ATEC Alphatec Holdings, Inc. - Common Stock
$9.86
Price · Aug 19, 2026
Fundamentals as of Aug 4, 2026
52W Range
$7–$23
19% of range
Analyst Rating
BUY
21 analysts
Price Target
$16
+60% upside
P/E (TTM)
-10.3
ROE
-792.1%
Net Profit Margin
-18.8%
ATEC Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range
Price
$9.86
Market Cap
$1.48B
P/E (TTM)
-10.3
EPS (TTM)
$-0.96
Revenue (TTM)
$764M
Div Yield
—
ROE
-792.1%
Debt/Equity
50.7
52W Range
$7 – $23
ATEC Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view
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10-Year Performance Revenue, net income, margins and EPS trends
Revenue & Net Income
$764M
2016-12-31
→
2025-12-31
EPS
$-0.96
2016-12-31
→
2025-12-31
Free Cash Flow
$3M
2017-12-31
→
2025-12-31
Margins
-18.8%
2017-12-31
→
2025-12-31
Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?
Metric
5Y trend
ATEC
Peer Median
P/E (TTM)
-10.3
38.5
P/S (TTM)
1.9
2.5
P/B
119.2
4.8
EV / EBITDA
-420.9
—
Price / FCF
533.7
—
Profitability Gross, operating and net margins; ROE, ROA, ROIC
Metric
5Y trend
ATEC
Peer Median
Gross Margin
69.6%
58.7%
Operating Margin
-10.8%
—
Net Profit Margin
-18.8%
-12.6%
ROA
-18.3%
-11.8%
ROE
-792.1%
-37.7%
ROIC
-12.8%
—
Financial Health Debt, liquidity, solvency — balance sheet strength
Metric
5Y trend
ATEC
Peer Median
Debt / Equity
50.7
25.5
Current Ratio
2.1
3.5
Quick Ratio
1.2
—
Growth Revenue, EPS and net income growth: YoY, 3Y CAGR, 5Y CAGR
Metric
5Y trend
ATEC
Peer Median
Revenue YoY
24.9%
—
Revenue CAGR 3Y
29.6%
—
Revenue CAGR 5Y
39.5%
—
Capital Efficiency Asset turnover, inventory turnover, receivables turnover
Metric
5Y trend
ATEC
Peer Median
ATEC Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside
BUY
21 analysts
- Strong Buy 5 23.8%
- Buy 14 66.7%
- Hold 2 9.5%
- Sell 0 0.0%
- Strong Sell 0 0.0%
12-Month Price Target
14 analysts · 2026-08-19
Median
$15.00
← Below all targets
$9.86
Low
$12.00
High
$24.00
Median target
$15.00
+52.1%
Mean target
$15.79
+60.1%
Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date
Avg Surprise
-0.02%
| Period | EPS Actual | EPS Est | Surprise |
|---|---|---|---|
| June 30, 2026 | $0.07 | $0.07 | -0.00% |
| March 31, 2026 | $0.00 | $-0.02 | 0.02% |
| Dec. 31, 2025 | $-0.14 | $-0.13 | -0.01% |
| Sept. 30, 2025 | $-0.19 | $-0.14 | -0.05% |
| June 30, 2025 | $-0.16 | $-0.19 | 0.03% |
| March 31, 2025 | $-0.35 | $-0.24 | -0.11% |
Peer comparison (GICS sub-industry) Key metrics vs sector peers
| Ticker | Market Cap | P/E | Rev YoY | Net Margin | ROE | Gross Margin |
|---|---|---|---|---|---|---|
| ATEC | $3.16B | -21.9 | 24.9% | -18.8% | -792.1% | 69.6% |
| OMCL | $2.04B | 1132.5 | 6.5% | 0.17% | 0.16% | 42.5% |
| KMTS | $1.21B | -8.5 | 59.0% | -138.4% | -62.1% | 51.4% |
| CNMD | $1.27B | 26.9 | 5.2% | 3.4% | 4.6% | 54.6% |
| ENOV | $1.52B | -1.3 | 6.7% | -52.7% | -58.5% | 59.8% |
| AORT | $2.25B | 217.2 | 13.6% | 2.2% | 2.2% | 64.4% |
| IART | — | -1.8 | 1.5% | -31.6% | -49.6% | — |
| ASST | — | -0.1 | 1217.5% | — | — | — |
| PRCT | $1.77B | -18.3 | 37.2% | -31.0% | -25.4% | 63.7% |
| KMTS | $1.21B | -8.5 | 59.0% | -138.4% | -62.1% | 51.4% |
Full Fundamentals All metrics by year — income statement, balance sheet, cash flow
Income Statement 18
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $764M | $612M | $482M | $351M | $243M | $145M | $113M | $92M | $102M | $120M | $134M | $155M | |
| Cost of Revenue | $232M | $187M | $172M | $118M | $85M | $42M | $36M | $28M | $34M | $44M | $46M | $45M | |
| Gross Profit | $532M | $424M | $310M | $233M | $158M | $103M | $78M | $63M | $68M | $76M | $88M | $110M | |
| R&D Expense | · | · | · | · | · | · | · | · | · | · | $18M | $17M | |
| SG&A Expense | $499M | $450M | $374M | $300M | $229M | $129M | $102M | $73M | $70M | $26M | $28M | $34M | |
| Operating Expenses | $614M | $560M | $484M | $380M | $286M | $161M | $125M | $86M | $77M | $92M | $264M | $108M | |
| Operating Income | $-82M | $-136M | $-173M | $-147M | $-128M | $-59M | $-47M | $-22M | $-9M | $-15M | $-176M | $1M | |
| Interest Expense | $46M | $25M | $17M | $6M | $7M | $12M | $10M | · | · | $5M | $4M | $3M | |
| Interest Income | · | · | · | · | · | · | · | · | · | $3.0K | $11.0K | $10.0K | |
| Other Non-op | $2M | $-1M | $3M | $471.0K | $-2M | · | $-10M | $-7M | $4M | $-28.0K | $7M | $2M | |
| Pretax Income | $-143M | $-162M | $-187M | $-152M | $-144M | $-79M | $-57M | $-30M | $-5M | $-31M | $-172M | $309.0K | |
| Income Tax | $-45.0K | $50.0K | $-277.0K | $-716.0K | $-1M | $145.0K | $-239.0K | $-1M | $-34.0K | $-5M | $-1M | $407.0K | |
| Net Income | $-143M | $-162M | $-187M | $-151M | $-143M | $-79M | $-57M | $-29M | $-2M | $-30M | $-179M | $-13M | |
| EPS (Basic) | $-0.96 | $-1.13 | $-1.54 | $-1.46 | $-1.49 | $-1.18 | · | $-1.20 | $-0.18 | $-3.49 | $-21.53 | $-1.59 | |
| EPS (Diluted) | $-0.96 | $-1.13 | $-1.54 | $-1.46 | $-1.49 | $-1.18 | · | $-1.20 | $-1.08 | $-3.49 | $-21.53 | $-1.90 | |
| Shares (Basic) | 150,064,000 | 142,946,000 | 121,242,000 | 103,373,000 | 96,197,000 | 67,020,000 | · | 35,315,000 | 12,788,000 | 8,582,000 | 8,298,000 | 8,112,000 | |
| Shares (Diluted) | 150,064,000 | 142,946,000 | 121,242,000 | 103,373,000 | 96,197,000 | 67,020,000 | · | 35,315,000 | 13,282,000 | 8,582,000 | 8,298,000 | 8,145,000 | |
| EBITDA | $-5M | $-58M | $-117M | $-106M | $-101M | $-48M | $-40M | $-16M | $-2M | · | · | $20M |
Balance Sheet 29
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cash & Equivalents | $161M | $139M | $221M | $85M | $187M | $108M | $47M | $29M | $22M | $20M | $6M | $20M | |
| Receivables | $97M | $83M | $73M | $60M | $42M | $24M | $16M | $15M | $15M | $19M | $27M | $40M | |
| Inventory | $169M | $175M | $137M | $102M | $92M | $46M | $35M | $29M | $27M | $30M | $33M | $42M | |
| Prepaid Expense | $23M | $20M | $21M | $9M | $10M | $5M | $10M | $2M | $2M | $4M | $3M | $5M | |
| Current Assets | $451M | $417M | $451M | $256M | $331M | $184M | $108M | $76M | $66M | $73M | $101M | $113M | |
| PP&E (Net) | $135M | $156M | $150M | $102M | $87M | $37M | $20M | $13M | $13M | $15M | $16M | $26M | |
| PP&E (Gross) | $369M | $340M | $277M | $196M | $160M | $93M | $72M | $67M | $67M | $69M | $78M | $90M | |
| Accum. Depreciation | $233M | $184M | $127M | $94M | $73M | $57M | $52M | $54M | $54M | $54M | $62M | $64M | |
| Goodwill | $75M | $71M | $73M | $47M | $40M | $14M | $14M | $14M | · | $0 | $0 | $171M | |
| Intangibles | $93M | $94M | $102M | $83M | $85M | $25M | $26M | $26M | $5M | $6M | $9M | $30M | |
| Other Non-current Assets | $5M | $3M | $2M | $5M | $3M | $541.0K | $493.0K | $347.0K | $208.0K | $516.0K | $502.0K | $4M | |
| Total Assets | $791M | $776M | $805M | $521M | $572M | $261M | $170M | $129M | $85M | $94M | $146M | $345M | |
| Accounts Payable | $41M | $53M | $49M | $35M | $26M | $18M | $8M | $4M | $4M | $9M | $14M | $10M | |
| Accrued Liabilities | · | · | · | · | · | $35M | $26M | $22M | $22M | $28M | $21M | $35M | |
| Short-term Debt | $65M | $2M | $2M | $15M | $342.0K | $4M | · | · | · | · | · | · | |
| Current Liabilities | $219M | $153M | $158M | $139M | $101M | $58M | $36M | $31M | $30M | $40M | $125M | $64M | |
| Capital Leases | $24M | $27M | $24M | $27M | $24M | $41.0K | $925.0K | $92.0K | $129.0K | $66.0K | · | · | |
| Deferred Tax | · | · | · | · | · | · | · | · | · | · | $0 | $2M | |
| Other Non-current Liabilities | $11M | $11M | $11M | $17M | $17M | $11M | $12M | $15M | $20M | $29M | $32M | $32M | |
| Long-term Debt | $566M | $576M | $513M | $364M | $327M | $42M | $61M | $49M | $43M | $49M | $85M | $83M | |
| Total Debt | $630M | $578M | $515M | $379M | $327M | $42M | $54M | $46M | $41M | · | · | $83M | |
| Common Stock | $15.0K | $14.0K | $14.0K | $11.0K | $10.0K | $8.0K | $6.0K | $4.0K | $2.0K | $1.0K | $1.0K | $10.0K | |
| Paid-in Capital | $1.47B | $1.31B | $1.23B | $934M | $893M | $771M | $607M | $524M | $437M | $420M | $417M | $414M | |
| Retained Earnings | $-1.42B | $-1.28B | $-1.12B | $-932M | $-781M | $-638M | $-559M | $-502M | $-459M | $-457M | $-427M | $-249M | |
| Treasury Stock | $25M | $25M | $25M | $25M | $25M | $97.0K | $97.0K | $97.0K | $97.0K | $97.0K | $97.0K | $97.0K | |
| AOCI | $-4M | $-14M | $-8M | $-11M | $-6M | $1M | $1M | $1M | $1M | $970.0K | $-21M | $-11M | |
| Stockholders' Equity | $12M | $-14M | $78M | $-35M | $81M | $130M | $44M | $18M | $-27M | $-42M | $-37M | $149M | |
| Liabilities + Equity | $791M | $776M | $805M | $521M | $572M | $261M | $170M | $129M | $85M | $94M | $146M | $345M | |
| Shares Outstanding | 150,257,000 | 144,129,000 | 139,245,000 | 106,640,000 | 99,537,000 | 82,104,000 | 61,400,000 | 43,368,000 | 19,857,000 | 9,049,000 | 8,513,000 | 99,856,000 |
Cash Flow 16
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| D&A | $77M | $78M | $56M | $41M | $27M | $11M | $8M | $7M | $7M | $12M | $19M | $18M | |
| Stock-based Comp | $74M | $73M | $81M | $41M | $36M | $18M | $11M | $5M | $4M | $2M | $3M | $5M | |
| Deferred Tax | $-588.0K | $-586.0K | $-830.0K | $-113.0K | $-1M | $10.0K | $-446.0K | $-1M | $-36.0K | $-5M | $-2M | $262.0K | |
| Amort. of Intangibles | $15M | $16M | $14M | $10M | $5M | $688.0K | $698.0K | $738.0K | $688.0K | $934.0K | $1M | $1M | |
| Restructuring | $378.0K | $3M | $719.0K | $2M | $2M | · | $60.0K | $1M | $2M | $2M | $597.0K | $706.0K | |
| Other Non-cash | $38M | $-34M | $-28M | $-5M | $8M | $4M | $6M | $-7M | $-18M | · | · | $-31M | |
| Operating Cash Flow | $45M | $-45M | $-78M | $-75M | $-73M | $-46M | $-33M | $-26M | $-9M | $-10M | $10M | $-20M | |
| CapEx | $42M | $83M | $81M | $49M | $69M | $23M | $13M | $7M | $8M | $9M | $12M | $11M | |
| Investing Cash Flow | $-53M | $-93M | $-142M | $-58M | $-158M | $-24M | $-13M | $-22M | $-6M | $62M | $-12M | $-11M | |
| Stock Issued | $0 | $0 | $213M | · | $132M | $108M | $2M | $52M | · | $114.0K | $375.0K | $26.0K | |
| Stock Repurchased | · | · | · | · | $25M | · | · | · | · | · | · | · | |
| Net Stock Activity | $0 | · | $213M | · | $-25M | $3M | $2M | · | · | · | · | · | |
| Financing Cash Flow | $30M | $56M | $357M | $31M | $312M | $131M | $64M | $54M | $18M | $-43M | $-7M | $31M | |
| Net Change in Cash | $22M | $-82M | $136M | $-103M | $79M | $61M | $18M | $7M | $3M | $9M | $-9M | $-2M | |
| Free Cash Flow | $3M | $-128M | $-159M | $-125M | $-142M | $-70M | $-46M | $-32M | $-16M | · | · | $-32M | |
| Levered FCF | $-43M | $-153M | $-176M | $-130M | $-149M | $-82M | · | · | · | · | · | $-46M |
Profitability 8
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 69.6% | 69.4% | 64.3% | 66.4% | 64.9% | 70.8% | 68.4% | 69.0% | 61.3% | · | · | 69.3% | |
| Operating Margin | -10.8% | -22.3% | -35.9% | -41.9% | -52.6% | -40.6% | -41.7% | -24.5% | -8.8% | · | · | 0.89% | |
| Net Margin | -18.8% | -26.5% | -38.7% | -43.4% | -59.3% | -54.5% | -50.2% | -31.6% | -2.2% | · | · | -6.2% | |
| Pretax Margin | -18.8% | -26.5% | -38.8% | -43.3% | -59.3% | -54.4% | -50.4% | -32.9% | -4.5% | · | · | -5.7% | |
| EBITDA Margin | -0.61% | -9.4% | -24.3% | -30.2% | -41.6% | -33.1% | -35.0% | -17.1% | -1.5% | · | · | 9.8% | |
| ROA | -18.3% | -20.5% | -28.1% | -28.0% | -34.6% | -36.6% | -38.1% | -27.1% | -2.6% | · | · | -3.6% | |
| ROE | -792.1% | 2087.7% | -1099.3% | 528.2% | -151.0% | -114.5% | -112.6% | -138.7% | 6.7% | · | · | -8.0% | |
| ROIC | -12.8% | -24.2% | -29.2% | -42.9% | -31.5% | -34.3% | -48.2% | -33.9% | -62.0% | · | · | 0.87% |
Liquidity & Solvency 5
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Current Ratio | 2.1 | 2.7 | 2.9 | 1.8 | 3.3 | 3.2 | 3.0 | 2.5 | 2.2 | · | · | 1.8 | |
| Quick Ratio | 1.2 | 1.4 | 1.9 | 1.0 | 2.3 | 2.3 | 1.7 | 1.4 | 1.3 | · | · | 0.9 | |
| Debt / Equity | 50.7 | -40.8 | 6.6 | -10.3 | 4.1 | 0.3 | 1.2 | 2.6 | -1.5 | · | · | 0.6 | |
| LT Debt / Equity | 40.4 | -40.5 | 6.5 | -9.5 | 4.1 | 0.3 | 1.2 | 2.4 | -1.4 | · | · | 0.5 | |
| Interest Coverage | -1.8 | -5.5 | -10.4 | -26.7 | -18.0 | -4.8 | · | · | · | · | · | 0.1 |
Efficiency 3
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Asset Turnover | 1.0 | 0.8 | 0.7 | 0.6 | 0.6 | 0.7 | 0.8 | 0.9 | 1.1 | · | · | 0.6 | |
| Inventory Turnover | 1.3 | 1.2 | 1.4 | 1.2 | 1.2 | 1.0 | 1.1 | 1.0 | 1.4 | · | · | 1.5 | |
| Receivables Turnover | 8.5 | 7.9 | 7.3 | 6.9 | 7.4 | 7.3 | 7.3 | 6.1 | 6.1 | · | · | 5.1 |
Growth Rates 3
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue YoY | 24.9% | 26.8% | 37.5% | 44.3% | 67.9% | · | · | · | · | · | · | · | |
| Revenue CAGR 3Y | 29.6% | 36.0% | 49.3% | · | · | · | · | · | · | · | · | · | |
| Revenue CAGR 5Y | 39.5% | · | · | · | · | · | · | · | · | · | · | · |
Valuation (TTM) 14
| Metric | Trend | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue TTM | $764M | $612M | $482M | $351M | $243M | $145M | $113M | $92M | $102M | $120M | $134M | $155M | |
| Net Income TTM | $-143M | $-162M | $-187M | $-151M | $-143M | $-79M | $-57M | $-29M | $-2M | $-30M | $-179M | $-13M | |
| Market Cap | $3.16B | $1.32B | $2.10B | $1.32B | $1.14B | $1.19B | $436M | $99M | $53M | · | · | $1.65B | |
| Enterprise Value | $3.63B | $1.76B | $2.40B | $1.61B | $1.28B | $1.13B | $443M | $116M | $71M | · | · | $1.71B | |
| P/E | -21.9 | -8.1 | -9.8 | -8.5 | -7.7 | -12.3 | -3.9 | -1.9 | -2.5 | -0.9 | -0.2 | -8.9 | |
| P/S | 4.1 | 2.2 | 4.4 | 3.8 | 4.7 | 8.2 | 3.8 | 1.1 | 0.5 | · | · | 10.7 | |
| P/B | 254.4 | -93.4 | 26.9 | -35.9 | 14.3 | 9.2 | 10.0 | 5.7 | -2.0 | · | · | 11.1 | |
| P / Tangible Book | · | · | · | · | · | 13.1 | · | · | · | · | · | · | |
| P / Cash Flow | 69.9 | -29.6 | -26.8 | -17.5 | -15.5 | -25.7 | -13.2 | -3.9 | -6.1 | · | · | -81.5 | |
| P / FCF | 1138.8 | -10.3 | -13.2 | -10.6 | -8.0 | -17.1 | -9.4 | -3.1 | -3.2 | · | · | -52.3 | |
| EV / EBITDA | -783.2 | -30.5 | -20.4 | -15.2 | -12.6 | -23.5 | -11.2 | -7.4 | -46.9 | · | · | 84.7 | |
| EV / FCF | 1308.0 | -13.8 | -15.1 | -12.9 | -9.0 | -16.2 | -9.6 | -3.6 | -4.4 | · | · | -54.3 | |
| EV / Revenue | 4.8 | 2.9 | 5.0 | 4.6 | 5.3 | 7.8 | 3.9 | 1.3 | 0.7 | · | · | 11.1 | |
| Earnings Yield | -4.6% | -12.3% | -10.2% | -11.8% | -13.0% | -8.1% | -25.4% | -52.4% | -40.6% | -108.7% | -598.1% | -11.2% |
Income Statement 16
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $214M | $192M | $213M | $197M | $186M | $169M | $177M | $151M | $146M | $138M | $138M | $118M | $117M | $109M | $106M | $90M | |
| Cost of Revenue | $59M | $56M | $63M | $59M | $56M | $53M | $55M | $48M | $43M | $41M | $43M | $38M | $52M | $39M | $37M | $30M | |
| Gross Profit | $154M | $136M | $149M | $137M | $129M | $116M | $122M | $103M | $103M | $97M | $95M | $80M | $65M | $70M | $69M | $60M | |
| SG&A Expense | $134M | $137M | $129M | $124M | $119M | $127M | $115M | $109M | $113M | $114M | $104M | $91M | $87M | $91M | $82M | $76M | |
| Operating Expenses | $156M | $159M | $158M | $153M | $142M | $160M | $145M | $136M | $138M | $141M | $140M | $118M | $114M | $111M | $104M | $94M | |
| Operating Income | $-2M | $-23M | $-9M | $-16M | $-13M | $-44M | $-24M | $-34M | $-35M | $-43M | $-45M | $-38M | $-50M | $-40M | $-35M | $-35M | |
| Interest Expense | $11M | $12M | $13M | $13M | $12M | $8M | $7M | $7M | $6M | $5M | $4M | $4M | $4M | $4M | $1M | $1M | |
| Other Non-op | $-870.0K | $446.0K | $-34.0K | $307.0K | $993.0K | $337.0K | $-2M | $623.0K | $156.0K | $118.0K | $44.0K | $47.0K | $2M | $706.0K | $1M | $-615.0K | |
| Pretax Income | $-26M | $-34M | $-22M | $-29M | $-41M | $-52M | $-33M | $-40M | $-41M | $-49M | $-49M | $-43M | $-51M | $-44M | $-35M | $-37M | |
| Income Tax | $156.0K | $50.0K | $-18.0K | $74.0K | $-37.0K | $-64.0K | $441.0K | $-36.0K | $-286.0K | $-69.0K | $-124.0K | $-117.0K | $-50.0K | $14.0K | $-524.0K | $-77.0K | |
| Net Income | $-26M | $-34M | $-22M | $-29M | $-41M | $-52M | $-33M | $-40M | $-41M | $-48M | $-49M | $-43M | $-51M | $-44M | $-35M | $-37M | |
| EPS (Basic) | $-0.16 | $-0.22 | $-0.15 | $-0.19 | $-0.27 | $-0.35 | $-0.22 | $-0.28 | $-0.29 | $-0.34 | $-0.36 | $-0.35 | $-0.43 | $-0.40 | $-0.32 | $-0.35 | |
| EPS (Diluted) | $-0.16 | $-0.22 | $-0.15 | $-0.19 | $-0.27 | $-0.35 | $-0.22 | $-0.28 | $-0.29 | $-0.34 | $-0.36 | $-0.35 | $-0.43 | $-0.40 | $-0.32 | $-0.35 | |
| Shares (Basic) | 156,575,000 | 154,051,000 | -297,976,000 | 151,401,000 | 149,907,000 | 146,732,000 | -284,213,000 | 143,492,000 | 142,687,000 | 140,980,000 | -229,696,000 | 122,468,000 | 118,719,000 | 109,751,000 | -204,258,000 | 104,804,000 | |
| Shares (Diluted) | 156,575,000 | 154,051,000 | -297,976,000 | 151,401,000 | 149,907,000 | 146,732,000 | -284,213,000 | 143,492,000 | 142,687,000 | 140,980,000 | -229,696,000 | 122,468,000 | 118,719,000 | 109,751,000 | -204,258,000 | 104,804,000 | |
| EBITDA | $-2M | $-3M | · | $-16M | $-13M | $-24M | · | $-34M | $-35M | $-25M | · | $-38M | $-50M | $-29M | · | $-35M |
Balance Sheet 27
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cash & Equivalents | $119M | $140M | $161M | $156M | $157M | $153M | $139M | $81M | $100M | $144M | · | $123M | $101M | $117M | · | $106M | |
| Receivables | $110M | $106M | $97M | $97M | $96M | $89M | $83M | $78M | $84M | $89M | · | $65M | $60M | $62M | · | $51M | |
| Inventory | $195M | $186M | $169M | $167M | $170M | $171M | $175M | $183M | $172M | $153M | · | $131M | $120M | $108M | · | $102M | |
| Prepaid Expense | $25M | $24M | $23M | $20M | $21M | $21M | $20M | $20M | $20M | $20M | · | $16M | $19M | $12M | · | $10M | |
| Current Assets | $449M | $456M | $451M | $440M | $443M | $435M | $417M | $362M | $377M | $405M | · | $334M | $300M | $299M | · | $269M | |
| PP&E (Net) | $139M | $138M | $135M | $138M | $140M | $147M | $156M | $171M | $181M | $171M | · | $134M | $119M | $110M | · | $99M | |
| PP&E (Gross) | $385M | $383M | $369M | $359M | $348M | $343M | $340M | $342M | $336M | $311M | · | $253M | $229M | $212M | · | $186M | |
| Accum. Depreciation | $246M | $245M | $233M | $221M | $208M | $197M | $184M | $170M | $155M | $140M | · | $119M | $110M | $102M | · | $87M | |
| Goodwill | $74M | $74M | $75M | $75M | $75M | $72M | $71M | $73M | $72M | $72M | · | $72M | $73M | $48M | · | $38M | |
| Intangibles | $88M | $90M | $93M | $96M | $96M | $95M | $94M | $99M | $99M | $100M | · | $102M | $106M | $81M | · | $80M | |
| Other Non-current Assets | $11M | $10M | $5M | $5M | $3M | $3M | $3M | $3M | $3M | $2M | · | $2M | $4M | $4M | · | $3M | |
| Total Assets | $791M | $799M | $791M | $787M | $790M | $785M | $776M | $746M | $769M | $775M | · | $670M | $628M | $570M | · | $516M | |
| Accounts Payable | $62M | $46M | $41M | $37M | $47M | $39M | $53M | $60M | $73M | $60M | · | $50M | $44M | $39M | · | $33M | |
| Short-term Debt | $65M | $66M | $65M | $65M | $2M | $3M | $2M | $2M | $2M | $3M | · | $2M | $2M | $16M | · | $14M | |
| Current Liabilities | $238M | $240M | $219M | $221M | $154M | $158M | $153M | $156M | $169M | $169M | · | $148M | $139M | $143M | · | $125M | |
| Capital Leases | $22M | $23M | $24M | $25M | $26M | $27M | $27M | $29M | $30M | $21M | · | $24M | $25M | $26M | · | $27M | |
| Other Non-current Liabilities | $9M | $10M | $11M | $11M | $11M | $11M | $11M | $12M | $12M | $11M | · | $12M | $13M | $16M | · | $14M | |
| Long-term Debt | $576M | $573M | $566M | $560M | $554M | $548M | $576M | $528M | $519M | $514M | · | $508M | $458M | $436M | · | $362M | |
| Total Debt | $641M | $639M | · | $624M | $556M | $551M | · | $530M | $521M | $517M | · | $510M | $460M | $452M | · | $375M | |
| Common Stock | $16.0K | $16.0K | $15.0K | $15.0K | $15.0K | $15.0K | $14.0K | $14.0K | $14.0K | $14.0K | · | $12.0K | $12.0K | $12.0K | · | $11.0K | |
| Paid-in Capital | $1.50B | $1.48B | $1.47B | $1.44B | $1.43B | $1.28B | $1.31B | $1.28B | $1.26B | $1.24B | · | $1.06B | $1.03B | $952M | · | $919M | |
| Retained Earnings | $-1.48B | $-1.46B | $-1.42B | $-1.40B | $-1.37B | $-1.33B | $-1.28B | $-1.25B | $-1.21B | $-1.17B | · | $-1.07B | $-1.03B | $-976M | · | $-899M | |
| Treasury Stock | $25M | $25M | $25M | $25M | $25M | $25M | $25M | $25M | $25M | $25M | · | $25M | $25M | $25M | · | $25M | |
| AOCI | $-7M | $-6M | $-4M | $-4M | $-4M | $-10M | $-14M | $-8M | $-12M | $-11M | · | $-12M | $-10M | $-10M | · | $-17M | |
| Stockholders' Equity | $-12M | $-5M | $12M | $12M | $24M | $-86M | $-14M | $-1M | $17M | $38M | $78M | $-44M | $-28M | $-58M | $-35M | $-23M | |
| Liabilities + Equity | $791M | $799M | $791M | $787M | $790M | $785M | $776M | $746M | $769M | $775M | · | $670M | $628M | $570M | · | $516M | |
| Shares Outstanding | 154,491,000 | 153,794,000 | 150,257,000 | 149,347,000 | 148,842,000 | 146,906,000 | 144,129,000 | 143,907,000 | 143,014,000 | 142,410,000 | · | 123,311,000 | 121,851,000 | 113,459,000 | · | 104,984,000 |
Cash Flow 13
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| D&A | $20M | $19M | $19M | $19M | $19M | $20M | $20M | $21M | $20M | $18M | $16M | $15M | $14M | $12M | $11M | $11M | |
| Stock-based Comp | $18M | $24M | $19M | $16M | $16M | $22M | $22M | $17M | $17M | $17M | $21M | $20M | $24M | $16M | $10M | $11M | |
| Amort. of Intangibles | $4M | $4M | $3M | $4M | $4M | $4M | $5M | $4M | $4M | $4M | $4M | $4M | $4M | $3M | $3M | $3M | |
| Restructuring | $0 | $0 | $0 | $0 | $7.0K | $371.0K | $1M | $934.0K | $139.0K | $788.0K | $386.0K | $129.0K | $29.0K | $175.0K | $106.0K | $45.0K | |
| Other Non-cash | · | $-8M | · | · | · | $5M | · | · | · | $-25M | · | · | · | $-3M | · | · | |
| Operating Cash Flow | $21M | $1M | $21M | $14M | $16M | $-5M | $11M | $-5M | $-11M | $-38M | $-25M | $-17M | $-18M | $-18M | $-8M | $-15M | |
| CapEx | $20M | $12M | $13M | $9M | $10M | $10M | $2M | $16M | $34M | $31M | $26M | $19M | $19M | $16M | $13M | $10M | |
| Investing Cash Flow | $-23M | $-20M | $-16M | $-14M | $-12M | $-12M | $-4M | $-20M | $-36M | $-34M | $-28M | $-21M | $-76M | $-17M | $-15M | $-16M | |
| Stock Issued | · | · | · | · | · | · | · | · | · | · | $146M | $10M | · | · | · | · | |
| Financing Cash Flow | $-20M | $-2M | $206.0K | $-1M | $366.0K | $31M | $51M | $7M | $3M | $-4M | $152M | $60M | $78M | $67M | $1M | $29M | |
| Net Change in Cash | $-21M | $-21M | $5M | $-1M | $4M | $14M | $58M | $-19M | $-44M | $-77M | $98M | $22M | $-16M | $32M | $-21M | $-1M | |
| Free Cash Flow | · | $-11M | · | · | · | $-15M | · | · | · | $-70M | · | · | · | $-35M | · | · | |
| Levered FCF | · | $-23M | · | · | · | $-23M | · | · | · | $-75M | · | · | · | $-38M | · | · |
Profitability 8
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 72.2% | 71.0% | · | 69.9% | 69.6% | 68.6% | · | 68.2% | 70.5% | 70.3% | · | 67.7% | 55.2% | 64.5% | · | 66.2% | |
| Operating Margin | -0.89% | -11.8% | · | -8.1% | -7.0% | -26.2% | · | -22.4% | -24.2% | -31.3% | · | -32.4% | -42.6% | -37.0% | · | -38.9% | |
| Net Margin | -12.1% | -17.6% | · | -14.5% | -22.2% | -30.7% | · | -26.3% | -27.9% | -35.0% | · | -36.1% | -43.9% | -39.9% | · | -41.2% | |
| Pretax Margin | -12.0% | -17.6% | · | -14.5% | -22.2% | -30.7% | · | -26.3% | -28.1% | -35.1% | · | -36.2% | -44.0% | -39.9% | · | -41.0% | |
| EBITDA Margin | -0.89% | -1.8% | · | -8.1% | -7.0% | -14.4% | · | -22.4% | -24.2% | -18.4% | · | -32.4% | -42.6% | -26.3% | · | -38.9% | |
| ROA | -3.3% | -4.3% | · | -3.7% | -5.3% | -6.7% | · | -5.6% | -5.8% | -7.2% | · | -7.2% | -9.0% | -7.8% | · | -6.6% | |
| ROE | -440.6% | 74.3% | · | -563.5% | -201.3% | 214.6% | · | 174.0% | 736.8% | 466.1% | · | 127.8% | 583.4% | 531.5% | · | -83.0% | |
| ROIC | -0.31% | -3.6% | · | -2.5% | -2.3% | -9.5% | · | -6.4% | -6.5% | -7.8% | · | -8.2% | -11.5% | -10.3% | · | -10.0% |
Liquidity & Solvency 5
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Current Ratio | 1.9 | 1.9 | · | 2.0 | 2.9 | 2.8 | · | 2.3 | 2.2 | 2.4 | · | 2.3 | 2.2 | 2.1 | · | 2.1 | |
| Quick Ratio | 1.0 | 1.0 | · | 1.1 | 1.6 | 1.5 | · | 1.0 | 1.1 | 1.4 | · | 1.3 | 1.2 | 1.3 | · | 1.2 | |
| Debt / Equity | -53.1 | -119.5 | · | 54.3 | 23.4 | -6.4 | · | -388.8 | 30.5 | 13.8 | · | -11.6 | -16.3 | -7.7 | · | -16.6 | |
| LT Debt / Equity | -42.3 | -95.0 | · | 43.0 | 23.2 | -6.4 | · | -386.1 | 30.2 | 13.6 | · | -11.5 | -16.2 | -7.2 | · | -15.4 | |
| Interest Coverage | -0.2 | -1.9 | · | -1.2 | -1.1 | -5.6 | · | -5.1 | -6.1 | -8.1 | · | -8.6 | -12.8 | -10.4 | · | -27.2 |
Efficiency 3
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Asset Turnover | 0.3 | 0.2 | · | 0.3 | 0.2 | 0.2 | · | 0.2 | 0.2 | 0.2 | · | 0.2 | 0.2 | 0.2 | · | 0.2 | |
| Inventory Turnover | 0.3 | 0.3 | · | 0.3 | 0.3 | 0.3 | · | 0.3 | 0.3 | 0.3 | · | 0.3 | 0.5 | 0.4 | · | 0.3 | |
| Receivables Turnover | 2.1 | 2.0 | · | 2.2 | 2.1 | 1.9 | · | 2.1 | 2.0 | 1.8 | · | 2.1 | 2.3 | 2.1 | · | 2.1 |
Valuation (TTM) 13
| Metric | Trend | Q2 2026 | Q1 2026 | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 | Q4 2024 | Q3 2024 | Q2 2024 | Q1 2024 | Q4 2023 | Q3 2023 | Q2 2023 | Q1 2023 | Q4 2022 | Q3 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue TTM | $788M | $743M | · | $702M | $651M | $604M | · | $553M | $519M | $483M | · | $434M | $400M | $354M | · | $308M | |
| Net Income TTM | $-129M | $-156M | · | $-161M | $-173M | $-181M | · | $-171M | $-183M | $-186M | · | $-174M | $-169M | $-160M | · | $-160M | |
| Market Cap | $1.34B | $1.67B | · | $2.17B | $1.65B | $1.49B | · | $800M | $1.49B | $1.96B | · | $1.60B | $2.19B | $1.77B | · | $918M | |
| Enterprise Value | $1.86B | $2.17B | · | $2.64B | $2.05B | $1.89B | · | $1.25B | $1.92B | $2.34B | · | $1.99B | $2.55B | $2.10B | · | $1.19B | |
| P/E | -10.3 | -10.6 | · | -13.3 | -9.3 | -8.0 | · | -4.4 | -7.4 | -9.1 | · | -8.5 | -11.7 | -10.1 | · | -5.6 | |
| P/S | 1.7 | 2.3 | · | 3.1 | 2.5 | 2.5 | · | 1.4 | 2.9 | 4.1 | · | 3.7 | 5.5 | 5.0 | · | 3.0 | |
| P/B | -110.7 | -312.9 | · | 188.7 | 69.5 | -17.3 | · | -587.5 | 87.3 | 52.3 | · | -36.2 | -77.8 | -30.3 | · | -40.7 | |
| P / Cash Flow | · | 1296.1 | · | · | · | -295.6 | · | · | · | -51.1 | · | · | · | -96.6 | · | · | |
| P / FCF | · | -154.9 | · | · | · | -99.5 | · | · | · | -28.2 | · | · | · | -51.2 | · | · | |
| EV / EBITDA | -974.0 | -630.4 | · | -165.7 | -156.7 | -77.4 | · | -37.0 | -54.3 | -91.8 | · | -51.8 | -51.1 | -73.5 | · | -33.9 | |
| EV / FCF | · | -201.1 | · | · | · | -126.1 | · | · | · | -33.5 | · | · | · | -60.8 | · | · | |
| EV / Revenue | 2.4 | 2.9 | · | 3.8 | 3.2 | 3.1 | · | 2.3 | 3.7 | 4.8 | · | 4.6 | 6.4 | 5.9 | · | 3.9 | |
| Earnings Yield | -9.7% | -9.5% | · | -7.5% | -10.7% | -12.4% | · | -22.7% | -13.5% | -11.0% | · | -11.8% | -8.6% | -9.9% | · | -18.0% |
Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years
Income Statement
| 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 | 2021-12-31 | |
|---|---|---|---|---|---|
| Revenue | $764M | $612M | $482M | $351M | $243M |
| Gross Margin % | 69.6% | 69.4% | 64.3% | 66.4% | 64.9% |
| Operating Margin % | -10.8% | -22.3% | -35.9% | -41.9% | -52.6% |
| Net Income | $-143M | $-162M | $-187M | $-151M | $-143M |
| Diluted EPS | $-0.96 | $-1.13 | $-1.54 | $-1.46 | $-1.49 |
Balance Sheet
| 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 | 2021-12-31 | |
|---|---|---|---|---|---|
| Debt / Equity | 50.7 | -40.8 | 6.6 | -10.3 | 4.1 |
| Current Ratio | 2.1 | 2.7 | 2.9 | 1.8 | 3.3 |
| Quick Ratio | 1.2 | 1.4 | 1.9 | 1.0 | 2.3 |
Cash Flow
| 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 | 2021-12-31 | |
|---|---|---|---|---|---|
| Free Cash Flow | $3M | $-128M | $-159M | $-125M | $-142M |
Latest News Recent headlines mentioning this company
- Here is Why Alphatec (ATEC) is One of the Best Cheap Stocks Under $10 to Buy in June
- Alphatec Holdings (ATEC) Slid on Investors’ Reaction Towards Company and Sector Factors
- This Fund Disclosed Selling $18 Million in Alphatec Last Quarter. The Stock Just Tanked 20% After Earnings
- An Alphatec VP Sold Company Shares Worth $1.4 Million. Should Investors Avoid the Stock?
- Is Alphatec Holdings, Inc. (ATEC) A Good Stock To Buy Now?
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Institutional owners (13F) 299 filers · $791.5M total · As of June 30, 2026
Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.
Institutional activity — Q2 2026 vs prior quarter
| New positions | Exited positions | Increased | Decreased | Net shares change |
|---|---|---|---|---|
| 45 (-13 vs prior Q) | 54 (+9 vs prior Q) | 105 (-5 vs prior Q) | 84 (+3 vs prior Q) | -2.3M |
Compared to Q1 2026. SEC Form 13F filings are due within 45 days of quarter-end plus a short buffer for late filers — quarters still inside that window are skipped in favor of the most recent fully-reported pair.
| Institution | Value | Shares | % of tracked 13F | Type |
|---|---|---|---|---|
| BRAIDWELL LP | $56,496,947 | 6,531,439 | 7.14% | Shares |
| AMERICAN CENTURY COMPANIES INC | $56,412,361 | 6,521,659 | 7.13% | Shares |
| UBS Group AG | $45,080,340 | 5,211,600 | 5.70% | Call option |
| VANGUARD CAPITAL MANAGEMENT LLC | $44,311,191 | 5,122,681 | 5.60% | Shares |
| TWO SIGMA ADVISERS, LP | $34,402,504 | 1,635,100 | 4.35% | Shares |
| STATE STREET CORP | $30,113,669 | 3,481,349 | 3.80% | Shares |
| JACOBS LEVY EQUITY MANAGEMENT, INC | $28,995,950 | 3,352,133 | 3.66% | Shares |
| Iron Triangle Partners LP | $27,050,812 | 1,285,685 | 3.42% | Shares |
| GEODE CAPITAL MANAGEMENT, LLC | $23,695,528 | 2,738,762 | 2.99% | Shares |
| TREMBLANT CAPITAL GROUP | $22,297,961 | 2,577,799 | 2.82% | Shares |
| CITADEL ADVISORS LLC | $19,128,074 | 2,211,338 | 2.42% | Shares |
| EMERALD ADVISERS, LLC | $18,203,501 | 2,104,451 | 2.30% | Shares |
| NOMURA ASSET MANAGEMENT INTERNATIONAL INC. | $17,079,000 | 1,974,452 | 2.16% | Shares |
| Cerity Partners LLC | $15,809,369 | 1,827,673 | 2.00% | Shares |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | $13,535,226 | 1,564,766 | 1.71% | Shares |
| Penn Capital Management Company, LLC | $12,893,541 | 1,488,060 | 1.63% | Shares |
| EMERALD MUTUAL FUND ADVISERS TRUST | $10,882,444 | 1,258,086 | 1.37% | Shares |
| Granite Investment Partners, LLC | $10,497,381 | 1,213,570 | 1.33% | Shares |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $10,363,764 | 1,198,123 | 1.31% | Shares |
| Aberdeen Group plc | $10,171,968 | 1,175,950 | 1.29% | Shares |
| Freestone Grove Partners LP | $10,147,012 | 1,173,065 | 1.28% | Shares |
| MILLENNIUM MANAGEMENT LLC | $9,911,490 | 1,145,837 | 1.25% | Shares |
| Cubist Systematic Strategies, LLC | $9,873,382 | 679,050 | 1.25% | Shares |
| NEW YORK STATE COMMON RETIREMENT FUND | $9,520,406 | 1,100,625 | 1.20% | Shares |
| First Eagle Investment Management, LLC | $8,620,910 | 996,637 | 1.09% | Shares |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $8,609,466 | 995,314 | 1.09% | Shares |
| FMR LLC | $7,998,750 | 924,711 | 1.01% | Shares |
| VANGUARD FIDUCIARY TRUST CO | $7,334,785 | 847,952 | 0.93% | Shares |
| TWO SIGMA INVESTMENTS, LP | $7,123,240 | 823,496 | 0.90% | Shares |
| PANAGORA ASSET MANAGEMENT INC | $6,738,385 | 779,004 | 0.85% | Shares |
| DEUTSCHE BANK AG\ | $6,281,033 | 726,131 | 0.79% | Shares |
| KING LUTHER CAPITAL MANAGEMENT CORP | $5,888,107 | 680,706 | 0.74% | Shares |
| Motley Fool Asset Management LLC | $5,854,510 | 676,822 | 0.74% | Shares |
| RICE HALL JAMES & ASSOCIATES, LLC | $5,690,524 | 657,864 | 0.72% | Shares |
| BlackRock, Inc. | $5,486,141 | 634,236 | 0.69% | Shares |
| Susquehanna Portfolio Strategies, LLC | $5,255,532 | 607,576 | 0.66% | Shares |
| GOLDMAN SACHS GROUP INC | $5,026,368 | 581,083 | 0.64% | Shares |
| Nuveen, LLC | $4,899,550 | 566,422 | 0.62% | Shares |
| Nuveen Asset Management, LLC | $4,335,172 | 472,241 | 0.55% | Shares |
| OP Asset Management Ltd | $4,152,960 | 480,111 | 0.52% | Shares |
| ROYAL BANK OF CANADA | $4,048,000 | 468,000 | 0.51% | Put option |
| Parkman Healthcare Partners LLC | $3,892,007 | 449,943 | 0.49% | Shares |
| CONGRESS ASSET MANAGEMENT CO | $3,811,519 | 440,638 | 0.48% | Shares |
| PARADIGM CAPITAL MANAGEMENT INC/NY | $3,460,000 | 400,000 | 0.44% | Shares |
| PDT Partners, LLC | $3,352,671 | 387,592 | 0.42% | Shares |
| Rock Springs Capital Management LP | $3,114,000 | 360,000 | 0.39% | Shares |
| JPMORGAN CHASE & CO | $2,963,487 | 311,946 | 0.37% | Shares |
| Kopp Family Office, LLC | $2,845,530 | 328,963 | 0.36% | Shares |
| Squarepoint Ops LLC | $2,824,640 | 326,548 | 0.36% | Shares |
| Apollon Wealth Management, LLC | $2,797,289 | 323,386 | 0.35% | Shares |
| PNC Financial Services Group, Inc. | $2,677,789 | 309,571 | 0.34% | Shares |
| RAYMOND JAMES FINANCIAL INC | $2,674,874 | 309,234 | 0.34% | Shares |
| ROYCE & ASSOCIATES LP | $2,647,471 | 306,066 | 0.33% | Shares |
| ALGERT GLOBAL LLC | $2,560,478 | 296,009 | 0.32% | Shares |
| BANK OF AMERICA CORP /DE/ | $2,508,604 | 290,012 | 0.32% | Shares |
| RENAISSANCE TECHNOLOGIES LLC | $2,460,925 | 284,500 | 0.31% | Shares |
| Divisadero Street Capital Management, LP | $2,456,193 | 283,953 | 0.31% | Shares |
| MARATHON CAPITAL MANAGEMENT | $2,415,686 | 279,270 | 0.31% | Shares |
| TUDOR INVESTMENT CORP ET AL | $2,341,633 | 270,709 | 0.30% | Shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | $2,108,870 | 243,800 | 0.27% | Call option |
| Swiss National Bank | $1,970,470 | 227,800 | 0.25% | Shares |
| LPL Financial LLC | $1,897,049 | 219,312 | 0.24% | Shares |
| ZB,N.A. | $1,853,277 | 201,882 | 0.23% | Shares |
| FIRST TRUST ADVISORS LP | $1,692,735 | 195,692 | 0.21% | Shares |
| MOORE CAPITAL MANAGEMENT, LP | $1,630,560 | 188,504 | 0.21% | Shares |
| VANGUARD GROUP INC | $1,616,040 | 76,808 | 0.20% | Shares |
| SECTORAL ASSET MANAGEMENT INC | $1,608,035 | 185,900 | 0.20% | Shares |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | $1,606,432 | 147,650 | 0.20% | Shares |
| PERKINS CAPITAL MANAGEMENT INC | $1,515,454 | 175,197 | 0.19% | Shares |
| XTX Topco Ltd | $1,480,439 | 171,149 | 0.19% | Shares |
| Schonfeld Strategic Advisors LLC | $1,447,921 | 167,390 | 0.18% | Shares |
| ExodusPoint Capital Management, LP | $1,398,835 | 161,715 | 0.18% | Shares |
| Assenagon Asset Management S.A. | $1,394,709 | 161,238 | 0.18% | Shares |
| Invst, LLC | $1,371,631 | 158,570 | 0.17% | Shares |
| ALLIANCEBERNSTEIN L.P. | $1,361,414 | 125,130 | 0.17% | Shares |
| RHUMBLINE ADVISERS | $1,356,420 | 156,812 | 0.17% | Shares |
| HighTower Advisors, LLC | $1,284,776 | 148,529 | 0.16% | Shares |
| Y-Intercept (Hong Kong) Ltd | $1,254,708 | 145,053 | 0.16% | Shares |
| FirstWave Capital Management LLC | $1,244,311 | 143,851 | 0.16% | Shares |
| HSBC HOLDINGS PLC | $1,233,336 | 141,600 | 0.16% | Shares |
| KORNITZER CAPITAL MANAGEMENT INC /KS | $1,211,000 | 140,000 | 0.15% | Shares |
| BARCLAYS PLC | $1,158,788 | 133,964 | 0.15% | Shares |
| CITADEL ADVISORS LLC | $1,101,145 | 127,300 | 0.14% | Call option |
| Russell Investments Group, Ltd. | $1,035,689 | 119,732 | 0.13% | Shares |
| Congress Wealth Management LLC / DE / | $1,029,214 | 92,722 | 0.13% | Shares |
| Bank of New York Mellon Corp | $1,022,586 | 118,218 | 0.13% | Shares |
| MERCER GLOBAL ADVISORS INC /ADV | $1,015,362 | 117,383 | 0.13% | Shares |
| WELLS FARGO & COMPANY/MN | $978,955 | 113,174 | 0.12% | Shares |
| Western Wealth Management, LLC | $941,262 | 108,814 | 0.12% | Shares |
| ENVESTNET ASSET MANAGEMENT INC | $913,704 | 105,631 | 0.12% | Shares |
| GREAT LAKES ADVISORS, LLC | $908,605 | 105,041 | 0.11% | Shares |
| IEQ CAPITAL, LLC | $904,167 | 104,528 | 0.11% | Shares |
| CITADEL ADVISORS LLC | $903,925 | 104,500 | 0.11% | Put option |
| Aquatic Capital Management LLC | $891,504 | 103,064 | 0.11% | Shares |
| Cannell & Spears LLC | $865,000 | 100,000 | 0.11% | Shares |
| Engineers Gate Manager LP | $857,950 | 99,185 | 0.11% | Shares |
| COURIER CAPITAL LLC | $856,350 | 99,000 | 0.11% | Shares |
| NORGES BANK | $852,985 | 98,611 | 0.11% | Shares |
| Fernwood Investment Management, LLC | $844,441 | 91,987 | 0.11% | Shares |
| Mariner, LLC | $804,756 | 93,024 | 0.10% | Shares |
Company insiders 74 insiders · 25 officers · 27 directors
| Insider | Role | Last activity | Shares owned | Buys 12m | Sells 12m | Net 12m |
|---|---|---|---|---|---|---|
| Dirk Kuyper | President and CEO | Aug. 31, 2011 P | 559,128 | 0 | 0 | $0 |
| John Todd Koning | Chief Financial Officer | April 28, 2022 F | 280,169 | 0 | 0 | $0 |
| Jeffrey G. Black | EVP & CFO | March 9, 2021 S | 620,770 | 0 | 0 | $0 |
| Peter C Wulff | CFO, VP and Treasurer | Aug. 10, 2010 P | 22,000 | 0 | 0 | $0 |
| Steven Yasbek | CFO and VP | Aug. 22, 2007 A | 5,800 | 0 | 0 | $0 |
| Stephen T D Dixon | CFO, VP and Treasurer | June 7, 2006 J | 2,222 | 0 | 0 | $0 |
| Terry Rich | President & COO | July 30, 2018 A | 732,102 | 0 | 0 | $0 |
| Michael Joseph Plunkett | President and COO | Aug. 24, 2017 M | 200,127 | 0 | 0 | $0 |
| William Patrick Ryan | COO and President, Int'l. | Aug. 8, 2013 A | 166,466 | 0 | 0 | $0 |
| Oliver Burckhardt | President, International | Nov. 4, 2010 A | — | 0 | 0 | $0 |
| Brian Snider | EVP, Marketing | June 15, 2022 M | 662,187 | 0 | 0 | $0 |
| Craig E Hunsaker | EVP, People/Culture & GC | June 14, 2022 S | 1,301,729 | 0 | 0 | $0 |
| David Sponsel | EVP, Sales | June 3, 2022 F | 577,310 | 0 | 0 | $0 |
| Kelli Mari Howell | EVP, Clinical Strategies | March 18, 2022 F | 544,114 | 0 | 0 | $0 |
| Scott Lish | SVP, Development | Feb. 25, 2022 S | 328,442 | 0 | 0 | $0 |
| Jonathan Allen | EVP, Commerical Operations | March 8, 2018 A | 200,000 | 0 | 0 | $0 |
| Stephen Lubischer | VP, Sales | Nov. 15, 2012 J | 86,527 | 0 | 0 | $0 |
| Jens Peter Timm | VP, Research and Development | Nov. 15, 2010 J | 13,278 | 0 | 0 | $0 |
| Kermit P. Stott | VP, Operations | Nov. 15, 2010 J | 25,366 | 0 | 0 | $0 |
| Reinecke Steven | Chief Technology Officer, VP | Aug. 22, 2007 A | 46,300 | 0 | 0 | $0 |
| Daniel Lacienski | Executive VP, Operations | June 7, 2006 J | 444 | 0 | 0 | $0 |
| Scott Weise | VP, Business Dev. & Marketing | June 7, 2006 J | 55,530 | 0 | 0 | $0 |
| Trent Northcutt | VP, Sales | June 7, 2006 J | 98,758 | 0 | 0 | $0 |
| Brian Plotkin | VP, Information Technology | June 7, 2006 J | 19,751 | 0 | 0 | $0 |
| Kimberly Bradshaw | VP, Physician Services | June 7, 2006 J | 11,016 | 0 | 0 | $0 |
| Karen K Mcginnis | Director | June 11, 2026 S | 94,671 | 0 | 1 | $-48,460 |
| David R Pelizzon | Director | June 10, 2026 A | 378,839 | 0 | 0 | $0 |
| Quentin S. Blackford | Director | June 10, 2026 A | 600,381 | 0 | 0 | $0 |
| David M Demski | Director | June 10, 2026 A | 431,635 | 0 | 0 | $0 |
| Mortimer Berkowitz III | Director | June 10, 2026 A | 650,062 | 0 | 0 | $0 |
| Keith Valentine | Director | June 10, 2026 A | 264,283 | 3 | 0 | $996,192 |
| Segal Paul | Director | June 15, 2023 S | 0 | 0 | 0 | $0 |
| Andy Barnett | Director | June 15, 2022 A | 18,546 | 0 | 0 | $0 |
| Marie Meynadier | Director | June 15, 2022 A | 49,218 | 0 | 0 | $0 |
| Elizabeth Ann Altman | Director | June 15, 2022 A | 48,440 | 0 | 0 | $0 |
| Evan Bakst | Director | June 15, 2022 X | 1,087,830 | 0 | 0 | $0 |
| David H Mowry | Director | June 15, 2022 A | 96,343 | 0 | 0 | $0 |
| James L L Tullis | Director | June 15, 2022 P | 187,558 | 0 | 0 | $0 |
| Ward W Woods JR | Director | June 15, 2022 A | 112,505 | 0 | 0 | $0 |
| Jason Hochberg | Director | Dec. 15, 2021 P | 84,375 | 0 | 0 | $0 |
| Donald Allen Williams | Director | June 16, 2021 A | 134,728 | 0 | 0 | $0 |
| Stephen Oneil | Director | April 25, 2017 A | 33,006 | 0 | 0 | $0 |
| Ian R Molson | Director | April 25, 2017 A | 31,834 | 0 | 0 | $0 |
| Leslie H Cross | Director | April 25, 2017 A | 84,382 | 0 | 0 | $0 |
| Tom C Davis | Director | May 6, 2015 A | 37,275 | 0 | 0 | $0 |
| James R Glynn | Director | Feb. 25, 2015 A | 127,175 | 0 | 0 | $0 |
| Rohit M Desai | Director | Feb. 25, 2015 A | 112,175 | 0 | 0 | $0 |
| Luke T Faulstick | Director | July 26, 2013 A | 46,260 | 0 | 0 | $0 |
| Stephen Hochschuler | Director | Aug. 19, 2010 P | 232,183 | 0 | 0 | $0 |
| Richard Ravitch | Director | Nov. 10, 2008 P | 20,000 | 0 | 0 | $0 |
Insiders from SEC Form 3/4/5 filings; net = open-market P/S only
Activists & 5%+ owners 5 positions
Investors who filed SEC Schedule 13D — beneficial ownership above 5% with an intent to influence the issuer (activist stakes, board campaigns, M&A). Each row shows the most recent known state of that filer's position.
| Filer | Filed | Stake | Status | Purpose | Filing |
|---|---|---|---|---|---|
| Squadron Capital LLC, Squadron Capital Holdings LLC, Jennifer N. Pritzker, David R. Pelizzon ×2 filings | Dec. 17, 2025 | 8.90% | Amendment | — | SEC |
| L-5 Healthcare Partners, LLC, Paul Segal ×11 filings | April 23, 2025 | 4.96% | Amendment | — | SEC |
| HealthpointCapital Partners, L.P., HGP, LLC, HealthpointCapital Partners II, L.P., HGP II, LLC, Mortimer Berkowitz III, John H. Foster ×4 filings | June 25, 2018 | — | Initial filing | — | SEC |
| Patrick S. Miles, MOM, LLC | Jan. 8, 2018 | — | Initial filing | — | SEC |
| HealthpointCapital Partners II, L.P., HGP II, LLC, Mortimer Berkowitz III, John H. Foster ×2 filings | June 19, 2009 | — | Initial filing | Passive investment | SEC |
Purpose is an automated classification of the filer's own stated purpose (SEC Item 4) — not investment advice. "—" means no clear purpose was stated or the text could not be classified.
ETF ownership Held by 41 ETFs
Weight reflects direct equity holdings (N-PORT) only; leveraged or derivative-based funds may hold additional swap exposure not shown.
| Fund | Weight | Units | As of | Source |
|---|---|---|---|---|
| TMFS · RBB Fund, Inc. | 2.73% | 208,832 NS | May 31, 2026 | N-PORT |
| TMFM · RBB Fund, Inc. | 0.96% | 145,176 NS | May 31, 2026 | N-PORT |
| TMFG · RBB Fund, Inc. | 0.73% | 337,865 NS | May 31, 2026 | N-PORT |
| LFSC · RBB Fund, Inc. | 0.57% | 77,386 NS | May 31, 2026 | N-PORT |
| AGNG · Global X Funds | 0.22% | 22,882 NS | May 31, 2026 | N-PORT |
| ESSC · Strategy Shares | 0.15% | 3,915 NS | April 30, 2026 | N-PORT |
| PSC · Principal Exchange-Traded Funds | 0.11% | 305,742 NS | June 30, 2026 | N-PORT |
| FYC · First Trust Exchange-Traded AlphaDE… | 0.10% | 105,304 NS | April 30, 2026 | N-PORT |
| GSSC · Goldman Sachs ETF Trust | 0.08% | 100,634 NS | May 31, 2026 | N-PORT |
| BBSC · J.P. Morgan Exchange-Traded Fund Tr… | 0.06% | 41,717 NS | April 30, 2026 | N-PORT |
| NUSC · Nushares ETF Trust | 0.05% | 70,056 NS | April 30, 2026 | N-PORT |
| FYX · First Trust Exchange-Traded AlphaDE… | 0.05% | 63,641 NS | April 30, 2026 | N-PORT |
| BKSE · BNY Mellon ETF Trust | 0.04% | 3,306 NS | April 30, 2026 | N-PORT |
| RSSL · Global X Funds | 0.03% | 50,896 NS | April 30, 2026 | N-PORT |
| ITWO · ProShares Trust | 0.02% | 5,529 NS | May 31, 2026 | N-PORT |
| FAD · First Trust Exchange-Traded AlphaDE… | 0.02% | 9,819 NS | April 30, 2026 | N-PORT |
| FHLC · FIDELITY COVINGTON TRUST | 0.02% | 54,133 NS | April 30, 2026 | N-PORT |
| SCHA · SCHWAB STRATEGIC TRUST | 0.02% | 543,735 NS | May 31, 2026 | N-PORT |
| UWM · ProShares Trust | 0.01% | 4,324 NS | May 31, 2026 | N-PORT |
| URTY · ProShares Trust | 0.01% | 4,373 NS | May 31, 2026 | N-PORT |
| MSSM · MORGAN STANLEY PATHWAY FUNDS | 0.00% | 4,614 NS | May 31, 2026 | N-PORT |
| TILT · FlexShares Trust | 0.00% | 9,086 NS | April 30, 2026 | N-PORT |
| HDG · ProShares Trust | 0.00% | 110 NS | May 31, 2026 | N-PORT |
| ONEQ · Fidelity Commonwealth Trust | 0.00% | 46,904 NS | May 31, 2026 | N-PORT |
| SCHB · SCHWAB STRATEGIC TRUST | 0.00% | 63,880 NS | May 31, 2026 | N-PORT |
| VXF · VANGUARD INDEX FUNDS | — | — | July 15, 2026 | Daily |
| VTI · VANGUARD INDEX FUNDS | — | — | July 15, 2026 | Daily |
| VTWO · VANGUARD SCOTTSDALE FUNDS | — | — | July 15, 2026 | Daily |
| VTWG · VANGUARD SCOTTSDALE FUNDS | — | — | July 15, 2026 | Daily |
| VTHR · VANGUARD SCOTTSDALE FUNDS | — | — | July 15, 2026 | Daily |
| ITOT · iShares Trust | — | — | Aug. 6, 2026 | Daily |
| IWV · iShares Trust | — | — | Aug. 18, 2026 | Daily |
| IWO · iShares Trust | — | — | Aug. 18, 2026 | Daily |
| IWM · iShares Trust | — | — | Aug. 18, 2026 | Daily |
| IHI · iShares Trust | — | — | Aug. 17, 2026 | Daily |
| VHT · VANGUARD WORLD FUND | — | — | July 20, 2026 | Daily |
| ISCB · iShares Trust | — | — | Aug. 6, 2026 | Daily |
| ISCG · iShares Trust | — | — | Aug. 6, 2026 | Daily |
| ISCV · iShares Trust | — | — | Aug. 6, 2026 | Daily |
| WSML · iShares Trust | — | — | Aug. 6, 2026 | Daily |
| QQQS · Invesco Exchange-Traded Fund Trust … | — | — | Aug. 5, 2026 | Daily |