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Alphatec Holdings Inc (ATEC)

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Upturn Advisory Summary
02/20/2026: ATEC (1-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $24.62
1 Year Target Price $24.62
| 4 | Strong Buy |
| 5 | Buy |
| 1 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.93B USD | Price to earnings Ratio - | 1Y Target Price 24.62 |
Price to earnings Ratio - | 1Y Target Price 24.62 | ||
Volume (30-day avg) 10 | Beta 1.01 | 52 Weeks Range 8.81 - 23.29 | Updated Date 02/20/2026 |
52 Weeks Range 8.81 - 23.29 | Updated Date 02/20/2026 | ||
Dividends yield (FY) - | Basic EPS (TTM) -1.04 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date 2026-02-24 | When - | Estimate 0.0375 | Actual - |
Profitability
Profit Margin -21.29% | Operating Margin (TTM) -4.79% |
Management Effectiveness
Return on Assets (TTM) -6% | Return on Equity (TTM) -540.41% |
Valuation
Trailing PE - | Forward PE 106.38 | Enterprise Value 2420042471 | Price to Sales(TTM) 2.65 |
Enterprise Value 2420042471 | Price to Sales(TTM) 2.65 | ||
Enterprise Value to Revenue 3.32 | Enterprise Value to EBITDA -18.89 | Shares Outstanding 148550185 | Shares Floating 117176386 |
Shares Outstanding 148550185 | Shares Floating 117176386 | ||
Percent Insiders 21.26 | Percent Institutions 82.99 |
Upturn AI SWOT
Alphatec Holdings Inc

Company Overview
History and Background
Alphatec Holdings Inc. (ATEC) was founded in 1995 and has evolved to become a global medical device company focused on spine surgery. Initially, the company faced challenges and underwent significant restructuring. A pivotal moment was the appointment of a new leadership team in the late 2010s, which steered the company towards a more focused strategy centered on innovation and surgeon engagement in the orthopedic spine market. The company has since concentrated on developing and marketing advanced surgical technologies and implants.
Core Business Areas
- Spine Surgery Solutions: Alphatec Holdings Inc. designs, develops, and markets a comprehensive range of products for spine fusion procedures. This includes implants, instruments, and biologics aimed at improving patient outcomes and surgeon efficiency in treating spinal deformities, degenerative conditions, and trauma. The company focuses on innovative technologies to address unmet clinical needs in spinal surgery.
Leadership and Structure
Alphatec Holdings Inc. is led by a management team with extensive experience in the medical device industry. The organizational structure is designed to support research and development, manufacturing, sales, and marketing of its spine surgery products. The company operates globally, with a significant presence in North America and expanding reach internationally.
Top Products and Market Share
Key Offerings
- Pinnacleu00ae Pedicle Screw System: A versatile and robust pedicle screw system designed for spinal fusion procedures, offering surgeons a range of implant options and instrumentation for complex cases. Competitors include Medtronic (Solerau00ae Pedicle Screw System), NuVasive (Simplifyu00ae Posterior Stabilization System), and Stryker (Xiau2122 Spinal System). Specific market share for this product is not publicly disclosed, but it is a core component of ATEC's revenue in the pedicle screw market segment.
- Arsenalu00ae Degenerative System: A comprehensive system for degenerative spine procedures, providing implants and instrumentation for various fusion techniques. Competitors include established players like DePuy Synthes (Expediteu00ae VA Spinal System) and Zimmer Biomet (Viperu00ae 2 Spinal System).
- AVIDu00ae Anterior Cervical Interbody System: Designed for anterior cervical discectomy and fusion (ACDF) procedures, this system offers implants for restoring disc height and promoting fusion. Key competitors in the cervical interbody market include Globus Medical (RISEu2122 Anterior Cervical Plate System) and Camber Spine Technologies (SPIRAu00ae ART L system).
- eosu00ae Imaging System: While not a direct implant product, ATEC has access to advanced imaging technologies through strategic partnerships or acquisitions, which can complement its surgical offerings. This area is competitive with companies like GE Healthcare and Siemens Healthineers.
Market Dynamics
Industry Overview
The global spine surgery market is characterized by continuous innovation, an aging population, and a growing prevalence of spinal conditions. It's a highly competitive landscape with established multinational corporations and agile smaller players vying for market share. The market is driven by the demand for minimally invasive techniques, biologics, and robotic-assisted surgery.
Positioning
Alphatec Holdings Inc. positions itself as an innovator focused on providing differentiated solutions for spine surgeons. Its competitive advantages lie in its commitment to surgeon input in product development, a comprehensive portfolio addressing various spinal pathologies, and a growing sales force focused on establishing strong surgeon relationships. The company aims to be a disruptive force by offering advanced technologies and a streamlined approach to spine care.
Total Addressable Market (TAM)
The global spine surgery market is substantial, with estimates often ranging from $10 billion to over $15 billion annually and projected to grow at a CAGR of 4-6%. Alphatec Holdings Inc., as a focused player, aims to capture a significant share of this market by concentrating on its core competencies and expanding its product offerings and geographic reach. The company's positioning is within the reconstructive and degenerative spine segments, which represent a large portion of the TAM.
Upturn SWOT Analysis
Strengths
- Strong focus on surgeon-centric innovation and product development.
- Comprehensive portfolio of implants and instrumentation for spine fusion.
- Growing sales force and established surgeon relationships.
- Commitment to addressing unmet clinical needs in spinal surgery.
- Agile organizational structure allowing for rapid product development.
Weaknesses
- Smaller market share compared to larger, more established competitors.
- Reliance on a concentrated product line within spine surgery.
- Potential for cash flow volatility given R&D and market expansion costs.
- Brand recognition may not be as strong as industry giants.
Opportunities
- Expansion into international markets with high growth potential.
- Development and adoption of next-generation technologies (e.g., biologics, robotics).
- Strategic partnerships or acquisitions to broaden product portfolio or market access.
- Increasing demand for minimally invasive spine surgery solutions.
- Leveraging data analytics to improve surgical outcomes and physician engagement.
Threats
- Intense competition from large, well-capitalized medical device companies.
- Reimbursement pressures and changes in healthcare policies.
- Product recalls or adverse events impacting reputation and sales.
- Technological obsolescence and the need for continuous innovation.
- Disruption from new entrants or alternative treatment modalities.
Competitors and Market Share
Key Competitors
- Medtronic plc (MDT)
- NuVasive, Inc. (NUVA)
- Stryker Corporation (SYK)
- Zimmer Biomet Holdings, Inc. (ZBH)
- DePuy Synthes (part of Johnson & Johnson)
Competitive Landscape
Alphatec Holdings Inc. operates in a highly competitive environment dominated by large, diversified medical device companies with substantial resources. ATEC's advantage lies in its specialized focus on spine, its agility in product development, and its strong surgeon relationships. However, its disadvantages include smaller scale, brand recognition, and potentially less diversified revenue streams compared to its larger rivals.
Growth Trajectory and Initiatives
Historical Growth: Alphatec Holdings Inc. has shown a strong upward trend in revenue over the past several years, indicating successful market penetration and product adoption. The company has been executing a strategic plan to expand its product offerings and sales channels, leading to consistent top-line growth.
Future Projections: Analyst projections for Alphatec Holdings Inc. generally indicate continued revenue growth, driven by its expanding product portfolio and increasing market presence. Expectations are for further narrowing of net losses and a move towards profitability in the coming years, though specific timelines can vary. Growth is expected to be fueled by new product launches and expanding surgeon adoption.
Recent Initiatives: Recent initiatives include the launch of new product lines in key segments of spine surgery, expansion of the sales team to increase market reach, and a continued focus on surgeon training and education to promote the adoption of its technologies. The company has also been investing in its manufacturing capabilities and supply chain to support growth.
Summary
Alphatec Holdings Inc. is a growing medical device company focused on spine surgery, demonstrating strong revenue growth and improving gross margins. Its surgeon-centric innovation approach and comprehensive product portfolio are key strengths. However, it faces intense competition from larger players and continues to work towards profitability. Continued investment in R&D and market expansion, alongside managing operational costs, will be crucial for its future success.
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Sources and Disclaimers
Data Sources:
- Company Investor Relations Filings (SEC)
- Industry Market Research Reports
- Financial News and Analysis Websites
- Company Press Releases
Disclaimers:
This analysis is based on publicly available information and is for informational purposes only. It does not constitute investment advice. Financial data and market share estimates are subject to change and may not be precise. Investors should conduct their own due diligence before making any investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Alphatec Holdings Inc
Exchange NASDAQ | Headquaters Carlsbad, CA, United States | ||
IPO Launch date 2006-06-02 | Executive Chairman, CEO & President Mr. Patrick S. Miles | ||
Sector Healthcare | Industry Medical Devices | Full time employees 867 | Website https://www.atecspine.com |
Full time employees 867 | Website https://www.atecspine.com | ||
Alphatec Holdings, Inc., a medical technology company, designs, develops, and advances technologies for the surgical treatment of spinal disorders in the United States and internationally. The company manufactures and sells implants and instruments. It offers Alpha InformatiX product platform, including EOS imaging system that provides full-body imaging; VEA alignment mobile application; SafeOp Neural InformatiX System that automates electromyographic, somatosensory evoked potential, and motor evoked potential monitoring; and Valence, an intra-operative system that integrates navigation and robotics into spine procedures, as well as Sigma Prone TransPsoas (PTP) Access and PTP Patient Positioning Systems. It also provides split-blade retractors; Sigma-ALIF Access System, a procedure-specific access system; spinal implants and fixation systems comprising NanoTec and Invictus, as well as various standalone implants for height restoration and stabilization. In addition, the company provides biologics comprising 3D ProFuse Osteoconductive Bioscaffold; AlphaGRAFT Demineralized Bone Matrix (DBM) comprising demineralized human tissues; BioCORE Moldable Bioactive Graft, a synthetic mineral-collagen composite matrix that can be molded to fit the bone defect; AlphaGRAFT DBM Fibers comprising demineralized fibers; AlphaGRAFT Cellular Bone Matrix (CBM), a growth factor-enriched cellular bone matrix; AlphaGRAFT CBM that is delivered in granular, fiber, or structural form; and Amnioshield Amniotic Tissue Barrier, an allograft for spinal surgical barrier applications. The company sells its products through a network of independent sales agents and direct sales representatives. Alphatec Holdings, Inc. was founded in 1990 and is headquartered in Carlsbad, California.

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