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Alphatec Holdings (ATEC) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 24, 2026

Alphatec Holdings (ATEC) reported revenue of $213M for the fourth quarter 2025 (Q4 2025), +20% from a year earlier and +8% from the quarter before. Operating margin was -4.1%, net loss $21.7M (10.2% of revenue).

Revenue$213M
Year over year+20%
Quarter over quarter+8%
Operating margin-4.1%
Net earnings−$21.7M

Alphatec Holdings, Q4 2025: revenue $213M (+20% year over year), operating margin -4.1%, net loss $21.7M, operating cash flow $20.7M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$213M+8%+20%
Operating profit−$8.8M——
Net earnings−$21.7M——
Operating cash flow$20.7M+47%+97%
Free cash flow$7.7M+61%-10%

What changed

Revenue was $212.9M in Q4 2025, up 20% year over year and up 8% from the previous quarter.

Gross margin was 70.2%, up 1.4 points from a year earlier. Operating costs exceeded revenue by $8.8M, an operating margin of -4.1%. Operating expenses grew 9% against revenue growth of 20%. The fastest-growing cost line was SG&A (+12%). The quarter ended with a net loss of $21.7M, narrower than the previous quarter's $28.6M loss. Net interest and other expense of $12.9M was the main reason.

Operating cash flow was $20.7M (up 97% year over year). Non-cash charges added back $19.1M of depreciation and amortization and $19.4M of share-based compensation. Working capital and other items added $3.9M. Capital expenditures of $13.0M left free cash flow of $7.7M.

Questions

What was Alphatec Holdings' revenue in the fourth quarter 2025?

Alphatec Holdings (ATEC) reported revenue of $213M for the fourth quarter 2025 (Q4 2025), +20% from a year earlier and +8% from the quarter before.

Was Alphatec Holdings profitable in the fourth quarter 2025?

Operating loss was $8.8M (-4.1% of revenue) and net loss $21.7M.

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Source: Alphatec Holdings 10-K on SEC EDGAR.