Alphatec Holdings, Inc. Reports Second Quarter 2017 Financial Results

  • Substantial Improvement in Operating Loss and Non-GAAP Adjusted EBITDA
  • Significant progress with transition to dedicated sales organization

CARLSBAD, Calif., Aug. 10, 2017 (GLOBE NEWSWIRE) -- Alphatec Holdings, Inc. (“Alphatec” or the “Company”) (Nasdaq:ATEC), a provider of innovative spine surgery solutions with a mission to improve patient lives through the relentless pursuit of superior outcomes, announced today recent corporate highlights and financial results for its second quarter ended June 30, 2017.

Second Quarter 2017 Financial Highlights

  • Total revenues of $24.4 million; revenue from the Company's U.S. commercial business of $21.9 million
  • General and administrative expenses declined by approximately $0.9 million sequentially
  • Cash burn improved to $6.4 million from $11.5 million sequentially; cash balance of $19.1 million at June 30, 2017
  • Operating loss of $0.7 million, sequential improvement from $3.4 million in the first quarter
  • Non-GAAP adjusted EBITDA of $1.2 million improved sequentially from $0.5 million in the first quarter
  • U.S. commercial gross margin of 71%

Organizational and Product Highlights

  • Continued transition of sales organization from non-exclusive to dedicated, building exceptional momentum with current and new potential distributors and surgeons. Sales from dedicated sales agents and distributors increased from less than 15% of U.S. commercial revenue in the first quarter to more than 18% in the second quarter
  • Enhanced sales, marketing and product development organizations with the addition of key sales leadership and engineering talent
  • Awarded patent for its innovative and novel uniplanar and monoaxial screws, currently marketed under the Arsenal Deformity product line
  • Awarded patent that distinguishes and protects proprietary features of the Alphatec Squadron Lateral Retractor, a key component of the Company’s Battalion Lateral System, which will be fully launched in late 2017 and will mark the Company’s entry into the $500M U.S. Lateral market

“We delivered results that were firmly in-line with our expectations,” said Terry Rich, CEO of Alphatec.  “Importantly, we continued to make excellent progress executing on our priorities as we reposition the Alphatec brand. Despite our deliberate decision to disrupt short-term revenue by exiting non-strategic relationships, we continue to see positive traction from new and existing distributors. This sets us up well for revenue growth in the second half of 2017.  I am extremely confident in the team, the culture we are building, and the expertise that surrounds me, and I believe that Alphatec is exceptionally well-positioned to drive future growth and shareholder value.”

Comparison of Financial Results for the Second Quarter 2017 to First Quarter 2017

Following is a table, comparing key second quarter 2017 results to key first quarter 2017 results.  The Company believes that sequential results, at this time, are the best indicators for evaluating the Company's core performance. These are the comparisons management uses in its own evaluation of continuing operating performance, given the re-focus of the Company’s strategy under Alphatec’s new leadership team. 

   Three Months Ended Change
   June 30, 2017 March 31, 2017 $000's %
 U.S. commercial revenue $  21,877  $  23,437  $  (1,560) (6.7%)
 U.S gross profit    15,521     16,269     (748) (4.6%)
 U.S. gross margin  70.9%  69.4%  1.5%  
 Operating Expenses        
   Research and development $  990  $  1,449  $  (459) (31.7%)
   Sales and marketing    10,298     11,103     (805) (7.3%)
   General and administrative    5,351     6,223     (872) (14.0%)
   Amortization of intangible assets    172     172     -    
   Restructuring expenses    528     1,231     (703) (57.1%)
   Gain on sale of assets    (856)    -      (856)  
     Total operating expenses $  16,483     20,178  $  (3,695) (18.3%)
 Operating loss $  (735) $  (3,399) $  2,664  78.4%
 Loss from continuing operations $  (2,629) $  (5,424) $  2,795  51.5%
 Non-GAAP Adjusted EBITDA $  1,218  $  508  $  710  139.8%

U.S. commercial revenues for the second quarter of 2017 were $21.9 million, down $1.6 million, or approximately 7%, compared to $23.4 million in the first quarter of 2017.  The sequential revenue decline was largely driven by deliberate decisions to discontinue non-strategic relationships.

U.S. gross profit and gross margin for the second quarter of 2017 were $15.5 million and 70.9%, respectively, compared to $16.3 million and 69.4%, respectively, for the first quarter of 2017. The gross margin improvement was a result of supply chain optimization and a sequential reduction in inventory kit write-offs related to distributor turnover.

Total operating expenses for the second quarter of 2017 were $16.5 million, reflecting a decrease of $3.7 million, an approximate 18% improvement over the first quarter of 2017.  On a non-GAAP basis, excluding restructuring charges and a gain on sale of assets, total operating expenses in the second quarter of 2017 improved $2.1 million, or approximately 11%, compared to the first quarter of 2017. The improvements reflect the execution of operational improvement initiatives, including workforce reductions implemented in October 2016 and February 2017, consolidation of facilities, and ongoing successful efforts to reduce expenses.

GAAP loss from continuing operations for the second quarter of 2017 was $2.6 million, compared to a loss of $5.4 million for the first quarter of 2017.

Non-GAAP Adjusted EBITDA in the second quarter of 2017 was $1.2 million, compared to $0.5 million in the first quarter of 2017.  For more detailed information, please refer to the table, "Alphatec Holdings, Inc. Reconciliation of Non-GAAP Financial Measures" that follows.

Current and Long-term debt includes $33.6 million in term debt and $8.9 million outstanding under the Company’s revolving credit facility at June 30, 2017. This compares to $34.2 million in term debt and $10.4 million outstanding under the Company’s revolving credit facility at March 31, 2017.

Cash and cash equivalents were $19.1 million at June 30, 2017, compared to $25.5 million reported at March 31, 2017.

Comparison of Financial Results for the Three and Six Months Ended June 30, 2017 and 2016

Revenue decreased on a year-over-year basis, resulting from the Company’s execution of the transition of its sales organization, in addition to the impact of lost revenue related to the financial and operational challenges the Company faced in 2016 prior to the sale of its international business.  The year-over-year improvement in operating expenses is the result of a comprehensive initiative to reduce costs and drive operational efficiencies.  For additional information, please reference the following financial statement tables and the Company’s Quarterly Report on Form 10-Q to be filed with the Securities and Exchange Commission on August 11, 2017.

Non-GAAP Information

To supplement the Company’s financial statements presented in accordance with U.S. generally accepted accounting principles (GAAP), the Company reports certain non-GAAP financial measures such as Adjusted EBITDA.  Adjusted EBITDA included in this press release is a non-GAAP financial measure that represents net income (loss), excluding the effects of interest, taxes, depreciation, amortization, stock-based compensation expenses, and other non-recurring income or expense items, such as sale of assets, impairments, restructuring expenses, severance expenses and transaction-related expenses.  The Company believes that non-GAAP Adjusted EBITDA provides investors with an additional tool for evaluating the Company's core performance, which management uses in its own evaluation of continuing operating performance, and a baseline for assessing the future earnings potential of the Company.  For completeness, management uses non-GAAP Adjusted EBITDA in conjunction with GAAP earnings and earnings per common share measures.  The Company’s Adjusted EBITDA measure may not provide information that is directly comparable to that provided by other companies in the Company’s industry, as other companies in the industry may calculate non-GAAP financial results differently, particularly related to non-recurring, unusual items. Adjusted EBITDA should be considered in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP.   Included below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measure.

Investor Conference Call

Alphatec will hold a conference today at 1:30 p.m. PT / 4:30 p.m. ET to discuss the results. The dial-in numbers are (877) 556-5251 for domestic callers and (720) 545-0036 for international callers. The conference ID number is 57049951. A live webcast of the conference call will be available online from the investor relations page of the Company's corporate website at

About Alphatec Holdings, Inc.

Alphatec Holdings, Inc., through its wholly owned subsidiary Alphatec Spine, Inc., is a medical device company that designs, develops, and markets spinal fusion technology products and solutions for the treatment of spinal disorders associated with disease and degeneration, congenital deformities, and trauma. The Company's mission is to improve lives by providing innovative spine surgery solutions through the relentless pursuit of superior outcomes. The Company markets its products in the U.S. via independent sales agents and a direct sales force.

Additional information can be found at

Forward Looking Statements

This press release may contain "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 or business conditions will not differ materially from those projected or suggested in such forward-looking statements as a result of various factors. Forward-looking statements include the references to the Company’s strategy in significantly repositioning the Alphatec brand and turning the Company into a growth organization.  The 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 Company’s 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, including Battalion and Arsenal Deformity; failure to obtain FDA or other regulatory clearance or approval for new products, or unexpected or prolonged delays in the process; continuation of favorable third party reimbursement for procedures performed using the Company’s products; unanticipated expenses or liabilities or other adverse events affecting cash flow or the Company’s ability to successfully control its costs or achieve profitability; uncertainty of additional funding; the Company’s ability to compete with other competing products and with emerging new technologies; product liability exposure; an unsuccessful outcome in any litigation in which the Company is a defendant; patent infringement claims; claims related to the Company’s intellectual property and the Company’s ability to meet its financial obligations under its credit agreements and the Orthotec settlement agreement. The words “believe,” “will,” “should,” “expect,” “intend,” “estimate” and “anticipate,” variations of such words and similar expressions identify forward-looking statements, but their absence does not mean that a statement is not a forward-looking statement.  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 periodic reports, filed with the  Securities and Exchange Commission. Alphatec disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, unless required by law. 

  (in thousands, except per share amounts - unaudited)  
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
   2017   2016    2017   2016  
 Revenues$  24,379  $  32,242   $  52,357  $  66,448  
 Cost of revenues   8,631     11,083      19,830     20,802  
 Gross profit 15,748   21,159    32,527   45,646  
 Operating expenses:         
   Research and development   990     2,072      2,439     5,713  
   Sales and marketing   10,298     12,794      21,401     27,734  
   General and administrative 5,351   6,274    11,574   15,278  
   Amortization of intangible assets 172   255    344   510  
   Restructuring expenses   528     84      1,759     173  
   Gain on sale of assets   (856)    -       (856)    -   
     Total operating expenses 16,483   21,479    36,661   49,408  
 Operating loss (735)  (320)   (4,134)  (3,762) 
   Interest and other expense, net (1,879)  (1,578)   (3,855)  (2,361) 
 Loss from continuing operations before taxes (2,614)  (1,898)   (7,989)  (6,123) 
   Income tax provision   15     11      64     34  
 Loss from continuing operations   (2,629)    (1,909)     (8,053)    (6,157) 
 Loss from discontinued operations   (68)    (3,324)     (159)    (5,693) 
 Net loss$  (2,697) $  (5,233)  $  (8,212) $  (11,850) 
 Net loss per share continuing operations$  (0.24) $  (0.22)  $  (0.80) $  (0.73) 
 Net loss per share discontinued operations   (0.01)    (0.39)     (0.02)    (0.67) 
 Net loss per share  - basic and diluted$  (0.24) $  (0.62)  $  (0.82) $  (1.40) 
 Weighted-average shares - basic and diluted 11,047   8,488    10,033   8,477  

 (in thousands)  
  June 30, December 31, 
   2017   2016  
 Current assets:    
  Cash and cash equivalents $  19,107  $  19,593  
  Accounts receivable, net  13,126   18,512  
  Inventories, net  29,810   30,093  
  Prepaid expenses and other current assets  2,114   4,262  
  Current assets of discontinued operations  69   364  
 Total current assets 64,226   72,824  
 Property and equipment, net 14,467   15,076  
 Intangibles, net 5,243   5,711  
 Other assets 222   516  
 Noncurrent assets of discontinued operations 39   61  
 Total assets$  84,197  $  94,188  
 Current liabilities:    
  Accounts payable $  2,861  $  8,701  
  Accrued expenses  23,917   27,589  
  Current portion of long-term debt  2,333   3,113  
  Current liabilities of discontinued operations  464   732  
 Total current liabilities 29,575   40,135  
  Total long term liabilities    62,569     71,954  
  Redeemable preferred stock    23,603     23,603  
  Stockholders' deficit    (31,550)    (41,504) 
 Total liabilities and stockholders' deficit$  84,197  $  94,188  


(in thousands - unaudited) 
   Three Months
  Three Months Ended  Six Months Ended
   March 31,  June 30,  June 30,
    2017    2017   2016    2017   2016 
 Operating loss, as reported $  (3,399)  $  (735) $  (320)  $  (4,134) $  (3,762)
 Add back:            
   Depreciation    1,634      1,636     1,775      3,270     4,029 
   Amortization of intangible assets    234      234     270      468     540 
 Total EBITDA  (1,531)   1,135   1,725    (396)  807 
 Add back significant items:            
  Stock-based compensation and stock price guarantee   808      411     659      1,219     1,523 
  Restructuring and other charges    1,231      528     84      1,759     173 
  Gain on sale of assets    -      (856)    -      (856)    - 
 EBITDA, as adjusted for significant items $  508   $  1,218  $  2,468   $  1,726  $  2,503 


(in thousands, except percentages - unaudited)  
  Three Months Ended Six Months Ended 
  June 30, June 30, 
   2017   2016   2017   2016  
 Revenues by source        
 U.S. commercial revenue$  21,877  $  28,279  $  45,314  $  57,512  
 Other 2,502   3,963   7,043   8,936  
 Total revenues$  24,379  $  32,242  $  52,357  $  66,448  
 Gross profit by source        
 U.S.$  15,521  $  20,251  $  31,790  $  43,974  
 Other   227     908     737     1,672  
 Total gross profit$  15,748  $  21,159  $  32,527  $  45,646  
 Gross profit margin by source        
 U.S. 70.9%  71.6%  70.2%  76.5% 
 Other 9.1%  22.9%  10.5%  18.7% 
 Total gross profit margin 64.6%  65.6%  62.1%  68.7% 


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