Alphatec Holdings, Inc.

NasdaqGS:ATEC Stock Report

Market Cap: US$1.2b

Alphatec Holdings Past Earnings Performance

Past criteria checks 0/6

Alphatec Holdings's earnings have been declining at an average annual rate of -4.8%, while the Medical Equipment industry saw earnings growing at 13.6% annually. Revenues have been growing at an average rate of 27.6% per year.

Key information

-4.82%

Earnings growth rate

7.06%

EPS growth rate

Medical Equipment Industry Growth8.90%
Revenue growth rate27.60%
Return on equity-686.66%
Net Margin-15.93%
Last Earnings Update31 Mar 2026

Recent past performance updates

Recent updates

Seeking Alpha May 19

Alphatec - Slower Growth Seems Priced In Here

Summary Alphatec Holdings shares have dropped two-thirds YTD, now trading at just over 2x sales, reflecting sharply decelerating growth and persistent losses. Q1 2026 revenue grew only 14% to $192.1M, prompting a slight full-year sales guidance cut; adjusted EBITDA margins improved but remain heavily adjusted. Despite a $466M net debt load and ongoing dilution, Alphatec demonstrates real operating leverage, with manageable losses and a credible path toward profitability. Slowing topline growth and elusive margins temper enthusiasm, but current valuation appears compelling versus medtech peers, making Alphatec a speculative yet interesting play. Read the full article on Seeking Alpha
Narrative Update May 14

ATEC: 2026 Surgical Revenue Focus Will Support Future Upside Potential

Analysts have reduced their price target for Alphatec Holdings from about $24.62 to about $17.33 as they adjust assumptions for discount rate, revenue growth, profit margin, and future P/E in their models. What's in the News Alphatec Holdings issued earnings guidance for the fiscal year ending December 31, 2026, targeting total revenue of about $882 million, with surgical revenue expected to grow 17% as part of that outlook (corporate guidance).
Narrative Update Apr 29

ATEC: 2026 Revenue Guidance Will Drive Constructive Upside Case

Analysts have kept their $28.00 price target for Alphatec Holdings unchanged, noting that only modest adjustments to assumptions around discount rate, revenue growth, profit margin and future P/E offset one another in their valuation work. What's in the News Alphatec Holdings reaffirmed earnings guidance for the fiscal year ending December 31, 2026, indicating no change to its previously communicated outlook.
Narrative Update Apr 15

ATEC: 2026 Revenue Outlook Will Support Bullish Return Potential

Analysts have kept their $28.00 price target on Alphatec Holdings unchanged, citing updated assumptions that include a higher discount rate, stronger modeled revenue and profit margins, and a lower future P/E multiple that together balance out in their valuation work. What's in the News Alphatec Holdings reaffirmed earnings guidance for the fiscal year ending December 31, 2026, maintaining its outlook for that period.
Narrative Update Mar 31

ATEC: 2026 Revenue Outlook And Biologics Partnership Will Support Upside

Analysts have trimmed their price target for Alphatec Holdings from $22.00 to $20.00, citing updated assumptions for revenue growth, profit margins and future P/E that together point to a more measured long term outlook for the shares. What's in the News Reaffirmed earnings guidance for the fiscal year ending December 31, 2026, with total revenue expected to approximate $890 million, described as about $126 million or 17% above full year 2025 revenue (Corporate Guidance).
Narrative Update Mar 17

ATEC: 2026 Revenue Outlook And Spine Biologics Partnership Will Support Upside

Analysts have left their $28.00 price target for Alphatec Holdings unchanged, citing a slightly higher assumed discount rate, a moderated revenue growth outlook, stronger projected profit margins, and a lower future P/E as key factors supporting the steady valuation. What's in the News Alphatec Holdings reaffirmed earnings guidance for the fiscal year ending December 31, 2026, with total revenue expected to approximate $890 million.
Narrative Update Mar 03

ATEC: 2026 Revenue Outlook And Biologics Partnership Will Support Upside Potential

Analysts have adjusted their Alphatec Holdings target to $24.62, reflecting updated assumptions that combine slightly lower expected revenue growth with higher projected profit margins and a reduced future P/E multiple, while applying a somewhat higher discount rate. What's in the News Alphatec Holdings reaffirmed earnings guidance for the fiscal year ending December 31, 2026, with total revenue expected to approximate $890 million, described as about $126 million or 17% higher than full year 2025 revenue (company guidance).
Narrative Update Feb 17

ATEC: 2026 Revenue Guidance And Spine Biologics Deal Will Drive Upside

Analysts have maintained their $28.00 price target for Alphatec Holdings, citing steady model adjustments to the discount rate, revenue growth, profit margin, and future P/E assumptions as reasons to hold their prior valuation line. What's in the News Alphatec Holdings issued revenue guidance for fiscal 2026, indicating expected total revenue of approximately $890m for the year ended December 31, 2026 (Corporate Guidance).
Narrative Update Feb 03

ATEC: Partnership And 2026 Revenue Outlook Will Reshape Spine Biologics Opportunity

Analysts have raised their fair value estimate for Alphatec Holdings from $23.00 to $28.00, citing updated assumptions for discount rates, revenue growth, profit margins, and future P/E that they believe better reflect the company’s current outlook. What's in the News Alphatec Holdings issued revenue guidance for fiscal 2026, indicating expected total revenue of about $890 million compared to full year 2025 (Corporate Guidance).
Narrative Update Jan 20

ATEC: Higher 2026 Revenue Outlook And New Partnership Will Support Upside

Analysts have lifted their price target on Alphatec Holdings from US$14.00 to US$22.00, citing updated assumptions around discount rate, revenue growth, profit margins and future P/E as the key drivers of the change. What's in the News Alphatec Holdings issued revenue guidance for fiscal 2026, indicating expected total revenue of approximately US$890 million for the year.
Analysis Article Jan 06

Are Alphatec Holdings, Inc. (NASDAQ:ATEC) Investors Paying Above The Intrinsic Value?

Key Insights Alphatec Holdings' estimated fair value is US$17.32 based on 2 Stage Free Cash Flow to Equity Alphatec...
Narrative Update Jan 06

ATEC: Higher 2025 Revenue Guidance Will Support A More Optimistic Outlook

Analysts have inched their price target for Alphatec Holdings higher to about $24.62 from $24.00, reflecting small tweaks to fair value estimates, discount rate assumptions, and a slightly higher future P/E multiple in their models. What's in the News Alphatec Holdings raised earnings guidance for the fiscal year ending December 31, 2025, indicating updated expectations for the business outlook.
Narrative Update Dec 14

ATEC: Revenue Will Reach 760 Million As Outlook Remains Favorable

Analysts have modestly raised their price target on Alphatec Holdings by 0.25 dollars to 24.00 dollars, reflecting slightly higher long term valuation multiples despite only marginal tweaks to growth, margin and discount rate assumptions. What's in the News Alphatec Holdings raised its earnings guidance for fiscal 2025, now expecting total revenue to increase 24 percent to 760 million dollars, compared with the prior outlook of 742 million dollars (company guidance filing) Valuation Changes Fair Value Estimate has risen slightly to 24.00 dollars from 23.75 dollars, reflecting a modest uplift in long term valuation.
Narrative Update Nov 29

ATEC: Revenue Will Reach $760 Million As Guidance Increases And Outlook Remains Steady

Analysts have maintained their fair value price target for Alphatec Holdings at $23.75, citing only minor adjustments to underlying financial assumptions along with a steady outlook for growth and profitability. What's in the News Alphatec Holdings raised its earnings guidance for the fiscal year ending December 31, 2025, reflecting increased confidence in the company's outlook (Key Developments).
Narrative Update Nov 15

ATEC: Total Revenue Will Reach $760 Million Next Year

Narrative Update on Alphatec Holdings: Analyst Price Target Revision Analysts have increased their price target for Alphatec Holdings from $20.54 to $23.75. This change reflects revised financial assumptions and updated expectations for the company’s future performance.
Narrative Update Nov 01

ATEC: Improved Margins And Revenue Projections Will Shape Future Performance

Analysts have raised their price target for Alphatec Holdings from $19.41 to $20.54 per share, citing improved profit margin forecasts and stronger projected revenue growth as key reasons for the increased valuation. What's in the News Alphatec Holdings, Inc.
Analysis Article Oct 05

Not Many Are Piling Into Alphatec Holdings, Inc. (NASDAQ:ATEC) Just Yet

With a median price-to-sales (or "P/S") ratio of close to 2.8x in the Medical Equipment industry in the United States...
Narrative Update Sep 20

Expanding Spine Care And Integrated Tech Will Drive Future Opportunities

The slight increase in Alphatec Holdings’ future P/E ratio reflects higher growth expectations, which has contributed to a modest rise in its consensus analyst price target from $18.95 to $19.41. What's in the News Raised full-year 2025 revenue guidance to $742 million, up 21% year-over-year, surpassing previous forecast of $734 million.
Analysis Article Jul 28

Are Investors Undervaluing Alphatec Holdings, Inc. (NASDAQ:ATEC) By 43%?

Key Insights Using the 2 Stage Free Cash Flow to Equity, Alphatec Holdings fair value estimate is US$19.10 Current...
Analysis Article Jul 09

Should You Investigate Alphatec Holdings, Inc. (NASDAQ:ATEC) At US$11.60?

While Alphatec Holdings, Inc. ( NASDAQ:ATEC ) might not have the largest market cap around , it led the NASDAQGS...
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New Narrative May 27

Robotics And Minimally Invasive Techniques Will Expand Spine Care

Innovative spine solutions and expanding minimally invasive offerings position Alphatec for sustained revenue growth and margin expansion amid rising global spine care demand.
Analysis Article May 11

Alphatec Holdings, Inc. (NASDAQ:ATEC) Stock Rockets 25% But Many Are Still Ignoring The Company

Alphatec Holdings, Inc. ( NASDAQ:ATEC ) shares have had a really impressive month, gaining 25% after a shaky period...
Analysis Article Apr 20

Alphatec Holdings (NASDAQ:ATEC) Is Making Moderate Use Of Debt

The external fund manager backed by Berkshire Hathaway's Charlie Munger, Li Lu, makes no bones about it when he says...
Analysis Article Mar 01

Alphatec Holdings, Inc. (NASDAQ:ATEC) Just Released Its Full-Year Results And Analysts Are Updating Their Estimates

Shareholders of Alphatec Holdings, Inc. ( NASDAQ:ATEC ) will be pleased this week, given that the stock price is up 18...
Analysis Article Jan 18

Alphatec Holdings, Inc. (NASDAQ:ATEC) Stock Rockets 31% But Many Are Still Ignoring The Company

Despite an already strong run, Alphatec Holdings, Inc. ( NASDAQ:ATEC ) shares have been powering on, with a gain of 31...
Analysis Article Dec 19

Here's Why Alphatec Holdings (NASDAQ:ATEC) Can Afford Some Debt

Some say volatility, rather than debt, is the best way to think about risk as an investor, but Warren Buffett famously...
Seeking Alpha Dec 03

Alphatec: A Big Recovery

Summary Alphatec, a medtech company focused on spine solutions, has faced investor concerns due to continued losses, cash burn, and increasing debt despite revenue growth. Shares plunged 40% after Q2 earnings, but have recovered following the release of the third quarter results following management's comments about positive cash flow in Q4. Management's optimistic outlook is further backed up by significant improvement in EBITDA seen in 2025. Despite the positive reaction, Alphatec still needs to prove its ability to reduce debt and avoid further dilution while executing its growth plans. Read the full article on Seeking Alpha
Analysis Article Nov 01

Alphatec Holdings, Inc. (NASDAQ:ATEC) Soars 50% But It's A Story Of Risk Vs Reward

Alphatec Holdings, Inc. ( NASDAQ:ATEC ) shareholders would be excited to see that the share price has had a great...
Analysis Article Aug 29

Positive Sentiment Still Eludes Alphatec Holdings, Inc. (NASDAQ:ATEC) Following 38% Share Price Slump

The Alphatec Holdings, Inc. ( NASDAQ:ATEC ) share price has fared very poorly over the last month, falling by a...
Analysis Article Aug 28

We Think Alphatec Holdings (NASDAQ:ATEC) Has A Fair Chunk Of Debt

The external fund manager backed by Berkshire Hathaway's Charlie Munger, Li Lu, makes no bones about it when he says...
Seeking Alpha Aug 05

Alphatec: Creating Some Real Back Pain For Its Shareholders

Summary Alphatec Holdings, Inc. experiences continued losses and dilution due to a focus on growth over margin improvements, causing concern for shareholders. Despite strong top-line growth and low sales multiples, the company's losses, cash burn, and increasing debt are worrying investors. Shares plummeted 40% after the company's second quarter results, amidst concerns about debt and limited options to finance the cash needs. Read the full article on Seeking Alpha

Revenue & Expenses Breakdown

How Alphatec Holdings makes and spends money. Based on latest reported earnings, on an LTM basis.


Earnings and Revenue History

NasdaqGS:ATEC Revenue, expenses and earnings (USD Millions)
DateRevenueEarningsG+A ExpensesR&D Expenses
31 Mar 26787-12550977
31 Dec 25764-14349976
30 Sep 25728-15548477
30 Jun 25682-16646979
31 Mar 25642-16646479
31 Dec 24612-16245081
30 Sep 24573-17844080
30 Jun 24540-18142279
31 Mar 24512-19239675
31 Dec 23482-18737470
30 Sep 23450-17235259
30 Jun 23422-16633652
31 Mar 23389-15232248
31 Dec 22351-15130044
30 Sep 22319-15728541
30 Jun 22292-16327039
31 Mar 22270-16425836
31 Dec 21243-14322932
30 Sep 21213-13120228
30 Jun 21191-10417624
31 Mar 21159-8114220
31 Dec 20145-7912919
30 Sep 20133-6911817
30 Jun 20121-6811016
31 Mar 20119-6510815
31 Dec 19113-5710214
30 Sep 19106-649214
30 Jun 19100-598413
31 Mar 1995-537611
31 Dec 1892-427310
30 Sep 1893-12768
30 Jun 1893-5726
31 Mar 1895-1705
31 Dec 17102-5705
30 Sep 17103-21666
30 Jun 17106-28676
31 Mar 17114-27717
31 Dec 16120-26779
30 Sep 16128-238015
30 Jun 16133-1708316
31 Mar 16120-1717717
31 Dec 15134-1718018
30 Sep 15153-1659013
30 Jun 15173-119916

Quality Earnings: ATEC is currently unprofitable.

Growing Profit Margin: ATEC is currently unprofitable.


Free Cash Flow vs Earnings Analysis


Past Earnings Growth Analysis

Earnings Trend: ATEC is unprofitable, and losses have increased over the past 5 years at a rate of 4.8% per year.

Accelerating Growth: Unable to compare ATEC's earnings growth over the past year to its 5-year average as it is currently unprofitable

Earnings vs Industry: ATEC is unprofitable, making it difficult to compare its past year earnings growth to the Medical Equipment industry (14.8%).


Return on Equity

High ROE: ATEC has a negative Return on Equity (-686.66%), as it is currently unprofitable.


Return on Assets


Return on Capital Employed


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Company Analysis and Financial Data Status

DataLast Updated (UTC time)
Company Analysis2026/05/31 01:12
End of Day Share Price 2026/05/29 00:00
Earnings2026/03/31
Annual Earnings2025/12/31

Data Sources

The data used in our company analysis is from S&P Global Market Intelligence LLC. The following data is used in our analysis model to generate this report. Data is normalised which can introduce a delay from the source being available.

PackageDataTimeframeExample US Source *
Company Financials10 years
  • Income statement
  • Cash flow statement
  • Balance sheet
Analyst Consensus Estimates+3 years
  • Forecast financials
  • Analyst price targets
Market Prices30 years
  • Stock prices
  • Dividends, Splits and Actions
Ownership10 years
  • Top shareholders
  • Insider trading
Management10 years
  • Leadership team
  • Board of directors
Key Developments10 years
  • Company announcements

* Example for US securities, for non-US equivalent regulatory forms and sources are used.

Unless specified all financial data is based on a yearly period but updated quarterly. This is known as Trailing Twelve Month (TTM) or Last Twelve Month (LTM) Data. Learn more.

Analysis Model and Snowflake

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Learn about the world class team who designed and built the Simply Wall St analysis model.

Industry and Sector Metrics

Our industry and section metrics are calculated every 6 hours by Simply Wall St, details of our process are available on Github.

Analyst Sources

Alphatec Holdings, Inc. is covered by 26 analysts. 11 of those analysts submitted the estimates of revenue or earnings used as inputs to our report. Analysts submissions are updated throughout the day.

AnalystInstitution
Matthew MiksicBarclays
Caitlin CroninCanaccord Genuity
Tao LevyDeutsche Bank