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Side-by-side financial comparison of Alphatec Holdings, Inc. (ATEC) and COMMUNITY FINANCIAL SYSTEM, INC. (CBU). Click either name above to swap in a different company.

COMMUNITY FINANCIAL SYSTEM, INC. is the larger business by last-quarter revenue ($214.5M vs $212.9M, roughly 1.0× Alphatec Holdings, Inc.). COMMUNITY FINANCIAL SYSTEM, INC. runs the higher net margin — 26.7% vs -10.2%, a 36.9% gap on every dollar of revenue. On growth, Alphatec Holdings, Inc. posted the faster year-over-year revenue change (20.4% vs 8.7%). Over the past eight quarters, Alphatec Holdings, Inc.'s revenue compounded faster (24.0% CAGR vs 7.9%).

Alphatec Holdings, Inc. is a global medical technology company specializing in spinal surgery solutions. It designs, develops and markets spinal implants, surgical instruments and digital surgery platforms for orthopedic and neurosurgical procedures, serving providers across North America, Europe and core Asia-Pacific markets, addressing degeneration, deformity and trauma spinal pathologies.

Community Health Systems (CHS) is a Fortune 500 company based in Franklin, Tennessee. It was the largest provider of general hospital healthcare services in the United States in terms of number of acute care facilities. In 2014, CHS had around 200 hospitals, but the number had declined to around 85 in 2021.

ATEC vs CBU — Head-to-Head

Bigger by revenue
CBU
CBU
1.0× larger
CBU
$214.5M
$212.9M
ATEC
Growing faster (revenue YoY)
ATEC
ATEC
+11.7% gap
ATEC
20.4%
8.7%
CBU
Higher net margin
CBU
CBU
36.9% more per $
CBU
26.7%
-10.2%
ATEC
Faster 2-yr revenue CAGR
ATEC
ATEC
Annualised
ATEC
24.0%
7.9%
CBU

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ATEC
ATEC
CBU
CBU
Revenue
$212.9M
$214.5M
Net Profit
$-21.7M
$57.2M
Gross Margin
70.2%
Operating Margin
-4.1%
Net Margin
-10.2%
26.7%
Revenue YoY
20.4%
8.7%
Net Profit YoY
34.8%
15.3%
EPS (diluted)
$-0.15
$1.15

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ATEC
ATEC
CBU
CBU
Q1 26
$214.5M
Q4 25
$212.9M
$217.0M
Q3 25
$196.5M
$208.1M
Q2 25
$185.5M
$200.5M
Q1 25
$169.2M
$197.3M
Q4 24
$176.8M
$197.4M
Q3 24
$150.7M
$190.3M
Q2 24
$145.6M
$184.3M
Net Profit
ATEC
ATEC
CBU
CBU
Q1 26
$57.2M
Q4 25
$-21.7M
$54.4M
Q3 25
$-28.6M
$55.1M
Q2 25
$-41.1M
$51.3M
Q1 25
$-51.9M
$49.6M
Q4 24
$-33.3M
$49.8M
Q3 24
$-39.6M
$43.9M
Q2 24
$-40.7M
$47.9M
Gross Margin
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
70.2%
Q3 25
69.9%
Q2 25
69.6%
Q1 25
68.6%
Q4 24
68.8%
Q3 24
68.2%
Q2 24
70.5%
Operating Margin
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
-4.1%
33.1%
Q3 25
-8.1%
35.2%
Q2 25
-7.1%
32.9%
Q1 25
-26.2%
32.6%
Q4 24
-13.5%
32.7%
Q3 24
-22.4%
30.0%
Q2 24
-24.3%
33.7%
Net Margin
ATEC
ATEC
CBU
CBU
Q1 26
26.7%
Q4 25
-10.2%
25.1%
Q3 25
-14.5%
26.5%
Q2 25
-22.2%
25.6%
Q1 25
-30.7%
25.1%
Q4 24
-18.9%
25.2%
Q3 24
-26.3%
23.1%
Q2 24
-27.9%
26.0%
EPS (diluted)
ATEC
ATEC
CBU
CBU
Q1 26
$1.15
Q4 25
$-0.15
$1.03
Q3 25
$-0.19
$1.04
Q2 25
$-0.27
$0.97
Q1 25
$-0.35
$0.93
Q4 24
$-0.22
$0.94
Q3 24
$-0.28
$0.83
Q2 24
$-0.29
$0.91

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ATEC
ATEC
CBU
CBU
Cash + ST InvestmentsLiquidity on hand
$160.8M
$572.2M
Total DebtLower is stronger
$565.9M
Stockholders' EquityBook value
$12.4M
$2.0B
Total Assets
$791.2M
$17.5B
Debt / EquityLower = less leverage
45.54×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ATEC
ATEC
CBU
CBU
Q1 26
$572.2M
Q4 25
$160.8M
$301.8M
Q3 25
$155.7M
$245.2M
Q2 25
$157.1M
$237.2M
Q1 25
$153.2M
$518.0M
Q4 24
$138.8M
$197.0M
Q3 24
$81.0M
$346.1M
Q2 24
$99.8M
$201.5M
Total Debt
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
$565.9M
Q3 25
$559.7M
Q2 25
$553.9M
Q1 25
$548.4M
Q4 24
$576.2M
$990.2M
Q3 24
$527.7M
Q2 24
$519.2M
Stockholders' Equity
ATEC
ATEC
CBU
CBU
Q1 26
$2.0B
Q4 25
$12.4M
$2.0B
Q3 25
$11.5M
$1.9B
Q2 25
$23.8M
$1.9B
Q1 25
$-85.9M
$1.8B
Q4 24
$-14.2M
$1.8B
Q3 24
$-1.4M
$1.8B
Q2 24
$17.1M
$1.7B
Total Assets
ATEC
ATEC
CBU
CBU
Q1 26
$17.5B
Q4 25
$791.2M
$17.3B
Q3 25
$787.2M
$17.0B
Q2 25
$790.3M
$16.7B
Q1 25
$785.5M
$16.8B
Q4 24
$775.7M
$16.4B
Q3 24
$745.9M
$16.4B
Q2 24
$768.6M
$15.9B
Debt / Equity
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
45.54×
Q3 25
48.64×
Q2 25
23.30×
Q1 25
Q4 24
0.56×
Q3 24
Q2 24
30.34×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ATEC
ATEC
CBU
CBU
Operating Cash FlowLast quarter
$20.7M
Free Cash FlowOCF − Capex
$7.7M
FCF MarginFCF / Revenue
3.6%
Capex IntensityCapex / Revenue
6.1%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$2.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
$20.7M
$301.9M
Q3 25
$14.0M
$101.1M
Q2 25
$15.5M
$53.7M
Q1 25
$-5.0M
$62.5M
Q4 24
$10.5M
$242.3M
Q3 24
$-5.3M
$56.9M
Q2 24
$-11.4M
$39.8M
Free Cash Flow
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
$7.7M
$233.3M
Q3 25
$4.8M
$83.4M
Q2 25
$5.2M
$36.4M
Q1 25
$-15.0M
$52.0M
Q4 24
$8.5M
$221.6M
Q3 24
$-21.2M
$51.9M
Q2 24
$-45.5M
$33.8M
FCF Margin
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
3.6%
107.5%
Q3 25
2.4%
40.1%
Q2 25
2.8%
18.1%
Q1 25
-8.9%
26.3%
Q4 24
4.8%
112.2%
Q3 24
-14.1%
27.3%
Q2 24
-31.3%
18.3%
Capex Intensity
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
6.1%
31.6%
Q3 25
4.7%
8.5%
Q2 25
5.6%
8.6%
Q1 25
5.9%
5.3%
Q4 24
1.1%
10.5%
Q3 24
10.5%
2.6%
Q2 24
23.4%
3.3%
Cash Conversion
ATEC
ATEC
CBU
CBU
Q1 26
Q4 25
5.55×
Q3 25
1.84×
Q2 25
1.05×
Q1 25
1.26×
Q4 24
4.87×
Q3 24
1.30×
Q2 24
0.83×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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