ATEC Reports Third Quarter 2022 Financial Results
Alphatec Holdings, Inc. (ATEC) reported a strong 43% growth in total revenue, reaching $90 million for Q3 2022, driven by a 53% increase in surgical revenue. The company achieved a 66% GAAP gross margin and a 71% non-GAAP gross margin. Despite operating expenses of $94 million, adjusted EBITDA improved significantly, with a margin increase of 870 basis points year-over-year. ATEC anticipates total revenue of $340 million for the full year, in line with a 40% growth rate forecasted earlier.
- Total revenue increased by 43% to $90 million.
- Surgical revenue growth of 53%.
- GAAP gross margin at 66%, non-GAAP at 71%.
- Adjusted EBITDA margin improved by approximately 870 basis points year-over-year.
- Surgical volume increased by 32% and users by 22% year-over-year.
- Forecasted total revenue of $340 million for FY 2022.
- Operating expenses totaled $94 million, leading to a GAAP operating loss of $35 million.
- Non-GAAP adjusted EBITDA loss of $6 million.
-
Total revenue grew
43% to , including surgical revenue growth of$90 million 53% -
EOS revenue of
$11 million - Adjusted EBITDA improved significantly, both year-over-year and sequentially
Third-Quarter and Full-Year 2022 Financial Results
|
Quarter Ended |
Total revenue |
|
GAAP gross margin |
|
Non-GAAP gross margin |
|
Operating expenses |
|
Non-GAAP operating expenses |
|
GAAP operating loss |
|
Non-GAAP adjusted EBITDA |
|
Ending cash balance |
|
Recent Highlights
- Enhanced lateral sophistication from L3 to S1, applying learnings from the prone transpoas (PTP™) approach to evolve the lateral transpsoas (LTP™) procedure and develop a Midline ALIF™ approach;
- Launched ATEC’s first expandable interbody and Sigma Medialized access technology to advance the minimally-invasive (MIS) posterior approach, which can integrate with PTP to address L5-S1;
-
Drove a
32% increase in surgical volume and a22% increase in users compared to prior year, and hosted approximately 150 surgeons at training events; - Achieved operating cost leverage with adjusted EBITDA margin increasing approximately 870 basis points compared to prior year and approximately 290 basis points sequentially;
-
Closed
revolving credit facility with$50 million accordion feature.$25 million
“We are executing on our innovation and financial commitments and I am confident we can continue to do so in the years ahead,” said
Financial Outlook for the Full-Year 2022
The Company expects total revenue of
Financial Results Webcast
ATEC will present these results via a live webcast today at
To dial in to the webcast, please register via this link.
A replay of the webcast will remain available through the Investor Relations Section of ATEC’s Corporate Website for twelve months. In addition, a dial-in replay will be available beginning two hours after the webcast’s completion through
Non-GAAP Financial Information
To supplement the Company’s financial statements presented in accordance with generally accepted accounting principles in
About
ATEC, through its wholly owned subsidiaries,
Forward-Looking Statements
This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainty. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. The Company cautions investors that there can be no assurance that actual results will not differ materially from those projected or suggested in such forward-looking statements as a result of various factors. Forward-looking statements include, but are not limited to: references to the Company’s revenue, balance sheet, growth and financial outlook; planned product launches, introductions, regulatory submissions or clearances; efforts to transform sales and distribution channels; the Company’s ability to compel surgeon adoption; and the Company’s future ability to finance its operations and sufficiency of its cash runway. Important factors that could cause actual operating results to differ significantly from those expressed or implied by such forward-looking statements include, but are not limited to: the uncertainty of success in developing new products or products currently in the pipeline; the uncertainties in the Company’s ability to execute upon its strategic operating plan; the uncertainties regarding the ability to successfully license or acquire new products, and the commercial success of such products; failure to achieve acceptance of the Company’s products by the surgeon community; failure to obtain FDA or other regulatory clearance or approval or unexpected or prolonged delays in the process; continuation of favorable third-party reimbursement; unanticipated expenses or liabilities or other adverse events affecting cash flow or the Company’s ability to achieve profitability; uncertainty of additional funding; the Company’s ability to compete with other products or with emerging technologies; product liability exposure; an unsuccessful outcome in any litigation; patent infringement claims; claims related to the Company’s intellectual property; and the Company’s ability to meet its financial obligations. A further list and description of these and other factors, risks and uncertainties can be found in the Company's most recent annual report, and any subsequent quarterly and current reports, filed with the
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except per share amounts) |
||||||||||||||||
Three Months Ended | Nine Months Ended | |||||||||||||||
2022 |
2021 |
2022 |
2021 |
|||||||||||||
(unaudited) | ||||||||||||||||
Revenue: | ||||||||||||||||
Revenue from products and services | $ |
89,839 |
|
$ |
62,735 |
|
$ |
244,908 |
|
$ |
168,336 |
|
||||
Revenue from international supply agreement |
|
— |
|
|
145 |
|
|
15 |
|
|
914 |
|
||||
Total revenue |
|
89,839 |
|
|
62,880 |
|
|
244,923 |
|
|
169,250 |
|
||||
Cost of sales |
|
30,323 |
|
|
23,266 |
|
|
80,715 |
|
|
56,713 |
|
||||
Gross profit |
|
59,516 |
|
|
39,614 |
|
|
164,208 |
|
|
112,537 |
|
||||
Operating expenses: | ||||||||||||||||
Research and development |
|
12,111 |
|
|
9,391 |
|
|
32,429 |
|
|
23,031 |
|
||||
Sales, general and administrative |
|
75,954 |
|
|
61,494 |
|
|
218,093 |
|
|
162,578 |
|
||||
Litigation-related expenses |
|
3,602 |
|
|
1,209 |
|
|
16,629 |
|
|
5,711 |
|
||||
Amortization of acquired intangible assets |
|
2,774 |
|
|
2,012 |
|
|
7,181 |
|
|
3,392 |
|
||||
Transaction-related expenses |
|
— |
|
|
373 |
|
|
120 |
|
|
6,156 |
|
||||
Restructuring expenses |
|
45 |
|
|
256 |
|
|
1,704 |
|
|
1,587 |
|
||||
Total operating expenses |
|
94,486 |
|
|
74,735 |
|
|
276,156 |
|
|
202,455 |
|
||||
Operating loss |
|
(34,970 |
) |
|
(35,121 |
) |
|
(111,948 |
) |
|
(89,918 |
) |
||||
Interest and other expense, net: | ||||||||||||||||
Interest expense, net |
|
(1,285 |
) |
|
(1,272 |
) |
|
(4,176 |
) |
|
(5,604 |
) |
||||
Loss on debt extinguishment, net |
|
— |
|
|
(7,434 |
) |
|
— |
|
|
(7,434 |
) |
||||
Other (expense) income, net |
|
(615 |
) |
|
886 |
|
|
(578 |
) |
|
(1,020 |
) |
||||
Total interest and other expense, net |
|
(1,900 |
) |
|
(7,820 |
) |
|
(4,754 |
) |
|
(14,058 |
) |
||||
Net loss before taxes |
|
(36,870 |
) |
|
(42,941 |
) |
|
(116,702 |
) |
|
(103,976 |
) |
||||
Income tax provision |
|
129 |
|
|
90 |
|
|
461 |
|
|
163 |
|
||||
Net loss | $ |
(36,999 |
) |
$ |
(43,031 |
) |
$ |
(117,163 |
) |
$ |
(104,139 |
) |
||||
Net loss per share, basic and diluted | $ |
(0.35 |
) |
$ |
(0.43 |
) |
$ |
(1.14 |
) |
$ |
(1.09 |
) |
||||
Weighted average shares outstanding, basic and diluted |
|
104,804 |
|
|
99,571 |
|
|
102,561 |
|
|
95,204 |
|
||||
Stock-based compensation included in: | ||||||||||||||||
Cost of sales | $ |
735 |
|
$ |
310 |
|
$ |
1,440 |
|
$ |
489 |
|
||||
Research and development |
|
1,653 |
|
|
1,440 |
|
|
3,987 |
|
|
2,602 |
|
||||
Sales, general and administrative |
|
8,689 |
|
|
9,004 |
|
|
25,037 |
|
|
23,633 |
|
||||
$ |
11,077 |
|
$ |
10,754 |
|
$ |
30,464 |
|
$ |
26,724 |
|
CONDENSED CONSOLIDATED BALANCE SHEETS | |||||||
(in thousands) | |||||||
2022 |
2021 |
||||||
(unaudited) | |||||||
ASSETS | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ |
106,112 |
|
$ |
187,248 |
||
Accounts receivable, net |
|
50,723 |
|
|
41,893 |
||
Inventories |
|
102,159 |
|
|
91,703 |
||
Prepaid expenses and other current assets |
|
9,718 |
|
|
10,313 |
||
Total current assets |
|
268,712 |
|
|
331,157 |
||
Property and equipment, net |
|
98,908 |
|
|
87,401 |
||
Right-of-use assets |
|
28,451 |
|
|
25,283 |
||
|
37,593 |
|
|
39,689 |
|||
Intangible assets, net |
|
79,738 |
|
|
85,274 |
||
Other assets |
|
2,881 |
|
|
3,249 |
||
Total assets | $ |
516,283 |
|
$ |
572,053 |
||
LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
Current liabilities: | |||||||
Accounts payable | $ |
33,374 |
|
$ |
25,737 |
||
Accrued expenses and other current liabilities |
|
59,877 |
|
|
55,549 |
||
Contract liabilities |
|
12,293 |
|
|
15,255 |
||
Short-term debt |
|
13,550 |
|
|
342 |
||
Current portion of operating lease liabilities |
|
4,529 |
|
|
4,212 |
||
Total current liabilities |
|
123,623 |
|
|
101,095 |
||
Total long-term liabilities |
|
389,762 |
|
|
367,933 |
||
Redeemable preferred stock |
|
23,603 |
|
|
23,603 |
||
Stockholders' (deficit) equity |
|
(20,705 |
) |
|
79,422 |
||
Total liabilities and stockholders' (deficit) equity | $ |
516,283 |
|
$ |
572,053 |
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES (in thousands) |
||||||||||||||||
Three Months Ended | Nine Months Ended | |||||||||||||||
2022 |
2021 |
2022 |
2021 |
|||||||||||||
(unaudited) | ||||||||||||||||
Gross profit, GAAP | $ |
59,516 |
|
$ |
39,614 |
|
$ |
164,208 |
|
$ |
112,537 |
|
||||
Add: amortization of intangible assets |
|
28 |
|
|
270 |
|
|
37 |
|
|
806 |
|
||||
Add: stock-based compensation |
|
735 |
|
|
310 |
|
|
1,440 |
|
|
489 |
|
||||
Add: purchase accounting adjustments on acquisitions |
|
347 |
|
|
2,577 |
|
|
784 |
|
|
4,340 |
|
||||
Add: excess and obsolete write-down |
|
2,923 |
|
|
2,525 |
|
|
7,023 |
|
|
6,842 |
|
||||
Non-GAAP gross profit | $ |
63,549 |
|
$ |
45,296 |
|
$ |
173,492 |
|
$ |
125,014 |
|
||||
Gross margin, GAAP |
|
66.2 |
% |
|
63.0 |
% |
|
67.0 |
% |
|
66.5 |
% |
||||
Add: amortization of intangible assets |
|
0.0 |
% |
|
0.4 |
% |
|
0.0 |
% |
|
0.5 |
% |
||||
Add: stock-based compensation |
|
0.8 |
% |
|
0.5 |
% |
|
0.6 |
% |
|
0.3 |
% |
||||
Add: purchase accounting adjustments on acquisitions |
|
0.4 |
% |
|
4.1 |
% |
|
0.3 |
% |
|
2.6 |
% |
||||
Add: excess and obsolete write-down |
|
3.3 |
% |
|
4.0 |
% |
|
2.9 |
% |
|
4.0 |
% |
||||
Non-GAAP gross margin |
|
70.7 |
% |
|
72.0 |
% |
|
70.8 |
% |
|
73.9 |
% |
||||
Three Months Ended | Nine Months Ended | |||||||||||||||
2022 |
2021 |
2022 |
2021 |
|||||||||||||
(unaudited) | ||||||||||||||||
Operating expenses, GAAP | $ |
94,486 |
|
$ |
74,735 |
|
$ |
276,156 |
|
$ |
202,455 |
|
||||
Adjustments: | ||||||||||||||||
Stock-based compensation |
|
(10,342 |
) |
|
(10,444 |
) |
|
(29,024 |
) |
|
(26,235 |
) |
||||
Litigation-related expenses |
|
(3,602 |
) |
|
(1,209 |
) |
|
(16,629 |
) |
|
(5,711 |
) |
||||
Amortization of intangible assets |
|
(2,774 |
) |
|
(2,012 |
) |
|
(7,181 |
) |
|
(3,392 |
) |
||||
Transaction-related expenses |
|
— |
|
|
(373 |
) |
|
(120 |
) |
|
(6,156 |
) |
||||
Restructuring expenses |
|
(45 |
) |
|
(256 |
) |
|
(1,704 |
) |
|
(1,587 |
) |
||||
Non-GAAP operating expenses | $ |
77,723 |
|
$ |
60,441 |
|
$ |
221,498 |
|
$ |
159,374 |
|
||||
Three Months Ended | Nine Months Ended | |||||||||||||||
2022 |
2021 |
2022 |
2021 |
|||||||||||||
(unaudited) | ||||||||||||||||
Operating loss, GAAP | $ |
(34,970 |
) |
$ |
(35,121 |
) |
$ |
(111,948 |
) |
$ |
(89,918 |
) |
||||
Depreciation |
|
8,010 |
|
|
5,311 |
|
|
22,601 |
|
|
13,788 |
|
||||
Amortization of intangible assets |
|
2,802 |
|
|
2,281 |
|
|
7,218 |
|
|
4,198 |
|
||||
EBITDA |
|
(24,158 |
) |
|
(27,529 |
) |
|
(82,129 |
) |
|
(71,932 |
) |
||||
Add back significant items: | ||||||||||||||||
Stock-based compensation |
|
11,077 |
|
|
10,754 |
|
|
30,464 |
|
|
26,724 |
|
||||
Purchase accounting adjustments on acquisitions |
|
347 |
|
|
2,577 |
|
|
784 |
|
|
4,340 |
|
||||
Excess & obsolete write-down |
|
2,923 |
|
|
2,525 |
|
|
7,023 |
|
|
6,842 |
|
||||
Litigation-related expenses |
|
3,602 |
|
|
1,209 |
|
|
16,629 |
|
|
5,711 |
|
||||
Transaction-related expenses |
|
— |
|
|
373 |
|
|
120 |
|
|
6,156 |
|
||||
Restructuring expenses |
|
45 |
|
|
256 |
|
|
1,704 |
|
|
1,587 |
|
||||
Adjusted EBITDA | $ |
(6,164 |
) |
$ |
(9,835 |
) |
$ |
(25,405 |
) |
$ |
(20,572 |
) |
View source version on businesswire.com: https://www.businesswire.com/news/home/20221103006210/en/
Investor/Media Contact:
Investor Relations
(760) 494-6790
investorrelations@atecspine.com
Company Contact:
Chief Financial Officer
investorrelations@atecspine.com
Source:
FAQ
What are Alphatec Holdings' Q3 2022 financial results?
What is the surgical revenue growth reported by ATEC?
What are the expected revenue figures for Alphatec in 2022?
How much did Alphatec's adjusted EBITDA improve in Q3 2022?