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Atricure (ATRC)
NASDAQ:ATRC
US Market

Atricure (ATRC) AI Stock Analysis

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ATRC

Atricure

(NASDAQ:ATRC)

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Neutral 60 (OpenAI - 5.2)
Rating:60Neutral
Price Target:
$34.00
▲(8.77% Upside)
Action:DowngradedDate:02/20/26
The score is driven primarily by improving fundamentals (strong growth, high gross margins, better 2025 cash generation) and constructive 2026 guidance. These positives are tempered by continued GAAP losses and historically uneven cash flow, while technicals are notably weak with the stock trading below key moving averages and negative MACD.
Positive Factors
Revenue Growth & High Gross Margins
Sustained multi-year top-line expansion combined with consistently high ~74–75% gross margins indicates durable product economics and pricing power. These fundamentals underpin operating leverage potential, enabling margin expansion and a clearer path to sustainable profitability as scale grows over the medium term.
Improving Cash Generation
A meaningful 2025 step-up to solid operating and free cash flow, plus a healthy cash & investments balance, materially strengthens financial flexibility. Durable internal cash generation reduces reliance on external financing for growth and clinical programs, supporting steady investment and liquidity over coming quarters.
Clinical & Product Momentum
Completion of a large LeAAPS enrollment, launched BoxX‑NoAF and first‑in‑human dual‑energy work signal durable innovation and evidence generation. Large trials and new product introductions lower adoption barriers, expand addressable markets and reinforce competitive differentiation over the medium term.
Negative Factors
Persistent GAAP Losses
Despite margin and cash improvements, recurring GAAP losses and negative ROE across recent years show profitability is still unproven. Continued reliance on adjusted metrics means sustained GAAP earnings must be delivered to convert balance sheet capital into shareholder returns and de-risk financing needs long term.
MIS/Hybrid Franchise Decline (PFA)
Rapid adoption of pulsed field ablation is structurally shrinking the MIS/hybrid addressable market and drove a ~31% U.S. MIS revenue decline. This technological displacement is durable and forces revenue mix shifts, pressuring growth and requiring product or commercial pivots to recover lost volume over months to years.
Rising Competitive Pressure
New entrant activity in the appendage/clip market intensifies price and share pressure in a core franchise that had been a growth driver. Increased competition combined with localized reimbursement volatility can persistently compress margins and slow account expansion, challenging midterm growth assumptions.

Atricure (ATRC) vs. SPDR S&P 500 ETF (SPY)

Atricure Business Overview & Revenue Model

Company DescriptionAtriCure, Inc. develops, manufactures, and sells devices for the surgical ablation of cardiac tissue and systems, and intercostal nerves to medical centers in the United States, Europe, Asia, and internationally. The company offers Isolator Synergy Clamps, a single-use disposable radio frequency products; multifunctional pens and linear ablation devices, such as the MAX Pen device that enables surgeons to evaluate cardiac arrhythmias, perform temporary cardiac pacing, sensing, and stimulation and ablate cardiac tissue with the same device; and the Coolrail device, which enable users to make longer linear lines of ablation. It also provides cryoICE Cryoablation System that enables the user to make linear ablations of varied lengths; EPi-Sense Guided Coagulation System, a single-use disposable device used for the treatment of symptomatic, drug-refractory, and long-standing persistent atrial fibrillation; AtriClip System, an implantable device coupled to a single-use disposable applier; and LARIAT System, a suture-based solution for soft-tissue closure compatible with a range of anatomical shapes. In addition, the company sells Lumitip Dissectors to separate tissues to provide access to key anatomical structures that are targeted for ablation; Glidepath guides for placement of clamps; Subtle Cannula's to support access for EPi-Sense catheters; and various reusable cardiac surgery instruments, which are used during surgical procedures for repair or replacement of certain heart valves. It markets and sells its products through independent distributors and direct sales personnel. The company was incorporated in 2000 and is headquartered in Mason, Ohio.
How the Company Makes MoneyAtricure generates revenue primarily through the sale of its medical devices and systems used in cardiac surgeries. The company's revenue model is driven by direct sales to hospitals and surgical centers, where its products are utilized in various cardiac procedures. Key revenue streams include the sale of its proprietary ablation devices and accessories, as well as related surgical instruments and technology. Additionally, Atricure has established partnerships with healthcare providers and institutions, which help to expand its market reach and enhance product adoption. The company also invests in research and development to innovate and introduce new products, which can further contribute to its earnings through increased market share and improved treatment options.

Atricure Earnings Call Summary

Earnings Call Date:Feb 17, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 05, 2026
Earnings Call Sentiment Positive
The call highlights strong revenue growth (FY2025 +14.9%), significant profitability improvement (adjusted EBITDA nearly doubled vs. prior year), solid cash generation, multiple product and clinical milestones (LeAAPS enrollment completed, BoxX‑NoAF launched, EnCompass adoption, new product launches), and reaffirmed 2026 guidance. Offsetting these positives are meaningful headwinds in the minimally invasive/hybrid Afib franchise driven by rapid PFA adoption, localized reimbursement challenges in the U.K., and new competitive entrants in the appendage market. Management expects the MIS pressure to moderate and has modeled modest competitive impacts into guidance while emphasizing operating leverage and continued investment in clinical evidence and innovation.
Q4-2025 Updates
Positive Updates
Strong Full Year Revenue Growth and Beat
Total revenue for FY2025 was $534.5 million, up 14.9% reported and 14.4% constant currency vs. 2024 — above the company’s initial 2025 guidance (11%–13%).
Quarterly Revenue Momentum
Q4 2025 revenue was $140.5 million, up 13.1% reported and 12.1% constant currency vs. Q4 2024; sequential Q4 vs Q3 sales grew $6.2 million (4.6%).
Material Profitability Improvement
Adjusted EBITDA for FY2025 was $61.8 million vs. $31.1 million in 2024 (+$30.6M). Q4 adjusted EBITDA was $19.9 million vs. $12.7 million in Q4 2024. The company delivered positive net income in Q4 ($1.8M) versus a $15.6M net loss in Q4 2024.
Improved Margins and Cash Generation
Gross margin was 75% for both Q4 and FY2025, up 45 basis points in Q4 and 29 basis points for the year vs. 2024. Full year cash generation was approximately $45 million, and year-end cash & investments totaled $167.4 million.
Robust Pain Management Franchise Expansion
Pain management worldwide revenue grew 33% for FY2025 and 24% in Q4, driven by cryoSPHERE MAX adoption. The company ended the year with ~500 U.S. accounts using cryoSPHERE MAX and reported >100,000 patients treated with cryoSPHERE probes since launch (2019).
Appendage Management Growth Led by FLEX‑Mini
Worldwide left atrial appendage franchise revenue grew 19% for FY2025 and 15% in Q4. Open appendage management grew ~24% in the U.S.; AtriClip FLEX‑Mini contributed ~18% of worldwide left atrial appendage revenue and >300 active accounts were purchasing FLEX‑Mini.
Open Ablation Strength and EnCompass Adoption
Open ablation grew >17% in Q4 and for FY2025, with EnCompass Clamp the primary driver. EnCompass is present in over 830 accounts worldwide and contributed >60% of U.S. open ablation revenue.
Clinical and R&D Milestones: Large Trials and New Products
LeAAPS trial completed enrollment (~6,573 patients; >500 surgeons across 137 sites). BoxX‑NoAF trial (960 patients) launched. First‑in‑human treatments completed for the dual‑energy EnCompass in Dec. Two product launches in 2025 (AtriClip PRO Mini, cryoXT PRO) and cryoXT launched for pain/amputation in Q3 2025.
2026 Guidance Reaffirmed
Management reaffirmed 2026 revenue guidance of $600M–$610M (12%–14% growth) and adjusted EBITDA guidance of $80M–$82M, plus full year net income and adjusted EPS guidance of $0.09–$0.15.
Operating Leverage and Expense Discipline
Full year operating expenses increased 5.9% vs. 13% top‑line growth; SG&A grew 6.7% (below revenue growth). R&D spend is moderating as LeAAPS enrollment completed; management expects R&D to grow in the low‑teens organically in 2026, but overall OpEx leverage is improving.
Negative Updates
Significant Decline in Minimally Invasive (MIS) / Hybrid Afib Business
The MIS/hybrid Afib franchise experienced substantial headwinds from PFA adoption. U.S. MIS revenue was $31.5 million for FY2025, a 31.2% decline vs. 2024; management reported a combined $16 million decline in U.S. MIS ablation and MIS appendage devices for 2025. Continued pressure is expected in 2026 (though at a moderated pace).
U.K. Reimbursement and Funding Headwind
International results were impacted by a U.K. decline due to NHS funding/reimbursement uncertainty. The U.K. had been a fast‑growing European market (~$4M run rate per quarter) but Q4 saw the run rate drop to a little over $1M, creating a meaningful short‑term impact on revenue.
Competitive Entry into Appendage Market
A major competitor recently entered the clip market, creating increased competition and near‑term stock volatility. Management has modeled only mild competitive pressure into 2026 guide, but acknowledged competition as a market dynamic to monitor.
R&D and Trial Cost Variability / Near‑Term Cash Timing
While R&D is expected to moderate post‑LeAAPS enrollment, excluding one‑time adjustments R&D grew ~11% in 2025 due to ongoing trial costs (BoxX‑NoAF). Management also expects a net cash burn in Q1 2026 due to annual variable compensation and share vesting before returning to positive cash generation for the remainder of the year.
Company Guidance
AtriCure reaffirmed 2026 guidance of $600–$610 million in revenue (12–14% growth over 2025’s $534.5M), adjusted EBITDA of $80–$82M (implying GAAP EPS roughly $0 to $0.04 and adjusted EPS $0.09–$0.15), and another year of positive cash generation after an expected net cash burn in Q1; management expects modest gross‑margin expansion from the 2025 rate of 75%, R&D to grow low‑teens organically (mid‑teens including PFA milestone payments), SG&A to grow below top‑line, quarter‑to‑quarter seasonality with Q1 roughly flat to slightly down versus Q4 2025, pain management to lead franchise growth followed by open appendage and open ablation, a continued but moderated decline in MIS/hybrid businesses, and an adjusted EBITDA margin that steps down from the Q4 2025 exit rate then gradually rebuilds — all while building toward long‑range targets of ~$1 billion revenue and >20% adjusted EBITDA margin by 2030 (2025 results included $61.8M adjusted EBITDA, ~$45M cash generated and $167.4M cash & investments).

Atricure Financial Statement Overview

Summary
Strong multi-year revenue growth and consistently high ~74–75% gross margins support the business quality, and 2025 showed meaningful improvement (loss narrowing and cash generation improving). However, operating and net income remain negative in 2022–2025 and cash flow has been volatile historically, so sustained profitability is not yet proven.
Income Statement
56
Neutral
Revenue has grown steadily over the last several years (from ~$207M in 2020 to ~$535M in 2025), and gross margins are consistently strong at ~74–75%, indicating solid product economics. However, profitability is still the weak point: operating profit and net income remain negative in 2022–2025, even though 2025 shows a sharp improvement versus 2024 (loss narrowing to roughly -2% net margin from about -10%). Overall, the trajectory is improving, but sustained profitability has not yet been re-established after the 2021 profit year.
Balance Sheet
74
Positive
The balance sheet looks conservative: debt is modest relative to equity (debt-to-equity ~0.16–0.18 across 2020–2025), and equity has remained sizable and fairly stable. Total assets are also stable, supporting financial flexibility. The main weakness is that returns on equity are negative in most years (2020, 2022–2025), reflecting that the company has not consistently converted its capital base into bottom-line profits.
Cash Flow
68
Positive
Cash generation improved meaningfully in 2025, with operating cash flow turning solidly positive (~$57M) and free cash flow positive (~$48M) after negative free cash flow in 2022–2024. This suggests better cash discipline and/or working-capital and spending improvements. The key risk is volatility: operating cash flow was negative in 2020–2022 and only modestly positive in 2023–2024, so the durability of the 2025 step-up still needs to be proven.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue534.53M465.31M399.25M330.38M274.33M
Gross Profit397.74M347.52M300.37M245.94M205.86M
EBITDA16.25M-18.53M-8.11M-29.50M65.75M
Net Income-11.45M-44.70M-30.44M-46.47M50.20M
Balance Sheet
Total Assets654.18M609.33M613.93M585.45M615.31M
Cash, Cash Equivalents and Short-Term Investments167.43M122.72M137.28M121.11M119.09M
Total Debt88.02M76.53M74.49M74.55M75.65M
Total Liabilities162.24M148.36M147.76M128.69M131.56M
Stockholders Equity491.94M460.97M466.17M456.75M483.76M
Cash Flow
Free Cash Flow48.28M-11.26M-37.51M-39.02M-23.53M
Operating Cash Flow57.33M12.20M4.48M-22.14M-13.78M
Investing Cash Flow-14.55M30.23M21.82M44.01M23.50M
Financing Cash Flow1.18M-3.60M-32.00K-7.06M-7.64M

Atricure Technical Analysis

Technical Analysis Sentiment
Negative
Last Price31.26
Price Trends
50DMA
37.69
Negative
100DMA
36.75
Negative
200DMA
35.36
Negative
Market Momentum
MACD
-1.86
Positive
RSI
35.14
Neutral
STOCH
29.31
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ATRC, the sentiment is Negative. The current price of 31.26 is below the 20-day moving average (MA) of 34.35, below the 50-day MA of 37.69, and below the 200-day MA of 35.36, indicating a bearish trend. The MACD of -1.86 indicates Positive momentum. The RSI at 35.14 is Neutral, neither overbought nor oversold. The STOCH value of 29.31 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ATRC.

Atricure Risk Analysis

Atricure disclosed 40 risk factors in its most recent earnings report. Atricure reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Atricure Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$2.46B42.9315.80%0.95%13.07%27.98%
60
Neutral
$1.56B-129.71-2.40%15.80%26.94%
52
Neutral
$1.27B-17.34-86.99%-40.63%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$5.39B-5.94-5.26%1.11%5.43%-245.18%
48
Neutral
$1.56B-11.18-50.60%11.17%-15.64%
45
Neutral
$1.55B-1.36-46.15%-3.43%38.98%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ATRC
Atricure
31.26
-7.48
-19.31%
LMAT
Lemaitre Vascular
108.18
17.18
18.87%
QDEL
QuidelOrtho
22.74
-17.25
-43.14%
TFX
Teleflex
122.06
-9.23
-7.03%
NVCR
NovoCure
13.67
-5.40
-28.32%
PLSE
Pulse Biosciences
18.73
0.42
2.29%

Atricure Corporate Events

Business Operations and StrategyFinancial DisclosuresPrivate Placements and Financing
AtriCure Reports Strong Preliminary 2025 Revenue Growth
Positive
Jan 12, 2026

On January 9, 2026, AtriCure amended and extended its asset-based revolving credit facility with JPMorgan Chase and other lenders, securing a three-year extension of its credit agreement, lowering the interest rate, and removing a minimum utilization covenant on its up to $125 million facility, which can be increased to as much as $165 million; the facility, secured by a first-priority interest in substantially all borrower assets and guaranteed by AtriCure and its material domestic subsidiaries, is intended to fund working capital and general corporate purposes, strengthening the company’s liquidity and financial flexibility. On January 12, 2026, the company reported preliminary, unaudited results indicating fourth-quarter 2025 revenue of about $140.5 million, up roughly 13% year over year, and full-year 2025 revenue of approximately $534.5 million, up about 15%, driven by robust growth in pain management, open ablation and AtriClip devices; management expects 2025 adjusted EBITDA of $57 million to $59 million, an adjusted loss per share of $0.18 to $0.21, and year-end cash and investments of about $167 million, signaling improving profitability, operational leverage and a solid balance sheet ahead of the release of audited results and a detailed discussion on the upcoming earnings call in February.

The most recent analyst rating on (ATRC) stock is a Buy with a $48.00 price target. To see the full list of analyst forecasts on Atricure stock, see the ATRC Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 20, 2026