How much cash does Alphatec Holdings generate?

Alphatec Holdings (ATEC) generated $51.6M in operating cash flow over the trailing twelve months.

What is Alphatec Holdings's free cash flow?

After $44.6M of capital expenditures, Alphatec Holdings's free cash flow was -$18.1M over the trailing twelve months, up 90.3% year over year.

Where does Alphatec Holdings's cash flow data come from?

Every line is extracted from Alphatec Holdings's SEC filings (10-K and 10-Q) and tagged in XBRL. Switch between quarterly, annual, and trailing-twelve-month views, or open any line for its full history and peer comparisons.

Alphatec Holdings ATEC Cash Flow Statement

Income Statement Balance Sheet Cash Flow Ratios Segments

Quarterly Annual TTM

YoY QoQ

Simplified Detailed

	TTM Q1 '26	TTM Q4 '25	TTM Q3 '25	TTM Q2 '25	TTM Q1 '25
Net income	-$125.36M+12.6%	-$143.36M+7.5%	-$154.96M+6.6%	-$166M-0.3%	-$165.54M-2.1%
Depreciation and amortization	$76.72M-1.0%	$77.49M-1.2%	$78.4M-1.9%	$79.89M-0.7%	$80.44M+2.6%
Stock-based compensation	$75.06M+1.8%	$73.72M-2.8%	$75.85M-1.4%	$76.94M-1.7%	$78.27M+6.8%
Amortization of debt issuance costs	$26.86M+19.3%	$22.51M+33.9%	$16.81M+49.2%	$11.27M+93.5%	$5.82M+30.5%
Gain (loss) on sale of assets	-$1.11M+55.3%	-$2.47M-7.7%	-$2.3M+18.4%	-$2.81M+29.6%	-$3.99M-22.4%
Change in accounts receivable	$21.84M-0.2%	$21.88M-7.4%	$23.62M—	——	——
Change in inventories	$28.13M+346%	$6.31M+318%	$1.51M-90.0%	$15.1M-58.4%	$36.29M-36.4%
Change in accounts payable	——	——	——	——	——
Change in accrued liabilities	——	——	——	——	——
Change in other assets	$960K-45.3%	$1.76M+2,407%	$70K+116%	-$445K-126%	$1.72M+1,669%
Change in other liabilities	——	——	-$388K-121%	$1.86M-35.9%	$2.91M-14.7%
Other working capital changes	$5.37M-36.8%	$8.49M+43.7%	$5.91M+32.5%	$4.46M-42.8%	$7.79M+50.0%
Change in deferred revenue	——	——	-$1.57M-242%	-$460K+80.1%	-$2.32M+29.0%
Non-cash operating lease expense	$5.12M+1.0%	$5.07M-0.4%	$5.09M-1.0%	$5.14M0.0%	$5.14M+4.9%
Net cash from operating activities	$51.56M+14.0%	$45.23M—	——	——	——
Capital expenditures	$44.61M+5.1%	$42.46M+34.9%	$31.47M-17.3%	$38.07M-38.4%	$61.85M-25.7%
Purchases of intangible assets	$7.73M+7.6%	$7.19M+3.3%	$6.96M-25.5%	$9.34M+0.6%	$9.29M-6.3%
Other investing activities	——	——	——	——	——
Net cash from investing activities	-$61.69M-15.5%	-$53.41M-28.9%	-$41.42M+12.6%	-$47.41M+33.3%	-$71.13M+23.6%
Repayments of debt	$14.15M-77.9%	$63.96M-44.1%	$114.37M-16.6%	$137.07M-21.7%	$174.98M+6.6%
Other financing activities	-$1.82M+14.3%	-$2.12M-11.5%	-$1.9M+2.3%	-$1.95M-3.3%	-$1.88M+0.5%
Net cash from financing activities	-$1.2M-104%	$31.33M-61.7%	$81.77M-7.6%	$88.46M-3.1%	$91.34M+62.5%
Effect of exchange rate changes on cash	——	——	——	——	——
Net increase (decrease) in cash	-$12.01M-152%	$23.29M—	——	——	——
Interest paid	$23.84M+0.1%	$23.82M+0.3%	$23.74M+6.6%	$22.28M+4.2%	$21.38M+5.3%
Non-cash interest expense	$26.86M+19.3%	$22.51M+33.9%	$16.81M+49.2%	$11.27M+93.5%	$5.82M+30.5%
Derivative Gain Loss On Derivative Net	-$16.78M-2,806%	$620K0.0%	$620K0.0%	$620K-96.4%	$17.4M—
Gain/(loss) on dispositions, net	-$1.11M+55.3%	-$2.47M-7.7%	-$2.3M+18.4%	-$2.81M+29.6%	-$3.99M-22.4%
Increase Decrease In Lease Liability	-$4.79M+2.0%	-$4.89M+10.1%	-$5.44M+0.6%	-$5.47M+5.6%	-$5.8M-5.5%
Other long-term liabilities	——	——	-$388K-121%	$1.86M-35.9%	$2.91M-14.7%
Increase (Decrease) in Other Operating Assets	-$160K+60.5%	-$405K—	——	——	——
Increase (Decrease) in Prepaid Expense and Other Assets	$960K-45.3%	$1.76M+2,407%	$70K+116%	-$445K-126%	$1.72M+1,669%
Inventory write-downs	$13.58M+0.3%	$13.54M-14.2%	$15.77M-4.4%	$16.51M+3.1%	$16.01M+3.8%
Operating lease right-of-use asset amortization	$5.12M+1.0%	$5.07M-0.4%	$5.09M-1.0%	$5.14M0.0%	$5.14M+4.9%
Payment for (Proceeds from) Other Investing Activity	——	——	——	——	——
Payments to Acquire Intangible Assets	$7.73M+7.6%	$7.19M+3.3%	$6.96M-25.5%	$9.34M+0.6%	$9.29M-6.3%
Payments to notes receivables	——	——	——	——	——
Net Cash Paid Received From Common Stock Exercises	-$1.35M-163%	-$515K—	——	——	——
Proceeds From Issuance Of Convertible Notes	——	——	——	——	$392.85M—
Other, net	-$1.82M+14.3%	-$2.12M-11.5%	-$1.9M+2.3%	-$1.95M-3.3%	-$1.88M+0.5%
Purchase Of Capped Calls	——	——	——	——	$42.49M—
Repayments of Long-Term Lines of Credit	$14.15M-77.9%	$63.96M-44.1%	$114.37M-16.6%	$137.07M-21.7%	$174.98M+6.6%
Repurchase Of Convertible Notes	——	——	——	——	$268.23M—
Accrued payables for capital expenditures	$20.83M+166%	$7.82M-19.4%	$9.7M+60.3%	$6.05M—	——
Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations	——	——	——	——	——
Increase Decrease In Contract With Customer Liability	——	——	-$1.57M-242%	-$460K+80.1%	-$2.32M+29.0%
Non Cash Financed Insurance	——	——	——	——	——
Purchases of intangible assets included in accrued expenses and other liabilities	——	——	——	——	$2.88M+1,052%
Proceeds From Long Term Lines Of Credit	$12.81M-9.5%	$14.15M-77.9%	$63.96M-32.2%	$94.37M-31.2%	$137.07M-21.7%
Recognition Of Derivative Liability	——	——	——	——	——
Recognition Of Lease Liability	$1.1M+710%	$136K—	——	——	——
Free cash flow	——	——	——	——	-$81.65M+40.2%

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Questions, answered.

How much cash does Alphatec Holdings generate?: Alphatec Holdings (ATEC) generated $51.6M in operating cash flow over the trailing twelve months.
What is Alphatec Holdings's free cash flow?: After $44.6M of capital expenditures, Alphatec Holdings's free cash flow was -$18.1M over the trailing twelve months, up 90.3% year over year.
Where does Alphatec Holdings's cash flow data come from?: Every line is extracted from Alphatec Holdings's SEC filings (10-K and 10-Q) and tagged in XBRL. Switch between quarterly, annual, and trailing-twelve-month views, or open any line for its full history and peer comparisons.