$ATEC
Alphatec Holdings, Inc. Stock $atec

$atec Overview Financials Valuation SEC Filings Company Website

2023 Q1 Form 10-K Financial Statement

#000095017023005175 Filed on February 28, 2023

Income Statement

Concept	2023 Q1	2022 Q4	2022
Revenue	$109.1M	$105.9M	$350.9M
YoY Change	53.82%	43.24%	44.26%
Cost Of Revenue	$38.69M	$37.09M	$117.8M
YoY Change	78.13%	29.08%	37.87%
Gross Profit	$70.43M	$68.85M	$233.1M
YoY Change	43.09%	52.24%	47.73%
Gross Profit Margin	64.54%	64.99%	66.42%
Selling, General & Admin	$91.26M	$81.92M	$300.0M
YoY Change	31.37%	22.83%	30.86%
% of Gross Profit	129.59%	118.98%	128.73%
Research & Development	$13.26M	$11.60M	$44.03M
YoY Change	36.39%	29.16%	37.54%
% of Gross Profit	18.83%	16.85%	18.89%
Depreciation & Amortization	$11.69M	$11.35M	$41.17M
YoY Change	25.52%	19.99%	53.86%
% of Gross Profit	16.6%	16.48%	17.66%
Operating Expenses	$110.8M	$96.46M	$380.0M
YoY Change	39.88%	24.25%	32.96%
Operating Profit	-$40.35M	-$27.61M	-$147.0M
YoY Change	-2.14%	-14.81%	14.77%
Interest Expense	$3.874M	-$4.927M	$5.505M
YoY Change	166.07%	-19.07%	-22.55%
% of Operating Profit
Other Income/Expense, Net	$706.0K	$4.647M	$471.0K
YoY Change	-2453.33%	15.0%	-130.13%
Pretax Income	-$43.52M	-$35.31M	-$152.0M
YoY Change	1.87%	-12.14%	5.44%
Income Tax	$14.00K	-$321.0K	$140.0K
% Of Pretax Income
Net Earnings	-$43.53M	-$34.99M	-$152.1M
YoY Change	1.6%	-12.94%	5.42%
Net Earnings / Revenue	-39.89%	-33.02%	-43.36%
Basic Earnings Per Share	-$0.40		-$1.47
Diluted Earnings Per Share	-$0.40	-$0.33	-$1.47
COMMON SHARES
Basic Shares Outstanding	111.1M	105.1M	103.4M
Diluted Shares Outstanding	109.8M		103.4M

Balance Sheet

Concept	2023 Q1	2022 Q4	2022
SHORT-TERM ASSETS
Cash & Short-Term Investments	$116.7M	$84.70M	$84.70M
YoY Change	-23.13%	-54.77%	-54.77%
Cash & Equivalents	$116.7M	$84.70M
Short-Term Investments
Other Short-Term Assets	$11.80M	$9.357M	$9.357M
YoY Change	-2.37%	-9.27%	-9.27%
Inventory	$108.2M	$101.5M	$101.5M
Prepaid Expenses
Receivables	$62.42M	$60.06M	$60.06M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$299.2M	$255.6M	$255.6M
YoY Change	-1.39%	-22.81%	-22.81%
LONG-TERM ASSETS
Property, Plant & Equipment	$109.8M	$102.0M	$130.3M
YoY Change	14.1%	16.65%	15.64%
Goodwill	$47.92M	$39.78M
YoY Change	17.37%	0.22%
Intangibles	$81.08M	$82.78M
YoY Change	-1.23%	-2.92%
Long-Term Investments
YoY Change
Other Assets	$3.724M	$4.874M	$4.874M
YoY Change	141.19%	50.02%	50.02%
Total Long-Term Assets	$270.5M	$257.7M	$257.7M
YoY Change	10.28%	6.99%	6.99%
TOTAL ASSETS
Total Short-Term Assets	$299.2M	$255.6M	$255.6M
Total Long-Term Assets	$270.5M	$257.7M	$257.7M
Total Assets	$569.7M	$513.4M	$513.4M
YoY Change	3.83%	-10.26%	-10.26%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$39.07M	$34.74M	$34.74M
YoY Change	14.79%	34.99%	34.99%
Accrued Expenses	$73.83M	$73.26M	$73.26M
YoY Change	13.26%	39.92%	39.92%
Deferred Revenue	$13.90M	$12.00M
YoY Change	-6.67%	-21.34%
Short-Term Debt	$16.07M	$14.95M	$0.00
YoY Change	798.16%	4270.76%
Long-Term Debt Due	$16.07M	$14.95M	$14.95M
YoY Change	798.16%	4270.76%	4270.76%
Total Short-Term Liabilities	$142.9M	$138.9M	$138.9M
YoY Change	23.3%	37.37%	37.37%
LONG-TERM LIABILITIES
Long-Term Debt	$419.5M	$349.5M	$349.5M
YoY Change	28.42%	7.05%	7.05%
Other Long-Term Liabilities	$16.19M	$11.54M	$38.11M
YoY Change	-2.64%	-32.34%	-8.06%
Total Long-Term Liabilities	$435.6M	$361.1M	$387.6M
YoY Change	26.91%	5.1%	5.35%
TOTAL LIABILITIES
Total Short-Term Liabilities	$142.9M	$138.9M	$138.9M
Total Long-Term Liabilities	$435.6M	$361.1M	$387.6M
Total Liabilities	$578.5M	$499.9M	$526.5M
YoY Change	26.0%	12.43%	12.25%
SHAREHOLDERS EQUITY
Retained Earnings	-$975.9M	-$934.5M
YoY Change	18.48%	19.45%
Common Stock	$12.00K	$11.00K
YoY Change	20.0%	10.0%
Preferred Stock
YoY Change
Treasury Stock (at cost)	$25.10M	$25.10M
YoY Change	0.0%	0.0%
Treasury Stock Shares	$1.808M	$1.808M
Shareholders Equity	-$58.36M	-$36.71M	-$13.11M
YoY Change
Total Liabilities & Shareholders Equity	$569.7M	$513.4M	$513.4M
YoY Change	3.83%	-10.26%	-10.26%

Cashflow Statement

Concept	2023 Q1	2022 Q4	2022
OPERATING ACTIVITIES
Net Income	-$43.53M	-$34.99M	-$152.1M
YoY Change	1.6%	-12.94%	5.42%
Depreciation, Depletion And Amortization	$11.69M	$11.35M	$41.17M
YoY Change	25.52%	19.99%	53.86%
Cash From Operating Activities	-$18.32M	-$8.403M	-$75.14M
YoY Change	-25.85%	-43.44%	2.33%
INVESTING ACTIVITIES
Capital Expenditures	$16.28M	$14.84M	$49.45M
YoY Change	22.79%	-175.7%	-27.85%
Acquisitions
YoY Change
Other Investing Activities		$0.00	$0.00
YoY Change		-100.0%	-100.0%
Cash From Investing Activities	-$16.82M	-$14.84M	-$58.28M
YoY Change	25.43%	-25.81%	-63.06%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	67.11M	1.013M	31.23M
YoY Change	2388.32%	-308.01%	-89.99%
NET CHANGE
Cash From Operating Activities	-18.32M	-8.403M	-75.14M
Cash From Investing Activities	-16.82M	-14.84M	-58.28M
Cash From Financing Activities	67.11M	1.013M	31.23M
Net Change In Cash	32.00M	-22.23M	-102.6M
YoY Change	-190.31%	-37.11%	-55.64%
FREE CASH FLOW
Cash From Operating Activities	-$18.32M	-$8.403M	-$75.14M
Capital Expenditures	$16.28M	$14.84M	$49.45M
Free Cash Flow	-$34.60M	-$23.24M	-$124.6M
YoY Change	-8.87%	-590.05%	-12.24%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value
CY2022Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies
CY2021Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies
CY2022	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2022	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2022
CY2022	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	FY
CY2022	dei	Amendment Flag AmendmentFlag	false
CY2020	atec	Accounting Standards Update Description AccountingStandardsUpdateDescription	ASU 2019-08
CY2022Q4	us-gaap	Preferred Stock Value PreferredStockValue
CY2022	dei	Entity Central Index Key EntityCentralIndexKey	0001350653
CY2022	dei	Document Type DocumentType	10-K
CY2022	dei	Document Annual Report DocumentAnnualReport	true
CY2022	dei	Document Period End Date DocumentPeriodEndDate	2022-12-31
CY2022	dei	Document Transition Report DocumentTransitionReport	false
CY2022	dei	Entity File Number EntityFileNumber	000-52024
CY2022	dei	Entity Registrant Name EntityRegistrantName	ALPHATEC HOLDINGS, INC.
CY2022	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	DE
CY2022	dei	Entity Tax Identification Number EntityTaxIdentificationNumber	20-2463898
CY2022	dei	Entity Address Address Line1 EntityAddressAddressLine1	1950 Camino Vida Roble
CY2022	dei	Entity Address City Or Town EntityAddressCityOrTown	Carlsbad
CY2022	dei	Entity Address State Or Province EntityAddressStateOrProvince	CA
CY2022	dei	Entity Address Postal Zip Code EntityAddressPostalZipCode	92008
CY2022	dei	City Area Code CityAreaCode	760
CY2022	dei	Local Phone Number LocalPhoneNumber	431-9286
CY2022	dei	Security12b Title Security12bTitle	Common Stock, par value $0.0001 per share
CY2022	dei	Trading Symbol TradingSymbol	ATEC
CY2022	dei	Security Exchange Name SecurityExchangeName	NASDAQ
CY2022	dei	Entity Well Known Seasoned Issuer EntityWellKnownSeasonedIssuer	No
CY2022	dei	Entity Voluntary Filers EntityVoluntaryFilers	No
CY2022	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
CY2022	dei	Entity Interactive Data Current EntityInteractiveDataCurrent	Yes
CY2022	dei	Entity Filer Category EntityFilerCategory	Accelerated Filer
CY2022	dei	Entity Small Business EntitySmallBusiness	false
CY2022	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
CY2022	dei	Icfr Auditor Attestation Flag IcfrAuditorAttestationFlag	true
CY2022	dei	Entity Shell Company EntityShellCompany	false
CY2022Q2	dei	Entity Public Float EntityPublicFloat	477500000
CY2023Q1	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	111109933
CY2022	dei	Auditor Firm AuditorFirmId	34
CY2022	dei	Auditor Name AuditorName	Deloitte & Touche LLP
CY2022	dei	Auditor Location AuditorLocation	New York, New York, United States
CY2022Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	84696000
CY2021Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	187248000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	679000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	2307000
CY2022Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	60060000
CY2021Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	41893000
CY2022Q4	us-gaap	Inventory Net InventoryNet	101521000
CY2021Q4	us-gaap	Inventory Net InventoryNet	91703000
CY2022Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	9357000
CY2021Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	10313000
CY2022Q4	us-gaap	Assets Current AssetsCurrent	255634000
CY2021Q4	us-gaap	Assets Current AssetsCurrent	331157000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	101952000
CY2021Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	87401000
CY2022Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	28360000
CY2021Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	25283000
CY2022Q4	us-gaap	Goodwill Goodwill	39775000
CY2021Q4	us-gaap	Goodwill Goodwill	39689000
CY2022Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	82781000
CY2021Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	85274000
CY2022Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	4874000
CY2021Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	3249000
CY2022Q4	us-gaap	Assets Assets	513376000
CY2021Q4	us-gaap	Assets Assets	572053000
CY2022Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	34742000
CY2021Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	25737000
CY2022Q4	atec	Accrued Liabilities And Other Liabilities Current AccruedLiabilitiesAndOtherLiabilitiesCurrent	72382000
CY2021Q4	atec	Accrued Liabilities And Other Liabilities Current AccruedLiabilitiesAndOtherLiabilitiesCurrent	55549000
CY2022Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	11956000
CY2021Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	15255000
CY2022Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	14948000
CY2021Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	342000
CY2022Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	4842000
CY2021Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	4212000
CY2022Q4	us-gaap	Liabilities Current LiabilitiesCurrent	138870000
CY2021Q4	us-gaap	Liabilities Current LiabilitiesCurrent	101095000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	349511000
CY2021Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	326489000
CY2022Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	26562000
CY2021Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	24383000
CY2022Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	11543000
CY2021Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	17061000
CY2022Q4	us-gaap	Temporary Equity Par Or Stated Value Per Share TemporaryEquityParOrStatedValuePerShare	0.0001
CY2021Q4	us-gaap	Temporary Equity Par Or Stated Value Per Share TemporaryEquityParOrStatedValuePerShare	0.0001
CY2022Q4	us-gaap	Temporary Equity Shares Authorized TemporaryEquitySharesAuthorized	20000000
CY2021Q4	us-gaap	Temporary Equity Shares Authorized TemporaryEquitySharesAuthorized	20000000
CY2022Q4	us-gaap	Temporary Equity Shares Issued TemporaryEquitySharesIssued	3319000
CY2021Q4	us-gaap	Temporary Equity Shares Issued TemporaryEquitySharesIssued	3319000
CY2022Q4	us-gaap	Temporary Equity Shares Outstanding TemporaryEquitySharesOutstanding	3319000
CY2021Q4	us-gaap	Temporary Equity Shares Outstanding TemporaryEquitySharesOutstanding	3319000
CY2022Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	23603000
CY2021Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	23603000
CY2022Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.0001
CY2021Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.0001
CY2022Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	200000000
CY2021Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	200000000
CY2022Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	106673000
CY2022Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	106640000
CY2021Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	99627000
CY2021Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	99537000
CY2022Q4	us-gaap	Common Stock Value CommonStockValue	11000
CY2021Q4	us-gaap	Common Stock Value CommonStockValue	10000
CY2022Q4	us-gaap	Treasury Stock Shares TreasuryStockShares	1808000
CY2021Q4	us-gaap	Treasury Stock Shares TreasuryStockShares	1808000
CY2022Q4	us-gaap	Treasury Stock Value TreasuryStockValue	25097000
CY2021Q4	us-gaap	Treasury Stock Value TreasuryStockValue	25097000
CY2022Q4	us-gaap	Additional Paid In Capital AdditionalPaidInCapital	933537000
CY2021Q4	us-gaap	Additional Paid In Capital AdditionalPaidInCapital	892828000
CY2022Q4	us-gaap	Accumulated Other Comprehensive Income Loss Net Of Tax AccumulatedOtherComprehensiveIncomeLossNetOfTax	-10690000
CY2021Q4	us-gaap	Accumulated Other Comprehensive Income Loss Net Of Tax AccumulatedOtherComprehensiveIncomeLossNetOfTax	-5994000
CY2022Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-934474000
CY2021Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-782325000
CY2022Q4	us-gaap	Stockholders Equity StockholdersEquity	-36713000
CY2021Q4	us-gaap	Stockholders Equity StockholdersEquity	79422000
CY2022Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	513376000
CY2021Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	572053000
CY2022	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	350867000
CY2021	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	243212000
CY2020	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	144861000
CY2022	us-gaap	Cost Of Revenue CostOfRevenue	117808000
CY2021	us-gaap	Cost Of Revenue CostOfRevenue	85450000
CY2020	us-gaap	Cost Of Revenue CostOfRevenue	42360000
CY2022	us-gaap	Gross Profit GrossProfit	233059000
CY2021	us-gaap	Gross Profit GrossProfit	157762000
CY2020	us-gaap	Gross Profit GrossProfit	102501000
CY2022	us-gaap	Research And Development Expense Excluding Acquired In Process Cost ResearchAndDevelopmentExpenseExcludingAcquiredInProcessCost	44033000
CY2021	us-gaap	Research And Development Expense Excluding Acquired In Process Cost ResearchAndDevelopmentExpenseExcludingAcquiredInProcessCost	32015000
CY2020	us-gaap	Research And Development Expense Excluding Acquired In Process Cost ResearchAndDevelopmentExpenseExcludingAcquiredInProcessCost	18745000
CY2022	us-gaap	Selling General And Administrative Expense SellingGeneralAndAdministrativeExpense	300013000
CY2021	us-gaap	Selling General And Administrative Expense SellingGeneralAndAdministrativeExpense	229271000
CY2020	us-gaap	Selling General And Administrative Expense SellingGeneralAndAdministrativeExpense	129156000
CY2022	atec	Litigation Expenses LitigationExpenses	23943000
CY2021	atec	Litigation Expenses LitigationExpenses	11123000
CY2020	atec	Litigation Expenses LitigationExpenses	8552000
CY2022	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	10115000
CY2021	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	5348000
CY2020	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	688000
CY2022	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	120000
CY2021	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	6365000
CY2020	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	4223000
CY2022	us-gaap	Restructuring Charges RestructuringCharges	1810000
CY2021	us-gaap	Restructuring Charges RestructuringCharges	1697000
CY2022	us-gaap	Operating Expenses OperatingExpenses	380034000
CY2021	us-gaap	Operating Expenses OperatingExpenses	285819000
CY2020	us-gaap	Operating Expenses OperatingExpenses	161364000
CY2022	us-gaap	Operating Income Loss OperatingIncomeLoss	-146975000
CY2021	us-gaap	Operating Income Loss OperatingIncomeLoss	-128057000
CY2020	us-gaap	Operating Income Loss OperatingIncomeLoss	-58863000
CY2022	us-gaap	Interest Expense InterestExpense	5505000
CY2021	us-gaap	Interest Expense InterestExpense	7108000
CY2020	us-gaap	Interest Expense InterestExpense	12374000
CY2021	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-7434000
CY2020	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-7612000
CY2022	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	471000
CY2021	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-1563000
CY2022	atec	Interest And Other Expense Net InterestAndOtherExpenseNet	-5034000
CY2021	atec	Interest And Other Expense Net InterestAndOtherExpenseNet	-16105000
CY2020	atec	Interest And Other Expense Net InterestAndOtherExpenseNet	-19986000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-152009000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-144162000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-78849000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	140000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	164000
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	145000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-152149000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-144326000
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-78994000
CY2022	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.47
CY2022	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.47
CY2021	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.50
CY2021	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.50
CY2020	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.18
CY2020	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.18
CY2022	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	103373000
CY2022	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	103373000
CY2021	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	96197000
CY2021	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	96197000
CY2020	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	67020000
CY2020	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	67020000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-152149000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-144326000
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-78994000
CY2022	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	-4696000
CY2021	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	-7198000
CY2020	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	116000
CY2022	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-156845000
CY2021	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-151524000
CY2020	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-78878000
CY2021Q4	us-gaap	Stockholders Equity StockholdersEquity	79422000
CY2022	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	37591000
CY2022	us-gaap	Stock Issued During Period Value Issued For Services StockIssuedDuringPeriodValueIssuedForServices	3068000
CY2022	atec	Stock Issued During Period Value Warrants Exercised StockIssuedDuringPeriodValueWarrantsExercised	4160000
CY2022	atec	Stock Issued During Period Value Employee Stock Purchase Plan And Stock Option Exercises StockIssuedDuringPeriodValueEmployeeStockPurchasePlanAndStockOptionExercises	4020000
CY2022	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	-11220000
CY2022	atec	Additional Paid In Capital Reclassification Of Liability Classified Awards AdditionalPaidInCapitalReclassificationOfLiabilityClassifiedAwards	2841000
CY2022	atec	Stock Issued During Period Value Asset Acquisition StockIssuedDuringPeriodValueAssetAcquisition	250000
CY2022	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	-4696000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-152149000
CY2022Q4	us-gaap	Stockholders Equity StockholdersEquity	-36713000
CY2020Q4	us-gaap	Stockholders Equity StockholdersEquity	129880000
CY2021	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	34728000
CY2021	us-gaap	Stock Issued During Period Value Issued For Services StockIssuedDuringPeriodValueIssuedForServices	1339000
CY2021	atec	Stock Issued During Period Value Warrants Exercised StockIssuedDuringPeriodValueWarrantsExercised	3254000
CY2021	atec	Stock Issued During Period Value Employee Stock Purchase Plan And Stock Option Exercises StockIssuedDuringPeriodValueEmployeeStockPurchasePlanAndStockOptionExercises	3584000
CY2021	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	-12801000
CY2021	atec	Stock Issued During Period Value Shareholder Note Receivable StockIssuedDuringPeriodValueShareholderNoteReceivable	4000000
CY2021	us-gaap	Stock Repurchased During Period Value StockRepurchasedDuringPeriodValue	25000000
CY2021	atec	Purchase Of Capped Call PurchaseOfCappedCall	-39866000
CY2021	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	-7198000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-144326000
CY2021Q4	us-gaap	Stockholders Equity StockholdersEquity	79422000
CY2019Q4	us-gaap	Stockholders Equity StockholdersEquity	43631000
CY2020	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	15730000
CY2020	us-gaap	Stock Issued During Period Value Issued For Services StockIssuedDuringPeriodValueIssuedForServices	521000
CY2020	atec	Stock Issued During Period Value Warrants Exercised StockIssuedDuringPeriodValueWarrantsExercised	2368000
CY2020	atec	Stock Issued During Period Value Employee Stock Purchase Plan And Stock Option Exercises StockIssuedDuringPeriodValueEmployeeStockPurchasePlanAndStockOptionExercises	1970000
CY2020	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	-983000
CY2020	us-gaap	Adjustments To Additional Paid In Capital Warrant Issued AdjustmentsToAdditionalPaidInCapitalWarrantIssued	2974000
CY2020	atec	Stock Issued During Period Value Shareholder Note Receivable StockIssuedDuringPeriodValueShareholderNoteReceivable	1000000
CY2020	atec	Stock Issued During Period Value Issuance Of Common Stock For Other Services StockIssuedDuringPeriodValueIssuanceOfCommonStockForOtherServices	123000
CY2020	atec	Stock Issued During Period Value Issuance Of Common Stock For Prepayment Of Debt StockIssuedDuringPeriodValueIssuanceOfCommonStockForPrepaymentOfDebt	33807000
CY2020	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent	116000
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-78994000
CY2020Q4	us-gaap	Stockholders Equity StockholdersEquity	129880000
CY2022	us-gaap	Profit Loss ProfitLoss	-152149000
CY2021	us-gaap	Profit Loss ProfitLoss	-144326000
CY2020	us-gaap	Profit Loss ProfitLoss	-78994000
CY2022	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	41168000
CY2021	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	26756000
CY2020	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	10949000
CY2022	us-gaap	Share Based Compensation ShareBasedCompensation	40556000
CY2021	us-gaap	Share Based Compensation ShareBasedCompensation	36450000
CY2020	us-gaap	Share Based Compensation ShareBasedCompensation	17659000
CY2022	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	2038000
CY2021	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	1868000
CY2020	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	3974000
CY2022	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	2760000
CY2021	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	3418000
CY2020	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	683000
CY2022	us-gaap	Inventory Write Down InventoryWriteDown	9792000
CY2021	us-gaap	Inventory Write Down InventoryWriteDown	11147000
CY2020	us-gaap	Inventory Write Down InventoryWriteDown	7044000
CY2022	us-gaap	Gain Loss On Disposition Of Assets GainLossOnDispositionOfAssets	-2594000
CY2021	us-gaap	Gain Loss On Disposition Of Assets GainLossOnDispositionOfAssets	-1976000
CY2020	us-gaap	Gain Loss On Disposition Of Assets GainLossOnDispositionOfAssets	-498000
CY2021	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-7434000
CY2020	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-7612000
CY2021	atec	Impairment Of Investment ImpairmentOfInvestment	3000000
CY2022	us-gaap	Other Operating Activities Cash Flow Statement OtherOperatingActivitiesCashFlowStatement	1187000
CY2021	us-gaap	Other Operating Activities Cash Flow Statement OtherOperatingActivitiesCashFlowStatement	2721000
CY2020	us-gaap	Other Operating Activities Cash Flow Statement OtherOperatingActivitiesCashFlowStatement	116000
CY2022	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	18832000
CY2021	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	10141000
CY2020	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	7484000
CY2022	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	20704000
CY2021	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	27746000
CY2020	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	18192000
CY2022	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-552000
CY2021	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-1258000
CY2020	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	2930000
CY2022	us-gaap	Increase Decrease In Other Operating Assets IncreaseDecreaseInOtherOperatingAssets	109000
CY2021	us-gaap	Increase Decrease In Other Operating Assets IncreaseDecreaseInOtherOperatingAssets	-11000
CY2020	us-gaap	Increase Decrease In Other Operating Assets IncreaseDecreaseInOtherOperatingAssets	51000
CY2022	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	9796000
CY2021	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	757000
CY2020	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	7130000
CY2022	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	13508000
CY2021	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	8023000
CY2020	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	8812000
CY2022	atec	Increase Decrease In Lease Liability IncreaseDecreaseInLeaseLiability	-2678000
CY2021	atec	Increase Decrease In Lease Liability IncreaseDecreaseInLeaseLiability	150000
CY2020	atec	Increase Decrease In Lease Liability IncreaseDecreaseInLeaseLiability	-1312000
CY2022	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-2280000
CY2021	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-1040000
CY2022	us-gaap	Increase Decrease In Other Noncurrent Liabilities IncreaseDecreaseInOtherNoncurrentLiabilities	-2342000
CY2021	us-gaap	Increase Decrease In Other Noncurrent Liabilities IncreaseDecreaseInOtherNoncurrentLiabilities	4852000
CY2020	us-gaap	Increase Decrease In Other Noncurrent Liabilities IncreaseDecreaseInOtherNoncurrentLiabilities	-1926000
CY2022	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-75143000
CY2021	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-73432000
CY2020	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-46412000
CY2022	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	49453000
CY2021	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	68544000
CY2020	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	23131000
CY2022	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	8827000
CY2020	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	755000
CY2021	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	62133000
CY2021	us-gaap	Payments To Acquire Business Two Net Of Cash Acquired PaymentsToAcquireBusinessTwoNetOfCashAcquired	21097000
CY2020	us-gaap	Income Taxes Paid IncomeTaxesPaid	190000
CY2021	atec	Ppp Loan Forgiveness PPPLoanForgiveness	4271000
CY2022	us-gaap	Debt Issuance Costs Incurred During Noncash Or Partial Noncash Transaction DebtIssuanceCostsIncurredDuringNoncashOrPartialNoncashTransaction	2760000
CY2022	atec	Non Cash Financed Insurance NonCashFinancedInsurance	1959000
CY2021	us-gaap	Payments To Acquire Investments PaymentsToAcquireInvestments	3000000
CY2021	atec	Settlement Of Forward Contract SettlementOfForwardContract	2988000
CY2020	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	27000
CY2022	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-58280000
CY2021	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-157762000
CY2020	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-23859000
CY2022	us-gaap	Proceeds From Long Term Lines Of Credit ProceedsFromLongTermLinesOfCredit	62500000
CY2020	us-gaap	Proceeds From Long Term Lines Of Credit ProceedsFromLongTermLinesOfCredit	42455000
CY2022	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	1315000
CY2021	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	10028000
CY2021	us-gaap	Proceeds From Issuance Of Common Stock ProceedsFromIssuanceOfCommonStock	131828000
CY2020	us-gaap	Proceeds From Issuance Of Common Stock ProceedsFromIssuanceOfCommonStock	107698000
CY2021	us-gaap	Proceeds From Unsecured Notes Payable ProceedsFromUnsecuredNotesPayable	316250000
CY2022	atec	Net Cash Paid Received From Common Stock Exercises NetCashPaidReceivedFromCommonStockExercises	3041000
CY2021	atec	Net Cash Paid Received From Common Stock Exercises NetCashPaidReceivedFromCommonStockExercises	5963000
CY2020	atec	Net Cash Paid Received From Common Stock Exercises NetCashPaidReceivedFromCommonStockExercises	-3341000
CY2021	atec	Purchase Of Capped Calls PurchaseOfCappedCalls	39866000
CY2021	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	25000000
CY2020	us-gaap	Proceeds From Issuance Of Debt ProceedsFromIssuanceOfDebt	34008000
CY2022	us-gaap	Repayments Of Long Term Lines Of Credit RepaymentsOfLongTermLinesOfCredit	27500000
CY2020	us-gaap	Repayments Of Long Term Lines Of Credit RepaymentsOfLongTermLinesOfCredit	56615000
CY2021	atec	Repayment Of Squadron Medical Term Loan RepaymentOfSquadronMedicalTermLoan	45000000
CY2021	atec	Repayment Of Inventory Financing Agreement RepaymentOfInventoryFinancingAgreement	8088000
CY2022	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	584000
CY2021	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-2167000
CY2020	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-58000
CY2022	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	31228000
CY2021	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	311966000
CY2020	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	130829000
CY2022	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-357000
CY2021	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-1289000
CY2020	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	94000
CY2022	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-102552000
CY2021	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	79483000
CY2020	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	60652000
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	187248000
CY2020Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	107765000
CY2019Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	47113000
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	84696000
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	187248000
CY2020Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	107765000
CY2022	us-gaap	Interest Paid Net InterestPaidNet	3860000
CY2021	us-gaap	Interest Paid Net InterestPaidNet	5027000
CY2020	us-gaap	Interest Paid Net InterestPaidNet	6330000
CY2022	us-gaap	Income Taxes Paid IncomeTaxesPaid	272000
CY2021	us-gaap	Income Taxes Paid IncomeTaxesPaid	223000
CY2022	atec	Financed Property And Equipment FinancedPropertyAndEquipment	600000
CY2021	atec	Financed Inventory FinancedInventory	4015000
CY2022	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	2128000
CY2021	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	2577000
CY2020	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	3527000
CY2022	us-gaap	Noncash Or Part Noncash Acquisition Intangible Assets Acquired1 NoncashOrPartNoncashAcquisitionIntangibleAssetsAcquired1	750000
CY2022	us-gaap	Concentration Risk Credit Risk ConcentrationRiskCreditRisk	<p style="text-indent:0.0%;font-size:10.0pt;margin-top:18.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:"Times New Roman", serif;font-style:italic;min-width:fit-content;">Concentrations of Credit Risk and Significant Customers</span></p><p style="text-indent:4.533%;font-size:10.0pt;margin-top:6.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">Financial instruments, which potentially subject the Company to concentrations of credit risk, consist primarily of cash, cash equivalents, and accounts receivable. The Company limits its exposure to credit loss by depositing its cash and investments with established financial institutions. As of December 31, 2022, a substantial portion of the Company’s available cash funds is held in business accounts. Although the Company deposits its cash with multiple financial institutions, its deposits, at times, may exceed federally insured limits.</span></p><p style="text-indent:4.533%;font-size:10.0pt;margin-top:12.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">The Company’s customers are primarily hospitals and surgical centers.</span><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;"> </span><span style="font-size:10.0pt;font-family:"Times New Roman", serif;background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">No</span><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;"> one single customer represented greater than 10 percent of consolidated revenues and accounts receivable for the years presented. </span><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">Credit to customers is granted based on an analysis of the customers’ credit worthiness. Credit losses have not been significant.</span></p>
CY2022	atec	Recognition Of Lease Liability RecognitionOfLeaseLiability	1694000
CY2021	atec	Recognition Of Lease Liability RecognitionOfLeaseLiability	23403000
CY2022	atec	Modification Of Lease Liability For Lease Amendment ModificationOfLeaseLiabilityForLeaseAmendment	4288000
CY2020	atec	Non Cash Or Part Non Cash Common Stock Warrants Issued With Term Loan Draw NonCashOrPartNonCashCommonStockWarrantsIssuedWithTermLoanDraw	2974000
CY2020	atec	Noncash Or Part Noncash Common Stock Issued For Partial Extinguishment Of Debt NoncashOrPartNoncashCommonStockIssuedForPartialExtinguishmentOfDebt	33807000
CY2022	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	1
CY2022	us-gaap	Prior Period Reclassification Adjustment Description PriorPeriodReclassificationAdjustmentDescription	<p style="text-indent:0.0%;font-size:10.0pt;margin-top:18.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:"Times New Roman", serif;font-style:italic;min-width:fit-content;">Reclassification</span></p><p style="text-indent:4.533%;font-size:10.0pt;margin-top:6.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">Certain amounts in the consolidated financial statements for the years ended December 31, 2021 and 2020 have been reclassified to conform to the current year’s presentation. These reclassifications were immaterial and have no impact on previously reported results of operations or accumulated deficit.</span><span style="color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;"> </span></p>
CY2022	us-gaap	Use Of Estimates UseOfEstimates	<p style="text-indent:0.0%;font-size:10.0pt;margin-top:18.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:"Times New Roman", serif;font-style:italic;min-width:fit-content;">Use of Estimates</span></p><p style="text-indent:4.533%;font-size:10.0pt;margin-top:6.0pt;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:"Times New Roman", serif;min-width:fit-content;">The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities, and the reported amounts of revenues and expenses. Actual results could differ from those estimates. Significant items subject to such estimates and assumptions include the useful lives of property and equipment, goodwill, intangible assets, allowances for doubtful accounts, deferred tax assets, inventory, stock-based compensation, revenues, income tax uncertainties, and other contingencies.</span></p>
CY2022	atec	Term Of Payment For Accounts Receivable TermOfPaymentForAccountsReceivable	P30D
CY2022	us-gaap	Inventory Write Down InventoryWriteDown	9800000
CY2021	us-gaap	Inventory Write Down InventoryWriteDown	11100000
CY2020	us-gaap	Inventory Write Down InventoryWriteDown	7000000.0
CY2022Q4	us-gaap	Disposal Group Including Discontinued Operation Inventory1 DisposalGroupIncludingDiscontinuedOperationInventory1	1500000
CY2021Q4	us-gaap	Disposal Group Including Discontinued Operation Inventory1 DisposalGroupIncludingDiscontinuedOperationInventory1	2500000
CY2020Q4	us-gaap	Disposal Group Including Discontinued Operation Inventory1 DisposalGroupIncludingDiscontinuedOperationInventory1	1000000.0
CY2022	atec	Reduction Of Reserve For Inventory Sold Or Disposed ReductionOfReserveForInventorySoldOrDisposed	8200000
CY2021	atec	Reduction Of Reserve For Inventory Sold Or Disposed ReductionOfReserveForInventorySoldOrDisposed	2100000
CY2020	atec	Reduction Of Reserve For Inventory Sold Or Disposed ReductionOfReserveForInventorySoldOrDisposed	1300000
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2021	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2020	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2021	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	0
CY2020	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	0
CY2022	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	0
CY2022	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0
CY2021	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0
CY2021	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0
CY2020	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0
CY2022	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0
CY2020	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0
CY2022	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-152149000
CY2021	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-144326000
CY2020	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-78994000
CY2022	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	103373000
CY2022	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	103373000
CY2021	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	96197000
CY2021	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	96197000
CY2020	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	67020000
CY2022Q4	us-gaap	Inventory Raw Materials InventoryRawMaterials	13928000
CY2021Q4	us-gaap	Inventory Raw Materials InventoryRawMaterials	14671000
CY2020	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	67020000
CY2022	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.47
CY2022	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.47
CY2021	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.50
CY2021	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.50
CY2020	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-1.18
CY2020	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-1.18
CY2022	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	44261000
CY2021	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	49578000
CY2020	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	37077000
CY2022	us-gaap	Goodwill Purchase Accounting Adjustments GoodwillPurchaseAccountingAdjustments	1600000
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedInPeriodFairValue1	3000000.0
CY2022Q4	us-gaap	Inventory Work In Process InventoryWorkInProcess	3032000
CY2021Q4	us-gaap	Inventory Work In Process InventoryWorkInProcess	5712000
CY2022Q4	us-gaap	Inventory Finished Goods InventoryFinishedGoods	84561000
CY2021Q4	us-gaap	Inventory Finished Goods InventoryFinishedGoods	71320000
CY2022Q4	us-gaap	Inventory Net InventoryNet	101521000
CY2021Q4	us-gaap	Inventory Net InventoryNet	91703000
CY2022Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	196246000
CY2021Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	160125000
CY2022Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	94294000
CY2021Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	72724000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	101952000
CY2021Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	87401000
CY2022	us-gaap	Depreciation Depreciation	31000000.0
CY2021	us-gaap	Depreciation Depreciation	20300000
CY2020	us-gaap	Depreciation Depreciation	9200000
CY2021Q4	us-gaap	Goodwill Goodwill	39689000
CY2022	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	1628000
CY2022	us-gaap	Goodwill Foreign Currency Translation Gain Loss GoodwillForeignCurrencyTranslationGainLoss	-1542000
CY2022Q4	us-gaap	Goodwill Goodwill	39775000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	97970000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	23354000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	74616000
CY2022Q4	us-gaap	Intangible Assets Gross Excluding Goodwill IntangibleAssetsGrossExcludingGoodwill	106135000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	23354000
CY2022Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	82781000
CY2021Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	97420000
CY2021Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	13349000
CY2021Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	84071000
CY2021Q4	us-gaap	Intangible Assets Gross Excluding Goodwill IntangibleAssetsGrossExcludingGoodwill	98623000
CY2021Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	13349000
CY2021Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	85274000
CY2021	us-gaap	Finitelived Intangible Assets Acquired1 FinitelivedIntangibleAssetsAcquired1	71500000
CY2022	us-gaap	Adjustment For Amortization AdjustmentForAmortization	10200000
CY2021	us-gaap	Adjustment For Amortization AdjustmentForAmortization	6400000
CY2020	us-gaap	Adjustment For Amortization AdjustmentForAmortization	1800000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	12402000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	12300000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	10811000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	10811000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	8939000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	19353000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	74616000
CY2022Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	19764000
CY2021Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	18449000
CY2022Q4	atec	Accrued Sales Incentives And Milestones Current AccruedSalesIncentivesAndMilestonesCurrent	17444000
CY2021Q4	atec	Accrued Sales Incentives And Milestones Current AccruedSalesIncentivesAndMilestonesCurrent	12420000
CY2022Q4	us-gaap	Settlement Liabilities Current SettlementLiabilitiesCurrent	8345000
CY2021Q4	us-gaap	Settlement Liabilities Current SettlementLiabilitiesCurrent	4290000
CY2022Q4	us-gaap	Accrued Royalties Current AccruedRoyaltiesCurrent	4758000
CY2021Q4	us-gaap	Accrued Royalties Current AccruedRoyaltiesCurrent	3466000
CY2022Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	3968000
CY2021Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	4400000
CY2022Q4	atec	Accrued Inventory In Transit Current AccruedInventoryInTransitCurrent	3548000
CY2021Q4	atec	Accrued Inventory In Transit Current AccruedInventoryInTransitCurrent	2089000
CY2022Q4	atec	Debt Issuance Costs Current DebtIssuanceCostsCurrent	2690000
CY2022Q4	atec	Accrued Administration Fees AccruedAdministrationFees	1912000
CY2021Q4	atec	Accrued Administration Fees AccruedAdministrationFees	1698000
CY2022Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current AccrualForTaxesOtherThanIncomeTaxesCurrent	1955000
CY2021Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current AccrualForTaxesOtherThanIncomeTaxesCurrent	3004000
CY2022Q4	us-gaap	Accrued Professional Fees Current AccruedProfessionalFeesCurrent	1238000
CY2021Q4	us-gaap	Accrued Professional Fees Current AccruedProfessionalFeesCurrent	394000
CY2022Q4	us-gaap	Interest Payable Current InterestPayableCurrent	1122000
CY2021Q4	us-gaap	Interest Payable Current InterestPayableCurrent	1045000
CY2022Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	5638000
CY2021Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	4294000
CY2022Q4	atec	Accrued Liabilities And Other Liabilities Current AccruedLiabilitiesAndOtherLiabilitiesCurrent	72382000
CY2021Q4	atec	Accrued Liabilities And Other Liabilities Current AccruedLiabilitiesAndOtherLiabilitiesCurrent	55549000
CY2022Q4	atec	Royalties Noncurrent RoyaltiesNoncurrent	5739000
CY2021Q4	atec	Royalties Noncurrent RoyaltiesNoncurrent	5833000
CY2021Q4	us-gaap	Litigation Reserve Noncurrent LitigationReserveNoncurrent	3587000
CY2022Q4	us-gaap	Accrued Income Taxes Noncurrent AccruedIncomeTaxesNoncurrent	980000
CY2021Q4	us-gaap	Accrued Income Taxes Noncurrent AccruedIncomeTaxesNoncurrent	1522000
CY2022Q4	us-gaap	Contract With Customer Liability Noncurrent ContractWithCustomerLiabilityNoncurrent	3047000
CY2021Q4	us-gaap	Contract With Customer Liability Noncurrent ContractWithCustomerLiabilityNoncurrent	2897000
CY2022Q4	atec	Long Term Liabilities Other LongTermLiabilitiesOther	1777000
CY2021Q4	atec	Long Term Liabilities Other LongTermLiabilitiesOther	3222000
CY2022Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	11543000
CY2021Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	17061000
CY2022Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	12000000.0
CY2022Q4	us-gaap	Contract With Customer Liability Noncurrent ContractWithCustomerLiabilityNoncurrent	3000000.0
CY2021Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	15300000
CY2021Q4	us-gaap	Contract With Customer Liability Noncurrent ContractWithCustomerLiabilityNoncurrent	2900000
CY2022	atec	Contract With Customer Liability Revenue Recognized Including Opening Balance ContractWithCustomerLiabilityRevenueRecognizedIncludingOpeningBalance	21600000
CY2022Q1	us-gaap	Contract With Customer Liability Revenue Recognized ContractWithCustomerLiabilityRevenueRecognized	12900000
CY2021	us-gaap	Contract With Customer Liability Revenue Recognized ContractWithCustomerLiabilityRevenueRecognized	14600000
CY2020	atec	Change In Contract With Customer Liability ChangeInContractWithCustomerLiability	0
CY2021Q4	us-gaap	Contract With Customer Liability ContractWithCustomerLiability	18151000
CY2022	atec	Contract With Customer Liability Payments Received ContractWithCustomerLiabilityPaymentsReceived	19494000
CY2022	atec	Contract With Customer Liability Revenue Recognized Including Opening Balance ContractWithCustomerLiabilityRevenueRecognizedIncludingOpeningBalance	21581000
CY2022	atec	Contract With Customer Liability Foreign Currency Fluctuation ContractWithCustomerLiabilityForeignCurrencyFluctuation	1061000
CY2022Q4	us-gaap	Contract With Customer Liability ContractWithCustomerLiability	15003000
CY2022Q4	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	371749000
CY2021Q4	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	336090000
CY2022Q4	us-gaap	Debt Instrument Unamortized Discount DebtInstrumentUnamortizedDiscount	7290000
CY2021Q4	us-gaap	Debt Instrument Unamortized Discount DebtInstrumentUnamortizedDiscount	9259000
CY2022Q4	us-gaap	Long Term Debt LongTermDebt	364459000
CY2021Q4	us-gaap	Long Term Debt LongTermDebt	326831000
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	14948000
CY2021Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	342000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	349511000
CY2021Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	326489000
CY2022Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Next Twelve Months LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths	14957000
CY2022Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Two LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo	1731000
CY2022Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Three LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree	1693000
CY2022Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Four LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour	317513000
CY2022Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive	35855000
CY2022Q4	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	371749000
CY2022Q4	us-gaap	Debt Instrument Unamortized Discount DebtInstrumentUnamortizedDiscount	7290000
CY2022Q4	us-gaap	Long Term Debt LongTermDebt	364459000
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	14948000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	349511000
CY2020Q2	us-gaap	Repayments Of Lines Of Credit RepaymentsOfLinesOfCredit	9600000
CY2022	us-gaap	Lessee Operating Lease Description LesseeOperatingLeaseDescription	Any short-term leases defined as twelve months or less or month-to-month leases are excluded and continue to be expensed each month. Total costs associated with these short-term leases is immaterial to all years presented.
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	4937000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	5033000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	5019000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	5080000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	5121000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	13057000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	38247000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	6843000
CY2022Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	31404000
CY2022Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	4842000
CY2022Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	26562000
CY2022Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P7Y8M12D
CY2021Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P8Y7M6D
CY2022Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.055
CY2021Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.085
CY2022	us-gaap	Operating Lease Expense OperatingLeaseExpense	4643000
CY2021	us-gaap	Operating Lease Expense OperatingLeaseExpense	4482000
CY2020	us-gaap	Operating Lease Expense OperatingLeaseExpense	1300000
CY2022	us-gaap	Operating Lease Payments OperatingLeasePayments	4409000
CY2021	us-gaap	Operating Lease Payments OperatingLeasePayments	1795000
CY2021Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	3.50
CY2022	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	378000
CY2020	us-gaap	Operating Lease Payments OperatingLeasePayments	1400000
CY2022	us-gaap	Long Term Purchase Commitment Amount LongTermPurchaseCommitmentAmount	27400000
CY2022Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	3968000
CY2021Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	4400000
CY2021Q4	us-gaap	Litigation Reserve Noncurrent LitigationReserveNoncurrent	3587000
CY2022Q4	us-gaap	Litigation Reserve LitigationReserve	3968000
CY2021Q4	us-gaap	Litigation Reserve LitigationReserve	7987000
CY2022Q4	atec	Litigation Settlement Obligation Future Imputed Interest Amount LitigationSettlementObligationFutureImputedInterestAmount	96000
CY2021Q4	atec	Litigation Settlement Obligation Future Imputed Interest Amount LitigationSettlementObligationFutureImputedInterestAmount	478000
CY2022Q4	atec	Litigation Settlement Obligation Net LitigationSettlementObligationNet	4064000
CY2021Q4	atec	Litigation Settlement Obligation Net LitigationSettlementObligationNet	8465000
CY2022Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	200000000
CY2021Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	200000000
CY2022Q4	us-gaap	Class Of Warrant Or Right Outstanding ClassOfWarrantOrRightOutstanding	15491000
CY2022	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	40556000
CY2021	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	36450000
CY2020	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	17659000
CY2021Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3351000
CY2022	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	2.84
CY2022	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	57000
CY2022	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice	13.83
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	2916000
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	3.38
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P4Y6M29D
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	26783000
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	2916000
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageExercisePrice	3.38
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested And Expected To Vest Outstanding Weighted Average Remaining Contractual Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1	P4Y6M29D
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue	26783000
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber	2849000
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	3.22
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1	P4Y6M3D
CY2022Q4	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	26550000
CY2022	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1 EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1	P1Y9M
CY2021	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	-32000
CY2020	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	12000
CY2022	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	743000
CY2021	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-191000
CY2020	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	10000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	140000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	164000
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	145000
CY2022Q4	us-gaap	Common Stock Capital Shares Reserved For Future Issuance CommonStockCapitalSharesReservedForFutureIssuance	46129000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-146627000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-127943000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-78849000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	-5382000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	-16219000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-152009000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-144162000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	-78849000
CY2022	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-764000
CY2021	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	123000
CY2022	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	-140000
CY2021	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	166000
CY2020	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	100000
CY2022	us-gaap	Current Foreign Tax Expense Benefit CurrentForeignTaxExpenseBenefit	301000
CY2021	us-gaap	Current Foreign Tax Expense Benefit CurrentForeignTaxExpenseBenefit	66000
CY2020	us-gaap	Current Foreign Tax Expense Benefit CurrentForeignTaxExpenseBenefit	35000
CY2022	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-603000
CY2021	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	355000
CY2020	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	135000
CY2022	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	583000
CY2021	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	-159000
CY2020	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	-2000
CY2022	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	160000
CY2022	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.2100
CY2021	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.2100
CY2020	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.2100
CY2022	us-gaap	Effective Income Tax Rate Reconciliation State And Local Income Taxes EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes	0.0003
CY2021	us-gaap	Effective Income Tax Rate Reconciliation State And Local Income Taxes EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes	-0.0007
CY2020	us-gaap	Effective Income Tax Rate Reconciliation State And Local Income Taxes EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes	-0.0011
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost	-0.0179
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost	-0.0048
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost	-0.0093
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential	0.0043
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential	0.0043
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential	0.0000
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Tax Settlements Foreign EffectiveIncomeTaxRateReconciliationTaxSettlementsForeign	-0.0005
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Tax Settlements Foreign EffectiveIncomeTaxRateReconciliationTaxSettlementsForeign	-0.0005
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Tax Settlements Foreign EffectiveIncomeTaxRateReconciliationTaxSettlementsForeign	-0.0004
CY2022	atec	Effective Income Tax Rate Reconciliation Permanent Differences EffectiveIncomeTaxRateReconciliationPermanentDifferences	0.0021
CY2021	atec	Effective Income Tax Rate Reconciliation Permanent Differences EffectiveIncomeTaxRateReconciliationPermanentDifferences	0.0008
CY2020	atec	Effective Income Tax Rate Reconciliation Permanent Differences EffectiveIncomeTaxRateReconciliationPermanentDifferences	-0.0170
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Tax Contingencies EffectiveIncomeTaxRateReconciliationTaxContingencies	0.0003
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Tax Contingencies EffectiveIncomeTaxRateReconciliationTaxContingencies	-0.0008
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Tax Contingencies EffectiveIncomeTaxRateReconciliationTaxContingencies	0.0000
CY2022	atec	Effective Income Tax Rate Reconciliation Expiration Of Tax Attribute EffectiveIncomeTaxRateReconciliationExpirationOfTaxAttribute	-0.0160
CY2021	atec	Effective Income Tax Rate Reconciliation Expiration Of Tax Attribute EffectiveIncomeTaxRateReconciliationExpirationOfTaxAttribute	0.0000
CY2020	atec	Effective Income Tax Rate Reconciliation Expiration Of Tax Attribute EffectiveIncomeTaxRateReconciliationExpirationOfTaxAttribute	0.0000
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Other Adjustments EffectiveIncomeTaxRateReconciliationOtherAdjustments	0.0059
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Other Adjustments EffectiveIncomeTaxRateReconciliationOtherAdjustments	-0.0013
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Other Adjustments EffectiveIncomeTaxRateReconciliationOtherAdjustments	-0.0015
CY2022	us-gaap	Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance	-0.1894
CY2021	us-gaap	Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance	-0.2081
CY2020	us-gaap	Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance	-0.1825
CY2022	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	-0.0009
CY2021	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	-0.0011
CY2020	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	-0.0018
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	146464000
CY2021Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	131734000
CY2022Q4	atec	Deferred Tax Assets Interest DeferredTaxAssetsInterest	12979000
CY2021Q4	atec	Deferred Tax Assets Interest DeferredTaxAssetsInterest	11095000
CY2022Q4	us-gaap	Deferred Tax Assets In Process Research And Development DeferredTaxAssetsInProcessResearchAndDevelopment	12062000
CY2022Q4	us-gaap	Deferred Tax Assets Inventory DeferredTaxAssetsInventory	11298000
CY2021Q4	us-gaap	Deferred Tax Assets Inventory DeferredTaxAssetsInventory	8784000
CY2022Q4	atec	Deferred Tax Assets Tax Deferred Expense Lease Liability DeferredTaxAssetsTaxDeferredExpenseLeaseLiability	7975000
CY2021Q4	atec	Deferred Tax Assets Tax Deferred Expense Lease Liability DeferredTaxAssetsTaxDeferredExpenseLeaseLiability	6216000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost	5786000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost	4318000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals	4292000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals	7145000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Legal Settlements DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsLegalSettlements	2302000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Legal Settlements DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsLegalSettlements	1998000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Credit Carryforwards Foreign DeferredTaxAssetsTaxCreditCarryforwardsForeign	1566000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Credit Carryforwards Foreign DeferredTaxAssetsTaxCreditCarryforwardsForeign	1574000
CY2022Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	204724000
CY2021Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	172864000
CY2022Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	162314000
CY2021Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	127209000
CY2022Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	42410000
CY2021Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	45655000
CY2022Q4	atec	Deferred Tax Liabilities Property And Equipment DeferredTaxLiabilitiesPropertyAndEquipment	19610000
CY2021Q4	atec	Deferred Tax Liabilities Property And Equipment DeferredTaxLiabilitiesPropertyAndEquipment	18404000
CY2022Q4	atec	Deferred Tax Liabilities Goodwill And Intangibles DeferredTaxLiabilitiesGoodwillAndIntangibles	15518000
CY2021Q4	atec	Deferred Tax Liabilities Goodwill And Intangibles DeferredTaxLiabilitiesGoodwillAndIntangibles	18439000
CY2022Q4	atec	Deferred Tax Liabilities Right Of Use Assets DeferredTaxLiabilitiesRightOfUseAssets	7250000
CY2021Q4	atec	Deferred Tax Liabilities Right Of Use Assets DeferredTaxLiabilitiesRightOfUseAssets	6256000
CY2022Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	42378000
CY2021Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	43099000
CY2022Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	32000
CY2021Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	2556000
CY2022Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	162300000
CY2022	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	35100000
CY2021	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	39700000
CY2020	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	14400000
CY2022	atec	Number Of Period Cumulative Pretax Loss NumberOfPeriodCumulativePretaxLoss	P3Y
CY2021Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	15165000
CY2020Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	2452000
CY2019Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	2452000
CY2021	us-gaap	Unrecognized Tax Benefits Increases Resulting From Acquisition UnrecognizedTaxBenefitsIncreasesResultingFromAcquisition	12713000
CY2020	us-gaap	Unrecognized Tax Benefits Increases Resulting From Acquisition UnrecognizedTaxBenefitsIncreasesResultingFromAcquisition	0
CY2022	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	8929000
CY2022	us-gaap	Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions	173000
CY2022	us-gaap	Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations	330000
CY2022Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	6079000
CY2021Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	15165000
CY2020Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	2452000
CY2022Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	5600000
CY2021Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	14500000
CY2020Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	2000000.0
CY2022Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	40000.00
CY2021Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	200000
CY2020Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	0
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Domestic DeferredTaxAssetsOperatingLossCarryforwardsDomestic	487900000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards State And Local DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal	375500000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	112900000
CY2018	atec	Deferred Tax Assets Operating Loss Carryforwards Expiration Year DeferredTaxAssetsOperatingLossCarryforwardsExpirationYear	2042
CY2022Q4	atec	Deferred Tax Assets Tax Credit Carryforwards Research State DeferredTaxAssetsTaxCreditCarryforwardsResearchState	3200000
CY2022	atec	Cumulative Change In Ownership Percentage CumulativeChangeInOwnershipPercentage	0.50
CY2022	atec	Period For Cumulative Change In Ownership PeriodForCumulativeChangeInOwnership	P3Y
CY2022	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	1
CY2022	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	350867000
CY2021	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	243212000
CY2020	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	144861000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	101952000
CY2021Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	87401000

Files In Submission

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$ATEC
Alphatec Holdings, Inc. Stock $atec

2023 Q1 Form 10-K Financial Statement

#000095017023005175 Filed on February 28, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ATEC Alphatec Holdings, Inc. Stock $atec

2023 Q1 Form 10-K Financial Statement

#000095017023005175 Filed on February 28, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ATEC
Alphatec Holdings, Inc. Stock $atec