Alphatec Reports Second Quarter 2018 Financial Results

CARLSBAD, Calif., Aug. 02, 2018 (GLOBE NEWSWIRE) -- Alphatec Holdings, Inc.  (“ATEC” 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, today reported financial results for the second quarter ended June 30, 2018.

Second Quarter 2018 Financial Highlights

  • Total net revenue of $22.0 million; U.S. commercial revenue of $20.4 million, up 6% compared to the first quarter of 2018
  • U.S. commercial gross margin of 69.5%
  • Cash and cash equivalents of $44.9 million at June 30, 2018
  • Operating cash burn (excluding debt service and transaction-related costs) of $3.0 million

Second Quarter Organizational, Commercial, and Product Highlights

  • Continued transition of sales organization and increased contribution from dedicated distribution partners and agents to 57% of U.S. commercial revenue
  • Increased revenue attributable to newly converted surgeons, which more than doubled sequentially
  • Obtained FDA 510(k) clearance for IdentiTi porous titanium interbody implants; successfully completed first surgery in conjunction with alpha launch
  • Obtained two significant, favorable rulings in the patent litigation brought by NuVasive, Inc.
  • Made three key additions to ATEC leadership team: David Sponsel, Area Vice President, South Central United States; Emory Rooney, Vice President, Sales Channel Development; and Robert Judd, Vice President, Finance & Controller, who collectively bring decades of  additional spine industry experience to ATEC

“Our second quarter results, and numerous leading indicators, drive our growing confidence in the bright future for ATEC,” said Pat Miles, Chairman and Chief Executive Officer.  “While we continue to anticipate some short-term variability, we expect that our organic product development machine will accelerate growth. The spine market needs surgeon-driven, outcome-focused innovation, and we are absolutely committed to providing it. We are confident that we are building an organization that will create significant, long-term value.”

Comparison of Financial Results for the Second Quarter 2018 to First Quarter 2018

The following table compares key second quarter 2018 results to first quarter 2018 results.

 June 30, 2018 March 31, 2018 $ %
 (unaudited) (unaudited)    
U.S. commercial revenue$  20,409  $  19,201  $  1,208  6%
U.S. gross profit   14,178     13,432     746  6%
U.S. gross margin 69.5%  70.0%    
Operating Expenses       
Research and development$  2,009  $  1,786  $  223  12%
Sales and marketing   10,673     10,060     613  6%
General and administrative   7,815     6,442     1,373  21%
Amortization of intangible assets   187     177     10  6%
Transaction-related expenses   (62)    1,542     (1,604) (104%)
Gain on settlement   -      (6,168)    6,168  (100%)
Restructuring   193     398     (205) (52%)
Total operating expenses$  20,815  $  14,237  $  6,578  46%
Operating loss$  (6,545) $  (667) $  (5,878) 881%
Interest and other expense$  (1,784) $  (1,645) $  (139) 8%
Loss from continuing operations$  (7,064) $  (1,854) $  (5,210) 281%
Non-GAAP Adjusted EBITDA$  (3,677) $  (2,390) $  (1,287) 54%

U.S. commercial revenue for the second quarter of 2018 was $20.4 million, compared to $19.2 million in the first quarter of 2018.  Results reflect the continued transition of the Company’s distribution channel to more dedicated, scalable partners. Revenue growth generated by the expansion of the dedicated sales channel, coupled with new surgeon adoption, offset the revenue losses associated with the intentional reduction of non-strategic distributor relationships.

U.S. gross profit and gross margin for the second quarter of 2018 were $14.2 million and 69.5%, respectively, compared to $13.4 million and 70.0%, respectively, for the first quarter of 2018. U.S. gross margin stabilized as the Company continued to reduce product costs and optimize its supply chain.

Total operating expenses for the second quarter of 2018 were $20.8 million, compared to $14.2 million in the first quarter of 2018.  The increase is primarily the result of a $6.2 million contract settlement gain recorded in the first quarter of 2018.  On a non-GAAP basis (excluding restructuring charges, stock-based compensation, transaction-related expenses, and the contract settlement gain), total operating expenses in the second quarter increased to $19.5 million, compared to $17.9 million in the first quarter of 2018.  The increase primarily reflects increased sales expenses, litigation support costs, and investments in product development.  

Operating loss for the second quarter of 2018 was $6.5 million, compared to a loss of $0.7 million for the first quarter of 2018. The increase is primarily the result of the $6.2 million contract settlement gain recorded in the first quarter of 2018. 

Non-GAAP Adjusted EBITDA for the second quarter of 2018 was $(3.7) million, compared to $(2.4) million in the first quarter of 2018.  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 $30.6 million in term debt and $8.2 million outstanding under the Company’s revolving credit facility at June 30, 2018. This compares to $31.5 million in term debt and $8.4 million outstanding under the Company’s revolving credit facility at March 31, 2018.

Cash and cash equivalents were $44.9 million at June 30, 2018, compared to $47.6 million reported at March 31, 2018. 

Comparison of Financial Results for the Three and Six Months Ended June 30, 2018 and 2017

Revenue decreased on a year-over-year basis as a result of the continued transition of the Company’s distribution channel to more dedicated, scalable partners and the discontinuation of non-strategic distributor relationships. The year-over-year increase in operating expenses was attributable to litigation support costs, transaction-related expenses associated with the Company’s acquisition of SafeOp Surgical, Inc., and increased investment in product development initiatives as the Company expands its product pipeline. 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 or before August 3, 2018.

2018 Financial Outlook

ATEC continues to anticipate total revenue in 2018 to approximate $95.0 million, with revenue growth expected to accelerate in the second half of the year. 

Favorable Patent Litigation Rulings

ATEC obtained two significant, favorable rulings in the patent litigation brought by NuVasive, Inc.: the first dismissed NuVasive’s design patent counts, covering the implant and sequential dilators used in lateral surgery; the second denied NuVasive’s Motion for Preliminary Injunction, finding that NuVasive had not met its burden of proving either likelihood of success or irreparable harm.  The latter ruling allows ATEC to continue to sell its lateral surgery offering while the lawsuit is pending.

Key Executive Additions

Mr. Sponsel has nearly 20 years’ sales experience, including 13 years in the spine industry.  He spent a decade with Stryker Spine, before leaving to lead Medacta USA’s Spine Division. Mr. Rooney has accumulated over a decade of leadership in spine sales. He joins ATEC from Stryker Spine, where he most recently served as Vice President, Sales, Southeast.  Mr. Judd brings nearly 15 years of accounting and strategic finance experience to ATEC. He joins ATEC following three years with NuVasive, Inc., where he served most recently as Vice President, Finance – Global Process Transformation, after holding finance and accounting leadership positions with Thermo Fisher Scientific, Life Technologies, Allergan, and KPMG.

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, settlement gains, 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

ATEC will hold a conference call today at 1:30 p.m. PT / 4:30 p.m. ET to discuss second quarter 2018 results. The dial-in numbers are (877) 556-5251 for domestic callers and (720) 545-0036 for international callers. The conference ID number is 1956197. A live webcast of the conference call will also be available online from the investor relations page of the Company's corporate website at

A replay of the webcast will remain available on the Company’s website,, until the Company releases its third quarter 2018 financial results. In addition, a telephonic replay of the call will be available until November 2, 2018. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. Please use the replay conference ID number 1956197.

Inducement Awards Granted

As an inducement to accepting employment with the Company, and in accordance with applicable Nasdaq listing requirements, the Compensation Committee of the Board of Directors approved grants of inducement stock options to purchase, collectively, an aggregate of 115,000 shares of the Company’s common stock (“Options”) and approved the grants of, collectively, 115,000 restricted stock units (RSUs) to the three new employees noted above.  The grants are dated as of May 29, June 18, and July 16, 2018 — the respective dates of employment of each new employee.

The RSUs will vest in equal annual installments on each of the first four anniversaries of the respective dates of employment set forth above.  The Options, which have exercise prices of $3.86, $3.01 and $2.84 per share (based on the closing prices of the Company’s common stock on the respective effective dates of the grants), will vest 25 percent on the first anniversary of the grants and in equal monthly installments of 1/36th of the balance of the Options, provided the recipient remains continuously employed by ATEC as of such vesting date. In addition, the RSUs and Options will fully vest upon a change in control of ATEC.

ATEC is providing this information in accordance with Nasdaq Listing Rule 5635(c)(4).

About Alphatec Holdings, Inc.

Alphatec Holdings, Inc., through its wholly owned subsidiaries, Alphatec Spine, Inc. and SafeOp Surgical, Inc., is a medical device company that designs, develops, and markets technology 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 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 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 ATEC 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 current reports, filed with the Securities and Exchange Commission. ATEC 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.

Investor/Media Contact:

Tina Jacobsen
Investor Relations

Company Contact:

Jeff Black
Executive Vice President and Chief Financial Officer
Alphatec Holdings, Inc.


  (in thousands, except per share amounts - unaudited)
 Three Months Ended  Six Months Ended
 June 30,   June 30,
Revenues$22,042  $24,379   $43,349  $52,357 
Cost of revenues 7,772   8,631    15,509   19,830 
Gross profit 14,270   15,748    27,840   32,527 
Operating expenses:        
Research and development 2,009   990    3,795   2,439 
Sales and marketing 10,673   10,298    20,733   21,401 
General and administrative 7,815   5,351    14,257   11,574 
Amortization of intangible assets 187   172    364   344 
Transaction-related expenses (62)  -    1,480   - 
Gain on settlement -   -    (6,168)  - 
Gain on sale of assets -   (856)   -   (856)
Restructuring expenses 193   528    591   1,759 
Total operating expenses 20,815   16,483    35,052   36,661 
Operating loss (6,545)  (735)   (7,212)  (4,134)
Other income (expense):        
Interest expense, net (1,709)  (1,881)   (3,416)  (3,862)
Other income, net (75)  2    (13)  7 
Total other expense, net (1,784)  (1,879)   (3,429)  (3,855)
Loss from continuing operations before taxes (8,329)  (2,614)   (10,641)  (7,989)
Income tax (benefit) provision (1,265)  15    (1,723)  64 
Loss from continuing operations (7,064)  (2,629)   (8,918)  (8,053)
Loss from discontinued operations (12)  (68)   (74)  (159)
Net loss$(7,076) $(2,697)  $(8,992) $(8,212)
Net loss per share, basic and diluted:        
Continuing operations$(0.21) $(0.24)  $(0.32) $(0.80)
Discontinued operations (0.00)  (0.01)   (0.00)  (0.02)
Net loss per share, basic and diluted$(0.21) $(0.24)  $(0.33) $(0.82)
Shares used in calculating basic and diluted net loss per share        
 34,030   11,047    27,656   10,033 
Stock-based compensation included in:        
Cost of revenue 11   11    33   14 
Research and development 129   (20)   13   291 
Sales and marketing 193   151    304   224 
General and administrative 815   269    1,417   690 
 $1,148  $411   $1,767  $1,219 

(in thousands) 
 June 30, December 31,
  2018  2017 
Current assets:   
Cash and cash equivalents$  44,912 $  22,466 
Accounts receivable, net 11,405  14,822 
Inventories, net 28,177  27,292 
Prepaid expenses and other current assets 1,778  1,767 
Current assets of discontinued operations 251  131 
Total current assets 86,523  66,478 
Property and equipment, net 12,060  12,670 
Goodwill 14,250    -  
Intangibles, net 26,382  5,248 
Other assets 225  208 
Noncurrent assets of discontinued operations 55  56 
Total assets$  139,495 $  84,660 
Current liabilities:   
Accounts payable$  3,354 $  3,878 
Accrued expenses 24,607  22,246 
Current portion of long-term debt 6,682  3,306 
Current liabilities of discontinued operations 385  312 
Total current liabilities 35,028  29,742 
Total long term liabilities   50,644    57,973 
Redeemable preferred stock   23,603    23,603 
Stockholders' equity   30,220    (26,658)
Total liabilities and stockholders' deficit$  139,495 $  84,660 

(in thousands - unaudited)
 Three Months Ended Six Months Ended
  March 31,  June 30, June 30,
Operating expenses  14,237   20,815   16,483   35,052   36,661 
Stock-based compensation  (597)  (1,137)  (400)  (1,734)  (1,205)
Restructuring  (398)  (193)  (528)  (591)  (1,759)
Transaction-related expenses  (1,542)  62   -   (1,480)  - 
Gain on settlement  6,168   -   -   6,168   - 
Gain on sale of assets      856     856 
Non-GAAP operating expenses $17,868  $19,547  $16,411  $37,415  $34,553 
 Three Months Ended Six Months Ended
  March 31,  June 30, June 30,
Operating loss, as reported $(667) $(6,545) $(735) $(7,212) $(4,134)
Add back:          
Depreciation  1,592   1,457   1,636   3,049   3,270 
Amortization of intangible assets  294   132   234   426   468 
Total EBITDA  1,219   (4,956)  1,135   (3,737)  (396)
Add back significant items:          
Stock-based compensation  619   1,148   411   1,767   1,219 
Restructuring  398   193   528   591   1,759 
Transaction-related expenses  1,542   (62)  -   1,480   - 
Gain on settlement  (6,168)  -   -   (6,168)  - 
Gain on sale of assets      (856)    (856)
Adjusted EBITDA $(2,390) $(3,677) $1,218  $(6,067) $1,726 

(in thousands, except percentages - unaudited) 
 Three Months Ended Six Months Ended
 June 30, June 30,
  2018   2017   2018   2017 
Revenues by source       
U.S. commercial revenue$  20,409  $  21,877  $  39,610  $  45,314 
Other 1,633   2,502   3,739   7,043 
Total revenues$  22,042  $  24,379  $  43,349  $  52,357 
Gross profit by source       
U.S.$  14,178  $  15,521  $  27,610  $  31,789 
Other   92     227     230     738 
Total gross profit$  14,270  $  15,748  $  27,840  $  32,527 
Gross profit margin by source       
U.S. 69.5%  70.9%  69.7%  70.2%
Other 5.6%  9.1%  6.1%  10.5%
Total gross profit margin 64.7%  64.6%  64.2%  62.1%