304.1252.8299.3294.1348.3324.0359.5265.8310.3
Days payables outstanding73.899.488.893.792.6109.362.053.158.392.0
Cash conversion cycle (days)240.1251.2214.2258.7251.4290.4312.3366.0267.3287.1
Receivables turnover8.487.867.276.887.327.117.266.136.105.30
Payables turnover4.953.674.113.903.943.345.896.886.273.97
Inventory turnover1.351.201.441.221.241.051.131.021.371.18
Asset turnover0.980.770.730.640.580.670.760.861.141.00
Average receivables$90.1M$77.8M$66.3M$51.0M$33.2M$20.4M$15.6M$15.0M$16.7M$22.7M
Average payables$46.9M$51.0M$41.9M$30.2M$21.7M$12.7M$6.1M$4.1M$6.3M$11.1M
Average inventory$172.4M$156.1M$119.2M$96.6M$68.9M$40.4M$31.8M$28.0M$28.7M$37.5M
Intangibles / total assets21.3%21.2%21.8%25.0%21.8%14.8%23.2%31.1%12.4%12.1%

Computed from ATEC's annual financial statements (latest annual report filed February 24, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.

ATEC valuation and financial ratios

Alphatec earned a return on equity of −630.7% and a return on invested capital of −13.3% in fiscal 2025. It ended the year with $619.9 million of debt and $160.8 million in cash and short-term investments, net debt of $459.1 million.

See the ATEC income statement, the ATEC chart for price history, or the ATEC stock overview for the latest quote and news.

ATEC key metrics FAQ

What is Alphatec's return on equity?

Alphatec's return on equity (ROE) was −630.7% in fiscal 2025: net income of -$143.4 million on average shareholders' equity of $22.7 million.

What is Alphatec's ROIC?

Alphatec's return on invested capital was −13.3% in fiscal 2025, using after-tax operating income divided by average debt plus equity minus cash.

How much debt does Alphatec have?

Alphatec had total debt of $619.9 million at the end of fiscal 2025, a debt-to-equity ratio of 17.21.

What is Alphatec's free cash flow yield?

Alphatec generated $2.8 million of free cash flow in fiscal 2025, a free cash flow yield of 0.1% on its market value at year-end ($3.2 billion).

What is Alphatec's current ratio?

Alphatec's current ratio was 2.06 at the end of fiscal 2025: current assets were 2.06 times current liabilities.

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