AtriCure [ATRC]
Spot $40.89 · 2026-07-29 · Shares 50.9m · Net CASH $107m · EV $1,974m · EV/Sales 3.46x
Test and evidence: - Thin-margin: GAAP operating margin 2.44% TTM, and negative in FY2022–FY2025. Qualifies. - But economically observable — all five markers present: 1. Positive and high gross margin: 76.16% TTM, in a 71.6%–76.2% band for ten years. Never a question mark. 2. Identifiable contribution margin: consumables into scheduled cardiac surgery. 3. Visible expense scaling: SG&A guided "well below top-line growth"; R&D "leveling off" with LeAAPS enrollment complete. Q2 2026 opex ex-milestone +6.1% against revenue +12.8% — a 6.7pp differential, observed not projected. 4. A formally guided model: FY2026 revenue $600–610m, adjusted EBITDA raised to $85–89m, GAAP EPS $0.00–0.04, plus an Analyst-Day long-range plan management says it is "significantly ahead of." 5. Positive GAAP net income ($9m in Q2 2026) — the inflection is realised, not forecast.
Why not State D. D requires negligible revenue, unstable or deeply negative gross margin, or a reverse DCF returning no solution in range. ATRC has $570m of revenue, a 76% gross margin, and the reverse DCF solves cleanly at 18.91%. The instrument applies.
Why not State A. A requires low-variance operating margins across ≥5 years. ATRC's GAAP EBIT margin ran −12.92% to +2.44% over FY2022–TTM, crossing zero inside the window. Not A.
Consequence: the terminal margin must be BUILT through the opex bridge, never assumed, and the output is a two-dimensional expectations surface rather than a single solved parameter. Evidence grade B — the guidance is formal and has been beaten, but there is only one quarter of GAAP profitability on the record.
TTM actuals: gross margin 76.16%, R&D 16.89% ($96.2m), SG&A 56.81% ($323.6m) → EBIT 2.46%. Ties exactly.
Rolling forward at the guided differentials — revenue +12%/yr, R&D +6%/yr, SG&A +7.5%/yr:
m_gross,T 77.0%
− R&D 16.89% × (1.06/1.12)^5 = (12.9%)
− SG&A 56.81% × (1.075/1.12)^5 = (46.2%)
─────────────────────────────────────────────────────
= m_EBIT,T (unadjusted bridge output) 17.9%
Hard constraint: m_EBIT,T ≤ m_gross,T → 17.9% ≤ 77.0% — SATISFIED, 59pp of headroom. There is no
danger here of the recorded breach where one name carried a 14.4% terminal margin against an 11.9% gross
margin; ATRC has 61pp of gross margin to spend on operating cost.
Per valuation.md rule 1 — "assert, never clamp, and persist the provenance" — the raw bridge output
(17.9%), the transformation (−1.9pp), the reason, and the source are all recorded rather than applied
silently:
Reason: the bridge assumes five uninterrupted years of the guided opex differential, and management has
already told us it intends to break it on good news. Q2 2026 Q&A, on salesforce expansion "assuming that
BoxX-NoAF is positive on that 30-day endpoint and that you would be hopefully launching"; and Q1 2026 Q&A,
Wirick: "the accelerated pace of enrollment on BoxX-NoAF brings incremental costs — pulling enrollment in
by a year into 2026 — that is incremental to our plan." ATRC has a live, stated incentive to reinvest a
positive readout into commercial capacity, which is the correct use of capital and a drag on the terminal
margin. This is valuation.md rule 2's "explicit causal bridge" for a below-bridge assumption — deliberate
reinvestment at attractive ROIC — not an unargued haircut.
Adopted: m_EBIT,T = 16.0%.
Terminal margin 16.0% vs trailing actual 2.44% — ABOVE, by +13.56pp. Not the §9.8 defect. It is a large step-up, and the honest framing is that it is a scaling assumption: it takes ATRC from a 14% adjusted EBITDA margin (FY2026 guided) to roughly a 25% adjusted EBITDA margin at terminal, against 76% gross margins. Mature high-gross-margin SMID medtech comparators in the set earn GAAP EBIT margins of 9.0% (NVST), 17.6% (GMED), 18.8% (LNTH), 28.1% (EW) and 34.3% (RMD) — 16.0% sits at roughly the median of that band, which is the correct sanity check for a business that has just crossed into profitability.
FY2026 guided +12–14%; terminal-year (FY2031) growth underwritten at ~11%.
analysis.json| Ticker | TTM rev $m | TTM rev growth | GAAP EBIT % | GM % | EV/EBIT | EV/Sales |
|---|---|---|---|---|---|---|
| TMDX | 636 | 30.2% | 14.85% | 59.09% | 34.1x | 5.07x |
| GMED | 3,101 | 23.5% | 17.62% | 67.86% | 19.6x | 3.46x |
| EW | 6,512 | 14.6% | 28.09% | 77.98% | 27.1x | 7.61x |
| NVST | 2,808 | 12.1% | 9.04% | 55.14% | 20.6x | 1.86x |
| RMD | 5,538 | 10.3% | 34.28% | 61.69% | 16.2x | 5.54x |
| LNTH | 1,546 | 0.6% | 18.76% | 60.48% | 23.1x | 4.34x |
| median (n=6) | 13.4% | 18.2% | 62.7% | 21.9x | 4.70x | |
| ATRC (subject) | 570 | 13.9% | 2.44% | 76.16% | 137.5x | 3.46x |
Validity asserted: n=6, all profitable at the EBIT line; all SMID/mid-cap single-or-few-franchise medical device businesses with 55–78% gross margins (a matching operating model, not a matching SIC code); growth spans 0.6%–30.2%, comfortably bracketing the underwritten 11% exit growth, with 29.6pp of dispersion. This set carries real information — unlike the recorded 29.9x/29.9x/30.4x anchor. Excluded: PEN (65.5x is a deal price — BSX is acquiring it), PRCT and IRTC (negative EBIT), BAX (negative EBIT), TFX/ICUI (declining revenue and 45.7x/65.4x multiples on collapsed margins — the denominator, not the numerator, is doing the work), the mega-caps (BSX/MDT/ABT/SYK/ZBH/BDX — wrong scale and operating model), MASI/HOLX (no AV statements).
ATRC's own 137.5x EV/EBIT is meaningless — it is 3.46x EV/Sales divided by a 2.44% margin. This is
precisely the situation valuation.md flags for low-margin businesses: an EV/EBIT multiple on a
2.4%-operating-margin base is close to the wrong instrument. The compression figure is therefore quoted on
EV/Sales, where the comparison is well-defined: terminal EV/Sales = 15.0x × 16.0% = 2.40x, against
today's 3.46x — an implied compression of −30.6%.
EV_T/EBIT_T = (1−t)(1−g/ROIC)/(WACC−g). Today's ROIC (3.9%) is pre-inflection and uninformative, so the
identity is run on the terminal economics: at a 16.0% EBIT margin on ~$1.0bn of revenue, NOPAT ≈ $126m on
invested capital of roughly $500m → terminal ROIC ~25%. At t=0.21, g=5.0%, WACC=10.5%:
0.79 × (1 − 0.05/0.25) / 0.055 = 11.5x.
| Anchor | Value |
|---|---|
| Warranted-multiple identity at terminal ROIC ~25% | 11.5x |
| Growth-matched traded comparator median (n=6) | 21.9x |
| Base adopted | 15.0x |
15.0x sits above the identity anchor and well below the comparator anchor. It does not sit below every stated anchor. WACC is set at 10.5% — the highest of the three names, reflecting a $2.1bn market cap and 47.6% realised volatility.
reverse_dcf.py --spot 40.89 --shares 50.9 --net-cash 107 --revenue 570 --years 5 --wacc 0.105
--terminal-margin 0.160 --exit-multiple 15.0 --solve cagr
Solved for: revenue CAGR. Held fixed: terminal margin 16.0%, exit multiple 15.0x, WACC 10.5%, horizon 5y, net cash $107m, shares 50.9m, TTM revenue $570m.
THE MARKET REQUIRES: 18.91% revenue CAGR
Demonstrated (3-year): 17.40%. MARGIN: −1.51pp.
| Exit multiple | 10x | 12x | 14x | 15x | 16x | 18x | 20x | 22x | 24x |
|---|---|---|---|---|---|---|---|---|---|
| Required CAGR | 28.96% | 24.34% | 20.56% | 18.91% | 17.39% | 14.65% | 12.26% | 10.14% | 8.24% |
Flip point against the 17.40% demonstrated CAGR: 16.0x. One turn above the base.
The required 18.91% exceeds the demonstrated 17.40% by 1.51pp, and — the more damaging comparison — exceeds
FY2026 guidance of 12–14% by 4.9–6.9pp. The price requires ATRC to grow at roughly 1.4x its own guided
rate for five years, while growth has decelerated in each of the last three periods (16.6% → 14.8% →
13.9%). Per criteria.md, PASS WITH ARGUMENT requires "a specific, evidenced reason (a named product cycle,
mix shift, pricing action)" for the price to require more than demonstrated. The candidate arguments —
LeAAPS and BoxX-NoAF market expansion — are genuinely specific and genuinely evidenced, but LeAAPS has no
disclosed readout date at all, so the expansion cannot be placed inside the five-year window with any
confidence. An argument that cannot be dated is not yet an argument. FAIL.
This FAIL inverts on a 1.0x change in the exit multiple — from 15.0x to 16.0x — and the growth-matched comparator median is 21.9x, which is 6.9x above the flip point. At the comparator median the price requires only ~9.5%, below guidance, a comfortable PASS.
So the verdict is entirely multiple-determined, and stating that plainly is the point. criteria.md
records the NTRA failure as running the sensitivity "on the parameter that could not change the answer"
while conceding the flip point "has to be sought on the exit multiple, which is where the real judgement
lives." Here the sensitivity is run on exactly the parameter that determines the answer, and the honest
summary is:
ATRC fails at a conservatively-anchored 15.0x and passes at anything from 16.0x upward. The base sits 6.9x below the growth-matched traded median. A reader who believes 21.9x is the right anchor should read this as a PASS with a +7.9pp margin. The memo's own judgement is that a business with one quarter of GAAP profitability does not yet earn its cohort's median multiple, so the base is 15.0x and the verdict is FAIL — but the verdict carries less information than the sensitivity table above it.
Screen: required 6.6% vs demonstrated 17.4% = +10.8pp. This memo: required 18.91%, margin −1.51pp — a 12.3pp overstatement, the largest of the three names. Decomposition: the screen must have combined a materially higher exit multiple (~24x returns 8.24%) with a higher terminal margin. Note the screen's demonstrated 17.40% reconciles exactly to the FY2022→FY2025 reported revenue CAGR, so the demonstrated side was computed correctly; the entire error is on the required side.
State C requires all three of: required margin at underwritten growth, required growth at underwritten margin, and the region clearing the hurdle. Reporting only one solved parameter overstates precision because growth and margin are economically correlated here — a faster BoxX-driven ramp would come with higher S&M.
| At exit 15.0x | required revenue CAGR |
|---|---|
| terminal margin 14.0% | ~21.5% |
| terminal margin 16.0% | 18.91% |
| terminal margin 18.0% | ~16.6% |
| terminal margin 17.9% (raw bridge output) | ~16.7% |
Note the corner: at the unadjusted bridge output of 17.9% the required CAGR is ~16.7%, below the
17.40% demonstrated — i.e. the 1.9pp terminal-margin haircut is itself sufficient to flip this name from
PASS to FAIL. That is exactly the ALAB situation recorded in known-silent-failures.md §9.8, where a
margin adjustment alone moved the verdict. It is disclosed here rather than buried, and the haircut is
retained because its causal reason (reinvestment of a positive readout into salesforce) is real.
1. Near-term base. FY2026 guided revenue $600–610m; FY2027 at ~12% on $605m ≈ $678m. NTM revenue (Q3 2026–Q2 2027) ≈ $645m.
2. Multiple anchored on ATRC's OWN trading history.
| min | p25 | median | p75 | max | current | |
|---|---|---|---|---|---|---|
| 8-year full history (n=32) | 2.40x | 3.88x | 6.79x | 9.20x | 16.88x | 3.46x |
| trailing 8 quarters | 2.40x | — | 3.11x | — | 4.25x | |
| trailing 12 quarters | 2.40x | — | 3.30x | — | 6.90x |
Current 3.46x = the 22nd percentile of ATRC's own eight-year history.
The 8-year median of 6.79x is not admissible — it was formed in 2020–2022 when ATRC was a 20%+ grower pre-profitability, a different regime in both dimensions.
Anchor adopted: 3.30x, the trailing-12-quarter median (19th percentile of the 8-year history). The trailing-8-quarter median (3.11x) is the more growth-matched window but the reason for going one notch above it is named and dated: BoxX-NoAF's H1 2027 readout is now a disclosed catalyst inside the 12-month horizon, and the FY2026 adjusted EBITDA guide was raised (to $85–89m from $80–82m) after that window closed. Both are new information relative to the 8-quarter average.
3. Product-cycle events inside 12 months: BoxX-NoAF full enrollment (around end-2026, disclosed); BoxX-NoAF data readout H1 2027 (disclosed); FDA IDE submission (2026); new product release (2027); STS post-op AF quality measure enforcement (2027). LeAAPS readout: undated, not modelled.
4. Target. (3.30 × 645 + 107) / 51.5 = $43.40. Trimmed to $42.00, +2.7% to spot.
Target multiple ~3.20x = ~18th percentile of own 8-year history.
Sanity band — and this is the honest headline on ATRC. The 12-month target is essentially flat to
spot, and that is the finding rather than a failure of the method. ATRC has already re-rated: $27.70
(May 2026) → $40.89 (July 2026), +47.6% in roughly two months, on the Q2 beat and the raised adjusted-EBITDA
guide. Of the three names in this run it is the only one that is not at a multiple trough, and the +2.7%
target says the easy re-rating has been taken. The remaining upside is the BoxX-NoAF readout, which is a
binary in H1 2027 — a catalyst trade, not a valuation trade. valuation.md warns that a process whose
every target sits below spot is expressing a house view; this target is marginally above spot, and it is low
because the price moved, not because the model is bearish.
| Criteria | Type | Verdict | Basis |
|---|---|---|---|
| Quality | BINDING | PASS on 2 of 3 limbs; FAIL on acceleration — see the diagnosis in ATRC_Research.md §1 |
INFLECTION archetype. Gross margin LEVEL 76.16% → PASS. Operating margin CHANGE +10.84pp YoY → PASS. Revenue growth ACCELERATION: decelerating (16.6%→14.8%→12.8%) and below ~18% → FAIL. The screen's scalar FAIL is 2/3 artifact — it applied the COMPOUNDER level standard to an INFLECTION company. |
| Valuation | BINDING | FAIL (non-robust) | Required 18.91% vs demonstrated 17.40% = −1.51pp; vs guided 12–14%, worse. Flips to PASS at 16.0x vs a growth-matched comparator median of 21.9x. Verdict is multiple-determined and that is disclosed. |
| Downside | MEASURED | Logged | BoxX-NoAF misses its 30-day endpoint in H1 2027 → −22% to −39%; p=30%. Not a going-concern case. |
| Liquidity | BINDING | PASS (equity) · UNAVAILABLE (options) | $2.08bn market cap; equity liquid. Vehicle = equity. No listed option contracts exist at all in the Jun–Sep 2027 window — the 12-month-matched expiry does not exist, so no vehicle above step 1 is even constructable. Trailing 252-day realised volatility 47.6%; IV: NOT MEASURABLE (no chain) → the LEAP test is INDETERMINATE, not FAIL, per the missing-input rule. |
| Momentum | MEASURED | Strongest of the three | 12-1 momentum −12.7% but only −3.6% from the 52-week high, and +47.6% off the May low. The one name here with positive price structure. |
| Catalyst | MEASURED | Dated — the best of the three | BoxX-NoAF readout H1 2027, disclosed in prepared remarks. See ATRC_Catalyst_Calendar.md. |
| Consensus | MEASURED | Blank | AV EARNINGS_ESTIMATES returned {"Information": …} for ATRC on a premium key with paced requests — no coverage for this symbol. Blocks nothing. Guidance used instead. |
| Short Mechanism | MEASURED | No | Growth decelerating (the first limb is met), but margin runway is nowhere near exhausted — operating margin crossed zero four quarters ago and adjusted EBITDA guidance was raised. The second limb fails, so not a short. |
| Peer Spread | MEASURED | — | Named peer GMED (same end-market adjacency, SMID device): GMED 19.6x EV/EBIT / 3.46x EV/Sales at 23.5% growth vs ATRC 137.5x / 3.46x at 13.9%. Identical EV/Sales at 9.6pp less growth — ATRC is not cheap against GMED. GMED is −15.9% from its high; ATRC −3.6%. |
| Sub-sector | MEASURED | SMID Growth |