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Alphatec (ATEC) investor relations material
Alphatec Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q3 2025 earnings summary30 Oct, 2025
Executive summary
Q3 2025 revenue grew 30% year-over-year to $197 million, with strong performance in both surgical and EOS segments and robust profitability momentum.
Adjusted EBITDA reached $26 million (13% margin), up 840 basis points year-over-year, and free cash flow was $5 million.
Net new surgeon users increased by 26%, supporting future growth.
Second consecutive quarter of non-GAAP net income profitability, with $4 million non-GAAP net income.
Net loss for Q3 2025 was $28.6 million, an improvement from $39.6 million loss in Q3 2024.
Financial highlights
Surgical revenue grew 31% year-over-year to $177 million; EOS revenue increased 29% to $20 million.
Gross margin (GAAP and non-GAAP) at 70% for Q3 2025, up 80 basis points year-over-year.
Adjusted EBITDA for Q3 2025 was $26 million, up from $7 million in Q3 2024.
Cash and cash equivalents at quarter end were $156 million, with $60 million available on a credit line.
Trailing 12-month adjusted EBITDA was $81 million; trailing 12-month free cash flow was $4 million.
Outlook and guidance
Full-year 2025 revenue guidance raised to $760 million, with surgical revenue expected at $684 million and EOS revenue at $76 million.
Non-GAAP adjusted EBITDA guidance increased to $91 million (12% margin) for the full year.
Case volume growth expected in the low 20% range year-over-year; case ASP to grow in low single digits.
Q4 free cash flow expected between $6 million and $8 million.
On track to meet/exceed 2027 targets: $1 billion revenue, 18% adjusted EBITDA, $65 million free cash flow.
What is VALENCE's impact on OR case time?
Describe the recent cash flow inflection.
What is the status of Bone Quality 510(k)?
What drives new surgeon user growth and PTPT/LTP momentum?
How will ATEC sustain free cash flow generation?
What factors underpin the raised FY25 guidance?
How will 2026 FCF contribute to LRP target?
Valence's role in democratizing lateral surgery?
Deformity: What drives its long-term growth?
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Frequently asked questions
Alphatec Holdings Inc. is a medical technology company dedicated to designing, developing, and marketing solutions for the surgical treatment of spinal disorders. The company’s product portfolio includes implants, biologics, and surgical instruments that support spine fusion and other procedures. The company serves healthcare providers specializing in spine surgery, offering solutions for degenerative conditions, deformities, and other spine-related issues. Alphatec Holdings Inc. is headquartered in Carlsbad, California, and its shares are listed on the NASDAQ.
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