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Alphatec Holdings Inc(ATEC)

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EXPLORE ADVISORIES AND THEIR HISTORY
QUALITY SIGNAL RECENCY
1-STAR RATING
Consider higher Upturn Star rating
BUY for 46 days
PROFIT SINCE LAST BUY
-0.97% ▼
LAST CLOSE
$10.25
10/07/2026
(24-hour delay)

Advisory History & Simulated Performance *

*as per simulation (see disclosures)
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Upturn Stock price based on last close iconStock price based on last close
Simulated performance—not actual client returns. Results depend on calculation assumptions and do not guarantee future outcomes. See Disclosures for methodology, assumptions, and limitations.

Advisory Performance History (Simulated)Advisory Performance History info

Simulated performance—not actual client returns. Results depend on calculation assumptions and do not guarantee future outcomes. See Disclosures for methodology, assumptions, and limitations.

Upturn Advisory & Investor View for ATEC

10/07/2026: ATEC (1-star) has a low Upturn Star Rating. Not recommended to BUY.

Alphatec Holdings Inc is a high-growth medical device company focused on the spinal surgery market, distinguishing itself through an integrated portfolio of specialized implants and imaging technologies. The company is in an active phase of expansion, supported by the successful integration of its EOS imaging platform and a surgeon-led, innovation-focused business model. While it has demonstrated impressive revenue growth and market share gains, it faces significant risks including ongoing financial losses, intense competition from well-capitalized incumbents, and high execution requirements. It is a potential fit for growth-oriented investors who can tolerate volatility and are monitoring the company's path toward long-term profitability. Investors should closely track procedural volume trends and margin expansion progress.

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 fitThe company is in an aggressive growth phase with high top-line expansion potential.
Momentum investorStrong fit while signal remains positiveFrequent product launches and market share gains can drive momentum, conditional on positive price trends.
Value investorWeak fitThe company lacks current profitability and trades based on future growth expectations rather than current asset value.
Dividend investorWeak fitAlphatec focuses on reinvesting cash flow and does not pay a dividend.
Low-risk investorWeak fitThe company's developmental stage and high volatility make it unsuitable for risk-averse portfolios.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityHighThe stock price is susceptible to large swings based on quarterly growth metrics and market sentiment.
Valuation riskMedium / highThe company is priced for perfection, and any slowdown in growth could lead to valuation compression.
Competition risk (Spinal medical device majors)HighLarge, established players have significantly more resources and deep-rooted hospital relationships.
Business qualityMediumWhile the technology is innovative, the company is still in the process of building long-term sustainable margins.
Dividend incomeLow / noneInvestors should expect zero income generation from this holding.
Execution riskMedium / highSuccess relies heavily on the continued effective training of surgeons and the clinical adoption of its specific product portfolio.

Price Behavior

Steep Decline
PRICE PATH

Steep Decline

The stock price has dropped sharply with strong downward pressure.

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 -10.22%
Avg. Invested days 30
Today’s Advisory Consider higher Upturn Star rating
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 10/07/2026

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 75.7% and approximately 79.0% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership of 20.59% supports management-shareholder alignment.

Top 5 Institutional Investors

Vanguard Fiduciary Trust Co 0.55%

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, relatively low-volatility profile. Weak momentum is the primary drawback, while valuation that is moderately attractive rather than deeply discounted.

Style Classification

Quality Focused

Low VolatilitySmall / Mid Cap RiskShort Squeeze RiskHighly Liquid / Institution-Friendly

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 1.58B USD
Price to earnings Ratio -
1Y Target Price 15.79
Price to earnings Ratio -
1Y Target Price 15.79
Volume (30-day avg) 2.2M shares
Beta 0.78
52 Weeks Range 6.82 - 23.29
Updated Date 10/07/2026
52 Weeks Range 6.82 - 23.29
Updated Date 10/07/2026
Dividends yield (FY) -
Basic EPS (TTM) -0.72

How Company Makes Money

Business areaWhat it includesRetail investor read
Spinal Implants and InstrumentsRevenue from the sale of fusion and fixation hardware used in spine surgeries.The company generates its primary revenue from selling the actual hardware surgeons use during spinal operations.
EOS Imaging and TechnologyRevenue from the installation, service, and maintenance of the EOS imaging platform.Revenue comes from high-tech surgical imaging systems that help doctors plan better, more precise surgeries.

Analyzing Revenue: Products, Geography and Growth

Revenue by Products

Product revenue - Year on Year

Revenue by Geography

Geography revenue - Year on Year

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Valuation

Trailing PE -
Forward PE 18.55
Enterprise Value 2.03B
Price to Sales(TTM) 1.94
Enterprise Value 2.03B
Price to Sales(TTM) 1.94
Enterprise Value to Revenue 2.49
Enterprise Value to EBITDA 96.05
Shares Outstanding 154.45M
Shares Floating 122.06M
Shares Outstanding 154.45M
Shares Floating 122.06M
Percent Insiders 20.59
Percent Institutions 75.71

Icon representing Upturn AI-generated SWOT analysis summary Upturn AI Summary

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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.

About Alphatec Holdings Inc

Exchange NASDAQ
Headquarters Carlsbad, CA, United States
IPO Launch date 2006-06-02
Chairman, CEO & President Mr. Patrick S. Miles
Sector Healthcare
Industry Medical Devices
Full time employees 913
Full time employees 913

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, instruments, imaging equipment, and spare parts. It offers Alpha InformatiX product platform, including EOS imaging system that provides full-body imaging; 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 tissue; 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. The company was founded in 1990 and is headquartered in Carlsbad, California.

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