Alphatec Holdings Inc logo

Alphatec Holdings Inc(ATEC)

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EXPLORE ADVISORIES AND THEIR HISTORY
QUALITY SIGNAL RECENCY
1-STAR RATING
SELL
SELL for 4 days
PROFIT SINCE LAST BUY
-31.98% ▼
LAST CLOSE
$8.28
11/04/2026
(24-hour delay)

Advisory History & Simulated Performance *

*as per simulation (see disclosures)
  • ALL
  • 1Y
  • 1M
  • 1W
  • BUY Advisory
  • SELL Advisory (Profit)
  • SELL Advisory (Loss)
  • Profit
  • Loss
  • PASS (Skip)
Upturn Stock price based on last close iconStock price based on last close
Simulated performance—not actual client returns. Excludes advisory subscription fees, trading commissions, and taxes, which would reduce returns. Results depend on calculation assumptions and do not guarantee future outcomes. See Disclosures for full methodology, assumptions, and limitations.

Advisory Performance History (Simulated)Advisory Performance History info

Simulated performance—not actual client returns. Excludes advisory subscription fees, trading commissions, and taxes, which would reduce returns. Results depend on calculation assumptions and do not guarantee future outcomes. See Disclosures for full methodology, assumptions, and limitations.

Upturn Advisory & Investor View for ATEC

11/04/2026: ATEC (1-star) is a SELL. SELL for 4 days. Simulated Profits (-31.98%). Updated daily EoD!

Alphatec Holdings is a high-growth medical technology company specialized in advanced spinal surgery solutions. The firm differentiates itself from large incumbents through a 'total solution' approach, integrating proprietary implants with robotics, navigation, and neuromonitoring technology to improve surgical outcomes. Key strengths include a rapidly scaling commercial organization and strong surgeon adoption of its differentiated platforms. However, the company faces significant execution risks and competition from well-capitalized medical device leaders, and it has not yet achieved consistent profitability. Investors should monitor the progress toward positive cash flow and market share gains, making this stock a potential fit for growth-oriented portfolios willing to accept higher volatility.

How to Read the Upturn Advisory

The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.

Company fundamentals, valuation, risks, and news provide supporting context about the business.

Investor Fit

Investor styleFitWhy
Growth investorStrong fitAlphatec is in a high-growth phase with significant market share expansion potential.
Momentum investorStrong fit while signal remains positiveThe stock often tracks with strong revenue growth execution and market adoption cycles.
Value investorWeak fitThe company is not currently focused on profitability or valuation metrics typical of value plays.
Dividend investorWeak fitThe company does not pay dividends and retains all cash for growth.
Low-risk investorWeak fitHigh volatility and the execution risks inherent in a growth-stage medical device company make it unsuitable for conservative portfolios.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityHighHigh growth expectations can lead to significant stock price swings based on quarterly performance.
Valuation riskMedium / highGrowth stocks are highly sensitive to changes in interest rates and investor sentiment toward future earnings.
Competition risk (Major MedTech)HighThe company competes with massive, well-resourced incumbents like Medtronic and Stryker.
Business qualityMediumWhile the product pipeline is strong, the company is still establishing the scale and consistency of a market leader.
Dividend incomeLow / noneNo income component exists for shareholders.
Execution riskHighSuccessful growth depends entirely on continuous surgeon adoption and operational scaling.

Price Behavior

Downtrend
PRICE PATH

Downtrend

The stock has experienced a sustained decline in price over recent periods.

Extreme Price Shocks
PRICE STABILITY

Extreme Price Shocks

The stock has experienced exceptionally large and disruptive price movements during the period.

Analysis of Past Performance

Type Stock
Historic Profit -38.33%
Avg. Invested days 31
Today’s Advisory SELL
Upturn Advisory Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 2.0
Stock Returns Performance Upturn Returns Performance icon 1.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 11/04/2026

Upturn Scorecard

Upturn Star Rating

★★★★★
ATEC receives a 3-star rating, supported by solid company fundamentals, and solid analyst coverage. The rating is constrained by soft unit economics, and weak price momentum.

Company Fundamentals

★★★★★
ATEC has solid overall fundamentals (4 stars), with moderate financial health, solid growth momentum, and strong ownership. In FY2025 versus FY2024, solid earnings growth (+11.6%) and solid revenue growth (+25.0%) are partially offset by soft cash generation (FCF margin 0.4%), weak profitability (net margin -18.8%).

Financial Health Rating

★★★★★
ATEC's financial health is supported by solid liquidity, including working-capital and asset support (WC/assets 29.3%). Profitability is soft (2 stars), which helps explain the 3-star overall score.

Growth Momentum Score

★★★★★
Free-cash-flow growth is ATEC's strongest growth driver at +102.0% FY2025 versus FY2024 (strong, 5 stars). Revenue growth (+25.0%, solid) and earnings growth (+11.6%, solid) are also constructive, though not equally high across every growth measure.

Ownership

★★★★★
Institutional ownership is 75.2% and approximately 80.1% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership of 20.54% supports management-shareholder alignment.

Top 5 Institutional Investors

BlackRock Inc 7.33%
BRAIDWELL LP 4.23%
American Century Companies Inc 4.22%
Vanguard Capital Management, LLC 3.32%
BNP Paribas Investment Partners SA 2.29%

Unit Economics (Per $1K Revenue)

★★★★★
ATEC generates approximately $696 of gross profit, $-107 of operating income, and $4 of free cash flow for every $1,000 of revenue. Based on FY2025 results. Operating losses explain the 2-star rating, with weak cash conversion and weak capital efficiency.

Economic Dimensions

★★★★★
Effective Tax Rate: 0.03%

Quantitative Style Profile

★★★★★
ATEC has a liquid profile. Weak momentum is the primary drawback, while valuation that is moderately attractive rather than deeply discounted.

Style Classification

Quality Focused

Small / Mid Cap RiskShort Squeeze RiskHighly Liquid / Institution-Friendly

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 1.27B USD
Price to earnings Ratio -
1Y Target Price 13.29
Price to earnings Ratio -
1Y Target Price 13.29
Volume (30-day avg) 4.1M shares
Beta 0.87
52 Weeks Range 6.81 - 23.29
Updated Date 11/04/2026
52 Weeks Range 6.81 - 23.29
Updated Date 11/04/2026
Dividends yield (FY) -
Basic EPS (TTM) -0.57

How Company Makes Money

Business areaWhat it includesRetail investor read
Spinal ImplantsHardware, screws, and interbody devices for fusion surgery.The bread-and-butter revenue stream from daily surgical procedures.
Surgical TechnologiesNavigation, robotics, and neuromonitoring services.Higher-margin tech that makes surgeons more likely to choose ATEC products.

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 2026-10-29
When After Market
Estimate -0.07
Actual 0.04

Profitability

Profit Margin -10.35%
Operating Margin (TTM) 1.74%

Management Effectiveness

Return on Assets (TTM) -2.02%
Return on Equity (TTM) -308.06%

Valuation

Trailing PE -
Forward PE 13.23
Enterprise Value 1.66B
Price to Sales(TTM) 1.51
Enterprise Value 1.66B
Price to Sales(TTM) 1.51
Enterprise Value to Revenue 1.98
Enterprise Value to EBITDA 40.17
Shares Outstanding 153.33M
Shares Floating 122.75M
Shares Outstanding 153.33M
Shares Floating 122.75M
Percent Insiders 20.54
Percent Institutions 75.25

Financial Metrics

🧭 Investment Snapshot

Total Revenue (Scale)

Information icon Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.

Net Income (Profit)

Information icon Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.

Free Cash Flow (Cash Strength)

Information icon Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.

📈 Growth & Strength

Operating Income (Core Profit)

Information icon Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.

EBITDA (Cash Earnings)

Information icon Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.

Gross Profit (Unit Profitability)

Information icon Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.

🛡️ Financial Safety

Cash (Liquidity Buffer)

Information icon Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.

Total Debt (Leverage Risk)

Information icon Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.

Net Working Capital (Short-Term Health)

Information icon Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.

🧱 Balance Sheet Strength

Stockholder Equity (Net Worth)

Information icon Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.

Total Assets (Asset Base)

Information icon The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.

Income Before Tax (Pre-Tax Earnings)

Information icon Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.

⚙️ Cost & Drag Factors

Cost of Revenue (Production Cost)

Information icon Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.

Total Operating Expenses (Operating Cost)

Information icon Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.

Income Tax Expense (Tax Drag)

Information icon Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.

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