ATEC

Alphatec Holdings, Inc.

55
Fundamentals72/ 100
Valuation50/ 100
Upside potential63/ 100
Risk potential39/ 100

ATEC lost money over the past year, so it has no meaningful PE right now. Analysts expect earnings to recover and profitability to improve, though they disagree widely on how much.

ATEC Fundamentals

MetricStatus
Healthy
Stable
Under pressure
Weak

ATEC's revenue is currently healthy, and its profitability is stable, but its cash flow and balance sheet are under pressure.

ATEC PE Valuation

ATEC has no meaningful PE right now: it lost money over the past year.

ATEC Forward outlook

MetricOutlook
--
Strong growth
Growth
Strongly improving
Limited
Low

Analysts expect earnings and revenue growth for ATEC, with profitability improving. However, they disagree widely on these estimates.

ATEC Risk to reward

ScenarioChangePrice
Upside+66%$11.72
Downside-39%$4.29

Calculated from the latest close: $7.06 on Nov 12.

ATEC's one-year upside scenario is somewhat larger than its downside: +66% against −39%.

ATEC Earnings Per Share

Q4 2023: $-1.54Q1 2024: $-1.48Q2 2024: $-1.34Q3 2024: $-1.27Q4 2024: $-1.13Q1 2025: $-1.14Q2 2025: $-1.12Q3 2025: $-1.03Q4 2025: $-0.96Q1 2026: $-0.83Q2 2026: $-0.72Q3 2026: $-0.56Forward: $0.50
Q4 2023: $-1.54Q1 2024: $-1.48Q2 2024: $-1.34Q3 2024: $-1.27Q4 2024: $-1.13Q1 2025: $-1.14Q2 2025: $-1.12Q3 2025: $-1.03Q4 2025: $-0.96Q1 2026: $-0.83Q2 2026: $-0.72Q3 2026: $-0.56Forward: $0.50
QuarterTTM EPSYoY
Forward$0.50—
Q3 2026-$0.56+$0.47
Q2 2026-$0.72+$0.40
Q1 2026-$0.83+$0.31
Q4 2025-$0.96+$0.17
Q3 2025-$1.03+$0.24
Q2 2025-$1.12+$0.22
Q1 2025-$1.14+$0.34
Q4 2024-$1.13+$0.41

ATEC is still losing money, but far less than before: $0.56 per share over the past year, against $1.67 at its worst in early 2022.

ATEC Quarterly Revenue

Q4 2023: $138MQ1 2024: $138MQ2 2024: $146MQ3 2024: $151MQ4 2024: $177MQ1 2025: $169MQ2 2025: $186MQ3 2025: $197MQ4 2025: $213MQ1 2026: $192MQ2 2026: $214MQ3 2026: $221M
Q4 2023: $138MQ1 2024: $138MQ2 2024: $146MQ3 2024: $151MQ4 2024: $177MQ1 2025: $169MQ2 2025: $186MQ3 2025: $197MQ4 2025: $213MQ1 2026: $192MQ2 2026: $214MQ3 2026: $221M
QuarterRevenueYoY
Q3 2026$221.2M+13%
Q2 2026$213.5M+15%
Q1 2026$192.1M+14%
Q4 2025$212.9M+20%
Q3 2025$196.5M+30%
Q2 2025$185.5M+27%
Q1 2025$169.2M+22%
Q4 2024$176.8M+28%

ATEC's revenue has grown year over year every quarter since late 2020: $221M last quarter, up 13% from the same quarter a year ago.

ATEC Free Cash Flow

Q4 2023: −$51MQ1 2024: −$70MQ2 2024: −$45MQ3 2024: −$21MQ4 2024: $9MQ1 2025: −$15MQ2 2025: $5MQ3 2025: $5MQ4 2025: $8MQ1 2026: −$11MQ2 2026: $582,000Q3 2026: $6M
Q4 2023: −$51MQ1 2024: −$70MQ2 2024: −$45MQ3 2024: −$21MQ4 2024: $9MQ1 2025: −$15MQ2 2025: $5MQ3 2025: $5MQ4 2025: $8MQ1 2026: −$11MQ2 2026: $582,000Q3 2026: $6M
QuarterFree cash flowYoY
Q3 2026$5.6M+16%
Q2 2026$582K-89%
Q1 2026-$10.8M+$4.2M
Q4 2025$7.7M-9.7%
Q3 2025$4.8M+$26M
Q2 2025$5.2M+$50.7M
Q1 2025-$15M+$54.8M
Q4 2024$8.5M+$59.3M

ATEC has burned cash in most quarters: $3M over the past year, down 15% from the year before.

ATEC Total Shares

Q4 2023: 121MQ1 2024: 141MQ2 2024: 143MQ3 2024: 143MQ4 2024: 143MQ1 2025: 147MQ2 2025: 150MQ3 2025: 151MQ4 2025: 150MQ1 2026: 154MQ2 2026: 157MQ3 2026: 157M
Q4 2023: 121MQ1 2024: 141MQ2 2024: 143MQ3 2024: 143MQ4 2024: 143MQ1 2025: 147MQ2 2025: 150MQ3 2025: 151MQ4 2025: 150MQ1 2026: 154MQ2 2026: 157MQ3 2026: 157M
PeriodChange %Net change
Quarterly+0.5%+801K shares
1 year+3.9%+6M shares
3 years+29%+34.9M shares
5 years+58%+57.8M shares
Available history+201%+105M shares

ATEC has 157M diluted shares, up 3.9% from a year ago.

ATEC Net Leverage

Q1 2026: 64.7xQ2 2026: 27.3xQ3 2026: 12.1x
Q1 2026: 64.7xQ2 2026: 27.3xQ3 2026: 12.1x
QuarterNet LeverageStatus
Q3 202612.1xHigh
Q2 202627.3xHigh
Q1 202664.7xHigh

ATEC's net debt is about 12 years of its operating earnings (EBITDA).

ATEC Weekly Momentum

MetricValueStatus
RSI35.7Neutral
Stochastic6.9Oversold

ATEC's weekly RSI is 36 (neutral) and its Stochastic is 7 (oversold).

ATEC PE vs Healthcare Sector

ATEC has no meaningful PE right now: it lost money over the past year.

ATEC Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$9.2424% below
20 week MA$9.3524% below
50 week MA$11.739% below
100 week MA$12.343% below
200 week MA$12.443% below

ATEC is in a downtrend: it's below all five of its weekly moving averages, and 43% below its 200-week average.

ATEC Yearly ROI

YearStart priceEnd priceROI
2020$7.09$14.1+99%
2021$14.1$12.4-12%
2022$12.4$11.7-5.4%
2023$11.7$15.1+29%
2024$15.1$9.19-39%
2025$9.19$21.0+128%
2026 YTD$21.0$7.06-66%

ATEC has finished lower in three of the last six years. It's down 66% so far in 2026.

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