Medical - Instruments & Supplies
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PLSE vs ATEC
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
PLSE vs ATEC — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Devices |
| Market Cap | $1.34B | $1.17B |
| Revenue (TTM) | $350K | $595M |
| Net Income (TTM) | $-73M | $-125M |
| Gross Margin | -204.3% | 89.6% |
| Operating Margin | -219.8% | -9.6% |
| Forward P/E | — | 27.1x |
| Total Debt | $8M | $620M |
| Cash & Equiv. | $81M | $161M |
PLSE vs ATEC — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Pulse Biosciences, … (PLSE) | 100 | 215.5 | +115.5% |
| Alphatec Holdings, … (ATEC) | 100 | 174.2 | +74.2% |
Price return only. Dividends and distributions are not included.
Quick Verdict: PLSE vs ATEC
Each card shows where this stock fits in a portfolio — not just who wins on paper.
PLSE is the clearest fit if your priority is long-term compounding and sleep-well-at-night.
- 369.8% 10Y total return vs ATEC's 225.4%
- Lower volatility, beta 1.94, Low D/E 9.3%, current ratio 10.53x
- +17.4% vs ATEC's -37.8%
ATEC carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.
- beta 1.13
- Rev growth 25.0%, EPS growth 15.0%, 3Y rev CAGR 29.6%
- Beta 1.13, current ratio 2.06x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 25.0% revenue growth vs PLSE's -36.8% | |
| Quality / Margins | -21.1% margin vs PLSE's -207.9% | |
| Stability / Safety | Beta 1.13 vs PLSE's 1.94 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +17.4% vs ATEC's -37.8% | |
| Efficiency (ROA) | -15.8% ROA vs PLSE's -63.5%, ROIC -12.6% vs -8.8% |
PLSE vs ATEC — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
PLSE vs ATEC — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
ATEC leads this category, winning 5 of 5 comparable metrics.
Income & Cash Flow (Last 12 Months)
ATEC is the larger business by revenue, generating $595M annually — 1699.9x PLSE's $350,000. ATEC is the more profitable business, keeping -21.1% of every revenue dollar as net income compared to PLSE's -207.9%.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $350,000 | $595M |
| EBITDAEarnings before interest/tax | -$76M | $4M |
| Net IncomeAfter-tax profit | -$73M | -$125M |
| Free Cash FlowCash after capex | -$54M | $7M |
| Gross MarginGross profit ÷ Revenue | -2.0% | +89.6% |
| Operating MarginEBIT ÷ Revenue | -219.8% | -9.6% |
| Net MarginNet income ÷ Revenue | -207.9% | -21.1% |
| FCF MarginFCF ÷ Revenue | -155.5% | +1.2% |
| Rev. Growth (YoY)Latest quarter vs prior year | — | -100.0% |
| EPS Growth (YoY)Latest quarter vs prior year | +21.2% | +37.1% |
Valuation Metrics
PLSE leads this category, winning 2 of 3 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| Market CapShares × price | $1.3B | $1.2B |
| Enterprise ValueMkt cap + debt − cash | $1.3B | $1.6B |
| Trailing P/EPrice ÷ TTM EPS | -18.14x | -8.07x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 27.09x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | — | 3752.09x |
| Price / SalesMarket cap ÷ Revenue | 3818.65x | 1.54x |
| Price / BookPrice ÷ Book value/share | 16.37x | 32.28x |
| Price / FCFMarket cap ÷ FCF | — | 422.56x |
Profitability & Efficiency
Evenly matched — PLSE and ATEC each lead in 4 of 8 comparable metrics.
Profitability & Efficiency
PLSE delivers a -73.5% return on equity — every $100 of shareholder capital generates $-73 in annual profit, vs $-4 for ATEC. PLSE carries lower financial leverage with a 0.09x debt-to-equity ratio, signaling a more conservative balance sheet compared to ATEC's 17.21x. On the Piotroski fundamental quality scale (0–9), ATEC scores 6/9 vs PLSE's 3/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | -73.5% | -4.4% |
| ROA (TTM)Return on assets | -63.5% | -15.8% |
| ROICReturn on invested capital | -8.8% | -12.6% |
| ROCEReturn on capital employed | -73.1% | -13.7% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 6 |
| Debt / EquityFinancial leverage | 0.09x | 17.21x |
| Net DebtTotal debt minus cash | -$73M | $459M |
| Cash & Equiv.Liquid assets | $81M | $161M |
| Total DebtShort + long-term debt | $8M | $620M |
| Interest CoverageEBIT ÷ Interest expense | — | -3.29x |
Total Returns (Dividends Reinvested)
PLSE leads this category, winning 6 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in PLSE five years ago would be worth $11,423 today (with dividends reinvested), compared to $5,129 for ATEC. Over the past 12 months, PLSE leads with a +17.4% total return vs ATEC's -37.8%. The 3-year compound annual growth rate (CAGR) favors PLSE at 34.7% vs ATEC's -19.5% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | +46.3% | -62.7% |
| 1-Year ReturnPast 12 months | +17.4% | -37.8% |
| 3-Year ReturnCumulative with dividends | +144.3% | -47.8% |
| 5-Year ReturnCumulative with dividends | +14.2% | -48.7% |
| 10-Year ReturnCumulative with dividends | +369.8% | +225.4% |
| CAGR (3Y)Annualised 3-year return | +34.7% | -19.5% |
Risk & Volatility
Evenly matched — PLSE and ATEC each lead in 1 of 2 comparable metrics.
Risk & Volatility
ATEC is the less volatile stock with a 1.13 beta — it tends to amplify market swings less than PLSE's 1.94 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PLSE currently trades 74.5% from its 52-week high vs ATEC's 33.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.94x | 1.13x |
| 52-Week HighHighest price in past year | $26.30 | $23.29 |
| 52-Week LowLowest price in past year | $12.56 | $6.85 |
| % of 52W HighCurrent price vs 52-week peak | +74.5% | +33.3% |
| RSI (14)Momentum oscillator 0–100 | 41.4 | 26.8 |
| Avg Volume (50D)Average daily shares traded | 240K | 3.0M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates PLSE as "Buy" and ATEC as "Buy". Consensus price targets imply 222.6% upside for ATEC (target: $25) vs 53.1% for PLSE (target: $30).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $30.00 | $25.00 |
| # AnalystsCovering analysts | 4 | 16 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% |
PLSE leads in 2 of 6 categories (Valuation Metrics, Total Returns). ATEC leads in 1 (Income & Cash Flow). 2 tied.
PLSE vs ATEC: Frequently Asked Questions
9 questions · data-driven answers · updated daily
01Is PLSE or ATEC a better buy right now?
Analysts rate Pulse Biosciences, Inc.
(PLSE) a "Buy" — based on 4 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — PLSE or ATEC?
Over the past 5 years, Pulse Biosciences, Inc.
(PLSE) delivered a total return of +14. 2%, compared to -48. 7% for Alphatec Holdings, Inc. (ATEC). Over 10 years, the gap is even starker: PLSE returned +369. 8% versus ATEC's +225. 4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — PLSE or ATEC?
By beta (market sensitivity over 5 years), Alphatec Holdings, Inc.
(ATEC) is the lower-risk stock at 1. 13β versus Pulse Biosciences, Inc. 's 1. 94β — meaning PLSE is approximately 73% more volatile than ATEC relative to the S&P 500. On balance sheet safety, Pulse Biosciences, Inc. (PLSE) carries a lower debt/equity ratio of 9% versus 17% for Alphatec Holdings, Inc. — giving it more financial flexibility in a downturn.
04Which is growing faster — PLSE or ATEC?
On earnings-per-share growth, the picture is similar: Alphatec Holdings, Inc.
grew EPS 15. 0% year-over-year, compared to -17. 4% for Pulse Biosciences, Inc.. Over a 3-year CAGR, ATEC leads at 29. 6% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — PLSE or ATEC?
Alphatec Holdings, Inc.
(ATEC) is the more profitable company, earning -18. 8% net margin versus -207. 9% for Pulse Biosciences, Inc. — meaning it keeps -18. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ATEC leads at -10. 7% versus -219. 8% for PLSE. At the gross margin level — before operating expenses — ATEC leads at 69. 6%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is PLSE or ATEC more undervalued right now?
Analyst consensus price targets imply the most upside for ATEC: 222.
6% to $25. 00.
07Which pays a better dividend — PLSE or ATEC?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is PLSE or ATEC better for a retirement portfolio?
For long-horizon retirement investors, Alphatec Holdings, Inc.
(ATEC) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1. 13), +225. 4% 10Y return). Pulse Biosciences, Inc. (PLSE) carries a higher beta of 1. 94 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ATEC: +225. 4%, PLSE: +369. 8%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between PLSE and ATEC?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: PLSE is a small-cap quality compounder stock; ATEC is a small-cap high-growth stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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