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Alphatec Holdings (ATEC) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Oct 29, 2026 · Alphatec Holdings (ATEC) Q3 2026 earnings results →

Q3 2026 Revenue up 13% year over year to $221M · 2¢ of every $1 of revenue lost · operating margin 1.5%

Alphatec Holdings made $221M in Q3 2026 (+13% Y/Y). Operating margin 1.5%, net loss $5.5M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Oct 29, 2026.

Revenue$221M
Year over year+13%
Operating margin1.5%
Net earnings−$5.5M
Operating cash flow$18.9M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $221.2M in Q3 2026, up 13% year over year and up 4% from the previous quarter.

Gross margin was 71.5%, up 1.7 points from Q3 2025. Operating profit was $3.2M, a 1.5% margin (up 9.6 points year over year). Operating expenses grew 1% against revenue growth of 13%. The quarter ended with a net loss of $5.5M, narrower than the previous quarter's $25.8M loss. Net interest and other expense of $6.7M was the main reason.

Operating cash flow was $18.9M (up 34% year over year). Non-cash charges added back $20.5M of depreciation and amortization and $14.0M of share-based compensation. Working capital and other items used $10.1M. Capital expenditures of $13.3M left free cash flow of $5.6M.

Quarterly history

Alphatec Holdings revenue by quarterAlphatec Holdings revenue by quarter$169MQ1 2025$186MQ2 2025$197MQ3 2025$213MQ4 2025$192MQ1 2026$214MQ2 2026$221MQ3 2026
Alphatec Holdings net earnings by quarterAlphatec Holdings net earnings by quarter−$51.9MQ1 2025−$41.1MQ2 2025−$28.6MQ3 2025−$21.7MQ4 2025−$33.9MQ1 2026−$25.8MQ2 2026−$5.5MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QOct 29, 2026$221M+13%1.5%−$5.5M$18.9M
Q2 202610-QAug 4, 2026$214M+15%-0.9%−$25.8M$20.5M
Q1 202610-QMay 5, 2026$192M+14%-11.8%−$33.9M$1.3M
Q4 202510-KFeb 24, 2026$213M+20%-4.1%−$21.7M$20.7M
Q3 202510-QOct 30, 2025$197M+30%-8.1%−$28.6M$14.0M
Q2 202510-QJul 31, 2025$186M+28%-7.1%−$41.1M$15.5M
Q1 202510-QMay 1, 2025$169M+22%-26.2%−$51.9M−$5.0M

Charts

Alphatec Holdings: revenue growth, year over year and quarter over quarterAlphatec Holdings: revenue growth, year over year and quarter over quarterY/YQ/Q+22%Q1 2025+28%+10%Q2 2025+30%+6%Q3 2025+20%+8%Q4 2025+14%-10%Q1 2026+15%+11%Q2 2026+13%+4%Q3 2026
Latest (Q3 2026): Y/Y +13%, Q/Q +4%.
Alphatec Holdings: where the cash came from (+) and went (−), TTM to Q3 2026Alphatec Holdings: where the cash came from (+) and went (−), TTM to Q3 2026Other financing−$220MNet borrowing (+) / repaid (−)$163MCash drawn (+) / kept (−)$75.8MOperating cash flow$61.3MCapital spending−$58.3MOther investing−$21.9MExchange rates−$210K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Alphatec Holdings: profit against cash, quarter by quarterAlphatec Holdings: profit against cash, quarter by quarterNet incomeOperating cash flow−$33.3M$10.5MQ4 2024−$51.9M−$5.0MQ1 2025−$41.1M$15.5MQ2 2025−$28.6M$14.0MQ3 2025−$21.7M$20.7MQ4 2025−$33.9M$1.3MQ1 2026−$25.8M$20.5MQ2 2026−$5.5M$18.9MQ3 2026
Latest (Q3 2026): Net income −$5.5M, Operating cash flow $18.9M.
Alphatec Holdings: diluted shares by fiscal yearAlphatec Holdings: diluted shares by fiscal year67MFY202096MFY2021103MFY2022121MFY2023143MFY2024150MFY2025
+123.9% since FY2020: more shares outstanding (issuance, stock pay).
Alphatec Holdings: long-term debt falling due (FY2025)Alphatec Holdings: long-term debt falling due (FY2025)$64.5M2026$15.6M2027$206M2028$405M2030
Cash $161M, short-term investments —, long-term debt $566M at 2025-12-31.
Alphatec Holdings in its industry: growth against margin (111 companies, SIC 3841)Alphatec Holdings in its industry: growth against margin (111 companies, SIC 3841)revenue growth, year over year →↑ operating marginmedian +10%median -9%MDLNMMMSYKBSXBDXBAXSOLVRMDDXCMWSTMMEDPODDGMEDTFXICUIMMSIIARTPENHAETNDMEMBCIRTCGKOSOFIXINSPNVCRUFPTATRCBVSAORTPRCTTCMDARAYANGOKIDSSKINLMATHTFLMDXGCERSSIBNTMCISTIMINFUBBNXKMTSOSURANIKDCTHRCELSGHTIRMDXTNTLUNGNPCEPDEXTELACARLLNSRSIMOBIAPYXSSIICVRXCLPTKRMDTLSIPROFSNWVCTSOIDXGUTMDRVPSNOAPREMNEPHDRIOVVOSBTCYNXGLMDAIMDNCPMINONE.SRTSSINTIVFNMTCNSPRAURXXAIRLUCDTNONINBSRNXTVTAKUSAQICUVYCOHRGNCNSYPLSEPETVFEMYOSRHCODXOBIORDGLPAVMGUTSATEC (+13%, 2%)
Surgical & Medical Instruments & Apparatus; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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About Alphatec Holdings

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 Machine TM is focused on developing new approaches that integrate seamlessly with the Company’s expanding InformatiX TM 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.

In its own words, from its 8-K, filed Aug 4, 2026.

Alphatec Holdings against its Surgical & Medical Instruments & Apparatus peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +13% against the peers' median +5%. Operating margin: 1.5% against the peers' median 13.3%.

CompanyQuarterRevenueY/YOp. margin
ATEC Alphatec HoldingsQ3 2026$221M+13%1.5%
MDLN MedlineQ3 2026$7.9B+10%6.4%
MMM 3MQ3 2026$6.6B+1%23.7%
SYK StrykerQ3 2026$6.5B+8%15.9%
BSX Boston ScientificQ3 2026$5.1B+1%16.1%
BDX Becton DickinsonQ3 FY26$5.0B+5%13.3%
BAX Baxter InternationalQ3 2026$3.0B+5%7.6%
SOLV SolventumQ3 2026$1.9B-7%3.5%
RMD ResMedQ1 FY27$1.4B+6%32.0%

Source: Alphatec Holdings 10-Q on SEC EDGAR · CIK 1350653 · Surgical & Medical Instruments & Apparatus

Guidance and outlook

Alphatec Holdings Revenue: guidance against what was reportedAlphatec Holdings Revenue: guidance against what was reportedguided rangereported (above / within / below)FY2024$612MFY2025$764MFY2026
Met or beat 2 of 2 guided periods. Grey: the last range guided before the figures came out; dot: the reported figure.

13F: who owns ATEC and who is buying

Largest holders of ATEC (13F)Largest holders of ATEC (13F)Vanguard Group$145MBlackRock$98.0MAmerican Century Companies$56.4MVanguard Capital Management LLC$44.3MBNP Paribas Asset Management Hold…$30.6MState Street$30.1MJacobs Levy Equity Management$29.0MGeode Capital Management, LLC$27.6MIron Triangle Partners LP$27.1MRoyal Bank of Canada$25.9M
Funds' net buying of ATEC by quarter (13F)Funds' net buying of ATEC by quarter (13F)−$74.4M2024-09$36.8M2024-12$69.9M2025-03$51.9M2025-06$62.6M2025-09$240M2025-12−$74.8M2026-03−$53.5M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on ATEC

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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