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Stock Comparison

TMCI vs ATEC

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
TMCI
Treace Medical Concepts, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$122M
5Y Perf.-93.9%
ATEC
Alphatec Holdings, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$1.17B
5Y Perf.-51.5%

TMCI vs ATEC — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
TMCI logoTMCI
ATEC logoATEC
IndustryMedical - DevicesMedical - Devices
Market Cap$122M$1.17B
Revenue (TTM)$213M$595M
Net Income (TTM)$-59M$-125M
Gross Margin79.8%89.6%
Operating Margin-25.5%-9.6%
Forward P/E27.1x
Total Debt$14M$620M
Cash & Equiv.$11M$161M

TMCI vs ATECLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

TMCI
ATEC
StockApr 21May 26Return
Treace Medical Conc… (TMCI)1006.1-93.9%
Alphatec Holdings, … (ATEC)10048.5-51.5%

Price return only. Dividends and distributions are not included.

Quick Verdict: TMCI vs ATEC

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: ATEC leads in 5 of 6 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. As sector peers, any of these can serve as alternatives in the same allocation.
TMCI
Treace Medical Concepts, Inc.
The Defensive Pick

TMCI is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 2.12, Low D/E 16.0%, current ratio 4.31x
Best for: sleep-well-at-night
ATEC
Alphatec Holdings, Inc.
The Income Pick

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%
  • 225.4% 10Y total return vs TMCI's -92.5%
Best for: income & stability and growth exposure
See the full category breakdown
CategoryWinnerWhy
GrowthATEC logoATEC25.0% revenue growth vs TMCI's 1.6%
Quality / MarginsATEC logoATEC-21.1% margin vs TMCI's -27.7%
Stability / SafetyATEC logoATECBeta 1.13 vs TMCI's 2.12
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)ATEC logoATEC-37.8% vs TMCI's -73.3%
Efficiency (ROA)ATEC logoATEC-15.8% ROA vs TMCI's -31.0%, ROIC -12.6% vs -31.0%

TMCI vs ATEC — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

TMCITreace Medical Concepts, Inc.

Segment breakdown not available.

ATECAlphatec Holdings, Inc.
FY 2025
Products And Services
100.0%$764M

TMCI vs ATEC — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLATECLAGGINGTMCI

Income & Cash Flow (Last 12 Months)

ATEC leads this category, winning 4 of 5 comparable metrics.

ATEC is the larger business by revenue, generating $595M annually — 2.8x TMCI's $213M. ATEC is the more profitable business, keeping -21.1% of every revenue dollar as net income compared to TMCI's -27.7%. On growth, TMCI holds the edge at -9.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
RevenueTrailing 12 months$213M$595M
EBITDAEarnings before interest/tax-$46M$4M
Net IncomeAfter-tax profit-$59M-$125M
Free Cash FlowCash after capex-$29M$7M
Gross MarginGross profit ÷ Revenue+79.8%+89.6%
Operating MarginEBIT ÷ Revenue-25.5%-9.6%
Net MarginNet income ÷ Revenue-27.7%-21.1%
FCF MarginFCF ÷ Revenue-13.9%+1.2%
Rev. Growth (YoY)Latest quarter vs prior year-9.0%-100.0%
EPS Growth (YoY)Latest quarter vs prior year+37.1%
ATEC leads this category, winning 4 of 5 comparable metrics.

Valuation Metrics

TMCI leads this category, winning 2 of 3 comparable metrics.
MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
Market CapShares × price$122M$1.2B
Enterprise ValueMkt cap + debt − cash$126M$1.6B
Trailing P/EPrice ÷ TTM EPS-2.06x-8.07x
Forward P/EPrice ÷ next-FY EPS est.27.09x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple3752.09x
Price / SalesMarket cap ÷ Revenue0.58x1.54x
Price / BookPrice ÷ Book value/share1.39x32.28x
Price / FCFMarket cap ÷ FCF422.56x
TMCI leads this category, winning 2 of 3 comparable metrics.

Profitability & Efficiency

ATEC leads this category, winning 5 of 9 comparable metrics.

TMCI delivers a -67.6% return on equity — every $100 of shareholder capital generates $-68 in annual profit, vs $-4 for ATEC. TMCI carries lower financial leverage with a 0.16x 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 TMCI's 3/9, reflecting solid financial health.

MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
ROE (TTM)Return on equity-67.6%-4.4%
ROA (TTM)Return on assets-31.0%-15.8%
ROICReturn on invested capital-31.0%-12.6%
ROCEReturn on capital employed-31.7%-13.7%
Piotroski ScoreFundamental quality 0–936
Debt / EquityFinancial leverage0.16x17.21x
Net DebtTotal debt minus cash$3M$459M
Cash & Equiv.Liquid assets$11M$161M
Total DebtShort + long-term debt$14M$620M
Interest CoverageEBIT ÷ Interest expense-17.42x-3.29x
ATEC leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

ATEC leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in ATEC five years ago would be worth $5,129 today (with dividends reinvested), compared to $589 for TMCI. Over the past 12 months, ATEC leads with a -37.8% total return vs TMCI's -73.3%. The 3-year compound annual growth rate (CAGR) favors ATEC at -19.5% vs TMCI's -58.0% — a key indicator of consistent wealth creation.

MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
YTD ReturnYear-to-date-23.2%-62.7%
1-Year ReturnPast 12 months-73.3%-37.8%
3-Year ReturnCumulative with dividends-92.6%-47.8%
5-Year ReturnCumulative with dividends-94.1%-48.7%
10-Year ReturnCumulative with dividends-92.5%+225.4%
CAGR (3Y)Annualised 3-year return-58.0%-19.5%
ATEC leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

ATEC leads this category, winning 2 of 2 comparable metrics.

ATEC is the less volatile stock with a 1.13 beta — it tends to amplify market swings less than TMCI's 2.12 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ATEC currently trades 33.3% from its 52-week high vs TMCI's 24.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
Beta (5Y)Sensitivity to S&P 5002.12x1.13x
52-Week HighHighest price in past year$7.78$23.29
52-Week LowLowest price in past year$1.17$6.85
% of 52W HighCurrent price vs 52-week peak+24.7%+33.3%
RSI (14)Momentum oscillator 0–10056.626.8
Avg Volume (50D)Average daily shares traded845K3.0M
ATEC leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates TMCI as "Hold" and ATEC as "Buy". Consensus price targets imply 222.6% upside for ATEC (target: $25) vs 56.3% for TMCI (target: $3).

MetricTMCI logoTMCITreace Medical Co…ATEC logoATECAlphatec Holdings…
Analyst RatingConsensus buy/hold/sellHoldBuy
Price TargetConsensus 12-month target$3.00$25.00
# AnalystsCovering analysts916
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

ATEC leads in 4 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TMCI leads in 1 (Valuation Metrics).

Best OverallAlphatec Holdings, Inc. (ATEC)Leads 4 of 6 categories
Loading custom metrics...

TMCI vs ATEC: Frequently Asked Questions

9 questions · data-driven answers · updated daily

01

Is TMCI or ATEC a better buy right now?

For growth investors, Alphatec Holdings, Inc.

(ATEC) is the stronger pick with 25. 0% revenue growth year-over-year, versus 1. 6% for Treace Medical Concepts, Inc. (TMCI). Analysts rate Alphatec Holdings, Inc. (ATEC) a "Buy" — based on 16 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.

02

Which is the better long-term investment — TMCI or ATEC?

Over the past 5 years, Alphatec Holdings, Inc.

(ATEC) delivered a total return of -48. 7%, compared to -94. 1% for Treace Medical Concepts, Inc. (TMCI). Over 10 years, the gap is even starker: ATEC returned +225. 4% versus TMCI's -92. 5%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — TMCI or ATEC?

By beta (market sensitivity over 5 years), Alphatec Holdings, Inc.

(ATEC) is the lower-risk stock at 1. 13β versus Treace Medical Concepts, Inc. 's 2. 12β — meaning TMCI is approximately 88% more volatile than ATEC relative to the S&P 500. On balance sheet safety, Treace Medical Concepts, Inc. (TMCI) carries a lower debt/equity ratio of 16% versus 17% for Alphatec Holdings, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — TMCI or ATEC?

By revenue growth (latest reported year), Alphatec Holdings, Inc.

(ATEC) is pulling ahead at 25. 0% versus 1. 6% for Treace Medical Concepts, Inc. (TMCI). On earnings-per-share growth, the picture is similar: Alphatec Holdings, Inc. grew EPS 15. 0% year-over-year, compared to -3. 3% for Treace Medical Concepts, 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.

05

Which has better profit margins — TMCI or ATEC?

Alphatec Holdings, Inc.

(ATEC) is the more profitable company, earning -18. 8% net margin versus -27. 7% for Treace Medical Concepts, 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 -25. 5% for TMCI. At the gross margin level — before operating expenses — TMCI leads at 79. 8%, 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.

06

Is TMCI or ATEC more undervalued right now?

Analyst consensus price targets imply the most upside for ATEC: 222.

6% to $25. 00.

07

Which pays a better dividend — TMCI 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.

08

Is TMCI 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). Treace Medical Concepts, Inc. (TMCI) carries a higher beta of 2. 12 — 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%, TMCI: -92. 5%), 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.

09

What are the main differences between TMCI 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: TMCI 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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TMCI

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 47%
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ATEC

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 53%
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Revenue Growth>
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(TMCI: -9.0% · ATEC: -100.0%)

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